Archive for the ‘health’ Category

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“It is more important to know what sort of person has a disease than to know what sort of disease a person has.”

By Irwin Ozborne

As a child, I remember walking in my grandmother’s backyard and one day noticed a litter of kittens near her garage in the alleyway. They were hissing, crying, and yelping with the hair sticking up on their backs as their frames were so thin you could see their skeletons.

“I want to pet them,” I told my grandmother.

“Oh no. They are not ready for that,” she insisted, “Someone must have dropped them off and they need food and water first.”

“Why not?” I asked, “Are they bad kittens?”

“Of course not, “ she laughed, “there is no such thing as bad or evil. There is only misguided love. These kittens were abandoned and they just need love. But they are also starving so we need to first feed them so they can refill what is missing.”

We went inside and came back with dishes of tuna fish, milk, and water for the kittens. Like always, grandmothers are always right. As the kittens indulged in the meal we brought them, the hair on their backs went down and their growls turned to purring sounds. When cats purr it is an instinctive reaction to communicate their mood as content, calm, and safe.

It was truly amazing. They were lacking basic survival needs of food and water, which had altered their behavior to aggressive and mean. Yet, once that need was met, they were content and friendly.

I look back at this story often as it has so many wonderful lessons attached. The first such is that when these kittens were lacking basic needs – such as food and water – and then finally presented with this need, they instinctively indulged. In fact, a few of the kittens actually vomited after eating so fast.

It makes perfect sense. If I am walking in the desert and dehydrated and finally brought to an oasis, I am going to indulge in water to replenish the fluids and nutrients that were have been missing. If I am starving, I am going to crave high fatty foods to relieve all the nutrients that are missing and most certainly indulge. But, what if I am spiritually starving or thirsty? Wouldn’t it only make sense that if presented with a substance that would instantly fill this void, I would also indulge?

What is Spirituality?

Spirituality is not religion; although religion is a type of spirituality.

Most people that get turned off by the word spirituality have had a negative experience with religion, which is why it is essential to differentiate between the two terms. Spirituality refers to finding purpose and meaning in life, as well as a sense of connection to the universe outside of our self. Some people find this in religion, which is why religion is a type of spirituality. Religion does so with traditions, customs, books, and preachers. And at the core, all religions have the exact same spiritual message – to love one another unconditionally.

Spirituality can be found in any type of connection such as nature, sports teams, understanding the universe, in meditation, groups of people with a common goal, love, friendships, and mindfulness. All of use experience spirituality at times of our lives, though may not have used that term or understood what the term actually means.

As Ekhart Tolle explains that the word is not the experience, “The word honey isn’t honey. You can study and talk about it as long as you like, but you won’t really know it until after you taste it. After you tasted it, the word becomes less important to you.”

In this same sense, the word spirituality turns people off. But it is not the word, it is the experience in which we have all had in our lives such as:

· Moment of clarity

· Sense of inner peace or calmness

· A burst of euphoria

· A feeling of interconnection with the world around us

· Being in the present  moment

· Detached from all of life’s labels and feeling as your true self

· Unconditional love

Is Spirituality a Human Need / Desire?

In the opening story, I share the story of the kittens that were derived of their basic animal needs of food and water for survival. But is spirituality also a human need and/or desire?

This answer comes in two parts. The first portion involves the innate need for love and connection, whereas the second part involves a historical perspective of spirituality in humanity.

In 1958, Harry Harlow performed the controversial “Wire Mother Experiment” which was a designed experiment on the overlooked human need of love.

In one study, the monkeys were reared in isolation in which many died and others were frightened and acted abnormally. Once they grew older, they could not interact with other monkeys. The second study separated monkeys from their mother and gave them options of two surrogate mothers – one made from wire and the other with a soft cloth, both which provided milk. All the monkeys spent more time with the mother made of cloth, even if she had no milk. They would only go to the wire mother when they were hungry and then spent the remainder of the day with the soft cloth mother.

Futhermore, when a scary object was placed in the cage, they rushed to the cloth mother for support. The monkeys were also more willing to explore, or take risks, when the cloth mother was present. This allowed Harlow to conclude that for a monkey to develop normally they must have some interaction with an object they can cling to during those critical first few months.

