Summary
This TED Radio Hour episode explores heartache in multiple dimensions: the literal medical phenomenon of broken heart syndrome, the emotional foundations of healthy marriages, the grief experienced by healthcare workers, and climate anxiety. Through stories from a cardiologist, family law professor, pediatric nurse, and climate advocate, the episode examines how emotions directly impact physical health and offers pathways for processing and enduring difficult emotions.
Insights
- Emotional stress has measurable physiological effects on cardiac health, yet medical training historically neglects psychosocial factors despite their proven impact on heart disease risk
- Preventive relationship conversations about sacrifice, fairness, and property during courtship can reduce divorce-related heartbreak and resentment more effectively than post-divorce mediation
- Healthcare workers experience cumulative grief that cannot be compartmentalized; acknowledging and sharing this grief with trusted others is essential for sustainable compassion and preventing burnout
- Climate anxiety and ecological grief are legitimate emotional responses that, when processed rather than suppressed, can motivate meaningful action and community engagement
- Vulnerability and shared grief paradoxically strengthen human connections and deepen appreciation for life's fragility and meaning
Trends
Growing recognition of psychosocial stress as a modifiable risk factor in cardiovascular disease prevention and treatmentShift toward preventive relationship counseling and divorce-conscious marriage planning among younger couplesIncreased clinical attention to healthcare worker burnout and moral injury, particularly in pediatric critical care settingsRising prevalence of climate anxiety and ecological grief among younger generations, requiring mental health and social support frameworksIntegration of emotional and relational factors into medical education and patient care protocolsNormalization of grief-sharing and vulnerability in professional and personal relationships as a health practice
Topics
Broken Heart Syndrome (Takotsubo Cardiomyopathy)Psychosocial Stress and Cardiovascular HealthMarriage Counseling and Divorce PreventionFair Exchange and Sacrifice in RelationshipsChildcare Economics and Relationship ObligationsHealthcare Worker Burnout and Moral InjuryPediatric Critical Care NursingGrief Processing and Emotional ResilienceClimate Anxiety and Ecological GriefNature Connection and Mental HealthNorwegian Oil and Gas Industry ParadoxSudden Cardiac Death from Emotional DistressPatient-Centered Medical CommunicationVulnerability in Professional RelationshipsHope and Action in Climate Crisis
Companies
Harvard University
Jeannie Suk Gerson is a family law professor at Harvard Law School teaching divorce-conscious marriage principles
Children's Hospital Los Angeles
Weiwen Sato works as a critical care nurse in the pediatric ICU at this institution
NPR
Co-producer and distributor of the TED Radio Hour podcast series
TED
Host organization for the TED Talks featured throughout the episode
People
Sandeep Jahar
Discussed broken heart syndrome (Takotsubo cardiomyopathy) and emotional effects on cardiac health
Jeannie Suk Gerson
Presented framework for divorce-conscious marriage planning and fair exchange of sacrifice in relationships
Weiwen Sato
Discussed grief processing, burnout prevention, and emotional resilience in healthcare settings
Knut Ivar Björlickhaug
Shared personal journey through climate anxiety and ecological grief, advocating for hope and community action
Manoush Zomorodi
Host of TED Radio Hour episode on heartache and emotional health
Walter Cannon
Historical reference to 1942 paper 'Voodoo Death' on physiological responses to fear and emotional distress
Quotes
"Emotions and the responses that they engender can have a direct effect on the heart. And the heart can acutely weaken in response to heartbreak or grief, such as after the death of a loved one or the end of a romantic relationship."
Sandeep Jahar•Early in episode
"At the height of your love for somebody, when you're really looking forward to the life that you're going to build with this person, that is the best time to start thinking about these relationships in a way that is divorce conscious."
Jeannie Suk Gerson•Mid-episode
"You don't have to protect me from your grief."
Friend of Weiwen Sato•Weiwen's story section
"There's always a way out. We need to reach out and try to find some social support. So we need to take one day at a time and to create that room for hope."
Knut Ivar Björlickhaug•Climate anxiety section
"Resentment is the big marriage killer."
