WEBVTT 1 00:00:08.000 --> 00:00:09.169 Hello and welcome to the latest 2 00:00:09.170 --> 00:00:10.579 installment of Being Human from the 3 00:00:10.580 --> 00:00:12.229 University of Pittsburgh. 4 00:00:12.230 --> 00:00:13.879 This series is devoted to exploring 5 00:00:13.880 --> 00:00:15.499 the humanities, their connections to 6 00:00:15.500 --> 00:00:16.939 other disciplines, and their value 7 00:00:16.940 --> 00:00:18.409 in the public world. 8 00:00:18.410 --> 00:00:20.149 I'm Dan Kubis, assistant director of 9 00:00:20.150 --> 00:00:21.919 the Humanities Center at Pitt. 10 00:00:21.920 --> 00:00:23.809 My guest today is Rafael Campo, 11 00:00:23.810 --> 00:00:25.339 award-winning poet and professor of 12 00:00:25.340 --> 00:00:26.870 Medicine at Harvard University. 13 00:00:27.920 --> 00:00:29.719 Dr. Campo characterizes his medical 14 00:00:29.720 --> 00:00:31.279 training as devoted to scientific 15 00:00:31.280 --> 00:00:33.019 fact and to thinking of illness in 16 00:00:33.020 --> 00:00:34.879 purely physical terms. 17 00:00:34.880 --> 00:00:36.439 But for him, patients are more than 18 00:00:36.440 --> 00:00:38.179 collections of medical facts, and 19 00:00:38.180 --> 00:00:39.769 healing involves more than diagnoses 20 00:00:39.770 --> 00:00:41.029 and prescriptions. 21 00:00:41.030 --> 00:00:42.769 Poetry, he says, has helped, reminds 22 00:00:42.770 --> 00:00:44.959 him of this. In his essays 23 00:00:44.960 --> 00:00:46.729 and nonfiction, Dr. Campo makes a 24 00:00:46.730 --> 00:00:48.289 forceful argument for the value of 25 00:00:48.290 --> 00:00:50.029 poetry to medicine, drawing on his 26 00:00:50.030 --> 00:00:51.709 own experience to show how he has 27 00:00:51.710 --> 00:00:53.569 used poetry to not only understand 28 00:00:53.570 --> 00:00:55.369 his patients but also to provide 29 00:00:55.370 --> 00:00:56.370 better medical care. 30 00:00:57.350 --> 00:00:58.699 But he makes an even more forceful 31 00:00:58.700 --> 00:01:00.169 argument in his poems, which have 32 00:01:00.170 --> 00:01:02.329 now been collected in six books. 33 00:01:02.330 --> 00:01:04.098 In his poetry, Dr. Campo bears 34 00:01:04.099 --> 00:01:05.539 witness to the complexity of his own 35 00:01:05.540 --> 00:01:07.369 experience, including the joys and 36 00:01:07.370 --> 00:01:09.169 struggles of his sexuality, his 37 00:01:09.170 --> 00:01:11.059 confusion as an immigrant from Cuba, 38 00:01:11.060 --> 00:01:13.309 and even his doubts as a physician. 39 00:01:13.310 --> 00:01:15.019 Writing poetry, he says, has played 40 00:01:15.020 --> 00:01:16.489 an important role in his own quest 41 00:01:16.490 --> 00:01:18.439 for healing, a lesson he now tries 42 00:01:18.440 --> 00:01:19.759 to impart in weekly writing and 43 00:01:19.760 --> 00:01:21.109 reading workshops for medical 44 00:01:21.110 --> 00:01:22.110 students at Harvard. 