Ep: 105: BJ Miller: Palliative medicine physician and educator on life and death and everything in between

Dr. BJ Miller is a longtime hospice and palliative medicine physician and educator. He currently sees patients and families via telehealth through Mettle Health, a company he co-founded with the aim to provide personalized, holistic consultations for any patient or caregiver who needs help navigating the practical, emotional and existential issues that come with serious illness and disability. Led by his own experiences as a patient, BJ advocates for the roles of our senses, community and presence in designing a better ending. His interests are in working across disciplines to affect broad-based culture change, cultivating a civic model for aging and dying and furthering the message that suffering, illness, and dying are fundamental and intrinsic aspects of life. His career has been dedicated to moving healthcare towards a human centered approach, on a policy as well as a personal level.

 

Some interesting insights from this episode:

  • “I had a basic hunger and curiosity to understand the world in which I was living and to understand myself”.
  • Early on, as he was recovering from the accident with three less limbs, he forced himself to reframe his situation. That life wasn’t going to be extra difficult going forward but just uniquely difficult. And that suffering is something we all deal with in our own way.  Eventually his emotions would catch up with his mind whereby he truly felt that way.
  • Studying art history in college taught him perspective. It taught him how he was in control as to how he perceived his life and how he framed his life experience.
  • In palliative care, you don’t just treat the pain, you treat the suffering.
  • “If you don’t know the depths of sorrow, you aren’t going to know the peaks of joy.”
  • As dying patients reflect back upon their lives, it’s not so much regret over what decisions they made but how they imbued whatever decisions they made. Did they do it with love, did they infuse their spirit into whatever they were doing. That’s what matters most.

 

Notes:

The Center for Dying and Living

Book: A Beginner’s Guide to the End: Practical Advice for Living Life and Facing Death

TED Talk: What Really Matters at the End of Life

Ep 75: Ed Stafford: Extreme adventurer, explorer, and reality TV competitor

Ed Stafford is a British explorer.  He holds the Guinness World Record for being the first person to walk the length of the Amazon River. He has been one of the National Geographic Adventurers of the Year and was also the European Adventurer of the Year.  He has written multiple books on his quests and now hosts an adventure reality show on the Discovery Channel called Ed Stafford: First Man Out.

 

Some interesting insights from this episode:

  • His insecurity as an adopted child drove his ambition. He had to adapt his behavior in order to make people like him and prove his worth.
  • He set the Guinness record for being the first person to hike the length of the Amazon. It took him 2 years, 4 months, and 8 days to complete the 4,345 mile trek.
  • “Imagine the thickest of bramble bushes, knotted with razor-sharp vines and spiky palms. Then imagine sinking the whole thing in a swimming pool full of muddy water and having to make your way through that swimming pool using just your 18 inch machete.”
  • “I would start the day positive and upbeat and as each negative experience cropped up, I would set myself the challenge of laughing at it and not allowing it to bring me down. Each time I succeeded, I would give myself a pat on the back and it boosted my morale further to think I was gaining control over the way I reacted to external influences.”
  • “I find myself in the pleasant position of being calmer and happier with the world about me. My confidence now comes from within rather than from the opinions of others. I now know who I am and what I am capable of.”
  • “Excellence is always trying to become the best version of yourself.”

 

Links

TV Show: Ed Stafford: First Man Out

Books:

Walking the Amazon

Naked and Marooned

Ed Stafford’s Ultimate Adventure Guide

Personal Site: Ed Stafford

Ep 45: Eduardo Strauch: Andes Mountains plane crash survivor

Eduardo Strauch is an architect and painter living in Montevideo, Uruguay.  He is also one of 16 survivors from a 1972 plane crash in the Andes mountains which was charted by an amateur Uruguayan rugby team.  He survived 72 treacherous days trapped high up in the mountains.  He wrote a book about his experience called Out of the Silence: After the Crash.

 

Some interesting insights from this episode:

  • Learn how he and 15 others managed to survive for over two months with minimal provisions, subzero temperatures, and thin air which was very difficult to breathe.
  • Learn how spontaneous meditation helped free his mind and save his life.
  • Mental strength was as important as physical strength for survival. You had to maintain hope and continue to have positive thoughts and believe that things would eventually work out.
  • You had to learn how to control your mind in order to do what was needed to survive. “It was essential to strip away the deep associations of the past from our actions and maintain that strict separation to be able to act.”
  • Once they ran out of food, they had to get past age-old societal norms and resort to cannibalism to survive.
  • “We all occasionally fell into bouts of deep depression, but then the group would notice it and act in support of that person, like a living organism trying to rebuild its own weak cells.”
  • From the very moments following the crash to this day, Eduardo has learned to appreciate the value of life.
  • “Excellence is to be in peace with oneself and ensure that you are living the life you must live.”