Manoush Zomorodi•Marriage discussion
Full Transcript
This week on Consider This, everyday Americans are feeling it more, a wartime economy. Energy prices in March went up over 10 percent. Energy flows into everything else that we buy. The big picture on inflation, housing and prices that aren't coming down. That's on Consider This. You can listen on the NPR app or wherever you get your podcasts. This is the TED Radio Hour. Each week, groundbreaking TED Talks Our job now is to dream big. Delivered at TED conferences To bring about the future we want to see Around the world To understand who we are From those talks, we bring you speakers and ideas that will surprise you You just don't know what you're going to find Challenge you We truly have to ask ourselves, like, why is it noteworthy? And even change you I literally feel like I'm a different person Yes Do you feel that way? Ideas worth spreading From TED and NPR. I'm Manoush Zomorodi, and today we are starting the show with a case of heartbreak. A patient of mine was admitted to the hospital, and weeks prior, her husband had died. And a couple of weeks after the funeral, she took a look at his picture, and all these emotions came back, flooded back. the sadness, the grief over their life together. This is cardiologist Sandeep Jahar. She developed chest pain. And she got short of breath. And by the time she was in the hospital, she had distended neck veins, water in her lungs. She was visibly panting. All signs of congestive heart failure. so we suspected that she had actually had a heart attack that she had blockages in the arteries that feed her heart but when we checked with a angiogram her coronary arteries were pristine it wasn't a hint of blockage anywhere but her heart had weakened to less than half its normal function. And it had a very unusual shape. And what we found was that it was the syndrome Takotsubo cardiomyopathy, or the broken heart syndrome. Wait, what is that? So Takotsubo is a special pot that's used in Japan to trap octopuses. And it has a sort of wide base and a very narrow neck. And that's exactly the way her heart looked on the ultrasound that we did. The base was constricted. The apex of the heart had ballooned out into this distinctive shape. Whoa, that is crazy. So her heart was like swollen. And this is what heartbreak can look like, literally. Yeah. So emotions and the responses that they engender can have a direct effect on the heart. And the heart can acutely weaken in response to heartbreak or grief, such as after the death of a loved one or the end of a romantic relationship. so we told her that very likely this would improve um you know once her emotional state had returned to normal and that's exactly what happened um you know once the grief had subsided um and she came back to a sort of her baseline state we repeated the uh the ultrasound and her heart had returned to normal. So, you know, it's just a fascinating syndrome. We too often think of the emotional aspects of the heart as purely metaphorical or symbolic, but emotions can have a direct disruptive effect on the heart. And there really is such a thing as heartbreak. The average human heart beats nearly 3 billion times over the course of a life. But when stress, fear, or sadness weigh on us, the heart can suffer, sometimes even break. There are, however, ways we can mend it. And so today on the show, stories and ideas about soothing heartache. From the connection between our emotions and our health, to protecting our romantic relationships, and facing our anxiety about the future, we'll explore ways we can nurture our most vital organ. Sandeep Jahar's fixation on the heart stems back to his family history, and a story about his grandfather from 1953, before Sandeep was even born. It was a summer day in July. My grandfather was working in a tiny shop in Kanpur, which was a rural community in North India, and he was bitten by a snake. now snake bite is fairly common in india and uh my grandfather came home for lunch he was feeling fine but some neighbors brought in the snake that they claimed had bitten my grandfather and it was a shiny black cobra and my grandfather took one look at it and he slumped to the floor and died. At the hospital, a doctor pronounced him dead on arrival and said that it wasn't a snake bite that killed my grandfather, but it was a heart attack, probably induced by the sudden sort of tremendous fright of looking at the snake that had bitten him and the fear that he was not going to be able to survive the snake bite. So it's not just grief or romantic heartache that can affect our hearts. It can be any really extreme emotion. Right. Was this a story that you heard a lot when you were growing up? Yeah. That event was profoundly tragic in our family. And I sort of grew up with this fear that something would happen to my own father. And that fear translated into sort of an obsession. I remember I would lie in bed and sort of monitor the thudding of my heart in my chest. I would look up at the ceiling fan that was rotating and try to synchronize the rotations of the blades with my heartbeat. and I sort of became obsessed with this sort of dichotomous nature of the heart that it was constantly moving and yet