Good Medicine

photo by Josh Scholten
photo by Josh Scholten

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

If there is anything I’ve learned in 35 years of my medical career, it’s that I still must “practice” my art every day.  As much as we physicians emphasize the science of what we do, utilizing “evidence based” decisions, there are still days when a fair amount of educated guessing and a gut feeling is based on my past experience, along with my best hunch.  Many patients don’t arrive with classic cook book symptoms that fit the standardized diagnostic and treatment algorithms so the nuances of their stories require interpretation, discernment and flexibility.    I appreciate a surprise once in awhile that makes me look at a patient in a new or unexpected way and teaches me something I didn’t know before.   It keeps me coming back for more, to figure out the mystery and dig a little deeper.

I’ve also learned that not all medicine comes in pills or injections.  This isn’t really news to anyone, but our modern society is determined to seek better living through chemistry, the more expensive and newer the better, whether prescribed or not.  Chemicals have their place, but they also can cause havoc.  It is startling to see medication lists topping a dozen different daily pills.  Some are life-saving.  Many are just plain unnecessary.

How many sleep without the aid of pill or weed or alcohol?  Fewer and fewer.  Poor sleep is one of the sad consequences of our modern age of too much artificial light, too much entertainment keeping us up late, and not enough physical work to exhaust our bodies enough to match our frazzled and fatigued brains.

How many of us allow ourselves a good cry when we feel it welling up?  It could be a sentimental moment–a song that brings back bittersweet memories, a commercial 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 the stress of 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 unchristened by tears of joy.

And without a doubt, the healing qualities of chocolate are unquestioned by this doctor, however it may be consumed.  It can fix most everything that ails a person. at least for an hour or two.

It doesn’t take an M.D. degree to know the best medicine.  It just takes a degree of common sense.
Time for bed and time to turn off the light.  A good bawl and chocolate will wait for another night.

 

Spicy Feet

photo of bee on a lemon blossom by Nate Gibson

“Bees do have a smell, you know, and if they don’t they should, for their feet are dusted with spices from a million flowers.”
― Ray Bradbury, Dandelion Wine

I admire the honey bee’s ability to become pollinator and pollen gatherer simultaneously, facilitating new fruit from the blossom as well as making sweet honey that carries the spicy essence of the flower touched.

As a physician, I wish I might be as transformative in the work I do every day.  I carry with me tens of thousands of patients I’ve seen over thirty years of medical practice.   There is no way I can touch another human being without keeping some small part of them with me–a memory of an open wound or the scar it left behind, a word of sorrow or gratitude, a grimace, a tear or a smile.  Each is a flower visited, some still in bud, some in full bloom, some seed pods ready to burst, some spent and wilting and ready to fall away.  Each carries a spicy vitality, even in their illness and dying, that is unforgettable and still clings to me.  It has been my privilege to be thoroughly dusted by those I’ve loved and cared for.  I want to carry that on to create something wonderful.

Each patient changes me, the doctor, readying me for the next patient by teaching me a gentler approach, a clearer explanation, a slower leave-taking.  Their story becomes part of my story, adding to my skill as a healer, and never to be forgotten.

Physicians do have blessings in the work they do, you know, and if they don’t they should, for they are dusted with stories from a million patients visited.

Nothing could smell as spicy and nothing could taste as sweet.