Meditation on Cadavers-Prologue

Savasana

I am not writing an anatomy book, nor a dissection manual, though I use nomencIature of anatomist when it is more clear than everyday language. This book/writing is not about scientific knowledge. If you want to learn detailed anatomical information, there are tons of great books you can choose from. This is just A story of my personal experience facing cadavers in dissection labs, and a story about how that experience has affected my perception of who I am, how I relate to everything, especially to my body, in this lifetime.

I once read about a meditation technique where you lie on your back and imagine your body gradually decomposing until it becomes a skeleton. I heard that in Buddhism there is a meditation method in which one observes one’s own body both from the inside and outside while observing an actual corpse decompose. I liked this meditation method because I interpreted it as a training to realize that all material existence in this world, including one’s own body, is a mere phenomenon, just like a decaying corpse. 

When we experience unbearable trauma, our body and consciousness may become dissociated in order to protect ourselves. The body becomes a thing that performs a specific function, and becomes separated from the ”I” consciousness.

Once I had sessions with a Zen psychology therapist. He often asked me, “What do you feel in your body?” I looked up at the ceiling, looked around the room and always looked for the answer outside of my body. “Can you feel your feet on the floor?” he asked. Of course I could feel my feet physically touching the floor, but that was completely disconnected from what I was feeling mentally. 

I didn’t have much knowledge about my own body. So even when I meditated on a corpse, I couldn’t visualize it very well, and I had no conscious connection to my body, so the corpse quickly turned into abstract bones. I couldn’t understand how complex and delicate the human body was, and how it was related to my very existence.

Through the gross anatomy training, I gradually recovered the connection between my self and my body. Every time I stood at the dissection table, I felt like I was slowly regaining my humanity. It has been more than 10 years since I was initiated into human dissection, and I have spent over 1,500 hours in dissection labs. Now attending an annual dissection workshop is like a Zen practitioner regularly practicing at a temple. 

I see it as my spiritual practice. It prepares me for the reality of death and dying, and reminds me of the meaning of living this moment. 

Savasana in yoga is said to be a pose where you lie on your back and imitate a dead body. When we go to a dissection table in a dissection lab, we face a donated body that is quietly in Savasana pose. It is the last pose we all will take.

copyright 2024

Split

I watched Split and Glass on Netflix, where a fictional character with Dissociative Identity Disorder (DID) develops a personality with superhuman strength. James McAvoy was phenomenal, shifting seamlessly from one persona to another on screen. The story is a textbook case of severe childhood trauma: the psyche fractures to protect the vulnerable self. One of his identities, “The Beast,” punishes the undamaged—those who haven’t suffered.
[Spoiler Alert] The Beast sees the damaged as pure.

That’s what drew me in.

I have a friend with DID. Sarah is brilliant, cultured, well-read, and funny. She took many younger, “damaged” women under her wing. She was the one who introduced me to Broadway, gifting me tickets to Sondheim. We’d sit in cafes, visit restaurants, and talk about arthouse films and everything else. Her life sounded like a novel. She told me she was one of the first female TV producers—or something close. I’m not sure if Sarah is the original. I met two of her other selves: Tommy, a boy who constantly said, “Sorry,” and another, terrifying one—probably her internalized mother.

The switches weren’t as clean as in the movies. She once said she had a “Flat Earth Committee” in her head, which decided what she could or couldn’t do. That committee often said she wasn’t allowed to leave her apartment.

Before her DID diagnosis, she’d been given a charcuterie board of mental health labels: agoraphobia, depression, anxiety disorder. She’d been prescribed all kinds of medications. None of them helped.

Many friends tried to help her. After all, when she showed up as “Sarah,” she was wonderful. But over time, that became rarer.

I was the last one who tried hard. I had this urge to rescue someone else—maybe instead of rescuing myself. Her disorders were inflated versions of mine, so I could speak her language to a certain extent.

