Author Archives: Dan

A New Perspective on “Forgiveness”

What is forgiveness? According to the American Psychological Association,

Forgiveness is a process (or the result of a process) that involves a change in emotion and attitude regarding an offender. Most scholars view this an intentional and voluntary process, driven by a deliberate decision to forgive.

I’ve tried this process many times when dealing with situations in which others hurt me or I hurt myself. I suppose I have succeeded according to the above definition, because I did undergo a change in emotion and attitude regarding the offender, whether myself or another person. However, what I rarely, if ever, achieved was complete release from the situation. As much as I wanted to or tried, I simply could not erase the consequences the offense generated in my life, whether big or small.

Recently, I have adopted a different strategy. Some may view this new perspective as wishful thinking or cheating, but hey, for me it works beautifully.

Several science fiction movies I have watched recently contain time travel. In some of these, the “same” person was actually a different person (i.e. a person traveled back in time to interact with their former self). These two “people” while linked through consequences, were nonetheless distinct.

How does this relate to forgiveness? Well, suppose someone wronged “you” a year ago. Under this model, they didn’t actually wrong you, they wronged the you that existed (or exists) a year ago. Also, the offender is not the person you know now, but rather their former self that existed a year ago. What this means is that neither the person that committed the offense, nor the one offended even exist now. Forgiveness then is just to realize this and the negative energy and emotions fade away almost magically.

It may sound weird, but I can testify that it is better than any other process of forgiveness I have tried. So, the next time you do something stupid and are beating yourself up over it or someone slights you and you can’t get over the negative feelings you have for them, give this process of forgiveness a whirl and then share with me the results.

A Month (or Two) of Default Meditation

So I was supposed to start a new monthly challenge last week. For those of you who don’t know or haven’t figured it out yet, I start my monthly challenges based on when the new moon is. This is one small way I try to stay connected with nature.

Therefore, this next challenge will last for close to two months and I believe it is warranted because of its importance. Meditation is something that is practiced by a lot of eastern religions. Although I don’t subscribe to any of these, I understand why this practice holds an important position for them. It has incredible benefits physically, mentally, psychologically, and emotionally.

I have used meditation in the past couple of years to provide mental clarity, physical stretching, and emotional peace. However, this month I am going to exploit it for psychological purposes in addition to the other benefits. First off, I am defining the mind here as the ability for rational thought and the psyche as the central force from which humans derive meaning and dictate behavior.

I have been trying to keep this blog lighter, so I won’t go into all the philosophical musings I have had of late on this topic. Suffice it to say, from my experience alone, I believe meditation is the most reliable, powerful, and easiest source of focus, inspiration, and drive. Unfortunately, though I try to meditate a little every day, I have severely underused this technique, especially in times of depression, either from physical pain or a perceived failure.

This month (and the next), the challenge is to make meditation the default response to any type of depression, confusion, or anxiety I find myself experiencing. Here are the flawed responses I usually have to these feelings:

  • Deep thinking. This almost never is the right response in the moment. There is never an easy answer to the problem or depression I am facing, so thinking about it more and looking for a solution in this way is usually counterproductive.
  • Sleep. A short nap can be a great thing, and one I advocate for here. However, a short nap can easily turn into a long nap and what ends up is just wasting a bunch of time which just makes me feel even worse about myself.
  • Getting busy. Distracting myself from what is bothering me isn’t always a bad idea. However, if this is all that is done, then when I run out of urgent projects, then I will be sunk. This is not a good position in which to find myself.
  • Talking to someone. Hashing out my feelings to someone is usually a good thing. The only problem with this is that you cannot always do so on demand. Maybe you cannot get a hold of someone at the precise moment you need them or maybe it would not be courteous to them to just dump all your problems on them.

This month, the goal is to not think, sleep, occupy myself with projects, or even talk to someone in those moments of psychological distress. Instead, I will do a meditation session for 5-10 minutes. After this time, the sky is the limit as far as what type of response I will have next. I have great hopes for this experiment and will let everyone know what I learned and what I will incorporate into my lifestyle from now on once I finish the challenge.

