How to Cope With a Serious Illness or Disease

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“May the pain of every living creature be completely cleared away. May I be the doctor and the medicine and may I be the nurse for all sick beings in the world until everyone is healed.” – Shantideva

According to the Buddha there are four inevitable stages in our life: birth, old age, death and sickness. We will all get an illness at some point in our lives. Some will only suffer a bad flu whilst others will have to stand face to face with a serious disease like cancer or HIV. A few years ago my closest high school buddy got diagnosed with a rare and aggressive form of cancer and during that painful and testing time I went to the ancient texts of India and Tibet for some sort of philosophical help about dealing with an illness. Since that time we have also talked a lot about the illness and a lot about what got him through it. Today I would like to share some of those techniques with you and your family members.

With a few minor adjustments you can turn the experience of being sick into something positive where you grow into a braver and stronger person. Illness is one of the only times in life where you get to truly discover your potential. Without this attitude the whole debacle is just a waste of time.

BE INTERACTIVE – If you have any other methods that I have not mentioned please leave a comment as it might really help someone. Similarly, if you or someone you love is sick and you need a friend to talk to I will always answer your comments. We also have a lot of caring, knowledgeable and loving readers who will do the same.

How to cope with a serious illness or disease


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Although I myself have never been seriously ill, it seems as though a lot of the people around me have. I hope that some of these techniques benefit any sick people out there, either directly by reading it or by a loved one passing it on. Most of the techniques I discuss in this article come from a Eastern Philosophical background and as such they might contain some foreign concepts. That’s okay. Sometimes you need something a little different to get you through.

1. Accept that you are now sick
Quite often the first thing you notice about someone who has a serious disease is how they go about their life as if nothing is going wrong. It is obviously a coping mechanism, but it can often lead to some very painful times as the truth begins to set in as symptoms and pain begin to get worse. If you have just been given some bad news from your doctor it is important to accept it right away. This does not mean getting all glum and depressed, it just means that you are in touch with reality. If you do not accept the truth you will not be able to develop any further coping mechanisms, and that is why I have put this as the first point.

2. Know that you are not alone
When you get told that you are sick it is easy to feel all alone. Especially at night time. When I had a few months of serious depression in my early 20’s I always noticed that night time was the worst. And others have said the same. Everything is quiet, dark and you feel like the only one awake. But you aren’t. At any one point in time there are thousands of people around the world who know exactly how you feel. And although you might never meet them in this life, there is some sense of strength that comes from realizing that they are out there.

On a more intimate level it is important to realize that your friends and family will be there for you whenever you need. It doesn’t matter what time, day or night, if you need them there by your side do not be afraid to call them or shoot off an sms. They will be glad that you did. They will not feel inconvenienced. They will actually be delighted that they can help in some small way, finally vanquishing that terrible feeling of helplessness.

On a more superficial level you should know that The Daily Mind will always be here. I will always answer comments. It might take me a few hours to see it but I always get them in the end and I will do my absolute best to help you though whatever situation you are in. Please note that I am not a psychologist or a counseling professional, just a boring old philosophy nut who has had some life experience. So there you have it, you are not alone.

3. Develop some gratitude by using compassion
Let me be very clear with you. The strongest and most powerful positive emotion that a human can feel is compassion. The wish for another human being to be free from suffering. It is why our mothers took such good care of us and it is why strangers in the street will risk their lives to help a person in a mugging or a fire. Compassion is going to be your greatest tool in this time of illness. Why? Because it is going to teach you that things could be worse. And developing some gratitude will help to calm your mind and allow more room for positive change.

Appreciation
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Let’s think up an example. Say you have just been diagnosed with cancer. You are scared, stressed and perhaps a little bit angry. You start focusing in on the sense of self so tightly that no body else matters. But this makes things worse. Everything anyone says to you is like sandpaper grating on your skin. You become more sensitive and less able to deal with bad news or pain. But shift your focus for a second. Think about all the others out there who have it worse than you.

Even if you are dying of cancer you can still be grateful that you have your family by your side or pain managing medication. A lot of people don’t. Think about the other people out there in worse scenarios than you and feel thankful that this is all you have to deal with. It will give you a lot of energy.

4. Use an ancient meditation technique to forget about your own self concern
All of the Buddhist texts agree on one thing when it comes to sickness: you must engage in the meditation practice called Tonglen. Tonglen is Tibetan for “giving and taking” and is an ancient Buddhist practice that originated with the Indian Buddhist Master called Atisha Dipankara Shrijnana, born in 982 CE. The meditation is easy to do and bears results after only a few sessions. His Holiness the Dalai Lama has said that he does Tonglen every day. So how do you do it?