Back to the story with my grandmother, the behavioral theory would suggest that the kittens needed food and water which is why they responded with joy after that need was met. However, Harlow’s theory shows that it is actually that these kittens were abandoned of their basic animal need, love and security, which created the erratic behavior and they were only brought back to loving animals once they established trust and love.

In regards to the human history of spirituality it goes back to the beginning of humanity. Humans have always shared a desire to alter their level of consciousness in one way or another. The oldest evidence dates back 40,000 years ago in which archeologists have discovered cave paintings in France that show images of humans in a trance-like states, indicating the first recorded history of humans intentionally altering their consciousness.

All ancient cultures have had different ways in attempting to do the same, including indigenous tribes in the Americas would go on vision quests in nature in which they tried to find their mission or purpose in life. Tribes in Africa dance in the streets until they feel the presence of their creator, other tribes in the east will dance on hot coals to try to free their spirit from the body, and many other cultures use meditation as a means to alter their consciousness.

As shown by Harlow, spirituality in regards to love and connection is a basic human need. As indicated by historical accounts, for at least the past 40,000 years humans have had a strong desire to alter their consciousness.

And psychoactive substances have always contributed to this.

Historical Substance Use

One of the oldest organized religions today is Hinduism, which was founded around 3500 B.C. in eastern India. The scrolls and texts of the Hindu religion is organized in books known as the Vedas, which is put together by a series of poems and hymns. Throughout the texts, there are numerous references to the drug/plant called Soma. The drug is basically idolized and worshipped as a hallucinogenic drug that helps the people of this time feel a sense of connection to the world.

Today, experts still do not know what this plant is and have been unable to discover its origins. Historians believe that the drug got into the public’s hands and started to be abused recreationally which led to the first prohibition of a drug.

In the southwestern American tribes they used peyote buttons from cactus at religious ceremonies to feel the presence of the Great Spirit. Also in the ancient Americas, tobacco was initially used in prayer and in South America the Coca plant was originally deemed a gift from the Gods.

In the East, opium and cannabis also first were believed to be gifts from the Gods and used in religious ceremonies as it served as a way to alter the level of consciousness.  While these ancient cultures it seemed worshipped these drugs by their texts, documents, and artifacts, one could argue that not much has changed.

If someone were to research our current times a couple thousand years from now, they will report that this generation wore clothing and jewelry with a hemp plant, 90-percent of their popular music made references to this hemp plant, and their passionate conversations and debates all revolved around the use of this plant. They will clearly say that cannabis was worshipped in this time.

Even alcohol has its spiritual roots as the ancient Egyptians, Romans, and Greeks all had Goddesses of Wine. Today, go into any liquor store and they still refer to hard liquor as spirits. As Bill W, the founder of AA refers to the formula for addiction as “spiritus contra spiritum,” which is directly translated to spirits against spirits. This means that the only solution to fight the spirits (alcohol) is to find a spiritual solution in a natural way.

The Craving Behind The Craving:

Addiction is a spiritual disease. It is a thirst, quench, hunger, or starvation for some type of fulfillment or wholeness in a person’s life. People who become addicted to something or another either have an initial void of spirituality, a innate higher drive for a spiritual connection, or a combination of the two.

In listening to many speakers over the years it is quite apparent that the first time the person uses their drug of choice, it significantly alters their consciousness to the point that addiction is inevitable. Just as the opening story indicates that the kittens indulged in food and water because of they were dangerously lacking the nutrients to fill what was missing, people who become addicted certainly share the same behavior in indulging in alcohol and drugs that help fill their spiritual void.

The craving behind the craving refers to looking beyond the desire to use the drug, but rather the desire of the spiritual connection.

In an unofficial collegiate study, a graduate student surveyed about 200 people including students, professors, and staff in regards to the reasons why they use alcohol. The student provided a checklist of ten reasons why the person uses and they could check off however many applied. The results showed that 100-percent of the people in the survey checked off the box marked, “I like the feeling.”

Every single person that drinks alcohol does so because they like the feeling. Which made me dig deeper into examining exactly what is this feeling that everyone craves?

