RKS Health: The Great Hernia Adventure: Post Surgical Mindfulness

Being certified in mindfulness from both the University of Toronto and the University of Leiden I might venture to say I have both a North American and European perspective of mindfulness. Being frank there are some flaky elements to mindfulness but some concepts should (or could) be applied to your hernia adventure.

There is more than your pain to focus on and excessive focus on that may lead to an unhealthy obsession.

Express some self compassion. You have been through diagnosis and surgery and despite some commentary noting the “minor nature” of hernia surgery you prepped in perhaps less than a modest nature, are anesthetized in several possible ways some of which are highly stressful and then are left in pain. BUT YOU MADE IT! Congratulate yourself. If you are suffering it is therapeutic to show yourself some compassion which is a notch over sympathy. Yes you may be in pain and suffering but lamenting your “sorrowful state” may do little more than augment your suffering. Take some pride in yourself and understand there is nothing ashamed to feel pain and discomfort. Give yourself a break.

Mindfulness has an in the moment focus and if you meditate, you’ll understand that. You think this type of meditation comes easy? Think again. It took me months to learn the technique. Being in the present moment is an art and for all its faults and hyped benefits what it might accomplish for you is the ability to focus on the present and avoid rumination on the past. What matters is not so much your past suffering but what is happening to you now. The happenings of the past are over. You are in the present and recuperating from hernia surgery which may be an unpleasant road to travel but you are further along the road today at this moment than you were yesterday, tritely said think better days are ahead and jettison the past sufferings.

RKS Literature: What to Expect at the French Frontier (James Baldwin)

“The man at the frontier has cigarette ashes all up and down his uniform, and a cigarette is established between his lips. He has not the remotest interest in the voyager, or his passport. Sometimes he forces himself to squint at both. Sometimes he looks at the baggage, sometimes not. Sometimes he stamps the passport; sometimes one has to ask him to stamp it. His office, were it not in France, would remind one of nothing so much as a cell in purgatory; and he and his confreres seem to feel that they are serving a sentence which they probably, after all, deserve.”

James Baldwin, “Tell Me When the Train’s Leaving”, 1968.

RKS Literature: The Brutally Manufactured Lola San-Marquand (James Baldwin)

“I never knew her to dress in any other way. She must have had hundreds of black dresses and scarves-though-in fact, a black and impetuous toque sometimes did duty for the scarf, This, however, was mainly on opening nights. She impressed me-she impresses me still-as one of the most curious, most loving, devious, ruthless, and single-minded people I have met in all my life. She was brilliantly and brutally manufactured: she had not grown into her present shape but had been hammered into it, or perhaps, as in some unspeakable vat, been lowered. Her hands were white and pudgy and soft. Yet, they were not without power, and the fingers were elegant. One felt that the pudginess of the hands was no more inevitable than the rings they bore-rather awful rings; that trapped within Lola San-Marquand, was a beautiful dying girl. But alas, fatally, overwhelmingly at last, one became aware of the odor of that corruption.”

James Baldwin, “Tell Me How Long the Train’s Been Gone”, 1968.

RKS Health: The Great Hernia Adventure: Devolution of Pain Into Annoyance as a Pain Management Tool

Imagine on day 28 after your hernia procedure the pain remains unwavering. It is on the low level of let’s say 4 or 5 out of ten. You have given up on your over-the-counter pain meds as how much more can your body tolerate and at a certain point they don’t seem to annihilate or lessen the pain.

Does your pain denigrate to an annoyance as you are so accustomed to it? Is this your mind’s way of pain management? It is a tool in your pain management kit. Good for your liver and kidneys? This presupposes annoyance is preferable to pain.

Sounds inane, does it?  Try it. You have nothing to lose but pain itself.

RKS Health: The Great Hernia Adventure:  Recovery from Inguinal Hernia Surgery: The Terror of Anticipated Pain and Opioid Pain Relief

Dr. Google/ChatGPT explain the over-the-counter pain relief medications and the big guns like opioids the latter instilling, perhaps rightly so, terror of opioids.

I am sure you have your personal perceptions of the evils of opioids. On a scale of 1-10 my view is I’ll take post hospital when my pain scale is a 12/10. I had two doses of 2 mg Hydromorphone in the surgical recovery unit. They worked their wonder. I was asked if I wanted a third dose and declined. Two were the perfect remedy and a little light bulb popped in my head “warning me” another dose might take me a place I have never been before. I am uncertain what this meant but it was a warning.

