A smooth green stone shaped like a pancreas, lying in raked gravel circles in a Japanese zen garden, beside a cushion of moss

A fish in a zen garden: what PancreasZen means

Picture your pancreas. Most people can’t, and that’s fair. You usually find out where it is the day it goes wrong.

It’s about 6 inches long. It sits behind your stomach, up against your spine, shaped a bit like a fish: a broad head on one side, a tail tapering off toward your spleen.

That fish has 2 jobs. It makes the enzymes that digest your food, and it makes insulin and glucagon to keep your blood sugar level. On a good day it does both quietly and you never give it a thought.

When the fish thrashes

On a bad day it’s the loudest thing in your body. In pancreatitis, the organ’s own enzymes switch on too early and start digesting the gland. Mine did it in May 2023 and again in November 2025, the second time badly enough for 12 days in hospital.

I don’t recommend it.

The zen garden

A Japanese dry garden is raked gravel and a few stones. The gravel stands for water. A stone can be an island, a mountain, or a living creature, often a turtle or a carp. The whole thing is built to be looked at slowly.

That’s the picture behind the name. PancreasZen is the fish lying still in calm water. A zenned-out pancreas: fed on time, rested, in good shape.

The picture behind the name, 20 seconds. Sound on for the singing bowls.

Raking the gravel

Calm has a physical side for this organ. Your nervous system has a “rest and digest” mode, and it only fully switches on when you’re relaxed. Eat stressed, standing at the counter answering email, and your body pulls blood away from the gut and turns enzyme output down. Same plate. On the days I rush, I digest it worse.

My raking is ordinary stuff. 5 small meals at fixed times, low in fat because that’s what my gut tolerates. A small snack between 10 and 10:30 PM, then sleep. Meals eaten sitting down, phone in another room. And I dropped the 60 to 70 hour work weeks, which was harder than the diet.

To be clear, meditation doesn’t cure pancreatitis, and I’d be wary of anyone who sells it that way. Calm gives the fish a quieter pond, that’s all.

My fish isn’t fully zen yet. Most days it’s lying still.

If you want the whole system, it’s in the book. The free community is where patients swap what works.

Stepan

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