How Can I Help; The Philosophy of New Amsterdam

For the last four years, I have thoroughly enjoyed watching the television show New Amsterdam.  New Amsterdam is a fictional hospital in NYC but it is based on the very real hospital Bellvue also in NYC. The show’s stories are interesting and compelling.  The scripts are well written and the cast of characters well defined.

In the first season and for the last four years the show centers around Dr. Max Goodwin. In the first episode, Max takes over as what I believe is now called The Chief Medical Officer in a hospital.  In other words, Max was running the show.  In the first three and half seasons, Max stays in this position until he marries Helen the head of the oncology department and they both move to London Helen’s original home.  Max is back now trying to get the hospital back from the evil woman who the board elected to take his place.  The culmination of that will take place tonight, Tuesday, May 10, 2022. 

In his first season, Max is constantly asking the same question whenever a problem arises.  That question is, “How can I help?”  That attitude begins to take over the whole hospital as you begin to see the main characters more and more, some subtly some overtly begin to take on the characteristic of caring for each other and the patients of the hospital.

Now you would think patient care would always be the top priority of all medical facilities.  Having worked in medicine for 30 years as a dialysis technician and a medical assistant.  I have seen the level of care for patients being eroded by government rules and paperwork.  Hands-on care by nurses is now relegated more and more to technicians who sometimes do not have the experience or the education to take on that care.  Mandatory 12 and 13-hour days made people exhausted by the end of their shift, and basically useless on their days off in between shifts because of sheer exhaustion.  Let me tell you no one asked, “How can I help?” We were all too tired just trying to keep up with our own work.  I know this because I left dialysis while working under these conditions.  But that is not the point of this blog.

What is the point?  The point is how better the world would be if, when we are told about another person’s problem our first response would be, how can I help?

We live in a world where the rugged individualist has become something to aspire to.  “Pull yourself up by your own bootstraps” or “Do you have to have someone hold your hand?” are both cliches that tell us we are all to be self-sufficient.  That we shouldn’t need anyone else and to quote Dolly Levi from The Matchmaker that we should “Thank God that no one else’s life is tangled up with ours.”  In The matchmaker, which became the musical Hello Dolly, Dolly learns that living that way is ultimately unhappy and the play and musical is her attempt, “to rejoin the human race.”

I think it’s time for us all to rejoin the human race.

People were never meant to live life on their own.  It’s a Bible fact that says two are better than one and that’s not about marriage it’s about life.  No one should have to or ever feel like they have to go it alone.  And yet many people do.  If this weren’t the case songs like Elinor Rigby or Alone Again Naturally, or Dust in the Wind, would never have become popular.  Let’s be honest those are basically songs to commit suicide to, and I’m willing to bet that some people have.

Suicide is another problem which I believe stems from the idea that everyone has to make it on their own.  Now, that is not the only reason.  There are many other reasons people commit suicide.  If you grow up being taught that this is the ideal way to live, making it on your own, then the minute you realize you cannot live this way you have to consider yourself a failure or feel less because you have to ask for help.  Can you imagine with me a world that instead of chiding you for not making it on your own, asks, “How can I help?”

It would be a friendlier world.  People would no longer be looking only at their own interests but also at the interests of all the other people in their lives.  Dickens makes this perfectly clear through the character of Jacob Marley in A Christmas Carol.  Marley was dead and in chains, eternally remorseful for all the times he “minded his own business,” and did not reach out a hand to those who suffer or are in need.  I call this part of Marley’s discussion with Scrooge, “Marley’s Lament.”

“Oh! captive, bound, and double-ironed,” cried the phantom, “not to know, that ages of incessant labour by immortal creatures, for this earth must pass into eternity before the good of which it is susceptible is all developed. Not to know that any Christian spirit working kindly in its little sphere, whatever it may be, will find its mortal life too short for its vast means of usefulness. Not to know that no space of regret can make amends for one life’s opportunity misused! Yet such was I! Oh! such was I!”

“Life’s opportunities misused.”  Marley is not talking about opportunities to advance his career or to make more money.  He took advantage of all those opportunities and it led him to eternal torment.  Marley is referring to all the times he saw someone in need and walked away believing it was none of his business instead of asking, “How can I help?”

