Cedar Valley News
Fictorial Number 418 · September 19, 2026
A Fist You Cannot Open
By Aisha Khalid
A man came to me years ago in a pain I could not touch, because the part of him which hurt was not there.
He had lost his right hand, long before, in an accident. And ever since, the hand he no longer had was clenched. Not resting. Clenched, hard, into a fist, the fingernails digging into a palm which did not exist, the whole of it cramping, hour after hour, day after day, for years. It is called phantom limb pain, and most people who lose a limb feel some version of it, the missing thing still there, still theirs, and very often still hurting.
I want to say one thing plainly, because people who suffer this are told it too rarely. The pain is real. It is not imagined, or invented, or in the head in the dismissive way we sometimes mean those words. It is genuine, measurable pain. It simply happens to be pain in a hand which is gone.
Here is why, as best we understand it. Your brain carries a map of your body, a complete picture of every part of you, and it works from the map, not from the flesh directly. When a hand is amputated, the map does not get the news. It goes on holding a picture of a hand, and if, in the picture, the hand is clenched, the brain has no way to receive the signal that it has opened, because there is no hand left to send it. And so, it holds the fist closed. And the person feels every second of it.
For most of human history, there was simply nothing to be done about it. And then, in the 1990s, a neuroscientist named V. S. Ramachandran did one of the most elegant things I know of in all of medicine. He did not operate. He did not medicate. He built a box with a mirror in it.
He had the patient rest their good hand against the mirror, so its reflection appeared exactly where the lost hand should be. The patient looked into the glass, and saw two hands. Both of them, whole and well. And then he asked them to open both hands at once. The real one opened. And in the mirror, the brain watched the lost hand open too.
And the fist, the phantom fist clenched in agony for years upon years, slowly let go.
Not for everyone. It does not work for everyone, and I would never pretend it does. But for many, the pain no drug had touched simply drained away, because the brain had at last been shown the picture it needed. He healed a real pain, not by mending the body, which could not be mended, but by gently changing the picture the mind was holding.
I have thought about the mirror for a very long time.
Because I do not think it is only hands. I think a great many of us walk around with a fist clenched somewhere the world cannot see. A grief the mind will not set down. A wound from someone long gone which it keeps, faithfully, freshly open. A fear of a danger which passed years ago and never once came back. The thing which hurt us is gone, truly gone, and still the mind holds its picture, clenched, and we feel every second of it, and we are told, unhelpfully, to simply let it go.
But you cannot just let go of a fist you cannot feel yourself making. I know this. What Ramachandran’s little mirror says, gently, is something kinder and truer. The pain is real. And the way out is not to force the hand open, or to shame it for being closed, but to find some way, patient and slow and kind, to show the mind a new picture. To let it see, at last, the hand it has been guarding held open, and safe, and free.
So here is my quiet question for you this morning.
What are you still holding clenched, long after the thing which hurt you is gone?
And what would it take, what small and merciful mirror, to let your mind finally see it open?
Cedar Valley News is free, and it comes to your inbox every morning, six days a week. If this morning’s fictorial was worth your time, please forward it to someone who would value it. And if someone forwarded it to you and you’d like your own each morning, you can subscribe here.
Cedar Valley News has a Letters to the Editor page, and I would be glad to hear from you. What are you still holding clenched, long after the thing which hurt you is gone? Write to us. And if we have gotten something wrong, write and tell us, and we will run the correction.
This fictorial is part of the fictional Cedar Valley News series, written by Evan Swensen, Publisher, and Claude Marshall, AI Developmental Editor. While Aisha and her patients are fictional, the science is real. Most people who lose a limb, roughly 60 to 80 percent, experience phantom limb sensations, and many experience genuine phantom limb pain, sometimes felt as the missing hand clenched painfully shut. In the 1990s, the neuroscientist V. S. Ramachandran introduced mirror therapy: a mirror box which reflects the intact limb so the brain perceives the missing one as restored, and moving the intact limb can appear to move the phantom, easing the pain by updating the brain’s internal body map. Mirror therapy has become a recognized, non-invasive treatment, though it does not relieve phantom pain for everyone. This piece is a reflection, not medical advice. Sources include V. S. Ramachandran’s research and clinical literature on phantom limb pain and mirror therapy.
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This is Publication Consultants’ motivation for constantly striving to assist authors sell and market their books. Author Campaign Method (ACM) of sales and marketing is Publication Consultants’ plan to accomplish this so that our authors’ books have a reasonable opportunity for success. We know the difference between motion and direction. ACM is direction! ACM is the process for authorpreneurs who are serious about bringing their books to market. ACM is a boon for them.
Release Party
Web Presence
Book Signings
Facebook Profile and Facebook Page
Active Social Media Participation
Ebook Cards
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Costco Book Signings
eBook Cards

Benjamin Franklin Award
Jim Misko Book Signing at Barnes and Noble
Cortex is for serious authors and will probably not be of interest to hobbyists. We recorded our Cortex training and information meeting. If you’re a serious author, and did not attend the meeting, and would like to review the training information, kindly let us know. Authors are required to have a Facebook author page to use Cortex.
Correction:
This is Publication Consultants’ motivation for constantly striving to assist authors sell and market their books. ACM is Publication Consultants’ plan to accomplish this so that our authors’ books have a reasonable opportunity for success. We know the difference between motion and direction. ACM is direction! ACM is the process for authors who are serious about bringing their books to market. ACM is a boon for serious authors, but a burden for hobbyist. We don’t recommend ACM for hobbyists.

We’re the only publisher we know of that provides authors with book signing opportunities. Book signing are appropriate for hobbyist and essential for serious authors. To schedule a book signing kindly go to our website, <
We hear authors complain about all the personal stuff on Facebook. Most of these complaints are because the author doesn’t understand the difference difference between a Facebook profile and a Facebook page. Simply put, a profile is for personal things for friends and family; a page is for business. If your book is just a hobby, then it’s fine to have only a Facebook profile and make your posts for friends and family; however, if you’re serious about your writing, and it’s a business with you, or you want it to be business, then you need a Facebook page as an author. It’s simple to tell if it’s a page or a profile. A profile shows how many friends and a page shows how many likes. Here’s a link <> to a straight forward description on how to set up your author Facebook page.



Mosquito Books has a new location in the Anchorage international airport and is available for signings with 21 days notice. Jim Misko had a signing there yesterday. His signing report included these words, “Had the best day ever at the airport . . ..”



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