Stuttering Evaluation

I learned four important lessons in my month of no fear in stuttering.

1. Speak while releasing tension. During a lot of situations, my speaking is perfectly normal and even I don’t have a problem with it. However, there are particular times which cause problems. I don’t have much trouble in one-on-one conversations or even that much in large group settings. It is small group bar-type settings with new people that are the worst instigators of the problem. Because of the narrow window in which the problem exists (which is a good thing), I found it very difficult to try to pinpoint the exact types of sounds that I tended to block or stall on. For the present, I think the best course of action is to just consciously focus on releasing tension when I start to speak. Breathing deeply and starting slow are great for this.

2. Say everything I want to say. This was a big part of the challenge for this month and it is incredibly important. Whenever I refrain from speaking because I think I will block on the sound, this increases my fear of stuttering which only worsens the problem. It is always better to face the fear. Many times, when I do, there is no problem at all. However, even when there is, it is still better to go for it and work on correcting whatever problem exists.

3. Don’t delay. This directly corroborates with the last point. The longer I wait to find the perfect way to say something, the more the tension builds which again compounds the problem. By speaking immediately and utilizing tension-reduction techniques, I have my best chance of fluent speech.

4. Don’t shudder after a “failure.” First off, it is better for me to view this as a learning experience rather than a failure. Shuddering or hating myself never accomplishes anything except for making whatever problem I have worse. Assessment is not a bad thing as long as it is not overly critical. However, even assessments can cause problems. Many times, it is better to just breathe and let it go. Look forward to opportunities for future success.

Unfortunately, I did not finish reading the book I purchased because I lost it halfway through the month. However, I think I have already gleaned most of the big-picture principles from it. The nice thing about the four lessons above is that they really can apply to a lot of activities in life. The theme is to consciously release tension, accept the challenge, do it immediately, and be resilient when things don’t turn out as planned. These are good principles for everyone to chew on!

Medical School Applications

It has been a while since I posted a blog. The last few weeks have been incredibly busy and tiring. However, this is a good problem, because it is due to all the interviews for medical school I have received. I interviewed at the University of Texas Medical Branch in Galveston, TX on October 16; at the Texas A&M College of Medicine in Temple, TX on October 22; at Baylor College of Medicine in Houston, TX on October 23; and at the University of Texas Medical School in Houston, TX on October 30. I have two more interviews scheduled at the University of Texas Southwestern Medical Center in Dallas, TX on November 7 and at the Texas Tech School of Medicine in Lubbock, TX on November 20.

All the driving has made me tired all the time and has convinced me that I definitely don’t want a job that requires a lot of traveling. Each interview process has been a lot of fun as well as very informative. Of the schools I have interviewed at so far, Baylor is my top pick, followed by either UTMB Galveston or UT Houston. The interview at the A&M school in Temple was fine but the town seemed rather boring and I did not like how they split up their student body after the first year and a half at Brian-College Station.

Of the two interviews I have yet to attend, I expect that UT Southwestern will be comparable to Baylor, and Lubbock comparable to A&M. However, that being said, I have received good vibes from every school I have visited, so it will be a tough choice deciding where I want to spend four years. The way the system works is that I will rate the Texas public schools which I have received interviews at from first choice to last by January 21 on my application at the TMDSAS website. If I have already received a pre-match offer from my top choice school, then that is where I will go (unless I also receive an offer from Baylor, which is a private school and not in the Texas medical school system, and decide to attend there).

If I have not received a pre-match offer, I will go through match where my preferences will be combined with the preferences that each school has put out and will be waitlisted if I am not offered an acceptance at my top choice based on the algorithm that is used. I have until sometime in June to either accept one of my other offers or hold out to see if a spot opens at my top school (which would not be a very wise decision).

At this point, I will more than likely either be living in Dallas or Houston for the next four years starting in August of 2016. I am currently comparing what I believe to be the pros and cons between Baylor and Southwestern. If any of my readers live in either of these cities or used to do so and want to chime in on what they did or did not like about them, please do so. I have a feeling this is not going to be an easy decision. However, that being said, this is definitely a great problem for me to have!

