Skip to content
  • About
  • Contact
  • Contribute
  • What Physicians Say
  • My Book
  • Careers
  • Podcast
  • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Aging and dementia: what physicians say, in their own words
  • Artificial intelligence: what physicians say, in their own words
  • Be heard on social media’s leading physician voice
  • Board certification: what physicians say about the boards and MOC, in their own words
  • Cancer: what physicians say, in their own words
  • Children’s health: what pediatricians say, in their own words
  • Contact Kevin
  • COVID-19: what physicians wrote as it happened
  • Custom enhanced author page pricing
  • Diabetes and obesity: what physicians say, in their own words
  • Direct primary care: what physicians say, in their own words
  • DMCA Policy
  • End of life: what physicians say, in their own words
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • GLP-1 drugs: what physicians say about Ozempic and its successors, in their own words
  • Heart disease: what physicians say, in their own words
  • Immigration and medicine: what physicians say about immigrant doctors and immigrant patients, in their own words
  • KevinMD influencer opportunities
  • Medical errors: what physicians say, in their own words
  • Medical ethics: what physicians say, in their own words
  • Medical malpractice: what physicians say, in their own words
  • Medical school: what students and physicians say, in their own words
  • Mental health: what psychiatrists and physicians say, in their own words
  • Nursing: what nurses and physicians say, in their own words
  • Opinion and commentary by KevinMD
  • Opioids: what physicians and pain patients say, in their own words
  • Physician burnout speakers to keynote your conference
  • Physician burnout: what physicians say, in their own words
  • Physician careers: what physicians say about jobs, contracts, and leaving clinical practice, in their own words
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician personal finance: what physicians say about their own money, in their own words
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Physician suicide: what physicians say, in their own words
  • Physicians and administrators: what physicians say about who runs medicine, in their own words
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Primary care: what physicians say, in their own words
  • Prior authorization: what physicians say, in their own words
  • Privacy Policy
  • Private equity and corporate medicine: what physicians say, in their own words
  • Race and medicine: what physicians say, in their own words
  • Recommended services by KevinMD
  • Residency: what residents and attendings say, in their own words
  • Scope of practice: what physicians, nurse practitioners, and PAs say, in their own words
  • Subscribe to the KevinMD enhanced author page
  • Subscribe to the newsletter
  • Surgeons and surgery: what surgeons say, in their own words
  • Take-home messages: what physicians say when asked to leave one
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The electronic health record: what physicians say, in their own words
  • Vaccines: what physicians say, in their own words
  • Violence against health care workers: what physicians and nurses say, in their own words
  • What physicians say: the KevinMD records
  • Women in medicine: what women physicians say, in their own words
  • Women’s health: what physicians say, in their own words

The present moment as a refuge

Toni Bernhard, JD
Patient
October 26, 2018
Share
Tweet
Share

An excerpt from How to Be Sick: A Buddhist-Inspired Guide for the Chronically Ill and Their Caregivers (Second Edition). Copyright 2018 by Toni Bernhard. Excerpted with permission from Wisdom Publications. 

In the years since I’ve been chronically ill, more essential to me than formal meditation has been mindfulness outside of meditation. Mindfulness refers to paying attention to your present-moment experience. It’s as simple as that. There’s no belief system associated with mindfulness. For me, fully engaging my present-moment experience has become a refuge from the exhaustion created by constant discursive thinking, whether I’m ruminating about the past, worrying about the future, or judging what’s going on around and inside me.

I’m aware that the word mindfulness has become so pervasive in our culture that it can feel as if it’s lost its freshness and even its meaning. My goal in this chapter is to make it come alive again by offering specific ideas, rather than just telling you, “Be mindful of everything you do.” And so here are five simple practices that are easy to try. See which ones resonate with you.

Three-breath practice

I adapted this from a practice that my husband devised to teach mindfulness at Folsom Prison, where he’s a volunteer chaplain. He calls it the “three-breath trip.” It’s been tremendously helpful to the inmates, especially because they live in an environment that’s not conducive to formal meditation.

Here’s how it works. Whatever you’re doing at any moment, switch your attention to the physical sensation of three in-breaths and three out-breaths. That’s all there is to it. It’s a simple but powerful practice—and only takes a few seconds.

Three-breath practice grounds you in your body, which brings your attention to what’s going on right now in your life, because your body is always in the present moment. Most of us spend a lot of time unaware that we’re lost in thoughts—often stressful and judgmental ones. They may be about the past or about the future, or they may even be a running commentary on our present-moment experience. Three-breath practice brings you into the present moment and, by doing so, provides healing relief from all that mental chatter. Because I don’t seem to be able to control the scenarios my mind cooks up whenever it pleases, some days it feels as if three-breath practice is the only thing that keeps me sane!

One afternoon, during the time I was working on the revised edition of this book, I lay down for my daily nap—a necessity with my illness. But instead of being able to relax my mind and body, my mind started churning with a half dozen ideas for new material I wanted to include in the book. Then I started worrying that I’d forget these new ideas. And so I gave in, grabbed a pad of paper and a pen, and took a few notes. Then I returned to the task at hand—that nap—but my mile-a-minute thinking resumed. It was anything but restful.

I could feel the tension escalating in both my mind and my body because I badly needed to nap. So I tried three-breath practice. I took three conscious breaths by paying attention to the physical sensation of the breath as it came in and went out of my body. In that short space of time, all that mental activity—which was exhausting physically, too—gave way to a sense of ease. Then I said to myself, “It’s time to nap,” and I was able to. I’d only add to these instructions: “Repeat as necessary!”