Using personal experience along with talking with others that are actively using or in early recovery, we came up with a list of our own in describing the feeling of being drunk or being high:

· Everything makes sense / I just get it……………………………….…(Moment of clarity)

· I just relax and not worry about all the stressors of life………(Inner peace)

· Everything is better – food, people, jokes, experiences…….(Euphoria)

· I understand people better / love for everyone………………..(Interconnection/oneness)

· Not worried about minor things / Content in moment….….(Being present)

· Freedom from self-criticism and anxiety  …………..……………..(True self)

· No judgments about anyone……………………………………………..(Unconditional love)

In reviewing the list, you see that it is the exact same feelings of a spiritual moment. This proves it is not the drug we are craving, we are craving the feeling the drug provides. The drug is just a tool to help us reach that spiritual connection.

If I am dehydrated, I am going to indulge in water or fluids that help replenish what missing. If I am starving, I am going to indulge in some greasy food that brings energy and life back into my body to restore what was missing. If I am spiritually starving, of course I am going to indulge in a drink, a joint, or a pill that will revitalize all these things that have been depleted.

See the Forest for the Trees

It is highly common for people to find their first encounter with spirituality in the natural world and in nature. On a sober trip that I took with a group a few years ago, we went camping in one of the most beautiful places in the country – Northern California. We spent a couple of days in the Redwood Natural Forest and finding instant connection with the world around us.

In observing the Redwood Trees, there was something quite majestic about these giants. They stood about 300 feet high, some were 20 feet wide, in fact some of the trees have tunnels carved in the middle of them through the highway and our bus drove right through the center. The Redwoods are the tallest living organism on Earth and some of them date back to the time of the Ancient Greek Empire 2,500 years ago.

I always wondered, how do they grow so tall? Whenever there are storms, the tallest trees always topple over because they lack the strength to survive the strong winds. In order for a tree to grow tall, it needs strong and deep roots. But, in looking at the size of the Redwoods, you would think that the roots must reach to the center of the Earth to keep these trees upright amidst strong winds.

But then I discovered that the Redwood Trees roots only grow about five or six feet deep, only adding to my confusion and admiration of the species. Upon further research, I was told that the roots of the Redwoods actually grow horizontally and go about 100 feet wide. Also, they need to grow together in forests so that their roots can interlock underneath and they help prop each other up. You can not grow an individual Redwood tree, they can only grow together so their roots can connect and ensure that they grow together.

The trees also cycle nutrients amongst each other to help each other grow. The tallest trees collect moisture from the fog and share with the shorter trees, and the barks of the trees are intentionally burnt so help cycle the nutrients at the bottoms of the trees.

The story of the Redwoods is a perfect metaphor for spirituality and addiction. We can not survive the storm alone, but once we are able to interlock and find a sense of connection outside of ourselves we are able to embrace the stor more tant to know what sort of person thing as bad or evil. There is only misguided love. These kittens were abandoned and they just need love. But they are also starving so we need to first feed them so they can refill what is missing.”

We went inside and came back with dishes of tuna fish, milk, and water for the kittens. Like always, grandmothers are always right. As the kittens indulged in the meal we brought them, the hair on their backs went down and their growls turned to purring sounds. When cats purr it is an instinctive reaction to communicate their mood as content, calm, and safe.

It was truly amazing. They were lacking basic survival needs of food and water, which had altered their behavior to aggressive and mean. Yet, once that need was met, they were content and friendly.

I look back at this story often as it has so many wonderful lessons attached. The first such is that when these kittens were lacking basic needs – such as food and water – and then finally presented with fulfillment of these needs, they instinctively indulged. In fact, a few of the kittens actually vomited after eating so fast.

It makes perfect sense. If I am walking in the desert and dehydrated and finally brought to an oasis, I am going to drink water to replenish the fluids and nutrients that were have been missing. If I am starving, I am going to crave foods to relieve all the nutrients that are missing. But, what if I am spiritually starving or thirsty? Wouldn’t it only make sense that if presented with a substance that would seem to instantly fill this void, I would also indulge?

Spirituality

Spirituality is not religion; although religion is a type of spirituality.