I don’t have DID. I’ve been dissociated, but not to that degree. I had dysthymia and episodes of major depression. Sometimes I wasn’t “allowed” to get out of bed. I had extremely low self-esteem and poor communication skills—unless I was in a professional setting. Then I became articulate, competent, impressive. I still have a voice inside that occasionally whispers, “Jump” or “Kill yourself.”

Over time, I realized that some of Sarah’s other personalities were sabotaging anything that might make her better. Whenever she admitted to feeling improvement, they lashed back—as if healing would erase them. As if their survival depended on her staying damaged. Ironically, their original role had been to protect her.

They exhausted me, as they had exhausted many before me.

I haven’t seen Sarah in years. She reaches out once in a blue moon—only in moments of desperation. The last time, it wasn’t even her. A mutual friend contacted me because no one had heard from her. Turned out she’d fallen and been hospitalized. She didn’t have her phone in the hospital room, so she couldn’t reach anyone. But she came up with an ingenious solution: she befriended the woman in the next bed and asked her husband to deliver a handwritten note to my building.

That’s Sarah—resourceful and fiercely capable when it matters. She once told me she’d made a deal with the “committee” to keep her alive. One of her friends with DID had died by suicide. Sarah wasn’t going to be one of them.

Eventually, I accepted Sarah as she is. There’s no “original” Sarah waiting to be recovered. She was already many when I met her. I just didn’t know it. She contains multitudes. Every piece of her is my friend. And I’ve let go of the childish fantasy that I could save her—or anyone else.

Everyone splits, to some degree.

There are incidents I don’t remember, but my body seems to. I don’t have a single, monstrous trauma, just layers: a verbally and emotionally—possibly sexually—abusive father; a manipulative, passive-aggressive mother; a narcissistic aunt; a silent, possibly borderline grandmother. Add to that a culture soaked in misogyny, inappropriate touches, and the absence of loving contact—and I was left scarred.

I didn’t split, but I did build personas: a tough bitch and an abrasive man—my internalized father—to protect the vulnerable child inside me.

I’ve spent decades re-parenting that little girl. I wanted her to grow up into who she could have been if she had been loved and left alone: a happy, loving, beautiful girl. A confident, capable woman who could love and be loved.

I didn’t become exactly what I hoped—but I like who I’ve become. I’m happy with this version of myself.

You can’t restore the original child. But you can hold your scars with tenderness. You can carry your pain gently, like something sacred. And in doing so, you become who you were always meant to be:

Clean and pure, with old scars.
Survive. Then thrive.

Giant Anteater

My high school best friend recommended me to watch a Japanese drama series, titled Brush Up Life. It is a story of a young woman, who suddenly died in a freak accident. She arrived at the reception desk of the “upstairs” office. A clerk at the desk told her she was assigned to re-incarnate as a giant anteater. She refused to be reborn as a giant anteater and asked the alternative option. The clerk told her that she could redo her life from the birth with her current knowledge and consciousness. The woman chose to start over and changed her life as she went. To make a long story short, every time she started over, something didn’t work and she died. So she kept going back to the start. Eventually she got the result she wanted (she saved her friends’ life).

My friend asked me if I could start over with current consciousness intact, what would I do. I thought about changing this and that. I would be on SSRI as soon as it’s available–I wasn’t diagnosed until in late 30s and I had developed a basketful of disorders. I would focus on physical fitness –I had eating disorder and was out of shape, a heavy smoker with alcohol dependency. I would move to the U.S. as soon as possible–I moved here in my late 20s and didn’t know my old country’s restrictive culture had traumatized me. I would study harder to get in a medical school –I applied for but wasn’t accepted and instead went to study liberal arts.

Then I realized I would be born into the same family and would have to do it all over again. The heroine of the drama has a “normal enough” and functional enough family. She tries to change things to save others. I can’t change my dysfunctional family. I can’t change how my parents deal with me. I would be born into the same family with all the pain, fear, shame, and anger. No. I would rather be a Giant Anteater. It would be much better.