45 00:01:22.940 --> 00:01:24.589 I began by asking Dr. Campo about 46 00:01:24.590 --> 00:01:25.849 the origins of his interests in 47 00:01:25.850 --> 00:01:27.469 medicine and poetry and how the 48 00:01:27.470 --> 00:01:28.999 relationship between the two has 49 00:01:29.000 --> 00:01:30.000 changed over time. 50 00:01:36.010 --> 00:01:37.839 I guess I would begin by saying that 51 00:01:37.840 --> 00:01:39.399 I was always drawn to the work of 52 00:01:39.400 --> 00:01:41.349 healing because of my 53 00:01:41.350 --> 00:01:43.329 experience as an 54 00:01:43.330 --> 00:01:44.769 immigrant in this country and 55 00:01:44.770 --> 00:01:46.689 feeling very acutely, growing 56 00:01:46.690 --> 00:01:48.579 up, a sense of fracture 57 00:01:48.580 --> 00:01:50.679 or a sense of rupture between 58 00:01:50.680 --> 00:01:52.509 my experience and 59 00:01:52.510 --> 00:01:54.399 this homeland that 60 00:01:54.400 --> 00:01:55.899 it turns out I have never been able 61 00:01:55.900 --> 00:01:57.909 to visit Cuba. 62 00:01:57.910 --> 00:02:00.039 And so I felt very 63 00:02:00.040 --> 00:02:01.929 early on in my 64 00:02:01.930 --> 00:02:03.519 imaginative life, in my intellectual 65 00:02:03.520 --> 00:02:05.439 life, that there was something about 66 00:02:05.440 --> 00:02:07.239 trying to repair that fracture, 67 00:02:07.240 --> 00:02:09.309 trying to heal that 68 00:02:09.310 --> 00:02:11.019 wound that, in some sense, could 69 00:02:11.020 --> 00:02:12.219 never be healed. 70 00:02:12.220 --> 00:02:14.079 That really drew me to the 71 00:02:14.080 --> 00:02:15.489 work that I do now. 72 00:02:15.490 --> 00:02:17.349 And so when I got to 73 00:02:17.350 --> 00:02:19.569 medical school, it was surprising 74 00:02:19.570 --> 00:02:21.489 to me how little 75 00:02:21.490 --> 00:02:23.469 those humanistic notions 76 00:02:23.470 --> 00:02:25.029 around healing were part of my 77 00:02:25.030 --> 00:02:27.819 training. I was 78 00:02:27.820 --> 00:02:29.649 really struck by how strictly 79 00:02:29.650 --> 00:02:31.359 biomedical the training I received 80 00:02:31.360 --> 00:02:32.709 was at that time. 81 00:02:32.710 --> 00:02:34.809 And so, yes, when 82 00:02:34.810 --> 00:02:37.719 I was writing more poetry 83 00:02:37.720 --> 00:02:40.179 in the wake of that experience as 84 00:02:40.180 --> 00:02:41.829 a medical student and then intern 85 00:02:41.830 --> 00:02:44.439 resident and now a physician, 86 00:02:44.440 --> 00:02:45.939 initially I did feel that there was 87 00:02:45.940 --> 00:02:47.859 a real separation 88 00:02:47.860 --> 00:02:49.959 between the humanistic, 89 00:02:49.960 --> 00:02:51.939 the humane, this notion 90 00:02:51.940 --> 00:02:54.729 of being a healer in a broad sense. 91 00:02:54.730 --> 00:02:56.769 Healing through language, 92 00:02:56.770 --> 00:02:59.139 through recounting of 93 00:02:59.140 --> 00:03:01.719 stories, through articulating 94 00:03:01.720 --> 00:03:04.419 pain, through language. 95 00:03:04.420 --> 00:03:06.489 And this notion of being 96 00:03:06.490 --> 00:03:08.289 a doctor with the white coat, which 97 00:03:08.290 --> 00:03:10.329 was this, in a way, a kind 98 00:03:10.330 --> 00:03:12.249 of--I came to view it as a kind of 99 00:03:12.250 --> 00:03:13.660 armor, a kind of shield that, 100 00:03:14.950 --> 00:03:17.049 in some sense, protected me from 101 00:03:17.050 --> 00:03:19.299 the indelicacies of human suffering. 