Story · Ajahn Brahm

The heart-attack role play

2 min read

Content note: medical-practice opinion (not clinical guidance)

The story — as told by Ajahn Brahm (verbatim captions)

i was in hong kong years ago you know that i got people to double up you know you're a b a b a b and all the a no an a and b go together and a is okay it was in a hospital nurses mostly a few doctors when i ring the bell then one of you number a will pretend to have a heart attack because they've seen it many times they work in the hospitals every day pretend you have a heart attack and then b be the first responder and so i rang the bell and then you know they did all the holding their hearts and falling to the ground stuff and then the first responder said keep your eyes open you know stay with me help is coming and then we asked afterwards to the a's what did it feel like they said it was just really intrusive you know it was caused more stress having the first responder trying so hard to keep you alive okay let's turn it around now when i ring the bell bees expect uh pretend to have a heart attack which they did and a's how are you going to respond and when they responded it's okay relax help is coming if you want it it's okay to die it's not a big deal we all die one day anyway it was so much more calmer and it was so much more pleasant when people don't just rush around panicking when you're about to die i'm sure actually that probably kills more patients than the disease itself having all these people rushing around putting tubes inside here and tube inside there and defibrillators and of course other stuff and and injections and stuff crikey can you just die peacefully it's your body why is other people getting so involved in it they're trying to keep you alive but are you or are you hastening the death for that poor person that's a question to ask anyone who's been in hospital seeing that but anyway those doctors and nurses they got the message so they said next time that somebody has a serious incident they're going to be much calmer and not just stress their patients out

▶ Watch Ajahn Brahm tell it from 49:32 (to 52:04)

A reflection (in the spirit of Ajahn Brahm's talk)

Hospital staff in Hong Kong role-played a heart attack and found that urgent 'stay with me' felt frightening, while 'relax, help is coming if you want it' felt peaceful. This is Ajahn Brahm's experiment, not clinical guidance. Still, beside anyone who is very ill, your calm may be the kindest thing you bring.

In brief (our summary)

Teaching hospital nurses and doctors in Hong Kong, Ajahn Brahm pairs them. At the bell, A pretends to have a heart attack and B responds as usual — “Keep your eyes open, stay with me, help is coming.” The A's say it felt intrusive and stressful. Then they swap: B collapses and A says, “It's okay, relax, help is coming if you want it; it's okay to die.” It feels far calmer. The staff resolve to be calmer with seriously ill patients.

Teaching point

Panicked efforts to keep someone alive can add stress; calm acceptance helps the dying.

When this story may help

Themes

Source & credit

Told by Ajahn Brahm in Out of Body Experiences | Ajahn Brahm | 1 July 2022 · 2022-07-01 · ▶ watch from 49:32 to 52:04 · Buddhist Society of Western Australia

Caption notes: YouTube auto-captions: unpunctuated, words left exactly as captioned.

The narrative is Ajahn Brahm's own telling, quoted from the talk captions. The summary and reflection are Being Mindful Stories's editorial notes. Please credit the teacher and link the original talk. Markdown version

All stories·Find a story for your situation