My friend said she wanted to change one event, which traumatized and defined her life. Her parents moved from a metropolitan area to a rural city due to her father’s job and she was transferred from a private school in a large city to a local public middle school in a pretty tough district, where she was bullied as an outsider. She still can’t get over the trauma. She is now a professor of psychiatry at a local medical school, established and lives in a large house. She is married, has two sons, and they both are well-respected medical doctors. She has grandchildren, who live in the same city. I am freelancing, living in a small apartment with an old dog. I’m divorced with no children. From outside, she seems to have a good enough life. Still, she wanted to change.

I’ve been thinking about starting over, but every time I think of it, I end up choosing a giant anteater. I had a volatile life and I wish I could choose differently here and there, but if I changed any event I wouldn’t be able to be here. Every mistake I made, every bad choice I made, it was a ferry to carry me here and now. I have realized I am very content and happy with who I am now.

I just spend much of my life in constant stormy weather, hanging onto whatever I could to survive. And the deadly wind and current pushed the boats, ferry, or sometimes just a wooden lifesaver to where I am now.

So it’s possible to make peace with your life. I never expected to have this calm ordinary days at the end. (Of course, I spent large sum of money and time on this and that therapy.)

Savasana

I am not writing an anatomy book, nor a dissection manual, though I do use anatomical terms when they’re clearer than everyday language. This isn’t a book about scientific knowledge. If you’re looking for detailed anatomical information, there are plenty of great books to choose from. This is simply the story of my personal experience in dissection lab, facing cadaver, and how that experience has shaped my perception of who I am and how I relate to everything—especially my body, in this lifetime.

I once read about a meditation technique where you lie on your back and imagine your body gradually decomposing until it becomes a skeleton. I also learned that in Buddhism there is a practice called  Charnel Ground meditation, where you observes your body from the inside and outside while watching a real corpse decay. I found it intriguing, interpreting it as training to recognize that all material existence—including our own bodies—is just a mere fleeting phenomenon—no different from a decaying corpse. 

In Japan, we have kusozu, a traditional set of painting depicting nine stages of a body’s decomposition. It’s our version of memento mori. The paintings show the slow decay of a beautiful woman’s body, eaten by animals, reclaimed by nature, until it’s reduced to dry, white bones scattered on the ground. It’s a reminder that my body, too, is impermanent and transient.

When we experience unbearable trauma, our consciousness may dissociate from our body to protect us. The body becomes an object that performs a specific function, separated from the ”I” consciousness.  When I had sessions with a Zen psychology therapist, he often asked, “What do you feel in your body?”  Each time, I would look up at the ceiling, glance around the room, and search for the answer outside of myself. “Can you feel your feet on the floor?” he asked. While I could physically sense my feet touching the ground, that sensation felt completely disconnected from what I was feeling mentally.

I had little understanding of my own body. Even when I meditated on a corpse, I struggled to visualize it clearly.  With no conscious connection to my body, the corpse quickly became a mere abstraction of bones. I couldn’t grasp how complex and delicate the human body was, nor how it was related to my very existence.

Through gross anatomy training, I gradually restored the connection between myself and my body. Each time I stood at the dissection table, it felt as though I was slowly reclaiming my humanity. It has been more than ten years since I was initiated into human dissection, and I’ve spent over 1,500 hours in dissection labs. Now attending an annual dissection workshop feels like a Zen practitioner returning to the temple—a form of spiritual practice. It prepares me for the reality of death and dying, and reminds me of the importance of living fully in the present moment. 

In yoga, Savasana is the pose where you lie on your back, imitating a corpse. When we approach a dissection table in the lab, we face a donated body quietly resting in Savasana pose—the final posture we will all eventually take. 

Evanescent

“Count to 20,” the anesthetist said. One, two, three, four and I was out. After several hours, I guess, I slowly came back in the recovery room.

It was the most peaceful moment of my life. I was not there.