Find a comfortable seat and sit in the correct meditation posture if you have the energy. Now shift your attention to your breath; the breath is the “vehicle” on which this meditation is based. Now do the following on each breath:

  • Inhale
    Imagine all the suffering and illness of all other sentient beings is coming into you in the form of black smoke. It completely takes away everyone’s pain, agony and disease and is destroyed in your lungs. Focus on the intense feeling of compassion, the idea that you are willing to take on other people’s suffering.
  • Exhale
    Imagine your exhalation is white light that sends out all your happiness, health and peace of mind to all the sick and dying people around the world. Imagine that that are actually sustained by this exhalation and immediately feel better and more content. Focus on the feelings of love, the idea that you are willing to give all your happiness and health to help your fellow human being.

The first question that new meditation students inevitably ask is, “Will taking on other people’s suffering make me sicker?” The answer is always a definite “NO“. In fact, many yogis in Tibet often found that this practice gave them a new lease on life; more energy and often times helped them overcome some illnesses. There is no correlation between meditation and getting sicker, only the opposite is true. The goal of Tonglen is to shift your focus away from your own self importance and teach you to value others more. Dealing with pain becomes quite easy when you are an expert at this meditation (or so I am told).

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5. Become acquainted with the Buddhist concept of purification
There are many prayers in Tibetan Buddhism that say that “sickness is good, health is bad“. At first this seems like absolute nonsense but then you read on and it continues that “sickness helps me purify my negative ways, happiness just makes me lazy“. All of a sudden we see that initial comment in the context of mind training and now you have quite a powerful new teaching.

Being a good person is easy when the belly is full. Thinking about love and patience is easy when you are having a wonderful day. But the real test of character comes when you are sick and suffering. How loving are you then? How much patience do you now have? Not a lot. But illness and disease presents us with a unique opportunity to purify our old ways and develop a new way of thinking. It is a situation of great hope and possibility.

Buddhists actually believe that sickness is good because it is purifying bad karma that might have otherwise ripened in a much more serious situation. Imagine you spent five years smoking and got lung cancer. You beat that cancer, quit smoking and approach life with a new sense of vigor and awareness. If you didn’t get sick that would never have happened. In fact, you might have kept smoking and ended up with a much more serious case of cancer. The sickness purified that negative karma.

I am not asking you to accept this idea straight away. In fact, I don’t care if you never accept it. But when you are sick it is important to open your mind to new ideas. Make it pliable. Imagine that your current sickness if purifying your past karma so that you can move on as a brand new person without anything holding you back. Doesn’t that seem like a nice way to view the disease? Its helping you.

6. Find a role model to emulate
The last technique I want to talk about is one that is that of using a role model to give you strength. It is an extremely potent way to give yourself a renewed sense of purpose and power. And it is very easy to do.

When I am feeling sick and sorry for myself I imagine the great yogi Milarepa who endured so many hardships for the benefit of others. He did not let a little cold or flu stop him. He meditated alone in caves with no food or drink for months at a time, sustaining himself only on nettles. He was so determined to reach his goal that he continued working even when he was sick.

Find someone strong and empowering. It might be a religious figure like Jesus or Buddha or someone else that you admire. Think about them when you are feeling down and ask yourself what they might do if they were in your situation. Over time you will find that you take on their strength much like a child copies his mother or father when approaching a new situation.

Conclusion

Getting a serious illness or disease can be the most trying time of your life. But you have a choice. You have an opportunity to use this situation to become a better person, or you can let it depress you. My sincere advice is to start thinking about compassion as much as you can. Become friends with the illness and see it as a positive time in your life, your rare opportunity for growth.

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26 Comments »

2010-01-05 09:23:13

Strangely enough the thing that I found most comforting was the book “the power of now”. It helped me accept and surrender to the fact that I was ill. It wasn’t a serious illness but still the concept is the same. I write about it on my blog under the title “Illness is all in the mind”.

Comment by The Daily Minder
2010-01-05 10:18:19

It is all in the mind. I was going to touch on that but thought perhaps it was too full on for this audience… what do you think?

 
 
Comment by JB
2010-01-05 13:21:10

I agree about tonglen. It is interesting how many people say “thinking” positively is important when you are ill. But, it needs to be deeper, if its going to really change something. It needs to be your values. And, that is where tonglen really works.
Thanks mate. Keep up the great writing. It is so cool to come here and read your thoughts.

