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Wednesday, November 19, 2014

A young AIDS patient: What love is

Dr. Betsy MacGregor’s story:

     We admitted a great number of children who were sick with AIDS to my hospital back in those days, and sadly we lost many of them.  I remember one two-year-old boy in particular.  He touched me deeply.  As was typical, he had acquired the virus from his infected mother when he was born, and despite our best efforts to help him, he was slowly slipping away from us.  He lay quietly in his crib, hollow-eyed and emaciated, never smiling or even crying.  He simply did not have the energy.

     The little boy’s mother had brought him to our emergency room one night, burning up with fever.  The chest x-ray we took showed he had pneumonia, and so we promptly admitted him to the pediatric ward.  His mother lingered at his side for a time, but then departed and never returned.  Eventually we learned she had been admitted to another hospital shortly after leaving ours and had died there from complications of her own AIDS.  The one thing she had left her son was his name. She had called him Angel.

     Angel had been on our pediatric ward for three months.  There was no other place that wanted him, and frankly we were happy to keep him with us.  At least we knew he would be fed and kept clean and sheltered and would occasionally be held in another human being’s arms when one of the staff was able to spare a moment or two.  We knew he had little time left.

     One night, when I was on call and kept busy on the ward into the wee hours of the night, I glimpsed a side of Angel’s story I had not been aware of before.  The lights had all been turned down and most of the children put to sleep in their beds, and I was going about my intern’s work – reviewing orders, checking on patients’ vital signs, and peeking in on the sickest ones – when something caught my ear.  A faint lyrical sound was whispering down one of the dimly lit hallways.  Listening closely I detected the thin notes of a melody carried by a human voice. 

     I was tired and still had chores to do, but the wistful sound called to me, and so I followed it, curious to learn what its source was.  It led me to Angel’s room.  Yet what I saw through the doorway as I approached made me pause and remain in the quiet shadows of the hallway rather than enter.  For it was clear that more was taking place in Angel’s room than the sad wasting of an unfulfilled life.  Something more intimate was happening, something that needed not to be disturbed.

     With Angel was his father.  I had never seen the man before, but during discussions on our daily morning rounds, I had heard that he often came in the wee hours of the night to visit his son.  He was a tough-looking person, unshaven and stamped with the harsh signs of inner city life and his own battle with the AIDS he had acquired during years of drug addiction.  I wondered what factors in his life prevented him from visiting in the light of day as other parents did.  Perhaps he was fully occupied with trying to survive, I thought, or maybe he just preferred the lonely hours of the night, when he was less likely to encounter the accusing stares of strangers’ eyes.

     The man was sitting in a chair, holding Angel on his lap and feeding him infant formula with a dropper.  As I watched, he waited carefully for his son’s lips to accept each drop before offering him another, all the while gazing into his child’s eyes and softly crooning a melody – a hauntingly soothing sound, the notes filled with reassurance and encouragement.  Angel’s eyes remained fastened in turn on his father’s face, as if he were drinking in life-giving nourishment from the look that he saw there.

     The two of them were in such a rapt communion that I remained bound in unmoving silence outside their door.  It seemed that I had been summoned not to enter, but to stand as an observer of this exquisite scene, witness to an act of meaning that lay beyond my mind’s measuring.

     What I had been called to witness, my heart said, was the love that was shining brightly in that little room.  Nothing more than that, and nothing less.  In the light of that love, the tragedy of Angel’s pitiful life – of both their lives – was being lifted up and set aside.  I could feel the truth of that as surely as anything my medical books had ever taught me. 

     The shadows in the hallway seemed to whisper, Do you see?  This is what love is.  It is a force more powerful than even life-destroying disease.  It can tenderly embrace whatever the world has abandoned as hopeless and transform it into something to be cherished.


Read a story about the power of love from a group.  Thanks to Dr. Betsy MacGregor for permission to reprint this excerpt from her book, In Awe of Being Human: A doctor’s stories from the edge of life and death

Tuesday, November 4, 2014

Weight Loss in a Group: The team was my family

Stacie’s story:
Two years ago I decided I was tired of how much I weighed and how I felt.  I’m a former athlete, so I’ve worked with coaches and trainers, but I was missing something.

In an Internet search, I found seven nutritionists in my area, and I settled on Kerri Hawkins because of this wellness group.  It was spring, and the group started in the fall, not summer, because people would miss a lot then, and you have to be committed to it.  I started meeting with Kerri individually.  And then I began with the Wellness Group in September 2013.

There’s one caution about the Wellness Group:  you have to be comfortable talking in a group.  Group settings have always been very positive for me.  My team was my family in high school and college.  Having that support around you when you have setbacks, that’s what I got when I came here. 

They set up an e-list for us.  We met 15 times over 20 weeks, once a week for ten weeks, then every other week.  At each meeting we received a new challenge.  Keri and Dr. Altman encouraged us to talk via email about the challenges.  For example, one challenge was, “No added sugar or artificial sweeteners.”  You’re suddenly looking at all the ingredients.  I had to give up diet soda, which, it turns out, is worse for you than sugar.  For women especially, artificial sweeteners are linked to the risk of stroke, and it triggers cravings in the brain for more sweets later.  I still have popcorn with butter and soda with my husband whenever we go to the movies.  We now share a regular soda. 

The “no added sugar” challenge was really hard for everyone in my group.  We received emails that informed us about people’s success.  These really kept me going; otherwise, it would’ve been easy to get lost in thinking, “I wish I had ___,” etc.

The e-list also let me do one of the things I like most:  to cheer for people.  I made a point to respond to every email that came through, which was helpful for me.  I loved celebrating my group’s successes.

And that’s where the team component comes in.  One woman in the group realized it wasn’t the right setting for her, since she did not feel comfortable sharing like the rest of us.  You have to talk about things that are hard, e.g., being a national level swimmer, with a controlled diet.  When I was no longer a competitive swimmer, my unhealthy relationship with food came out and I put on weight in my 20s and 30s.  I had the support of my group, their encouragement and sometimes a hug (when needed).

This program helped me to develop a healthier relationship to food.  It’s not like a 12-step program with alcohol.  You have to have food every day, so I had to establish a healthy relationship with my food.  I’ve even shared this healthy relationship with my dog Jordy.  He loves sharing a bowl of raspberries or splitting a banana.  I lost 48 pounds in 20 weeks.  I made enduring friends and have the lasting support of a team.




Thanks to Stacie for sharing her story, and Kerri Hawkins and Dr. Wayne Altman for connecting us.