We are all, in many ways, self-centered these days.  First, it’s ourselves we look to and then our families.  After that, we may find time to help out a friend, but many of us don’t.  I’m thinking of myself as much as anyone else.

Today, for instance, I was just coming in from the doctor’s office, and a lady who I know just a little was coming in thru the other door.  I let her in so she wouldn’t have to scramble for her keys.  We said hello and I headed for the elevator.  While I was waiting she said a package had arrived that was supposed to help her with her TV reception.  She said she hoped she could figure out how to hook it up.  I responded that those devices are usually very easy to hook up and it should be no problem.  The elevator door was closing when I realized that she may have been actually asking for help.  I stopped the elevator door and said if you need any help come on up and get me.  I couldn’t just volunteer to come with her and set it up as I had to get out of the shoes I was wearing.  They help my feet but I can only wear them a little while each day.  I don’t have her phone number or apartment number so I can’t reach out and see if she needs help. I feel a bit bad for not saying outright, “how can I help?”

Most TV shows are entertaining very few are inspiring.  New Amsterdam is a show that I find both entertaining and inspiring.  It’s a rare breed of television show and I hope you all take some time to catch up with it.  It runs on Peacock and Hulu as well as NBC.  I don’t know where you can stream the whole series, although it may all be on Peacock.  I really encourage all of my readers to watch.

HEALTH UPDATE

I went to my Primary Care Doctor today and though he was pleased with me in general, the bottom line is I gained two pounds in the last month and lost none.  I wanted to avoid telling you this but when I began this journey I made a promise to keep you informed win or lose.

For me, I didn’t really lose this month.  Yes, I gained two pounds, but I gained those pounds while actively dealing with another health problem.  The stress of that problem influenced me to eat more than I was.  Previously I was never hungry at lunchtime, all of the sudden I was always hungry at lunchtime and I had only bad choices to eat.  And I ate them.  That health issue is now under control and I am back on the path I had been on.

That’s it for now.  Here’s my parting thought, if someone relates to you a problem they are going through, instead of offering advice first ask, How can I help?

The picture is the central cast of New Amesterdam from top left Dr. Iggy Frome (Tyler Labine) Head of Psychiatry, Dr. Helen Sharpe (Freema Agyeman) head of oncology, the big photo Dr. Max Goodwin (Ryan Eggold) Bottom left Dr. Lauren Bloom (Janet Montgomery) Head of The Emergency Room, and last Dr. Floyd Ryenolds (Jocko Sims) Head of Cardiac Surgery.

Suicide

It shocked me to learn, last week, of the suicide of Peter Robbins.  For those of you who don’t know who Peter Robbins is, he was the voice actor who gave life to Charlie Brown in the first Peanuts specials in the 1960s.  He also reprised his role as Charlie Brown in the first Peanuts movie, A Boy Named Charlie Brown.  Peter was 65 at the time he ended his life.  As a friend of mine put it, “I hope he found peace.”

I heard of another suicide last week as well.  This wasn’t a famous person in any way.  He was a 72-year-old he left a note that said, “He couldn’t find a path forward to happiness.”

I wish with all my heart that these men had talked to someone before they ended their lives.  Depression to the point of suicide is not rare but it should be.  No one should ever feel that alone.  No one should ever feel that taking his or her own life is the only answer.

I have been dealing with depression most of my adult life.  I believed I was unloved and useless and like the note left above, I could see no path to happiness or contentment.  Many times suicide crossed my mind.  It seemed reasonable to kill myself.  I remember plans I had for committing suicide as way back as my teenage years. I planned I would get in the shower and stab myself so there would be no mess to clean up.  I had other plans too.

I felt like a failure most of my adult life because I wasn’t living up to somebody else’s expectations of me.  I put their opinion higher than my own.  I put what they thought was right for me higher than what I thought, or even what God thought, was right for me.  This led to depression.  Low self-esteem to the point of self-hatred and then to suicidal thoughts.  This all came to a head in March of 1990.

I had been living on my own for the first time since the previous October in what was the greatest apartment in the world.  It was the top floor of a Victorian-style home with all kinds of gabled roofs and large ceilings.  There was a tiny spot with a window and a small arched ceiling that made a mini chapel.  There was another spot between two rooms with an arched ceiling with no windows that looked like a cave.  There was, also, a bathroom with an old-fashioned tub with feet.  I loved that apartment.  At the time I couldn’t drive and the apartment left me very isolated.  I rarely entertained and nobody ever called.  I felt more and more alone and those feelings turned into a deep depression.  The depression turned to suicidal thoughts.

