I rarely agree with the statements and positions of Ezekiel Emanuel, MD. Politically he is to the left of what I consider rational and reasonable, but when I comes to his opinion on medical education we are in complete agreement.

In his article Does Medicine Overemphasize IQ? In the February 20, volume 319 of JAMA he offers concepts I have shared in my own personal and published writings over the past few decades (including my book Meta-Physician on Call for Better Health). Emotional IQ, EQ is clearly an under-appreciated quality.

The system which produces physicians has traditionally valued the student who can assimilate vast volumes of scientific material and to score well on standardized tests. However, it is more than clear to me that the best physicians need an additional skill set. The process of treating and helping to heal patients is not a mathematical or scientific formula. Rather it is more like the working through of a serious philosophical, psychological or written narrative.

What becomes the best option, the most reasonable approach to the patient who sits before me in my exam room? How do I handle a patient who is NOT responding to my treatment plan? How do I tell a patient that they are not going to get better or that their condition is terminal? How I dance to this music determines ultimately what kind of physician I truly am.

My own personal journey began with my interest in science and the humanities. My fascination with the metaphysical origins and backdrop to nature and the human condition led me down multiple paths which ultimately brought me to medicine as a career. My undergraduate degree in Religious Studies seemed initially incongruous with becoming a physician. Fortunately I was able to persevere through the arduous and often irrelevant pre-medical obstacle course of calculus, physical and much of chemistry. I matriculated in an excellent medical school named after a brilliant physicist was well as a metaphysician, Albert Einstein.

But even there throughout my educational process, what was never emphasized were the deductive reasoning skills which would aid me in my chosen profession. What I found intuitively was what mattered most was not only WHAT I communicated to my patients but HOW I did so.

I learned to communicate both verbally and nonverbally that my concern was for that ONE patient who inhabited by exam room at the time I was with them. No other patient of mine mattered at all. My attention, my concern, my deepest thoughts centered on that one patient alone. And it was true. I did see my practice in those terms. Hopefully that sincerity was felt and understood by the patient.

Emphasizing the power of the mind to affect the physical, asking the patient to participate in their own healing process. All these are strategies I employ on a daily basis which are not in their nature ‘scientific’ per se. If that represented my Emotional Intelligence then where did it come from? I believe it was natural for me. But clearly it isn’t for all physicians. Can these skills be taught? Because I believe they are innately present within all of us I do believe that they can be awakened, brought to the level of awareness that might even make some physicians uncomfortable at first.

It requires lowering our personal guard, revealing some of our own humanity to our patients. Of course we are the professional healer ‘in the room’ but we are also merely human beings. We can share a bit of ourselves, our common humanity with our patients without threatening that ‘professionalism’ we so dearly seek.

The term EQ contains, after all the word emotion. We are emotional beings and although we are trained to withhold our emotional selves from our patients, it is not inappropriate to allow our own humanity to seep through when it is necessary and appropriate. It is not inappropriate to smile when we are dealing with patients. Not all medical conditions and situations involve life and death issues. Relatively benign conditions can produce considerable suffering. Allowing the patient to perceive our lack of concern for their ultimate improvement has healing value.

Admitting that we don’t always know all the answers, the solutions to their problems is necessary. But equally so we can commit ourselves to seeking those answers and remain committed to the process of healing itself. Allowing that the process may be long and difficult but that we will not abandon the patient or their condition is a powerful EQ tool.

We suffer through an age when medicine seems LESS personal, more regulated by insurance companies and bureaucratic nonsense, when physicians find themselves tethered to their computers and burdened by electronic medical records which force our gaze from those we are attempting to heal. We find ourselves labeled ‘health care providers’ and no longer physicians.

But why should honoring our EQ be the goal of physicians alone? Wouldn’t all of society benefit from all of us seeking to become more caring human beings who recognize our common humanity? Therefore, there is more need than ever to seek that inner core of caring and honor the challenge we as physicians have embraced. But it is a worthy goal all of us both physician and patient can share.


The grandparent experience defies verbal/written description. Until becoming one myself I would flee from an oncoming grandparent wielding scores of pictures of their own newly minted grand-offspring. I would appear to be superficially interested and verbalize such worn out comments as anyone would. I would often silently swear to myself that I would never become that kind of grandparent. So now that I have had the experience I try to be very selective in who I reveal pics of the truly brilliant, beautiful and ultimately talented grandson (s) I have. All kidding aside words, either spoken or written do not adequately describe the feeling, or any powerful feeling, for that matter, of the experience itself.

