Why we should LOL-even during a pandemic

Finding humor in situations that are anything but funny can relieve some of the fear, anxiety, and dread associated with threats to our well being.

I was planning a post about medical humor when I found an article about that very subject. JAMA published the article November 6, 1920.

No, that is not a typo, it was 1920. But since I wasn’t around then to read it, I’m glad they republished it November 3, 2020 in a feature called JAMA Revisited. (JAMA is the Journal of the American Medical Association.)

In it, the unidentified author refers to another article published in 1920 titled “Two Medical Humorists”, one of whom was Dr. Oliver Wendell Holmes who he describes as

a master of style, all of his work illuminated

with numerous flashes of wit.

Oliver Wendell Holmes’ son Oliver Wendell Holmes, Jr., served as Associate Justice of the U.S. Supreme Court from 1902 to 1932. Holmes Sr. was a physician and poet in the 1800s.

The author claimed that “a bit of humor now and then is welcomed by every class of thinkers, no matter how serious minded may be their daily routine”, and I agree, although I know people who seem to have no sense of humor, at least about some things.

Two Goats with Letter Board Phrase “YOU’VE GOAT TO BE KIDDING ME”
Two Goats with Letter Board Phrase “YOU’VE GOAT TO BE KIDDING ME” from LIGHTSTOCK, an affiliate link

What is humor?

According to Merriam-Webster.com “some common synonyms of humor are ironyreparteesarcasmsatire, and wit….”a mode of expression intended to arouse amusement”.  

And from the JAMA article –

Humor is a lively sense of the incongruous (out of place) in the world and in life.

What’s funny about illness?

Most of us find nothing “funny” about being sick, injured, disabled, or dying. But illness and its treatment can create situations that prompt “incongruous” reactions that can be funny, ironic, and satirical. Finding humor in situations that are anything but funny can relieve some of the fear, anxiety, and dread associated with threats to our well being.

Nothing will so quickly relieve the strain with which most laymen confront the physician as the kindly directed remark accompanied with a smile and a sense of humor.

Humor’s dark side-MASH

In 1968 an Army physician wrote a novel about his experiences serving as a surgeon at a Mobile Army Surgical Hospital during the Korean War. Dr. Richard Hooker’s novel spawned a successful play, a movie, and one of the most popular television series of all time, known simply as M*A*S*H, still in syndication. The movie won the Best Adapted Screenplay Academy Award in 1970.

In the novel MASH, and the subsequent versions, Dr. Hooker used dark humor to depict the doctors, nurses, and other staff coping with practicing medicine in a war zone. Their pranks, wise cracks, and self deprecating humor distracted them from their loneliness, anger, and sense of failure when soldiers died despite their best efforts to save them.

We need humor in the profession. It is one of its necessary virtues. For who save ourselves live in such a milieu of disharmonies?

Playfulness in a pandemic

Medical humor helps us fight the unexpected, unfair, and disruptive circumstances of disaster and disease , helping us cope with feeling powerless.

In 2020 when the SARS-CoV-2 pandemic sparked fear,confusion, and uncertainty, people took to social media with memes, cartoons,photos, and videos that testified to our resolve to overcome. I liked this video a high school principal produced and starred in. By taking a lighthearted approach to a serious situation, he demonstrated resourcefulness and resilience.

But let us also cling to humor, the antiseptic of life.

Friday Funnies

share humorous medically related cartoons on my Facebook page every Friday. I choose them carefully, because I don’t want anyone to think I take their health issues lightly. I don’t, ever.

But I agree with Merriam-Webster in that humor implies an ability to perceive the ludicrous, the comical, and the absurd in human life and to express these usually without bitterness.

If you don’t already follow me on Facebook, please do. Besides Fridays, somedays I share a Saturday Smile.

In medicine, humor is a virtue.

Unless otherwise noted, the quotes are from Some Medical Humorists which you can read at this link.

sharing the HEART of laughter

always LOL, Dr Aletha

a smal dog with round glasses on "What's the funniest meme you've seen lately?":
Describe the funniest meme you’ve seen lately, or leave a link in the comments. Family friendly content only please.

Driving Miss Norma- why saying yes to life matters

When faced with death, Norma chose living. And in doing so, she and her family learned what really matters at the end. Through this book, they share what they learned with us.

a review of Driving Miss Norma

By Tim Bauerschmidt and Ramie Liddle

When I first reviewed this book the tag line was

One Family’s Journey Saying “Yes” to Living

the most recent edition now calls it

An Inspirational Story About What Really Matters at the End of Life

And it’s both of those. When faced with death, Norma chose living. And in doing so, she and her family learned what really matters at the end. Through this book, they share what they learned with us.

(This post contains affiliate links.)

I first learned about Norma Bauerschmidt on Facebook when a friend shared a video about her. She was a 90 year old woman who decided to spend the last months of her life “on the road” travelling with her son in a motorhome. She was diagnosed with cancer but decided to forgo treatment so she could enjoy her remaining time.

