mindfulness

Changing My State of Being

Posted on by SomatiCat

If you’ve ever lived with an incurable, debilitating illness, you’ve probably wished for a miracle. It’s deeply human to hope for a magical cure. I can’t count how many mornings I opened my eyes hoping the tinnitus—the telltale sign that my symptoms were still there—had somehow disappeared overnight.

I developed Ménière’s disease while I was working out of state. During one attack, I lay curled up in the fetal position in a cold motel bathtub, vomiting, gagging, and shaking, wondering whether I would be able to go to work the next morning. I was afraid to get on a plane to fly home. Then I became afraid to leave home at all.

Several possible futures for my life ended in that motel bathtub.

The highly functional, reliable powerhouse I had always been was gone. If an attack came, I could become a puddle of vomit on a random sidewalk or park path.

Ménière’s disease is considered an incurable, disabling condition. It isn’t life-threatening, but it completely changed my state of being. There were so many things I could no longer do. I fought against it and suffered, grieving the loss of the life and abilities I had taken for granted.

Then, almost magically, it disappeared in less than a year.

Ménière’s disease is notoriously unpredictable. For the next two years, I was active and functional again. I made plans for a new career and new adventures.

Then it came back with a vengeance.

The attacks became so frequent and severe that I was essentially homebound and often bedridden. But something had changed in me. This time, I didn’t mourn the life I thought I should have had. This was simply the reality of the present moment. My task wasn’t to fight reality—it was to adjust my priorities.

I accepted a different state of being.

By then, I had already learned that controlling Ménière’s disease directly was almost impossible.

I also had diabetes and was taking medication to lower my blood glucose. Intuitively, I suspected the medication might be a major trigger for my Ménière’s attacks. If I wanted to stop taking the medication, I would have to lower my blood glucose through diet and exercise instead.

I couldn’t control Ménière’s disease, but I could control my diabetes.

While I was homebound, I immersed myself in learning. I read book after book about both conditions and adopted a very strict diet. Around that time, a friend sent me Becoming Supernatural. Although I didn’t believe in spontaneous healing, much of what Joe Dispenza wrote resonated with me. I began practicing meditation, setting clear intentions, and paying attention to my inner state rather than focusing only on my symptoms.

One morning, after a moderate vertigo attack, A single word arose in my mind:

“Run.”

Normally, I would have stayed in bed all day. Since I couldn’t physically run, I interpreted it the only way I could. I got up, left my apartment, and walked to a nearby park.

When I returned home, a friend called to say they had unexpectedly arrived at Penn Station and wondered if I could meet them. It was the friend who had sent me Joe Dispenza’s book.

Had I stayed in bed, as I normally would have, I never could have seen them that day.

I don’t know where that inner message came from. I only know that I listened.

Over the following year, my blood glucose dropped into the pre-diabetic range without medication. At the same time, my Ménière’s attacks became less frequent and eventually became rare.

Was it the diet? The meditation? The change in my nervous system? The intention? The reduction in blood glucose? A combination of all of them?

I honestly don’t know.

What I do know is that my state of being changed.

I am not cured. I still have very mild Ménière’s symptoms that remind me to pay attention. I still maintain a disciplined diet and regular exercise to keep my blood glucose under control.

But today, I am functional.

That is my current state of being.

The Nervous System Remembers

Posted on by SomatiCat

I always have the urge to go to the bathroom before I leave home, especially if I’ll be in a car for a long drive. It doesn’t matter that I went to the bathroom just twenty minutes ago. If I ignore the urge, I feel anxious.

My father used to ask us, his children, “Did you go to the bathroom?” just before we got into his car. If I didn’t take the cue and go “just to be safe,” he would complain, ridicule, and reprimand me if I needed to use the bathroom before his designated pit stop. I was just a kid.

I didn’t realize that my nervous system had been conditioned by my father’s strict rule.

Years later, I took a self-defense class for women. Men wearing ridiculously thick protective gear pretended to be sexual offenders and simulated attacks. The female participants then practiced kicking and striking strategically assigned target areas, just as we had been taught. We trained for several weeks.

At the end of the course, we shared our experiences. One woman said she always felt the urge to go to the bathroom after the simulated attack and defense exercises. She explained that it was exactly what she had done after she was raped. Her story made a deep impression on me.