Most people that get turned off by the word spirituality have had a negative experience with religion, which is why it is essential to differentiate between the two terms. Spirituality refers to finding purpose and meaning in life, as well as a sense of connection to the universe outside of our self. Some people find this in religion, which is why religion is a type of spirituality. Religion does so with traditions, customs, books, and preachers. And at the core, all religions have the exact same spiritual message – to love one another unconditionally.

Spirituality can be found in any type of connection such as nature, sports teams, understanding the universe, in meditation, groups of people with a common goal, love, friendships, and mindfulness. All of use experience spirituality at times of our lives, though may not have used that term or understood what the term actually means.

As Ekhart Tolle explains, the word is not the experience, “The word honey isn’t honey. You can study and talk about it as long as you like, but you won’t really know it until after you taste it. After you tasted it, the word becomes less important to you.

In this same sense, the word spirituality turns people off. But it is not the word, it is the experience in which we have all had in our lives such as:

  • Moment of clarity
  • Sense of inner peace or calmness
  • A burst of euphoria
  • A feeling of interconnection with the world around us
  • Being in the present  moment
  • Detached from all of life’s labels and feeling as your true self
  • Unconditional love

Is Spirituality a Human Need / Desire?

At every stage, addiction is driven by one of the most powerful, mysterious, and vital forces of human existence. What drives addiction is longing — a longing not just of the brain, belly, or loins but finally, of the heart.” ~ Cornelius Plantinga

In the opening story, I share the story of the kittens that were derived of their basic animal needs of food and water for survival. But is spirituality also a human need and/or desire?

This answer comes in two parts. The first portion involves the innate need for love and connection, whereas the second part involves a historical perspective of spirituality in humanity.

In 1958, Harry Harlow performed the controversial “Wire Mother Experiment” which was a designed experiment on the overlooked human need of love.

In one part of the study, the monkeys were reared in isolation in which many died and others were frightened and acted abnormally. Once they grew older, they could not interact with other monkeys. The second study separated monkeys from their mother and gave them options of two surrogate mothers – one made from wire and the other with a soft cloth, both which provided milk. All the monkeys spent more time with the mother made of cloth, even if she had no milk. They would only go to the wire mother when they were hungry and then spent the remainder of the day with the soft cloth mother.

Furthermore, when a scary object was placed in the cage, they rushed to the cloth mother for support. The monkeys were also more willing to explore, or take risks, when the cloth mother was present. This allowed Harlow to conclude that for a monkey to develop normally they must have some interaction with an object they can cling to during those critical first few months.

Back to the story with my grandmother, the behavioral theory would suggest that the kittens needed food and water which is why they responded with joy after that need was met. However, Harlow’s theory shows that it is actually that these kittens were abandoned of their basic animal need, love and security, which created the erratic behavior and they were only brought back to loving animals once they established trust and love.

In regards to the human history of spirituality it goes back to the beginning of humanity. Humans have always shared a desire to alter their level of consciousness in one way or another. The oldest evidence dates back 40,000 years ago in which archeologists have discovered cave paintings in France that show images of humans in a trance-like states, indicating the first recorded history of humans intentionally altering their consciousness.

All ancient cultures have had different ways in attempting to do the same, including indigenous tribes in the Americas would go on vision quests in nature in which they tried to find their mission or purpose in life. Tribes in Africa dance in the streets until they feel the presence of their creator, other tribes in the east will dance on hot coals to try to free their spirit from the body, and many other cultures use meditation as a means to alter their consciousness.

As shown by Harlow, spirituality in regards to love and connection is a basic human need. As indicated by historical accounts, for at least the past 40,000 years humans have had a strong desire to alter their consciousness.

And psychoactive substances have always contributed to this.

Historical Substance Use

One of the oldest organized religions today is Hinduism, which was founded around 3500 B.C. in eastern India. The scrolls and texts of the Hindu religion is organized in books known as the Vedas, which is put together by a series of poems and hymns. Throughout the texts, there are numerous references to the drug/plant called Soma. The drug is basically idolized and worshipped as a hallucinogenic drug that helps the people of this time feel a sense of connection to the world.

