
An invitation to take a moment
The Moment
Between
A conversation about responsibility, interruption, changing roles, and receiving support.
Complete first developmental draft · October 2026
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A note before we begin
This book is a conversation about responsibility, interruption, changing roles, and receiving support. Its reflective questions are invitations, not a treatment program. Reiki is discussed as optional complementary care, never as a replacement for medical or mental-health care. Examples introduced as imagined situations are illustrations, not client accounts. Where the author draws on his own history, as in Chapter 10, he says so plainly.
Editorial status: All twelve chapters, the opening, epilogue, and back matter are drafted. This is a lean first manuscript, shorter than the original 48,000–55,000-word planning target. Author voice review, factual and clinical review, and expansion with verified stories remain before publication. New first-person phrasing is proposed author language. No missing scenes have been filled with invented memoir.
PrologueThe Moment Between
Have you ever watched an aircraft launch from an aircraft carrier?
There’s a moment I keep coming back to. The plane reaches the end of the deck, and suddenly there’s nothing beneath it but water. I know there are people who can explain exactly what’s happening. They have the training, the calculations, and a much better understanding of flight than I do.
I have a metaphor. Considerably less useful to the pilot, but here we are.
It’s that moment when the deck ends that gets me. All the preparation matters. So do the people who helped get the plane there. But it has left the familiar surface behind, and I’m watching to see what happens next.
I think about that when I think about how we build our lives.
You spend years learning how to do things. You get good at your work. People count on you. You know which problems need attention right now and which ones can wait, although the people sending you the problems may have other opinions.
And there’s something satisfying about it. Somebody trusts you. You can help. You have a place in how things work.
I’ve spent years in financial services and information technology. I understand why responsiveness matters. An unanswered question can hold up someone else’s work. A technical problem can affect people who have no idea what caused it and just need the thing to work again. Those responsibilities are real.
So is the pleasure of being needed.
That’s the part I want to spend some time with, because it’s easy to complain about the demands and overlook what we get out of answering them. Being the person with the answer can feel pretty good. Being the person everyone calls can feel like evidence that we matter.
Then I have to ask an awkward question: if I’m measuring my worth by how much everybody needs me, what happens when I need something?
Apparently, I’ve found a way to give myself homework in my own book.
But stay with the question for a minute. What happens when the person who usually handles things can’t?
Imagine someone who expected to be at work this afternoon and is in a hospital instead. Their family is trying to understand what’s happened. The medical team is working out what comes next. Meanwhile, messages may still be arriving from people who don’t know anything has changed.
That person may be frightened about their health. They may also be wondering who’s going to take care of everything they usually take care of. Who will make the decisions? Who needs to be called? What have they forgotten?
They need help, and they’re still mentally organizing help for everybody else.
I’m not describing anyone’s private medical story. But I know that room. I spent years of my childhood, on and off, in hospitals, and a doctor there saved my life. I have trusted medicine ever since. I’ll tell you more about that later. For now, I’m asking you to consider what it might feel like to have your ordinary life interrupted while its responsibilities keep going.
That’s one of the moments I mean. The life you recognize has changed, and you don’t yet know how the next part works.
Other changes take their time. Retirement approaches. Family roles shift. Something you’ve done for years starts to occupy less of your day. You may welcome the change and still wonder who you are going to be in it. Having more time doesn’t automatically tell you what you want to do with it.
And sometimes the moment is much smaller.
You’re enjoying a conversation, reading, or finally getting somewhere with a piece of work. A message arrives. Before you’ve even decided whether to answer, you feel something. Annoyance, maybe. Worry. Or that little satisfaction of knowing somebody wants your help.
I’m curious about what happens there. The request arrives, something stirs inside us, and off we go. Could we occasionally notice that middle part before we’re halfway through the response?
An email is a long way from a medical emergency. I don’t want to stretch the metaphor until it needs medical attention of its own. The circumstances matter. Sometimes the right thing to do is act immediately. Sometimes you really don’t have the option to stop.
But when there is a little room, I wonder what we might notice about ourselves.
That question is part of what I bring to Blue Ember Wellness and my interest in Reiki and Medical Reiki. What would it mean to have some time when nobody needs you to solve anything? When you don’t have to reassure the room that you’re fine? When your own preferences get a say?
That’s the kind of care I want to offer. Whether a particular practice produces a particular health benefit is a separate question, and we’ll look carefully at what research can and can’t tell us. My enthusiasm isn’t a substitute for evidence. You’re also allowed to decide that something isn’t for you.
For now, I’m thinking about the person who’s used to having an answer. The one who may find it easier to offer help than to ask for it.
Maybe you recognize something of yourself there. Maybe you’re thinking of someone you love.
I don’t think we need to wait for a crisis to ask where our own needs fit. We can begin with something smaller: noticing what a request brings up in us, admitting we’re tired, or asking someone to share a responsibility. None of that makes the rest of life conveniently stop. It does give us a place in the conversation.
And when a bigger change comes, perhaps we can ask who might help us through it before deciding we’re supposed to manage the whole thing ourselves.
That’s what keeps bringing me back to the edge of that deck. The familiar support is behind us. What comes next isn’t clear yet.
The moment between what?
Exactly.
Chapter 1The Weight of Being Needed
It feels good to be the person somebody calls.
There. I think we ought to admit that before we spend a whole book talking about how exhausting it can be.
Somebody has a question, and they think you might know the answer. A problem comes up, and your name comes to mind. You understand the situation. You can help. Maybe you can save them a few hours of frustration, or explain something that nobody has managed to explain in a way that makes sense to them.
There’s real satisfaction in that. I don’t want to talk you out of it. I like being useful, too.
My background is in financial services and information technology. Those are environments where responsibilities have consequences. If something stops working, people need it working again. If a decision is waiting, other work may be waiting with it. You learn to take that seriously.
And you can care about the work itself. That gets lost sometimes in conversations about stress. People talk as though we’re all desperate to escape our jobs and just need someone to show us where the door is. You might love what you do. You might enjoy the people. You might be proud of what you’ve helped build.
So when someone asks for a little more of your attention, there are plenty of reasons to give it.
The question I keep coming back to is what happens when being useful becomes the main way we recognize ourselves.
I know. We were having a perfectly pleasant conversation about helping people, and I’ve gone and made it awkward.
But think about it. When someone needs us, we know where to put our attention. There’s a problem in front of us, and something we can do about it. When nobody needs anything for a while, what do we want to do?
That might be easy for you to answer. Good. Hold on to that answer. For someone else, the question might require a little more thought than they expected.
A perfectly reasonable request
Picture an ordinary interruption. You’re occupied with something, and a message comes in. Nothing dramatic. Somebody wants to know whether you can take a look at something.
Maybe you can. Maybe it really will take a minute. Maybe answering now makes sense because you already have the information in front of you.
Or maybe you were finally getting somewhere with something that mattered to you. You see the message, and before you’ve decided whether it needs an answer now, you’re already responding.
I’m interested in what happens in that little stretch of time.
It could be irritation. It could be concern. It could be the worry that making someone wait will look careless. Or it could be a feeling you don’t particularly want to give up: they asked me. They trust me with this.
Those feelings don’t have to arrive one at a time, either. You can be pleased they asked and annoyed they interrupted you. You can want to help and wish, just for today, that somebody else knew the answer.
That doesn’t strike me as a character defect. It strikes me as something worth noticing.
When I first started talking through these ideas, I called the demands on our attention “virtual vampires.” I was thinking about notifications, messages, all the things that arrive asking for a piece of the day.
Then I started arguing with my own metaphor. This is one of the hazards of giving me time to think.
The phone isn’t having the feeling. I am. The message brings something into my day, but what I make of it depends on what’s happening in my life, what the person wants, and what I believe I’m supposed to do about it.
That was the part I wanted to understand. We can put the vampire away now. It was never going to get its own chapter franchise.
I also need to be careful here. If I say the whole problem lives inside us, I’ve made it sound as though unreasonable demands are something we should simply learn to feel differently about. Sometimes the demands really are unreasonable. Sometimes saying no has consequences. Sometimes you’re responsible for someone who cannot wait.
You know things about your situation that I don’t. I want to leave room for that throughout this book.
Still, where there is room to notice, I wonder what we might learn. What does being asked mean to us? What feels at risk if we don’t respond? What did we put aside, and were we aware we were putting it aside?
The things that can always wait
Here’s an imagined evening. You’ve made yourself a cup of tea and sat down. Nothing ambitious. You’re going to sit there and drink it while it’s hot.
Then you remember something you ought to check. There’s a message you can answer quickly. That reminds you of another thing. The tea is still there when you come back to it. It has been extremely accommodating.
It’s a small example. Nobody’s life is ruined by cold tea. But I’m interested in how easily something we wanted can become the thing that waits because it doesn’t complain.
A person waiting for an answer is visible. A deadline has a date. Your wish to sit quietly for a few minutes may have neither. It can be moved without a meeting, an explanation, or anyone asking where it went.
Move it once, and perhaps nothing much happens. Some days simply require us to set our plans aside. But if you recognize a pattern there, it may be worth asking what keeps getting postponed.
It might be rest. It might be a conversation you wanted to have. It might be something you enjoy doing for no useful reason whatsoever.
I’m fond of that last possibility. It’s quite a burden to expect every enjoyable thing to justify its place in the schedule. Apparently looking out a window now needs a business case. I come from a world of projects and plans; I should probably be careful about giving myself that idea.
What I’m asking is whether there’s room in your day for something that matters because you care about it, even when nobody else is waiting for the result.
And if there isn’t, what is making that difficult?
I’d rather ask that than tell you to make more time. You may already be doing everything you can with the time and help you have.
When the requests grow quiet
There’s another question that grew out of my thinking about interruptions. What happens when the demands change?
I started wondering about retirement. If you’ve spent years knowing who needs you and what comes next, what does it feel like when that arrangement ends? You may be delighted. You may have plans you’ve been waiting years to enjoy. You may miss parts of the work and be thoroughly relieved to leave other parts behind.
I don’t believe there’s one retirement story. And I can’t draw a straight line from answering too many messages to losing your sense of yourself when you stop working. That would be a very large conclusion to smuggle into a conversation about a phone.
What I can ask is whether it helps to have some sense of yourself beyond the requests you know how to answer.
What interests you? Whose company do you enjoy when there’s nothing to organize? What would you like to learn without having to become good enough at it to impress anybody?
Those questions belong to working life, too. We don’t have to save them for a farewell lunch.
And retirement isn’t the only way a role can change. Illness can interrupt it. Family circumstances can rearrange it. A job can end before we’re ready. Sometimes the thing we’ve been doing is still there, but we can’t keep doing it in the same way.
If that happens, I hope there’s more available to us than the feeling that we have failed to remain useful. I hope there are people we can turn to. I hope we can let them help without treating our need as an inconvenience we ought to apologize for.
That’s easy to write. Receiving help can be a much more complicated business than recommending it.
Same person, different work
I own two companies: Kantner Consulting LLC and Blue Ember Wellness RVA LLC. The work is very different. One involves technology and business problems. The other involves Reiki and complementary wellness.
But I’m the same person in both conversations.
I want to understand the person in front of me. What’s going on? What are they trying to manage? What would actually be useful to them? There’s no point explaining something beautifully if I’ve misunderstood what they came to ask.
I’m more comfortable talking with one person rather than speaking to an entire room. That’s how I’m thinking about you as I write this. We can take an idea seriously without pretending I’ve arrived with a complete set of answers. You can disagree. I may need to rethink something. That’s a conversation I know how to have.
At Blue Ember, I’m interested in offering time when someone doesn’t have to be useful to anybody else. Their preferences matter. They don’t have to demonstrate that they’re relaxing correctly or produce a particular feeling for my benefit.
There’s more to explain about Reiki and Medical Reiki, including what the research does and doesn’t establish. We’ll get there. Right now, the question is simpler: can the person who spends so much time responding to others have some attention of their own?
That might involve a session. It might involve a friend, practical help, a conversation with a professional, or someone taking a task off their hands. I want to understand the need before deciding what the answer ought to be.
Before we add another assignment
I’m reluctant to finish this chapter by giving you a list of things to accomplish. We’ve just spent all this time talking about demands. It would be an odd moment to hand you six more.
So take this as a question to carry if it interests you.
The next time someone asks for your attention and you have a moment to notice, what do you feel?
You don’t have to correct the feeling. You don’t have to arrive at a wise conclusion about it. You may answer the request exactly as you would have anyway.
Just see whether you can recognize what the moment is like for you.
Maybe you’re pleased to help. Maybe you’re tired. Maybe the request has interrupted something you’d forgotten was important until it got interrupted.
That’s somewhere to begin. We can look at what to do next without skipping over the person who has to do it.
Chapter 2The Interruption Within
“Do you have a minute?”
For this example, imagine those words arriving in a message. No explanation. Just the question.
