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                                                                                                                                 that no health care professional can finish this   tion would find this story in the least remark-  life-changing anecdotes, convincingly illustrat-
        Chicken Soup for the ICU: A Review of                                                                                    book it without having found strong identifi-  able or unusual except in its lucidity.    ing the remedial power of stories, from easing
                                                                                                                                 cation with at least one if not many of the sit-  Dr. Remen is at heart an anti-reductionist,   suffering and dispelling fear, to healing shame
        “Kitchen Table Wisdom – Stories That Heal”                                                                               uations, circumstances, conundrums, koans,   advocating that health simply cannot be ex-  and restoring the sense of worth.

                                                                                                                                 or life-passages portrayed.
                                                                                                                                                                                                            The reason it has been continually in print is
                                                                                                                                                                     plained in terms of its constituent parts and
                                                                                                                                   For example, her recounting of visiting a   their interactions. She comments, “My ten-  the author’s sincerity: “In the end, I write about
        By David Alex Schulz, CHP
                                                                                                                                 parent in palliative care, when the author’s   dency to tell stories had always been frowned   something I know intimately: that every one of
                                                                                                                                 mother imagined her own mother, the au-  upon by my medical colleagues and rejected   us matters. And that we have the power to be-
          When Dr. Rachel Remen’s work was first   She tells of three stonecutters:                                              thor’s namesake and long-passed, was also vis-  as ‘anecdotal evidence.’ They preferred to   friend and strengthen the life in one another
        published in 1996, it seemed a radical ap-  the first, who saw his effort as                                             iting: “My mother began to tell her mother   measure truth in terms of hard data. So I had   and to change the world, one heart at a time.”
        proach to healing. By its 10th anniversary   boring piece-work; the second,                                              Rachel about my childhood and her pride in   learned to keep my stories to myself.”    All quotes and images from “Kitchen Table
        reprint, it was seen as pioneering “new age”   who delighted in the same piece-                                          the person I had become. Her experience of   Dr. Dean Ornish agrees in the book’s for-  Wisdom - Stories That Heal” by Rachel
        medical care and respected, if not fully   work, as it enabled his family a                                              Rachel’s presence was so convincing that I   ward, “Anecdotal evidence — in other words,   Naomi Remen, MD, Copyright ©1996, Pen-
        adopted. Today, a quarter-century after its ap-  secure life; and the third, who                                         found myself wondering why I could not see   stories — is viewed with suspicion by scien-  guin Publishing.
        pearance, “Kitchen Table Wisdom” is doc-  saw the integral role his stones                                               her. It was more than a little unnerving. And   tists. There are too many confounding vari-
        trine. Call it “integrated,” call it “alternative,”   would have in the great cathedral                                  very moving. Periodically she would appear to   ables, so the facts are harder to prove, to   David Alex Schulz, CHP is a
        call it “holistic,” Dr. Remen, as both a health   for which they were cut. He saw                                        listen and then she would tell me of my grand-  replicate.” Now, a quarter-century later,   community member of the BCMS
        care leader and long-time chronically-ill pa-  their meaning.                                                            mother’s reactions to what she had told her.”   “Kitchen Table Wisdom” continues to defy re-  Publications Committee.
        tient, invites us to consider wellness from a    “Meaning may become a very                                              No one attending a parent in the end-transi-  ductionist thinking, using deeply moving and
        perspective that looks beyond diagnosis, in-  practical matter for those of us
        creasing the scope to the widest angle possible.     who do difficult work or lead dif-
          First as a pediatrician, later as a counselor,   ficult lives. Meaning is strength.                                                                                            The Bexar County Medical Society is proud to welcome
        Dr. Remen began exploring the spiritual di-  Physicians often seek their                                                 LETTER TO                                                           a New Platinum Sponsor
        mension of the healing arts. Her experiences   strength in competence. Indeed,
        have taught her that life is "coherent, elegant,   competence and expertise are
        mysterious, aesthetic,” she writes. “When I first   two of the most respected quali-                                     THE EDITOR
        earned my degree in medicine, I would not   ties in the medical subculture, as
        have described life in this way. But I was not   well as in our society. But impor-
                                                                                                                                   It is with pleasure that I write to commend you for the excep-
        on intimate terms with life then."     tant as they are, they are not suffi-
                                                                                                                                 tional quality of San Antonio Medicine magazine. I appreciate read-
          Now, Clinical Professor of Family and Com-  cient to fully sustain us,” reflects
                                                                                                                                 ing about the most recent COVID developments, the workings
        munity Medicine at UCSF School of Medi-  Dr. Remen.
        cine; Founder and Director of the Institute for   From the birth, through the                                            of the Bexar County Medical Society, and the goings-on of our
        the Study of Health and Illness at Wright State   span of life’s challenges (many self-                                  two sterling medical schools: the UT Health San Antonio Long
        University Boonshoft School of Medicine in   imposed, such as an ‘urge to judg-  lief is like a pair of sunglasses. When we wear a   School of Medicine and the University of the Incarnate Word
        Dayton, Ohio; and author of The Healer’s Art,   ment’) to palliative care and beyond, Dr.   belief and look at life through it, it is difficult   School of Osteopathic Medicine. The ‘Art in Medicine’ feature re-
        a groundbreaking curriculum for medical stu-  Remen’s stories cross all borders and religions.   to convince ourselves that what we see is not   minds me of those JAMA covers and essays that I enjoyed for so
        dents, she is considered a leader of Relation-  “As St. Luke wrote in Acts of Apostles 4:11,   what is real,” writes Remen, who is equally con-  many years. Book discussions by David Schulz are very entertain-
        ship-Centered Care and Integrative Medicine.   the stone rejected by the builders may prove in   versant in Buddhist, Islamic and Hindu beliefs.    ing as well. Keep up the good work!
          More than seventy vignettes comprise   time to be the cornerstone of the building.   “Kitchen Table Wisdom” finds its connec-
        “Kitchen Table Wisdom,” stories related by pa-  What we believe about ourselves can hold us   tive tissue in both how we affect one another,   Sincerely,
        tients, colleagues, seers, clergy, and her own   hostage. Over the years I have come to respect   and the therapeutic effect of relating stories   Neal S. Meritz, MD
        professional and personal testimony. Not all   the power of people’s beliefs. The thing that has   about healing. These narratives are about
        are concise parables with beginnings, middles   amazed me is that a belief is more than just an   more than helping people embrace healthier   Neal S. Meritz, MD is a retired Family Practice
        and ends; some are homilies, others fables,   idea—it seems to shift the way in which we ac-  lives: they lead to accepting the role that each   physician and a member of the BCMS Publications
        salted with a scattering of straightforward   tually experience ourselves and our lives. Ac-  person plays in others’ health, and under-  Committee.
        philosophical discussions of essence and   cording to Talmudic teaching, ‘We do not see   standing our own place in the cycle of life
                                                                                                                                 If you would like to send a letter to the editor of San Antonio Medicine
        being; of experience and its meaning.   things as they are. We see them as we are.’ A be-  with serenity. I emphasize ‘our’ in the belief
                                                                                                                                 magazine, please email editor@bcms.org.                  Please support this sponsor with your patronage, thank you.

         36     SAN ANTONIO MEDICINE  •    October 2021                                                                                                                                                              Visit us at www.bcms.org     37
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