Our nervous system doesn’t forget.

No amount of talk therapy would have eliminated my urge to go to the bathroom. The body remembers. The nervous system keeps score.

So how do I convince my nervous system that I don’t actually have to pee—that my bladder isn’t full?

Ironically, I learned the answer when I stopped taking an anti-anxiety medication cold turkey.

The medication had been prescribed on an as-needed basis. Over time, for various reasons, I began taking it every day. I didn’t realize I had developed a dependence on it. After the stressful period was over and I went on vacation, I stopped taking it. It was a very low dose, so I had no idea it could cause such severe withdrawal symptoms.

I woke up every hour from nightmares. Throughout the day, I felt a strong urge to urinate every hour, even though my bladder wasn’t full. After ruling out a urinary tract infection—I happened to be staying with a friend who was an infectious disease specialist—I discovered that urinary urgency is a common withdrawal symptom. Because benzodiazepines depress the central nervous system, withdrawal can manifest as an overactivation of the sympathetic nervous system.

If I couldn’t regulate my autonomic nervous system, I worried that I would reinforce the pattern and end up needing to use the bathroom every hour indefinitely.

So I told my nervous system that it was a phantom urge and that my bladder wasn’t going to burst. I held it for thirty minutes longer, then an hour longer. Each day I gradually extended the time before going to the bathroom. After several days, both my bladder and my sleep returned to normal.

One of my friends teaches nervous system regulation techniques for people with CPTSD. I understood the theory, but I hadn’t truly put it into practice. Now I understand how powerful those techniques can be.

I still have moments of anxiety, moments when I used to reach for a pill automatically. Now I see them as signs that my sympathetic nervous system has become unnecessarily activated. Instead, I calm myself with breathing techniques and wait for the activation to pass.

So far, it’s working.

Just in Case

Posted on by SomatiCat

I’ve always wanted to be one of those rare people who can move at a moment’s notice with just two suitcases.

One of my friends has moved countless times—within New York City, from the East Coast to the West Coast, and even across the Pacific—in pursuit of better opportunities as an actress. Every time she moves, she sheds more of her belongings. Most of the time, she has lived in shared houses or apartments.

“I only keep one nice cup and one plate I love,” she once told me. She has a Tiffany teacup and a Wedgwood plate.

She doesn’t cook.

I have also moved many times, from one apartment to another in the city, as my relationships fell apart. Eventually, I came to live alone in increasingly smaller apartments. I have now lived by myself in the same small apartment for more than fifteen years.

I’ve done my share of shedding, but in general I’ve always had difficulty letting things go. Some things I kept because of their sentimental value, some because I thought I might need them someday, and others because I imagined I might use them for craft projects.

I am not a craft person.

While living in this apartment, I have encountered three cases of hoarding.

My father was a hoarder. Whenever I visited my parents and tried to sort through the belongings I had left behind, I was disgusted to find the room stuffed with toilet paper rolls, tissue boxes, and cheap bars of soap. Why do toilet paper rolls so often trigger scarcity anxiety? I rearranged the piles of toilet paper and other supplies just so I could make enough room to move around. My father complained.

I felt physically sick. It was like looking into his troubled mind. There was clearly something wrong with him. He kept everything and threw away nothing. Sometimes he picked up things other people had discarded and brought them home because they might be useful someday. We thought he was simply thrifty. After he retired, it became much worse.

After he was moved to a nursing home, we were finally able to clear out his belongings. My mother had no attachment to any of them. His better clothes and anything of value were donated to a charity. Without him there to protest, we got rid of the junk he had accumulated over the years. My mother was dumbfounded to discover several broken bicycles in the shed.

“Where did he get them?” she asked me.

He must have schlepped them home from neighborhood garbage dumps… just in case. He simply couldn’t resist the urge.

People might call it a depression mentality. Perhaps. He grew up in an era of scarcity, and it was a mindset shared by his generation. To a certain extent, it could even be considered a virtue. I have to admit that I inherited some of that mentality myself.

After he passed away, I helped my mother clear out the closets where he had stored his things. Deep inside, packed away in cardboard boxes, I found his psyche—clinging to mementos from every stage of his life, as if trying to hold mortality at bay.