You might think, Sure, what’s up? You might wonder whether something has gone wrong. If you’ve been waiting for news, you might be glad to see it. If you’re already trying to finish three things, you might look at the screen and think, I’d like a minute myself. Where are we getting these minutes?
The words haven’t changed. The situation around them has.

That’s where I want to pick up the question from the last chapter. We’ve talked about the satisfaction of being needed and what it can cost. Now I want to look more closely at the moment a request reaches us. What do we know about it? What are we filling in? And what happens to the thing we were doing before it arrived?
There’s quite a lot to fit into a minute. I realize I’m becoming part of the problem.
What arrived and what we heard
Let’s stay with that imagined message.
Suppose it comes from someone you work with. You read it and immediately wonder whether they’re unhappy about something you’ve done. You start reviewing the day. There was that conversation earlier. Did you miss something? Was the answer you sent too abrupt?
Then another message comes through. They want the name of a restaurant you mentioned.
Nothing terrible has happened. You send the name. But you’ve spent a little time preparing for a conversation that wasn’t taking place.
Now change the circumstances. Suppose this person has a history of giving you difficult news with very little warning. Your concern didn’t appear out of nowhere. It came with a reason. Or suppose you were expecting an important update. Answering quickly might be exactly what you wanted to do.
I’m not interested in telling you that your first impression is always wrong. Sometimes you have a very good read on a situation. What interests me is whether we can leave a little room between what the message actually says and what we think it means.
There are the words on the screen. There’s what we know about the person and the circumstances. And there may be a part we’ve supplied because the information is incomplete.
That last part can feel remarkably convincing.
If I’m going to write the missing half of a conversation in my head, I’d at least like to remember that I’m the author. Otherwise I’m liable to start answering my own script and wonder why the other person isn’t keeping up.
A simple clarification might be enough: “Sure. What’s it about?” Or, “I’m finishing something. Do you need me now?”
Those are possible replies, not phrases you’re supposed to memorize. You know what’s appropriate in your workplace and relationships. The point is that sometimes there’s information available before we have to commit ourselves to an answer.
The response may already be underway
You may have read all of that and thought, Fine, but I don’t catch it that early.
Fair enough. By the time you notice you’re irritated, you may already be typing. By the time you realize you didn’t want to take on another task, you may have said yes. A neat description on a page can make it sound as though life gives us a little window with clearly labeled options.
It generally doesn’t.
And I don’t want noticing to become another thing you can be late for.
You might understand what happened only when you come back to the work you left. Or later that evening, when you’re trying to explain why such a small exchange bothered you. That still gives you something to consider.
Maybe the request was reasonable, but the timing was difficult. Maybe you were happy to help and unhappy about how quickly you abandoned something of your own. Maybe you agreed to more than the person actually asked because you were already thinking three steps ahead.
None of those possibilities requires you to declare the whole interaction a mistake. They just make it a little more specific.
“I’m annoyed” tells you something. “I’m annoyed because I said I’d finish this today, and now I’m going to have to work later” tells you something else. There may be a practical conversation to have there. The feeling doesn’t have to become a verdict on either person.
Sometimes, of course, the explanation is much simpler. You’re tired. It’s been a long day. You don’t need a theory of your entire life to understand why another request is unwelcome.
I’d hate to turn an ordinary bad afternoon into a research project without your permission.
What was happening before
One part of an interruption is easy to overlook because it stops being visible as soon as we turn away from it.
What were you doing?
Suppose you were working out how to explain something complicated. You’d tried a few approaches, and one was finally beginning to make sense. Then a question came in, you answered it, and now you’re back at your desk trying to find the thought you left behind.
The exchange took two minutes. That doesn’t tell the whole story of what it interrupted.
Or imagine you were talking with someone close to you. They were getting around to something they hadn’t quite found the words for yet. Your phone drew your attention, and you looked down. When you looked back up, the conversation had moved on.
You may be able to return to it: “You were saying something before I got distracted. I want to hear the rest.” You may not get exactly the same moment back, but you can let the person know you noticed.
These are imagined examples, not stories about people in my practice. I use them because they show different things we might be leaving. Sometimes it’s a task. Sometimes it’s a conversation. Sometimes it’s a few quiet minutes we had deliberately made room for.
The new request comes with its own explanation of why it matters. What we were already doing may need us to remember why it mattered, too.
That doesn’t automatically give it priority. If someone needs immediate help, the choice may be clear. But in less urgent circumstances, it seems reasonable to include both things in the decision.
You can want to help someone and still finish your sentence first.
We don’t have to like the feeling
There’s a complication here that I don’t want to skip. Once we notice a feeling, we may have an opinion about whether we ought to be having it.
Imagine someone you care about asks for help, and your first reaction is irritation. You love them. They haven’t done anything wrong. You may feel bad about being irritated before you’ve even answered the request.
Now there’s the thing they need, the feeling you had, and your objection to having the feeling. It’s getting crowded in there.
Could you allow yourself to notice the irritation without making it the final word on how you feel about that person?
You might simply be in the middle of something. You might have been looking forward to a little time alone. You might need help yourself. None of those possibilities tells us what you should do next, but they belong in your understanding of the situation.
And recognizing irritation doesn’t give us permission to take it out on someone. If we answer sharply, we may need to acknowledge that. “I’m sorry. You asked a reasonable question, and I was abrupt.” We can take responsibility for how we spoke without pretending the rest of our day didn’t exist.
That distinction matters to me. I want room for honesty without making someone else responsible for every uncomfortable thing we feel.
There’s room for more pleasant reactions, too. An interruption can be welcome. It can bring news, company, affection, or relief from work we’ve been staring at for too long. If I start treating every unexpected request as an invasion, I’ve made a rather unwelcoming life for myself.
The aim is to understand the particular moment. We don’t have to decide whether interruptions, as a category, are good or bad.
The yes we can actually give
Let’s return to the message asking for a minute.
Perhaps you find out what’s needed and answer right away. Perhaps you say you can talk in half an hour. Perhaps you discover the person needs someone with information you don’t have.
Each response can be considerate. The speed alone doesn’t tell us how useful the answer will be.
An immediate yes may feel generous until we realize we’ve agreed to something we can’t do well in the time available. A more specific answer can give the other person something they can plan around: “I can look at the first section this afternoon. The rest will have to wait until tomorrow.”
Again, I know that kind of answer isn’t equally available to everyone. There are jobs where priorities change without discussion. There are caring responsibilities that can’t be scheduled into a convenient gap. If someone has very little room to negotiate, they don’t need me admiring how nicely I’ve phrased the suggestion.
In that situation, noticing may tell us something about the arrangement rather than reveal a choice we missed. There may be too much work for the time available. A responsibility may need to be shared. The answer may depend on a conversation with someone who can change the conditions.
We’ll spend more time with those outside demands. They matter. Looking at our own response shouldn’t become a way of letting an unfair arrangement off the hook.
For now, I want to keep a smaller possibility open. Where we do have some choice, can we give an answer that takes account of what we can actually offer?
Sometimes that will be a wholehearted yes. It’s worth leaving room for those. I don’t want to become so protective of my time that I forget why I enjoy sharing it.
A little more information
When I was talking through the ideas that became this book, I kept returning to acknowledgment. What happened? What did I feel when it happened? Can I recognize that before deciding what I’m supposed to do about it?
That’s where the Page Break metaphor came from. We’ll give it more room later. Here, I just want to hold on to the distinction between noticing something and immediately trying to change it.
If you notice you’re worried, you haven’t failed to be calm. If you notice you’re pleased to be needed, you haven’t exposed some embarrassing flaw. You’ve learned a little more about what this particular request means to you.
You also don’t have to be able to name everything. “Something about that bothered me, and I’m not sure what” is an honest place to be. We can leave a question open for a while.
I think that’s important in any conversation where someone is trying to tell us what their experience is like. If we rush to explain it for them, we may miss the part they’re still working out. I’d like to offer you the same patience here.
No scorecard. No requirement to catch the next interruption at precisely the right instant. If you remember one later and want to look at it, you can start there.
What was being asked? What did you understand it to mean? What were you leaving to answer it?
Perhaps the answer you gave still seems right. Perhaps there’s something you’d like to handle differently next time. Either way, you have a little more information about your own part in the conversation.
And then we can look beyond that moment. Because sometimes the difficulty isn’t any one request. It’s that there’s always another one arriving.
From the flight deckInto the Wind
Before an aircraft leaves the deck, the carrier turns. The whole ship is steered into the wind, because air moving over the wings is part of what lets the aircraft fly.
Then the shooter takes over. He stands in the center of the deck and passes information between the pilot and the crew. The engines are too loud for talking, so all of it happens in hand signals: a gesture, a nod, a hand held still.
Somebody thought carefully about where the wind would come from, and nobody asked the pilot to generate it.
I think about that when someone tells themselves they just need to manage their attention better. The pilot doesn’t manage the weather. A ship turned.
It’s a useful thing to remember about our own days. We spend a great deal of effort improving how we respond. Sometimes the better question is who is steering the ship, and which way it’s facing.
Chapter 3Who Owns Your Attention
It’s possible to have a day full of reasonable requests and still end up with an unreasonable day.
Nobody has to be the villain. One person needs a decision. Another needs a document. Someone you love wants to talk. A reminder appears about something you meant to do yesterday. Each item makes sense on its own. Put them together, and somehow you’re responsible for a small airport.
That’s an imagined day, although I suspect you could furnish it with your own details. What interests me is how easily we judge each request separately while living with all of them together.
You can explain every yes and still wonder where the day went.
The arrangement around the interruption
In the last chapter we looked at the meaning we bring to a request. Now we need to look at the arrangement that keeps producing requests. If we stop at our own response, we risk making an understaffed workplace or an impossible family situation into a personal project in relaxation.
I don’t want to do that to you.
A person can become very good at noticing how overwhelmed they are and remain overwhelmed because there is more to do than one person can do. Awareness hasn’t failed. It may have identified the problem quite accurately.
Imagine a team where every message is treated as urgent. Nobody has agreed what urgent means or how to reach someone when something truly cannot wait. People keep checking because they’re afraid of missing the important thing among the ordinary things.
In that setting, the useful conversation might be about expectations. Which channel is for emergencies? When should someone expect an answer? Who covers a responsibility when its usual owner is away? Those questions sound mundane. I’m rather fond of mundane questions when they spare someone an unnecessary evening at work.
The person receiving the messages may not have the authority to change the arrangement. That matters. A manager who can set expectations and an employee who must live with them do not have the same options. Advice that ignores that difference can sound very confident from a comfortable distance.
We should also look at our own part when we do have influence. If I tell someone they can respond tomorrow and then follow up three times tonight, I have delivered two different messages. The one with the timestamps is probably more persuasive.
A useful machine
I work with technology. I build things that are intended to make work easier. It would be a peculiar turn of events if my conclusion here were that the way forward involves destroying everybody’s phone.
Besides, somebody would ask me to recover their contacts.
Technology lets people stay close across distance, find information, do work that would otherwise be inaccessible, and ask for help. For some people, a screen is a doorway into company rather than a barrier to it. I don’t get to decide that their connection is less real because it doesn’t resemble mine.
The question is what a particular tool is doing in a particular life.
Does it help you do something you care about? Does it bring requests you’ve agreed to receive? Has an option quietly become an obligation? Is there a part you could change without losing what makes the tool useful?
Those questions leave us with choices more practical than love it or abandon it. You might keep calls available while reducing nonessential alerts. You might agree with a colleague that a message outside working hours is for the next day unless it says otherwise. You might leave everything as it is because your circumstances require it. The point is to examine the arrangement, not collect evidence that you’re using your phone incorrectly.
A signal with nothing at stake
Here is a question I can’t answer. I think it’s fair to ask anyway.
A body is built to respond to a signal that matters. A shout. A car horn. A step off the curb into traffic. Heart rate rises, attention narrows, and the part of the nervous system that prepares us to act, the sympathetic system, goes to work. When the moment passes, the body is supposed to stand down.
Now think about what a phone does in a day. A buzz. A badge with a number on it. An unread dot. Almost none of it has anything physical at stake. Nobody is in danger. But the signal reaches us in the same place an important one would, and at times we can’t predict.
My proposal, which I presented at the International Reiki Research Conference in October, is that frequent, small signals like these may trigger the stress response again and again when there is nothing to act on. I call it false sympathetic triggering. Any single buzz costs next to nothing. The proposed harm is in the accumulation, and in a stress response that never gets a clear signal to stop. The neuroscientist Bruce McEwen called the wear from repeated stress that doesn’t switch off allostatic load. [10]
I want to be careful with that paragraph. This is a hypothesis. I haven’t tested it, and as far as I could find, nobody has tested it in this form.