Today, experts still do not know what this plant is and have been unable to discover its origins. Historians believe that the drug got into the public’s hands and started to be abused recreationally which led to the first prohibition of a drug.

In the southwestern American tribes they used peyote buttons from cactus at religious ceremonies to feel the presence of the Great Spirit. Also in the ancient Americas, tobacco was initially used in prayer and in South America the Coca plant was originally deemed a gift from the Gods. In the East, opium andcannabis also first were believed to be gifts from the Gods and used in religious ceremonies as it served as a way to alter the level of consciousness. While these ancient cultures it seemed worshiped these drugs by their texts, documents, and artifacts, one could argue that not much has changed.

If someone were to research our current times a couple thousand years from now, they will report that this generation wore clothing and jewelry with a hemp plant, 90-percent of their popular music made references to this hemp plant, and their passionate conversations and debates all revolved around the use of this plant. They will clearly say that cannabis was worshipped in this time.

Even alcohol has its spiritual roots as the ancient Egyptians, Romans, and Greeks all had Goddesses of Wine. Today, go into any liquor store and they still refer to hard liquor as spirits. As Bill W, the founder of AA refers to the formula for addiction as “spiritus contra spiritum,” which is directly translated to spirits against spirits. This means that the only solution to fight the spirits (alcohol) is to find a spiritual solution in a natural way.

The Craving Behind The Craving

Addiction is a spiritual disease. It is a thirst, quench, hunger, or starvation for some type of fulfillment or wholeness in a person’s life. People who become addicted to something or another either have an initial void of spirituality, a innate higher drive for a spiritual connection, or a combination of the two.

In listening to many speakers over the years it is quite apparent that the first time the person uses their drug of choice, it significantly alters their consciousness to the point that addiction is inevitable. Just as the opening story indicates that the kittens indulged in food and water because of they were dangerously lacking the nutrients to fill what was missing, people who become addicted certainly share the same behavior in indulging in alcohol and drugs that help fill their spiritual void.

The craving behind the craving refers to looking beyond the desire to use the drug, but rather the desire of the spiritual connection.

In an unofficial collegiate study, a graduate student surveyed about 200 people including students, professors, and staff in regards to the reasons why they use alcohol. The student provided a checklist of ten reasons why the person uses and they could check off however many applied. The results showed that 100-percent of the people in the survey checked off the box marked, “I like the feeling.”

Every single person that drinks alcohol does so because they like the feeling. Which made me dig deeper into examining exactly what is this feeling that everyone craves?

Using personal experience along with talking with others that are actively using or in early recovery, we came up with a list of our own in describing the feeling of being drunk or being high:

  • Everything makes sense / I just get it……………………………….…(Moment of clarity)
  • I just relax and not worry about all the stressors of life………(Inner peace)
  • Everything is better – food, people, jokes, experiences…….(Euphoria)
  • I understand people better / love for everyone………………..(Interconnection/oneness)
  • Not worried about minor things / Content in moment….….(Being present)
  • Freedom from self-criticism and anxiety  …………..……………..(True self)
  • No judgments about anyone……………………………………………..(Unconditional love)

In reviewing the list, you see that it is the exact same feelings of a spiritual moment. This proves it is not the drug we are craving, we are craving the feeling the drug provides. The drug is just a tool to help us reach that spiritual connection.

If I am dehydrated, I am going to drink water or fluids that help replenish what missing. If I am starving, I am going to eat some food that brings energy and life back into my body to restore what was missing. If I am spiritually starving, and have not yet identified that unfulfilled need, I am likely to indulge in a drink, a joint, or a pill that will temporarily revitalize all these things that have been depleted.

See the Forest for the Trees

It is highly common for people to find their first encounter with spirituality in the natural world and in nature. On a sober trip that I took with a group a few years ago, we went camping in one of the most beautiful places in the country – Northern California. We spent a couple of days in the Redwood Natural Forest and finding instant connection with the world around us.

In observing the Redwood Trees, there was something quite majestic about these giants. They stood about 300 feet high, some were 20 feet wide, in fact some of the trees have tunnels carved in the middle of them through the highway and our bus drove right through the center. The Redwoods are the tallest living organism on Earth and some of them date back to the time of the Ancient Greek Empire 2,500 years ago.