I use this practice several times a day. I like doing it at random; no matter what I’m engaged in, I’ll stop long enough to take three conscious in-breaths and out-breaths. As a bonus, when I exhale on that third breath, a feeling of peaceful calm comes over me, sometimes strong, sometimes slight—I’ll take either one.

Three-breath practice is beneficial in a second way. When you find yourself in a difficult or antagonistic situation where you might react impulsively and later regret it, intentionally switching your attention to three conscious breaths gives you the time and space to reflect before speaking or acting. This makes it much more likely that you’ll react in a skillful way to whatever situation you’re facing.

***

I’ve discovered that truly being present for my experience brings with it a feeling of contentment that’s often tinged with awe, as I pause and take in the wonder and mystery of being alive at this moment.

Recently, one of our town’s most treasured citizens passed away after a good long life. The obituary in our local paper noted that Martha loved to say, “The past is history. The future is a mystery. The present is a gift.”

I hope you’ll take refuge in this gift.

ADVERTISEMENT

Toni Bernhard was a law professor at the University of California—Davis. She is the author of How to Be Sick: A Buddhist-Inspired Guide for the Chronically Ill and Their Caregivers (Second Edition), How to Wake Up: A Buddhist-Inspired Guide to Navigating Joy and Sorrow, and How to Live Well with Chronic Pain and Illness: A Mindful Guide. She can be reached at her self-titled site, Toni Bernhard.  

Image credit: Shutterstock.com

Prev

It’s better to not go into medicine than try to get out of it

October 26, 2018 Kevin 4
…
Next

Is cancer truly the enemy? 

October 26, 2018 Kevin 0
…

Tagged as: Patients, Physician Burnout and Mental Health

< Previous Post
It’s better to not go into medicine than try to get out of it
Next Post >
Is cancer truly the enemy? 

 

ADVERTISEMENT

More by Toni Bernhard, JD

  • 4 things the chronically ill wish others understood

    Toni Bernhard, JD
  • 5 hidden consequences of chronic pain

    Toni Bernhard, JD
  • 10 challenges faced by those with chronic pain and illness

    Toni Bernhard, JD

Related Posts

  • A silent moment with a dying patient

    Anonymous
  • A #MeToo moment with a pediatrician

    Lauren Feltz, MHSc
  • 5 hidden consequences of chronic pain

    Toni Bernhard, JD
  • In a moment of crisis, I made a decision to survive

    Harriet Levy
  • A life moment you dare not dream of

    J. Michael Millis, MD
  • You completed your rank order list. Celebrate the moment.

    Alexis Holmes

More in Patient

  • What anxiety feels like while reaching for hope again

    Michele Luckenbaugh
  • Stigmatizing language in medical records harms care

    Monica McEathron
  • Improving patient access starts with board governance

    Donna Harvin‑Graham, MBA
  • Patient communication ends when the patient understands

    Diane Bruno
  • Book publishing scams took $7,500 from me by wire transfer

    Richard A. Lawhern, PhD
  • Cosmetic dentistry abroad is not about the lowest price

    Anna Estrin
  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Why the family medical history lives with women caregivers

      Dr. Malika Gupta | Physician
    • Patient communication ends when the patient understands

      Diane Bruno | Patient
    • Staying salaried may now be the riskier bet for doctors [PODCAST]

      The Podcast by KevinMD | Podcast
    • How CREST-2 changes asymptomatic carotid stenosis treatment

      John R. Laird, Jr., MD | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Staying salaried may now be the riskier bet for doctors [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why I wrote an emergency medicine novel about 1 night

      Matt Barmmer, MD | Physician
    • Health data privacy with AI starts before you press send

      Michael Neely | Health Technology
    • Oluyemisi Famuyiwa, MD, on fertility and PCOS: a KevinMD subscriber spotlight

      Oluyemisi Famuyiwa, MD, on fertility and PCOS: a KevinMD subscriber spotlight

      Kevin Pho, MD | KevinMD
    • Knowledge is not judgment: why patients still trust doctors

      AI and clinical judgment: why patients still trust doctors

      Jennifer Miles-Thomas, MD, MBA | Physician
    • Moral injury in medicine is an odyssey without Ithaca

      Farid Sabet-Sharghi, MD | Physician

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

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Why the family medical history lives with women caregivers

      Dr. Malika Gupta | Physician
    • Patient communication ends when the patient understands

      Diane Bruno | Patient
    • Staying salaried may now be the riskier bet for doctors [PODCAST]

      The Podcast by KevinMD | Podcast
    • How CREST-2 changes asymptomatic carotid stenosis treatment

      John R. Laird, Jr., MD | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Staying salaried may now be the riskier bet for doctors [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why I wrote an emergency medicine novel about 1 night

      Matt Barmmer, MD | Physician
    • Health data privacy with AI starts before you press send

      Michael Neely | Health Technology
    • Oluyemisi Famuyiwa, MD, on fertility and PCOS: a KevinMD subscriber spotlight

      Oluyemisi Famuyiwa, MD, on fertility and PCOS: a KevinMD subscriber spotlight

      Kevin Pho, MD | KevinMD
    • Knowledge is not judgment: why patients still trust doctors

      AI and clinical judgment: why patients still trust doctors

      Jennifer Miles-Thomas, MD, MBA | Physician
    • Moral injury in medicine is an odyssey without Ithaca

      Farid Sabet-Sharghi, MD | Physician

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

  • Terms of Use Agreement
  • 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...