What exists is smaller. Gloria Mark, who studies attention at the University of California, Irvine, has reported from computer logging that people now spend an average of about 47 seconds on any screen before switching, down from roughly two and a half minutes some fifteen years earlier. She also says people are just as likely to interrupt themselves as to be interrupted. [11] In one two-week experiment, 124 adults reported less daily stress in the week they checked email only three times a day than in the week they checked as often as they liked. The authors themselves caution that the result could be a statistical accident, since they tested many outcomes. [12] In a study of 132 employees, days on which people had to stay available outside working hours affected their mood at the start of the day and, in a subgroup of 51, their morning cortisol response. [13] These are small studies with limits of their own. They measure what people report and a few hormone samples. They don’t show that a notification changes the nervous system.
There is also a result that points the other way. In a 2024 laboratory study of 59 people aged 13 to 55, twenty minutes on social media produced no measurable stress response. Heart rate and cortisol both fell over the session, as they did when the same people watched a YouTube playlist. [14] That doesn’t settle my hypothesis. The idea was never that twenty minutes does harm. It was that the harm builds over days. But it doesn’t help my hypothesis, either, and I’d rather you heard it from me.
So I’m not asking you to fear your phone. I’m asking whether the signals that reach you deserve the response your body may be giving them, and whether you have any say in how many arrive. That’s the question I’d like to see tested.
Who gets the leftover time
The things we want for ourselves can become infinitely movable.
A deadline has an owner. A meeting has invitees. Ten minutes looking out the window has very poor representation.
And perhaps you don’t want to look out the window. Perhaps you want to work on a project you love. Rest is not the only thing that gets displaced. Curiosity can be displaced. So can sustained effort on something meaningful. A day spent responding can leave very little room for choosing where to begin.
I’m cautious about turning that observation into another schedule to maintain. You may not need a color-coded system for protecting joy. I can hear my technology background beginning to propose features already. We should probably stop it before there’s a subscription.
What might help is choosing one thing you don’t want to keep treating as automatically available for cancellation. A meal with someone. An appointment. A piece of work that needs your full attention. Something modest enough that you can talk honestly about what protecting it would require.
Maybe someone else needs to cover a task. Maybe you need a clearer agreement. Maybe the obstacle is money, transport, disability, or a lack of help. Naming the obstacle accurately is more useful than blaming yourself for not being sufficiently determined.
There may be no easy change today. You can still stop calling an impossible situation a failure of willpower.
An interruption we choose
It would be easy to write this chapter as though all interruptions come from outside. Sometimes we go looking for them. Gloria Mark’s screen-logging work suggests we are about as likely to interrupt ourselves as to be interrupted. [11]
Consider an imagined afternoon when a difficult task is waiting. Opening a message offers a smaller, clearer problem. You can answer it and feel that something is done. Returning to the difficult task is less appealing. It’s still difficult. Very inconsiderate of it.
I wouldn’t conclude from that example that checking messages is always avoidance. Sometimes it’s the job. But if the pattern sounds familiar, it may be worth asking what you’re moving away from as well as what you’re moving toward.
Do you need information? Are you unsure where to start? Are you afraid of doing it badly? Is it work you never had enough time to complete in the first place?
Those are different problems. They deserve different answers.
A helpful tool can’t decide all of that for us. Nor can a blanket rule about screens. What we can do is become a little more specific about the life happening around the screen.
Making the invisible queue visible
Imagine a small team having a perfectly ordinary morning. One person asks for a report, another needs help with a customer, and a third is waiting for a change to the website. All three requests land with the same colleague.
Each person sees the task they’ve sent. The colleague sees the queue.
If that colleague says, “I’m busy,” the answer may sound vague. Busy with what? For how long? Everyone else is busy, too. But if they say, “I can do the report this morning or make the website change this morning; which should come first?” the discussion has something concrete to work with.
I’m describing an illustrative conversation, not a guaranteed solution. The colleague may still be told to do everything. But the conflict is now visible. We can stop pretending that three separate promises fit into the same hour simply because three different people made the requests.
There’s a version of this at home, too. One person may know that the groceries are low, an appointment needs changing, and a form is due. Someone else sees only the form and wonders why it hasn’t been completed.
It can help to make the whole arrangement discussable, provided doing so doesn’t become yet another job for the person already carrying it. The point is shared understanding, not a beautifully maintained inventory of one person’s exhaustion.
If I’m offering to help, I can take responsibility for finding out what my part requires. “Tell me every step and remind me at the right time” may leave the planning exactly where it was. Sometimes that degree of direction is necessary. Sometimes I could make a little more effort before declaring myself available for instructions.
What happens after we turn it off
Suppose you decide that one stretch of your day should have fewer interruptions. You change a setting or put the phone aside. What have you actually protected?
It’s worth knowing, because otherwise you may simply sit there feeling that you ought to be doing something. The absence of a notification doesn’t automatically supply a plan for the afternoon.
Perhaps you wanted to finish a thought. Perhaps you wanted to give someone your attention. Perhaps you wanted nothing more ambitious than a few minutes without a new request. Any of those can be a reason. It needn’t become a measurable achievement.
You might also find that you miss something important. Then the arrangement needs adjusting. A protected interval is not a vow you have to defend against new information. You can preserve a way for the right person to reach you while changing what else is allowed to interrupt.
I’d rather think of this as a practical trial than a declaration about the kind of person you are. Try an arrangement, see what it makes easier and what it complicates, and change it if needed. Nobody needs to award you a certificate in having fewer alerts.
The same care belongs on the sending side. Before I mark a message urgent, I can say what makes it urgent. Before I ask someone to stop their work, I can give them enough context to judge the request. Before I add another task, I can ask what it will displace.
Those are small courtesies, but they take the recipient’s existing day seriously. They acknowledge that my request has arrived in a life already underway.
A different kind of availability
The title of this chapter asks who owns your attention. It’s a deliberately uncomfortable question. But ownership isn’t quite enough to describe our lives together. We offer attention because we love people, because we have commitments, because someone needs us. A meaningful life includes being affected by others.
I’m more interested in whether you have a voice in how that happens.
Can you say what you can offer? Can you finish something without explaining why you haven’t answered yet? Can the people who depend on you help make an arrangement that also allows you to stop?
If you’re in a position to offer that room to someone else, that may be the most useful thing you take from this chapter. Make the deadline clear. Say when an answer can wait. Arrange coverage instead of praising someone for never needing it.
We can admire dedication and still build a way for the dedicated person to go home.
That matters on ordinary days. It matters even more when leaving becomes something a person can no longer choose.
Chapter 4The Second Emergency
Imagine that this morning began normally. There were things to finish, people to contact, a small annoyance you expected to have forgotten by dinner.
Now you’re in a hospital, and someone is explaining what needs to happen next.
This is an illustration, not a client’s story or an event I’m claiming happened to me. I want to approach it carefully, because if you’ve lived through something like it, the details of your experience belong to you.
There may be pain. There may be uncertainty. You may have been given more information than you can take in. And somewhere among all of that, another question appears: who is taking care of everything I was taking care of?
That’s what I mean by the second emergency. It isn’t a diagnosis. It’s my name for the disruption that can happen around the medical event: work, family, obligations, the ordinary machinery of a life suddenly without its usual operator.


The rest of the day keeps going
A medical emergency deserves immediate medical attention. Nothing in this book asks someone to pause and reflect instead of getting help. But once care is underway, the rest of life may still be making itself known.
Someone needs to collect a child. A pet is at home. There’s a meeting nobody knows to cancel. A person who depends on you may not understand why you aren’t answering.
Those worries can be practical. They don’t necessarily mean someone is unable to let go or has confused their job with their identity. Sometimes the dog really does need to go out.
We can make a person feel very misunderstood by offering a philosophical explanation before asking whether there’s a practical problem we could solve.
Imagine telling a worried person to concentrate on themselves while leaving them unsure whether someone has picked up their child. The advice may be well intended. It hasn’t touched the worry.
A useful first question might be, “Is there someone you need us to contact?” Then we can find out what is appropriate, who has permission, and what can actually be done.
Who usually knows
Responsibility includes information. The person who does the task often knows details that nobody else thinks to ask about until that person is unavailable.
In business, we might call this continuity planning. At home, it can be as ordinary as knowing where the spare key is or who to call. The principle interests me in both settings: important things should not depend on one person being endlessly available.
I learned this from the other side.
In early 2020, a colleague of mine died of complications after surgery. He was one of the two engines our work ran on, and he was dearly missed.
What I hadn’t understood was how much of the work was his alone. Much of what he did, nobody else knew he was doing. Some of it was outside what he should have been doing at all. Many of the people who depended on it didn’t know he had died. Many of them didn’t know who I was.
Then it was all mine. More than a hundred thousand files and millions of lines of code, living in places they were never meant to live.
Who usually knows? In my case, he did. Then he was gone, and I had to find out the rest while I was still grieving him. I was mourning a colleague and, at the same time, inheriting a ledger nobody knew existed.
A few months later, the pandemic arrived, and the whole world got its own lesson in who had been holding things up.
He never meant to leave me a mystery. He didn’t get the chance to hand it over.
This is not an invitation to spend tonight documenting your entire existence. I can imagine myself suggesting that and discovering, halfway through, that I’ve created another demanding project about being less demanded of.
Start smaller if it’s useful. What is one responsibility that would worry you if you suddenly couldn’t handle it? Does anyone else know enough to help? Could you have that conversation before it becomes urgent?
Some details are private. They should be shared securely and only with the appropriate people. The aim is a workable handoff, not distributing your passwords and personal records to everyone who has ever offered to water a plant.
Help that has a shape
“Let me know if you need anything” can be sincere and still leave a great deal for the other person to do. They have to decide what to ask, whether it is too much, and whether you meant it.
A specific offer may be easier to consider. In an imagined conversation, someone might say, “I can take care of dinner tomorrow. Would that help?” The recipient can accept, decline, or explain that something else would be more useful.
The important part is that the offer remains an offer. Help can become another demand if the person has to accept our version of it and then reassure us that it was wonderful.
If they say no, that may be useful information. Perhaps they already have dinner arranged. Perhaps they don’t want company. Perhaps they need privacy. We don’t have to take the refusal as a judgment of our good intentions.
I’m trying to keep the person receiving care in the conversation even when other people are doing more of the work.
Who looks after the worry
Medical care includes people whose work addresses far more than a diagnosis. Depending on the setting, patients and families may be able to ask about social work, counseling, spiritual care, patient navigation, or other support. Availability varies. It is worth asking the care team what exists rather than assuming nobody is thinking about the wider situation.
My interest in Medical Reiki belongs alongside those possibilities. It doesn’t establish that Reiki is what a frightened person needs. They may want quiet company. They may need symptoms assessed, a clear explanation, contact with family, or someone to help with an immediate practical concern.
The person offering support should be willing to hear an answer that doesn’t involve their own service.
That is an important test for me. If I arrive hoping to explain why Reiki belongs, I may miss the person telling me what actually matters to them. I want to begin with their experience and find out whether what I offer has an appropriate place.
When the answer is not yet known
There are questions nobody in the room may be able to answer immediately. When can I go home? Will I return to work? What will this change?
A person asking those questions may need accurate information, and the clinicians are the people to ask about medical expectations. They may also need someone who can stay present when the answer is uncertain.
We can be tempted to fill the uncertainty with reassurance. Everything will be fine. You’ll be back before you know it. The words can come from love, but they may promise something we don’t know.
“I’m here” is a smaller statement. So is “We can ask again when the team comes back.” Smaller statements can be more dependable.
There’s room for silence, too. We don’t have to produce a lesson about resilience while someone is waiting for news.
The person in the bed
In my early thinking about this book, I kept returning to the person whose life had been abruptly interrupted. I wondered about the strain of being separated from the role they knew. That question remains important to me.
But I also need to remember that I cannot tell from the doorway what the interruption means to them. Work may be the last thing on their mind. They may feel relieved that someone else is taking over. They may want to talk about something entirely ordinary for a while.
I know the bed better than I know the doorway. I spent a good part of my childhood in one. That is why I keep saying I can’t tell from the doorway: even from the bed, I couldn’t have told you what it all meant.
The person in front of us is not an illustration of our theory.
If I want to offer care that respects them, I have to make room for the story they are actually living. That begins with asking, listening, and being willing to put my explanation aside.
Sometimes the most useful thing we can do is handle a task. Sometimes it is help someone ask a question. Sometimes it is stop asking them to take care of our discomfort with their uncertainty.
Their life has already changed for the moment. They shouldn’t have to make the change easy for everyone else.
Chapter 5When the Old Role Changes
“What do you do?” is a convenient question until the familiar answer stops fitting.
Perhaps you’ve retired. Perhaps a job ended. Perhaps your health has changed what is possible, or the family role that occupied most of your day has shifted. You know how to describe the old arrangement. The new one may still be under construction.
And now someone at a gathering wants an answer that fits between the introduction and the offer of another drink.
I don’t think we owe every casual question a complete account of our lives. But sometimes an ordinary question catches something we haven’t worked out for ourselves.
