The memoir A Mind Unraveled, by Kurt Eichenwald, is astonishing in so many ways.

Anyone can run up against health problems and other major life difficulties, but Eichenwald’s story is uniquely interesting and instructive because of his attitude toward his struggles, as well as his phenomenal ability to analyze situations and make wise and brave decisions in even the worst of them.

His struggles were great. For years, doctors were unable to help him control his epileptic seizures. He could have one anywhere. When he had a seizure, people would often react with fear, ignorance about how to help, or hostility. Some of his college peers did not want to be his friend. Some of his college administrators did not want him to stay enrolled at the university. Some of his employers did not want him to remain working for them. One of his doctors told him that he should avoid stress by giving up on his education and career goals.

Fortunately, Eichenwald had an epiphany one day, while lying in a hospital bed:

“If I faced people who feared me or denied me work, I could control whether I gave up or tried to change their minds. I couldn’t force someone to hire me, but I could work hard, assembling a strong enough résumé to prove that I was a candidate worth considering. I couldn’t make someone love me, but I could be a person worthy of love. . . . I possessed more control than I had believed. Healthy people didn’t always understand the scope of how much could be overcome. I certainly never had before I got sick. As for what I didn’t control—the seizures, how others reacted to me—to hell with it. I could control how I reacted to the uncontrollable.”

Within this section, Eichenwald compares life to someone in an elevator. He notes that you can control whether you push a button, but you can’t control when, or whether, you will arrive. I like this metaphor a lot. I would like to offer another one, though, because life is so much more continuous and complicated than an elevator with its choice of maybe a dozen (or several dozen) buttons.

Life is being the dude or dudette sitting behind the audio mixer (a.k.a. mixing console) at a wild and large musical event. Your job is to control what the audio sounds like when it’s projected from the speakers.

There’s a lot you can control. The vast number of different buttons and levers before you would definitely baffle someone with less experience and intelligence than you. In fact, they baffle and overwhelm you at times. But if you concentrate on your task, you can create a good mix of musical sound.

There’s a lot you can’t control, though. If one of the musicians is playing off key, you can fiddle with the controls for that input, but you can’t change the fact that the musician is playing off key. If someone at that wild, live event knocks over a speaker and breaks it, you can’t control when or whether it will be replaced or fixed; you’ll simply have to proceed in broadcasting from just the working speakers.

I have read and experienced many times the truth, which Eichenwald also states, about the value of enduring hard times. When things are running smoothly, it’s tempting to sit back and enjoy the show, even if it’s not that great. But when things are going haywire? What, half of the musicians are drunk, and half of the speakers are malfunctioning? Then you’re faced with a choice. You can give up; or you can make some serious efforts to refine those controls to try to achieve the best outcome you can.

And, do you know what? Often times, the dude or dudette who’s putting the most, and most prolonged, effort into fiddling with the controls is the one who achieves the most awesome sound, regardless of the number and intensity of obstacles.

Is your life going smoothly? Or is something slightly off key? Or is everything totally haywire? No matter how easy or difficult your life is, you have the power to control many (though certainly not all) things. Are you fiddling with the buttons and levers of your audio mixer to try to maximize the quality of your sound?

What do we pay doctors to do?

Use medical instruments to collect data? Record that data in our charts? Perform procedures? Prescribe medications? Give referrals to other medical specialists? Recommend home care remedies and strategies?

Have I forgotten anything?

The author of a new memoir would say YES!

Kurt Eichenwald has written an astounding memoir, published last year, about his lifelong struggles with epilepsy . . . and people. He tells a story that made me cringe and kept me riveted. I was especially intrigued because his story has so many similarities to my own.

I do not suffer from epilepsy. I have not suffered from drug side effects to the extent that Eichenwald has. But I have suffered from debilitating medical issues. I have also suffered from drug side effects. And I have suffered, like Eichenwald, from the missteps, overconfidence, and occasional outright hostility of other people, while I was trying to attain the medical care I needed.

Perhaps one day I will write my story. But I’m not sure I have much to express that Eichenwald hasn’t already brilliantly covered in A Mind Unraveled.

Experiencing a health problem is scary. Full of fears and anxieties, we turn to doctors for their expertise; and we believe what they tell us. We want to believe; we feel that we have no choice but to believe. But Eichenwald tells a horrific story of doctor after doctor failing him. He was misdiagnosed, multiple times. He was treated with condescension and disrespect, multiple times. He was prescribed medications that almost killed him, multiple times. He was wrongly informed that his seizures were not epilepsy, but a psychological disorder, multiple times.