so vulnerable and in the process made us vulnerable. In other words, there was such a thing as sudden death and the fact is that sudden death almost always occurs because of the cessation of the heartbeat. Here's Sandeep Jahar on the TED stage. Heart syndromes, including sudden death, have long been reported in individuals experiencing intense emotional disturbance or turmoil in their metaphorical hearts. In 1942, the Harvard physiologist Walter Cannon published a paper called Voodoo Death, in which he described cases of death from fright in people who believed they had been cursed. such as by a witch doctor, or as a consequence of eating taboo fruit. In many cases, the victim, all hope lost, dropped dead on the spot. What these cases had in common was the victim's absolute belief that there was an external force that could cause their demise and against which they were powerless to fight. This perceived lack of control, Cannon postulated, resulted in an unmitigated physiological response in which blood vessels constricted to such a degree that blood volume acutely dropped, blood pressure plummeted, the heart acutely weakened, and massive organ damage resulted from a lack of transported oxygen. Today, death by grief has been seen in spouses and in siblings. Broken hearts are literally and figuratively deadly. You know, Sandeep, I think we hear a lot these days about how stress is bad for us. It's bad for our health. But do you feel like people just don't take that seriously enough or they don't understand the stakes of like how much stress and emotions are connected to our physical well-being? Yeah. You know, the American Heart Association for the longest time did not list psychosocial stress as a key modifiable risk factor for heart disease. Now, why is that? um i think the reason is that it's so much easier to lower blood pressure than it is to lower um emotional stress you can take a pill to lower your cholesterol or your blood pressure but um psychosocial stress is just entirely different beast and and you know it's interesting that I went through a three-year training program in cardiology, and not once did we talk about the effect of stress or the emotions on the heart. Hmm. And so how do we, what do we do, Sandeep? How do we get to this middle place where we feel, I mean, is it, you know, you open a magazine and you'll be told to meditate, basically. But I think what you're talking about is both on an individual way, managing our own stress, and also a systemic way that we need to care for ourselves differently. So there are a lot of ways to go about it. But I think the first step is to recognize that there's a problem. Do you know how long a typical American doctor allows a patient to speak before interrupting them, about 16 seconds. I was one of those doctors. But nowadays, I'll walk in and I'll let the patient talk. And increasingly, I see that if I let the patient really describe what's bothering them, you can get deeper. You can get to the sort of root cause of things. I've just recently actually learned about a patient who was having heart failure symptoms and, you know, all sorts of physical trouble. And it turned out that he had a tremendously disrupted relationship with his two daughters. And that grief over that disrupted relationship just came out in the office visit. He was weeping. so we actually reached out to the daughters um you know uh and and talked to them about what was going on at his request and um you know the improvement in that relationship with his daughters had tremendous effects on his physical health so i would say that this is a very fertile area and you know i think we would do well to act in ways change our lifestyles to um to to to pay you know respect to the the intense uh sort of effects of emotions on, you know, this organ that we need to survive. That's cardiologist Sandeep Jahar. He's the author of the book Heart, A History. You can see his full talk at TED.com. On the show today, heartache. I'm Manoush Zamarodi, and you're listening to the TED Radio Hour from NPR. This week on Consider This, everyday Americans are feeling it more, a wartime economy. Energy prices in March went up over 10%. Energy flows into everything else that we buy. The big picture on inflation, housing, and prices that aren't coming down. That's on Consider This. You can listen on the NPR app or wherever you get your podcasts. Hey there, listener. Did you know that NPR's app is better than ever? With live radio, digital stories, podcasts, and new videos, you can get everything in one place on the NPR app. It's the TED Radio Hour from NPR. I'm Manoush Zomorodi. And on the show today, heartache. Okay, let's sit down. So one of our producers, James, and his partner, Joanne, Tess, Tess. How does that sound? It looks good. Well, they just got married last year. And so we gave them an assignment. So are you ready? Yeah, let's do it. We asked them to peer into the future and talk about what issues, relationship issues, they think might come up. I mean, we're about to move to a really expensive part of the country. Money, child care, careers, buying a home, the big issues that can cause a lot of heartache for couples. Yeah, I mean, I don't know when we'll be