102 00:03:19.300 --> 00:03:20.649 And that, in fact, what being a 103 00:03:20.650 --> 00:03:21.999 doctor was, I learned at Harvard 104 00:03:22.000 --> 00:03:23.000 Medical School, knowing 105 00:03:24.970 --> 00:03:27.369 pathophysiology and being able to 106 00:03:27.370 --> 00:03:29.319 recite 18 items on the differential 107 00:03:29.320 --> 00:03:31.449 diagnosis and 108 00:03:31.450 --> 00:03:33.669 being able to know what someone's 109 00:03:33.670 --> 00:03:35.259 potassium level was and how many 110 00:03:35.260 --> 00:03:36.579 lymph nodes were positive on the CT 111 00:03:36.580 --> 00:03:37.629 scan. 112 00:03:37.630 --> 00:03:39.639 That's what medicine 113 00:03:39.640 --> 00:03:41.259 was really about, I learned in 114 00:03:41.260 --> 00:03:43.239 medical school. And so there was 115 00:03:43.240 --> 00:03:45.099 a, I think, when I came 116 00:03:45.100 --> 00:03:47.829 to the page, a reluctance 117 00:03:47.830 --> 00:03:49.389 to reveal 118 00:03:50.500 --> 00:03:52.329 the medical world in which I found 119 00:03:52.330 --> 00:03:54.159 myself. Because I 120 00:03:54.160 --> 00:03:55.509 was learning at the time that the 121 00:03:55.510 --> 00:03:57.579 two were supposed to be 122 00:03:57.580 --> 00:03:59.409 separated. And we have an 123 00:03:59.410 --> 00:04:00.729 unfortunately, a tradition in 124 00:04:00.730 --> 00:04:02.859 medical education of teaching 125 00:04:02.860 --> 00:04:04.155 detached concern or distancing. 126 00:04:04.156 --> 00:04:05.156 That somehow, 127 00:04:06.820 --> 00:04:08.049 to be engaged with the human 128 00:04:08.050 --> 00:04:10.539 experience of our patients 129 00:04:10.540 --> 00:04:12.399 distracts us from 130 00:04:12.400 --> 00:04:14.469 the real work of 131 00:04:14.470 --> 00:04:16.268 intervening and treating that 132 00:04:16.269 --> 00:04:18.159 malignant arrhythmia with 133 00:04:18.160 --> 00:04:19.778 shock therapy and all the kinds of 134 00:04:19.779 --> 00:04:21.849 things that we do that 135 00:04:21.850 --> 00:04:23.859 are, of course, very important kinds 136 00:04:23.860 --> 00:04:24.860 of treatments and interventions. 137 00:04:25.570 --> 00:04:27.519 So, yes, I do feel like 138 00:04:27.520 --> 00:04:29.379 there was a real tension there as 139 00:04:29.380 --> 00:04:30.669 I went through my medical training. 140 00:04:30.670 --> 00:04:32.769 Ironically, what I learned 141 00:04:32.770 --> 00:04:34.659 really I would say, during my 142 00:04:34.660 --> 00:04:36.189 third year of medical school, when I 143 00:04:36.190 --> 00:04:38.349 had more time actually 144 00:04:38.350 --> 00:04:40.659 encountering patients, that 145 00:04:40.660 --> 00:04:42.009 in fact, what I was learning in 146 00:04:42.010 --> 00:04:43.989 medical school wasn't what 147 00:04:43.990 --> 00:04:45.549 was most important-- certainly very 148 00:04:45.550 --> 00:04:47.589 important. But I began 149 00:04:47.590 --> 00:04:50.259 to recognize that what 150 00:04:50.260 --> 00:04:51.999 was so central to the work of being 151 00:04:52.000 --> 00:04:53.919 a doctor was actually being 152 00:04:53.920 --> 00:04:55.749 present meaningfully 153 00:04:55.750 --> 00:04:57.519 at the experience of my patients 154 00:04:57.520 --> 00:04:59.589 suffering. And I remember getting 155 00:04:59.590 --> 00:05:02.019 feedback from attendings 156 00:05:02.020 --> 00:05:03.909 and my supervising 157 00:05:03.910 --> 00:05:06.249 residents that I tended to identify 158 00:05:06.250 --> 00:05:07.175 too strongly with my patients. 159 00:05:07.176 --> 00:05:08.310 That caring 160 00:05:09.940 --> 00:05:11.021 about them would cloud my judgment. 