It is not accurate. The subject, “I,” wasn’t there for several hours. And I recognized the fact that I didn’t exist. No dream, no nightmare, no nothing.

My then boyfriend was waiting for me to wake up in the recovery room. The subject, “I,” slowly started to focus, still feeling groggy and peaceful. I wanted to stay there longer, where no subject “I” was. It was just a simple biopsy operation for breast cancer.

Then, sudden commotion was heard. The door to the recovery room slide open and EMS personnels rushed in. Another door to the operation area slide open.

An old man in the waiting room was panic-stricken and was trying to figure out what was happening on the other side of the door. A medical personnel was explaining why EMS was called in. They didn’t have the equipments to deal with the specific kind of medical emergency the man’s wife was in.

My then boyfriend was in shock. He had been waiting in the same room with the old man for the last couple of hours. “That man must have had coffee as usual this morning with his wife before they came to the hospital. He didn’t think it could be the last time…,” he said. I don’t know what happened to the wife.

Life is evanescent. It could have been me, who didn’t come back. And it’s not bad not to be. I am not afraid of dying and I want to live fully while I am here, until there comes the time of no dream, no nightmare, no “I.”

It’s not bad at all.

Do I Want to See Tomorrow?

The Diving Bell and the Butterfly is a cruel film.

If I should get totally paralyzed and lose my independence, do I want to live? If I have a choice, what would I do? I thought it was no brainer. I would certainly choose to end my life.

Then, my friend, Maria, was diagnosed with ALS. It is a cruel disease. She had been independent and lived alone. She didn’t have close family except for her elderly mother. She lost her mobility quickly and became dependent on friends. Within 6 months, she was admitted in a hospital and had to make a decision. She had to choose. If she chooses life prolonging measures, she would be bed-ridden for the rest of her life, which she wouldn’t know how long, and would have to depend on public assistance. She wouldn’t be able to move, eat, nor talk. She would have to wear a diaper, breathe through a respirator, be fed via a gastrostomy feeding tube… All of us, members of volunteer care team of her friends, thought it was no brainer. Nobody would be able to take care of her forever. One of her friends had a mother with ALS. She begged her mother to choose to live even in locked-in condition and she now regretted that. It’s cruel, she said.

Maria couldn’t make a choice for a long time. Eventually, she chose not to. She was admitted to a hospice and passed away peacefully in a couple of weeks. (So I was told.)

It’s no brainer, isn’t it?

It was until I heard a story about a nurse. I don’t remember where I heard or read, but it totally changed my perspective. The story was told by a husband of a nurse, who became paralyzed or immobile. When she was healthy, she had always told her family she would choose not to receive any life-prolonging measures.

She once happened to be at the scene of a serious accident. The injured person needed medical attention. As a nurse, she could tell he would surely be fully paralyzed, worse would stay in coma, or brain-damaged, and for a moment she hesitated to give an assistance to save the life. Of course, as a nurse, she provided necessary help and that person lived, with the predicted consequence. Since then she thought about her moment of choice again and again, and she concluded that she wouldn’t want to live in that condition.

So when it was her turn to choose, her husband and her children were sure that she would say no to life prolonging measures. She didn’t and they were surprised. They respected her choice and took care of her for the next several months.

Then, one day, finally she said it was enough.

What her husband said hit me hard. It’s not a question of if you want to live. It’s a question of if you want to see tomorrow. It’s not that she wanted to live in that state of being for the rest of her life. She just wanted to see tomorrow. She wanted to see her husband and her children smile tomorrow. She wanted to see the sun rise tomorrow.. She wanted to feel the air, she wanted smell the rain, she wanted to feel the warmth of sun, tomorrow.

Do I want to see tomorrow?

When I am seriously/clinically depressed, tomorrow does not exist. I am in a timeless state of pain. I become pain. I desperately search for the way to stop the pain, which lasts forever, because time stops when I am in major depression. We only are in now and here in hell. (That’s quite zen, isn’t it? ) So only thing I can think of is how to stop being myself. A depressed person doesn’t have tomorrow. That’s the tragedy.