able to afford to buy a house there. I mean, we want to have kids soon, and daycare is also really expensive. My mom was a stay-at-home mom, so it's going to be tough. We're moving close to your family, but my family lives all over the place. Yeah, and one of us might have to give up our career to be a parent full-time. It's a lot. Yeah, it's a lot. So we weren't just being callous by pushing James and Joanne to have this difficult conversation. We asked them to do this because our next guest says discussions like these are crucial to preventing heartache later on. I think it's fair to say that most people live marriages without thinking about divorce. This is Harvard Law professor Jeannie Suk Gerson. She teaches family law. In fact, at the height of your love for somebody, when you're really looking forward to the life that you're going to build with this person, that is the best time to start thinking about these relationships in a way that is divorce conscious. Jeannie continues from the TED stage. The reason that I think this is so important is that I think everyone should be having some of these very painful conversations that divorced people experience. These are painful conversations about what we contributed, what we owe, what we are willing to give, and what we give up. Those conversations should be happening in a good marriage, not after it is broken. Because when you wait until it's broken, it's too late. But if you have them early on, they can actually help build a better marriage. In your TED Talk, Jeannie, you actually break things down into three examples, three principles that you think couples need to consider. That's right. First, marriage is an exchange of sacrifice. And that that sacrifice has to be thought of as a fair exchange. The second one is the idea that there's no such thing as free child care. And the third is what is starting out as each person's property probably is going to become part of the general property of the marriage. The first one, sacrifice should be a fair exchange. Take the example of Lisa and Andy. Lisa decides to go to medical school early in the marriage, and Andy works to support them. And Andy works night shifts in order to do that, and he also gives up a great job in another city. He does this out of love, but of course he also understands that Lisa's degree will benefit them both in the end. But after a few years, Andy becomes neglected and resentful and he starts drinking heavily. And Lisa looks at her life and she looks at Andy and she thinks, this is not the bargain I wanted to make. A couple of years go by, she graduates from medical school and she files for a divorce. That is rough, Jeannie. Yes. When you look at that situation, which I think is extremely common, you think to yourself, did this couple, did these two people ask themselves and each other what they were exchanging and how fair that exchange was? What was each giving up? What was each giving to the other? What was each going to owe the other person? And these, of course, this language of owing and giving and exchange is for many people anathema to a romantic connection. But that is, I think, a delusion to think that a marriage can be devoid of those things. And in fact, that is what a marriage ultimately is when you strip it down. It is an exchange. You know, it's making me think of people I know and what they say, like, well, we just have to get through these next few tough years. And then like as though utopia will arrive once the degree does. Exactly. And if you get through those tough years, of course, many marriages go through tough years and then they have a better period. That's wonderful. But if those tough years end up harming the connection and the intimacy, which sometimes it can, that's when they're going to be forced to talk about these questions about exchange and who owes what and who gave what and who sacrificed what. And that is when Lisa is going to realize she is owing Andy financial support. And then, of course, Andy might get financial support from Lisa. But is he going to truly feel compensated for the things he gave up? So if Lisa and Andy had followed Jeannie Gerson's rules, what would they have thought about? What conversation would they have had prior to or early on in their marriage? Well, if they had thought about this, it's possible that Lisa would have looked at the situation that I mapped out and would have thought, well, maybe it's not a good idea for Andy to give up his job that he likes. And it's better to take on loans now than to have Andy give up his career. That is a possibility. Or she might have thought, let me see if I could get a part-time job in order to defray the costs so that Andy is not entirely responsible. It's more fair, you're saying. That's the part. That, yes, we're both going to have to sacrifice, but we're going to have to sacrifice equally. That's right. And to understand what the sacrifices are, which also breeds less resentment. Ah, resentment. Yeah, resentment is like the big killer. Resentment is the big marriage killer. So let's take another couple, Emily and Deb. They live in a big city. They have two children. They both work. Emily gets a job in a small town, and they decide to move there