I found his old clothes, tattered and dusty. Among them were the uniforms he had worn as a bank clerk, at least fifty years earlier. Then I came across a stack of pay slips over his entire career at the bank. I was at a loss for words.

Next I found old newspaper clippings from our hometown. One was a small article with a photograph of a group of young nurses. Slowly it dawned on me that one of them was my mother. Another clipping was about something I had written, with my photograph beside it. I didn’t even remember it. I showed my mother the article about the nurses. She didn’t even look at it before tossing it into the garbage. I threw mine away, too.

He never made an effort to know who I was. I was just another newspaper clipping to him, packed away in a dusty cardboard box with the other mementos of his life.

I still don’t know who he was.

But now I know his fear, his anxiety, and his insecurity.

About fifteen years ago, a friend of mine with Dissociative Identity Disorder asked me to help her clean out her apartment. Since she never let anyone inside, very few people knew how she was living. At the time, I was highly dissociated myself. She probably recognized a similarly traumatized psyche in me, and that may have made her feel safe enough to let me in.

Her apartment was in a state of extreme chaos. Everything that entered the space simply piled up without any sense of order. Letters, papers, and plastic bags fell onto the floor and remained there for years. New clothes, still with their tags attached, were buried beneath empty boxes alongside stained clothes. There was barely enough room to move.

It was a shock to my nervous system, but I didn’t feel it. I compartmentalized my emotions and focused on the task at hand, helping her create a little space with some semblance of normalcy.

It was like an archaeological dig. As I cleared away one layer, I uncovered things from the previous year, then the year before that. It became difficult when I began to recognize pieces of our shared past: handouts from our psychospiritual training program, essays by fellow students that she had reviewed, handmade scarves one of the artist students gave her every year. She was loved and trusted by so many of us, yet throughout those years she lived inside this chaos, building a fortress of possessions to keep the outside world at bay.

For about a year, I helped her carve out enough space for her simply to exist. Then she shut down. Before long, the apartment had returned to its original chaos. Perhaps she couldn’t tolerate even the slightest sense of normalcy.

That apartment embodied her psyche. While I was there, it felt as though multiple voices were speaking at once, without context. I stayed numb because if I had allowed myself to feel, I don’t think I could have survived the overwhelming chaos I was trying to bring into some kind of order.

When she was “allowed”—her word—to go out, she could present herself as a perfectly normal person. Brilliant and intelligent, thoughtful and kind, she was a wonderful woman. She was also a mentor to some of us.

I remember one evening when she treated two of us—both struggling with family trauma—to a Sondheim musical. She was funny, articulate, and sophisticated, dressed in a beautiful Eileen Fisher outfit, her favorite brand.

At the end of the evening, we each returned to our own worlds. I went back to my small, cluttered, but safe apartment. The other woman returned to her apartment in the East Village, where her husband was waiting. My friend returned to her own space, where chaos alone prevailed.

As more and more things accumulated in her apartment, there was less and less of the person we knew.

To me, it became clear that the apartment was her. Her confusion, her shame, her fear, her profound frustration, her madness—they all lived there.

Because of severe childhood trauma and the mental illness that followed, She had never been able to metabolize everyday life.

I saw something of myself in her. From that point on, I began consciously and deliberately letting things go.

I didn’t want to become her.

The third case was my aunt, who passed away at the age of one hundred. I was the executor of her will and had to empty her house before we could sell it. I never imagined she was a hoarder. Her home was always neat and beautifully decorated. I began by burning her photo albums simply because I couldn’t bear the thought of her personal photographs ending up in a garbage dump.

Then I realized she had been a major hoarder.

There were thousands of photographs of her. Everything was about her. It was as if she were the center of every party she attended, every trip she took, every occasion she was part of. Thousands of photographs documented the life she presented to the outside world.

Like my father, she kept everything. I found old tickets, postcards, and little souvenirs from her extensive travels tucked away in drawers. I kept feeding them into the fire.

Then I moved on to the closets. They were meticulously organized, filled with hundreds of boxes, most of them carefully labeled in her own handwriting. Inside were the leftover supplies from every craft she had ever taken up. She was extraordinarily talented and threw herself into one craft after another. For several years she would immerse herself in it, creating beautiful things, and then she would move on to the next one. The remnants of each passion were carefully packed away and preserved. Some of the boxes had remained unopened for decades.

She kept everything.

