Monday, May 27, 2024

Onism: On Being and Nothingness

 

What would it be like to be in his shoes?

--Aaron Burr of Hamilton in "Hamilton"


Onism: The frustration of being stuck in just one body that experiences only one place at one time



Probably one of the most fundamental attractions of reading or watching fiction is the magic of being transported from seeing the world from behind your only  set of eyes to seeing it from the eyes of another human being, even if that other human being does not and has never actually existed.

If you really think about it, each person in your life, each passerby, each enemy, lover, friend, teacher, boss, child has his own story in which they are the main character, the protagonist and you are just a bit actor--a realization some call "sonder," as in someone else yonder.

On at least five occasions, I think more, I have briefly exited this world and disappeared and then returned, having no idea where I was during that blank interval: Once during general anesthesia for surgery, when I woke up to the smiling face of a Black nurse in the Recovery Room, and I was so happy to find myself back among the living I expostulated, "Oh, you are so beautiful!" And she laughed and said, "Welcome back."

Another two times, I was watching someone draw blood on a patient and simply lost consciousness--that was before I went to medical school. Another time, later, I did the same while someone was drawing my blood and I disappeared into that black void and yet another when I was knocked unconscious in an auto accident.

On each occasion, I experienced nothingness, no sensation, no pleasant or unpleasant sense, just nothing. No noise, sense of cold or heat, smell, touch, pleasure nor pain. Just zip. Nothing.  Blank. Gone boy. Absent without leave. 

It was enough to convince me there may be no after life. I arrived here on earth from somewhere, presumably, and I have absolutely no memory of that nothingness and likely, may well be, headed back there.

Unless, of course, "I" will get recycled. As everything in the current universe where I "live" seems to be cyclical, that reincarnation would make a certain sense, and if there is "justice" or even sick humor in the universe, maybe, if I secretly loathe say, Black people or Indians, I will come back as a Black woman or an Indian.  Somehow that notion has appealed to me, so I have striven to not loathe anyone, to think of how it would be to have to live life as a very obese Black woman or a starving Hindu. 

Even writing novels has not allowed me to escape the single porthole view of life--even trying to imagine a new or different life, I always am drawn back to my own experience and cannot really create a new perspective; I find myself only a journalist, not a real novelist. I have never been able to create a new imagined existence but simply return to my own life experiences. As Fitzgerald said, "Boats against the current, borne back ceaselessly into the past."



Sometimes I wonder about patients with "gender dysphoria" who feel they have been born into the wrong body, the wrong gender. Is their problem an intense longing to experience an entirely different life? One of the things I can least imagine, really do not want to imagine, is  what it would be like to be a woman, to have sex as a woman rather than as a man. Or to be Black and to adore whiteness, blonde hair, white skin. To be really short, or to be deformed or sickly. Or to simply be a child and have leukemia and be trapped in a hospital, unable to refuse treatment. 



Or, as William Styron imagined, to be a mother in a concentration camp, and watch the SS guards carry off your baby.

The fact is, much as one might long for a different, better, more exciting life, there are so many alternative stories from one's own story which would be so much worse.





Lola, in "Damn Yankees" was the ugliest woman in Providence, Rhode Island before she made a bargain with the devil and was instantly transformed into the most dazzling seductress in the world. But, for all the Hell she lives, she remembers that other hell before she made her bargain.

And what a blessing to have been born in the mid 20th century, before computers, the internet, Amazon, Wikipedia, to know how cumbersome life could be before our current high level of technological living, to be able to appreciate all this having been at the before and now to have the after--as our grandchildren cannot, because they never lived without these conveniences. 

But wouldn't it be something to be able to alternate between one existence and another or several others and to be aware of that other self you can occupy? Or maybe, like the heroine of Outlander, to be aware of the different existences you lead as you travel back and forth and time and place? 

Now there's a Netflix series I'd watch.


Wednesday, May 1, 2024

Looking Back 50 years

 


On board the Elba Viking ship with my brother, some discussion of our time at Cornell University Medical College has been inevitable. He was 5 years ahead of me, and some of the faculty and graduates his of his class were still there when I arrived at the New York City school.  Our class 50 year reunion is approaching and although I'm being more or less required to attend I intend to say nothing or as close to nothing as possible there.



But that does not mean I'll not be thinking about that experience.

Foremost in mind is Bertrand Russell's remark, "The trouble with life is, the stupid are cocksure and the intelligent full of doubt." That certainly describes many of the students and faculty at CUMC. There were, to be sure, many brilliant folks, but they tended to be the quiet ones: Jerome Posner, neurology; Maria New and Julianne Imperato-McGuinley,pediatric endocrinology; whoever it was who taught our first year physiology course; Henry Masur, Charles Jarowski, my residents; Kathy Foley, my neurology chief resident. 

In sum, I learned more the four years in college and certainly more the 50 years since medical school than I learned of enduring value at Cornell, but the four years in medical school were essential and necessary.

The annoying part of Cornell was it provided a home for people who thought they could substitute arrogance for erudition and get away with it. What they really taught me was that being in power did not mean you were either the best or the brightest.  Many big organizations likely taught the same: the Army, the US Congress, scores of big businesses.

Cornell had too little real innovation--there were no Bill Gates, Mark Zuckerberg, Jeff Bezos, Larry Page/Sergei Brin types there, people who changed the basic stratum on which life gets lived. The ethos there was not to question but to fall in line, and that does not advance knowledge very well. 



Having said that, real innovators are rare and when I left Cornell for Yale School of Medicine, I found a few innovators, but the school and the hospital which supported it showed what happened when discipline and values of self sacrifice were too lax. Georgetown Medical School taught me what happened when the leaders at the very top were incompetent and the Brown Medical School taught me what a fledgling, underdeveloped school, newly hatched lacked.



So Cornell was good at what it did, but it suffered from a lack of true confidence. It was a place of posturing and pomp, but it managed to accrue the virtues of trying hard, maybe the vice of trying too hard, and in the end, it provided what it promised: a good start.