Winter 2019 Selection: Compassionomics

I am super excited about this topic, I think it pairs topics in building physician resilience and improving patient care. Authors Trzeciak, Roberts and Mazzarelli have published several pieces on the topic, our discussion will focus on their book pictured below.

Screen Shot 2019-11-25 at 8.20.35 PM.png

I’ve included a short sampling from their paper in Medical Hypotheses which attempts to delineate the different factors that affect both patients and providers when considering compassion in healthcare, and conveniently in a compact table!Screen Shot 2019-11-25 at 8.13.05 PM.png

Check out the full article for more food for thought! (1)

  1. Trzeciak S, Roberts BW, Mazzarelli AJ. Compassionomics: Hypothesis and experimental approach. Med Hypotheses2017 Sep;107:92-97doi: 10.1016/j.mehy.2017.08.015. Epub 2017 Aug 12. PubMed PMID: 28915973.

A bit of poetry from the MICU

Limited time and demanding rotations leave minimal time for reflection.   Maybe you only have time for a new album on the way home, or you catch an old favorite on the radio.  Consider the following lyrics and and how they take on specific meaning  while you’re on you way home from the ICU.

Long Way from Home
By the Lumineers
Held on to hope like a noose, like a rope
God and medicine take no mercy on him
Poisoned his blood, and burned out his throat
Enough is enough, he’s a long way from home
Days of my youth wasted on a selfish fool
Who ran for the hills from the hand you were dealt
I flew far away, as far as I could go
Your time is running out
And I’m a long way from home
Laid up in bed, you were laid up in bed
Holding the pain like you’re holding your breath
I prayed you could sleep, sleep like a stone
You’re right next to me
But you’re a long way from home
Hospital gowns never fit like they should
We yelled at the nurse, didn’t do any good
More morphine, the last words you moaned
At last I was sure
That you weren’t far away from home
Source: LyricFind
Songwriters: Jeremy Fraites / Wesley Schultz . (3)

 

In an interview with Aquarian online publication, lead singer Wesley Schulz of The Lumineers describes the why this piece was particularly meaningful to him (2).

“Do you have any song on the album that holds a more significant meaning or has a little bit of a stronger hold in your heart?

Lately it’s been, “Long Way From Home.” That is a song about losing my dad. He died on 7/7/07 at 7:07am. It was a pretty bizarre coincidence. Only a few days ago it was nine years and I hadn’t really written much about it. I felt compelled to talk about him getting sick with cancer. He died from the same thing that took his mother’s life, so I think I was just trying to process that. It was a hard thing to do but I’ve been able to now play that live for people and it’s been really cathartic.

With this we use that line “long way from home” four different times but it means something different each time. On a lot of levels it was a really fulfilling song to write.””

With a bit more time, you could even reflect on a myriad of poetry inspired by medicine.  This one from Pablo Neruda caught my eye, and Ode to my Liver (1):

Modest,
organized
friend,
underground
worker,
let me give you
the wing of my song,
the thrust
of the air,
the soaring
of my ode:
it is born
of your invisible
machinery,
it flies
from your tireless
confined mill,
delicate
powerful
entrail,
ever alive and dark.
While
the heart resounds and attracts
the music of the mandolin,
there, inside,
you filter
and apportion,
you separate
and divide,
you multiply
and lubricate,
you raise
and gather
the threads and the grams
of life, the final
distillate,
the intimate essences.
Submerged
viscus,
measurer
of the blood,
you live
full of hands
and full of eyes,
measuring and transferring
in your hidden
alchemical
chamber.
Yellow
is the matrix
of your red hydraulic flow,
diver
of the most perilous
depths of man,
there forever hidden,
everlasting,
in the factory,
noiseless.
And every feeling
or impulse
grew in your machinery,
received some drop
of your tireless
elaboration,
to love you added
fire or melancholy,
let one tiny cell
be in error
or one fiber be worn
in your labor
and the pilot flies into the wrong sky,
the tenor collapses in a wheeze,
the astronomer loses a planet.
Up above, how
the bewitching eyes of the rose
and the lips
of the matinal carnation
sparkle!
How the maiden
in the river laughs!
And down below,
the filter and the balance,
the delicate chemistry
of the liver,
the storehouse
of the subtle changes:
no one
sees or celebrates it,
but, when it ages
or its mortar wastes away,
the eyes of the rose are gone,
the teeth of the carnation wilted
and the maiden silent in the river.
Austere portion
or the whole
of myself,
grandfather
of the heart,
generator
of energy:
I sing to you
and I fear you
as though you were judge,
meter,
implacable indicator,
and if I can not
surrender myself in shackles to austerity,
if the surfeit of
delicacies,
or the hereditary wine of my country
dared
to disturb my health
or the equilibrium of my poetry,
from you,
dark monarch,
giver of syrups and of poisons,
regulator of salts,
from you I hope for justice:
I love life: Do not betray me! Work on!
Do not arrest my song.

What ever your preference, consider the cathartic value of poetry or lyrics in your time-crunched reflections.

 

  1. Arrese M. The liver in poetry: Neruda’s ‘Ode to the Liver’. Wiley Online Library. https://onlinelibrary.wiley.com/doi/full/10.1111/j.1478-3231.2008.01814.x. Published July 8, 2008. Accessed November 15, 2019.
  2.  Sariyan D. The Aquarian. The Aquarian. https://www.theaquarian.com/2016/07/27/an-interview-with-the-lumineers-wesley-schultz-unveils-the-stories-behind-the-bands-intimate-lyrics-and-irresistible-sing-a-long-songs/. Published January 3, 2018. Accessed November 15, 2019.
  3. ​The Lumineers – Long Way From Home. Genius. https://genius.com/The-lumineers-long-way-from-home-lyrics. Published April 8, 2016. Accessed November 15, 2019.