So I constantly ask myself, ‘Do I want to see tomorrow?” And I am glad my answer was yes yesterday.

Hope could be Toxic

Hope is an imperative if you live in Ukraine now. Hope is an imperative for our democracy. Hope that it will get better is an imperative for that tormented kid in the school.

However, in some case hope could be toxic. Hope leads to expectations. Expectation could lead to disappointment and sense of loss, again and again. It is actually cruel to give somebody bedridden with ALS a hope to be able to walk again, at least at this point of time when no definitive cure is known.

My friend, Maria, had been losing her functionality every day. Every morning she woke up to find she couldn’t do what she had been able to do the day before. She knew she would not walk again, but sometimes she just desperately grasped a flicker of hope and dreamed that she could dance again. She wore her favorite pair of shoes when in a wheelchair for rare occasion to get outside for fresh air. I didn’t have any words to console her at that time. Any suggestions of hope that it would get better were cruel even when she felt a little better than the day before.

Then I was diagnosed with Meniere’s Disease. I’m grateful that it was not ALS, but Meniere’s is a bitch from hell. Because of sudden and unpredictable debilitating violent attacks, which render the afflicted totally incapacitated for hours sometimes days, Meniere’s suffers loose their functionality. Three years ago, I started have violent attacks. The life I expected to have was no more because I couldn’t do what I had been able to do. I sought for “cures” one after another. Every time I tried something, the violent attacks seemed to subside. And I had a hope. Then Boom. Another attack and I found myself lying on a bathroom floor violently vomiting. I had to cancel my plans and I was afraid to leave home. After a year of turmoil, I found a trigger, or so I thought, and I was in remission. I thought I was cured!

After two years, it came back. The moment it hit me, I knew I should change my mindset. No expectation, just live now. Regardless whatever happens tomorrow, I am living with this condition now and this is my state of being. It is the only reality. It doesn’t mean I don’t make any effort to control Meniere’s disease. I’ve been working much harder and am much more focused to change my life style which might have caused Meniere’s Disease. But I’m mindful not to expect anything. Expectation is about something in the future, which might or might not exist. I don’t want to be disappointed just because I lose what I might not have anyway.

I have been feeling much better this week with less frequent attacks and less severity, but I don’t expect I’ll be better tomorrow and will be able to travel in May. I don’t know how I will feel tomorrow. Yes, I am human and every morning upon waking up, I hope and hope my Meninere’s disease miraculously disappears. Then the tell-tale sign of tinnitus or vertigo comes back to tell me otherwise.

So don’t tell me it will get better. You don’t know and I don’t know. If you can’t tolerate witnessing my suffering, just hold your discomfort and say “I’m sorry. It must suck to have that condition.”

If I feel good, I enjoy the day. I live one day at a time. And basically it is how everyone should live. One day at a time.

Sudden Change of the State of Being

Our state of being changes every so often. Job loss, divorce, death of a loved one, etc. Most of the time, it involves one kind of loss or another. If you place a high value on your work, job loss is devastating. If you are used to certain kind of lifestyle, change in financial situation could hit you hard.

I lived long enough to experience many of losses, which brought me sudden change of the state of being. Every time, I fought against it trying to hang onto what I had. I lost my job of 20 years. I lost my marriage. And the hardest was losing everyday function due to incurable health issue.

Three years ago, I developed Meniere’s Disease, an incurable disabling condition. Though it is not life threatening, MD had totally changed my state of being. There were so many things I couldn’t do anymore. I fought against it and suffered, lamenting over the lost functionality.

Then somehow it magically disappeared after 1 year. For the next 2 years, I was as active and functional as I used to be. I had plans for my life, my new career, my new adventure…

Then it came back. I’m basically homebound and often bed ridden. This time, I don’t lament over the loss of my life I expected to have. At this moment, this is how I am. I just need to adjust my priority.