People I have talked with say it is good to stand out from the other interviewers so you will be better remembered. Well, there are two aspects about me that definitely set me apart. First, I was the only music major at my interviews (as far as I know). Also, I was the only bald person among the interviewees, although I did meet one bald medical student or with whom I got along great.

I purchased a new medium-gray suit which fits me very well at a reasonable price about a month ago that I have used on my interviews. It was fun making a pocket square (or rather trying to make one and being helped out by Mom – I suck at sewing) which made the suit look snazzy. I am also trying to wear ties based on the colors of the medical school at which I am interviewing.

All in all, the application and interview process has been exciting if also somewhat stressful. It definitely costs money and takes time but I feel incredibly honored to be able to attend medical school and look forward eagerly to a fulfilling career in medicine. The field I am currently most interested in pursuing is Physical Medicine and Rehabilitation. However, we will see if this holds once I start doing clinical rotations!

Back Pain

I think each one of us lives with certain maladies that affect our sense of well-being. However, most of the time we learn to cope with it and are able to enjoy a fairly positive outlook despite the problems.

Here is my current list of health or appearance problems that plague me:

  • Back pain
  • Hand/wrist arthritis/tendinitis
  • Meralgia paresthetica in upper left thigh
  • Acne
  • Sinus congestion
  • Leg pain when standing (especially when wearing non-minimal shoes or on hard surfaces)
  • Kyphosis/Scoliosis
  • Digestive trouble
  • Eye strain
  • Depression

The worst of the items on this list, by far, is back pain. I first started experiencing twinges of this when I started college. Unfortunately, I ignored it at the time since it wasn’t that bad. Due to a lack of proper exercise and stretching, the condition grew worse over the next couple years. Now, I generally always have some level of pain in my back, which ranges from a 1 to a 7 on the comparative pain scale.

If there is one thing I have learned in the past couple years of dealing with various health problems, it is that moaning and groaning (or getting others to do this for me) does absolutely nothing to help me cope with the pain. Here is how I currently deal with my back pain. Hopefully you can relate it to whatever physical ailment with which you have to live.

  1. Create a treatment plan. I daily take turmeric and MSM (sulfur) powder which are both natural anti-inflammatory substances. In addition, I am now generally taking a daily dose of acetaminophen to help with pain outbreaks. I have decided on this instead of taking NSAIDs because these can have deleterious effects on the gut and my gut already has enough problems after the surgery I had a couple years ago.
  2. Self-crack my back. I do this every half hour. I try to not do it more often than this, because this can cause more problems than it fixes. This has become routine. I simply bend over to a 90 degree angle and then jerk back up. This will usually in a satisfying crack right in the center of my back.
  3. Have alternative methods to deal with pain if the above doesn’t work. If I am still experiencing back pain that does not allow me to function very efficiently, I will do one of several things. First, a cold shower usually makes my back feel better. Another option is laying on a foam roller in both directions and stretching. The last option is to make some tea and meditate. If nothing else, this can help me get into a better mental state.
  4. Focus on getting through this day. Sometimes it can seem overwhelming to me if I start worrying about how my back pain will affect me during medical school or my career. There may be a time and a place to think about such things, but not in the moment that I am experiencing the pain. Right then, the best thing is to just focus on coping with it as best as possible and fulfilling my obligations for that day.

This is a constant struggle and I still have bouts of depression on a fairly regular basis because of this. However, I feel like I am making progress and hope that these experiences will make me a wiser and more empathetic person in general.

Evaluation of my Month of Shaving My Head

I bought a Philips Norelco Shaver (rotary) to allow me greater ease in shaving my head and it works pretty well. It can be used wet or dry, but has to be cleaned more frequently if used wet.

Now that the month has finished, I am only shaving twice a week instead of three times. I tried doing just once a week, but the hair grew long enough which made it more difficult and time-consuming. Shaving or trimming everything (head, face, beard) twice a week is adequate to keep me looking pretty decent.

