Tag Archives: Carrying The Black Bag: A Neurologist’s Bedside Tales

My Friend: The Great Blue Heron

Okay, okay calling the Great Blue Heron a friend just might be an overstatement, but developments of late have made me wonder.

Great Blue Heron in flight

Over the last few years I’ve written several times about a Great Blue Heron that frequents our stock tank and how he waits patiently for me to toss out fish food. I’ve referred to this as my “chumming for heron.” After I retreat a safe distance, the heron flies in on magnificent wings and and crouches waiting for a fish to swim by, or else dives from five to ten feet into the pond to retrieve his meal.

In this almost daily feeding ritual, the heron is used to my presence. I can now get within twenty yards or so of the Heron before  it with its stiff legs struts away or flies away.

For the last several weeks, to my surprise, when I arrive at the large stock tank at our other ranch a mile or two away from the heron’s haunt, the Great Blue Heron flies in to meet me up with me there. He picks a spot to perch on a ledge, the bank of the pond, or on top of a tall tree while I go about throwing out fish food. Again the heron uses my fish feeding as a hunting opportunity.

A strange feeling overcomes me when I see the giant bird circling languidly above. He clearly seems to  monitor my terrestrial progress. Previously I’ve written of the many heron myths, all of which indicate the heron predicts good luck. He is almost like a ancient Greek god who follows my actions with interest or at least with mirth. I find myself wondering what he sees from the great heights achieved in his flight. I suspect he has wonderful eyesight, as he can spot a fish several feet below the surface of the pond. While I am pretty sure about his good eyesight, I have no idea about his hearing. Also I’ve never heard him utter a single sound. He is my silent watcher on land, water, and in the air.

The heron shows adaptation, I suppose. He has learned that fishing is more productive after I summon the small fish to the surface of the ponds. Perhaps its behavior is really no different from the cows who carefully attend my coming and will draw near for my spreading of the tasty range cubes. Also the horses on spotting me will actually gallop behind the pickup when they see me heading for their feed trough.

The relationship with the heron represents symbiosis, that is a mutually beneficial relationship between the Great Blue Heron and his human rancher/fish feeder. I know that I sense wonder from the magnificent bird and feel strangely comforted, knowing he silently watches over me, even if  just for reasons of hunger. The benefit for the heron is obvious and can be seen by its ample girth.

Whereas privacy remains a concern for many, and people feel they are being watched in public; I sense something different. I sense a benevolent and silent watcher, looking after me. Thank you Great Blue Heron, but leave a few fish for me.

Carrying the Black Bag book

My book is in bookstores or online (or contact me and I’ll send it). If a speaker is needed for your event, contact me as I love to share these stories with others either via print or in person. Keep the book in mind for birthday presents or other gift occasions where you wish to present a positive view of dealing with health issues.

 

 

Still More Praise For Carrying The Black Bag

An appreciative reader penned the review below for the Journal of Neurological Sciences. It has been accepted and is now in print online.

While the predominant audience for Carrying The Black Bag: A Neurologist’s Bedside Tales was thought to be a popular audience, the book has also been very well received by physicians, nurses, and allied health personnel.  This acceptance has proved most gratifying for the author as my book deals principally with a humanistic approach to medicine. The author of the book review, Dr. Steve Roach, got it! For this I am most grateful.

Carrying the Black Bag book

Makes a great Holiday gift and available online or favorite bookstore

Carrying The Black Bag makes a great Christmas (Hanukkah) gift and can be purchased from Amazon, Barnes & Noble, Texas Tech University Press, as well as your local independent bookstore.

Dr. Roach’s review is as follows:

 

Book Review

Carrying the Black Bag: A Neurologist’s Bedside Tales, by Tom Hutton, 240 pages. Texas Tech University Press, 2015. $27.95.

  1. Steve Roach, MD

Ohio State University

Columbus, Ohio

esroach@earthlink.net

 

Key words: humanism; history of medicine; Parkinson disease

 

Thomas Hutton is a retired neurologist whose career spanned four decades. During this time, he witnessed the introduction of computed tomography, magnetic resonance imaging, and numerous new medications. He experienced the dawn of the genetic revolution and the arrival of the electronic medical record. But this book is about people, not technology, so it is fitting that the metaphor Hutton selected for the title of his reminiscences is the traditional black physician’s bag.

Hutton is a master story teller whose patient sketches are reminiscent of those of A. R. Luria and Oliver Sachs. He studied with Luria and duly credits the influence of both men. Hutton intermingles his own story with those of his patients, telling of the football injury that led to his becoming a doctor and his days as a trainee with A. B. Baker. There is even an entertaining medical detective story about a man with repeated arsenic poisoning.

But the heart and soul of this book are the lovingly told patient stories. Never have I read a more poignant tale of love lost than Hutton’s account of Maggie and Ned, two poor migrant workers who had been life-long soul-mates until Maggie’s sudden death. One cannot help but smile at the elderly man who pleaded for relief after his girlfriend developed nymphomania due to her Parkinson disease medication. There is a sweet story about an elderly man who made sandwiches each afternoon for three dogs who came to play pinochle, a complex but pleasant hallucination resulting from his medication. Whether sad or funny, Hutton’s patient stories are respectfully told and never patronizing.

To practice humanistic medicine, one must be in touch with one’s own humanity. Clearly the author has a deep respect for people and a keen eye for the human condition. This is an entertaining book that most physicians will enjoy reading. It also offers an effective antidote for the technology overload of today’s medicine and a glimpse at what medicine once was and could be again.