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 | Doctor accepting new patients
  • 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

The Last Time negative visualization

Vitaliy Katsenelson
Conditions
September 6, 2022
Share
Tweet
Share

An excerpt from Soul in the Game: The Art of a Meaningful Life.

“One day you ordered a Happy Meal for the last time and you didn’t even know it.”
— McDonald’s.

No, this McDonald’s was not an ancient Roman contemporary of Seneca. This was a tweet by the McDonald’s Corporation that appeared in my browser right when I sat down to write about this topic. It perfectly summarizes a type of visualization that William Irvine, in A Guide to the Good Life, called “Last Time.”

For everything we do, there will be a last time. Yes, there will be a last time we’ll take a breath, but that is not the focus of this exercise. There was a last time I changed Mia Sarah’s diaper (though my wife will insist I did not change it enough); there was a last time I drove Jonah to school; there was a last time Hannah needed me to lull her to sleep with a story; there was a last time I saw my mother; and yes, there will be a last time I buy a McFlurry at McDonald’s (I’m not a Happy Meal-type person).

The Last Time negative visualization is there to ignite the appreciation that time, though infinite, is given to us in limited amounts to spend. This negative visualization of the finite nature of the personal time granted to us can help us increase the value of the present moment.

“It is not that we have a short time to live, but that we waste a lot of it. Life is long enough, and a sufficiently generous amount has been given to us for the highest achievements if it were all well invested.” This excerpt from Seneca’s On Shortness of Life is very appropriate here, but here is the punch line:

“But when it is wasted in heedless luxury and spent on no good activity, we are forced at last by death’s final constraint to realize that it has passed away before we knew it was passing. So it is: We are not given a short life, but we make it short, and we are not ill-supplied but wasteful of it … Life is long if you know how to use it.”

We, yours truly included, are often not here, not in the present; we are daydreaming away in the past or in the future, while time does what time does, turning future into past. As the great Freddie Mercury put it, “Time waits for no one.”

When we go to graduations or funerals, we recognize the shortness of life, we contemplate it on the drive home, and then we forget about it.

I am writing this on Wednesday before Thanksgiving, at 5 a.m. We are in Vail for a few days of skiing. In about two hours my kids will wake up; my wife will make breakfast; she’ll worry that the kids are underdressed for the weather (that is what mothers do); and we’ll get ready to go skiing.

I’ll put my laptop away and not think about this book till tomorrow morning. I’ll focus on inhaling life with my kids – helping Mia Sarah (6) put her cute ski boots on; reminding Hannah (14) not to forget her gloves; and being in awe of Jonah (19) as he teaches Mia Sarah how to ski.

Some of the things I do today I may be doing for the last time. The kids will grow up. Mia Sarah will not need help with her ski boots. Though I doubt Hannah will stop forgetting and losing her ski gloves, at some point her husband will be the one reminding her. Mia Sarah will not need Jonah’s ski lesson, and Jonah will be teaching his own kids to ski.

Yes, there is something I’ll be doing today for the last time. I don’t know what it is and will only recognize it in hindsight. I want to be present for it. I need to keep reminding myself of this daily and not wait for funerals and graduations.

ADVERTISEMENT

William Irvine writes: “By contemplating the impermanence of everything in the world, we are forced to recognize that every time we do something could be the last time we do it, and this recognition can invest the things we do with a significance and intensity that would otherwise be absent.”

I am not a big fan of religion (blame the Soviets for that), but religion did figure out daily repetitions. The Last Time visualization is a useful daily repetition (or prayer, if you like). Just remind yourself every morning that there is a good chance there is something you’ll be doing for the last time – the past is already past; the future lies forever in the future; we have only now.

Seneca puts it beautifully: “Let us prepare our minds as if we’d come to the very end of life. Let us postpone nothing. Let us balance life’s books each day. The one who puts the finishing touches on their life each day is never short of time.” Seneca’s Eastern counterpart, Confucius, appropriately pointed out 500 years earlier: “We have two lives, and the second begins when we realize we only have one.”

Vitaliy Katsenelson is a chief investment officer and author of Soul in the Game: The Art of a Meaningful Life.

Image credit: Shutterstock.com

Prev

A scientific lens on life and intuition

September 6, 2022 Kevin 0
…
Next

How to motivate a "lazy" teen

September 6, 2022 Kevin 1
…

Tagged as: Practice Management

< Previous Post
A scientific lens on life and intuition
Next Post >
How to motivate a "lazy" teen

ADVERTISEMENT

More by Vitaliy Katsenelson

  • An event, judgment, and reaction framework

    Vitaliy Katsenelson

Related Posts

  • Are negative news cycles and social media injurious to our health?

    Rabia Jalal, MD
  • Doctors: It’s time to unionize

    Thomas D. Guastavino, MD
  • Finding happiness in the time of COVID

    Anonymous
  • A medical student’s reflection on time, the scarcest resource

    Natasha Abadilla
  • It’s time to ban productivity from medicine

    Robert Centor, MD
  • It is time to make the unvaccinated pay their fair share

    Hayward Zwerling, MD

More in Conditions

  • How February and Valentine’s Day impact lonely patients

    Crystal W. Cené, MD, MPH
  • The specter of death: Why mortality gives life meaning

    Steve Sobel, MD
  • Peyronie’s disease symptoms: Why men delay seeking help

    Martina Ambardjieva, MD, PhD
  • Antimicrobial resistance causes: Why social factors matter more than drugs

    Maureen Oluwaseun Adeboye
  • The necessity of getting lost to find yourself

    Michele Luckenbaugh
  • Medical bankruptcy: the hidden cost of U.S. health care

    Richard A. Lawhern, PhD
  • Most Popular

  • Past Week

    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Charles Bonnet syndrome: Why the blind see hallucinations

      Ceres Alhelí Otero Peniche | Conditions
    • When language becomes the barrier: IMGs and autism diagnoses

      Ronald L. Lindsay, MD | Conditions
  • Past 6 Months

    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • The elephant in the room: Why physician burnout is a relationship problem

      Tomi Mitchell, MD | Physician
  • Recent Posts

    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Curing versus caring in medicine: Bridging the gap in patient trust

      Cherie Shah | Education
    • Flexible health care funding: Moving beyond disease eradication

      Selena Kattick | Policy
    • Why a chief wellness officer hid her medication use for 13 years

      Michael F. Myers, MD | Physician
    • Physician patient advocacy: Fighting insurance denials effectively

      Neil Baum, MD | Physician
    • Health care’s Upside Down: Addressing systemic dysfunction and burnout

      Ganesh Asaithambi, MD, MBA | 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

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Charles Bonnet syndrome: Why the blind see hallucinations

      Ceres Alhelí Otero Peniche | Conditions
    • When language becomes the barrier: IMGs and autism diagnoses

      Ronald L. Lindsay, MD | Conditions
  • Past 6 Months

    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • The elephant in the room: Why physician burnout is a relationship problem

      Tomi Mitchell, MD | Physician
  • Recent Posts

    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Curing versus caring in medicine: Bridging the gap in patient trust

      Cherie Shah | Education
    • Flexible health care funding: Moving beyond disease eradication

      Selena Kattick | Policy
    • Why a chief wellness officer hid her medication use for 13 years

      Michael F. Myers, MD | Physician
    • Physician patient advocacy: Fighting insurance denials effectively

      Neil Baum, MD | Physician
    • Health care’s Upside Down: Addressing systemic dysfunction and burnout

      Ganesh Asaithambi, MD, MBA | Physician

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...