Hey TED Talks Daily Listeners, it's Elise.
Thank you for making this show part of your daily routine.
We really appreciate it and we want to make it even better for you.
So we put together a quick survey and we'd love to hear your thoughts.
It's listener survey time.
It only takes a few minutes, but it really helps us shape the show and get to know you, our listeners, so much better.
Head to the episode description to find the link to the listener survey.
We would really appreciate you doing it.
Thank you so much for taking the time to help the show.
You're listening to TED Talks Daily, where we bring you new ideas and conversations to spark your curiosity every day.
I'm your host, Elise Hughes.
TED Intersections is back for a second season.
This original series features unscripted conversations between TED speakers and experts taking on at the intersection of their expertise.
In today's conversation, Naveed Madhavian, a New Yorker cartoonist and writer, sits down with physician Amy Baxter to answer the question, how do you navigate pain?
You'll be amazed by the connections they make between telling stories on paper, treating physical pain, and how the act of healing manifests in unexpected ways.
That's up next. You buy a pair of socks, that's two socks.
You buy a pair of Bombas socks, that's four socks.
Because one purchased is one donated.
Socks are the number one most requested clothing item in homeless shelters.
So when you buy a pair of super comfortable Bombas socks, you're also donating a pair.
Bombas customers have powered over 150 million donations.
So Bombas would like to thank you 150 million times.
But we only have like 30 seconds.
Go to bombus .com .acast and use code ACAST for 20 % off your first purchase.
That's B -O -M -B -A -S dot com slash ACAST and use code ACAST at checkout.
This episode is sponsored by Lumen.
Your metabolism is like your body's engine.
It powers everything you do, from how you move to how you feel.
And when it's running smoothly, you feel the difference.
More energy, better sleep, improved recovery.
Lumen is the world's first handheld metabolic coach that helps you understand what your is burning, fats or carbs, just by breathing into it each morning.
Then the app gives you daily nutrition guidance, personalized to your body's needs.
This summer, stay in sync with your metabolism and feel your best. Whether you're active, resting, or anything in between.
The warmer months are coming!
Spring back into your health and fitness.
Go to lumen .me slash Ted to get 10 % off your lumen.
That's L -U -M -E -N dot M -E slash Ted for 10 % off your purchase.
Thank you Lumen for sponsoring this episode.
This episode is sponsored by SimpliSafe.
If you're thinking about upgrading your home security, I cannot recommend SimpliSafe enough.
I've been using it and their new ActiveGuard outdoor protection is seriously next -level.
AI -powered cameras, plus real -life agents keeping an eye on things outside before anything bad happens.
It's not just reacting after the fact.
if someone's lurking, SimpliSafe steps in.
Agents can talk to them, flip on spotlights, even call the police.
It's like having an extra set of eyes watching over your home.
For me, it's become a nightly ritual setting the system before bed and knowing everything's protected.
Total peace of mind.
You can get 50 % off your new SimpliSafe system with professional monitoring and your first month free at SimpliSafe .com Ted Talks daily.
That's daily. There's no safe like SimpliSafe.
Every artist will say their medium is the highest art form but they're wrong because cartooning is the highest art form because you can say so much with so little and with just like a few lines you can express happiness and smugness and sadness because every time I am drawing something, I mean I find that I'm recreating the cartoon on my face like I'm trying I'm expressing it on my face Exactly contouring my face as I'm drawing in and there's constant like the erasing and until I get that expression.
One of the things I like about it and being here at TED next is the intersections between, like when I was asked to sit down with you, or I was like be talking to a doctor.
I don't know. Like I don't know what I'm going to be talking about.
But then as I started thinking about it, like realizing that there were those overlaps.
I think that's one of the things that the people I've met are really good at is finding threads and then sort of pulling them until you both come to the place where you're together.
One thing I thought was interesting about our intersection is that I, most of my life and my scientific work has been kind of in chunks.
You know, it's like I get interested in this thing, and I do the thing, and I publish the paper, whatever, and then I move on to the next chunk.
And I wondered, when you make a book, or when you even make one cartoon, does that exercise whatever, either demon is pushing you, or whatever creative nugget?
Or do you still keep a thread that goes through all of them?