I always wondered, how do they grow so tall? Whenever there are storms, the tallest trees always topple over because they lack the strength to survive the strong winds. In order for a tree to grow tall, it needs strong and deep roots. But, in looking at the size of the Redwoods, you would think that the roots must reach to the center of the Earth to keep these trees upright amidst strong winds.

But then I discovered that the Redwood Trees roots only grow about five or six feet deep, only adding to my confusion and admiration of the species. Upon further research, I was told that the roots of the Redwoods actually grow horizontally and go about 100 feet wide. Also, they need to grow together in forests so that their roots can interlock underneath and they help prop each other up. You can not grow an individual Redwood tree, they can only grow together so their roots can connect and ensure that they grow together.

The trees also cycle nutrients amongst each other to help each other grow. The tallest trees collect moisture from the fog and share with the shorter trees, and the barks of the trees are intentionally burnt so help cycle the nutrients at the bottoms of the trees.

The story of the Redwoods is a perfect metaphor for spirituality and addiction. We can not survive the storm alone, but once we are able to interlock and find a sense of connection outside of ourselves we are able to embrace the storm and help each other flourish as we rise above and reach the skyline.

 

Taking the Mask Off: Destroying the Stigmatic Barriers of Mental Health and Addiction Using a Spiritual Solution $3.99

taking-the-mask-off-stigma-barriers-mental-health-addiction-spiritual-solution

Taking the Mask Off” is the new book by Cortland Pfeffer and Irwin Ozborne. Cortland Pfeffer spent years as a patient in psychiatric hospitals, treatment centers, and jails before becoming a registered nurse and working in the same facilities. Based on his experience, this story is told from both sides of the desk. It offers a unique and valuable perspective into mental health and addiction, revealing the problems with the psychiatric industry while also providing the solution – one that brings together science, spirituality, philosophy, and personal experience.

“Taking the Mask Off: Destroying the Stigmatic Barriers of Mental Health and Addiction Using a Spiritual Solution” is available on Amazon, and Balboa Press.

dickens

 

” .. Since I knew you, I have been troubled by a remorse that I thought would never reproach me again, and have heard whispers from old voices impelling me upward, that I thought were silent forever. I have had unformed ideas of striving afresh, beginning anew, shaking off sloth and sensuality, and fighting out the abandoned fight. A dream, all a dream, that ends in nothing, and leaves the sleeper where he lay down, but I wish you to know that you inspired it.”-    Charles Dickens

Every interaction we have matters. We may not see it, but it does

Here is a story of how one patient saw 2 different doctors. With the exact same problem. The reaction was completely different, and so was the result. You do not have to be a doctor or social worker or health care worker to have this impact. It is just this example. Every day we encounter people that as simple as it may seem, just a hello or a smile can make the difference. Sometimes, just knowing someone notices you are not doing well is a big deal.

Patient walks into Dr. D’s office. Patient is a 29 year old. He has depression, has a history of suicide, drug use, and addiction. He is in good physical health. He has not asked for help for a long time. He was in the psychiatric hospital as a teenager multiple times.

Dr. D comes into the office right at 8 am as the day starts. He gets his coffee, and asks for his first patient. He walks into the room and looks at the patient. He says “what can I do for you today?”

The patient says, “I am very sad, I have low energy, and I do not feel normal.” The patient is shaking and is embarrassed to be at this point in his life.

The patient says, “I have struggled with drinking and drugs and do not feel good about myself. I am scared to talk to anyone about anything, but especially this. I am at an end, I have to get help or I am going to die.”

Dr. D says, “Ok, well let’s draw some blood. Have you ever been checked for diabetes, low blood sugar, or thyroid problems?”

Patient says, in a trembling voice. “No. I don’t seem to have any of the other problems that would go with diabetes though. I work in the health care field.”

Dr. D says, “Well I am going to run some blood tests. I also see you once had a positive PPD test, so we will give you some INH.”

A ppd test is when you are tested for exposure to tuberculosis. If you are positive it usually means it is in your system but not active.