She built an armor out of her creations and achievements.

I don’t know who she was. It was as if someone had cut the figure out of a photograph. The background remained perfectly intact, but where she should have been, there was only a blank white space.

We digest food. We also digest life’s experiences—if they are fully lived, they become part of us. If they are not, they remain outside us as unfinished business. Sometimes they become objects we cannot throw away.

Now I look around my apartment and ask myself what I can let go of. I don’t need mementos of my life once I’ve metabolized it.

Grandma’s Tree

Posted on by SomatiCat

There was a grandmother who had no grandchildren. She loved woods and forests and traveled all over the world. When she was younger, she went abroad in search of unusual trees in strange forests, in strange countries.

When she got a little older, she could no longer endure the cold of Iceland in winter or the boiling heat of India in summer. So she began to look for trees in her own country. She went to the Green Mountains, the White Mountains, the Blue Mountains, the Red Mountains, the Yellow Mountains—name any mountains in this country, and she had been there. Not only mountains, but swamps and bayous in the South, to see cypress trees with Spanish moss hanging from their branches. She took pictures of trees and drew maps so she could visit them again.

When she got older, she could no longer fly across the country or drive over the great plains. So she began to visit mountains and forests nearby. She drove to national parks and forests in the region and walked the trails until she found a tree that quietly drew her in. She still took pictures and made maps. The walls of her house were covered with trees.

When she got older and could no longer drive, her nephews and nieces took turns bringing her to the lake, where she sat in a chair and looked at the forest beyond.

Finally, she became too old to travel and sat in a wheelchair. The children of her nephews and nieces sometimes pushed her to a nearby park. She no longer took pictures or drew maps. She simply sat under a tree and spent one or two hours looking at the trees.

One of her nephews understood why she had traveled all over the world taking pictures of trees. She had never told anyone, but to the boy it was obvious. She had been searching for a tree to die under, so that her spirit could enter the tree and live on.

He was eager to know which tree it would be. Whenever he visited her house, he studied the photographs on the walls. Was it that grand sequoia, or that mighty oak? Or the bristlecone pine in the desert? He promised himself that whatever tree she chose, he would take her there. He would bring her back to it.

Whenever he asked her, she only smiled and said, “I will let you know when the time comes.”

The grandmother grew older still, until she could no longer leave her bed. She still had not told the boy which tree she had chosen, and he began to worry she would not be able to make the journey.

Then one morning, the time came.

She called the boy and asked him to take her to the backyard.

There stood a tree with nothing particular about it. In fact, no one had really noticed it before. It was not young, nor old. It was simply a tree no one paid attention to. The boy pushed her wheelchair to it. She stayed there for a while and died quietly.

The boy could not understand why she had chosen this ordinary tree. Even if she could not travel far, there were still many dignified trees in the nearby forest that would have suited her better. He had promised to take her anywhere. And after thousands of photographs of thousands of trees all over the world, she had chosen this unmarked tree in her own backyard—a tree she had never once taken a picture of.

After her funeral, the boy entered his grandmother’s room. He took the photographs down from the wall one by one. On the back of each photo, the name of the tree, the date, and the place were carefully written—except for one.

It was a picture of an unremarkable tree in a deep and remarkable forest.

On the back it only read:

Kiquawa tree.

No place. No date.

“I will find it,” the boy said. “I will visit them all and find that tree. Then I will understand why.”

Author’s note: This story is about a lifelong search that slowly turns inward. The grandmother’s journey is a necessary wandering until the difference between one tree and another begins to dissolve. It’s the search of identity, which is only found in yourself and each person needs their own journey.

© 1994

Do I want to see tomorrow?

Posted on by SomatiCat

I lost my anchor.

My dog was my tether to reality, to this life. He was undeniably real. He lived entirely in the moment. When I woke in the middle of the night, lost in the vast nothingness—confusion and darkness pressing in—I would reach out and place my hand on him. He was warm, solid, breathing. Alive. And in his version of reality, if he was alive, then so was I. I felt safe in the world he held for me. It was as if I were drifting in a night ocean of existential anxiety, and he was my life raft.

With his passing, I lost my favorite version of reality.

I don’t have to protect anyone. I don’t have to take care of anyone. I don’t have anyone to come home to. I don’t have to worry about losing him anymore.