I was gonna make a joke about the demon, where it makes it sound much more dramatic, but I think the demon is this desire to be liked, for people to laugh at what I'm doing.
but the book and the cartoons are really different because the cartoons, you just like, you're just doing one after another and you just kind of like turn them out, you find something that's funny and then they're inevitably going to be rejected at the end of the week after I've submitted and then you just move on where the book is a much larger project.
And uh, so the book that I wrote, this country searching for home in very rural America, I mean that was a project that from its inception to publication was about three years, which is a very different process, than the cartoon that, you know, I think of something funny about dog butts, draw it, send it out, and then just move on to the next cartoon idea.
But I don't know if there's ever this exercising or like reaching a point of completion, like the book was finished.
But even in the process of drawing it, there's the like getting the 10 ,000 hours in where the beginning of the book to the end of the book, comparing it the drawing, like style at the end is better.
And I've spoken to other artists about this, the frustration that when you're working on something long where, like you are just always getting better at what you're doing because it's a craft. And then wanting to go back and I like, I wish I could go back and redraw those, but then inevitably, then that would look better than the end.
And I feel like that process is just, it's a constant.
And so maybe that's the theme and it's just the never being satisfied with what you're doing here.
Interesting, so it's the craft, it's not the idea or the nidus of it, It's really more the execution of it.
Yeah, well then there are the idea, so most of the work that I've been doing in the past couple of years since I finished the book, I went from the single gag cartoons to comics that are about me and like the memoir, and so using myself as a starting point to explore things that in that moment are interesting, but there are, I think they fit into, there are themes and genres, And so I think I'm just exploring those through these little nuggets.
And so I don't know if that exploration is ever...
So there's the craft and then there is the idea and I'm exploring the idea while refining the craft and then figuring out new ways to explore those ideas.
So you... and I'll let you ask questions too, but you have moved to a lot of different places.
And one thing I find about being in foreign countries, whether it's in your own country or just difference, I think that we know who we are because the banks of our river are made up by the things and the people that keep us in place.
And so when you leave those and you no longer have your banks, it can be very destabilizing.
How do you get adjusted to a new environment and are there things you do better each time or things that are always disorienting?
Yeah, so I think in the past, I have a five -year -old daughter and I think within the first four years of her life, she lived in four different cities and two countries and I think we always say kids are really resilient but then I think we're really resilient but I don't know if that process does get easier and I think that there's always the destabilizing and then they always and I think like as you get older it becomes harder to make friends and like you have the certain things that are anchoring but one of the questions that I explore in my book is what is home so it's like searching for home
in very rural America.
But I think that that's just like what we're constantly doing no matter where we are.
And I think we have like those, the concentric circles where, you know, you have like your immediate home, like your house and then you have like your, your yard and your wider community.
And I think that moving you have, there's like that inner ring and then the outer rings are the things that are constantly changing.
And sometimes you're not able to find that stabilizing force.
So like when I moved to rural Idaho, I tried finding like that expand in circles, those outer circles, they never really felt stabilizing, and so then there was the decision then to move, and so now I'm living in a new place, and hopefully, you know, find that, yeah.
Yeah, we used to think that, you know, happy people can be happy anywhere, and then we we went to Dallas, and it was really interesting because the values of the people around us were so different, it really was hard to trust and feel common ground.
And it turned out it was much more what mattered to people that made us feel comfortable.
Not even activities or educational level or any of those things, although they helped, but what made much more of a difference was the why of the people.
I mean, what about for you?
What is it like as you know, you've developed like physical products, you've, I mean, I really want to talk about your, the bar system, but what is it like for you as you are developing these?
And then I mean, is there the moving on excising?
So the thing you're referring to my first grant was to make a scale for nausea and I had the idea sitting at my desk.
I'd been working with pain for so long, and so I had all of these pain scales and, you know, which pain scale has better psychometrics and is valid, and I thought, you know, it would be great as if we had a scale for barfing and then the last face could be this, blowing chunks face, and I thought that...so that made me chuckle.
And so then I thought, you know, actually, it's worse for many people to be nauseated than it is to feel pain, so I had my brother who's a computer programmer make a Python program, and we had Luke Conrad, who's a cartoonist, draw a whole bunch of different faces that represented the six basic ...
