Thursday, August 16, 2007

Finding a New Path

Yesterday, M came in. M is very difficult. He is a professor with migraines that are impossible. They come every time he reads. He has a vision problem, and he can't see very much. He can see, but poorly. The more serious issue is the severe pain of migraine that occurs with reading. He did well as a professor. Now, with his reading problem, he can't do it anymore. He's going through a bitter divorce at the same time, because "when it rains it pours". Of course, there isn't much that can be done for him. I give him some pills which cause a decrease in his suffering.

But he is interesting. He creates almost all of his suffering himself. Not the medical illness -- he doesn't create that. What he creates is his response to it. He is very busy feeling his loss. His marriage is a big loss. But his bigger loss is the work. It's the prestige, the sense of value, intelligence, contribution, importance and, believe it or not, being busy. We say we don't like being busy. But we really do like it. It takes us away from sitting around and having to think about life, about how we're really doing, what we're really doing. Most of us don't really spend much time doing what's really most important. I know of very few people who spend more time with those they love than they do with their job. But they think that they value their loved ones more than they value their job, or money. So we like being busy to avoid looking at reality too long.

In order to decrease suffering, M wants to replace his career. He wants a similar career. That's because he wants the same sort of reward. He wants the same sort of "success": prestige and importance. But everything he thinks of requires his eyes. Everything he thinks of is academic. He wants to use his intellectual talent like he's always done. It's very scary to think about life without that particular tool. So he doesn't want to jump off that cliff. He doesn't want to confront the world without his academic credentials and background to support him. He doesn't want to start life all over; and he hates the thought of developing a new way to create importance and meaning.

Illness takes things from us. It takes physical things from us. But we choose whether or not we'll give it more. We can give it our happiness. We can give it our mind. We can give it our spirit. Or we can give it nothing more than what it has taken. We can give it only the physical piece of our body that it has rightfully claimed. Respect for illness means that you accept what it takes, and you give that up. You give up your leg or your eye. It doesn't mean that you don't fight illness. That's part of respecting it. Illness comes and it plays a game with us. We didn't ask to play. It's like when someone comes and teases you on the playground. You have to tease back. Some of the things they say are true. And so we have to accept that. But we have to tease back or we'll become sad and hurt. The things that were said that were true that hurt are important. Those are the things we have to look at about ourselves. Those are the things we have to consider improving. The "teaser" shows us what we need to do in order to grow more as a person. It's not that we want to be teased when we're on the playground. It's just that we have to be careful how we respond. People don't want illness. But it comes to play with us. So we have to respond until the play time is over.

We must give up what is rightfully taken and no more. But if we plan to take the least suffering, the illness has to teach us growth. What would you do if you had to give up your academic prestige, your brilliant thinking power? I think it's about people value. We know that babies are so precious, don't we? So where does that precious go that we have to prove our value in some other way? I don't know. We just lose respect for that. My orchids have value, but they don't do anything. They just live. Just being alive creates a value for the babies. But the elderly, demented people who just live aren't of the same value to most of us. It's a terrible thinking pattern, but I think it's true. It's not universal, but it's very prevalent in America. If we can't know that we're precious like an orchid or a baby just for living, then we're in for some great suffering.

People are so precious. They aren't precious when they're newborn babies. People are precious all of the time. They're precious because they're alive. They're precious because they exist. They're even, according to me, precious after they die. They don't have to be a movie star, or famous, or successful, or this or that or anything. They just have to be. If someone is, then they are precious. If we could all only see that, things would be better. We probably wouldn't kill each other so often. We couldn't have genocide. If we believe that our value disappears without some activity, then we can just throw away or even kill all of the people who aren't doing something. They aren't worth anything. We can throw out whatever isn't worth anything. This is what growing we need when we lose a piece of body from an illness that makes us unable to do something that we think is the thing that makes us valuable. We need to grow to see that we are all wonderful.

6 comments:

Quote Collector said...

"Being happy doesn't mean everything is perfect. It means you've decided to see beyond the imperfections."..unknown

I think "decided" is the key word.

