My sense is that the wonderful technology that we have to visualize the inside of the body often leaves physicians feeling that the exam is a waste of time and so they may shortchange the ritual.
I think we can see how blessed we are in America to have access to the kind of health care we do if we are insured, and even if uninsured, how there is a safety net. Now, as to the problem of how much health care costs and how we reform health care ... it is another story altogether.
I believe in black holes. I believe that as the universe empties into nothingness, past and future will smack together in the last swirl around the drain.
There are moments as a teacher when I'm conscious that I'm trotting out the same exact phrase my professor used with me years ago. It's an eerie feeling, as if my old mentor is not just in the room, but in my shoes, using me as his mouthpiece.
I was angry with myself because I still loved her, or at least I loved that dream of our togetherness. My feelings were unreasonable, irrational, and I couldn't change them. That hurt.
I was taking care of people my age who were dying. The constant feeling, hearing from them, was that life is transient and can end very quickly, so don't postpone your dreams.
My VIP patients often regret so many things on their deathbeds. They regret the bitterness they'll leave in people's hearts. They realize the no money, no church service, no eulogy, no funeral procession no matter how elaborate, can remove the legacy of a mean spirit.
A beautiful literary collection that tells of today's country doctor, somewhat removed from our romantic black-bag image of days gone by, but still fulfilling an essential need in caring for spread-out populations. At times, with today's advances in technology, medicine in rural America looks very like it does in America's cities, but the variety of practices is enormous. The Country Doctor Revisited captures the trials and tribulations of medicine, but also the satisfaction and the extraordinary rewards that come to those who embrace such a practice.
We come unbidden into this life, and if we are lucky we find a purpose beyond starvation, misery, and early death which, lest we forget, is the common lot. I grew up and I found my purpose and it was to become a physician. My intent wasn't to save the world as much as to heal myself. Few doctors will admit this, certainly not young ones, but subconsciously, in entering the profession, we must believe that ministering to others will heal our woundedness. And it can. but it can also deepen the wound.
Literature is a beautiful way of keeping the imagination alive, of visiting worlds you would never have time to in your day-to-day life. It keeps you abreast of a wider spectrum of human activities.