I should have hidden my bad feelings at work, but I couldn’t, so those feelings turned to bouts of anger.  I would lash out at just about everyone.  One day I was walking to the trolley stop to go to work and I firmly decided that I would kill myself the next day if something didn’t happen in the next 24 hours.  It was a decision but it was also a prayer because it was a threat I was making to God Himself.   My boss came in and I said something nasty to her.  She got away from me as quickly as possible but soon came back and called me into her office.  She told me I was out of control and these fits of anger had to stop or I would be fired.  I asked for the rest of the day off and went home. 

I made it back to the apartment and didn’t know what to do.  So I called my friend Manny.  Manny and I had been friends for more than ten years. He was a pastor and he was the only one I could think of who might be able to help me.  And he did but it was radical.

After listening to me, praying with me, and bathing me in scripture, as he called it, he then advised me to quit my job and move in with him and his family in Syracuse NY so he could help me one on one.  And believe it or not, I did it.  I packed up and moved to Syracuse.

I spent three life-changing years in Syracuse and met some friends who will always be a part of my life.  The problem is, though I learned a lot, I was not changed when it came to depression.  This was between the years 1990 and 1993.  I came home, worked a few different jobs, and ended up back in the job that I had left.

It wasn’t long before depression took a strong grip on me again.  This time I had to mask it.  I couldn’t lose this job.  So I hid my ugly thoughts.  I had seen a video on the way The Disney Company expected their cast members (all Disney employees are cast members) to act.  While working they were to consider themselves on stage and to their customers and fellow cast members they were to be positive smiling people.  This became my work ethic.  I was working in dialysis and while on the floor with my patients I was smiling helpful and encouraging.  When I got home I fell apart and despaired.

This went on for about 4 years until I finally talked to a nurse I had been working with for years.  She told me I should see the new associate pastor at her church.  He had counseling experience and might be able to help me.  I honestly didn’t want to do it.  I agreed, but only if she made the appointment.  I figured she would forget and I would be in the clear.  She didn’t forget and, my healing journey began.

It took years.  That first counselor turned into another counselor and a psychiatrist.  I had to take medication and that had to be dosed just right.  Over the years because of changes in insurance and people moving away I have had 5 counselors and 4 psychiatrists.  My current psychiatrist handles both the talk therapy and my medications.  I was blessed by each of these people in their own way.

Thoughts of suicide still cross my mind but they are fleeting.  More like a fly I can brush away pretty quickly.  My self-esteem has gone up and I can see value in who and what I am.  I know now that I don’t have to change for anyone.  I’m OK being me.  I have family and friends who I know love me.  I may not see them as often as I would like but I know for sure they are there in times of trouble.  Just go back read my blog titled Moving Day to find out how both my family and my friends pulled together to help me.

I’m not free from depression.  I’m not sure I ever will be.  But everyone gets depressed once in a while.  I have to be aware of when my depression is justified, caused by some real and possibly fixable situation in my life, and when my depression is chemical.  The chemical depressions are the hard days.  Sometimes you just have to see them through.  Sometimes you have to talk to a friend, a family member or a professional.  Sometimes these require hospitalizations.  I have been in the hospital twice with depression.  I don’t want to go a third time.  There is no shame in needing help during these times.  Anyone who tells you there is doesn’t know what they are talking about.

I can’t stress enough that everyone begins to listen for signs of depression and possible suicide attempts.  The first part is to listen.  We all need to be heard and sometimes our own need to be heard can drown out another’s need. Listen to your friends and your family.  Don’t blow anyone off who is feeling down for whatever reason and don’t brush off their pain as something they should just “get over.”  If you don’t know what to say, acknowledge that you’ve heard them and ask what you can do to help.  If you’ve listened without interrupting you may have helped enough.

If you are having thoughts of suicide talk to somebody.  There is always someone that wants to help.  The National Suicide Prevention Lifeline is 800-273-8255.  I used to have this on speed dial at one time.  I don’t anymore.  I am proof that things do get better.