Ekman calls them the six discussed ...
six universal faces, or six universal emotions.
So we represent ...
And I've read all this stuff about nausea on spacecrafts.
Anyway, so we figured out which parts of a face on a cartoon made someone feel like that person had nausea.
You know, was it sweat coming out?
Was it a trembling lip?
Was it feeling dizzy?
What was it? And so, we made all of those things together, and then we had 120 faces, and we just morphed them.
So it was like a little animation of this, you know, neutral face going, ahh, chunks, and that.
And so, the nurses would figure out where they thought each of the different intermediate places was.
But the things that I'm most proud about the bar scale are that it's been translated in three languages for kids with cancer, and validated in those languages.
It is that - Do they keep the acronym BARF in the different languages?
That's a great question, I don't know.
I think they do, cause I don't think they realize that the acronym stands for Baxter Animated Wretching Faces Scale.
But the only reason I had to have an acronym was because the journal I wanted to get into was too high brow to use the word BARF.
And so I snuck it in but I was like, No, no, no, no, this is the name of the creators.
This is…it came from an animation of cartoons, that's why we have to keep this name.
So I got the name barf and also there's a little monster hidden in the last face.
It's got a very dear place in my heart but despite this whole heroes journey spiral concept, once I was done with it I wasn't interested in researching nausea anymore.
I did my thing. Other people can use it.
I'm onto my next thing.
I got so much grief from the doctor who had mentored me through it because he was like, I was like, pain is dead, pain we've got it taken care of, nausea is the next frontier.
And I was like, oh yeah, but I'm more interested in pain.
So I'm done with that part.
So when I get something done, I'm much more interested in going onto the next thing and I may bring pieces with me, but it's no longer interesting.
As you were talking about the development of the scale, as a cartoonist, I was getting excited.
And that was the thing that I was most excited to talk to you about, because I was like, oh, what an interesting overlap.
Something I talk about in my TED Talk is the power of cartoons and why every artist will say their medium is the highest art form, but they're wrong because cartooning is the highest art form.
Because you can say so much with so little, and with just a few lines you can express happiness and smugness and sadness.
And so as you were talking about developing, like finding what the neutral is to the barfing, But then all those in the middle like I didn't know like you said that there was the somebody developed the different faces And yeah Which I mean as a cartoonist, I would have loved to have known because every time I am drawing something I mean, I find that I'm recreating the cartoon on my face Like I'm trying I'm expressing and on my face exactly Contouring my face as I'm drawing and then there's constant like the erasing and until I get that expression Right, and so I'm constantly recreating that in it
And so hearing the process like how did you settle on these are the six?
And that's the thing is we had the essences of the emotions.
So we had the essence of disgust, the essence of sweating, the essence of feeling nauseous and concerned.
And then once those faces looked good, then everything morphed from a computer standpoint until it was incremental.
And then we had real people, nurses gauge where on that spectrum they thought 20%, 40%, 60%, 80 % was, but it's interesting what you say because I think that we've just got back from going to a bunch of different Picasso museums in a row, and so the time where he backed off from expressing everything in a face to expressing an eyebrow and a nose with one arc and finding what the most distilled essence is And I think that that is a really interesting part about cartooning.
Yeah and that's what makes it so powerful.
It's that distillation of what are complex emotions but into just a few lines.
And we're immediately able to recognize those emotions through those lines.
Do you know if that transcends cultures?
I mean, it's the phenomenon of face pareidolia where we see faces in inanimate objects.
Oh, that's cool. What's that word again?
Now that's name. Pareidolia.
Okay. I should know this, I was a classics major, the Greek for it.
But yeah, I mean, we it's, I don't know the...
I mean there's something evolutionary about it but that we see faces in like sort of happy, like the front of a car will see a smiley face or whatever, we see faces everywhere and so I think that the ability to recognize a smiley face as a smiley face is whatever that.
It's hardwired. It makes it because developmentally for children, they are only able to see black and white early on, but one of the reasons why you actually can tell autism very, very early is because they're not making the eye contact, or they're not seeing the face shapes, that's not where their attention is.
And as kids get older, 18 months, their attention is not at the interaction between people, their attention is at a spot on the distance, or a tree, or something like that.