What belonged to the role
A role can give us much more than tasks. Consider an imagined person leaving a long-held job. Along with the work, they may be leaving familiar faces, a reason to get up at a certain time, jokes that need no explanation, and the satisfaction of being known as someone who can help.
They may be happy to leave. That doesn’t mean every part of leaving feels the same.
Someone else may feel almost immediate relief. They have been waiting for this change and are ready for it. I don’t want to invent a hidden crisis for a person who is enjoying themselves. Sometimes a pleasant afternoon is simply a pleasant afternoon. We can let it remain one.
For the person who does feel unsettled, it may help to ask what, specifically, is missing. The work? The people? A routine? Income? Recognition? Those losses are not interchangeable.
If you miss the people, finding another demanding project may not address it. If money is uncertain, a conversation about discovering your passions may be beside the point. If health has forced the change, you may need time and support to understand what life now requires.
The more accurately we name the difficulty, the less likely we are to offer a grand answer to the wrong question.
No replacement required by Friday
There can be pressure to make the next chapter sound impressive. A new venture. A purposeful retirement. A reinvention with a good photograph.
I own two companies, so I’m aware I’m discussing this from a position that could look suspiciously like a man recommending fewer projects while holding several folders.
But a person’s next step doesn’t have to become an announcement. You may want to do something small and enjoy it without giving it a mission statement.
Perhaps you’re curious about a subject. Perhaps you’d like to spend more time with someone. Perhaps you want to take a class where nobody knows you as the competent one. There can be room to begin badly at something without treating that as evidence you should have stayed in your old role.
I’m not saying curiosity pays the bills or makes grief go away. I’m saying it can belong in a life even before we know where it leads.
The parts that travel with us
Leaving a role doesn’t mean everything learned in it disappears. Patience, judgment, practical skill, humor, the ability to explain something complicated: these may remain useful in other settings.
But they don’t have to be useful every minute.
That’s the part I want to be careful about. If I reassure someone that they still have plenty to contribute, I may be offering encouragement. I may also be implying that their worth depends on finding another place to contribute quickly.
A person deserves care while resting, while confused, while dependent on help, and while unable to offer much in return. I’m stating a value here, not reporting a research result. It is a value I want the rest of this book to live up to.
You don’t have to demonstrate transferable skills before someone is allowed to care about you.
A role within a family
Work is only one setting where identity and responsibility become entangled. Imagine a person who has always organized family occasions. They know the dates, the preferences, the things that need arranging. Then circumstances change and someone else takes over.
The relief might be real. So might the feeling of being left out.
A family can help by asking what the person wants to keep and what they want to hand over. Assuming they want none of it may hurt. Assuming they can continue all of it may exhaust them. The conversation may need to happen more than once.
And the person handing over a task may need to let it be done differently. That can be difficult when a particular arrangement has been ours for years. Different does not always mean careless. It may simply mean someone else is now doing it.
None of this means swallowing concerns when something important is genuinely being missed. It means distinguishing the essential from the familiar. That distinction can be surprisingly personal.
When we miss the old life
Some changes cannot be turned into an upbeat account of opportunity. There may be things a person cannot return to, people who are no longer there, abilities that have changed. I don’t want to put a cheerful demand on top of those losses.
You may miss what was. You may be angry. You may be grateful for help and still wish you didn’t need it. The fact that someone else can identify something positive doesn’t oblige you to feel positive on their schedule.
If the distress is persistent or makes daily life difficult, appropriate professional support may be useful. This book is company for reflection; it is not a substitute for that care.
There is also ordinary company: someone who can listen without turning every sentence into advice. Someone who remembers the old life with you and is interested in the present one, even while it is unsettled.
An answer for now
You may not know what comes next. There is nothing dishonest about saying so.
“I’m figuring that out” can be a complete answer. So can “I’m taking some time” or “Things have changed, and I’m getting used to them.” You can share more with people you trust and less with people who are simply making conversation.
For yourself, a smaller question might be more useful than “Who am I now?” That is a substantial assignment to put on a Tuesday.
What would make this week a little more livable? Who would you like to speak to? Is there one thing from the old role you miss enough to seek in a new form? Is there something you are glad to set down?
Answers may change. The person you were is part of how you got here, but you don’t have to reproduce the old arrangement to justify the next one.
There can be a moment between knowing the old answer and having a new one. We can give that moment some room.
From the flight deckThe Hold
The launch bar holds the aircraft in place while the steam pressure builds.
Everything around it is moving. People walk the deck with somewhere to be. The engines are running and the aircraft isn’t going anywhere. It has been told to stay put, on purpose, until the pressure is right.
Then the bar lets go.
The hold is part of the launch. Nobody watching would call it a delay or a failure. It looks like nothing, and it may be the most important second of the whole sequence.
We don’t usually grant ourselves that. A message arrives and we’re already moving. The engines are running, the deck is crowded, and holding still feels like falling behind.
I’d like us to think of it as pressure building. You haven’t stopped. You’re getting ready.
Chapter 6A Page Break
It started as a newsletter. That was the whole plan: something thoughtful for the people who subscribe to Blue Ember, about Reiki and the research I’d presented earlier that month.
As I worked through the ideas, the conversation kept going somewhere else. I had more to say than I’d planned, and not only about Reiki. I had things to say about what happens to us after years of answering everybody else.
Somewhere in there, I said you could put a page break in it.
That night I wrote it all down for my wife. I wanted her to hear it from me before it turned into a book.
It started as a newsletter. There was a whole plan: something thoughtful for the people who had just subscribed to Blue Ember, about the Reiki research I’d presented earlier that month.
As I wrote, I found myself thinking about all the web content I had managed in my years in financial services and IT. I had more to say than the plan allowed, and not only about Reiki. I had things to say about what happens to us after years of answering everybody else.
Somewhere in there, I had the thought: you could put a page break in it.
A page break doesn’t erase anything. It gives the next part somewhere separate to begin.
That night I told my wife about it. I wanted her to hear it from me before it turned into a book.
I like a metaphor that comes with a familiar keyboard command. It saves me having to explain the equipment.
When you put a page break into a document, the writing before it remains. You haven’t solved the subject, erased a difficult paragraph, or guaranteed that the next page will be better. You’ve created a place where the next part can begin separately.
That was the image I reached for while thinking about interruption. Something happens. We feel something about it. Could we acknowledge that before allowing the response to carry us along?
I call it a Page Break. It’s a reflective idea I’m developing, not a validated treatment or a promise to regulate anyone’s nervous system. You don’t need an app, a device, or a particular belief to consider it.
You don’t even have to like the name. I’m attached to the question more than the stationery.
A small place to begin
Here is an imagined example. You’re finishing a task when someone asks whether you can do something else today. You feel the familiar movement toward yes. Then you notice that agreeing would displace something you’ve already promised.
A Page Break might be the moment you say, “Let me check what I can do.” That gives you room to look at the actual commitments before adding another.
Nothing dramatic has happened. You may still agree. You may discover the new task is more urgent. You may ask which work should move. The point is that the answer now includes a little more of the situation.
In another circumstance, the acknowledgment might happen entirely inside: I’m disappointed that this interrupted me. I’m pleased they asked. I’m worried I’ll let them down.
You don’t have to make the feeling disappear before continuing. It can be present while you decide what is appropriate.
A few questions rather than a procedure
If you’d like something to work with, consider these questions:
- What just happened?
- What am I noticing about my response?
- What needs attention now, and what can wait?
- Would information or help change what is possible?
- What is a reasonable next step?
They are not five boxes to complete at every interruption. Most days would become unbearable if we held a committee meeting each time the phone made a noise. You might use one question. You might think about the whole exchange later. You might find the questions unhelpful and move on.
I want them to offer room, not surveillance of your own behavior.
The first question can keep us close to what we actually know. The second includes our experience. The others turn toward practical action and support. That is the shape of the invitation, but life will not reliably follow the order on the page.
You don’t have to look inward
Some people find it helpful to notice a sensation or a feeling. Others would rather look at the task, the room, or the words in the message. There is no requirement here to close your eyes, focus on your breathing, or examine your body.
If attending inward is uncomfortable, leave it. You might simply write down where you stopped working. You might ask for a clearer deadline. You might tell someone you need a moment to understand the request.
The practice does not become more authentic because it looks like meditation. A note that says “resume at paragraph three” may be exactly the support the next part of your day needs.
And where immediate action is needed, take it. A person caring for someone, driving, using equipment, or handling an emergency should not divert attention to perform a reflection exercise. The page can wait.
The Page Break after the fact
Suppose you agreed too quickly. The work is now on your list, and you realize you cannot complete it as promised.
There may still be a conversation available. “I said yes before checking the time. I need to revise what I can offer.” That can feel uncomfortable. It may be better than quietly missing a commitment or completing it badly.
You might owe an apology. You might need to negotiate a different deadline. The reflective pause does not remove the effect of what we have done. It gives us a chance to respond to the situation as it is now.
That matters because a method that only works before the mistake would have limited usefulness in my proposed version of human life.
We can also look back without reopening the conversation. Maybe the choice was right and the cost was unavoidable. Noticing that cost can help us understand why we are tired. We don’t need to turn every hard decision into evidence that a better decision was available.
When the pause becomes avoidance
There’s a reasonable concern here. Could someone keep pausing because they don’t want to act?
Certainly. “I’m reflecting” can sound quite dignified while the unanswered email grows old enough to vote.
The useful question is whether the pause is helping us see what to do or helping us postpone looking at it. Sometimes we need more information. Sometimes we need help. Sometimes we already know the next step and find it difficult.
A Page Break should not be a hiding place from a commitment we have made. Nor should it become a way to delay another person indefinitely. If someone needs an answer, we may need to say when we can give one.
This is why I include the next-step question. Reflection eventually returns to living, with all its incomplete information and imperfect options.
A pause we can offer someone else
My dad used to tell me when I was learning to drive, “Mark, sometimes, through your own actions, you have to help people make better decisions.” I’ve come to think a pause can work the same way. One split second of a better decision can cascade into better lives for the many.
The idea can be useful in how we speak, too. We can tell someone they don’t have to answer on the spot. We can send enough context that they don’t have to guess why we want to talk. We can ask whether now is a reasonable time and mean it when we ask.
If we have authority over someone, that last part deserves care. “No rush” means very little if delay will later be treated as lack of commitment.
Making room for another person is not always about a soothing atmosphere. It can be a clear deadline, a genuine option, or a willingness to hear that our request conflicts with something else.
A conversation that needs a return time
There’s a version of pausing that can be particularly difficult in a relationship. One person wants to keep talking, and the other wants a little time before continuing.
Let’s imagine a disagreement between two adults about plans for the weekend. One thought the arrangements were settled. The other thought they were still being discussed. They’re tired, the conversation is getting sharper, and both are beginning to answer things the other person didn’t quite say.
A request to stop might be helpful. It might also feel like being dismissed, especially if earlier conversations have ended without being picked up again.
This is where the next step becomes part of the pause. “I need a few minutes, and I want to come back to this after dinner” offers more information than walking away. The other person still gets to say whether that arrangement works for them. There may be something time-sensitive to settle first.
I’m not offering a formula for resolving conflict, and a conversation involving threats or immediate danger needs appropriate safety and support, not a book exercise. I’m describing an ordinary situation where both people are willing to continue but need a different way to do it.
When they return, the question might be, “What did each of us think we’d agreed to?” That can bring them back to something they can clarify. It won’t necessarily make them agree. At least they have a better chance of discussing the same plan.
A Page Break has a responsibility attached when another person is waiting on the next page. If I say I’ll return, I need to return or communicate that the arrangement has changed. Otherwise my moment of reflection becomes their evening of uncertainty.
When there is nothing to decide
Some interruptions don’t present a decision at all. A memory appears. A worry returns. Something you see reminds you of a person you miss.
You may not need to turn that moment into action. There may be no message to answer and no problem that can be resolved this afternoon.
The acknowledgment can be simple: that caught me off guard. I miss them. I’m worried about tomorrow. You can recognize it without insisting on a useful conclusion.
I want to leave that possibility in the book because so much of my working background involves finding the next step. That inclination can be helpful. It can also make a quiet human moment feel like an unfinished ticket.
We do not have to close every ticket in the human condition before lunch. I would be deeply suspicious of the person who claimed to have done so, and mildly interested in their filing system.
Maybe you want company. Maybe you want to let the moment pass without discussion. Maybe you write something down because you’d like to return to it. Those are options, not tasks assigned by the feeling itself.
If the worry or distress is persistent or difficult to manage, support from an appropriately qualified professional may be more useful than continuing to examine it alone. Recognizing a limit is a reasonable outcome of reflection.
And if nothing changes immediately, the moment has not necessarily been wasted. You may simply know a little more clearly what kind of day this is. That can inform what you ask of yourself, what you tell someone close to you, and whether you have the capacity to take on one more thing.