So Dr. D has the patients’ blood drawn and has given him the INH. The blood tests come back normal. No problems.

The clinic nurses call the patient and state everything is ok. Dr. D said to follow up if you have any concerns. They as a clinic have so many patients, they forgot why the patient came in the first place. They get a list of lab results, so when they see them come through, they never think of the patient. They see the results and make the call that they are ok. This is not their fault. They are completely overwhelmed with a huge volume of lab reports of patient’s to call.

This patient was anxious and depressed and afraid to ask for help to begin with. Now with this call and this response,  the patient is basically pushed aside, IF the patient wants help, he will have to make the call again and go through the embarrassment and shame of asking for help again.

Now, the patient does not go for the INH. He is now feeling hopeless. He never even went for medical problems, then when the results came in, the clinic never even thought that it was to rule out anything. The patient got lost in the pile of papers. Basically became a number, not a person. This is normal these days. They want the Doctors to see as much patients as possible, as fast as possible. So give them a pill and get them out of here. It is our medical system, and it has become a business.

In this case, the patient now goes on another binge, and gets more depressed. If anyone has been through this they know any binge can result in death to self or someone else. Thinking again about suicide month later, the patient calls up the clinic. The patient has lost hope in Dr. D. However the patient is afraid to ask for another provider. Because he will be considered “difficult.”

The patient, using all the courage that they have, gets another appointment. This  is months later. So at this next appointment, Dr. D walks in, and he does not recognize the patient.  He treats him as if he is a new patient. He asks again if he has any medical problems.

This time. Dr. D says “Let me draw blood for some things” once again. Checks his heart. He does not know the patients name, or occupation, or any of what had happened before.

The patient is a number, he now feels worse and is upset that he even came back. He gets his blood drawn.

The patient gets a phone call back. He is to come see Dr D again, he must come in to go over the results. They cannot tell him over the phone the results. However, there is also some hope. He feels that maybe they found a reason he has felt like this his whole life.

The patient is scared, he knows if you have to come in to go over results it is not good. Saturday morning Dr. D walks in as he is the on call MD this weekend. His eyes are bloodshot and red, Dr. D did not sleep last night you can tell. He does not recognize the patient, his name, or anything. He feels he is just seeing all emergency patients as they are the Saturday clinic this month and he is on call. Dr. D has no idea he is talking to his own patient.

He then asks the patient, why he is here.

Then Dr. D still not knowing the patients name says “oh yeah, well, looks like you have chronic fatigue syndrome and there is really nothing we can do. Maybe go to groups, or exercise.”

Just what the patient wants to hear right? You are chronically tired and out of luck. You are not depressed or any of that. Sorry, go to groups.

The patient puts his head down, that’s it. You can see him, the thoughts are something like, “I guess I never was depressed, I’m just tired,” that is what he is feeling.

Any of us can tell these things in watching people if we just watch and are truly present with them. If we take time for one another it is easy.

Then Dr. D says well I can give you Provigil to keep you awake during the day and trazodone to help you sleep. SO let’s do that and check back in a few months. We are now giving a patient with severe anxiety a pill that they used to give to pilots to keep them awake during long flights.

The patient gets the pill to stay awake. His depression and anxiety have still not been addressed. He has learned that this is what happens when you ask for help. The patient now feels hopeless, sad, anxious, and like a fool for asking for help. There is nothing they can do for him.

First they tell him he has tuberculosis, then its chronic fatigue. They spend 15 minutes with him each time because management wants doctors to see 4 patient per hour so they can bill for that. Then they make more money. Dr. D is considered more productive if he sees more patients in a day because he makes the clinic money then.

The patient then with this depression history, drug abuse history, has made his last ditch efforts to get help. It took everything he had to even ask for help. He was pushed aside, they didn’t know his name. He got lost as a number. Then he was told different things by the same doctor each time he went in.

Why would someone go seek help after this? Dr. D never even asked him about his depression or anxiety or his history. He was a number, and he pushed it off like it was not depression. Just give him a pill and get him out. I don’t blame Dr. D, this is our system. I have seen Doctors get scolded for taking too much time with their patients.

