Archive for the 'Alternative Medicine' Category

Poetry and Medicine

In honor of National Poetry Month, I would like to talk about the link between physicians and poetry. During the course of history there have been many physicians who practiced medicine and were poets. William Carlos Williams is typically the doctor who comes to mind as someone who wrote poems between patients on the prescription pad he kept in his pocket. One of my favorite quotations of his is: “It is not what you say that matters but the manner in which you say it; there lies the secret of the ages.”

Other physician-poets include John Keats, Chekhov, and Oliver Wendell Holmes, Sr. In my view, the connection is quite clear. Poets tend to be in touch with their deepest emotions and the best physicians are those who are also able to tap into the deepest part of the psyche. In other words, they have the innate ability to connect emotionally with themselves and their patients. Taking this one step further we can use the analogy of the rhythm of a poem being a metaphor for the rhythm of a breath and/or a heartbeat.

Poetry has been incorporated into a number of medical school programs, including Yale and Harvard Schools of Medicine. In a recent article in the New York Times called, “The Doctor as Poet,” (December 1, 2011), by Pauline Chen, M.D. explains how poetry can help physicians empathize and understand what a patient is going through. This can be done by both the reading and writing of poetry. Dr. Rafeael Campo of Harvard Medial school, who is also an award-winning poet, talks about Marilyn Hacker’s “Cancer Winter” which helps her colleagues understand a patient receiving a cancer diagnosis.

In his fabulous book, the Call of Stories, writer and physician Robert Coles, talks about how over the centuries poets who became ill were also inspired to share their experience through poetry. He says, “It prompted them to look not only inward but also backward and forward–to ask the most important and searching questions about life’s meaning.” Coles is an advocate of all narratives and in his book he accentuates the power of poetry and how he admires poets and the merging of poetry and medicine. “Like patients,” he says, “poets are probably holding on for dear life to some words.”

Here is one of William Carlos Williams’ poems, most probably inspired by one of his patients:

Complaint

They call me and I go.
It is a frozen road
past midnight, a dust
of snow caught
in the rigid wheeltracks.
The door opens.
I smile, enter and
shake off the cold.
Here is a great woman
on her side in the bed.
She is sick,
perhaps vomiting,
perhaps laboring
to give birth to
a tenth child. Joy! Joy!
Night is a room
darkened for lovers,
through the jalousies the sun
has sent one golden needle!
I pick the hair from her eyes
and watch her misery
with compassion.

The Joy of Meditating

In keeping with my young adulthood passions, I have recently circled back to my young adulthood passion of group meditation in addition to my private practice at home every morning. Recently I have been attending the local Buddhist Center that practices Kadampa Buddhism founded by Geshe Kelsang Gyatso. This type of practice is dedicated to people everywhere to help us find meaning and purpose in our everyday lives. The goal is to develop a sense of peace and happiness. In this week’s discussion the Monk spoke about how the spiritual mind feels a larger goal in life and does not get caught up in the little things happening. He tends to focus on what he can do.
Often times when I talk about meditating, people tell me they want to do it but don’t know how to start. Of course, the answer is there are many different ways to meditate and you must find the right one for you. For example, some people like guided meditation to music while others prefer the quiet. It is really a wonderful way to start your day. Here are some basic guidelines for beginners:

- Find a quiet time and place
- Sit cross-legged on a cushion or a chair. It’s important that your back is straight.
- Rest your hands comfortably on your knees or lap, palms facing upward
- Close your eyes
- Focus on your breath. Nostril breathing is best.
- Do this for 10-15 minutes a day

The biggest challenge is fighting what Natalie Goldberg calls “the monkey mind.” Whenever your thoughts wander away from your breath, it’s important that you bring your attention back to your breath. Do not become obsessed or wrapped up in an idea or “to do list.” This is not the idea of meditation. It’s all about relaxation. Over time, you will notice a sense of calm and spacious feeling of the mind. You can also practice this exercise with your eyes open, waiting in line at the bank, supermarket or seated in a doctor’s office. Focusing on your breath can be enlightening. Try it!