What I hope the metaphor keeps
I don’t want Page Break to become a brand people must buy into before they can recognize their own experience. Its usefulness, if it has any for you, is in the ordinary moment it points toward.
Something happened. You are part of what happens next. Your circumstances, responsibilities, limits, and preferences belong in that next step.
You may act quickly. You may ask a question. You may need help. The page break does not choose for you.
It simply gives us a way to remember that continuing and continuing automatically are not always the same experience.
Chapter 7What the Body Can Tell Us
A number can be reassuring. It gives us something to point to. After a day of trying to describe how we feel, here is a display with digits and perhaps a small arrow. Finally, someone seems prepared to be specific.
I understand the attraction. I come from technology. Give me a measurement and I immediately want to know what we can learn from it.
The trouble begins when I ask the measurement to tell me more than it knows.
A feeling deserves an accurate description
Suppose, in an imagined session, a person says they feel more settled afterward. That is information about their experience. We can take it seriously without immediately translating it into a biological explanation.
They did not say that a particular branch of their nervous system changed by a measurable amount. They said they felt more settled. If I replace their words with a clinical-sounding interpretation I haven’t established, I’ve made the statement less accurate while making it sound more impressive.
That is a temptation worth resisting.
The same applies when someone feels no change. We don’t need to explain that the effect was too subtle for them to notice or that they weren’t ready. Their report belongs to them. It is not a problem for the practitioner to correct.
What HRV measures
Heart rate variability, or HRV, describes variation in the intervals between heartbeats. It is different from the number of beats per minute. Researchers use several measures of that variation; they are not interchangeable. Recording length, breathing, body position, and the quality of the signal can affect interpretation. Comparisons need appropriate conditions and methods. [1]
That’s the technical paragraph. You can put your shoulders down if they rose in anticipation of an exam.
What matters for our conversation is the limit. A single reading cannot tell the whole story of someone’s day, establish why they feel as they do, or prove that a particular practice caused an improvement. My interest in HRV is as one source of information, used carefully, rather than a verdict on how well someone is living.
If we start competing to achieve the most impressive rest score, we may have recreated the very arrangement we were hoping to leave for an hour.
You will often hear that stress tips the autonomic nervous system out of balance, with the sympathetic side up, the parasympathetic side down, and a ratio in an HRV report showing by how much. It’s an appealing picture. It’s also one that physiologists have pushed back on. The idea that a particular HRV ratio measures a seesaw between the two branches has been challenged, and the branches don’t always trade off. [15]
I used the word balance in the title of my own conference work. I would choose it more carefully now. When I talk about the stress system under strain and the recovery system not getting its turn, I mean two things that can both be affected. I’m not claiming that one drives the other down.
That is a smaller claim than the seesaw. It is also one I can defend.
Breathing complicates the picture
Breathing can affect HRV measurements, which is one reason it matters in research that combines Reiki and breathing practices. A measurement taken while someone is breathing differently needs to be interpreted with that difference in mind. [1]
Imagine a study in which participants lie down in a quiet room, receive attention from a practitioner, breathe slowly, and receive Reiki. If a measurement changes, we have several possible contributors to investigate. We cannot simply assign the change to the part of the session we are most enthusiastic about.
That is a question about study design. It doesn’t tell a participant they were wrong to enjoy the session. It tells the researcher that enjoyment and explanation are different tasks.
A 2023 randomized study compared daily five-minute breathing practices with mindfulness meditation over a month. The authors reported greater improvements in mood and reductions in respiratory rate with breathwork, particularly exhale-focused cyclic sighing. Those findings concern the practices and conditions tested. They do not establish a benefit from Reiki or from the Page Break idea in this book. [2]
I’m including that distinction because combining practices can make the experience feel seamless while making the explanation more complicated. We owe the reader both sides of that sentence.
Ordinary noticing
You don’t need a wearable device to tell someone your chair is uncomfortable, that you’re tired, or that you’d rather change position. Your preferences don’t become legitimate only when a graph agrees with them.
Nor do you need to monitor every sensation. If paying close attention to your body makes you uncomfortable, there is no assignment here to keep doing it. You can attend to something outside yourself or simply carry on with your day.
When symptoms are new, severe, persistent, or concerning, seek appropriate medical advice rather than assuming they are stress or an energetic change. A complementary practitioner should not convert uncertainty into a diagnosis outside their qualifications.
That boundary protects the person who came for help. It also makes the practitioner’s actual role easier to understand.
What’s being measured
Before collecting information, I think it’s worth asking what decision it is meant to support.
A researcher might need carefully standardized measurements to examine a specific question. A person choosing whether to return for another session might care about whether they felt comfortable, whether the experience was worth the cost, and whether their preferences were respected.
Those are different purposes. We shouldn’t give someone a research burden when they came for an unhurried hour. And we shouldn’t treat a pleasant hour as though it answered a research question.
If measurements are collected, the person should understand why, what happens to the information, and whether participation is optional. Curiosity does not entitle me to someone else’s data.
I can ask a useful question without putting a sensor on everybody who answers it.
Leaving room for uncertainty
My conference material explored a proposed relationship among digital demands, breathing, posture, Medical Reiki, and autonomic measures. The word proposed matters. I was putting questions forward, not announcing that I had demonstrated the mechanism.
As those questions develop, the sensible response is to make them more precise. What exactly is being offered? Compared with what? Measured when? Does a change last? Does it make a meaningful difference to the person?
It would be convenient if a device could settle all of that in an afternoon. I would also like my printer to explain its decisions. We should be realistic about our expectations of machinery.
A measurement can help us ask better questions. A person can tell us something the measurement misses. Neither deserves to be stretched into a claim it cannot support.
For me, that leaves room for both care and inquiry. We can listen closely to someone’s experience and still say, honestly, that we don’t yet know why something changed.
Chapter 8An Hour Without Demands
What would you do with an hour in which nobody needed you to be useful?
You might have an immediate answer. You might want to sleep. You might prefer company, quiet, or a chance to finish something without interruption. You might look at the question and think that an hour sounds lovely but the logistics need work.
That last answer belongs here, too. Time away from responsibility often depends on someone else sharing it.
When I think about what I want Blue Ember to offer, I keep returning to the person arriving with a whole life behind them. They have not stepped out of that life simply because they stepped into a room. They may still be thinking about the next appointment, the person they’re worried about, or what happens when they leave.
I don’t want to make them feel they have arrived incorrectly.
What I bring with me
My work in finance and technology and my interest in Reiki may seem like a substantial change of subject. In some ways, it is. The training, the activities, and the boundaries are different.
But the person I want to be in the conversation is consistent. I want to understand what someone is dealing with before proposing what might help. I want to explain things in language they can use. I want them to be able to tell me I’ve misunderstood.
That last part is essential. A polished explanation of the wrong problem is still the wrong explanation. It merely takes longer to interrupt politely.
My developing philosophy of care comes from the questions we’ve been discussing: what happens when responsibility becomes part of our identity, what changes when we need help, and whether we can receive attention without having to produce something in return.
For me, those questions connect the work. The same person who values competent, useful work can also wonder what life feels like when usefulness is no longer being requested.
Arriving as a person
Consider an imagined first visit. Someone comes in apologizing for being late, distracted, or unable to say exactly what they want. Before any practice begins, there is an opportunity to make the conversation less demanding.
We can ask what would make them comfortable. We can explain what the session involves. We can let them know what choices they have. We can avoid making a long personal history the price of admission to a quiet hour.
They may want to talk. They may not. They may have a question that feels awkward to ask. “Do I have to believe in this?” is a reasonable question. So is “Can we do this without touch?”
A person should not have to study the practitioner’s worldview to figure out what they are allowed to request.
My preference is plain language and a genuine answer. If I don’t know, I can say so. If what they need is outside what I offer, that needs to be clear as well.
The performance of relaxing
There is a peculiar possibility in a wellness setting: someone may feel obliged to look relaxed so the practitioner will feel successful.
I’m describing a concern, not claiming to know how every client feels. But I want to make it easy for a person to report something ordinary, mixed, or disappointing.
If I ask, “Didn’t that feel wonderful?” I have supplied the preferred answer before they’ve spoken. “How was that for you?” gives them more room. Even then, I need to be willing to hear “I’m not sure” or “I didn’t like that part.”
The room can be quiet while their mind is busy. They can appreciate the care without having a memorable sensation. They can decide they would prefer something else.
I would rather know that than collect an encouraging answer someone offered to spare my feelings.
Care that can change its mind
Consent is more than an agreement at the beginning. In the kind of practice I want to offer, preferences can change. Someone can ask for hands to be moved, for touch to stop, for a different position, for conversation, or for the session to end.
They don’t need to justify the change with a compelling story. “I’d rather not” is enough for the preference itself.
The practical details should support that freedom. Explain the plan before starting. Ask rather than assume. Make clear how to speak up. Check that the person understands they are not inconveniencing the practitioner by having a preference.
It is possible to be so invested in creating a peaceful atmosphere that we make ordinary requests feel disruptive. I don’t want quiet to become a rule the client has to obey.
The limits of an hour
An hour cannot reorganize an employer, pay a bill, repair a relationship, or guarantee a medical outcome. It may be an experience someone chooses and values within a life that also requires other forms of help.
That is enough to discuss honestly. We do not need to inflate the promise to justify taking the person seriously.
There is a cost, and that cost matters. Travel, scheduling, energy, money, and care responsibilities can make a session difficult to arrange. If someone cannot or does not want to purchase one, it should not become another example of how they have failed to prioritize themselves.
The principle we’re exploring is larger than my practice. People deserve consideration in the ordinary places where they live and work. A friend who listens, a colleague who provides coverage, a family member who takes over a task: these can give the person room in ways a paid session cannot.
Listening without preparing the answer
There’s something I want to watch in myself as I develop this work: the temptation to recognize a familiar problem too quickly.
Someone starts explaining what has been difficult. I hear a few words that fit something I’ve been thinking about, and I can almost feel an explanation lining up. Responsibility. Interruption. The person who keeps everything running.
But they may be telling me something else.
In an imagined conversation, someone says work has been exhausting. I might assume they need time away from demands. Then they explain that they’ve been excluded from work they care about. The difficulty is not that everyone needs them. It’s that they no longer feel included.
The same opening sentence could lead somewhere entirely different.
If I rush to offer my favorite explanation, they now have to correct me before they can continue. They may do that. They may also decide it’s easier to agree and move on. I would rather not make disagreement the entrance fee for being understood.
A question such as “What has been hardest about it?” can leave more room. So can letting someone finish without deciding where the account is headed.
That does not require me to become a counselor or work beyond my training. Listening respectfully and recognizing the limits of my role belong together. Sometimes what I hear will make it clear that a different kind of professional help is needed.
The ordinary details count
Consider what it takes to tell a practitioner that you’re cold, that the music is distracting, or that the position isn’t comfortable. These sound like small requests. They can still interrupt the atmosphere the practitioner has worked to create.
If I’m very attached to that atmosphere, I might accidentally communicate that changing it would spoil something. That is the wrong priority. The room is there for the person, not the other way around.
I can explain at the beginning that adjustments are welcome. More importantly, I can respond pleasantly when someone asks. The practical response is what makes the earlier invitation believable.
A quiet room with an uncomfortable person in it has not achieved the thing I care about. It has achieved quiet. Those are different accomplishments.
The same principle carries beyond a session. A friend may need the television turned down to follow a conversation. A colleague may need information in writing. A family member may need a visit to be shorter than we had hoped. We can ask what would help without making them argue for the legitimacy of the request.
Leaving something unexplained
After a session, a person may say, “I don’t know how to describe it.” That’s an answer we can allow to stand.
There’s no need to supply a spiritual interpretation or a scientific-sounding one. We can ask whether they want to say more, and we can be comfortable if they don’t.
I think about this in relation to photographs of rest: a warm drink, a chair by a window, light falling across a quiet room. They can be inviting images. They don’t tell us what the person in the room is feeling. There may be peace, grief, boredom, relief, or thoughts about what’s for dinner.

The image should not become an instruction to have the right inner experience.
Care asks us to stay interested in the person even when their account is less tidy than the scene we imagined. I want that interest to survive uncertainty, ordinary discomfort, and an answer that doesn’t confirm what I hoped to hear.
Receiving without a report
At the end of a session, I want the person to have room to return to the day. They may want to describe something. They may prefer to leave quietly. They do not owe me a transformation story.
If they say the experience mattered, I can be glad without turning the account into evidence of a medical effect. If they say it didn’t fit, I can take that seriously without making the fault theirs.
That is the standard I want my enthusiasm to answer to.
An hour without demands is an intention, not a claim that life temporarily disappears. What I hope to offer is a setting in which the person’s own experience is given attention and their choices remain theirs.
We can begin there. Then we can explain the practice itself clearly enough that they can decide whether they want to try it.