I haven’t gotten too much comment on it from my friends, except for the occasional, “nice dome!” Overall, I tend to like it. First off, I no longer have to worry about what my hair looks like (is it buzzed short enough; do I need to add some hair gel, etc.). Second, I no longer have a receding hairline or any weirdness in the back. Third, it’s a new look. I like new things. It will get old after a while, but I’m going to enjoy the freshness of it while I can.

I am still open, however, to growing my hair out again. I would appreciate feedback from family, friends, and readers: good, bad, or otherwise. If I do decide to keep the look for good, I might have to experiment with different beard styles. We’ll see.

A Month of No Fear In Stuttering

I recently purchased a book titled ‘Advice to those who stutter. One of the common themes is that the biggest cause of stuttering is the fear of stuttering. This month, while working on a lot of aspects related to stuttering or disfluent speech, I want to especially focus on removing the fear of these speech problems. I have read a little more than half the book, and plan on finishing the rest of it this month by reading a chapter every 1-2 days. However, here are my notes from just the first four chapters which I have condensed into five aspects of the challenge for this month.

  1. Definite objectives. There will be three rules I am establishing right off the bat which will continue throughout the month. First, I am setting a daily quota of 3 people to talk with who are different from the norm for each day. This will provide me with the opportunities to work on my speech. Second, I want to not use avoidances (e.g. replacing a word with a different word, not speaking when I want to speak, abbreviating phrases). To help accomplish this, if I realize that I am using an avoidance involuntarily, I will inflict a self-penalty by making myself use the word I avoided 3 times thereafter as soon as I can in the conversation or subsequent conversations. Third, I will maintain eye contact during stuttering blocks. I want to face the situation and build confidence.
  2. Replace the fear of stuttering with word analysis and phrasing. This and the subsequent parts of the challenge for this month will be more general in nature. Some ways I will accomplish this point include analyzing my stuttering pattern (lead up, event, and escape) when I do it instead of resisting the stutter or block, plugging my ears and reading aloud to feel the flow of the words, videotaping or recording myself if possible when talking with others and reviewing the media later, and tallying in speaking situations. What I mean by the last statement is to go directly into the block without starters, stutter all the way through without retrial, stop immediately after the stuttered word, and tally the block in a small memo book (write down the word and what happened).
  3. Add, vary, and drop. The next step is to isolate either a stuttering pattern or an avoidance technique and dispose of them separately. At this point, I should already have a list of words I stutter on, what happens, and an analysis of the situation. I want to exaggerate the stuttering pattern deliberately, then vary it in some way, and finally stop doing it altogether. This should happen over the course of a few days (first day add, second day vary, third day drop). The second thing I want to do is make a list of avoidances that I am likely to want to use and the contexts in which I do so. Then, I will repeat the above process in getting rid of them.
  4. Stutter more easily. From what I have read, stutters don’t usually ever totally go away. However, it is possible to make the stutter more graceful and less noticeable. One way to do this is to start the first spoken word with a very light contact from the articulators and prolong the first sound slightly before continuing on normally. If I find myself stuck in a block, I will consciously release tension (take a slight pause only if needed) and move forward. Also, after stuttering on a word, I will try to find a way to say it again while modifying how I do so and focusing on releasing tension. With all of these strategies, it is critical that I resist time pressure in communication, at least for this month.
  5. Fluency. The goal is not just to lessen a speech pathology, but to improve in my overall speech fluency. This includes speech rate, loudness level, inflection, length of phrases, and diction. I want to build flexibility in speaking by varying all of these in different speaking situations. Basically, for the second half of this month (after I have focused specifically on the middle three challenges), I will think about one or more of these fluency factors when in a conversation and have a goal (e.g. varying volume, focusing on proper diction, trying to speak with long phrases or short phrases, etc.) that I strive to fulfill each time.

The few people to which I have mentioned my stuttering problem have mostly responded with surprise, saying they were not even aware of it. This seemed strange to me at first, but after thinking on it, I realized that the main way I deal with my problem is by either avoiding from saying something altogether or else pausing before a hard word and substituting an easier word. So, in trying to get rid of the fear of stuttering, there is one more challenge I am setting for myself that did not really fit into any of the five points above.