What remains is my own version of reality.

Every morning, I wake up and start my routine. I make coffee, brush my teeth, check emails. I function well. I smile. I chat with neighbors. I act normal. But I am not here. I’m floating an inch above the ground, like a plastic bag caught in the wind, weightless and directionless.

Once in a while, I do feel real. On a recent trip, I went to a shooting range and practiced pistol shooting for the first time. In that moment, I was completely focused. The weight of the gun in my hands, the shock waves reverberating through my body, the hot shells grazing my skin—burning, tangible—I felt alive. For that brief moment, the act of shooting was my anchor. (Don’t worry, I won’t shoot any living being, including myself.)

Then I came home, and my fragmented reality returned.

Fortunately, I can hold it together. I don’t have the affliction my cousin does—the one that warps reality beyond repair. I can pretend. I can fit in. I just don’t feel alive.

So I go to the gym. I work out on one of those torture machines. The intense contraction in my quads pulls me back into my body, back into the present.

Do I want to see tomorrow?

I don’t know.

But I want to be here now. In my body.

Dead and Naked

Posted on by SomatiCat

At Fort Lauderdale Airport, there was a long line for baggage check-in and security screening. As a hub for cruise travelers, the airport gets especially busy at certain times of the day. I stood in line for over an hour.

Airport staff maneuvered wheelchair-bound passengers through the crowd, one after another, weaving between the lines. Most of the people waiting were elderly—older than me, likely returning home from their first or perhaps their last cruise.

A month ago, I lost my 13-year-old dog. Since then, every time I see someone walking a dog, I’m struck by a strange feeling—a bittersweet sadness, like a drop of water hitting the surface of a lake, sending ripples outward until they fade into the distance. The pain of loss is universal, something we all share. Every person here will, at some point, feel what I feel now—the grief of losing a beloved companion.

I looked around and imagined cadavers on dissection tables, standing in line now—dead and naked. Sooner or later, we all end up there, in one way or another. We share the same destination. I am among them.

Is that a relief? Perhaps. At the very least, the vision freed me, if only for a moment, from the vulnerability of being.

First Cut: the Fragile Threshold between Life and Death

Posted on by SomatiCat

I recently sent my beloved dog, Simon, across the rainbow bridge. With the injection of a tranquilizer, he was asleep but alive. The moment the last injection was administrated, his being shifted. It was obvious that he was no longer there. What remained was just a body–a form of my beloved dog. It was no longer Simon. I left his form with the vet for cremation.

I might have a different reaction to human forms. I witnessed my grandmother’s death. Her heart was medically kept beating until her son arrived to witness her ultimate crossing. I stayed with her body overnight as a part of the Buddhist ritual of wake. Since then, I have experienced three more death in my family. In my old country, family members of the deceased accompany the body to the crematorium and wait for it to become bones. We pick up pieces of the bones with long chopsticks to place them in a small urn. For family members the death is not considered complete until this ritual is performed.

Whether it was Simon’s peaceful passing, my grandmother’s ritualized journey to ashes, or the cadaver I stand before, each moment reminds me of the fragile threshold between life and death–how quickly being gives way to form.

Standing at the dissection table, holding a scalpel with a fresh blade, most first-time dissectors hesitate to make the first cut. I did. Unless you are a surgeon, or other specific medical professional, you have not intentionally cut another person’s skin. A cadaver with the skin intact is closed off from and protected against the outside world. However vulnerable it may look, it maintains its integrity as a whole human being. The hesitancy comes from the violation of the personal boundary that the skin represents—the ultimate “Authorized Personnel Only” sign. It is the line of demarcation between the dead and the living. I still remember my first cut. It was on a cadaver named “Tony.”  I watched other experienced dissectors make their first cuts, then followed nervously, as if I might be reprimanded for my act of violation. The tip of the scalpel scratched the surface, creating a paper-cut thin, shallow pale line. No blood. With a little more pressure, the skin/dermis began to separate. The surface tension that had kept the entire body whole lost its hold, and the boundary broke. The cadaver opened itself up to the dissectors. I crossed the boundary.  After that, in my perception, it was not a person but a human form in which a person used to reside. A cadaver has no boundary, though deserves due respect.  With a long incision in the skin, I felt as if the human form released all the tension with a sigh of relief, saying, “It’s over. No more need to hold this form.”