161 00:05:11.022 --> 00:05:12.849 That if I ever became a 162 00:05:12.850 --> 00:05:13.899 physician, it was going to be a real 163 00:05:13.900 --> 00:05:15.729 problem for me if I didn't learn how 164 00:05:15.730 --> 00:05:17.799 to develop a thicker skin 165 00:05:17.800 --> 00:05:19.749 and be more removed, 166 00:05:19.750 --> 00:05:22.509 be more distanced, be more detached. 167 00:05:22.510 --> 00:05:24.519 And I remember feeling that kind 168 00:05:24.520 --> 00:05:26.739 of feedback was just so damaging 169 00:05:26.740 --> 00:05:28.089 because I was really struggling with 170 00:05:28.090 --> 00:05:29.979 how could I be a really 171 00:05:29.980 --> 00:05:32.259 authentic and genuine witness 172 00:05:32.260 --> 00:05:33.879 to my patients suffering. 173 00:05:33.880 --> 00:05:35.739 And so turned out that 174 00:05:35.740 --> 00:05:37.749 narrative poetry 175 00:05:37.750 --> 00:05:39.579 was just that 176 00:05:39.580 --> 00:05:41.589 kind of opening, 177 00:05:41.590 --> 00:05:43.269 that kind of connection I was 178 00:05:43.270 --> 00:05:45.459 searching for because through poems, 179 00:05:45.460 --> 00:05:47.229 we can, I think, be present 180 00:05:47.230 --> 00:05:49.629 empathetically at another person's 181 00:05:49.630 --> 00:05:51.759 suffering. We can 182 00:05:51.760 --> 00:05:53.199 immerse ourselves in the voice of 183 00:05:53.200 --> 00:05:54.099 another consciousness. 184 00:05:54.100 --> 00:05:55.689 We can hear the metaphors that our 185 00:05:55.690 --> 00:05:58.449 patients use to describe 186 00:05:58.450 --> 00:06:00.609 these unspeakable 187 00:06:00.610 --> 00:06:02.019 circumstances in which they find 188 00:06:02.020 --> 00:06:03.699 themselves. The pain that we can't 189 00:06:03.700 --> 00:06:06.339 articulate somehow we can express 190 00:06:06.340 --> 00:06:08.529 through metaphor, even 191 00:06:08.530 --> 00:06:09.715 perhaps imperfectly at times. 192 00:06:11.380 --> 00:06:12.694 So there's a real irony in that 193 00:06:12.695 --> 00:06:14.589 because I did find that as 194 00:06:14.590 --> 00:06:16.359 I encountered patients, and I got 195 00:06:16.360 --> 00:06:18.459 out of textbooks 196 00:06:18.460 --> 00:06:20.439 and more into the clinics 197 00:06:20.440 --> 00:06:22.509 and into the hospitals, that indeed 198 00:06:22.510 --> 00:06:25.119 being a poet was, in some sense, 199 00:06:25.120 --> 00:06:27.189 actually better training 200 00:06:27.190 --> 00:06:28.449 for being a doctor. 201 00:06:28.450 --> 00:06:30.189 Yeah. Well, one thing you mentioned 202 00:06:30.190 --> 00:06:32.229 the kind of the interest in the 203 00:06:32.230 --> 00:06:33.249 people you were studying with when 204 00:06:33.250 --> 00:06:34.239 you were in medical school and kind 205 00:06:34.240 --> 00:06:35.469 of keeping that apart. 206 00:06:35.470 --> 00:06:36.789 Right? And not have it only focusing 207 00:06:36.790 --> 00:06:38.769 on, let's say, the biophysical 208 00:06:38.770 --> 00:06:40.479 aspects of being a doctor. 209 00:06:40.480 --> 00:06:41.319 And one of the things that I was 210 00:06:41.320 --> 00:06:42.579 surprised that in reading your work 211 00:06:42.580 --> 00:06:43.449 because you mentioned it-- you 212 00:06:43.450 --> 00:06:44.949 mentioned in other essays that you 213 00:06:44.950 --> 00:06:47.829 have actually encountered hostility 214 00:06:47.830 --> 00:06:48.969 when you present this idea at 215 00:06:48.970 --> 00:06:50.439 conferences and things like that. 216 00:06:50.440 --> 00:06:52.899 I was interested in the hostility. 