But there is a paradox to the entire phenomenon. My dark side speaks from a place of existential truth. Becoming a grandparent only brings our ultimate demise into stark reality. Fortunate individuals (like myself) retain great memories of particular grandparents and their love. They died decades ago. Now that I have become one the realization comes fully– I’m next in line to fulfill by mortal directive. As my wife’s wise grandmother shared with her when she was small, the older generation must make room for the next. My ancestors did so for me so it is only fair.

I’m OK with that, I guess. There is no option as birth comes with an expiration date stamped somewhere, invisibly on our soul. But just remember you ecstatic grandparents as you lift your bundle of joy into the air–you’re holding your genetic replacement up to the heavens. Enjoy the experience fully as you take a deep, soulful sigh.


Because we live either in the future or the past we inevitably suffer in the present moment over that which may or may not occur. The human mind has evolved to ponder how to survive in an often hostile and threatening universe. This by necessity requires creating and imagining future narratives and strategizing how to deal with them.

This clearly beneficial survival mechanism can unfortunately produce suffering when it is allowed to range free and without constraints. We seem to live in that imagined future and in the process accelerate the perception of time. The challenge we all face is how to balance the necessity to plan and protect ourselves and our loved ones while not abandoning the need to recognize the beauty and majesty of the present moment.

Our lives seem to race by us. Minutes become hours become days, weeks, months and years. We shock ourselves at the passage of time and it seems to accelerate as we age. This time treadmill is on fast forward with no evidence that it will slow down until we ultimately stop running. Will we inevitably reach the end of our lives and look back in shock at how quickly it has passed?

It may just require a recognition of our nature and to make a concerted effort to slow down the process. I return to the topic of meditation. It requires the ‘time-out’ or in other words taking a forced vacation from the incessant thoughts that bring stress and anxiety to our daily existence. It requires a recognition that we can be in a safe place–even for that time we take to do it. It allows us to calm the mind and observe its thoughts.

This is the practice of mindfulness in which the contents of our minds—our thoughts and feelings can be allowed expression but without attachment. It also changes how we perceive time. The present moment may seem like an eternity when we attempt to change our perception of it. That is what is so fascinating about meditation. Try it for only ten minutes and shock yourself by the difficulty in staying with it.

It is difficult to accomplish because it challenges the way our minds have developed over a lifetime and how it works by default. But it is worth the effort if we can just take the time to practice it.

I keep returning to this topic because I need to reinforce to myself the need to do it. The intellect understands what should be done even though we constantly find excuses to avoid it. We just need to act on it. Nameste

On Meditation

Anyone out in cyberspace presently immersed in a meditation practice? Raise your hand. What about those who have tried numerous times and always seem to have it slip away. My hand is raised now. Why is it so difficult and more importantly why is it so valuable? Clearly this short piece will not answer these questions completely but here’s some thoughts on the subject.

We should meditate because of its health benefits. Really. It leads to a reduction is stress, in measurable stress hormone levels, it increases self-awareness, it reduces blood pressure and the fight or flight response on our cardiovascular system. It increases sense of serenity and reduces reactivity (how we respond when we get cut off while driving). It seems to promote an optimistic approach to life rivaling the benefits of antidepressants, it decreases the brain volume in the amygdala, the center of stress, anxiety and fear, increases the grey matter volume throughout the brain in older meditators versus older non-meditators. It may also open individuals up to spiritual experiences. Need more reasons?

So why is it so difficult to do? Probably for the reasons we need to do it. Our minds through culture and evolution are determined to think about a multitude of thoughts in as short a period of time as possible. Anyone who has tried meditation can attest to that. Try meditating for only ten minutes. Set an alarm and realize how inpatient we all are. We will often check the timer just to make sure it hasn’t stopped working. Only ten minutes seems like an eternity.

Known by a variety of terms including ‘monkey mind’ our thoughts leap from one to another like monkeys in a cage. We can understand why this occurs. Darwinian survival mechanisms promoted the ‘worriers’ over those who chilled out and just let it all happen. Which one of our ancestors could anticipate threats could escape or avoid them. This cognitive legacy can now hurt us as much as help us. Meditation endeavors to dampen that innate response of the mind.

Some of the confusions regarding meditation may relate to the variety of approaches. From mantra to mindfulness and a seemingly infinite variations of each, we can can caught in the middle ground of not know what to do. I have been there and clearly each approach has benefits and admirers. Mantra may be somewhat easier to begin with but I will return to the mindfulness approach. It relates simply to the present awareness of the breath. When thoughts intrude, as they inevitably will simply observe them and go back to the breath. Sounds easy but it isn’t. I like this approach because it leads to the Buddhist notion of the witness consciousness. We are NOT our thoughts or emotions but can become the witness of them. We can recognize that our higher self, the soul, observes the creation of our mind. This awareness can be profound in and of itself. Difficult to achieve. That’s why it is called a practice.

In an era where many are diligent in working out the body, let’s be equally committed to training our minds to function at their highest level.