Chapter 9Reiki Explained Clearly
If you’ve never had a Reiki session, the practical questions may come first. What happens? What am I supposed to do? Will someone touch me? Is there something I’m expected to believe?
Those are sensible questions. You shouldn’t need to acquire a new vocabulary before someone answers them.
Reiki is a complementary practice in which a practitioner places hands lightly on or just above a person. Traditional explanations involve an energy believed to support healing. That belief should be identified as a belief; the proposed energy field has not been established scientifically. [3]
That gives us a starting point. It doesn’t tell us everything about how a particular practitioner works, what someone may experience, or whether they will value it. Those need their own conversation.
What we mean by complementary
A complementary practice is used alongside conventional medical care. An alternative approach, in this terminology, is used instead of it. Coordinated use of conventional and complementary approaches is often described as integrative care. The terms do not, by themselves, establish that a particular service is effective. [4]
My work belongs on the alongside side of that distinction. Reiki should not replace diagnosis, treatment, or advice from appropriately qualified healthcare professionals.
I know that sentence is less interesting than a dramatic promise. It is also far more useful when someone is making a decision about their health.
Before a session
I would want a prospective client to understand what I propose to do before deciding whether to receive it. The description should cover touch, positioning, clothing, duration, and the opportunity to stop. These details can differ among practitioners, so ask rather than assuming every session is the same.
For the approach described here, remaining clothed and choosing light touch or hands held above the body are part of the practical conversation. Reiki is not a deep-pressure massage. If something else is being offered along with it, that should be explained separately.
A person might prefer sitting to lying down. They may have a place they do not want touched. They may dislike music or scents. They may want to keep their eyes open. None of those preferences should be treated as a lack of cooperation.
I don’t want someone trying to guess the correct way to be a client. They have brought themselves. That is already the relevant person.
What might it feel like
People describe Reiki experiences in different ways. A person may report warmth, quiet, relaxation, emotion, or very little. These descriptions should remain accounts of what the person experienced. A sensation does not identify its cause or establish a diagnosis.
If nothing distinctive happens, that does not mean someone failed. If something is uncomfortable, they should be able to say so and stop or change what is happening. There is no reason to endure discomfort in order to prove openness.
A practitioner should not interpret a sensation as evidence that a disease has been located, an emotional history uncovered, or a medical problem resolved. Those are much larger claims than the observation supports.
The person receiving care can decide what the experience means to them without the practitioner announcing a hidden explanation.
Belief and respect
Reiki has traditions and language that matter to many practitioners. It is reasonable to explain those traditions as the framework of a practice. It is also reasonable for a prospective client to have questions or reservations about them.
I would rather discuss a concern plainly than tell someone that all beliefs are compatible or that their discomfort is unnecessary. They get to decide whether the practice fits their values.
No one should be pressured to accept a spiritual explanation as a condition of receiving respectful treatment. Nor should someone’s beliefs be mocked because another person doesn’t share them.
If the fit isn’t there, we can recognize it without making either person into a problem. There are other ways to offer and receive support.
What evidence permits us to say
NCCIH’s public assessment is that Reiki has not been clearly shown effective for a health-related purpose; research quality and inconsistent findings limit conclusions. [3] We will examine some of the research questions in Chapter 11.
For now, the distinction is straightforward. Someone may value a session. That does not establish a reliable treatment effect, a mechanism, or the outcome another person should expect.
A practitioner’s confidence cannot close that gap. Neither can an impressive title or a room full of grateful testimonials.
I can be interested in a practice and willing to explain its limits. In fact, if I’m charging for the service, I think I have more reason to do that, not less.
Questions worth asking
Before booking, you might ask how the practitioner was trained, what the session involves, what it costs, and how they handle preferences and concerns. Ask what they claim the practice can do and what evidence supports that claim. If you have a medical condition, discuss relevant questions with your healthcare team. NCCIH recommends checking a prospective practitioner’s training and credentials and coordinating complementary care with conventional providers. [5]
Listen to how the questions are received. You should not have to choose between being polite and being informed.
A clear answer can include uncertainty. “We don’t know” is often more trustworthy than an explanation that seems to cover everything.
Afterward
There is no obligation to book a series because you tried one session. You can consider the experience, the cost, and whether it met the reason you came. If you felt no value, you don’t owe the practice another chance merely because the practitioner is enthusiastic.
And if a health concern needs assessment, do not reinterpret it as a necessary healing process or wait for another Reiki appointment to deal with it.
The kind of Reiki practice I want to offer leaves the person with choices. It explains what is proposed, acknowledges uncertainty, and works within its limits.
You can be curious without committing to a worldview. You can be skeptical without being rude. You can try something and decide it isn’t for you.
A respectful conversation should be able to accommodate all three.
From the flight deckThe Dip
The catapult does its work in about two to four seconds. In that time, the catapult and the wind together are enough to fly the aircraft away, even if it should lose an engine.
I know what that sentence costs.
The ship has done the arithmetic in advance.
And still, sometimes, if you’re watching, the aircraft dips slightly as it clears the bow. It’s brief. Then it climbs.
The climb is what gets photographed. The dip is where the watching happens.
Everyone who built that aircraft, fueled it, checked it, and launched it has done their part. None of them are in the cockpit. For a few seconds, the person who is flying it is doing something only they can do, with all of that preparation behind them and nobody’s hand on the controls.
I’ve spent a lot of this book on what we can do before and after that moment. This chapter is about standing close to it.
Chapter 10Medical Reiki Alongside Care
The word medical carries weight. Put it in front of a practice, and people may reasonably wonder what additional authority it confers.
So let’s begin there. My Certified Medical Reiki Master training is training in offering Reiki with attention to healthcare settings and their requirements. It is not a medical degree, a license to diagnose, or permission to make treatment decisions. It does not give me automatic access to a hospital or its patients.
That may sound like an unglamorous place to start. I think it is a respectful one. A person receiving care should know who is in the room and what they are there to do.
What changes in a healthcare setting
The training materials I received emphasize conduct, patient preferences, hygiene, privacy, coordination with staff, and respect for clinical care. [6] These are not decorative additions to the session. They are part of whether the service belongs in that setting at all.
A hospital room is a place where necessary work is happening. Equipment needs to remain accessible. Staff need to reach the person. Procedures, assessments, and treatment take priority over a complementary session.
If care needs to interrupt Reiki, Reiki pauses. The patient should never be placed in the position of protecting my session from the people responsible for their treatment.
That is one of the clearest applications of the ideas in this book. We have spent time asking whether every interruption deserves immediate attention. In this setting, many interruptions are essential. The practitioner’s role includes knowing when to step aside.
Permission belongs to more than one conversation
The institution decides whether a service may be offered under its policies. The care team determines clinical requirements and timing. The patient’s consent and preferences remain essential. Appropriate processes are needed where a person cannot make or communicate a decision for themselves; a practitioner should not invent permission from silence or a family member’s enthusiasm.
Those are different responsibilities. A credential does not collapse them into one.
For someone considering Medical Reiki, a useful question is simply, “How is this coordinated with my care?” The answer should be concrete. It should not rely on a vague claim that the practitioner has worked with medical situations before.
A studio session for someone undergoing treatment is also different from an authorized session inside a healthcare facility. Both may be described in conversation as Medical Reiki, but the setting and arrangements need to be made explicit.
A person can say no
Imagine a patient whose relative thinks Reiki would be helpful. The relative may be acting out of love. The patient may not be interested.
The offer should leave room for that answer. We should not ask the patient to receive an unwanted service to soothe someone else’s worry or reward someone else’s effort.
They may want to consider it later. They may want information. They may never want it. Their decision does not need to become a family debate at the bedside.
And consent to begin does not erase the ability to change preferences. A person may want less conversation, no touch, a shorter session, or a stop. The practitioner should make those options easy to use.
In a setting where so much may feel outside someone’s control, it seems especially important to be truthful about the choices that remain theirs.
Stay within the role
My training materials set clear boundaries around medical interpretation and staff responsibilities. [6] A Reiki practitioner should not adjust equipment, advise changes to medication, or reinterpret symptoms as evidence that the practice is working. Concerns should be brought to the appropriate clinical staff.
If someone asks a medical question, directing it to a qualified professional is part of being helpful. Guessing warmly is still guessing.
Privacy deserves the same care. A person’s medical circumstances are not a story a practitioner acquires by being allowed into the room. Information should be handled through authorized processes, with the minimum access appropriate to the role.
And a person who accepts care has not thereby agreed to become a testimonial. Publication and promotion require their own consideration and permission.
Why I pursued the training
My interest grew from the questions about interrupted lives that run through this book. I wanted to understand more about offering Reiki responsibly alongside conventional care, particularly when someone is facing circumstances they did not choose.
I am interested in the human experience of that change. Who is worried about the person who is usually doing the worrying? What might they want from a quiet encounter? How can support be offered without adding an obligation?
There is an older reason, and it starts when I was a child.
For years, on and off, I lived in hospitals. Different ones, for testing and for other reasons, all connected to a condition that was hard to understand and harder to correct. I didn’t really understand what was happening to me.
What stays with me is the emptiness. The silence, and not knowing what would happen from one minute to the next, or one day to the next. Hospitals are the worst place to recover and rest. Everything was a constant disruption. I was sad to be away from my parents, and my feelings were turbulent.
I shared rooms with several other children. Some were burn victims, and they screamed. Their conditions became part of my room, and so part of what I had to deal with. I was a child, and I had to learn to manage that.
For the most part, the staff were reasonably nice. A couple of the nurses weren’t, and I’ll keep those stories for family and close friends. My pediatrician was fantastic. He saved my life.
My mother was a nurse, a private-duty nurse elsewhere, so she was never one of the staff assigned to me. When she could be there, she was wonderful. She couldn’t always be there. I understood why, and I appreciated everything she did. Those were still the hardest times. I wanted reassurance that I would be fine and that nothing was going to hurt.
I have thought about what it would have been like to have another person with me when my mom couldn’t. Someone who understood the situations I was trying to understand and manage, and who could offer some helpful guidance.
I need to be careful about what that memory shows. It doesn’t show that Reiki would have changed my condition, and it doesn’t show that Reiki is what any child in a hospital needs. What I imagined wasn’t a replacement for my mother or my doctor. It was a different kind of help, offered alongside theirs, in the long middle between what had happened and what came next.
Part of what I imagined already exists. Child life specialists, for example, work with children during hospital stays and medical care, explaining procedures in terms a child can understand and easing discomfort. [9]
With a child, there is more to get right, not less. A parent’s or guardian’s permission and the hospital’s own rules come first, and the child’s comfort still counts. If a service like mine belongs in that picture at all, it belongs beside that care.
I have faith in health care and in the medical system. I also believe there is room for Reiki, as a complement to the care being given and never a substitute for it. That belief is part of why I pursued this training. You are entitled to know that.
Those questions, and that memory, explain my motivation. They do not demonstrate that Reiki improves recovery, shortens a hospital stay, or changes the course of an illness. A caring intention and a clinical outcome are not the same evidence.
That distinction is important when approaching healthcare organizations. The useful conversation is whether there is an appropriate role for optional complementary support, how it would operate, and how people’s experience and safety would be evaluated. It is not an announcement that the institution has been missing the answer I happen to provide.
Availability is not proof
A practice being offered in a healthcare setting tells us something about the service available there. It does not, on its own, prove the practice’s effectiveness for a condition.
Institutions have different programs, eligibility rules, staffing arrangements, and purposes. An educational class is not the same as a bedside service. A volunteer program is not an endorsement of every claim made by every practitioner using the same name.
That is why I prefer a specific description over a list of impressive institutions. What is actually offered, to whom, under what arrangements? Those details are more useful to a person trying to make a decision.
Alongside means alongside
The simplest way I can describe the role is that Reiki, when appropriate and wanted, may be one optional experience within a wider plan of care. The person may value it. They may prefer something else. Medical treatment continues according to the clinicians responsible for it.
I want the service to be understandable enough that someone can make that choice without being swept along by my enthusiasm.
If the best contribution I can make in a particular moment is to listen, explain a boundary, or step out of the way, then that is part of the work. Professional care includes knowing when the attention belongs somewhere else.
Chapter 11What the Research Can Say
I would like good evidence for something I care about. Most of us would.
That makes it important to notice when I’m asking a question and when I’m shopping for an answer.
Research is less useful if I only welcome the findings that make my work sound impressive. The person deciding whether to spend time, money, and hope on a practice deserves a more complete conversation.
This chapter is a guide to that conversation, not a systematic review of every Reiki study. I’ll use a small number of sources to show the difference between an interesting result, a broad conclusion, and a question that remains open.
Start with the question
“Does Reiki work?” sounds straightforward until we ask what work means.
Does someone enjoy a session? Do they report feeling less anxious afterward? Does a benefit last? Does it exceed what happens with quiet rest or another form of attentive care? Does a physiological measurement change? Does a medical outcome improve?