Musicologists have found that listening to the soft rock sounds of the 1970s helps with depression.  The Carpenters, The Partridge Family, Bread, Barry Manilow and so on can help stabilize your mood.  Singing along helps even more.  I have found singing Broadway songs helps me.  Especially the music of Rodger’s Hammerstein.  My Favorite Things is my go-to song as it depicts lovely things that if you can see them as you listen or sing they cannot help but make you smile.  “Raindrops on roses, and Whiskers on Kittens, bright copper kettles and warm woolen mittens, Brown paper packages tied up with string, these are a few of my favorite things.  You can’t help but see these things in your mind as you sing the words and as you do, your mood will lift, maybe only little at a time, but it will lift.

To both both those who suffer from depression and to those who know someone and want to help I want to leave you with this quote from Charles Dickens from his book Doctor Margold, “No one is useless in this world who lightens the burden of another.”  For you who are hurting think of times, you have helped anyone.  You’re not useless.  If you can’t think of anyone go out and help somebody get out of your head and meet another’s need and you will feel better about yourself.  For those of you who are helping someone who is hurting emotionally, you have tremendous value and it is my hope that God blesses you for your kindness.

2022 Is Here! What Will You Do?

Ok, let’s get this out of the way.  I am not fond of the celebration of the New Year.  I kind of feel like it is a bit of a cheat.  It seems to be a day where we are offered a new start where all the bad things disappear, and all good things take their place.  That is just not the case.  When you get up on January first the same issues in your life are right there staring you in the face and no amount of toasting in the New Year will solve those issues.

Now I know this is just me, or maybe not.  There are probably a few people who agree with me, but the majority are sure New Year believers and maybe they have a point.

New Year is a time of renewal in many areas of our lives.  A time to evaluate where we are and correct the course is necessary, To do this though you must do a deep self-examination and this is hard to do because it means being brutally honest about all areas of your life.

For instance, let’s use me as an example.  I admitted to myself a couple of months ago that I am overweight, grossly overweight and if I didn’t do something about it I would probably die much sooner than the rest of my family who weighs in the right range.  I told myself to look around, there are no old fat people.  And as far as I know, there are none.  I have been obese for years and the medical community didn’t warn me of the dangers, in fact, most of my docs avoided discussing the matter until I said, “Im fat and something has to be done.”  Then they could speak.

I believe one of the reasons the docs are afraid to talk about weight issues is because of this new thing called fat shaming.  Now while I totally agree that kids on the playground should not insult the fat kid, I disagree that once you have grown up and someone mentions your weight you should be happy someone cares enough about you to say something.  To tell heavyset, obese, or fat people to feel good about themselves and to be proud of who they are physically is just plain stupid.  I’m going to be quite clear.  I’m ashamed of myself for letting things go this far. I’m uncomfortable in movie and theater seats.  I don’t like the way I look and I know I am damaging my body by being this size.

This is a brutal self-examination but it is necessary if there is to be change.

We cannot live in a world where change is scorned or where people fear it.  We did, in Europe for many years and that time in history is called The Dark Ages.  Nothing changed during those terrible years but when they ended people began to think and thinking both good and bad is what brought us where we are today.

You can have Dark Ages ib your own life.  That time when you see yourself as perfect when you are far from it.  All the years I denied I was gaining weight were my own Dark Ages and it has led me to where I am now.

It’s not just the weight and how I look.  It’s getting out of breath while carrying something.  It’s feeling my heart race when all I’ve done is walk across the room.  Being short of breath from doing the simplest of tasks and having my feet and legs hurt all the more because of the weight I carry.

That exams my physical body and assesses the problem fairly well.  Now, what’s to be done about it.  I have already begun a program of weight loss.  With my doctor’s approval, I am doing Slimfast for two meals and a sensible dinner.  The reality of that plan is my morning Slimfast shake with an apple and 16 ounces of water lasts me till around four o’clock so for the most part I don’t use the second shake.  I know my stomach, at least, has shrunk as I can only eat a much smaller amount at dinner than I used to.

After a physical assessment is done a mental assessment must also be done.  My mental and emotional state, in general, is better than it was before.  I still need therapy and appropriate medication but in many ways, I am a much calmer person than I used to be.  I can be honest with myself, I no longer rely on comfort food to help me get thru rough patches and other negative behaviors have become much more under my control. My emotions are no longer controlling me as much as I realize that emotions are first response tools.  You have to be careful to digest a first response and think about it before acting on it.  If I get bad news, for example, my first response would be to eat something to make me feel better about the bad news.  I can’t do that.  First response emotions will die down and go away after a while especially if you use your brain to think through your response.  If we respond to anything in anger or fear it is pretty much assured we will regret what we have done.