Good luck and namaste. I know I’ll need it.


A metaphysican’s desire— to explain consciousness.  What is it? Is it strictly and simply the functional product of neural pathways integrating themselves within the unlikely structure known as the brain?

Or is there more here.  Is consciousness the expression of the mind, clearly not identical with the brain, the physical apparatus and structure.  The mind seems to be where we are.  Right now.  It is the space in which “I” reside.  It is the conglomeration of all my thoughts and feelings, cognitive and emotional essence.   But is that all?  Do we delude ourselves into believing that there is nothing more to us than this?  

Is it conceivable in any way that consciousness is not merely the product of neural activity within the brain, but that it represents something more?  It is clear that physical damage to the brain though injury, disease or congenital birth defects influence our thoughts and feelings. 

We appear to be strictly. the product of physical brain functioning.  But what about the reports of near-death experiences (NDE)  with their out of body recollections.  Numerous examples can be found in which cognition, observation and reporting of these experiences confirm what seems to be logically impossible— awareness exists outside of a fully functional brain.  

Critics will claim the NDEs are illusory projections of a disordered hypoxic brain.  Really? Then how can a disordered, malfunctioning, disabled brain produce such clear, emotionally and spiritually transformative experiences?

So what if the relationship between the brain/mind/soul is this.  The brain is the physical transmitter of consciousness. But mind or consciousness is an amalgam of the physical brain with its inherent proficiencies and deficiencies and soul consciousness which is our true essence and has reincarnated over many lifetimes.. 

The soul consciousness essentially incarnates and observes the working of the mind which creates and reacts to its own creation.   So essentially our minds our egoic selves is the “place” in which our consciousness resides.  Much of this information can be gleaned from  the writings and research of  Michael Newton and his work with deep hypnotic regresssion.

If we find evidence that consciousness CAN indeed exist without the functioning of a physical brain,then we can open ourselves to the possibility of a cognitive soul that reincarnates over multiple lifetimes.

My Practice

One speaks

Of a

Spiritual practice

Whatever that means





The terminology


In comparison

To the act

The state of being 

So I have come

To realize

That my practice

Of medicine

Is my practice




That Way


In my continual search for a meditation practice I return to concepts that may or may not have “worked” in the past.  Referring to a 2009 blog posting on this topic I can find some renewed interest in its features.   

It centers on the breath but with an awareness of the ephemeral nature of existence. We know that breathing has both a voluntary and involuntary component–if not we would not survive an evening’s sleep.  But the voluntary nature of breathing is powerful and can be used as a spiritual metaphor.

We can visualize the Universe, God, Ein Sof as willing our existence–literally from breath to breath.  This Kabbalistic interpretation differentiates us as animals, living beings who do not exchange oxygen and CO2 passively like plants.

Therefore, we can regard our very existence as a choice which depends on the Universe offering the gift of life for just this breath and not another. When we breath in, the Universe is breathing life energy into us.  When we breath out the Universe is accepting our release of control.  Our usual state of consciousness avoids considering this possibility. But  we can focus and immerse ourselves in gratitude for life itself–and the gift of one more breath. 

This is akin to the notion of releasing the illusion of control in which we usually exist. Our giving it up to the Universe allows us to finally relax.  There is no reason to panic, or worry.  We can release our tight grip on ourselves.  Plunging into the abyss is our destiny.  Will we recover from it?

Wait for the next breath.


Science Daily provides me with much interesting material drawn from across the spectrum of new scientific advances from a variety of fields.  The article entitled “Origin of human genus may have occurred by chance” discusses one of the explanations for Homo Sapiens superior intellect and ultimate survival as global climate change “event” which altered the physical environment of our pre-human ancestors such that we ultimately evolved.

 This article essentially dismisses the global change argument and therefore concludes that our emergence as a subspecies, is genus occurred “by chance”.  This opens up a fascinating but controversial discussion of who we really are.  Are we merely the ultimate survivor in the pure expanse of evolutionary forces? Or do we posses a spiritual nature which completely alters the interpretation of humanities very existence.  

I have often referred to French Jesuit paleontologist Pierre Teilhard de Chardin whose quote “you are not a human being in search of a spiritual experience but a spiritual being immersed in a human experience.”  This understand of the nature of who we are completely alters any  concept of “chance” in ultimate human evolution.

 Is there evidence for such a belief.  I believe there is.  Read the book, the blogs, be open to your own perception of the world.  The truth is out there.



Born to run

But not yet

Five weeks ahead

Always early

A family trait

Your lungs not ready

To make the switch

From fish

To beast

Emerging from

Your amniotic bath

Too soon

Be patient

(Advice to me)

You are

As by Design

Not ready to run


Not yet