together. And Deb quits her job to look after the children full time. Deb leaves behind an extended family, her friends, and a job that she really liked. and in that small town, Deb starts to feel isolated and lonely. And 10 years later, Deb has an affair and things fall apart. Now, the marriage mediator who would have come in before they moved and before Deb put her job might have asked them, what do your choices about childcare do to the obligations you have to each other? How do they affect your relationship? because you have to remember that there is no such thing as free child care. So, Deb and Emily, what specifically should they have talked about when planning to start a family? They might have thought about how much Deb relied on the network of family, friends, and work colleagues in terms of her general happiness and how that is precisely the kind of social context in which full-time parenthood actually works well. Maybe Emily, the one who got the job in the small town that everyone moved there for, she might have thought to herself, on the one hand, I love this new job offer. It's so exciting. On the other hand, I have to factor in what the cost is for my partner. And if Deb incurs this cost, what will be owed to her? Right? What will I owe to her? So let's go back to Lisa and Andy. Lisa had an inheritance from her grandmother before the marriage. And when they got married, they bought a home. And Lisa put that inheritance toward a down payment on that home. And then Andy, of course, worked to make the mortgage payments. and all of their premarital and marital property became joint. So in a split, what's going to happen? They're going to have to sell the house and split the proceeds or one of them can buy the other out. So this marriage mediator, if they had talked to them before all of this happened, that person would have asked, what do you want to keep separate? And what do you want to keep together? And how does that choice actually support the security of the marriage? Because you have to remember that what's yours probably will become ours unless you actually are mindful and take steps to do otherwise. I can see Lisa thinking like, this is incredibly unfair. That's right. That might seem incredibly unfair. And in Andy's mind, if a different role were to pertain, he would think, hey, I made all that money and we were able to make mortgage payments. So that it would seem unfair to him if somehow now the inheritance that went into the down payment got separated out and given to Lisa. So there is a lot of potential for strife, for resentment, and for a feeling of being aggrieved. You're sort of saying you should decide with your partner before you even get close to being in a position where the law might decide for you. That is exactly what I'm saying. Jeannie I feel I would not be doing my journalistic duty if I didn point out that not only are you a family law expert but that you are also divorced I am I am divorced And I got divorced less than 10 years ago and then I got remarried In my TED Talk, one of the lines that I quote is something that someone once told me, which is, you should always marry your second husband first. and the important thing that I draw is not that you can only meet the man of your dreams or the woman of your dreams the second time but rather that the mindfulness about what a marriage is the sacrifices that are exchanged all of those principles become more more easy to think about once one has been through a divorce and I would really like to have people not have to go through a divorce to learn those things. Jeannie Sook Gerson is a mediator and family law professor at Harvard. You can watch her full talk at TED.com. And as far as James and Joanne, they're on board with Jeannie's ideas. So do you think after all this divorce talk, you are still like excited to be married? Yeah, I think so. I think we can stick it out. Okay. On the show today, stories about heartache and how we live with it. I did not expect to be in pediatrics. I never thought that I was someone who was playful enough to be in pediatrics. But I found that I was better at it than I realized. and there was something about the innocence, the tenacity, and also the vulnerability of children that I just really wanted to be a part of. And also having the opportunity to support their parents and care for them, it just fit. This is Weiwen Sato. She's a pediatric nurse in the intensive care unit, which means she's helping the littlest patients at the toughest moments. Sometimes it feels like for a moment I am watching another person's story as I would on TV, but then I quickly realize I'm in the room with them. and in whatever time I have with them, whether it's this one shift or if I come back in future shifts as their nurse with them, that for this time, I am primarily watching their heartbreak and their story and their grief, but I am also a part of it. Wei Wen has to be there for her patients and their parents. But the heartache can feel overwhelming for her, too. There was a patient we had where the patient had drowned and was not going to pull through. And the parent was at the bedside and was just utterly devastated by the prognosis and had just collapsed to