{"id":63,"date":"2018-05-23T09:43:00","date_gmt":"2018-05-23T09:43:00","guid":{"rendered":"https:\/\/hbmedicine.wpengine.com\/2018-5-30-how-much-do-we-really-know\/"},"modified":"2025-09-23T16:46:10","modified_gmt":"2025-09-23T14:46:10","slug":"how-much-do-we-really-know","status":"publish","type":"post","link":"https:\/\/www.heartbasedmedicine.org\/en\/how-much-do-we-really-know\/","title":{"rendered":"How Much Do We Really Know?"},"content":{"rendered":"\t\t
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\u00a0<\/div><\/div>

\u201cSometimes the heart sees what is invisible to the eye.\u201d \u2014 H Jackson Brown Jr<\/strong><\/em><\/p><\/blockquote><\/figure>

It\u2019s Friday lunch time on a cold winter\u2019s day. Long queues of doctors, nurses and therapists all dressed in white wait in the neon-lit hospital canteen for their turn at the counter.<\/p>

I sit at a table with my colleagues John and Mary, hastily eating my sandwich and quickly downing an iced tea. It\u2019s almost time for me to be back on my pediatric ward ready for the next admission from the emergency room. \u2018Mary looks exhausted\u2019, I\u2019m thinking as I take in her wrinkles and grey hair. She takes a bite of her lunch, followed immediately by another. Swallowing hard to clear her mouth before answering the insistent ring of her phone.<\/p>

\u2018How many years have you been doing this work now?\u2019 I ask with my own mouth full.<\/p>

She puts down her fork, eyebrows raised and looks at her plate for a moment. \u00a0\u2018Twenty-five years… next summer.\u2019<\/p>

\u2018Wow, and we\u2019re all still working around sixteen hours a day and hardly ever get to enjoy a quiet meal,\u2019 I observe.<\/p>

We go back to devouring our lunches, eating so fast we barely have time to chew.<\/p>

But this is where the conversation takes a different turn.<\/p><\/div><\/div><\/div><\/div><\/div>

<\/figure>

\u2018I talked to a nine-year-old girl on my ward today for more than an hour,\u2019 I continue. \u2018Veronica has disabling pain in her knees and right ankle. She\u2019s been relying on crutches for the best part of two years and has hardly walked at all for the last three months. When she spoke to me her eyes were full of tears.<\/p>

\u201cNone of the doctors I\u2019ve seen so far have found anything. Please don\u2019t make me have any more painful tests.\u201d\u2019<\/p>

\u2018Did you meet her mother?\u2019 asked John.<\/p>

\u2018Yes\u2019 I reply. \u2018Interesting woman. \u00a0A successful business leader, very well organized, wearing black Japanese designer wear. Everything very precise. Nothing free-flowing. She said to me, \u201cYou know doctor, Veronica is top of her class in all her subjects. We\u2019ve invested so much in finding out the cause of her pain; we truly need an answer now. The family is on the brink of collapsing under the pressure of Veronica\u2019s pain and suffering.\u201d\u2019<\/p>

A knowing smile was playing around Mary\u2019s mouth. \u2018So doctor, do you have an answer?\u2019<\/p>

\u2018Of course not. Though I have the feeling that this is not somatic, and that putting up a large interdisciplinary team is not going to lead anywhere.\u2019<\/p>

\u2018Sounds psychosomatic to me,\u2019 Mary reflects, \u2018but our team is not really equipped to handle chronic pain patients.\u2019<\/p>

I sigh. \u2018I wonder to what degree all the so-called causes we learn about are actually the real causes? Maybe the cause of the disease is much deeper than what is revealed in the textbooks and papers.<\/p>

After all, when we test mice and seventy out of a hundred get sick after encountering a bug, we assume the bug must be the cause. But what about the other thirty mice? We put this down to chance or host factors \u2013 just because we don\u2019t fully understand. I wonder whether anyone is looking into this? And I also question what Veronica needs to learn by being grounded the way she is. I would love to tap into her heart directly and find out from the source.\u2019<\/p>

\u2018Mmm,\u2019 Mary agrees. \u2018When you\u2019re young and in training you tend to be interested in all the tricks and buttons, the technology and how to conquer disease. But as you grow older you become more interested in deeper questions like yours.\u2019<\/p>

Intrigued by her comment I invite the others\u2019 views.<\/p>

Even more fascinating is that all of them agree that compassion makes up more than fifty percent of what we offer when working with chronic disease patients.<\/p>

Next I ask \u2018Were you ever trained in being consciously compassionate or how to contribute to healing with loving attention, sympathetic awareness and just open-hearted human love?\u2019<\/p>

Everyone looks down at the table.<\/p><\/div><\/div><\/div><\/div><\/div>

[siteorigin_widget class=”SiteOrigin_Widget_Image_Widget”][\/siteorigin_widget]<\/div><\/div>
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Finally Mary voices what we\u2019re all feeling. \u2018We all know this Jan. And the longer we\u2019re in practice the more we rely on \u201cexperience\u201d, our sixth sense or intuition. Offering loving attention and compassion in addition to what we learned in med school.\u2019<\/p>