Balancing Optimism and Pessimism

I have always thought or believed that it is healthier to be an optimist than it is to be a pessimist. An article in the September 2010 issue (http://www.odemagazine.com/doc/of)  of “Ode: For Intelligent Optimists,” called, “No Silver Linings, Please,” says that recently a handful of psychologists think differently about optimism and pessimism. They are saying that, in fact, healthy doses of pessimism may be an important ingredient to overcome  psychological obstacles and the achievement of personal goals.

“Defensive pessimism,” can be employed when you get a book proposal rejected or when you get a cancer diagnosis twice in five years as I did—is a psychological stance that involves accepting the fact that things can go drastically wrong and being able to defensively prepare oneself for any eventuality. In other words this is an offense to achieve a positive outcome.

Thus it is suggested that we not get too elated or joyous when receiving good news. In this way there is less of a chance to be disappointed. In other words, a tinge of pessimism can be the most optimistic thing you can do.

Those living with cancer can react in two ways when given the bad news—they can treat the diagnosis with anger and resentment or turn a negative into a positive. This can be done by framing the disease as a gift to write and share stories to help and inform others in similar situations.

Creative individuals, particularly writers, are typically very hard on themselves and their creative process. They often air on the side of pessimism thinking that their work is not good enough and will be rejected by agents, editors and publishers. The positive side of this is that those who are in a negative frame of mind tend to be more alert to their surroundings compared to those who are in positive states of mind. Being alert to one’s surroundings is a vital characteristic for the writer. Perhaps in certain situations, a healthy dose of pessimism can be advantageous. In other words, hope for the best, but prepare for the worst!

Possibilities, Shamanic Healers and Reflections

Last Wednesday at Chaucer’s Bookstore in Santa Barbara, I attended a reading by a writing friend, Hope Edelman. We had first met at the University of Iowa’s Summer Writing Program back in the 1990s—where I was the student and she the instructor. I vividly recall sitting on the bench by the river, chatting as she pushed her baby carriage back and forth, cajoling her crying daughter. As the author of Motherless Daughters , I remember observing that her maternal instinct was strong. Today, that baby is twelve years old and the subject of her latest book, The Possibility of Everything. There are only a handful of nonfiction writers who I truly admire and whose work resonates deep inside my psyche and Hope is one of those.

The subject of Hope’s new book will intrigue even those who do not have a spiritual streak. Hope describes the book’s impetus as the introduction of ‘Dodo,’ into her three-year old daughter Maya’s life. As we learned during her powerful reading, Dodo was Maya’s imaginary friend who insidiously infiltrated every aspect of this young family’s life. This imaginary friend would instruct Maya to take random and bizarre actions, such as walking into a room where her mother was, hitting her and then leaving.

To help fix the problem, most parents would decide on the traditional medical route and pull the child down a path of intense psychoanalysis and perhaps years of treatment with a long train of still-unanswered questions as to whether the child is schizophrenic. But not Hope and her husband Uzi. with the encouragement of their Nicaraguan nanny, the couple decided to pursue nontraditional modalities.They packed their bags and took their daughter to Belize hoping that the healers there would help Maya banish Dodo from her life. The book is about that journey which ultimately lead to Maya’s cure.

A link has been made between children who have imaginary friends and creativity. As a matter of fact, Hope admitted that she had imaginary friends as a little girl, but supposedly they did not adversely affect her childhood nor her childhood relationships. In other words, unlike her daughter Maya, she did not become obsessed by her imaginary friend. As an only child, I also had imaginary friends, who helped to fill the gap of having siblings as playmates. After hearing Hope’s story, I have grown even more curious about the connection between these friends and creativity. I wondered if any of my readers have any comments.

I have only begun The Possibility of Everything, but cannot put it down. In addition to wanting to hear Hope’s story and her family’s extremely unorthodox choice to journey in Belize and visit shamanic healers, I am also intrigued by the idea of shamanic healers, in general, and other complimentary modalities.  I would love to hear about your experiences in this area.