Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

How mindfulness may ease your suffering

Catherine Cheng, MD
Physician
September 10, 2017
Share
Tweet
Share

Which arrow causes you more pain, the first or the second?

Fellow blogger Michelle at The Green Study recently posted a piece in which she distinguished between pain and suffering. It reminded me of a Buddhist teaching that inspires and humbles me. Blogger and curator extraordinaire
Maria Popova quotes it in an article she wrote last year on a book by Tara Brach:

The Buddha once asked a student, “If a person is struck by an arrow, is it painful?” The student replied, “It is.” The Buddha then asked, “If the person is struck by a second arrow, is that even more painful?” The student replied again, “It is.” The Buddha then explained, “In life, we cannot always control the first arrow. However, the second arrow is our reaction to the first. And with this second arrow comes the possibility of choice.”

The first step to suffering less is cultivating awareness of the second arrow. This takes practice, and we must resist the self-judgment that comes the moment we realize we have not only shot ourselves again but have been twisting that second arrow deeper and deeper. This shame and self-revulsion is, after all, another drop of poison on the second arrow’s tip. Instead, I like to apply Ben Zander’s acclamation when he finds himself or his students doing something “wrong”: “How fascinating!” Look what I did! No judgment, just lighthearted observation.

The second step to suffering less is, of course, to remove the second arrow. Once we notice, learn how to remove it and tend the wound. Breathe deeply. Identify the sources of anger, fear, resentment, blame, contempt, shame, despair, anxiety, bitterness, envy. Breathe again. Loosen our desperate grip on these feelings. Hold them more loosely, ever more loosely. Breathe. Breathe. Hold also the space, emotional, cognitive, and temporal, for them the move through us.

Eventually, breathing, we can let go the negativity, pull the arrow out. Breathe. When assailed by another first arrow, see the second arrow coming and sidestep. Breathe. Keep breathing. Practice self-compassion and forgiveness.

Life will continue hurling arrows at us. Some will miss, others will land in our most vulnerable spots. Mindfulness practice, centered in attention to the breath, helps us evade the wounds and anguish from our own second arrows. The data, accumulated over the past four decades, is all but irrefutable for benefits of mindfulness for depression, anxiety, chronic pain, burnout and overall well-being. Prolonged practice even changes the physical structure of the brain, and it’s never too late to learn.

If you’d like to learn more, I have included a few more links below. You may find it worthwhile to invest in the practice. Be patient with yourself. And let me know how it goes.

The Arrow
Don’t Shoot the Second Arrow!

Avoiding the Second Arrow

Catherine Cheng is an internal medicine physician who blogs at Healing Through Connection. 

Image credit: Shutterstock.com

Prev

KevinMD fall 2017 speaking preview

September 10, 2017 Kevin 0
…
Next

Cancer doesn't take away from the beauty of life

September 10, 2017 Kevin 2
…

Tagged as: Hospital-Based Medicine, Primary Care

< Previous Post
KevinMD fall 2017 speaking preview
Next Post >
Cancer doesn't take away from the beauty of life

ADVERTISEMENT

More by Catherine Cheng, MD

  • Can universal health care and capitalism coexist? Yes, here’s how.

    Catherine Cheng, MD
  • Patients have more power than they may realize

    Catherine Cheng, MD
  • Skirting around language is a disservice to your patients

    Catherine Cheng, MD

Related Posts

  • Open your heart to your suffering

    Toni Bernhard, JD
  • A physician’s addiction to social media

    Amanda Xi, MD
  • International medical graduates ease the U.S. doctor shortage

    G. Richard Olds, MD
  • When we ignore a child’s preventable suffering, we lose a piece of our humanity

    Niran S. Al-Agba, MD
  • How a physician keynote can highlight your conference

    Kevin Pho, MD
  • Chasing numbers contributes to physician burnout

    DrizzleMD

More in Physician

  • Night shift health tips: How to protect your circadian rhythm

    Chinyelu E. Oraedu, MD
  • Health care market distortion: How government intrusion hurts medicine

    Allan Dobzyniak, MD
  • Securing physician autonomy with employer-sponsored direct primary care

    Dana Y. Lujan, MBA
  • The mathematics of merit: Quantifying bias in medical malpractice

    Howard Smith, MD
  • Medical relevance and evolution: Why physicians must reinvent themselves

    Adam Bitterman, DO
  • Navigating the patchwork of CME requirements by state

    Vladislav Tchatalbachev, MD
  • Most Popular

  • Past Week

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The future of U.S. medicine: 10 health care trends in 2026

      Richard E. Anderson, MD & The Doctors Company | Physician
    • The quiet paradox of physician mental health and medication

      Timothy Lesaca, MD | Physician
    • The Platinum Rule in health care: Moving beyond the Golden Rule

      Harvey Max Chochinov, MD, PhD | Conditions
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
  • Recent Posts

    • I lost 218 pounds and my ability to walk: a bariatric surgery regret

      Stephanie Mojica | Conditions
    • Night shift health tips: How to protect your circadian rhythm

      Chinyelu E. Oraedu, MD | Physician
    • How to master a new health care leadership role [PODCAST]

      The Podcast by KevinMD | Podcast
    • Medical school endurance: lessons from training for a 10K

      Riya Sood | Education
    • Health care market distortion: How government intrusion hurts medicine

      Allan Dobzyniak, MD | Physician
    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The future of U.S. medicine: 10 health care trends in 2026

      Richard E. Anderson, MD & The Doctors Company | Physician
    • The quiet paradox of physician mental health and medication

      Timothy Lesaca, MD | Physician
    • The Platinum Rule in health care: Moving beyond the Golden Rule

      Harvey Max Chochinov, MD, PhD | Conditions
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
  • Recent Posts

    • I lost 218 pounds and my ability to walk: a bariatric surgery regret

      Stephanie Mojica | Conditions
    • Night shift health tips: How to protect your circadian rhythm

      Chinyelu E. Oraedu, MD | Physician
    • How to master a new health care leadership role [PODCAST]

      The Podcast by KevinMD | Podcast
    • Medical school endurance: lessons from training for a 10K

      Riya Sood | Education
    • Health care market distortion: How government intrusion hurts medicine

      Allan Dobzyniak, MD | Physician
    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...