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President’s Letter

Wherever You Are, That’s Home

By Stephen J. Ezzo, MD

I mentioned in my last letter how my wife was injured                      If you would have told me as a kid I would find myself in this
      while skiing. Although it could have ended on a better             setting, I would have thought you slightly touched in the head.
      note, the vacation itself once again reminded me of the            Furthermore, I doubt I could have invented such a scene, even with
wonderment of life.                                                      my penchant for storytelling. To recap, Florida boy in Canada with
                                                                         a Cuban cigar and Canadian beverage, idly dreaming of what boats
When I met my wife-to-be in medical school in St. Louis, I had           lay beyond the blue-pink horizon of a Great Lake, while soaking in
                                                                         traditional Scottish music. Life truly is a miracle.
spent the first 18 years of my life in Florida and the last four in
                                                                           By now, if you have hung in this far, you may be thinking, “Nice
Georgia. Though uncertain at best, I harbored visions of becoming        stories.” Or not. What I hope most of you are thinking is, “What
                                                                         does this have to do with the practice of medicine, and how can I
an internist, returning home to practice alongside my father (what a     apply it to my life?”

mentorship that would have been!), eventually assuming the practice        First, our cumulative experiences make us more rounded. We can
                                                                         see others’ opinions more objectively and, in the medical setting,
upon his retirement. I vividly recall telling myself I had worked eight  grasp patients’ views of their illness with less of our own bias. Once
                                                                         we comprehend how our patients view their illness and the aspects
long years to get to this point and not to screw things up by getting    that are critical to them, we can provide better, more personal, care.

involved in a personal relationship, which would detract from much-        Second, what we have done, where we have been, allows us the
                                                                         opportunity to make a non-medical connection with our patients.
needed study time and scuttle the best-laid plans.                       This connection, I believe, is as crucial as the medical one, as it
                                                                         places the doctor-patient relationship on a less equitable plane. I
So, into my life strolled this Yankee girl (hey, everything beyond       am firmly convinced our patients open up to us more if they see us
                                                                         as more like them. Those issues seen as embarrassing may come
Richmond was Yankee to me ... north, west, it didn’t matter), who        to light more often if we are viewed as more down-to-earth than
                                                                         reserved professionals. I know we are pressed for time, and it cannot
challenged me intellectually and electrified me emotionally. Our         be done at each and every visit, but the occasional social query can
                                                                         have lasting benefits. Just the other day, a patient told me he was
Our two worlds —        courtship opened up new worlds,                  headed to my hometown for a vacation. He left with a list of local
professional and        one of which was joining a ski                   joints only a native would know.

                        family. Up until then I had a grand                Our two worlds — professional and personal — are interwoven,
                                                                         and we should resist the temptation to wholly separate them.
personal — are          total of four forgettable ski days to            Incorporating the worlds results in a symbiosis with the sum greater
interwoven, and we      my credit. Soon I found myself on                than the parts. It can lead to those things we all strive for, such as
should resist the       top of a 12,000-ft. mountain; the                deepening the bond with patients.

                        highest point in Florida is 345 feet.              Of course, it also can lead to the unexpected, such as the edge of a
                                                                         ski cliff.
temptation to wholly    It was a trial by fire — I watched
separate them.          as she and her siblings carved their              “There are no foreign lands. It is the traveler only who is foreign.”
                        way down a run, stopped, glanced                                                                 — Robert Louis Stevenson

                        up at me and said, “Just like that.”             Trivia question:
                                                                           Who is Louise Joy Brown?
I would creep sideways across the hill, looking for the perfect place      Answer on page 9.

to turn, which always seemed to be a bit farther away. Once in the

trees and out of options, I kicked off my skis — I got quite good at

that — took their names in vain (not so quietly) and walked down.

And, repeated on the next slope.

Here I am, 30-plus years later, wishing I had more days on the

mountain and amazed I have arrived at this point. For me, it is

the quintessential example of the twist and turns (or should I say

slaloms) life holds.

Indulge me once more, please. Every summer we spend some

time (again, never enough) at her family’s cottage on Lake Huron

in Canada. There’s a stretch of cottages along the shoreline and, a

few years back, I sat watching the sun melt into the lake, enjoying

a Cuban robusto. (And no, I did not violate the embargo; you can

buy Cuban products in Canada regardless of your nationality. But

frankly, Cuban cigars are overpriced and living on their reputation.

The ones from Honduras and the Dominican Republic are just as

good and less expensive.) A few cottages over a family celebrated

a reunion and hired a bagpiper for entertainment. Thanks to the

many trips made over the years, I actually could identify most of

the tunes by name.

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