So for most people, I think you're right, it's universal, and it probably is part of that hard -wiring in for how we're born.
Things that we made also overlap on, pain is interestingly very cultural.
It is very different in different cultures.
It go on. It go on, well, yeah, so there are different cultures where letting it out is more what you're supposed to do.
So there are. The culture of my parents' household.
Yeah, cultural, so it is much more permissible to not be stoic.
it is much more permissible just to really lean into how you're feeling or letting people know.
And then there are cultures that are very stoic and male and female feel pain differently.
So it's interesting to me that cartooning or that expressions could be so symmetric amongst different cultures when one of the most basic self protection techniques we have is actually represented in very different ways in different cultures.
Yeah. Which also, I mean, I've, I, I thought about this after having, um, my daughter where the ways that we, even within like American culture, the way that we express happiness or sadness, the sort of smiley face, the up and the down, like we don't actually frown, but we recognize that frown as being sad.
But then I saw with my daughter when she was a toddler, she actually would frown and she actually would.
So there was something that was much more representative of our pictorial representations of happiness, and sadness and whatever else in her face.
And for whatever reason, like adults don't do that anymore.
And I wondered if, are all kids like that?
At what point do we lose that?
Because she would definitely frown.
They have a full on power?
It's exactly the full on power, but we don't actually see adults often with the downturn, it's usually like the comical, like the expression of that, but not actually because, I think, with our expressions and our feelings and how we express them, I mean, often, it's not really in the face that we're representing how we're feeling, right?
It's what makes it so difficult to know, like, you're speaking to somebody, like how are they actually feeling?
Because we can mask it so well where little kids, they don't do that.
Nor do people with visual impairments.
my son doesn't... has a visual impairment, and so he has often a resting superiority face, or a resting...
hungry. I mean it doesn't...
many things will come across his face that he doesn't hide.
It is also, getting back to the genetic hardwiring ideas, this concept that if you make yourself smile, even holding...
It's like, if you actually— Holding a pencil in between—yeah, that it becomes so engrained in such a repetitive thing that you will feel happier, you'll feel more joyful.
And so I wonder if we also negatively reinforce ourselves and don't frown because it does make us feel worse.
Oh, that's interesting.
I don't know. When you're drawing something that is about your own family or about something that's very personal to you, and grief.
How does that change how you approach drawing it?
So I wrote a piece about the...
The first piece. I've done a couple of pieces related to grief.
One about accompanying my dad to dialysis for the first time.
And another about my grandmother the last time I got to see her before she, she passed.
And in each of those, I mean, they, like, grief is complicated.
So my approach to both of them was to try to take something big and to make it simple.
And I did that by focusing on certain things.
So one was going to dialysis with my dad.
He's slowly dying of Kidney failure and then for my grandmother was focusing on her hands One of my earliest memories is of her hands and I think that When we're trying to dodge grief like not deal with our grief we tend to caricature the person that we've lost and cartoonings allowed me to like focus on certain details, which then I think opens up into like this complex person and to my complicated relationship with them.
So like with my grandmother, like focusing on her hands was just this like focal point and cause there's so much that I could have written about her, but like focusing on that allowed me to sort of explore certain memories that were related to that and to also keep it in this very personal realm, because my grandmother's not here.
So I'm like, in some ways like speaking for her and on her behalf, but keeping it firmly rooted in my experience of her.
That makes sense. Did coning it down make it easier to handle?
Totally because particularly with comics, I tend to think of it as like, I have like the these number of panels in order to express this very big experience.
And so that allowed me to, yeah, I guess just to focus in on this one specific thing and this expression of my love for my grandmother, because otherwise, there's just so much that you could explore.
Yeah, it's interesting that that's really one of the best ways, the people who get through pain and don't have pain later in life, is because they learn how to only focus on one thing, that meditation teaches you how to not pay attention to extraneous things, and so to be able to just focus on hands or just focus on a rock or a breath is partially allowing you to let go of all the pain externally, and it's both physical as well as mental.
So, if you're in one place that you can control, that filter is healing and liberating and safety.
So what you're saying is I dealt with my grief in the correct way.
I think it's just interesting that it's analogous to the way we deal with physical pain.