217 00:06:52.900 --> 00:06:54.669 Where does it come from? 218 00:06:54.670 --> 00:06:56.589 What's your take on why 219 00:06:56.590 --> 00:06:57.399 that exists? 220 00:06:57.400 --> 00:06:58.989 It's not indifference, right? 221 00:06:58.990 --> 00:06:59.889 That I can understand. 222 00:06:59.890 --> 00:07:00.759 I mean, maybe there's some of that. 223 00:07:00.760 --> 00:07:01.659 There's some of that. 224 00:07:01.660 --> 00:07:02.219 There are some indifference. 225 00:07:02.220 --> 00:07:03.339 But there's actually a kind of a 226 00:07:03.340 --> 00:07:05.169 hostility to this being introduced 227 00:07:05.170 --> 00:07:06.819 to narrative and poetry being part 228 00:07:06.820 --> 00:07:08.229 of medical training and being a 229 00:07:08.230 --> 00:07:10.059 significant part of it. 230 00:07:10.060 --> 00:07:10.989 What are your thoughts on where that 231 00:07:10.990 --> 00:07:11.419 comes from? 232 00:07:11.420 --> 00:07:12.279 Yeah, that's a really interesting 233 00:07:12.280 --> 00:07:13.449 question. Also, I would say that 234 00:07:13.450 --> 00:07:14.790 some of it, I think, stems from, 235 00:07:16.120 --> 00:07:17.979 in medicine, we are 236 00:07:17.980 --> 00:07:20.019 trained to know 237 00:07:20.020 --> 00:07:21.429 everything that we can know. 238 00:07:21.430 --> 00:07:22.989 I mean, there's this sense of that 239 00:07:22.990 --> 00:07:25.629 science can explicate everything 240 00:07:25.630 --> 00:07:26.799 that there is to know about the 241 00:07:26.800 --> 00:07:27.849 human body. 242 00:07:27.850 --> 00:07:29.559 And when we're confronted with 243 00:07:29.560 --> 00:07:31.779 mystery, when we're confronted with 244 00:07:31.780 --> 00:07:33.279 the inexplicable, when we're 245 00:07:33.280 --> 00:07:35.169 confronted with the end of 246 00:07:35.170 --> 00:07:36.729 life, for example, when there isn't 247 00:07:36.730 --> 00:07:38.349 going to be another round of 248 00:07:38.350 --> 00:07:39.639 chemotherapy, there isn't going to 249 00:07:39.640 --> 00:07:41.799 be another surgery to perform 250 00:07:41.800 --> 00:07:43.899 where the patient's 251 00:07:43.900 --> 00:07:45.129 family is looking to us, where the 252 00:07:45.130 --> 00:07:47.169 patient is looking to us 253 00:07:47.170 --> 00:07:49.179 and searching for a different kind 254 00:07:49.180 --> 00:07:51.129 of intervention, a different kind 255 00:07:51.130 --> 00:07:52.899 of connection with us. 256 00:07:52.900 --> 00:07:54.709 I think we are fearful of that. 257 00:07:54.710 --> 00:07:56.559 We're trained so 258 00:07:56.560 --> 00:07:58.419 much to know, to 259 00:07:58.420 --> 00:08:00.264 do, to intervene, to treat. 260 00:08:01.510 --> 00:08:03.519 And especially, I would say, 261 00:08:03.520 --> 00:08:05.889 our formative years as students is 262 00:08:05.890 --> 00:08:06.890 very much, in 263 00:08:09.730 --> 00:08:10.779 some sense, almost a kind of 264 00:08:10.780 --> 00:08:12.999 punitive training where 265 00:08:13.000 --> 00:08:15.159 if you don't know the answer, you're 266 00:08:15.160 --> 00:08:16.749 humiliated publicly on rounds. 267 00:08:16.750 --> 00:08:18.759 So there is a real fear, 268 00:08:18.760 --> 00:08:20.409 I think, that comes out of not 269 00:08:20.410 --> 00:08:22.449 knowing all the answers. 