Heroes Not Zombies

Maybe one the most important concepts at the base of all my understanding of people, of Life, and of the world, is that everything is connected. Nothing exists in isolation.

If I want to understand a patient, a friend, a relative, or myself, I have to follow as many of the threads which create the rich tapestries of Life as I can. I can never know them all. The daily judgement is deciding that I know enough to act, keep an open mind and awareness, and watch to see how things change after the act. I don’t really know any other way to live.

In scientific terms we humans are “open systems”. That means we don’t have impermeable walls or borders which separate us out from the rest of existence. It is just not possible to know an individual in total isolation. Our whole being is continuously immersed in flows of materials, energies and information which change us as we change them. We are influenced by, and impacted by, the environment in which we live, the food and drink we consume, the behaviours and emotions of other human beings, and the experiences of all non-human life every day. And vice versa……everything we do, what we consume, what we discard and excrete, how we act towards other humans and other forms of life changes the planet we share every day.

I loved hearing the stories patients had to tell me. Every single story was unique. Every story was a story of events, experiences, and change as a result of interactions between the person and their vast interconnected webs of environment and relationships.

I was taught that good medical practice is based on making a good diagnosis. A diagnosis is an understanding. It was my job to listen to the story, examine the patient, and, if necessary order some tests, to discern the patterns within their experience which I had been taught to recognise. In my early years as a doctor those patterns were almost exclusively pathologies, or diseases. Over time I came to understand that diagnosis, or “understanding”, needed to be both deeper and wider than that. It wasn’t enough to name the disease. A doctor had to learn to see and understand the person who was experiencing the disease. That shift from pathology to person involved teasing out the threads, exploring the influences, the impacts and the personal responses.

Each of us have distinct patterns which occur and re-occur throughout our lives. Patterns of thoughts, emotions, behaviours run through our stories. Patterns of memory, experience and fantasy cycle and spiral across whole lifetimes.

They are amazing. They are remarkable. They are astonishing. I can’t see a time will come when I’m done with this. It seems to me that every day there are new patterns to discern, threads to follow, new connections to find and to create.

What a life! What a remarkable, awe-inspiring, wonderful phenomenon is Life.