I didn’t learn more about her until I saw this book.  I decided to read it, expecting a feel good entertaining read. The story turned out to be far more complex than the little I knew.

Driving Miss Norma tells the story of Norma Bauerschmidt, a WWII WAVE veteran, wife, and mother. She was still in good health at 90 years of age, until she was diagnosed with cancer.

Her doctor recommended surgery to be followed by chemotherapy, and warned her the treatment and recovery would be long and difficult. She told him no, she would rather “hit the road” with her son and daughter-in-law and enjoy her life, seeing and doing things she had not had a chance to do before. And her doctor agreed, saying that is just what he would do.

Tim, her son, and Ramie, his wife, had already been living a nomadic life, travelling the country with their standard poodle Ringo in an Airstream travel  trailer they parked in campgrounds and  Walmart parking lots. They enjoyed travelling, seeing new places, meeting new people. They wondered how adding a 90 year old woman to their wandering lifestyle would work.

By the time they completed arrangements for Norma to join them, she was already frail, and as her illness progressed she needed even more attention and care. Tim and Ramie soon realized that this might be more difficult and complex than they imagined.

In the book, co-written by Tim and Ramie, they tell their stories also; the mid-life challenge of caring for aging parents, making end of life decisions and plans, and coping with parents’ death and  their subsequent grief. Having chosen not to have children, the role of caregivers was foreign to them, and one they had to painstakingly embrace and navigate.

By coincidence, Ramie had recently read the book Being Mortal  “a critical examination of end-of-life medical care.” Until then she had not thought much about the subject. But when she finished the book

“I knew my life had changed. The way I looked at the end of life had been flipped upside down and backward. I knew now it was time to have those tough conversations.”

(I reviewed this book at this link)

As they travelled, Ramie began writing about their adventures and posting on Facebook to close friends and family. She thought that other people might also be interested so she started a Page, Driving Miss Norma. They attracted a handful of followers initially, as she expected.

up close look at a hot air balloon
Norma went on her first and only hot air balloon ride (complimentary stock photo from Pixabay)

But after Norma’s story was reported on the Good News Network, followed by a CBS Evening News Story , the Page began adding  followers by the thousands.

The were alarmed, even fearful, of what they perceived as an intrusion on their privacy. Until now, they had deliberately avoided media in their isolated lifestyle. Then they began noticing how Norma’s story was resonating with people in a way they had not expected.

“We had suddenly and dramatically found ourselves in the middle of an international conversation about the meaning of life, illness, dying and love. We were learning on the fly how to open ourselves to holding so much raw emotion.”

Her story opened their lives to new people and situations they never imagined would happen. Rather than being a burden, Norma’s growing fame became the vehicle for them to grow closer to her, each other, and a whole new set of friends all over the country and the world.

“We had the support of people all over the world and that was breathing new energy into our days. Here were so many people pouring out their deepest fears, losses, and desires to us. They told us of their caregiving struggles. They shared with us their innermost desires- to make peace with their recently deceased father, to tell someone “I love you.”

Throughout the story Tim and Ramie share about the places Norma visited (see map), people she met, from the common to famous, the foods she tried, sometimes for the first time, and activities she tried, also many for the first time, like riding a horse. They and the new friends they made shared food, fun, love, and laughter.

map of the United States
Norma visited all the sites marked on this map

But they also touch on the serious issues we all deal with sooner or later- aging, frailty, complex illness, terminal illness, end of life decisions, palliative care, death, and grief. They learned some important lessons about human relationships which they illustrate beautifully in their transparent writing.

“We learned how to greet people with open minds and open hearts…the lines that separate people into different boxes-religion and politics and race and age-blurred and faded and eventually disappeared. We got to see the truth in people, including in Norma: her glow, her tenacity, her joy, and her confidence.”

Tim and Ramie wrote the book after Norma’s death. They each took turns writing different chapters, and Ramie took all the photographs that illustrate it. But in a way Norma herself wrote the book, since it was the way she faced the final months of her life that produced the lessons her family learned and share with us in this book.

Norma kept a journal during their travels and after she died Tim and Ramie, with close friends, read it, and were somewhat surprised at what she wrote. Or rather, what she didn’t write.

“She did not write about cancer or fame- the two big themes of the trip for us. She did not write about the fear of dying or illness at all. Instead, she talked about life, living, and the things that brought her happiness:a sturdy wheelchair, mama and baby goats, a good hair perm, and her trusty sidekick Ringo.”

I feel sad that Norma’s trip did not bring her though my town so I could have met her. But there will be “Normas” in my life that I will meet, and perhaps someday I will be a Norma myself. When that happens I hope I remember the lessons this book teaches.

“Joy begets joy, love begets love, peace begets peace.”

Continue to follow Norma’s family at the web site Driving Miss Norma

sharing the HEART of living well

I hope you enjoyed this look at Norma’s book and will share this post on the social sites you meet up with friends. Please check out some of my other book reviews. Links are in the menu on the side bar (may be below if on a phone or tablet).Or just search.

Dr. Aletha