Finally, after years of worsening epileptic seizures, and years of taking seriously high doses of medication without proper physician monitoring; after years of not knowing where he would wake up next, or with what debilitating injuries; after years of enduring discrimination for having a disability, and personal trauma and that almost resulted in him giving up on life entirely—he finally stumbled upon a doctor who was willing and able to help him. Here’s what happened during Eichenwald’s first consultation with Dr. Naarden:

“After twenty minutes, Naarden had already spent more time speaking with me than any other neurologist ever had.”

What?! No other neurologist had spent more than a total of twenty minutes talking with their patient about a serious, debilitating medical problem?

During that first visit, Dr. Naarden went on to speak with Eichenwald for much longer than twenty minutes. And he continued talking with his patient. He talked with him not just during the initial consultation, but during future visits. And this communication went both ways. The doctor listened very carefully to Eichenwald’s story and asked follow-up questions. He also told Eichenwald, in detail, what he knew about Eichenwald’s current medical situation, what he didn’t know about it, and what he would like to do in an attempt to learn more.

This communication was essential to a correct diagnosis of Eichenwald’s disorder. It was also essential to the series of careful, logical steps the doctor had to take to get Eichenwald’s epilepsy under better control, as well as to prevent high levels of drugs from further damaging the patient’s health. Finally, it was essential in instilling a sense of trust in Eichenwald, who by then had understandably given up on trusting any doctor, and was hesitant to do anything one advised him to do.

When a doctor talks with a patient about a medical issue, this is not wasted time. This is an integral part of the data-gathering process. Anecdotal information from the patient is equally as valuable as measurements obtained from diagnostic tests. When a doctor does not gather information from a patient, key pieces of the puzzle go missing. The doctor is then forced to jump to conclusions.

I was shocked that no other doctor had spent time talking with Eichenwald . . . but I was not surprised. The same thing happened to me. After encountering a series of doctors who misdiagnosed me and gave me wrong treatments and advice, which significantly worsened my problems, I finally stumbled upon one who was willing and able to help me.

How long had each of the unsuccessful doctors spent speaking with me about my health issues, total?

Yep, less than twenty minutes.

How long did the successful doctor spend speaking with me—during my initial consultation alone!—about my health issues?

Yep, more than twenty minutes.

So, what do we pay doctors to do?

The inquisitive one was having a busy day!

Before work, the inquisitive one went on a run. (The inquisitive one did a speed workout.)

At lunchtime, the inquisitive one took a friend’s dog for a walk. (The friend was out of town and had recruited several people to help care for the dog.)

After work, the inquisitive one took the nephew to soccer practice. (The inquisitive one was helping as an assistant coach.)

“How are you?” said the head coach, when the inquisitive one and the nephew had arrived.

Since the nephew was busy shouting “Watch this!” to another boy, the inquisitive one answered:

“Good! Busy day.”

“What did you do?”

“In the morning, I went on a fartlek run—”

The inquisitive one paused, feeling embarrassed at having said that word while surrounded by 6-year-old boys. But no one seemed to have noticed. So the inquisitive one continued:

“During lunch break, I took my friend’s Shih Tzu on a walk—”

The inquisitive one paused again, feeling even more embarrassed.* But again, no once seemed to have noticed.

It was time for practice to begin, so the head coach said “Cool!” to the inquisitive one and then called out to the young boys:

“Okay, everyone, come over here and sit on your ball!”

All the boys gathered ’round, most sat on their balls, and a few looked attentively at the head coach as he demonstrated how to do a soccer move. Suddenly, one of the boys shouted:

“My name is Poopy Pants!”

All the boys burst out laughing. The head coach continued talking about soccer. He had just quieted them down . . . when the inquisitive one, having reached the last straw in the personal tickle meter, suddenly laughed!

It was a short and loud laugh; and the inquisitive one immediately got very quiet.

Everyone within earshot—young boys, head coach, parents on the sideline, bored siblings—turned and stared at the inquisitive one.

And then, a moment later, and all at once, everyone burst out laughing.

You see, the inquisitive one’s laugh had sounded like a cross between a small dog’s bark, a fart, and a little kid pooping his pants.

And, I mean, that’s funny.

*The inquisitive one could've avoided embarrassment by pronouncing the name of the dog breed correctly.

Everything in moderation, including moderation.

Heard that before?

Now you have, in any case.

Feel free to attribute that quote to me.

After all, I wrote it.

(Look above, if you don’t believe me.)

Take it and run with it, Internet!

Origin of the Quote

Oh, so you require more persuasion before quoting me on that? You wish to know who said “Everything in moderation, including moderation” before I did?

That’s easy—it was my date the other night. We might have been discussing whether we should order more small-plated food. Upon which he uttered the aforementioned string of words. Or perhaps it was another round of drinks that we were contemplating. Or was it dessert? I can’t remember; I was pretty inebriated at that point.

