Melissa Lynn Block

Melissa Lynn Block
Location
Santa Barbara, CA, USA
Birthday
January 14
Bio
I am a writer, reader, mother, yoga teacher, and dancer/choreographer. I am not in any way related to the NPR commentator who shares my name. I am a study in opposites and paradoxes, just like you.

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Salon.com
JUNE 4, 2010 2:31PM

The Art of Medicine and the Privilege of Health

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At a friend’s birthday party, two women in their sixties talked about their experiences with the health care system. One had had cancer. The other was considering surgery to try to reduce her disability from back pain.

 As someone who writes a lot about the hazards of modern mainstream medicine, I eavesdropped, thinking I might snag some good material.

The cancer survivor raged about how she had been treated by the “hacks” who called themselves doctors. The back pain sufferer was right there with her. She hadn’t been given enough information to know what to do about her condition. She had been disabled for years and she wanted answers. Both of them were angry. Traumatized.

 I felt for them. But I couldn’t help but think—especially in the case of the cancer survivor, who had been pronounced cancer-free—that hey, you know, maybe it was rough, but you are alive, aren’t you? Didn’t the hacks kind of…save your life?

 Nearby sat the birthday boy: our 71-year-old dear friend who has Parkinson’s disease so advanced that he can no longer speak intelligibly, feed himself or walk more than a few feet without resting. He has had this disease since his early 40s. His body is bent in a tortured S-curve. He weighs 90 pounds. For the past few years he has relied far less on the medications that used to prevent him from being completely frozen—they’d cause him to reel wildly around, eyes bugging out, arms and legs gesticulating so erratically that one would wonder how he stayed upright—and more on a set of electrodes implanted in his brain. These electrodes stimulate his brain in places that enable him able to move with relative precision. At least, he could until recently. A major medical miracle, these electrodes. Nothing but good has come of them for him.

I've been reading a lot of really venomous blog posts and articles by women who've been subjected to hospital birthing experiences that they feel were unnecessarily traumatic. There's so much pain there. So much fury at the doctors themselves, by whom these women feel they have been violated. 

 I don't see that problem is in the doctors themselves. They’re convenient scapegoats because they have authority. They have all this education. But they're working within a broken system. We want so badly to trust that they can fix what ails us. If they can’t, who can? If we can’t trust them, what then?

Medicine doesn’t deserve the exalted place in which we want to put it. They do the best they can, in their human way, with the tools and skills and insights they possess. Another partygoer, who happens to be a lawyer who represents doctors in malpractice cases, piped in: “The problem is that people think medicine is a science. And really, it’s more of an art.”

 We can expect our fellow humans, with all of their frailties and inconsistencies and brilliances, to help us if they can when we need help. If we’re beyond help or if the proffered help isn’t effective, does it make sense to simmer or shout with anger about the people who tried to help us? Is that what’s most healing in the long run? I wish for the two women I heard at that party to find their way to forgiveness. I wish the same for the women who feel traumatized and angry about their birthing experiences and the doctors who facilitated them.

I know not everyone believes that emotions can make us sick, but I'm reasonably certain that even if unresolved anger and resentment don't create disease outright, they make our lives a lot less satisfying even when we're healthy.

Entropy rules. People get sick and die. Doctors aren't up to the task of changing this. Yes, they make mistakes and some of them cause truly horrible pain and distress. But if we expect them to whip out the deux ex machina in the face of diseases and disorders that originate in a sick society and a soiled planet, we're going to be disappointed.   

Sure, we’re entitled to health care. But we aren’t entitled to health. Ask the people who live under constant threat of massacre, deadly infectious diseases, or death during childbirth. Ask those who count it a great day when they have enough food to feed their children.

Living a long, healthy life isn’t a right. It’s a privilege. With all our notions of entitlement, we end up blaming the messenger.

 

 

 

 

 

 

 

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science, environment, doctors, health

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Well said, as always. I agree that people rely too much on/blame doctors. We tend to treat them as if they were auto mechanics that didn't turn a wrench the right way. Human bodies are unbelievably complicated, and this complexity trumps the ability of the medical training and education systems to get it just right, even a small portion of the time. Sure, doctors do screw up and they also have the potential/ability to do some amazing things for our health-- I guess the message is not to either over- or underestimate what they can and should do for us??? Golly, I'm confusing myself!
I think the gist is that since there are no guarantees, we need to be responsible for our own health and happiness. "Since things neither exist nor don't exist, are neither real or unreal, are utterly beyond adopting and rejecting--one might as well burst out laughing." -- Longcherpa, 14th century Tibetan master
I am on the early end of my career, and a family friend who is a retiring doc and a mentor has been working in endocrinology a long time. We were discussing the obesity and diabetes problem, as well as the "system". It isn't designed to cure people, really, and that is an economic and political issue. As to cause, he pointed out that these are really social issues, not medical, that end up causing medical problems. But that the "problem" needs to be fixed by the patients themselves instead of blaming the doctors. I agree, as the only time people actually get better is when they are forced to change what they are doing.
The problem has many angles to it. I think people should take a bigger part in their own health care (and health in general) Instead of treating your Dr like an untouchable authority, ask the tough questions, learn about your condition, etc. And when you feel it would be best, ask for a second opinion.

Regarding the birth thing, it would be great if the practice of midwifery could expand to be more common. I also think its important for women to find a care provider that has a practice that supports their desires for whatever birth goal they have. (drug free, c-section, etc) Its also vital that Dr's are FLEXIBLE with their patients, and vice versa.
You know what's fun? I tell my doctors that I am a customer or a client and he/she may call me Mr. Hallman but not call me a patient unless I start paying my bill in chickens!
The expression on their face is always priceless.
50% of doctors were in the bottom half of their class...

Ok, not true, since there is so much more to being a doctor than getting your MD degree. But a funny stat (there needs to be some sort of newspeak for a stat that sounds true but might not be...) I like to throw out there.

In the US, we have a right to life liberty and pursuit of happiness. Health is connected to at least two of those three; but it's not inalienable...