You have only one chance to experience the first cut. So better be mindful.

copyright 2025

Is it how normal people are feeling?

Posted on by SomatiCat

I sent my beloved dog across the rainbow bridge one month ago, and I’ve been depressed ever since. I still cry and feel his absence deeply. The sharp pain and heaviness in my chest have lessened, but they’re still there.

I go out every day—talking to neighbors, having lunch with friends, attending events I’m invited to, and spending hours at the gym. I’ve been working out daily.

Without the need to walk my 80+ pound dog three times a day, I suddenly have more uninterrupted time. I’ve been channeling that into my writing project, which is progressing well.

I also have two trips planned, something that would’ve been impossible when I was caring for a 13-year-old large dog. I’m doing everything I can to avoid spending days in bed, mindlessly watching Netflix all day and night. I’ve been there before. I know how it happens, and I know how to prevent it.

At the same time, multiple changes have happened in my life—not particularly happy ones.

From the outside, I probably look fine. I’m functioning well. But I’m not okay. I don’t feel alive.

Even when I laugh, enjoy conversations with friends, or run on a treadmill for an hour, I feel… hollow. Like a cow, grazing mindlessly on grass, waiting to be slaughtered, unaware of its fate.

And I ask myself: Am I depressed? Or is this just how most people feel, going through the motions of everyday life?

On Facebook, everyone presents their happy, vibrant lives. But are they really alive, or do they just think they are?

As the old Chinese parable says: Am I a monk dreaming of being a butterfly, or a butterfly dreaming of being a monk?

Touch: Your Brain’s Interpretation

Posted on by SomatiCat

Even though the sensory receptors in the skin are mechanoreceptors, it is your brain that interprets the signals they send. Since the brain remembers past experiences and the emotions associated with them, touch is never merely a  touch. Even the same mechanical touch can be felt differently—it can be loving, caring, comforting, or healing; sensual or sexual; cold, abusive or invasive. Even when you think your touch is neutral, it’s up to the receiver’s brain to interpret it.

When I was in my late thirties, I went through infertility treatment. To check if my fallopian tubes were open, I underwent a very uncomfortable test. The pressure I felt inside my body was so invasive that I instinctively contracted my entire body, bracing myself. Then the technician’s assistant gently placed her hand on my arm. I melted. Her touch was neutral, and I don’t think she was consciously trying to comfort me. I felt it came from her spontaneous empathy. 

I have Meniere’s disease. One day, I had a Meniere’s attack in a gross anatomy lab and had to lie on a cold linoleum floor for some time, clutching a barf bag. I told everybody that nothing could be done to relieve my suffering and asked them to keep me safe and leave me alone until the symptoms resolved. I threw up in the bag and was hyperventilating in a fetal position. Some people can’t tolerate witnessing suffering without doing anything; it might make them feel powerless. A few of them placed their hands on me, perhaps to soothe or heal. I just had to endure the unwanted touch. They were mechanically the same kind of touch, but my brain interpreted them differently. One was comforting and the other was annoying.

As a child, I experienced improper touches, which were a violation of boundaries. This experience made me sensitive to the intent behind a touch. I don’t remember receiving loving touches from adults in my family during my childhood. My nervous system used to react to every touch as if it were a danger. Sometimes, a touch triggered tremendous rage, while other times, it made me feel nauseous. It took me a long time to learn to discern a safe touch from an unwanted one. I’ve learned to set boundaries and to choose how to respond, not just to react. 

copyright 2024

Dermis: The True Skin

Posted on by SomatiCat

The skin is often referred to as the largest organ in the human body. At the dissection table, we explore this remarkable organ in greater depth. The skin, along the dermis and its thin integument, tells the story of the person who once inhabited the form before us. How we interpret these stories is ultimately up to us.

Scars from surgeries, deep skin folds, stretch marks, tattoos and other markings frequently appear, each reflecting the years etched in the skin. Most cadavers are donated by elderly individuals who passed away in hospitals, and their stories are as distinctive and intricate as their wrinkles. Sometimes, internal conditions like jaundice manifest outwardly on the skin, altering its color and texture. 

