Is There a Cure?

“Peasant women digging potatoes” Van Gogh 1885 Kröller-Müller Museum The Netherlands

“Do you know a cure for me?”
“Why yes,” he said, “I know a cure for everything. Salt water.”
“Salt water?” I asked him.
“Yes,” he said, “in one way or the other. Sweat, or tears, or the salt sea.”
~Isak Dinesen from Seven Gothic Tales

A good night sleep, or a ten minute bawl, or a pint of chocolate ice cream, or all three together, is good medicine.
~Ray Bradbury from Dandelion Wine

The woods are lovely, dark and deep,   
But I have promises to keep,   
And miles to go before I sleep,   
And miles to go before I sleep.
~Robert Frost from “Stopping by Woods on a Snowy Evening”

If there is anything I learned in 42 years of doctoring, it’s that physicians “practice” every day in the pursuit of getting it right. As much as MDs emphasize the science of what we do through “evidence-based” decision-making, there were still days when a fair amount of educated guessing and a gut feeling was based on past experience, along with my best hunch. 

Many patients don’t arrive with classic cookbook symptoms that fit the standardized diagnostic and treatment algorithms. The nuances of their stories require interpretation, discernment, and flexibility. A surprise once in awhile made me look at a patient in a new or unexpected way and taught me something I didn’t know before. It kept me coming back with more questions, to figure out the mystery and dig a little deeper.

I also learned that though much medical treatment comes through some intervention using surgical procedures, pills or injections, those aren’t the only options in our doctor bag.

A simple good night’s sleep can do wonders for what ails a mind and body, especially when we’ve kept our promises.

At times the most appropriate cure is simple salt water in all its forms – just feeling ocean waves lapping at our feet, or sweating it out with exertion, or feeling the flow of tears down our cheeks.

How many of us allow ourselves a good cry when we feel it welling up behind our eyes?  It could be a sentimental moment–a song that brings back bittersweet memories, a movie that touches just the right chord of feeling and connection. It may be a moment of frustration and anger when nothing seems to go right. It could be the pain of physical illness or injury or emotional turmoil. 

Or just maybe there is weeping when everything is absolutely perfect and there cannot be another moment just like it, so it is tough to let it go without our tears spilling over.

And lastly, aside from the obvious curative properties of salt water, the healing found in chocolate is unquestioned by this physician. It can fix most everything that ails a person – at least for an hour or so.

It doesn’t always take an M.D. degree to determine the best medicine. It just takes a degree in common sense.

Healing tools to consider when all else fails: 
sleep, weep, keep ( promises), and reap (chocolate!)

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Still Open for Business

Astonishing material and revelation appear in our lives all the time. Let it be.
Unto us, so much is given.
We just have to be open for business.
~Anne Lamott from Help Thanks Wow: Three Essential Prayers

It was my privilege to work in a profession where astonishment and revelation awaited me behind each exam room door.

During an average clinic day, I opened those doors 36 times, then close them behind me and settle in for the ten or fifteen minutes allocated per patient. I needed to peel through the layers of a problem quickly to find the core of truth about why a patient was seeking help.

Sometimes what I was looking for was right on the surface: a bad cough, a swollen ankle, a bad laceration, but also easily were their tears, their pain, their fear. Most of the time, the reason was buried deep and I needed to wade through the rashes and sore throats and headaches to find it.

Once in a while, I could actually do something tangible to help right then and there — sew up the cut, lance the boil, splint the fracture, restore hearing by removing a plug of wax from an ear canal.

Often I simply gave permission to a patient to be sick — to allow themselves time to renew, rest and trust their bodies to know what is needed to heal well.

Sometimes, I was the coach pushing them to stop living “sick” — to stop self-medicating when life is challenging, to stretch even when it hurts, to strive to overcome the overwhelm.

Always I was looking for an opening to say something a patient may consider later — how they might make different choices, how they could be bolder and braver in their self care and care for others, how every day is a thread in the larger tapestry of their one precious life.

At night I took calls and each morning woke early to get online work done, trying to avoid feeling unprepared and inadequate to the volume of tasks heaped upon the day. I know I was frequently stretched beyond my capacity, stressed by administrative pressures and obstacles I faced in providing the best care.

I understood trials my patients were facing because I had faced them too. I shared their worry, their fears and vulnerabilities because I had lived through it too.

Even now, I try to simply let it be, especially through troubled times, when I have been gifted so much over the years. So my own experience is a gift I can still share here, even in retirement.

I’ll never forget: no matter who waited behind the exam room door, they never failed to be astonishing and revelatory to me, professionally and personally.

I’m so grateful I was open for business for 42 years.
I don’t see patients in an exam room any longer.
This Doctor is In, writing every day, with friendly advice.
Let it be so.

Peanuts comic by Charles Schulz

What is it You see
What do I possess
Oh how could it be
I should be so blessed

I am nothing much
Neither saint nor queen
I am just a girl
And You are everything

But if You ask
Let it be so
Let it be so
and if You will
Let it be so

I am so afraid
Of this great unknown
They may turn away
I may be all alone

My life is so small
so small a price to pay
to see my savior come
and take my sin away

I will bear their scorn
I will wear the shame
All things for the good
All things in Your name

Father be my strength
Shepherd hold my hand
Open wide my heart
to welcome who is there
~Sarah Hart

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