the floor when this parent realized this was not going to get better. And I felt my own sadness well up, and I allowed some tears to begin to flow, but I knew that this was primarily about the parent's grief, and it wasn't about mine, that my focus had to be on the parent and supporting them. For a pediatric critical care nurse, tragedies are part of the job. But there are joyful moments, too, when children recover. And all those ups and downs they began to wear on Wei Wen. Here she is on the TED stage. Like many of my colleagues, I went into nursing because I wanted to be a therapeutic presence for others. I envisioned the profession to be one where I lived on the highs, feeling like I was always doing something meaningful and helpful for others. I thought that the highs alone would be enough to help me cope with the intense stress and heartache that come from taking care of so many sick and sometimes dying patients. But as I rode the roller coaster of suffering with my patients and their families, I quickly understood that I was going to need something more than the intermittent feel-good moments to sustain me through the lows. There would be shifts where we thought we were on the road to recovery and the patient suddenly doesn't do well. They suddenly crash. And all of our expectations for things to go well go the other way. And it made me realize there's a lot here that I can't fix. And I didn't think this is what I signed up for. And I'm not, there was certainly a point where I didn't know what to do with that. Did you ever try to talk yourself out of it? Did you ever say to yourself, well, look, it's a job. This is the way it is. Just do your best and go home at the end of the day. Yeah, absolutely. I think there's often this sense that I clock out at the end of my shift and you know what, I just need to leave what happened behind and shift gears, go home to my family, enjoy my family. I did everything that I could. But I began to realize there wasn't an easy separation and there wasn't just a way to clock out and shut it down. And this isn't just true for me. Nurses everywhere are battling this challenge. In our times of weakness, vulnerability, and helplessness, we need nurses who have found a way to preserve meaning and commitment to their work. While many external factors contributing to burnout have been studied, I have been asking what we nurses are to do with the internal issue of grief. Not in terms of caring for others in their grief, but working through our own grief on a deeper level as we are affected by the suffering of our patients and their families. How do I endure through the lows that come with this profession? Howe Wen Sato confronted that question in just a moment. On the show today, heartache. I'm Anoush Zomorodi, and you're listening to the TED Radio Hour from NPR. Stick with us. It's the TED Radio Hour from NPR. I'm Manoush Zomorodi. On the show today, heartache. And we were just talking to pediatric nurse Weiwen Sato. She works in the intensive care unit, a place where grief and tragedy are unavoidable. Wei Wen, in your talk, you ask an important question, which is how to endure the lows that come with your profession. And I can imagine that there are lots of ways that nurses may answer that. Like some might choose another specialty or maybe even find another job altogether if it gets too much. Yeah. Others, I can only assume compartmentalize, like just push through the day, try to treat it like a job. But you decided you needed to face the grief head on. Yeah, absolutely. I can understand why people say, you can't take your patient stories home with you. If I let myself think about it, or if I let myself talk about it with other people, it's just too much. I can't do it. And I began to realize that that's just not the human experience, that the things that we do and encounter in nursing are all about the human experience. And it only makes sense that it would overflow into my thoughts in my daily life because what I see as a nurse is all about love and loss and what makes for a meaningful life when life doesn't go the way you want it to go. So what does that actually look like in practice? How did that change your behavior? Yeah, there's a patient story that will always stay with me. This patient had just already a very tragic sort of backstory that ended up landing the patient into our ICU. and while the patient was physically alive when I left work, we knew that the outcome was not going to be good and we basically were sustaining the patient physically so that family could come and say goodbye. Oh, gosh. And so the day after that shift, I was with my younger child at the playground and I saw some other moms and kids there and I was pushing my child on the swings and just began to weep quietly and couldn't really engage with the other moms because that's really awkward you know it's really awkward to be at a park and just be standing there you know with people doing normal daily things and just be crying and so I also knew that I was supposed to get together with a friend for coffee in about an hour and I was kind of a mess I was hurting and crying and so I texted her and I I took a chance and I just said you know I know we're supposed