270 00:08:22.450 --> 00:08:24.309 And so I 271 00:08:24.310 --> 00:08:25.299 think that's part of it. 272 00:08:25.300 --> 00:08:27.579 I think there's also, 273 00:08:27.580 --> 00:08:29.739 I think, something 274 00:08:29.740 --> 00:08:31.809 that has to do with a kind of hubris 275 00:08:31.810 --> 00:08:33.788 or arrogance, again, around 276 00:08:33.789 --> 00:08:34.686 the scientific enterprise. 277 00:08:34.687 --> 00:08:35.687 And 278 00:08:37.010 --> 00:08:38.229 we, I think, see this a little bit 279 00:08:38.230 --> 00:08:39.759 in the tension between-- even at 280 00:08:39.760 --> 00:08:41.439 universities, like this great 281 00:08:41.440 --> 00:08:43.599 university, where the humanities 282 00:08:43.600 --> 00:08:45.200 and the sciences somehow seem, in 283 00:08:46.870 --> 00:08:49.299 a way, adversaries or that 284 00:08:49.300 --> 00:08:50.739 these are sort of distinct ways of 285 00:08:50.740 --> 00:08:52.629 knowing about the world. 286 00:08:52.630 --> 00:08:54.879 And science really 287 00:08:54.880 --> 00:08:55.689 gets all the funding. 288 00:08:55.690 --> 00:08:57.819 Science gets all the 289 00:08:57.820 --> 00:08:59.649 attention. Science gets all the 290 00:08:59.650 --> 00:09:01.659 reporting in the media. 291 00:09:01.660 --> 00:09:03.639 And so there's a sense 292 00:09:03.640 --> 00:09:04.640 of what 293 00:09:05.470 --> 00:09:06.690 does poetry have to do with this 294 00:09:08.830 --> 00:09:10.560 really important work of curing 295 00:09:11.620 --> 00:09:12.620 cancer. And 296 00:09:14.320 --> 00:09:16.089 that disconnect, I think, also 297 00:09:16.090 --> 00:09:17.183 informs it that poetry, that's 298 00:09:18.730 --> 00:09:19.730 for that 299 00:09:22.020 --> 00:09:23.219 sort of fluff. 300 00:09:23.220 --> 00:09:24.389 That's window dressing. We have one 301 00:09:24.390 --> 00:09:26.499 lecture a year on the humanities 302 00:09:26.500 --> 00:09:27.500 and medicine. And 303 00:09:28.350 --> 00:09:29.849 we pat ourselves on the back and 304 00:09:29.850 --> 00:09:31.619 pretend we're all caring, 305 00:09:31.620 --> 00:09:33.509 compassionate doctors. 306 00:09:33.510 --> 00:09:35.129 And that's not to say there aren't 307 00:09:35.130 --> 00:09:36.749 many, many caring, compassionate 308 00:09:36.750 --> 00:09:38.189 doctors. I don't mean to doctor bash 309 00:09:38.190 --> 00:09:40.019 at all, but I 310 00:09:40.020 --> 00:09:41.939 do think there is a sense of what 311 00:09:41.940 --> 00:09:43.709 really takes precedence in the work 312 00:09:43.710 --> 00:09:45.539 of medicine and the profession of 313 00:09:45.540 --> 00:09:47.399 medicine is science. 314 00:09:47.400 --> 00:09:48.400 And 315 00:09:50.100 --> 00:09:51.809 I think part of it has to do with, 316 00:09:51.810 --> 00:09:54.029 again, money that is 317 00:09:54.030 --> 00:09:55.079 directed towards these different 318 00:09:55.080 --> 00:09:57.209 kinds of modes 319 00:09:57.210 --> 00:09:58.210 of inquiry. 320 00:09:59.230 --> 00:10:01.289 Yeah. Well, I want to ask you about 321 00:10:01.290 --> 00:10:03.539 the contributions that 322 00:10:03.540 --> 00:10:05.399 writing poetry and reading 323 00:10:05.400 --> 00:10:07.379 poetry have made to your work 324 00:10:07.380 --> 00:10:08.729 as a doctor throughout your career. 325 00:10:08.730 --> 00:10:10.649 But I want to start by asking 326 00:10:10.650 --> 00:10:12.569 something that I was 327 00:10:12.570 --> 00:10:13.949 more surprised to hear about. 