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Life Lessons from a Brain Surgeon with Dr Rahul Jandial #185

May 25, 2021 1h 54m 12 insights
Today I'm delighted to welcome one of the world's leading neurosurgeons, Dr Rahul Jandial back onto the podcast. I first spoke to Rahul back on episode 76 about the simple things that we can all do to improve and optimise our brain health. I decided to invite Rahul back onto the show after taking a look at his latest book, Life on a Knife's Edge: A Brain Surgeon’s Reflections on Life, Loss and Survival, which is a beautifully written account of the resilience, courage and belief he has witnessed in his patients, and the lessons about human nature he has learned from them. At this point in his career, Rahul has operated on several thousand skulls and brains. He is the last hope for patients with extreme forms of cancer. And in treating them, he's observed humanity at its most raw, but also at its most robust. He has journeyed to unimaginable extremes with his patients, guiding them through the darkest moments of their lives and in today's conversation, he shares some of the powerful lessons that he's learned that are applicable to us all. In our conversation, we cover a wide range of different topics such as Rahul’s own practices and rituals to get him ready for high pressure surgery. We also talk about what specific breathing technique he uses when stressful situations come up whilst he is in the middle of an operation. We discuss what Rahul has learned about the brain, our minds and our sense of self and what cancer patients at the ends of their lives have taught him about living. He explains the importance of balancing times of stress with time for rest, the importance of connection and compassion and we chat about resilience. This really was a fabulous conversation that I myself got a lot out of. I really hope you enjoyed listening. Show notes available at https://drchatterjee.com/185 Follow me on instagram.com/drchatterjee/ Follow me on facebook.com/DrChatterjee/ Follow me on twitter.com/drchatterjeeuk
Actionable Insights

1. Four Pillars for Brain Health

Maintain vascular health through exercise and managing cholesterol to ensure proper blood flow to the brain. Support neuron structure and electrical conduction with omega-3 rich foods like fatty fish or chia seeds; fertilize your brain’s ecosystem with regular exercise, which releases growth factors like BDNF; and continuously challenge your mind by learning new things and expanding your thought, as this prevents parts of your brain from becoming dormant and modifies neural connections.

2. Regulate Breathing in Stressful Moments

When feeling fear, panic, or anxiety, consciously slow down your breathing, inhaling and exhaling slowly through your nose for about two to three seconds each. This physiological control helps prevent hyperventilation, which can lead to twitchiness and impaired thinking, allowing for clearer thought and emotional regulation.

3. Fortify Brain-Mind Reciprocity

Understand that your brain and mind have a reciprocal relationship; conscious efforts like emotional regulation, meditative breathing, and daily reflection structurally modify the physical connections in your brain. This ongoing self-improvement builds up parts of your brain, making it easier to deal with future challenges at a physiological and cellular level.

4. Compartmentalize Stress & Embrace Seasons

Manage anticipated stressful periods by compartmentalizing the disruption to a specific timeframe, protecting the time before and after for living fully. Adopt a ‘seasons of life’ mindset, recognizing that growth, triumph, tragedy, and difficulty are cyclical, which helps view stumbles not as setbacks but as phases to push through for the next ‘springtime.’

5. Live with Urgency and Gratitude

Learn from those facing mortality that there is ’no time to waste,’ fostering a deeper appreciation for each day and inspiring a focus on quality of life. This perspective encourages living fully and intentionally, rather than taking days for granted.

6. Pre-Performance Ritual for Focus

Before high-pressure tasks, engage in light physical exercise for postural preparation, avoiding anything that fatigues your hands or forearms. In the last 10 minutes before sleep, mentally run through the challenges and dangerous aspects of the task, allowing your subconscious mind to work on solutions overnight and provide background preparation.

7. Connect with Empathy and Transparency

Approach interactions, especially in caregiving or leadership roles, by bringing your authentic self and sharing personal complexities, fostering a deeper connection. Offer reassurance and maintain physical presence, like holding a hand or making eye contact, to ensure others feel supported and never stranded, even when outcomes are uncertain.

8. View Life Through Seasons

Recognize that life’s triumphs and tragedies are not permanent; by viewing life’s moments as cyclical seasons, you can enjoy the present and understand that difficult periods will eventually pass, leading to new phases.

9. Support Loved Ones’ Independence

While providing connection and spending time with older loved ones, avoid doting on them by performing their daily activities. Encourage them to maintain their independence in tasks like walking to the bathroom or kitchen, as this helps prevent the ‘use it or lose it’ decline in physical and cognitive function.

10. Use Physical Cues for Self-Regulation

Develop self-awareness by using physical cues, such as glasses fogging up during stress, as a ’neurofeedback’ mechanism to signal the need to slow down breathing. This internal dialogue helps navigate emotions and thoughts by controlling physiological responses.

11. Embrace Processive Resilience

Understand that resilience isn’t just an innate quality (systemic resilience) but also something that develops through struggle (processive resilience). This perspective offers optimism, knowing that difficult challenges can bring out unrecognized strengths and abilities.

12. Gain Diverse Life Experience

Seek out varied life experiences and odd jobs beyond academic or conventional paths to develop a deeper understanding of human nature and bring richer context to professional interactions. This broadens perspective and enhances empathy when dealing with diverse individuals.