In 1979, as I was about to enter seventh grade, my parents moved our family from one suburb of Chicago to another where we soon discovered anti-Semitism ran rampant. Changing schools for any boy of thirteen is traumatic enough, but finding myself persecuted verbally and physically for belonging to a particular religion made the transition so awful that by the end of the year my parents felt compelled to move our family back to the original suburb from which we’d come. Continue reading…
 THE UNDEFEATED MIND Fall 2012 |
 Photo: Snake3yes Several weeks ago, my now 15-month-old son developed a fever to 103.5 F. Usually a champion sleeper, that night he woke several times with a frenetic look in his eyes and a jerkiness to his movements that frankly unnerved me. The heat coming off his little febrile body almost made me start sweating myself. He had no other symptoms to suggest the cause of his fevers, and even though our pediatrician had been reassuring when I’d called early in the day (“fevers in kids are a dime a dozen”), my doctor brain was kicking in full-blast with worry over it’s cause. Continue reading…  Photo: Bohman One of my patients suffers from chronic constipation due to irritable bowel syndrome. During the literally twenty years since she was first diagnosed, her symptom pattern has remained remarkably consistent: she has perhaps 1-2 bowel movements per week, occasionally accompanied by some mild cramping. Even she admits the symptoms are more a bother than a worry. And yet, every time I prescribe a new medicine for one of her other ailments, within a day or two she calls me up complaining that it’s causing her to become constipated. When I ask if she means that while on the new medicine she has fewer bowel movements or more abdominal pain, her answer is always no. Continue reading…  Photo: pedrosimones7 The other day I was out walking my son in his stroller (my now constant occupation) when a homeless woman approached me asking for money. I’d seen her before in the neighborhood many times, including behind our condominium using drugs. I turned down her request and continued walking, to my chagrin, as if the wind had blown a newspaper against my leg and I’d kicked it away without any thought. I used to get angry at strangers who asked me for money, projecting onto to them a rage I actually felt toward myself for having such a difficult time turning them down. Then I learned to set boundaries comfortably and my anger gave way to inconsistency: I’d sometimes acquiesce to requests for money and sometimes not, the likelihood of one or the other depending randomly on my mood, how much I believed their story or how much it entertained me, or my belief about what it meant to be compassionate at the time. Continue reading…  Photo: Robert S. Donovan For me, this last week has been a little rough. I’ve been working as an attending physician on an inpatient service populated with incredibly sick patients, several of whom are intensely angry about their diseases and are projecting their anger toward me and the team of residents with whom I work. The medical informatics project on which I’m the physician sponsor has just gone live with its most ambitious and radical portion and many physicians are nervous and resistant and are acting out in negative ways. I’m struggling to find the time to practice Buddhism, to work on my book and this blog, fulfill my work responsibilities, my relationship responsibilities to both my wife and son, continue a regular program of exercise, get adequate sleep, and relax. In short, in the last week my life has felt a bit out of control and a little overwhelming. Continue reading…  Photo: Xurble In a previous post, Evil Triumphs When Good People Do Nothing, I argued that justice exists in the world only because good people stand up against injustice and that we should fight small injustices with as much fervor as we fight large ones. Several commenters, however, suggested the anecdote I used at the beginning of the post was a poor example of a clear-cut injustice. I acknowledged that determining what’s right and wrong is a complex business but didn’t discuss how I approach moral calculations in my medical practice or in my personal life. Most of us aren’t confronted with small moral conundrums, much less large ones, on a daily basis, but both come around sometimes (and for me as a doctor far more often than I’d like). How can we figure out in the real world what’s right and wrong, and more importantly, why should we care? At the risk of inviting even more controversy and criticism (and I’m sure I will), I thought I’d share my ideas about how to answer these questions. Continue reading…  Photo: The U.S. Army From quitting smoking to eating healthier to exercising regularly to getting more organized, most of us have a list of behaviors we’d like to begin (or end) that resist our attempts to do so. As a physician, I find myself giving advice about changing habits on a daily basis. Even though many of my patients are able to succeed in making desired changes in the short term, most of them revert to their original behaviors in the long term. What, then, are effective ways to alter behavior on a permanent basis? The psychology that underlies the changing of behaviors is complex. Two researchers named Prochaska and DiClemente developed a way of describing it they called the Stages of Change Model. Though originally developed in the context of smoking cessation, it’s five stages actually describe the process by which all behaviors change. Continue reading…
About two years ago a patient of mine, Mr. Burndt (not his real name), committed suicide. When his wife, who was also my patient, told me the news at one of her visits, I was shocked. Fully aware that 40% of older patients who are suicidal visit their primary care doctors within one week of killing themselves, I found myself wondering over and over how I’d missed recognizing the severity of his distress. I’d known he’d been suffering from depression but had thought it mild. But even more shocking than the news of his suicide was the reason his wife gave for it: six months earlier, he’d been involved in a car accident and had inadvertently killed a pedestrian. In the end, he simply couldn’t live with the guilt. Continue reading…  Photo: vanGalenMarco A young violin prodigy was walking down the street one day trying to decide whether or not to pursue a life in music when he came upon the most famous violin teacher in the world. Scarcely believing his luck, he stopped the great teacher and asked if he could play for him, thinking he would abandon his dream of a career in music if the great teacher told him he was wasting his time. The greater teacher nodded silently for him to begin. So he played, beads of sweat soon appearing on his forehead, and when he finished, he was certain he’d given his finest performance. But the great maestro only shook his head sadly and said, “You lack the fire.” Continue reading…  Photo: Beverly & Pack What’s the worst problem you have right now? Have you lost your home? Your job? Are you worried you might? Have you watched your savings diminish before your eyes as I have mine? Or are you facing a terrible illness? From the Buddhist perspective, all people are endowed with the innate ability to create value out of any situation, no matter how awful or tragic. Unlike the idea that every cloud has a silver lining—that something positive can always be found in everything negative—the principle of changing poison into medicine explains that we can transform even the most horrific tragedy into the very thing we need to become happier than we currently are. Continue reading… |
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