Acceptance of current state of being could relieve you from suffering over the loss.

It still sucks to have Meniere’s Disease, though.

Throat Chakra Story: Voice

Voice

“If a tree falls in a forest and no one is around to hear it, does it make a sound?”

When the little voice learned that nobody would come running to give her hands when she fell, she stopped asking help. She stopped even crying. When she cried, they came running not to help. So she locked herself in a dark small cave and waited silently until they forgot about the little voice and left. In the cave her hurt turned into anger and the anger pulsed and grew into fury. The angry voice was big and strong. The little voice couldn’t speak up for herself, but the angry voice could scream and yell to protect others. When the angry voice spit a fire, it was always for the little voice in other unheard people.

In my original family I had never learned to make a conversation because nobody heard anybody and they just talked at each other. “Conversation” was like throwing rocks at each other. Uttering one word could start a full-blown war. I’ve learned to make a Molotov cocktail. The louder and the more violent your voice are, better chance of survival.

My brother took up a different strategy, learning from how I fought. He was a talkative child, but he stopped talking to his parents at all. When I was in 30s I confronted my father and told him what he did and what he said damaged me. It was not a conversation. I threw one Molotov cocktail after another at him. The next day, he didn’t come out of bed. My mom forced me to apologize for yelling at him.

“Did I say those things to her?” My mother said to me that he asked her. He didn’t remember. He didn’t remember his words, which denied me of having a normal teenage girl’s life. In his mind, he was a loving father. I learned unless I engaged the person in a conversation, throwing a Molotov cocktail at them wouldn’t work.

About 15 years ago I was on a subway train at night. A young black guy came into the car with a cart-full of stuff. A burly white guy started to harass him, calling him welfare thief and such. The young guy remained quiet and sat still. The white guy kept on harassing him. I felt a red hot anger bubbling up inside of me and burning my throat. I knew yelling at the burly guy would not help the situation. I could feel the young guys anger in my guts. I thought of standing up and sitting between them, but if I provoked the burly guy, it could have the young guy involved. That was not good. My station was coming next. I stood up and walked to the young guy and stood in front of him. “Sir, may I shake your hand?’ I said to him. He looked up at me with a puzzled expression and then he extended his hand. I shook his hand and he smiled. My station came and I got off. That was the most powerful voice I ever have had.

Weight Belt of Gold

A woman and her husband were on a boat. She saw her friend struggling in the water to be afloat. Her nose was barely above the water. She reached out and tried to grab her friend’s hand. Her hand was slippery and she was too heavy.

Her husband noticed the drowning woman wearing a weight belt. The belt was loaded with gold. It was clear that the weight of the belt was pulling her underwater. “She needs to ditch the belt!” The husband said. The drowning woman would not let go of the belt of gold.

The boat was small and had no room for another person. “I have to rescue her,” the wife said. “She needs to ditch the weight first,” the husband said.

This was not the first time they saw the woman struggling in the water. This was not the first time the wife reached out to rescue her friend. The drowning woman had never let the weight belt go.

She probably could swim, only if she didn’t have the weight belt of gold pulling her down.

“If she let the weight belt go, there are many ways to help her to swim to the shore,” the husband said.

When I was married to a passive-aggressive narcissistic husband, I moved out of our marriage three times. Every time I moved out, my ex found a way to get back and I let him back. On the third time, I finally ditched my weight belt of gold. Looking back, the weight was not made of gold. It was my fear of unknown, insecurity about living on my own, and fear of walking my life by myself. Once I ditched the weight belt, I found I could swim first tentatively and then very well.

We can't rescue somebody who wants to hold onto the weight belt of what they think is gold, knowing that it is the cause of their distress.   

It is very difficult to find ourselves helpless in the face of suffering of our friends. We tend to try to rescue them. It might be more helpful to sit with our own sense of helplessness. When we befriend with our own helplessness and learn to tolerate it, then we might be able to be compassionate in the face of other’s suffering without rushing to rescue them.