I’ve learned that no matter what happens, or how bad it seems today, life does go on, and it will be better tomorrow.

I’ve learned that you can tell a lot about a person by the way he/she handles these three things: a rainy day, lost luggage, and tangled Christmas tree lights.

I’ve learned that regardless of your relationship with your parents, you’ll miss them when they’re gone from your life.

I’ve learned that making a ‘living’ is not the same thing as making a ‘life.’

I’ve learned that life sometimes gives you a second chance.

I’ve learned that you shouldn’t go through life with a catcher’s mitt on both hands; you need to be able to throw something back.

I’ve learned that whenever I decide something with an open heart, I usually make the right decision.

I’ve learned that even when I have pains, I don’t have to be one.

I’ve learned that every day you should reach out and touch someone. People love a warm hug, or just a friendly pat on the back.

I’ve learned that I still have a lot to learn.

I’ve learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel.
~Maya Angelou

…think of all the things you’ve learned over the years—
the hard and the holy,
the mysteries that will always remain mysterious,
the clean edges of truth,
the soft edges of every kindness given or received,
the way trouble and wonder will continue to show up, sometimes leaving us beached and breathless with uncontainable joy or unutterable sorrow.
I think of all the times I was knocked to my knees by a beautiful and brilliant flash of the completely obvious.
~Carrie Newcomer from A Gathering of Spirits

I learned from my mother how to love
the living, to have plenty of vases on hand
in case you have to rush to the hospital
with peonies cut from the lawn, black ants
still stuck to the buds. I learned to save jars
large enough to hold fruit salad for a whole
grieving household, to cube home-canned pears
and peaches, to slice through maroon grape skins
and flick out the sexual seeds with a knife point.
I learned to attend viewings even if I didn’t know
the deceased, to press the moist hands
of the living, to look in their eyes and offer
sympathy, as though I understood loss even then.
I learned that whatever we say means nothing,
what anyone will remember is that we came.
I learned to believe I had the power to ease
awful pains materially like an angel.
Like a doctor, I learned to create
from another’s suffering my own usefulness, and once
you know how to do this, you can never refuse.
To every house you enter, you must offer
healing: a chocolate cake you baked yourself,
the blessing of your voice, your chaste touch.
~Julie Kasdorf– “What I Learned from my Mother”

Five years ago today, I wrapped up 45 years of uninterrupted medical training and doctoring.

Even while bearing three children and going through a few surgeries myself, I was not away from patient care for more than twenty consecutive days at any one time. This was primarily out of my concern that, even after a few weeks, I would forget all that I’d ever known.

Indeed, half of what I learned in medical school and residency nearly fifty years ago has evolved, thanks to new discoveries and clarifying research. I worried if I actually stepped away from doctoring for an extended time, then return to see patients again, I would be masquerading as a physician rather than be the real thing.

I couldn’t fathom a day when I could actually investigate a medical dilemma by typing a few words in a search engine on a computer screen. Instead, I researched through opening my encyclopedic collection of reference textbooks along with huge notebooks of “Scientific American Updates,” a monthly process of throwing out old articles to be replaced by newly discovered data. That is how I kept learning before the computer replaced books and pen and paper…

If being truly honest, even now, those who spend their professional lives providing medical care to others always share this concern: if a patient only knew how much we don’t know and will never know, despite everything we DO know, there would really be no trust left for us at all.

With so much rapidly changing medical information at everyone’s fingertips and computer screens, who needs a trained physician when there are so many other resources – many sketchy and opportunistic – for seeking health care advice?

Yet, I am convinced most patients really do want doctors to share the best information they have available at any point in time rather than rely on the latest internet algorithm and so-called “experts.”

I know over forty years of clinical experience gave me an eye and an ear for the subtle signs and symptoms that no googled website or AI app or virtual doc-in-the-box can discern: the avoidance of eye contact, the tremble of the lip as they spoke, the barely palpable rash, the hardly discernible extra heart sound, the fullness over an ovary, the slight squeak in a lung base. These are things I was privileged to see and hear, about which I made decisions together with my patients. 

The work I did over four decades was a reflection of a continual learning process; out of my natural caution, I was honest when I didn’t know what the diagnosis was, nor the best treatment, but committed to doing my best to find out.

Continual learning – what I was trained to do for thousands of days and many more thousands of patients during my professional life, while passing a comprehensive certification examination every few years to prove my study and changing fund of knowledge.

Since retiring, the help I offer no longer means writing a prescription for a medication, or performing a minor surgery. I have to simply offer up me for what it’s worth, without a stethoscope.

Now I aim to be the best mom and grandma and friend I can be.
I can press my hand into another’s, hug when needed, smile and listen and nod and sometimes weep when someone has something they need to say. No advanced degree or certification required.

Someday, hopefully not too soon, I will die happy knowing I chose this with my life: still learning and still caring.