04/05/2021
Sometimes it isn’t what we’re batting that takes us but simply the battle itself.-hanif abdurraqib
“The battle against cancer”
“The fight to end dementia”
“The war on drugs and their users.”
In the name of healing, these slogans to cure disease and rally the sick are worn out. People dis-eased with tumor, memory loss and addiction are transformed into soldiers waging war on the landscape of their bodies. How can there be a winner in such a scenario?
As a doctor of medicine these three little words,“Si se peude, or Yes we can” is both battle cry and life saver. The same ones activist Dolores Huerta penned for the National Farmworkers Association, which like most things sound better in their native tongue and a biracial kid from Hawaii tacked onto his presidential campaign to earn a seat in the White House for eight years.
Imagine one morning you wake to find your bones ache or you can't remember where you put your shoes or you’ve been up all night with diarrhea, withdrawing from he**in. Words are powerful and your body is always listening. If the words you say first thing in the morning and last thing before the light is turned off are: “Yes we can,” then each of your remaining healthy cells will perk up and pay attention. See them nodding with their gelatinous mitochondria filled heads. “Yes we can,” agreeing with every drop of cytoplasm. “Yes we can,” watch as a DNA helix uses its alphabet of A-G-T-C to suddenly glow brighter and twist tighter to correct smarter. It does not take a scientist to know that you will feel better. That is what lay people, your mother included, and this doctor regard as, hope.
Contrast this with a kill or be killed message. This bloody chant forces the cell to become armed and inflamed. Poised for battle. No matter who wins, you or your disease, in this cluster of generals and chiefs there are still dead things, a lot of them floating around, in your body. Once again, no degree needed to conclude that this will make you feel terrible.
This conversation came during a drive home from the play, “Laughing In Spite Of” written by a patient of my dad, the other Dr. Bone. It tells the story of a family almost torn apart by a mother with dementia. Dr. Bone had a quite handsome doppelganger act out his role as the caring inclusive physician contrasted against an initial prescription welding hurry-up-and-get-out-of-my-office doctor. The plays personified Dementia looked and sounded like Darth Vadar in a church choir. Complete with a black robe and baritone voice belting, “His truth is marching on.” This wicked trickster crushed the working class black family that my father cared for.
The daughter took on most of the caregiving role even while her mother lashed out in the way of most forgetful people, The spirit of the play was “Yes We Can.” And with the help of the grandchildren and son, the family survived.
Modern medicine has so many new remedies not to mention a better understanding of disease. It is time we change our relationship with these chronic diseases. Yes we can be cured. Yes we can be healed. Yes we can. This is wise medicine.