What we need in medical schools is not to teach empathy, as much as to preserve it. The process of learning huge volumes of information about disease, of learning a specialised language, can ironically make one lose sight of the patient one came to serve; empathy can be replaced by cynicism.
I joke, but I only half joke, that if you come to one of our hospitals missing a limb, no one will believe you till they get a CAT scan, MRI, or orthopedic consult.
She had always assumed that she would have years to sort out the meaning of life... As she bent over the child she realized that the tragedy of death had to do entirely with what was left unfulfilled.
In America, we have always taken it as an article of faith that we 'battle' cancer; we attack it with knives, we poison it with chemotherapy or we blast it with radiation. If we are fortunate, we 'beat' the cancer. If not, we are posthumously praised for having 'succumbed after a long battle.'
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.
What we are fighting isn't godlessness--this is the most godly country on earth. We aren't even fighting disease. Its poverty. Money for food, medicines... that helps. When we cannot cure or save a life, our patients can at least feel cared for. It should be a basic human right.
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.
Certainly when I got to medical school, I had role models of the kind of physicians I wanted to be. I had an uncle who, looking back, was probably not the most-educated physician around but he carried it off so well.
The flip side of suicide is that it leaves a lingering question in the minds of the people who survived. Its like a cancer thats metastasized. The suicide is the cancer and the metastasis is all these people saying, Why? Why? Why?