Those questions require different evidence. A study that addresses one should not be used as though it answered all the others.
Imagine a person reporting that they felt better after a session. We can respect that report. But to understand what caused the change, we would need to consider other possibilities: the passage of time, rest, attention, expectations, other care, and the way the experience was measured.
This does not accuse the person of imagining the improvement. It distinguishes having an experience from identifying its cause.
Compared with what
Suppose two groups improve during a study. One receives Reiki; the other receives a comparison intervention. If the Reiki group improved from its own starting point, that alone does not establish that Reiki produced a greater benefit than the comparison.
The difference between groups matters to that particular question.
The comparison also matters. Waiting without additional contact is different from receiving an equally long, attentive session. Quiet rest is different from a sham procedure intended to resemble Reiki. Each design helps address a different uncertainty, and none should be described more strongly than it warrants.
A good research question doesn’t diminish care. It helps us understand what we can responsibly claim about it.
An interesting small study
A 2011 randomized crossover study involved 21 healthcare professionals with burnout. Participants received Reiki and a placebo procedure on separate visits. The researchers reported higher SDNN, one HRV measure, and body temperature after Reiki than after placebo, along with lower low-frequency power. They interpreted the findings as suggesting a parasympathetic effect. [7]
That is a finding worth examining. It is also a small study of immediate effects in a particular group. It cannot establish long-term recovery, benefits for every population, or the combined digital-stress framework I have proposed. Interpreting autonomic measurements also requires care, including the considerations discussed in Chapter 7.
Notice how much the limitations change the sentence we can write. “A small study found differences in certain immediate measurements” is less expansive than “Reiki restores the nervous system.” It is also much closer to what was actually tested.
The job of the limitation is not to spoil the result. It is to keep the result attached to the study that produced it.
The wider assessment
NCCIH’s overall assessment remains cautious: effectiveness for health purposes has not been clearly demonstrated, with quality problems and inconsistent findings in the research. [3]
That broader assessment belongs beside favorable findings. I should not hide it in small print because it complicates a service I offer.
Nor does the existence of uncertainty authorize every possible explanation. “Science hasn’t explained it yet” is not evidence for a mechanism I prefer. A question can remain open without the most appealing answer becoming true by default.
For a reader, the practical implication is modest expectations and informed choice. A person may choose a session for reasons that include curiosity or the experience of receiving attention. They should not be promised a treatment effect the evidence does not establish.
Breathing is its own subject
The breathing trial mentioned earlier studied particular daily breathing practices and mindfulness meditation. Its reported findings about mood and respiratory rate are evidence about those interventions under those conditions. [2]
If I include breathing in a Reiki session, I cannot transfer that evidence to Reiki as though the practices were identical. Nor can I assume that the combination is better simply because each part has an appealing explanation.
To investigate the combination, we need a design that can help separate contributions. Comparable time and attention matter. So do clearly described methods and outcomes chosen in advance.
This is where an idea begins to become a research plan. The plan has to be capable of telling us something we didn’t expect.
There is another reason breathing belongs in this chapter. Carbon dioxide, not oxygen, is the main signal that tells the body it needs to breathe, and a rise in carbon dioxide also raises sympathetic activity. [16] That is established physiology.
What follows from it is less settled. The writer James Nestor, whose book Breath introduced me to this idea, suggests that fast, shallow breathing over time can make a person more sensitive to that signal, which may feed more breathing and more arousal. [17] I find the idea interesting and plausible. I can’t tell you it is established. A psychiatrist reviewing Breath in The Spectator praised its explanation of why we feel the urge to breathe, but said the book relies on too much anecdote and that its larger claims about what higher carbon dioxide can do remain vague. [18] The one small study of carbon dioxide sensitivity in people with panic disorder that I read, 16 patients and 16 healthy volunteers, found no clear difference in how long they could hold their breath. [19]
So I’ll hold this loop the way I hold the others: as a hypothesis. Slow breathing is a practice many people find calming. Whether it works by changing carbon dioxide sensitivity is a separate question.
My proposed work
My October conference presentation put forward a framework involving digital demands, breathing, posture, Medical Reiki, and questions about autonomic regulation. It was conceptual work. It did not present a completed trial showing that the framework worked. [8]
The later study outline in my working material asks whether adding Reiki to a breathing practice produces differences beyond breathing practice alone. It is a proposal, with feasibility, comparison, measurement, and ethics questions still to resolve. It should not be mistaken for results.
I also developed the Page Break reflection after those conversations. The fact that I find the metaphor useful does not validate it as an intervention. If it is studied, the research needs to ask whether people find it useful, for whom, in what circumstances, and with what limits.
A finding of little or no added value would be information. An idea that cannot survive that possibility is being protected, not investigated.
What would make a claim more convincing
I would want to know who participated, how they were assigned, what the comparison received, what was measured, and when. I would want to know how many people left the study and whether unwanted experiences were recorded. I would want the size of the difference and the uncertainty around it, not just an exciting adjective.
A small p-value is not a measure of how important a benefit is to daily life. A nonsignificant result does not prove two interventions are identical. A pilot can help test whether a larger study is practical without settling effectiveness. These distinctions may sound fussy until somebody turns a tentative result into a promise.
Consistency across well-conducted studies matters, too. We should not treat a single favorable paper as the final word while requiring every less favorable finding to pass an impossible standard.
I include myself in that reminder. Enthusiasm is a useful reason to investigate. It is a poor substitute for a comparison group.
A conflict worth naming
I offer Reiki through Blue Ember Wellness RVA LLC. That means I have a professional and financial interest in how the practice is understood. You should know that while reading my account.
It doesn’t make every observation wrong. It does give me a reason to be especially careful about what I claim and which findings I emphasize.
The same standard applies to other people offering services. Ask how they know what they say they know. Ask what would change their view. Notice whether uncertainty is explained or brushed aside.
A practitioner who can discuss limits without becoming defensive gives you something useful: room to make your own decision.
I have a second interest to name. I am building a breathing app, Blue Ember Breathwork, at blueemberwellness.app. It is separate from this book’s argument. Nothing in these chapters depends on it, and I’m not claiming a benefit for it. If you try it, hold it to the same questions I’ve been asking of everything else.
The question we can carry forward
I don’t need you to finish this chapter convinced that Reiki works or convinced that it cannot have value. I want you to be better equipped to distinguish a report, a hypothesis, a measured finding, and a promise that has gone beyond its evidence.
That distinction protects curiosity. We can investigate without pretending the investigation is finished. We can care about a person’s experience without using it to prove more than it can.
And when we offer something, we can say what it is, what is known, what remains uncertain, and what choices the person has.
That is a conversation I’m willing to put my name on.
Chapter 12Choosing Support and Continuing
By now, you may have a clearer idea of something you need. You may also have several new questions and no desire to turn them into a personal improvement campaign.
I’m sympathetic to that second possibility. A book about making room in your life should be careful about taking over the remaining space.
So let’s keep the next step small enough to belong to an actual day.
What kind of help is missing
Imagine someone saying, “I need a break.” That can mean several things. They may need sleep, practical coverage, medical advice, someone to listen, a change in workload, or time away from a difficult environment.
Those needs can overlap. They still deserve to be distinguished.
A quiet session cannot substitute for a conversation about an impossible workload. A new scheduling system cannot provide the companionship someone is missing. A friend’s reassurance cannot replace an assessment of a concerning symptom.
Before deciding what support to seek, try finishing a more specific sentence: “The part I’m having trouble with is…”
You don’t need an elegant answer. “I can’t keep doing all the driving” is useful. So is “I don’t understand what the doctor told me” or “I miss having someone to talk to at the end of the day.” Each gives another person something clearer to respond to.
Choosing a person to help
If you’re considering a professional service, ask about qualifications, experience, scope, cost, and what the work involves. For complementary health care, coordinate with your conventional providers and do not assume insurance coverage. NCCIH specifically advises checking credentials and coverage rather than relying on assumptions. [5]
The conversation itself tells you something. Are your questions welcomed? Are the limits explained? Can you say you want time to think? Does the person seem interested in your circumstances, or mainly in fitting you into the service they already planned to sell?
A credential can be relevant without answering every question. A warm manner can be welcome without proving competence. We can appreciate both and still ask for specifics.
And the same standards apply to me. Nothing about writing this book entitles me to less scrutiny.
What counts as worthwhile
If you try a service, it may help to know what you’re hoping to assess. Perhaps you want an unhurried hour and clear communication. Perhaps you’re seeking help with a defined problem from someone qualified to address it.
Afterward, you can ask whether the experience met that purpose, whether your preferences were respected, and whether the cost was reasonable for you. You don’t have to manufacture a dramatic change to justify having tried it.
You can also decide not to continue. That doesn’t mean you were uncommitted. It may mean you learned something about fit.
Be cautious when a lack of benefit is automatically explained as your resistance or as proof you need to purchase more. A claim should be open to evaluation. Otherwise the person selling it has arranged the conversation so every answer leads to another sale.
Help we can ask for plainly
Not all support comes from a professional. Sometimes the difficult part is asking someone close to us for something specific.
An imagined request might be, “Could you handle the phone calls tomorrow? I need a few hours when I’m not the contact person.” That gives the other person a task and a time frame. They can say whether they can do it, and you can work out what information they need.
It may feel less comfortable than saying you’re fine. The person may be unable to help. You may have to ask someone else or seek a different arrangement. None of that makes the need unreasonable.
We can also ask what help would look like rather than assuming. “Would company help, or would you prefer that I took care of something and left you some quiet?” There is kindness in letting the answer surprise us.
A life that includes other people
I don’t want the language of boundaries to leave us imagining a good life as one in which nobody ever asks us for anything.
We live with obligations, affection, inconvenience, and mutual dependence. People will interrupt us. We will interrupt them. Some of the best moments in a day may arrive without an appointment.
The question is whether there is room for the relationship to include both people. Can we ask? Can we decline sometimes? Can we explain a limit without turning it into a rejection? Can we accept that someone we love may need something we cannot provide alone?
A boundary can make a commitment more dependable. “I can do this on Saturday” may be more useful than a generous yes followed by exhaustion and uncertainty.
And sometimes we will choose inconvenience because the person matters. We don’t have to apologize to the book for that. It isn’t keeping score.
When the familiar pattern returns
You may recognize yourself answering too quickly again, checking a message during a conversation, or postponing something you intended to protect. Knowing about a pattern does not guarantee that we never repeat it.
The next useful response might be ordinary repair. Return to the conversation. Revise the commitment. Ask for help. Notice that the week has become more demanding than you planned.
There’s no need to announce that you’ve failed at the entire project of having a life.
Sometimes the arrangement needs another adjustment. Sometimes circumstances have changed. Sometimes it was just a difficult day. We can be specific without being cruel to ourselves.
When the first offer is not enough
Sometimes we make a clear request, ask a reasonable person, and still don’t get the help we need.
That deserves a place in this conversation. Otherwise a chapter about asking for support can quietly imply that the only obstacle was our reluctance to ask.
Someone may care and lack the time. A service may have a waiting list. The cost may be out of reach. A family arrangement may be more complicated than a single honest conversation can change.
Disappointment in those circumstances is understandable. It doesn’t mean you asked badly or that the need has become less real.
The next question may be narrower: is there part of this that someone can help with? If nobody can take over an entire responsibility, could someone handle one predictable piece? Could the person who can’t provide the service help you identify another option? Could an organization you already work with explain what assistance is available?
None of these questions guarantees a solution. They keep us looking at the actual obstacle instead of turning the outcome into a verdict on whether we deserve help.
There may also be a point when what is needed is a larger change in resources or responsibility. I don’t want to offer a cup of tea as compensation for an arrangement that is wearing someone down. Tea is lovely. Its authority over staffing levels is limited.
What we tell the people who help us
When support does become available, a little practical information can make it easier for everyone.
Imagine a friend offering to check in during a difficult week. You might appreciate the offer but find repeated messages tiring. You could agree on one call, or say that a message is welcome even if you don’t reply immediately. The friend has a clearer idea of how to stay in touch, and you have one less expectation to guess at.
You can also tell someone what kind of response you’re looking for. “I’d like to talk it through, but I’m not ready for suggestions” is different from “I need help working out what to do.” Neither makes their concern unwelcome. It tells them how to put it to use.
That kind of clarity may take practice within a particular relationship. People who care about us can still misunderstand. We can make an adjustment without deciding the whole offer was a mistake.
And we can thank someone without committing ourselves to the same arrangement indefinitely. A form of help that suited one week may not suit the next. The conversation can change as the circumstances change.
Keep what you can actually use
You may find that only a few ideas in this book fit your life. I would rather you keep those than try to adopt the whole vocabulary.
Maybe Page Break isn’t a phrase you would ever say. Maybe the idea of noticing what you put aside is useful, but the rest feels less relevant. Maybe the care chapters helped you prepare questions for a practitioner and that is all you needed.