I’m confident that he said it, though. I remarked that that sounded like good wisdom, and that I should write a blog post about that. He remarked that that sounded like an excellent idea. And we flagged down the waitress and put in another order . . . of whatever it was we were contemplating ordering.

In any case, once I had recovered from that bout of immoderation, I decided to investigate the origins of the saying. If you believe the Internet (and—let’s be honest—who doesn’t??), the first part was said by everyone from Socrates to Aristotle to other illustrious, sandal-wearing dudes; while the latter part was tacked on by everyone from Benjamin Franklin to Oscar Wilde to Julia Child, not to mention several less famous, but surely equally redoubtable, personages.

What difference, I ask, is one more soul in this little parade of elocutionists likely to make?

Analysis of the Quote

Lately, I’ve had Taylor Swift’s album Reputation on repeat. Its first song “…Ready for It?” has a relevant lyric:*

I see two extremes here. Trying too hard to win over a crush seldom works. As for not trying at all . . . at first blush, this seems like a good strategy. Swift’s narrator is certainly captivated by the man in question. She launches into an extended fantasy about captivating his desire as he has captivated hers, and all that will happen as a result.

However, if the narrator’s crush is truly not trying at all, is anything likely to happen between them? Doubtful. Sure, she could throw herself at a man who isn’t trying at all to win her love. But if he’s really that uninterested in her (or uninterested in love with anyone, or cynical about any possibility of love), her dreams about him touching her, while they’re someplace with low lighting on some island, begin to sound more creepy than romantic.

The narrator ends the song by repeating these words:

If he’s not trying at all, then the answer is clearly no, he’s not ready for it. Playing a game with someone who isn’t trying at all is no fun at all. But if he’s only acting like he’s not trying, but actually putting in a highly nuanced effort to win her affection? Now he’s starting to sound pretty cool . . . and like he knows something about the wisdom of moderation.

And maybe, while they’re on the island, he’ll ditch the whole moderation thing and go wild!

And then, being the wise man he is, he’ll give Taylor** a good-bye kiss, fly home, and mow his lawn.

Uses of the Quote

In conclusion, I wrote the saying “Everything in moderation, including moderation.” (See the opening line of this blog post, or, actually, to save time, see the previous sentence.)

You can quote me on that.

For example, you can quote me on your next batch of T-shirts, mugs, coasters, knickknacks, wall hangings, notepad covers, or other trinkets you plan to sell on Etsy.

Feel free to go nuts with it!

Just, after you go nuts, back off for a bit.

Moderation, people.

*For a more complete analysis of the song, see the blog post by Clifford Stumme, a.k.a. the Pop Song Professor, called What does "...Ready For It?" by Taylor Swift mean?

**The name of the song's narrator is (coincidentally!!) Taylor.

One of my favorite parts of the novel Eugénie Grandet, by Honoré de Balzac, is a snippet of dialogue. In this brief exchange, Balzac clearly shows how different his characters’ mindsets are. The husband and wife are not living in the same universe!

The snippet of dialogue is also a great example of spin. That is, it shows how the crafty use of language can greatly affect how an audience feels about a person or issue. Check this out. The family has just learned that Monsieur Grandet’s brother was, before he died, a bankrupt:

Isn’t that hilarious? Maybe you had to be there (in the middle of reading the book), but I think this is brilliant comedy. First of all, the wife and daughter are so clueless about the world of finance that they do not know the word bankrupt. Second, while all the characters perceive the words dishonorable and guilty as negative, the husband thinks of them in terms of a relationship with other people, while the wife thinks of them in terms of a relationship with God. Third, the way Monsieur Grandet twists words around is truly—dare I say—presidential.

Here is a checklist for manipulating people by being conniving with language, in case you are interested in going that route:

1. If you want someone to believe something is bad, use the worst-sounding words you can, regardless of their truth. Dishonourable, guilty, and thief are excellent examples.
2. If someone replies to you in a way that doesn’t fit your worldview, immediately condescend them. Do not delay! Delaying will give them a chance to question your authority. You must immediately strike back. Make that person feel that they are wrong, wrong, wrong, and it’s impossible that they could ever be right—unless, of course, they agree with you.
3. If there are established laws or mores that contradict your worldview, use language to paint them as bizarre and nonsensical. Your audience should get the impression that the happenstance of the laws or mores existing have no history; they must have just plopped into the world without people noticing or thinking too hard about them. Make your audience believe that changing these laws or mores is not a matter of critical thinking about issues, but of common sense.

So what is the most dishonorable deed a person can commit?