Comment by The Daily Minder
2010-01-05 21:33:40

Thanks JB. I know I’ve written something okay when you stop by and comment.

 
 
Comment by John Dockney
2010-01-05 17:47:17

I pride myself that I am never physically ill because I will not allow myself to be . Yet I allow myself to be continually fed up . Why can I not overcome this constant feeling of depression and worthlessness ?

Comment by The Daily Minder
2010-01-05 21:34:42

Hi John.

Can you explain a little more about how you feel? Are the feelings associated with work or family or just general life?

Perhaps then I might be able to help.

 
 
Comment by Ravi
2010-01-05 21:15:08

My friend who has diabetes was just told by her doctor that she has Type-1 (Juvenile) diabetes and that she will have to continue injecting insulin 4 times a day for the rest of her life. She administers it herself. She is single and now heartbroken that she will never find a mate in her health condition. My words failed to cheer her, so this post by you is timely. I am hoping this helps her.

Like you said its easy for someone with his Belly full (in this case me) to advice and another for the person with illness to maintain equanimity and show compassion.

Thank you for this post!

Comment by The Daily Minder
2010-01-05 21:37:01

Hi Ravi.

Your friend should rest assured that medicines and technology are getting better in the area of diabetes. There are now much better methods of injection and many scientists hold the hope that a cure is just around the corner, especially with stem cell treatments.

I am sure she will find a mate. If my wife had diabetes when I met her I would have still fallen in love.

I hope she is able to find some way to cheer up.

TDM

 
 
Comment by Shri
2010-01-06 04:40:56

My mom is suffering from Parkinson’s disease. She is really strong (or I hope she is), but she compares herself to others, broods about the things she could’ve done if her movements were normal, and gets into depression. It really saddens us to see her this way.

Thank you for the insight, it was a great post. I am going to tell her about the meditation technique you’ve explained.

Thanks much.

Comment by The Daily Minder
2010-01-06 06:06:30

Hi Shri.

I am sorry to hear about your mom. Please let me know how the meditation goes.

TDM

 
 
Comment by Freebyrde
2010-01-07 17:57:18

I found this post came at a timely time as well, although I have not recently been diagnosed with an illness, I am scheduled to have diagnostic surgery in less than two weeks, and was leaning towards cancelling the surgery for fear of what they might find.

For years now I have been suffering from severe cramps once a month for several days. They cripple me and I lay in bed screaming from the pain. The doctors have found nothing wrong in ultrasounds or other check-ups, and they have told me this is my last option.

I’m terrified of what they might find. I’m terrified they may tell me I might not be able to have children. I’m terrified they might find something horrible and I will have to have some sort of major surgery…and I’m terrified of much more but your post has put things in perspective and I believe will help me cope with whatever news I may receive from the doctors.

Thank you for taking the time to write and share your knowledge and wisdom

Comment by The Daily Minder
2010-01-08 04:29:52

Hi Freebyrde.

I am sorry to hear about your pain. I can tell you, however, with 100% certainty, that the news the doctors give you will never be as bad as putting up with this pain and not knowing. The anxiety you must have now being in the dark must be horrible.

Even if they find that you have a serious illness, you will deal with it. You will know what is wrong, how to treat it and how to move forward.

Don’t be afraid. You aren’t alone.

Good luck and please let us know how you go.

TDM

 
 
Comment by Sergio
2010-01-08 02:10:41

Great post. I was wondering how I could help my father cope with his problems. He suffers from hip pains continually and it makes it hard for him to get through the day. I know that he often looks to me for help, so now I have another bit of advice in my hands thanks to you.

Thank you and keep up the good work, your posts are far more interesting and helpful than you may think.

Comment by The Daily Minder
2010-01-08 04:31:03

Thanks Sergio. That means a lot.

I am always interested to hear how our techniques go. Please let us know what works and what doesn’t for your father so I can learn something new for my father.

TDM

 
 
Comment by John Dockney
2010-01-09 05:12:05

My feelings are of regret . I regret not looking after my marriage . I am divoeced and recently re married my wife . I should be the happiest man in the world but continually ask myself why did I do this why did I do that ? I regret never pushing myself more , I regret getting involved with other women , everything seems to be a regret . I hope that you can follow .

 
Comment by Margo Caulfield
2010-01-10 12:22:20

I’ve been working with various forms of chronic illness and life threatening conditions for years (including the AIDS epidemic from 1985 on). I started a blog http://www.healingwhole.blogspot.com to explore the issues around healing (not cure).