I walked away from the hospital with 10 days of “over the counter” pain meds and some Hydromorphone. I took the entirety of the over counter pain meds and for the most part they effectively kept the pain at a 4/5 but one bad day at 8/10 all day long and at three in the morning it was tempting to crack open the Hydromorphone vial.

The terror of anticipated pain and of its remedy.

RKS Literature: White Police: Black Men (James Baldwin)

“Because I’m black and they paid to beat on black asses. But, with a kid your size, they just might get into trouble. So they let us go. They knew you weren’t nothing but a kid. They knew it. But they didn’t care. All black people are shit to them. You remember that. You black like me and they going to hate you as long as you live because you’re black. There’s something wrong with them. They got some type of disease. I hope to God it kills them soon.”

James Baldwin, “Tell Me How Long the Train’s Been Gone”, 1968.

RKS 2025 Wine: A Graciano from Spain’s Navarra Appellation

Graciano is a spicy aromatic, intensely flavoured grape and is less tannic than Tempranillo and tends to oxidize easily. It is not capable of ageing for any extended period. It prefers cool clay-chalk soils and mild damp climates and dislikes drought and intense summer heat.

We try an Agramont Graciano from the Navarra appellation in Northeastern Spain.

Aroma: Big blast of blackberry, raspberry and black cherry with a hint of dark chocolate.

Palate: This Graciano has some tannins to it and it is a solid Boxerlike wine if this was “Animal Farm”. To the point. Not elegant. An entirely food worthy wine. Think of chalky raspberry. A bulky solid finish.

Personality: I am far from elegant having a non pretentious solidity built for food particularly lamb over the spit.

Cellarbility: Consume no later than Easter 2026 with lamb of course. Or with a lamb burger anytime!

Price: $16 CDN.

RKS 2025 Wine Rating: 89/100. Natalie MacLean Community Score 91. Decanter 2024 World Wine Awards 95.

(Agramont 2022 Graciano, D.O. Navarra, Agronavarra, Murchante, Spain, 750 mL, 14%).

RKS Literature: Eyes Upon Me (James Baldwin)

“These were the eyes of children stronger than me, who would steal my movie money; these eyes were the eyes of white cops, whom I feared, whom I hated with a literally murderous hatred; these eyes were the eyes of old folks who thought I was a sissy and who might wonder why I was on this avenue by myself. And these were the eyes of men and women going in and out of bars, or standing on the corners, who certainly had no eyes for me, but who occupied the centre of my bewildered attention because they seemed, at once, so abject and free.”

James Baldwin, “Tell Me How Long the Train’s Been Gone”, 1968.

RKS Literature: The Younger Brother (James Baldwin)

“I think it may be easier to love the really helpless younger brother because he cannot enter into competition with one on one’s own ground, or on any ground at all, and can never question one’s role, or jeopardize one’s authority. In my own case, certainly, it did not occur to me until much later-to compete with Caleb. I could not have questioned his role or authority because I needed both. He was my touchstone, my model, and my only guide. But there is always, on the other hand, something in a younger brother which eventually comes to resent this. The day comes when he is wiling to destroy his older brother simply because he had depended on him so long. The day comes when he recognizes what a combination of helplessness, and hard-hearted calculation go into the creation of the role, and to what extent authority is a delicate, difficult, deadly game of chance.”

James Baldwin, “Tell Me How Long the Train’s Been Gone”, 1968.

RKS Health: The Great Hernia Adventure: Recovery from Inguinal Hernia Surgery: PAIN AND SUFFERING

There would seem some consensus as to some of the temporal aspects of pain after inguinal hernia surgery and the bottom-line conclusion of expect some pain is not debatable! What is not so easily ascertained is the length and severity of the pain.

Pain is a relative concept. The degree of pain experienced by those in the Hernia Club graduating from inguinal hernia surgery differs based on many circumstances. How adept and experienced was your surgeon, your individual tolerance, your physical condition, your age and your mental approach to pain and suffering?

I have yet to encounter any commentary to the effect you jump off your bed post surgery pain free. The conventional wisdom is day one you are numbed out with anesthesia and perhaps some opioid relief immediately after surgery. Day two and three are supposedly the worst it is going to get and gradually by week six you are close to normal. You will discover the veracity of these pain generalizations. Odds are with the passage of time pain lessens but how quickly only you will discover. If it worsens time to contact your surgeon.

It may not be the case a younger person with a buff physique hop, skips and jumps through “the ring of fire”. The cut through a flabby body may be less of a shock to the body!

If you have experience with pain it perhaps you bear it better than a novice to pain.

As for pain avoidance after inguinal hernia surgery there are no free passes. There are pain management techniques.