Let us now return to the consideration of the characteristic disadvantage of disease: it is accompanied by great suffering. The suffering, however, is rendered endurable by interruptions; for the strain of extreme pain must come to an end. No man can suffer both severely and for a long time; Nature, who loves us most tenderly, has so constituted us as to make pain either endurable or short.
The severest pains have their seat in the most slender parts of our body; nerves, joints, and any other of the narrow passages, hurt most cruelly when they have developed trouble within their contracted spaces.
But these parts soon become numb, and by reason of the pain itself lose the sensation of pain, whether because the life-force, when checked in its natural course and changed for the worse, loses the peculiar power through which it thrives and through which it warns us, or because the diseased humors of the body, when they cease to have a place into which they may flow, are thrown back upon themselves, and deprive of sensation the parts where they have caused congestion.
So gout, both in the feet and in the hands, and all pain in the vertebrae and in the nerves, have their intervals of rest at the times when they have dulled the parts which they before had tortured; the first twinges, in all such cases, are what cause the distress, and their onset is checked by lapse of time, so that there is an end of pain when numbness has set in.
Pain in the teeth, eyes, and ears is most acute for the very reason that it begins among the narrow spaces of the body—no less acute, indeed, than in the head itself. But if it is more violent than usual, it turns to delirium and stupor.
This is, accordingly, a consolation for excessive pain—that you cannot help ceasing to feel it if you feel it to excess.
The reason, however, why the inexperienced are impatient when their bodies suffer is, that they have not accustomed themselves to be contented in spirit. They have been closely associated with the body. Therefore, a high-minded and sensible man divorces soul from body, and dwells much with the better or divine part, and only as far as he must with this complaining and frail portion.
—from Seneca, Moral Letters 78
If my goal is simply to live with understanding and with love, which can be complete at any given moment, why would I demand to be given more time? The end as a purpose is not hindered by the end as a conclusion; the excellence is not limited by the duration.
As much as I may fret over ceasing to exist, a prospect that asks me to consider the paradox of an awareness about no longer being aware, I find myself worrying more about the pain that will accompany the departure. Yes, but how much will it hurt? Will I have the strength to bear it? Memory has a way of dulling the sting, and yet there are some torments from the past I’m not sure I could manage to revisit.
I intensely dislike it when people brag about the intensity of their afflictions, so I remember not to compare my sufferings with those of others. I have gone through my versions of misery, and you have gone through yours, and there is little point in claiming one to be more “worthy” than another. What will matter, Seneca tells us, is how Nature has given our minds the capacity to rise above a harm to the body—we fail at this only when we expect to fail.
I am also far more familiar with emotional pain than I am with physical pain, so I recognize how I must imagine a torture of the flesh to be more like the distress of the spirit I already know. Nevertheless, I can still refer to three excruciating injuries to give me a better perspective: a thumb crushed in a heavy steel door, a torn tendon in my ankle, and a fractured skull that never properly healed. Each gives me a context to reflect on Seneca’s account.
At the most basic level, if the pain is bearable, then I should have confidence in my character, and if the pain is unbearable, then I should feel honored to finally be relieved of my duties. This only sounds harsh when I am weaseling my way out of my responsibilities, and it becomes and inspiration when I focus on what I am able to do, instead of what might be done to me.
In more modern terms, I take Seneca’s “slender parts” to be like critical junctures, the central clusters of the body that bind our functions together and receive the greatest stress; these will hurt the most, because they sustain the most, and any damage to them will cause a worse handicap.
Though there will be those extreme instances when I heartily protest, I can assure myself that there will always be lulls in the assault, and how the most frightful pain also has a way of producing a soothing numbness, even building up an increased power of endurance.
When I squashed my thumb, I initially didn’t feel anything at all; what was actually most disturbing was the mere sight of a mangled piece of me. There was eventually a throbbing ache, which I managed by thinking of every pulse as one heartbeat closer to healing.
The torn tendon was silent if I remained absolutely still, but it made me scream in agony with the slightest movement. It was only the pauses between the jolts that made it tolerable, and I am sure I would have passed out if the pain had been continuous.
My cracked head is somewhat different, because I’m fairly certain the condition is permanent. I laugh off the shooting pains that arrive whenever the weather changes, or whenever I feel especially anxious, by imagining what a John Wayne character would.do. Remarkably, this works for me.
None of it has been pleasant, and yet none of it has taken away my dignity, though the yelping on account of the ankle was awkward for a few months. In fact, when my mind is at peace, I give these injuries a certain honor, for they have fortified my discipline of constancy.
And that’s the key, isn’t it? When I cling to my understanding of the true and the good, I acquire the uncanny ability to look down at the impressions, to become their master, not to tremble like a slave. The achievement is in the order of my judgments, not in the body, and that is a habit well worth forming.
—Reflection written in 11/2013
IMAGE: Gustave Courbet, The Wounded Man (c. 1854)