I am jolted out of this rare reflection with my colleagues by the jarring ring of my phone. Another emergency. \u00a0\u2018OK, I\u2019ll be right there.\u2019 And I race from the canteen.<\/p>

Eight hours later at the end of my shift, my wife Jessica picks me up for a family weekend in the mountains. In the car\u2019s rearview mirror, I glimpse six big brown eyes looking back at me. My heart fills with joy and gratitude that all three of my children are blessed with good health.<\/p><\/div><\/div><\/div><\/div><\/div>

<\/figure>

The next morning on the ski slopes I sit on one of our wooden sledges and watch Jessica laughing. She is at ease while playing with the kids at the top of the hill. Without warning my conversation with Veronica and her mother bubbles up in my mind. I ponder why my kids should be so blessed with the joyful experience of playing in the snow while Veronica can hardly move without pain. And am filled with a nagging sense of guilt about my insufficiency to truly help and heal her.<\/p>

Veronica is trapped within the confines of conventional medicine and I am the ignorant messenger of its current theory \u201cThere is nothing wrong with your body. Might it be psychological?\u201d<\/p>

However, something deep inside me knows that this is not the full story.<\/p>

Two years later, I am in my office opening a letter from a leading European hospital which specializes in psychosomatic disease and psychological counselling for patients in pain. I learn that Veronica spent 6 weeks in a hospital-like institution without her parents. During that time there was essentially no change to her condition on discharge.<\/p>

I feel deeply tired and recline my seat, a hand on my chest as if to hold onto my heart as I speculate out loud. \u2018Kids with such illnesses often come from affluent families with alert, cultivated minds, often with a refined sensual awareness of their bodies,\u2019 I reason. \u2018Maybe their issues are less rooted in the material world but reflect a lost wholeness. This could well present with pain and the inability to move freely\u2019.<\/p>

\u2018They also tend to be kids of somewhat stressed and uptight parents\u2019, I realize, visualizing Veronica absorbing and harbouring the tensions of her parents until their overflow caused disease in her.<\/p>

\u2018It\u2019s almost as if she is part of a new generation living in a more stressful environment while being more aware and sensitive to physical sensations of stress. With no immediate role models who could show her how to handle stress, perhaps her body and mind are absorbing the negativity in her surroundings, resulting in painful paralysis and a feeling of not being understood.\u2019<\/p>

\u2018Is Veronica expressing her parents\u2019 collective pain to bring attention to the family dynamic? Did I examine her as if I was looking at a broken valve rather than realizing that she was a healthy valve in an overheated pressure cooker, attempting to heal her family\u2019s or generation\u2019s condition?\u2019<\/p>

A warm feeling of understanding sweeps across my heart.<\/p>

\u2018Maybe Veronica is a true pioneer of a new generation and is expressing its collective \u201cgrowing pains\u201d to use a clumsy analogy. Perhaps a doctor running tests or parents looking for biomechanical or psychological causes of her pain is not enough. What she needs is to be asked what would make her feel loved and respected as a guide for all of us who surround her. How could we support her in expressing what might be a healthier environment for her to exist in without pain? I would imagine such an environment might be healthier for all of us.\u2019<\/p>

Veronica\u2019s story is not unique. I\u2019m sure many of you reading this have encountered similar patients in comparable situations.<\/p>

What interests me is how many of my medical colleagues and peers have ever felt a knowing beyond what our textbooks have taught us?<\/p>

Are we missing a vital piece of the puzzle whenever we classify a medical condition as psychogenic or somatogenic?<\/p>

That is the territory we\u2019re exploring here at Heart Based Medicine.<\/p>

The story above is based on personal experiences. Places and names are fictional.<\/em><\/p><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Exploring the landscape between what we are taught and what our senses and life experience tell us.<\/p>\n","protected":false},"author":21,"featured_media":6305,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"episode_type":"","audio_file":"","podmotor_file_id":"","podmotor_episode_id":"","cover_image":"","cover_image_id":"","duration":"","filesize":"","filesize_raw":"","date_recorded":"","explicit":"","block":"","itunes_episode_number":"","itunes_title":"","itunes_season_number":"","itunes_episode_type":"","h5ap_radio_sources":[],"iawp_total_views":19,"footnotes":""},"categories":[86],"tags":[261,265,173,277,234,176,254,263,253,272],"media-category":[437],"typ":[431],"class_list":["post-63","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-read","tag-compassionate-healthcare","tag-emotional-intelligence-in-healthcare","tag-emotional-well-being","tag-healing-through-compassion","tag-healthcare-transformation","tag-heart-based-leadership","tag-holistic-healing","tag-mindfulness-in-medicine","tag-patient-centered-care","tag-wellness-in-healthcare","media-category-stories","typ-intern"],"blocksy_meta":{"styles_descriptor":{"styles":{"desktop":"","tablet":"","mobile":""},"google_fonts":[],"version":6}},"acf":[],"yoast_head":"\nHow 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