And so what you did was a visual embodiment of the same techniques that are helpful for dealing with physical pain, and I don't think there's a correct or a right or a wrong.
It's just interesting that both of them are effective.
That's probably what's important for everyone dealing with grief, is finding what works for you, and hearing about other people's mechanisms for dealing with pain or grief or anything helps you figure out which one does work for you.
I don't think there's right or wrong for any of it.
So you're using vibration to deal with pain.
What is the hardest part of that?
I think the hardest part is having people worrying that people are going to laugh at me when I'm talking about vibration or vibrators, or not taking it seriously.
I think that probably, for me, the worst thing is not being respected, is being dismissed.
I think it's feeling marginalized.
And so, because what we're doing is very specific with different frequencies, it's really easy for someone to say, oh, well that's distraction, or oh, that's, you know, or, you're dealing with vibrators.
And so I think the hardest part for me has been trying to not get my emotions in the way or my fear of rejection or fear of not being taken seriously because we're working with a different kind of physics and it can be so easily reduced.
Kind of like your work is so artistic and so deep and emotional and then people say, oh, but you're making cartoons.
My little doodles, as people love to say.
Oh, nice. Love your little doodles.
Yeah. died and that was the best it was so cute yeah so another commonality the fear of rejection and not being taken seriously yeah yeah so much in common yeah thank you for having this conversation I'm really happy that we were able to that you were able to inject into the conversation what was it barf and vibrators there's so many good things yeah I I think that this is actually the best part of this space for intellectual discourse is when you can find a commonality with things that seem so completely different and then open up these connections because one thing about innovation is that you're
never going to innovate if you're only talking to people and you're in space.
So really, the only way you can make huge leaps is by having a great conversation with someone who's in an arena and a discipline that you would not normally talk to.
So this has been really great.
I appreciate your having the time to talk to me.
Thanks for talking to me.
That was a conversation between Navid Madavian and Amy Baxter for our original series, TED Intersections.
Visit TED .com to watch this conversation and others from the series.
If you're curious about TED's curation, find out more at TED .com slash Curation Guidelines.
And that's it for today's show.
TED Talks Daily is part of the TED audio collective.
This episode was produced and edited by our team, Martha Estefanos, Oliver Friedman, Bryan Green, Lucy Little, Alejandra Salazar, and Tonseka Syarmarnivon.
It was mixed by Christopher Fazie -Bogen.
Additional support from Emma Tobner, and Daniela Balarrizo.
I'm Elise Hu. I'll be back tomorrow with a fresh idea for your feed.
Thanks for listening.
Hi, I'm Christen Bell.
Carvana makes car buying easy.
Isn't that right, hun?
Dax? Dax? Sorry. Did you know about this seven -day money -back guarantee?
A week to evaluate seat comfiness, you say?
A week of terrain tests?
Yeah, I can test the brake pad resistance at variable speeds.
Make sure all the kids' stuff fits nicely?
Make sure our stuff fits nicely.
Oh, the... Right. Still need to buy the car.
getting ahead of ourselves here.
Buy your car with Karvana today.
This is Paige DeSorbo, the co -host of Giggly Squad.
I have exciting news.
McDonald's has all new McCrispy strips.
It's chicken made for dipping, tender juicy white meat chicken with a golden brown peppery breading.
It's chicken so good it deserves its own sauce.
The creamy chili McCrispy strip dip, a sauce that's creamy, savory, and sweet with a little heat.
But it works with any of our sauces.
I'm personally a barbecue sauce girl even sometimes I like ketchup I'm just like basic sometimes but I also need it in addition to any new sauces I'm trying.
with a new creamy chili Mc crispy strip dip it's chicken made for dipping only at McDonald's.
hey it's Paige from giggly squad let's talk about an elite green flag being a cat dad temptations America's number one cat treat brand is making 2025 the year of the cat dad and honestly about time whether he's coordinating snack time with the Meow schedule or just vibing with his tabby, Temptation Treats make cat dads even more irresistible to their cats and to us.
For more information about Temptation's brand Cat Dads or to learn more about the brand, visit TemptationTreats .com and don't forget to share your own hashtag cat dad sightings on social, we'll be scrolling.