Episode 25: Stress, mind-body connection, and quantity vs quality of life, with professor and author Dr. Manuela Kogon (Part 1)
Mind-body connection and the internal & external stimuli driving stress
Learning to live with uncertainty, fear and trauma in survivorship
Quantity vs. quality of life and the the cost-benefit analysis for people living with cancer
About our guest
Manuela Kogon is an integrative medicine internist in private practice and a clinical professor at a large university. Dr. Kogon has devoted her life to patients in distress and has helped them connect to their innate ability to heal. She divides her time between California, Europe and rural Massachusetts and is looking forward to the day when humans rediscover their ability to be emotionally present for their fellow beings. You can learn more about her book “When Cancer Visits: How to Free Your Mind from the Grip of Distress and Heal Your Jolted Nervous System here.
Watch the video of our episode on YouTube
On external vs. internal stimuli that drives stress.
To separate external stimulation from internal stimulation, when people talk about fight, flight and freeze: if I put a gun to your head you’ve got to be activated, and you’ve got to fight back and run. But people aren’t fully aware that their internal system activates them, too. Someone with fear, if their heart beats faster might say ‘Oh my goodness, am I having a heart attack’ Or someone with pain might say ‘Oh, is my cancer might be back?’ And that’s a very activating thought. So I make people aware if that activation is external or internal.
On how to live while grappling with uncertainty and fear as a cancer survivor.
If you have a miniscule chance of recurrence, I wouldn’t want that to affect your life. So that’s an important thing, but uncertainty and unpredictability; it’s like ‘how do I manage my life if I don’t know?’ Am I now going out to live life as though it’s coming to an end tomorrow or do I live life as if I’m going to live another 40 or 50 years? That’s a very different approach to life. And in some ways, you have to do both. And how do you do that? How do you live as though life is going to be shorter with more awareness, or how do you live with life lasting. The different values become important depending on the scenario, and you have to juggle them both. And that is very stressful.
On living with cancer and the cost-benefit analysis of quantity vs. quality of life.
You’re caught between all these choices and this optimization of very difficult choices. There’s never a good answer, there’s only a cost-benefit analysis in that if the cost of taking the medicine is that high, and the benefit is this, but if I look at the cost, it’s attached to another cost – it’s a complicated decision making algorithm that’s overwhelming. And then the question arises, if I want quality and it comes at the price of quantity do I have the right to make that choice. Your loved ones won’t like it because they will always go for quantity.
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