328 00:10:13.950 --> 00:10:15.089 And that is kind of how it works in 329 00:10:15.090 --> 00:10:16.169 the other direction, which is how 330 00:10:16.170 --> 00:10:17.699 your work as a doctor has 331 00:10:17.700 --> 00:10:19.709 contributed to and influenced 332 00:10:19.710 --> 00:10:20.609 your work as a poet. 333 00:10:20.610 --> 00:10:21.749 And you've written, or you've 334 00:10:21.750 --> 00:10:22.979 talked-- I think I saw an interview 335 00:10:22.980 --> 00:10:24.299 where you talk specifically about 336 00:10:24.300 --> 00:10:25.509 listening to a stethoscope. 337 00:10:25.510 --> 00:10:26.219 Yes, yes, yes. 338 00:10:26.220 --> 00:10:27.629 And the importance of that in 339 00:10:27.630 --> 00:10:28.709 writing poetry. Can you talk a 340 00:10:28.710 --> 00:10:29.999 little bit about that? It's particularly 341 00:10:30.000 --> 00:10:31.469 rhythm, I think, that you were you 342 00:10:31.470 --> 00:10:33.029 were focusing on at that point. 343 00:10:33.030 --> 00:10:35.009 It's a very important part 344 00:10:35.010 --> 00:10:36.629 of poetry for you, is a rhythm of 345 00:10:36.630 --> 00:10:37.229 poetic language. 346 00:10:37.230 --> 00:10:38.729 Absolutely. That is a really 347 00:10:38.730 --> 00:10:39.929 important connection for me. 348 00:10:39.930 --> 00:10:41.849 I think that-- I spend most 349 00:10:41.850 --> 00:10:43.649 of my day listening to the heart 350 00:10:43.650 --> 00:10:44.939 through my stethoscope. 351 00:10:44.940 --> 00:10:46.829 And so the innate rhythms 352 00:10:46.830 --> 00:10:49.139 of the body really do find 353 00:10:49.140 --> 00:10:50.279 their way into my poems. 354 00:10:50.280 --> 00:10:52.679 I'm very interested in formal 355 00:10:52.680 --> 00:10:54.929 structures, in poetry, metrical 356 00:10:54.930 --> 00:10:57.209 figures, iambic 357 00:10:57.210 --> 00:10:58.859 meters, in particular. 358 00:10:58.860 --> 00:11:01.139 And my ear is just 359 00:11:01.140 --> 00:11:03.029 always trained to 360 00:11:03.030 --> 00:11:04.409 those innate rhythms of our body. 361 00:11:04.410 --> 00:11:06.239 And so that's one way I 362 00:11:06.240 --> 00:11:08.369 feel very much this physical 363 00:11:08.370 --> 00:11:10.739 connection between the work I do 364 00:11:10.740 --> 00:11:12.569 as a physician and 365 00:11:12.570 --> 00:11:14.489 the poem, which is, 366 00:11:14.490 --> 00:11:17.129 I think, of all the modes of writing 367 00:11:17.130 --> 00:11:18.959 I love, I 368 00:11:18.960 --> 00:11:21.239 think is the most physically 369 00:11:21.240 --> 00:11:22.979 embodied in many respects. 370 00:11:22.980 --> 00:11:24.209 And so there's that. 371 00:11:24.210 --> 00:11:26.069 I would say also there's 372 00:11:26.070 --> 00:11:28.109 also this notion of listening to 373 00:11:28.110 --> 00:11:29.610 the stories of my patients and 374 00:11:31.020 --> 00:11:32.819 being present as someone struggles 375 00:11:32.820 --> 00:11:34.799 to describe 376 00:11:34.800 --> 00:11:36.720 pain or struggles to describe 377 00:11:37.920 --> 00:11:38.920 depression. 