"Happiness" is a subjective term, different for each individual.

I wonder how many of us ever recognize "happiness". Are we forever searching without stopping to count our blessings? What makes one "Happy"? I contend it is an inside-job. We must DECIDE to be happy!

"As a man thinketh in his heart, so is he."

I'm workin' on it. [please smile]

Riverdoc said...

Perhaps everyone defines happiness differently, but everyone seems to want it. There's no doubt that it is, as you say, "an inside-job". It helps me to count blessings. Many patients tell me that helps, but it doesn't help everyone. What we have to find are "tools" (not the exactly right word, but that word doesn't really exist)-- lots of tools -- that people can use to create their happiness where they happen to be at the time with what happens to be going on. As far as workin' on it goes; it's what pretty much everyone is working on.

Quote Collector said...

"The gem cannot be polished without friction, nor man perfected without trials."..confucius
[but]

"Failure is ALWAYS crowned by success,............if you persist."..Bradford Washburn

so, in the search for "happiness", one need only persist [and stop to enjoy the Orchids]. [smile again, please]

Brooke said...

It is the sensation in my soul that gives me life. I see, I smell, I taste emotions. I am empathic. I feel and know others more than they do themselves. I could lose my sight, my sense of taste and my sense of smell, and still be able to live life because I would be able to feel it. But, if that sensation was taken from me, I would become numb and wither away. It is the essense of who I am. It is my pulse. It is not my value as a person it is simply me. The problem is not that your patient has lost his ability to read. The problem is that he lost the sensation that comes from reading. Yes, he has hands and you amongst others think that he would not suffer as much if he found value in them. But his hands are numb without having his vision. He did not feel life with his hands; he only feels life with a book in his hands. It was the sensation of feeling the words travel from his eyes and into his being that gave him life and sharing that with the world gave him a sense of value. So now he no longer has his eyes and he sits with his hands that are numb and now he is numb. It is a sense of nothingness. But, there is a way for him to retrieve some feeling back into his life. He can suffer. The suffering that he is trying to escape and you feel in him may be his highest level of happiness at this particular time. Why must he smile? Isn't the expression of sadness you witness better than none at all? The reality is that your patient, M, is doing exactly what you wish; his vision was taken but he is not going to allow his sense of feeling vanish with it, even if he has to be absorbed in his suffering.

Riverdoc said...

I have seen patients who are "numb". It's common with death of a spouse, especially the ones married for sixty years. Sometimes, I think I can see which ones will die soon. Statistics show we are ten times more likely to die when our spouse dies in the next year. I think it's far better to suffer than be numb. M does relate to existence, to life, visually. He said to me, "Everything comes from your eyes." So if he's at his greatest level of happiness (suffering) should I not feel any need to help him? Perhaps he needs no help at all? It's good he's not numb. Perhaps it's wrong to want someone to find a different "tool" for happiness. Perhaps they are just intrinsically a certain way. You say, "I am an empath". It's a simple statement defining your nature. I could say "He is a visual man." The question is, does a person who is a certain way have the option or ability to be a person who is a different way; and if that ability exists, should they change if it may increase happiness?

Brooke said...

You speak of tools. Words of wisdom are a great tool. Having a mantra is a great tool. Having a hobby is a great tool. But their power of effectiveness can change and new tools need to be discovered. However, there is an universal tool that changes the world and everyone has it. It is emotion. Ghandi changed the world with an anger for the unacceptable. If one is suffering, he or she will change. However, the change can go in a wrong direction, especially if the suffering is too overwhelming. You are a doctor, your purpose as a doctor is to try to make things better for your patients. You are caring for this paient and not just watching him suffer. You are monitoring it, you are giving him the freedom to speak without judgement. You are giving him medication to insure that his suffering does not become extreme and lead him to a destructive path nor are you completely numbing him with that mediciine. With the combination of your care and his suffering, he will create change. This will happen because, for him, his life, as it is, is not acceptable.