Tuesday evening, Patch Adams came to Brandeis.
Patch Adams MD, that is. Not Robin Williams. For those of you who don’t know who Mr. Adams is, here:
http://en.wikipedia.org/wiki/Patch_Adams. Among the interesting tidbits about him is that he is a descendant of our second and sixth presidents, John and John Quincy Adams.
The first thing you notice about Patch when he walks in (I feel like if your name is Patch Adams, you can’t really properly be called anything but Patch) is his attire.
A potpourri of colors jumps from his clothing, the actual articles themselves of unusual varieties as well. The two things that struck me most were the frayed rainbow epaulets, and then his Donald Duck tie – Donald jumping and screaming for joy at the base of the swirly-color-fusion tie.
But then Patch starts to speak, and you can tell it's not just his clothing that distinguishes him. No, it his
thought that distinguishes him, a much more potent form of distinction than mere artificial skin.
***
HE FIRST SPOKE of the hospital he started over 30 years ago – the Patch Adams Free Hospital
in Pocahontus County, West Virginia (one of the, if not
the, poorest states in the US). It’s certainly a very distinctive hospital, for many reasons. Among them:
- It’s
free. And they don’t deal w/insurance companies.
-They don’t carry malpractice insurance. And yet they’ve never been sued.
-It’s the only
silly hospital in the world. (“Because there’s never been any proof ever that seriousness does anyone any good. That seriousness has any value in any situation whatsoever.”)
Patch spoke extensively about his vision for the hospital, and how it evolved. As a bright young med student, he had major qualms w/the state of medical education. To quote: “90% of my medical school professors were white arrogant pricks.”
He spoke of how medical education didn’t teach
jack about humanity and empathy, but that his “mom taught him how to be with a human,” and that if one simply projected a countenance of empathy and understanding, all the necessary questions could be answered, medical protocol tossed aside.
Some of his statements and hospital procedures (“barf-along-with-bulimics” and chaining depressed people to his wrist and forcing them along a joy walk) were quite radical, but I agreed wholeheartedly with the
spirit of his discourse.
Among the catchphrases I liked:
-We need to
foster fabulous living-All you need is
food and a friend – if you’ve got that, what are you bitching about?
But then Patch started to speak in depth about his experiences with issues of mental health, and specifically with depression, and my interests perked up
even more than they already were perked.
Patch believes that depression should never be thought of as an
illness. Furthermore, he thinks that mental health is something that can and needs to be
constructed. That is, there are
components of mental health that you can
actively build.
Among the components/building blocks he rattled off:
-Joy
-Passion
-Curiosity
-Love
-Devoting some part of your life in service to others
Now, I’d been itching to speak up for quite some time. There were too many parallels between his story and his views and my own story and views that I just
had to raise my hand.
And that’s when he opened up the floor for questions.
In situations like this one, there are always a few brave (and prepared) souls who take one for the team and break the verbal ice. I admit, on this particular occasion I didn’t do it, mainly because I had so much to say I didn’t even know where to start.
But after a few quick ones (though Patch answers all questions in
great depth – once he starts he just keeps going, linking one thought to another), I found a natural
lull in the group dialogue.
So I popped in there.
I guess it was sort of a selfish question. But I do think it – both my spiel and Patch’s reply – was educational for everyone involved, or at least those who were listening and didn’t zone out the rando (me) in the front row.
Essentially, I introduced myself, then said, “
Can you hear out my proposal for a social venture that will revolutionize the way college depression is treated?” (Oh boy, now I have to do public speaking.
SO not my forte.)
Now, in terms of my venture and my team, sometimes I don’t really know what I have to offer. I don’t have the technical skills (shoutout to Colin and Hari), the business skills and knowledge, (Dan and Hari, and also Colin), or even the network of helpful people that a college provides access to (again, everyone but me).
But I
do think about the issues involved in our venture
constantly, so that ideas are always swirling around in my head, ready to surface at any given moment. And that’s exactly what happened.
I started off slow, fumbling with attempts at concision, but then decided to just free up and put out what I had for the masses, jumping from one idea to the next, until by the end of my pitch I had conveyed at least the gist, if not the logistics, of our business idea.
For reasons of us being in relative stealth mode, I’m not going to fully publicize our idea right now. But it definitely incorporated many aspects of Patch’s philosophies.
Patch’s response was
so incredibly encouraging.
Now, I’m not trying to be arrogant or almighty when I say that I think our approach to treating depression in college students (and hopefully eventually others) will be revolutionary.
I truly believe it.
And it’s not that we concocted a brilliant mastermind scheme. No, all of the elements of our solution already existed, if only as disjointed and scattered fragments.
But no one (wise) says you should reinvent the wheel every time you try to do something.
Screw that. We just threw some good things together.
But like with any other revolutionary idea,
you’re going to get heat for it. In fact, if you don’t get heat for it, you might not be on to anything good. Here’s what Dan tells me Guy Kawasaki (Silicon Valley venture capitalist, among other things) has to say on how to test for a strong idea:
“If your idea is strong – it should engender either terror or indignation in the established professionals.”I recently spoke with an established professional – someone who dedicated a large portion of her life to helping people overcome depression – about the idea for our social venture.
Now, don’t get me wrong – she seemed to be an exceedingly kind and well-meaning person. Furthermore, I have
enormous respect for her, as I do for anyone who chooses to dedicate so much of their life to helping others overcome their difficulties.
But her response to my idea was
almost entirely reactionary. Frankly, she didn’t even let me explain the bulk of my idea.
The moment I began to discuss the drawbacks to traditional interventions for depression – drugs and therapy – she jumped in with criticisms. There’s no need to rehash the specifics. It can be summed up to:
You don’t know anything about anything. You’re too young. Too uneducated. Too entirely ignorant.