Beyond the common surgical scars—hip and knee replacements, open-heart surgeries, rotator cuff reconstructions, and caesarean sections—we occasionally find evidence of accidents. While we can never know the exact stories behind these marks, we can imagine them. For instance, a scar on a man’s right thigh might be from a childhood bike accident during a carefree summer afternoon with friends— or perhaps from something more dramatic, like his wife discovering an affair and running him over in her fury. The truth could be anything. There are endless possibilities. 

I have a one-inch scar on my right breast from a biopsy. It never faded and serves as a constant reminder of a specific moment of my life. I remember waking up in the recovery room to the sudden commotion of EMS personal rushing in. The sliding door to the recovery room opened, and another door to the operating area followed. An old man in the waiting room looked panic-stricken as he tried to grasp what was happening on the other side.

A medical staff member explained that they didn’t have the equipment needed for the emergency his wife was experiencing and might need to transfer her to another hospital. My then-boyfriend, who had been waiting with the man, was in shock. “That man probably had coffee with his wife this morning, like usual,” he said. “He never thought it could be the last time.”

I don’t know what happened to the wife, but the experience stayed with me. Life is fragile. It could have been me who didn’t come back that day. My one-inch scar is a reminder of the delicate boundary between existence and nonexistence.

Skin: An Archive of Life

Our skin keeps records of life events. If you spend a lot of time outdoors, the sun will leave its mark on your skin. If you’ve had children, stretch marks may tell the story. If you smile or frown often, wrinkles will document those emotions. Skin is an archive of our lives.

Boundary: Skin as the First Line of Defense

For a manual therapist, an open cut on the skin is a nightmare. Any wound, no matter how small presents a potential danger—for both therapist and client. It’s an open door for pathogens. Something inside me could find its way onto someone else’s skin or vice versa. Cutting. in essence,  is an act of vulnerability.

Before the HIV pandemic, it wasn’t uncommon to see movies where characters cut their palms and held hands to mingle their blood as a gesture of ultimate trust and commitment. Sharing pathogens in this way was seen as a bond of loyalty. But cutting someone else’s skin is also a violation—a breach of boundaries.

Cutting one’s own skin is different. It’s an act that teeters on the edge of those boundaries. For some, it might be a way to reclaim control, to affirm that the boundary exists. By intentionally breaking the barrier of my own body, I can remind myself that I am alive. For those disconnected from their physical selves, self-harm might be a desperate attempt to feel real.

Skin as a Sensory Organ

As I lie on the ground, I feel the weight of my body pressing against it.  Heat transfers from my skin to the moist earth, and I sense coolness creeping back. Sunlight warms my exposed skin, while a gentle spring breeze takes some of the heat away. Grass brushes agains my arms, tingling lightly, and small pebbles beneath my back press into me with dull discomfort.

The skin is a vast sensory organ. Its receptors send signals of pressure, temperature, touch, and pain to the brain, which interprets these sensations. As a manual therapist, I must remember touching a client’s skin is a direct form of communication with their brain. Skin and nerves are inseparable; they form a continuous connection from receptors, through peripheral nerves and the spinal cord, to the brain itself.

When assisting with a nerve dissection project, I noticed how some nerves perforate into the skin. In typical gross anatomy dissections, we often overlook these structures, but they’re there, like delicate threads stitching the layers together. Touching one of these threads is, in essence, touching an extension of the brain itself.

Skin as Canvas for Expression

Occasionally, we encounter a cadaver with tattoos. One donor, “Z,” had multiple tattoos covering his body.  Z was a local donor, and one of the dissectors knew him personally—a rare occurrence. Z had lived a colorful life, full of adventures, rebellion, and humor. Before succumbing to cancer, he was a bulky, tough man.

When we uncovered his body, we saw an emaciated figure. A chemotherapy port protruded from his chest, and his gaunt face reflected the fierceness of his spirit. Though his body lay silent, his tattoos spoke volumes. They seemed to demand our attention: “Look at me. Read my life’s stories.”

Every piece—every image, every  word— told a story. As we began the dissection, we took care to preserve his tattoos, treating them as the storybook they were. Though they would eventually cremated with his body, the tattoos deserved our respect.

Tattoo ink remains permanently in the dermis, where macrophages engulf the pigment, making it a part of the person’s identity. Some pigments migrate to lymph nodes, where they can become trapped—sometimes visibly. Even in death, these marks persist, embodying the life they represent. 

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