to meet for coffee I had a really heartbreaking shift yesterday and I'm just really hurting right now and so we can either reschedule at a time when I'm not feeling this as acutely or if we get together, I'm going to be pretty raw. And her reply to me was, you don't have to protect me from your grief. That astounded me because I think that especially for us nurses, we feel like we are supposed to be the ones to just carry it all. And we do. We feel like we were supposed to protect other people, that other people don't want to hear what we actually go through and what we experience. And to have somebody so generously give that space to me was phenomenal. And so we met and she sat with me and just heard me lament for my patient and for what I see at work. And curiously, that let me go on with my day and my week, I would say, much better than if I had just put on a brave face and tried to pretend, oh, work was hard yesterday. Yeah You know it making me think of how you say that grief can actually be life because I guess I surprised that it not paralyzing Like as a pediatric ICU nurse and the mother to two little girls how are you not like I don know fearful all the time for their well Yeah I do have to say it certainly an ongoing process in terms of keeping a sense of paranoia at bay for my own children. That's a real struggle that certainly hasn't gone away. But I think that I have learned to not see grief as the only voice in the room and that its voice is not 100% evil, destructive, entirely dark. It is very heavy, absolutely, but I think that it teaches us also some very, very weighty lessons and foundations that we don't get from just living lightly all the time. We tend to think that it's only happy people with perfect circumstances that can have whole lives, that can have rich lives. That's just not realistic. what makes my time with my children so meaningful? Is it that we're just happy all the time? Or is it the realization also that we are frail and that our time together means something because it's not invincible to suffering? And so, you know, even this past year, having my children in distance learning. I know what that's like. Yes. I mean, it was, you know, they've been home with me for a year and a half and they have done great. They've been very happy and I have really struggled to not take them for granted. And it has actually been the voice of grief from my work that keeps coming in and saying stop and remember what a gift this is even when they are driving you insane and I think that if I didn't have that extra voice that I I would I would take them more for granted and it's not about saying that I capitalize upon other people's suffering so that I can be a better person and I can grow. But I think that there are certain things that grief can teach us that a light life just can't. That's Weiwen Sato. She's a critical care nurse at Children's Hospital Los Angeles. You can see her full talk at TED.com. On the show today, how we can soothe our heartache. As we know, a lot of heartache starts with love. And in this next case, a love of nature. Yeah, what's the starting point? I would say once upon a time when I was a child, I spent most of my days with my grandmother. Her name was Signa. She lived in a small wooden house with my grandfather Knut, very close to the little school in our village, Gryta Stranda, at the west coast of Norway. A village where we had time to be. Not much to do, nowhere to go. This is social worker and climate advocate Knut Ivar Bjørlekaug. And I remember once I was hanging out with her in the garden. I was about six years old. And she shouted a joyful, magnetic shout to me. Knut Ivar, come here, come and look. It was late springtime, early summer. and all the flowers in the garden had started to bloom. And she said, look, look, look at the bumblebees. Look at their hind legs. Can you see the yellow? Like the little bags of yellow on their hind feet. And I looked closer and I could glimpse their little bags of pollen. And she said this to me, imagine that these creatures facilitate our lives. And I didn't quite understand it, but I could kind of feel it. And I think maybe this was my starting point to feel a deeper connection with all living beings, especially all flying creatures. But then you started noticing changes to the western coast of Norway, that place you described so lovingly where you spent time with your grandma. What did you see happening? Yeah, only during my short lifetime there's been dramatic changes. And that means decline considering bird life and some species are completely gone. And this is due to the ocean pollution industry, overfishing and climate change. It's heartbreaking to see in my short lifetime. and, of course, very frustrating that the negative trend just continues. As Knut witnessed the destruction of the land he loved so much, he also learned more about Norway's role in the oil and gas industries. Norway produces millions of barrels of oil every day for the world market. When the country's fossil fuel production took off in the 1970s, the government was flush with cash. Norway has been investing its oil wealth in its society's future since black gold first started pouring out of the North Sea in