Now I think more before I react.  First thoughts may be McDonald’s will not solve my problem.  Second and third thoughts could well be the solution to those problems.  Self-control is the beginning of learning how to deal with emotions.  If you have strong emotional reactions to anything, given time, rational thought will calm those emotions down.

We are made in three parts, The Physical, The Mental and The Spiritual.  Many people regard the spiritual as unimportant or attached to emotions.  It is not.  For me, the spiritual parts of us are about our relationship with God and his with us.  I am a Christian and I believe that Jesus was born of a virgin, as an adult lived a sinless life and taught the precepts of the Kingdom of God.  At the age of 33, he was crucified for what he taught but on the third day, he rose again from the dead.  He was seen by many and ministered another 40 days here on Earth before he was bodily taken up to heaven.  I believe that if you believe all of what I have just written and believe that Jesus is Lord you have a place in eternity with Him.  Repeating that is a way to decide how much work my spiritual life has to go.

This year I’m good.  However, Jesus taught us that we should be good to the poor and the suffering.  This year my question must be what I’m doing to follow my Lord in that area and the answer must be not much.  And I’m not sure where I should start.  My physical issues are many and my resources are tight and yet Charles Dickens wrote in A Christmas Carol “Any Christian working in his little sphere will not have time enough, in this life to complete all he can do.”  I paraphrased that but the answer I seek is what can I do?  Hopefully and humbly in future blogs, you will read the answers I found on how to help.

New Year’s may not, in reality, be a new beginning.  But it can be a renewal.  Get past the parties and the cork popping and really dig into who you are and who you want to be in the coming year and you find yourself on the greatest adventure anyone can take, the adventure of conquering yourself.

God bless you dear reader and Happy New Year.

Christmas 2021

I am not a poet.  As I assume all writers do I dabbled in poetry.  I went into fields and climbed trees and looked for inspiration in all the usual places I imagined poets would
go to find their muse.  I never found mine except once.

It was 1979 not long before Christmas when I realized I had no money to give my folks a Christmas gift that year.  It was my first semester in college and as all college students are, I was broke.  I thought and thought and slowly an idea came to mind.  I would write a poem.  Initially I must have thought it would be a Christmas poem, but it turned into something slightly more elaborate.  I wrote the poem, bought some poster board and hand printed it out with some small amount of artwork for the borders.  I was no great poet, but I was and am an even worse artist.  Still, it was a heartfelt gift and I present it to you now as I presented it to my parents as a Christmas gift.

Jesus

They say he was born in Beth’lem town,

And on that night there was the sound,

Of trumpets from the heavenly host,

And in all this the saints would boast.

He grew up alongside men,

Who in their sight he would begin,

A ministry of peace and light,

And leading people toward the right.

For three short years he labored strong,

And taught the people to go along,

A path of wisdom both just and bright,

To walk not in darkness but in light.

The leaders feared what this man taught,

And in their fear a man they bought,

A follower to betray the lord,

For they knew he feared no earthly sword.

They hung him on a wooden cross,

And men believed that they had lost,

A friend much closer than a brother,

Their only friend man had no other.

He died upon that cross so high,

And they placed him in a tomb nearby,

They placed him there while women moaned,

Then covered the entrance with a stone.

For three long days he lay there dead,

The world lost hope and all men said,

That he was good and just and wise,

But like all men he had to die.

But on the third day God shook the earth,

And when the stone rolled from its berth,

He rose again then into life,

And took away all pain and strife.

The world for long awaited this,

For this man he brought a gift,

Of everlasting life for us,

If in Him we put our trust.

As I have stated in other places you can’t have Christmas without Easter.  If Easter did not happen then there would be no reason to celebrate the birth of Christ.  We would still be partying in one way or another.  After all, Christmas did replace the roman feast of Saturnalia.  And that feast had parties and bringing in the green form outside, as well as gift giving.  But the church, as her job, redeemed the pagan holiday and its customs and turned it into one of the most beautiful times of the year. It makes us know that we are loved and somehow instils in us the need to love and help others.  As Dickens wrote it is “a time when want is keenly felt and abundance rejoices.”