Not only was my idea garbage, but by the simple act of my (partially) conveying it to her, I managed to both “disturb” and “offend” her.
Now to be fair, I am a biased human being.
I am the one who gets to represent the conversation on
my blog. You’re reading
my version of the events.
And, as I already mentioned, she seemed to be a kind person, and she did try to educate me a little about the various types of stigma, and about the importance of understanding the help-seeking process (she pointed me towards a paper by an eminent academic).
Personally, I think it’s not so good to get stuck on theory and definitions. But I certainly will read the material if she ever sends the links she promised to send (they’re a bit overdue). I’m a curious person, and I love to learn things, especially if they are at all relevant to something I am trying to accomplish.
But I must be honest. A part of me was
raging on the inside.
Not the kind of primal rage you direct
against someone or something. No, it was the kind of eternal rage that
stays with you forever,
smoldering deep within your being, but that on acute occasions gets brought to full flame.
I do not hesitate to express my belief that reactionary professionals and content VIPs are the cause for much suffering in the world.
People who get comfortable in positions of power often refuse to roll with the changes that are
desperately needed to lift up the rest of the world. In fact, they often
actively impede progress.
This is unacceptable.
Because they are the very ones who should strive the hardest to push for revolutionary change. Power is responsibility.
If the circumstances had been different, I might have lost it and said something I’d regret. I can be pretty volatile when I speak about things I’m passionate about, especially when someone is being egregiously small-minded.
But I’ve made real strides in controlling that liability. And we all know anger usually doesn’t do a damn thing to help a situation.
“Anger dwells only in the bosom of fools. “
-Albert Einstein
So I kept my cool. I became
more polite than I usually am in these situations.
Even as she insulted me. Even when she insinuated that I’ve never had any first-hand experience with depression. Even when she started providing unsolicited resume details. Which frankly is completely irrelevant to the task at hand.
("Now I have extensive experience with this matter, and in the past have been a therapist, and now work in public health, and I am a very successful person...").
I’m sorry, resumes are nice, but they don’t really mean
squat when it comes to solving the important challenges of
today.
In case you couldn’t tell, I’m finding it hard to keep my cool now, just
thinking about the discussion.
That’s how much small-minded people bother me. So I’m going to do the healthy thing and move on. Back to Patch.
Patch encouraged me to “keep running social experiments.” He told me to run them on myself, to run them on others, and to write him about the results (he doesn’t do email, but returns
every single letter sent to him).
I’m not sure how comfortable I am with the term “social experiment,” but he’s right.
Psychiatry is so young it’s practically bullshit, and it seems no one
really knows what’s going on.
You should hear psychiatrists talk when they reach for the pad, whip out that pen, and start writing the scrip. Their voices often go all
authoritative, as they rattle off dosages like they were reciting mathematical truths.
How can you lie to yourself like that? At best it’s an educated guess.
So
admit it, and do your best to
be a human and decipher what the patient
really needs, in addition to following medical protocol.
Any truly effective large-scale solution
will inevitably be a social experiment when it is first implemented.
I am fully aware that any steps I take to implement our solution will likely have
enormous consequences – positive or negative. I do not take this responsibility lightly.
Still, I have so much faith and
sheer belief in our idea that no amount of criticism from important people will stop me from trying it. At least not until they give me a real reason, after actually hearing the entire idea.
And don’t get me wrong – I don’t completely identify with Patch Adams just because he encouraged my efforts. I greatly admire the man for how he lives his life, but personally I think he might be more effective if he considered the financial side at least
a little. Money is the oxygen that sustains the life of any venture. Or so I hear, at least (too inexperienced to tell).
As I write these words now, it strikes me that there will be those who will think me an arrogant prick for making such declarations as an untested neophyte.
These people don’t understand the process of learning and growing.
There is no need to fear making bold statements. I believe you learn best by stepping outside your comfort zone and declaring your beliefs firmly, out in the open for all to see and hear. Then you let everybody attack you, and when you try to defend the idea that you have so boldly asserted, you learn
real quick if it was as good as you thought it was. You adjust and move on with version 2.0 of your idea. REPEAT.
It’s the same as how standup comedians learn when they first get into the business. They get hollered at and chased off stages. And they get
real funny, real fast, or they quit.
That’s how progress works. It’s not about tender egos and trifling shit. That’s for the small people.
I am willing and even eager to make all sorts of errors for the sake of my venture. For the sake of improving my idea so that it meshes with
reality – not fantasy, nor tidy theory. For the sake of helping those who want to unleash their potential unleash it.
I recognize that in the process I will inevitably offend some important people, step on some pedicured toes. Oh well.
Here’s a quote I like on sacrificing your own “dignity” for a greater cause:
"This is the true joy in life, the being used for a purpose recognized by yourself as a mighty one; the being thoroughly worn out before you are thrown on the scrap heap; the being a force of Nature instead of a feverish selfish little clod of ailments and grievances complaining that the world will not devote itself to making you happy."-George Bernard Shaw
I don’t care how much of a presumptive ass I appear to be as I learn and grow, or how much people attack me for it. Because I know that if I am wrong, I will change and move on. I will
continue to make bold assertions and thereby apply positive pressure on myself to improve and reform.
And you know what?
One day I’ll stop sounding like an ass, and I’ll start sounding
wise. Because I'll have made many many mistakes, and I'll have made them with reverence for their consequences.
Patch certainly saw this spirit of reflective experimentation in my venture. He
definitely liked it.
His last words to me:
“What you are doing is a beautiful thing.”Looks like my team and I aren't alone.
-David
[nsn_quick_feedback]