I got a gift certificate for a book store from hubby for Christmas and I decided because I can’t afford a personal trainer I will tweak my fitness program with a couple of good books which I am now awaiting via snail mail. I happened into the book called The Heart Speaks which is written by cardiologist Mimi Guarneri.

In the past year I have dealt with some scary heart palpitations another story for another time so I was drawn to it. Let me tell you I could not put this book down. I read half of it last night and would have finished it but I wanted to get up early so I saved the rest, hopefully for tonight. I couldn’t even wait to finish it before blogging about it. I immediately thought of my favorite blog friend Jelly who is also an MD as the book brought up an issue she had mentioned in a recent blog about having someone ask why she hadn’t become a specialist. Dr.Mimi laments the days gone by when one had a family physician they knew and trusted and who knew them too.
I can hardly begin to describe all the things that moved me in this story even though it is non-fiction. It is full of amazing personal accounts and anecdotes. First and foremost what struck me is how doctors do not have time to really *listen* to their patients. Dr. Mimi talks about being fresh out of med school, number one her class, and having to trail an old timey doc around impatiently while he took time to laugh and joke with his patients and mostly to actually listen to them tell their stories. At the end he told his group of young student doctors, “If you really let patients speak and tell their stories, and you really listen, they’ll give you their diagnosis. But if you keep interrupting them and they don’t get to tell it, you’ll keep ordering tests and lab work and you’ll miss the answer that’s right in front of you.” She gave an amazing true story to illustrate this point.
I have long wondered why we in such an “advanced” society are so disconnected with our own bodies and how to keep them healthy in the first place so we don’t have to heal them. Despite our knowledge, in many cases we have to do a fair amount of guesswork. Our bodies are not cars to be repaired. In fact, in the book she mentions being struck that her car mechanic took longer to explain what was wrong with her transmission and what the options were than she spent on her heart patients who had just had a stent implanted. What she discovered that I have long thought is that our heart (an I’m guessing our other organs) is not just a big pump but intimately connected with our emotional center too.
I have had a couple of recent experiences where I sought out help from a naturopath after being told I was healthy by my doctor who performed all the prescribed tests but did not have time to actually listen to me and my thoughts. In her defense, she isn’t given the time to sit and talk to me. I think the average a doctor is supposed to spend with a patient is only 17 minutes and sometimes that just isn’t enough to figure out what is really behind the symptoms. I remember years ago when my eldest had a string of ear infections the doctor looked at me dumbfounded when I said pleadingly, “what is causing this”? He said, we really don’t know. In the end I took her off dairy and she never had another ear ache.
Even if she did have the time she doesn’t know me well enough to try and help me figure out what is causing my symptoms. Mostly I find she just wants to give me a prescription as that is what she is trained to do and I don’t take medication unless I really have to so we don’t connect at all. The only time I seemed to connect with her was when I mentioned that I swim early in the mornings with my girls, not sure why she was surprised at this and she was impressed.
The end of my story is good though as I am feeling fantastic apart from the normal fatigue I get when I stay up too late and get up too early but I had to make some changes probably the biggest being saying no to a variety of activities my kids were doing. I had to let go of the stupid idea that I was the source of my children’s happiness. It was liberating. They don’t seem any the worse for wear either.
Back to the book, another point she made was about a study done in 1935-1984 in a small Italian enclave in Pennsylvania. The people there did not eat a particularly healthy diet, eating lots of saturated fats, they smoked, and did hard labor for a living but they had almost no heart disease. They also lived in a tight knit community where everyone knew each other, they celebrated and lived their lives completely interconnected to each other. Not surprisingly when the younger generation decided they wanted bigger houses, bigger cars and lots of possessions and moved away to live in the outskirts of town they immediately began to have the normal rate of heart disease.
She somehow put to words what I experienced when I traveled in Guatemala during the end of their civil war in the late 1980′s. The people only had each other, they were the poorest of the poor but I felt an unbelievable spirit of camaraderie and downright happiness there. They laughed and cried with each other, they were never alone and were always there for each other, they knew exactly what was expected of them. Was it the ideal? Of course not, they didn’t even have the money to buy a simple anti-biotic for a real infection but it did teach me something I’ve thought about ever since.
I often long for simpler days but there just is no going back. We can do what we can though to stay simple and love our kids and spend time doing what is good for the family and with that I better get off the computer.
Read the book!
Mimi (she must be smart she’s got my name!)