Dickens further writes in A Christmas Carol.

“I have always thought of Christmas time, when it has come around, apart from it’s sacred name and origin, if anything belonging to it could be apart from that, as a good time, a kind, forgiving, charitable, pleasant time.  The only time in the whole calendar of the year when and women, seem by one consent, to open their shut-up hearts freely and to think of people below them as fellow passengers to the grave and not another race of creature bound on other journeys.  And therefore, uncle though it has never put a scrap of gold or silver in my pocket, I believe it has done me good and will do me good and so I say God Bless it.”

This was speech given to Scrooge by his nephew in A Christmas Carol.  Very few stage or screen productions ever let the actor have the whole speech but in those words is the true meaning and heart of Christmas.

Earlier this week a fellow Christmas Carol fan, Michael Castellano wrote a poem that embodies the whole story of A Christmas Carol.  He did this all-in-one day and I think it’s pure genius.  With his permission I present it to you now.

My Carol

A chill to my Christmas

with harsh blowing winds,

I’m mean and I’m ornery

when my story begins.

My hearts made of stone

I may never reform,

and to be quite honest

I should have never been born.

Money and power is all that I crave

and my earthly delights,

will end soon

at the grave.

Bah Humbug to Christmas

with its tinsels and lights,

my hatred is strong

where others delight.

my partner in life

has returned from the grave,

“I’ve come here to assist you

your soul I’ll help save.”

You’ll be visited by three spirits

you’ve nothing to dread

they’ll take you on journeys

from the foot of your bed.

The first spirit came

with a bright shining light,

to show me my past

on this cold winters night.

We visited scenes

from my boyhood at school,

where I sat all alone

with a spoon and some gruel.

Then on to the Fezzywigs’

with their great Christmas fete,

with plenty to drink

and abundance to eat.

The love of my life

my very own Belle,

she had me entranced

I fell under her spell.

But greed overtook me

I lost at loves game,

now everything’s different

and nothings the same.

The spirit soon left me

as the city clock struck two,

where I met a gentle giant

who sipped a strange brew.

” Come know me better!”

he said with a laugh,

a crown of live holly

adorned his large staff.

with a touch of his robe

such a soft gentle touch,

we flew over mountains

to a boy with a crutch.

He showed me my life

and my cold frozen heart,

although I saw much

it was only a start.

The giant soon left me

at the end of his haunt,

but inside his robe

I saw ignorance and want.

The last of the spirits

appeared from the mist

a silent spirit

my life to assist.

He showed me my future

my life at its end,

he scared me this spirit

but he was truly a friend.

My name on the grave

I was truly alone,

“I’ll change” I cried

please don;t leave me alone.

Now I’m a new man

the old man is dead,

I’ll help Mr Cratchit

and a visit to Fred.

I’ve finished my story

I’m finally done,

so Merry Christmas to all

and God Bless Us Everyone.

If you have no time to read A Christmas Carol or watch one of the film adaptations, you at least have this poem.

One more note about A Christmas Carol.  I have a tradition of reading the book every year.  I start at night on the 21st reading the First Stave Dickens uses the word Stave instead of Chapter in his book as it is a musical term meaning the verse of a song.  For the next three nights, I read a single Stave usually right before bed.  On the 25th Christmas morning I read The Final Stave entitled The End of It and live with Scrooge all the joy he found that Christmas morning.  For me, it’s a meaningful and touching way to read the classic.  It’s also something a family could do together.

One last thought before leaving you.  Several years ago I was working in dialysis at a local hospital and one of the docs gave me and the rest of the unit employees a little card with a free verse poem on it.  It was beautiful and very timely, and it is a reminder that the celebration of Christmas is only the beginning.  That little card did not have the author’s name, but I found that out recently and I present the poem to you as a last gift of Christmas.

The Work of Christmas

When the star is the sky is gone,

When the song of the angels is stilled,

When the kings and princes are home,

When the shepherds are back with their flocks,

The work of Christmas Begins:

To find the lost,

To heal the broken,

To feed the hungry,

To release the prisoner,

To rebuild the nations,

To bring peace among the people,

To make music in the heart.

  • Howard Thurman