The best definition of healing I’ve found, is Jon Kabat-zinn’s “Healing implies the possibility for us to relate differently to illness, disability, even death, as we learn to see with eyes of wholeness. Healing is coming to terms with things as they are.”

Thanks for the post

Comment by The Daily Minder
2010-01-28 06:59:00

Fantastic Margo! I’ll check it out.

 
 
Comment by Freebyrde
2010-01-26 14:50:36

Well I did go through with the surgery, and I am in pain recovering and should know the results within 4 weeks. Thanks for the article it really helped

Comment by The Daily Minder
2010-01-28 07:00:16

Freebyrde thank you for stopping back. I really hope it all goes well. Please stay in touch.

TDM

 
 
Comment by Kathleen Duke
2010-01-27 19:07:57

Having been through treatment for very aggressive cancer at mid-life, I have to say this: you completely ignore the necessary mourning process. Cancer *does*, in an instant, destroy your hopes and dreams for yourself, and many of the hopes and dreams for your family. And to pretend that you can just “accept” this and move on to Zen Buddhist monk mode is preposterous, and very ignorant of how we humans operate.

I suggest you take a look at Elizabeth Kubler-Ross’s original ground breaking book “On Death and Dying”. Your advice about how to cope with, and if time permits, grow from, serious illness, would be much more useful if you at least acknowledge the entirely foreign emotional landscape that you are thrust into by a life-threatening diagnosis, and confronting your mortality decades sooner than you always deep-down believed would be the case.

Comment by The Daily Minder
2010-01-28 06:59:36

Hi Kathleen.

I am sorry to hear about your cancer. I hope it is in remission now.

Thank you for adding your thoughts. Having sincerely tried my best to help with this article I am a sorry that you found it to be preposterous and ignorant.

I was just hoping to add some new techniques into an area where is seems people need any tool they can grab on to.

Thanks again for commenting.

TDM

 
 
Comment by Alex
2010-01-28 08:56:43

Hi Kathleen and Minder,

I am also a past (or still current while in remission) patient of an extremely agressive blood cancer and I must say that I think both perspectives here are equally valid. Throughout my treatment I found that I used almost all of the methods listed above as coping or philosophising mechanisms which is what helped me to cope relatively well even at points when I was convinced that I only had a matter of weeks left to live(I was 22 at the time). I have to say that personally I didn’t really go through any of the stages identified by Kubler-Ross in her model and as such I don’t think I would have found it helpful.

That being said I was in a very different position to others, the agressiveness of my cancer meant it had the possibility of a cure (albeit a 50% chance). Similarly I didn’t have children, although facing leaving your parents and siblings is also very difficult to cope with. I had also been exposed to these patterns of thinking before my illness which undoubtedly played a big part in the coping strategies I adopted. Additionally, and crucially, as I alluded to at no point did my cancer become terminal, nor was it a chronic disease that I had to live with, rather it was a precarious all or nothing situation.

So my point is that I think coping mechanisms are as many as the possible combinations of personality, spiritual and religious background, disease type and familial circumstances. Inevitably this article will be preposterous to some and that is completely valid but I must say that my experience (3 years ago now) was that these approaches were more useful and productive to me than a Kubler-Ross model. However I suspect you are in the position of having a terminal disease and so your perspective is again extremely different to mine. I wish you all the best for this process.

Sincerely

Alex

PS – I should disclose that I am a friend of the author and I am sure, although I made no contribution to the writing of this article, I played some influence in its formation.

 
Comment by Mick Morris
2010-01-29 12:32:37

AS the parent of a severely disabled child following an accident, these practices have been pretty central in building the resilience needed to keep going, so I recommend the processes in this post to anyone who has a challenge to overcome.

 
Comment by Shara
2010-03-07 19:19:57

I have been working to heal from a chronic illness for many years now, I am going to give the tonglen meditation practice a try. Thankyou for your wise words. It was suffering with illness that led me to study Buddhism but due to illness I have been unable to travel to study with a teacher. I enjoy reading your articles very much.

Comment by The Daily Minder
2010-03-08 00:41:26

Shara. Where do you live? I might be able to help arrange for a teacher to visit you. Feel free to email me if you like.

TDM

Comment by Shara
2010-03-15 13:22:58

I live in Abbotsford, BC, Canada, if I could find a teacher to visit me, I would be very grateful.

Sharon

 
 
 
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