You’re allowed to be selective. A book can be useful without becoming a system you belong to.
I want to resist the temptation to make every reader’s life an example of my central idea. Some people need fewer demands. Some need more connection, meaningful work, or an opportunity to contribute. Some need to receive help. Some would like somebody to recognize that they still have something to offer.
The person in front of us decides which conversation we’re having. That includes you.
You might change your mind about what fits, too. Something that seems irrelevant today may matter after a change at work or at home. There’s no requirement to predict that now. You can return to a question when it becomes useful, or let it go. The book will still be here, mercifully unable to send you a reminder that you haven’t completed your reflection.
What can stay small
You might leave this book with one question rather than a plan. What was I doing before the interruption? What am I assuming this request means? Who could share this responsibility? What would be useful to me today?
Or you might leave it with a conversation you want to have. That can be enough for now.
If you’re curious about Reiki, you have a clearer basis for asking about it. If you aren’t, the rest of the book still belongs to you. Its central question was never dependent on booking a session.
I hope the person who has spent so much time being useful can also recognize themselves as someone whose experience deserves attention. That doesn’t remove the work, the uncertainty, or the people who need them. It changes who is included when the next decision is made.
Continuing
We began at the edge of a deck, watching what happens when familiar support ends. We have spent time with quieter changes, too: a request, a feeling, an answer, a moment when a person realizes they need help.
The next part may not be clear. It may involve asking, adjusting, resting, learning, or doing the thing that cannot wait. It may require professional care, practical assistance, or simply a more honest conversation.
You don’t have to arrive at the end of this book with a new identity. You can arrive with a little more understanding of the life you already have and the support you might need to live it.
That seems like a reasonable place to put the book down.
From the flight deckBehind the Bow
The deck doesn’t go quiet when the aircraft leaves it. The next one is already being prepared.
The people who launched it turn to their next job. I like to imagine that somewhere on that ship, someone is still thinking about the aircraft that’s out of sight.
I can’t promise you that every life leaves its deck the way the picture in the Prologue does, with a clean climb and the horizon ahead. But the deck was never empty. It was always full of people who knew their jobs and wanted you to fly.
The aircraft has the horizon. They have the ship. Both of those are real support.
EpilogueThe Unwritten Page
There’s a point in a conversation when you’ve said enough for now.
The other person doesn’t need another example. You don’t need to prove the point one more time. Something has been understood, or perhaps something useful has been left open, and you can let the conversation rest.
I’d like to recognize that point here. This is a risky declaration from someone who has just written a book about taking a moment. Apparently I required several chapters to get around to it.
But I keep thinking about the person who picks this up after a long day. Maybe you’ve spent it making decisions. Maybe you’ve been waiting for someone else to make one. Maybe nothing particularly remarkable happened, and you’re tired anyway.
You don’t owe the evening a breakthrough.
You may need to do the next ordinary thing. Eat. Call someone. Get ready for tomorrow. Ask a question you’ve been putting off. Sit for a little while if that is available to you.
The page ahead does not need to be impressive. It needs to have room for the life that is actually happening, including the parts you didn’t plan and the person you are while you’re figuring them out.
I began with the image of an aircraft leaving a carrier. The metaphor has limits, as metaphors do. Human lives don’t follow flight plans, and I cannot promise you a climb after every difficult departure.
I also asked you a question in the Prologue and walked away from it. The moment between what?
Between the visit and the next visit. Between the question and the answer. Between the message arriving and the moment you decide whether to pick up, text back, or let it ring. Between the life you had and the one that comes next.
It’s the middle part, and it’s the part we tend to skip. Nobody plans for it. I met it as a child, in a hospital, not knowing what would happen next. Most of us don’t take that pause long enough. Even a few seconds of it can belong to us.
What I can keep returning to is the support around the moment. The preparation that matters. The people who can help. The willingness to admit that knowing how to manage the old arrangement may not tell us everything about the next one.
There is nothing shameful about that gap.
You have answered many questions in your life. Some belonged to other people. Some may have required more of you than anyone understood. There will be more.
I hope one of them can be about what you need.
And I hope, when somebody asks, you’ll have a little room to answer honestly.
For now, we can leave the next page unwritten.

Notes and further reading
Numbers in Chapters 3 and 7–12 refer to the sources below, which are numbered by topic and not strictly in order of appearance. These notes support specific statements; this is a selective research discussion, not a systematic review or a clinical practice guideline. The other reflective chapters offer the author’s questions and illustrative situations, not experimentally established explanations of individual behavior. Chapter 3 states one hypothesis of the author’s own, labeled as such, and the sources for it are listed here.
- Fred Shaffer and J. P. Ginsberg. “An Overview of Heart Rate Variability Metrics and Norms.” Frontiers in Public Health 5 (2017): 258. Research overview. Used for the definition of HRV and the importance of measurement methods, recording conditions, respiration, and appropriate comparisons. This is a review, not a Reiki trial.
- Melis Yilmaz Balban and colleagues. “Brief structured respiration practices enhance mood and reduce physiological arousal.” Cell Reports Medicine 4 (2023): 100895. DOI: 10.1016/j.xcrm.2022.100895. Primary study record. Used only for the described breathing-study results. No benefit is transferred to Reiki or Page Break.
- National Center for Complementary and Integrative Health. Reiki. Used for basic description, uncertainty concerning clinical effectiveness, and the absence of scientific evidence establishing the proposed energy field. Consult the current page when making a health decision.
- NCCIH. Complementary, Alternative, or Integrative Health: What’s In a Name?. Used for terminology, not as an endorsement of a particular practice.
- NCCIH. Six Things To Know When Selecting a Complementary Health Practitioner. Used for checking qualifications, coordination with healthcare providers, and insurance coverage.
- Medical Reiki International training materials supplied in the author’s archive: MRI Healthcare Setting Protocol, MRI Patient Intake Form & Consent, and Medical Reiki International leaflets. These are practitioner-training sources, not clinical efficacy evidence. This book describes selected boundaries in original language; it does not reproduce the forms or protocol. Facility-specific requirements must be confirmed with the facility. Permission is not assumed for reproduction of any training material.
- Lourdes Díaz-Rodríguez and colleagues. “Immediate effects of reiki on heart rate variability, cortisol levels, and body temperature in health care professionals with burnout.” Biological Research for Nursing 13 (2011): 376–382. DOI: 10.1177/1099800410389166. Primary study abstract. The draft’s account is based on the abstract; full-paper methodological appraisal remains part of prepublication research review.
- Mark Kantner’s supplied October 2026 conference scripts, particularly IRRC_2026_Combined_Speaking_Script_v3, and Round Two: Publishable Study Outline, dated October 21, 2026. These establish the content and proposed status of the author’s questions, not successful study outcomes, ethics approval, enrollment, or independent scientific validation. The later Page Break prospectus is also explicitly a proposal.
- Cleveland Clinic. “What is a Child Life Specialist? Role & Education.” Medically reviewed; last updated April 5, 2022. Patient-education article. Used only for a general description of what child life specialists do in hospitals. It is not evidence about Reiki.
- Bruce S. McEwen. “Stress, Adaptation, and Disease: Allostasis and Allostatic Load.” Annals of the New York Academy of Sciences 840, no. 1 (1998): 33–44. DOI: 10.1111/j.1749-6632.1998.tb09546.x. Conceptual paper. Used only for the term allostatic load. It does not test the author’s hypothesis.
- Gloria Mark. Attention Span: A Groundbreaking Way to Restore Balance, Happiness and Productivity (Hanover Square Press, 2023), and her interview with Texas Standard. Used for the reported average of about 47 seconds on a screen before switching, measured by computer logging, and the observation that people interrupt themselves as often as they are interrupted. This is a measure of time on a screen, not a general measure of attention span.
- Kostadin Kushlev and Elizabeth W. Dunn. “Checking email less frequently reduces stress.” Computers in Human Behavior 43 (2015): 220–228. Bibliographic record. A two-week, counterbalanced experiment with 124 analyzed adults. Daily stress was lower in the limited-checking week (p = .04, d = .37). The authors note the result could be an artifact of the many tests run, and that the sample was mostly heavy email users with flexible schedules.
- Jan Dettmers, Tim Vahle-Hinz, Eva Bamberg, Nina Friedrich, and Monika Keller. “Extended work availability and its relation with start-of-day mood and cortisol.” Journal of Occupational Health Psychology 21, no. 1 (2016): 105–118. DOI: 10.1037/a0039602. Published online August 2015. 132 employees from 13 organizations; cortisol measured in a subsample of 51. Small and observational. The abstract does not state the direction of the cortisol effect.
- Suzanne Oppenheimer, Laura Bond, and Charity Smith. “Social media does not elicit a physiological stress response as measured by heart rate and salivary cortisol over 20-minute sessions of cell phone use.” PLoS ONE 19, no. 4 (2024): e0298553. DOI: 10.1371/journal.pone.0298553. 59 participants aged 13 to 55 in a crossover design comparing social media with a YouTube playlist. Cited because it points the other way.
- George E. Billman. “The LF/HF ratio does not accurately measure cardiac sympatho-vagal balance.” Frontiers in Physiology 4 (2013): 26. DOI: 10.3389/fphys.2013.00026. Opinion article. Used to caution against reading an HRV ratio as a seesaw between the two branches of the autonomic nervous system.
- T. Kara, K. Narkiewicz, and V. K. Somers. “Chemoreflexes: physiology and clinical implications.” Acta Physiologica Scandinavica 177, no. 3 (2003): 377–384. DOI: 10.1046/j.1365-201x.2003.01083.x. Review. Used only for the statement that activating the carbon dioxide (hypercapnic) chemoreflex produces both faster breathing and sympathetic activation.
- James Nestor. Breath: The New Science of a Lost Art (New York: Riverhead Books, 2020). Popular science. Credited as the author’s introduction to the idea. Not used as evidence for any causal claim.
- Kate Womersley. Review of Breath: The New Science of a Lost Art. The Spectator, August 1, 2020 issue (online July 30, 2020). Used for the reviewer’s assessment that the book relies heavily on anecdote and is vague about the effects of higher carbon dioxide, alongside her praise of its explanation of the drive to breathe.
- Peter Kyriakoulis, Michael Kyrios, Antonio E. Nardi, Rafael C. Freire, and Marcel Schier. “The implications of the diving response in reducing panic symptoms.” Frontiers in Psychiatry 12 (2021). DOI: 10.3389/fpsyt.2021.784884. Small experimental study (16 people with panic disorder, 16 healthy controls). Used only for the statement that breath-holding did not differ significantly between the groups. The authors call the sample small and unbalanced.
A few terms used in the book
Complementary care: an approach used alongside conventional care.
Medical Reiki: in this book, Reiki adapted to a healthcare context, with appropriate training, permission, coordination, and boundaries. The term does not confer medical licensure or prove efficacy.
HRV: variation in the intervals between heartbeats, measured in several different ways. It is not a single universal score of health or personal success.
Hypothesis: a proposed explanation or prediction that can be investigated. A plausible explanation is not the same as a demonstrated one.
Pilot study: a preliminary study that can examine feasibility and inform a larger investigation. Its size and purpose limit the conclusions that can be drawn.
False sympathetic triggering: the author’s proposed term for frequent, low-stakes signals, such as notifications, that may repeatedly activate the stress response when nothing physical is at stake. It is a hypothesis and has not been tested.
Allostatic load: a term from stress research for the cumulative wear on the body when the stress response is activated often or fails to switch off.
Page Break: the author’s metaphor for acknowledging an interruption and considering what comes next. It is not presented as a validated clinical intervention.
Questions to take into a conversation
If a practice interests you, you can ask:
- What will happen, and what choices will I have?
- What training and qualifications are relevant to the service?
- What are you claiming this can do, and what supports that claim?
- How does this fit with my existing care?
- What does it cost, and can I decide about another appointment later?
- What happens if I want to change or stop the session?
You can take notes or ask for an explanation in writing. You do not need to decide while you are still trying to understand the offer.
An optional Page Break note
Use any of these prompts that are helpful. No daily log or completion target is intended.
What happened? What did I notice? What did I understand the request to mean? What was I doing before it arrived? What needs attention now? Would information or help change what is possible? What is the next reasonable step?
About the author and this work
Mark Kantner owns Kantner Consulting LLC and Blue Ember Wellness RVA LLC in Richmond, Virginia. His background in financial services and information technology informs his questions about responsibility, attention, and identity. His Reiki practice informs his interest in respectful, optional complementary support. His Certified Medical Reiki Master training is distinct from medical licensure.
Mark offers paid Reiki services and therefore has a professional and financial interest in the subject. The book is intended to remain useful whether or not a reader chooses those services.
For readers who want to learn about the practice, current information is available at Blue Ember Wellness RVA. This is an invitation to learn, not a requirement to continue the work of the book.