One thing pretty much every chapter of the book I have been reading agreed on was to stutter on purpose. This will be the hardest part of this month’s challenge. According to the experts, this is the number one way to reduce the fear of stuttering which is usually one of the contributing factors to the pathology. I will have a brief evaluation at the end of every day this month to see how I am doing with each part of the challenge. Wish me courage!

A Fresh Perspective

Now that I have another website that I am working on developing (medvoices.net), I don’t have as much time to devote to my blogging here. This, in addition to a recent shift of interests, has prompted me to redesign this website to be more specifically focused on personal development and self concept. These can include a whole litany of different topics, but I think these fall roughly into three main categories:

  1. Personal Health. I have particular health problems that I work on alleviating while practicing acceptance. In addition, there are the proactive choices I make to cultivate a healthy lifestyle and mindset.
  2. Body Image. This includes everything from clothing to grooming to mannerisms. It also involves learning to deal with any thoughts of inferiority that arise for whatever reason.
  3. Practical Philosophy. A large part of health and body image is the way we think about it. For this reason, the ideas we have about these topics are extremely important and not something to be glossed over.

With these thoughts in mind, I will be creating different categories to focus on and writing specifically about those topics. I plan on keeping up my monthly challenges and evaluations as well as a mid-month post. However, I will be adding in posts that basically chronicle my struggles and successes in the above-mentioned areas. I believe this will be incredibly beneficial for my personal development and self concept and hopefully will be a source of enlightenment to those who read as well.

The way I try to prioritize my life at this point is as follows (an ultra-simplified description; it goes without saying that there are certain things that don’t need to be prioritized because I instinctively view them as urgent and important):

  1. Always complete daily base exercise plan and eat full healthy meals. If I do nothing else in a day, I should do this. This provides the physical energy and mental motivation for everything else. If I ever start skipping exercise or eating skimpy meals, then everything else is going to be negatively affected. This has to always be the top priority.
  2. Do semi-urgent and important tasks. These are the things on the to-do list which may not have to be done right this minute, but will catch up with me later and cause headaches if I procrastinate in doing them. There shouldn’t be a lot of these if I am following this prioritization scheme.
  3. Deal with pain, inferiority, or confusion. These each relate to one of the categories mentioned above, respectively. There are two ways to address any of these symptoms. The first involves conscious action, such as stretching to reduce pain, blogging to work through thoughts of inferiority, or writing down areas of confusion so they can be diagnosed later at a predetermined time. The second way to address these symptoms is the same regardless of what the symptom is: meditation. Clear the mind, focus on your breath, and let the pain, inferiority, or confusion wash away.

There are many other activities I schedule in my day, but as long as I maintain the three priorities above, everything else will work out just fine. I invite you to practice the art of living with me as you read these posts.

A Month of Shaving My Head

I have thought and joked with others about shaving my head for the past year. Well, now is the time to try out this experiment. I shaved my head today and took a picture but can’t upload it. I will post it once I figure out how to do so.

I plan on shaving my head three times a week during the next month. Most of the monthly challenges I do knowing that at the end of the month I will stop or significantly change my routine. However, there is a definite possibility that this will stick and I will remain bald-by-choice from now on.

Here are some of the reasons for shaving my head:

  • I have been dissatisfied with my hair for quite a while. Whether I wear it longer or shorter, I cannot get myself to like it. Ever since it started balding above the temples, it has just looked corny to me. Also, there are some small abnormalities in the back as well which slightly bug me.
  • I feel empowered when I choose my style. My self-image has never been the greatest. However, it usually improves when I put myself in charge of my image instead of just succumbing to what I am used to (even though this might not be the best). So this will be a test. Will I feel more confident or less with my hair shaved off?
  • No more haircuts or bad hair days. I have been keeping my hair shorter for the past year or so, but there are still occasions where I forget to get a haircut and then look sloppy.
  • It is something new. Really, what more reason do I need than this? I think life is more interesting when I change my looks or routine and experiment with new things. So that is what this is.

I am going back to school next week and am sure I will get plenty of comments. I will update everyone with my thoughts once the month is over.