Heroes Not Zombies

I was walking in a forest just outside of Kyoto and I noticed the reflections of these strange stumps of wood in this pond. I raised my camera to capture the scene, expecting to have a photo of a slightly unsettling landscape of chaotic, jagged sticks and stumps standing at all kinds of angles in the pond, their reflections doubling the feeling of their brokenness. I clicked. As I did so I noticed a blur of white flashing past. It was only when I checked the image in the screen at the back of my camera that I saw this white bird. A heron, I think. A moment of its flight captured in the instant of the camera’s action. Its great white wings elegantly beating downwards to propel the creature over the surface of the water.

It’s pretty difficult to get photos of birds in flight. Well, at least, I find it quite hard to do so deliberately. I have lots of photographs of birds standing on the ground, or perched on rooftops, or in branches of trees. But capturing a bird in flight takes a certain amount of luck. It’s almost a zen archery thing where you don’t try to hard but relax into capturing the scene.

Actually I have several photos of flamingos in flight, and swans too, but in both those circumstances I was somewhere where there were dozens, if not hundreds of them, and they were so busy flying here and there it was hard not to get a photo of at least one of them in flight. But this was different. Here I hadn’t even noticed there were birds around before I took this photo.

So what is this? A lucky photo? Serendipity? Or simply an example of the unplanned moment produced an experience of delight, an opportunity to wonder and feel awe?

I once read that a General Practitioner is a “specialist in managing uncertainty”. I know why that was said. As a GP you never knew what the next patient was going to tell you about. You never knew exactly what you’d have to deal with today. More than that, many, many people present to their GP at a stage in their illness where nothing is yet clear. You know the kind of thing. Someone feels “off”, “achey”, or “has a pain”, or some other of a host of possible symptoms, but it’s the early stage of an illness, and the “signs” – changes in the body which can be felt, heard, or measured – are not very clear. Within hours, or maybe over many days or weeks, the disease makes itself more obvious. It always struck me that this was one of the big differences between GP work and hospital work. In the latter case, the vast majority of patients present with something pretty obvious – either because of the severity, or the acuteness of the problem, of because by the time the problem is this troublesome the “signs” have all become clear. Absolutely, that’s not always the case, but having worked in both settings, my experience was that GP work was filled with much more uncertainty. There was another aspect which intensified that – time. In hospital practice the time spent with the patient is pretty limited. There’s an event or an episode, a diagnosis to be made, a treatment to be administered, then the patient, hopefully, is “discharged”. They go away. In General Practice the relationship is, potentially, for life. For those who spend a whole career in Primary Care they will have patients who they met as newborns, accompanied through their school years, their relationships, setting up their own homes, their work pressures, and the creation of their own little families. They will have known some middle aged men and women become elderly and frail. Patients in General Practice, at least traditionally, didn’t exist only in events or episodes, they existed in these long term relationships. So, of course, when someone developed a serious, potentially chronic illness, as a GP you had no way of knowing how the illness would progress. For some, it would become trivial, or even non-existent, for others there would be an unsteady but unrelenting path of decline, for yet others, this disease would be fatal. The uncertainty came in not knowing what might lie ahead……a fact of life, you might say, but, still, a key issue in the daily life of a GP.

Since the beginning of this pandemic, it’s felt that uncertainty has become a more difficult, daily presence for most of us. The twists and turns of the infection rates, the government responses, the attempts to find ways to treat and prevent it…….

How many times have you heard the word “unprecedented” in the last couple of year? I bet it’s an unprecedented number of times!

What have so many people done to try to cope with this? Because, let’s face it, to be filling your thoughts and imaginings with future possibilities, many of them, frankly, scary, doesn’t feel good! I think what many of us have done is to either deliberately, or serendipitously, focus on the present moment. There was a time in mass confinement when our world’s shrunk to the walls of our dwellings, or the fences of our gardens. In those times it felt better to be aware of daily little wonders, to focus on the real delights. That’s my “émerveillement du quotidien” thing that you can read about on this site. And even since the restrictions have eased somewhat, there’s been a sense of increased value and importance in relationships, with more communication…..perhaps not more in person, but certainly more in WhatsApp groups, video calls, phone calls and messages.

I think that’s how we cope best with the unexpected – delight in it when it offers us delight, feel the calmness which can accompany focusing on the present, and filling our days with what we value most.

Because, although it’s almost a cliche, life is best lived in this present moment. And sometimes, the unexpected can actually feel like a gift.

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