This patient would then go into severe depression and his drinking and self-destructive behaviors would intensify over the next few years. He had many near death experiences, he got a DUI and spent more time in jail. He got to a point in which he almost died and his family had given up on him completely. He was basically going to fade away to the world. You could tell, he had given up on himself and everyone else had given up on him.

About 3 years later after Dr. D. This patient called the clinic. They said “So you see Dr. D, would you like to see him again.”

The patient has an opening and says, “No anyone is fine.” Simple stroke of luck.

The patient is set up with Dr Broeker. This is his real name he still practices for Allina. It is at the end of May. The patient has made up an excuse to go in he says he is having urinary problems.

He is in the clinic office in the room waiting. Dr. Broeker knocks on the door, he says, “hey XXX, I just want you to know I am running a little bit late but I will be in as soon as I can.”

The patient is shocked, Dr Broeker knew his name and just knocked on the door to tell him that he was running late.

Then during their meeting, the patient is comfortable, and feels at ease. Dr Broeker comes in and says his name, what his experience is and does not have a clipboard. IS not looking at the computer. He asks “what are you here] for?”

Dr Broeker then says “what else can I do for you?”

The patient starts to cry and says “I am anxious, nervous and afraid to ask anyone for anything. I hate myself, I cannot stop drinking and I want to get help for feeling depressed.”

Dr Broeker spent the next hour talking with this patient. It was amazing. He talked to the patient about life. Dr Broeker talked about his time as an MD and how he wants to get this right. He explains the depression scale, the anxiety scale and fills it out with the patient.

It was like this patient had been waiting years for someone to say, “It’s ok to be sad, let’s talk about it.” Finally after, years and years of internal torture. Dr. Broeker had released this man from his own internal prison. It was amazing. Words will never do it justice what Dr Broeker was doing for this patient.

It was supposed to be a 15 minute appointment. Dr Broeker knows the patient has been seen by Dr D because he read the chart, he says “why were you tested for all of this?”

The patient says,” I don’t know that’s what he thought.”

Dr. Broeker says “well, ok, let’s start you on celexa and come back in 2 weeks to make sure you are not having any side effects.” Dr. Broeker did not judge the other physician and was respectful and kind about what the other MD had done. When someone is truly great like this, they do not need to question anyone else. He is pure, there is no competition for people like Dr. Broker, he practices out of love, and he is a doctor for the right reasons.

The patient was so much at ease with Dr. Broeker that he was able to tell him everything and open up about the drinking, drug use and all other issues that he was facing.

Dr Broeker wanted him back in 2 weeks just to check on side effects. The patient felt he had a new lease on life.

Then in 2 weeks Dr Broeker pops in and knows the patients name. He talks to him for a while like they are old buddies and shakes his hand and is friendly with him.

This patient has had a history of no shows throughout his life, but never with Dr Broeker. Usually if we have a patient with no shows, we label the as non-compliant or as not really wanting to get help. But, could it be that the problem is in the provider and how we treat patients? Or at least say it is 50/50? In a few months the patient was in rehab, and able to look at people. Dr Broeker then eventually recommended therapy to this patient.

This patient was willing to listen because he trusted Dr Broeker. He believed in him. The same recommendation could have come from another Doctor and it would have gotten a different reaction. The difference is in the relationship, not in the knowledge. Dr Broeker took time, he did not care about the 4 patients an hour.

Dr. Broker is special, he is in it for the right reasons. He takes time. That is true productivity.

He saves lives, He saved this patients life.

 

I know this, I watched it. The patient was me.

The Doctor is Dr Michael Broeker.

He saved my life. He is one of the “fab 5” that I refer to that changed my life. That is number 1. The magical Michael Broeker.

 

If it was not for him, I would not be alive today. The patients that tell me I saved their lives and changed them forever, my friends and family and everyone that I have touched, it is all not possible without him.

 

I almost died and did not want to ask for help ever again. He sat down and listened. And talked. He didn’t follow the 15 minute rule. In my moment, lost in the woods, he gave me the light and pointed me in the right direction. All because he took time to get to know me and did not judge me.

 

I am alive today because of him.

 

Thank you Dr Broeker.

 

The End