the 1970s. As of 2026, the Norwegian oil fund, as it's called, is worth more than $2 trillion. That money was made from the country's vast oil reserves and Norway's sovereign wealth fund. It made Norway one of the wealthiest countries in the world, one that could provide all its citizens with health care, a higher education and a pension. Norway's sovereign wealth fund for the benefit of current and future generations. But the fund also created what's called the Norwegian paradox. But now the Norwegians have discovered their green conscience. How can Norway be a leader in stopping climate change and make so much money off of fossil fuels? Environmentalists are not happy. The fund's investments have become a topic of heated debate. For Knut, that paradox made him feel a deep shame. About 10 years ago I had this really deep existential crisis. I went into a deep depression and I was kind of on the edge, to make a long story short. I remember that what was going on in my body was kind of the feeling of being ashamed, of being human. human, how to cope with being a part of this species that destroys so much. And especially if I think maybe that's a concern for those of us who is kind of unwillingly integrated in nations that are getting super rich on oil and gas exploiting nature. it's a very sad but um beautiful way to describe it i don't think i've heard it described that way this idea that it sort of made you disgusted with yourself the humiliation of being a human being who has contributed in some way to the destruction of our planet yeah uh so for me for a year or so I was kind of in this state and the heartbreak of the loss and nothing is getting done. I think the really important core here for me to get out of it was to see that there is still some hope. And for me, as long as there are birds, there is hope. And often we forget this, but it's there. And it's so strong. I wonder, as you went and spoke to your fellow climate activists and you talked to your clients, the people you saw as a social worker, did you hear that same sentiment from people around you in Norway? This sort of almost repulsion, this heartache that you're talking about? Especially the last five, six years, I have met many youngsters who have climate anxiety and feel a lot of despair considering the situation that we're in. One of the most important things that we kind of experience and see is that society still doesn't have the room to kind of quite understand this. And that's why it's so important that we talk about it. Knut Ivar Björlickhaug continues in his TED Talk. Understanding our emotional and physical reactions better can create the opportunity to reclaim the fact that we are a part of nature, not apart from nature. I sometimes get this question, what can we do with our ecological love and sorrow? And why should we do anything? Why should we care to continue at all if our land is lost and gone? This is a hard reality. Some get killed protecting their home and forests. The most vulnerable are being affected the most. For example, First Nation people and climate refugees. I believe we need to make room for this sorrow, this pain. To make room for our vulnerability. to make room for all the complicated feelings related to the ongoing nature and climate crisis. Because this room potentially also creates an opportunity to act. I love how you're acknowledging the heartache, you're acknowledging the grief, but saying you can hold that in your mind and you can also hold the idea that you can take action, you can keep talking about it to people, that you can do those two things at the same time. Yeah, that's right. If you survive a really deep existential crisis, and I want to say this to those of the listeners who maybe are in that state, there's always a way out. We need to reach out and try to find some social support. So we need to take one day at a time and to create that room for hope. We need to spend time outside and see that life is still going on. And when I'm trying to take care of the forest that I live next to, then I'm also taking care of myself. And I think it's really important to point out that this is not an individual task. Connect with the community that works on this issue. We need to stop the destruction. We need to cut our emissions and we need to do it now. But I also think that we need to explore our relationship with nature once again and reclaim it. That's social worker Knut Ivar Björlick Haug. You can see his full talk at TED.com. Thank you so much for listening to our show today on Soothing Heartache. To learn more about the people who were on this episode, go to ted.npr.org. And to see hundreds more TED Talks, check out ted.com or the TED app. This episode was produced by Katie Monteleone, James Delahousie, Matthew Cloutier, and Fiona Guerin. It was edited by Sanaz Meshkinpour and Rachel Faulkner. Our production staff at NPR also includes Jeff Rogers, Deba Motisham, Sylvie Douglas, and Harrison Vijay Choi. Our audio engineer is Daniel Shukin. Our theme music was written by Ramteen Arablui. Our partners at TED are Chris Anderson, Colin Helms, Anna Phelan, Michelle Quint, and Micah Eames. I'm Anoush Zomorodi, and you've been listening to the TED Radio Hour from NPR.