378 00:11:39.540 --> 00:11:41.879 The sense of language as 379 00:11:41.880 --> 00:11:42.880 an inadequate and 380 00:11:44.310 --> 00:11:45.899 yet, at the same time, the only 381 00:11:45.900 --> 00:11:47.909 container we have for these 382 00:11:47.910 --> 00:11:50.219 very, very difficult 383 00:11:50.220 --> 00:11:52.709 emotions. And so I love 384 00:11:52.710 --> 00:11:54.809 how poems allow 385 00:11:54.810 --> 00:11:56.789 us to feel 386 00:11:56.790 --> 00:11:57.790 those kinds of tensions much 387 00:11:59.550 --> 00:12:00.989 more so than other modes of writing, 388 00:12:00.990 --> 00:12:01.889 I think. 389 00:12:01.890 --> 00:12:03.539 There is this sense of the container 390 00:12:03.540 --> 00:12:05.909 of the poem. There is the structures 391 00:12:05.910 --> 00:12:07.949 against which the poet 392 00:12:07.950 --> 00:12:10.799 is exerting to 393 00:12:10.800 --> 00:12:12.659 create the voice of the speaker in 394 00:12:12.660 --> 00:12:13.660 the poem. So 395 00:12:15.240 --> 00:12:17.129 there's that kind of 396 00:12:17.130 --> 00:12:19.199 tension as well that I think, 397 00:12:19.200 --> 00:12:21.149 in some ways, is particular 398 00:12:21.150 --> 00:12:22.679 to poetry. 399 00:12:22.680 --> 00:12:24.239 And then, I guess, I might say also 400 00:12:24.240 --> 00:12:26.069 that in a kind of a 401 00:12:26.070 --> 00:12:28.019 even larger sense that 402 00:12:28.020 --> 00:12:29.939 I find that in my work as 403 00:12:29.940 --> 00:12:30.940 a doctor, that 404 00:12:31.980 --> 00:12:34.079 presenting narratives, presenting 405 00:12:34.080 --> 00:12:36.119 stories of people who have actually 406 00:12:36.120 --> 00:12:38.549 lived the experience of illness can 407 00:12:38.550 --> 00:12:40.319 make for change. 408 00:12:40.320 --> 00:12:41.320 Many 409 00:12:43.200 --> 00:12:45.029 have reflected on 410 00:12:45.030 --> 00:12:46.989 art's and poetry's inability to 411 00:12:48.240 --> 00:12:50.159 change the world. 412 00:12:50.160 --> 00:12:52.259 And I find that in 413 00:12:52.260 --> 00:12:54.269 medicine, there is nothing more 414 00:12:54.270 --> 00:12:56.669 compelling to certainly my students, 415 00:12:56.670 --> 00:12:58.439 my residents, even many of my 416 00:12:58.440 --> 00:13:00.329 colleagues than to hear the 417 00:13:00.330 --> 00:13:02.729 story of someone's experience 418 00:13:02.730 --> 00:13:05.219 of an illness that was 419 00:13:05.220 --> 00:13:07.199 impacted by 420 00:13:07.200 --> 00:13:09.089 an aspect of his or 421 00:13:09.090 --> 00:13:11.819 her identity or a sense of 422 00:13:11.820 --> 00:13:13.769 because I am in some 423 00:13:13.770 --> 00:13:15.389 sense different, I couldn't access 424 00:13:15.390 --> 00:13:16.499 this treatment, or I couldn't find 425 00:13:16.500 --> 00:13:18.299 my way to the neurology clinic 426 00:13:18.300 --> 00:13:20.009 because all the signs are in English 427 00:13:20.010 --> 00:13:21.809 and I only speak Spanish. 428 00:13:21.810 --> 00:13:24.059 These stories of what 429 00:13:24.060 --> 00:13:26.130 it means to live with an illness 430 00:13:27.960 --> 00:13:30.689 can really, I think, illuminate 431 00:13:30.690 --> 00:13:31.859 some of the health disparities that 432 00:13:31.860 --> 00:13:32.860 are still plaguing 433 00:13:34.050 --> 00:13:35.039 our country. 434 00:13:35.040 --> 00:13:36.959 And so I think also 435 00:13:36.960 --> 00:13:37.960 in that sense, 436 00:13:39.270 --> 00:13:41.309 poetry writing 437 00:13:41.310 --> 00:13:43.199 can animate 438 00:13:43.200 --> 00:13:45.209 the experience of illness 439 00:13:45.210 --> 00:13:47.519 for diverse people in a way that 440 00:13:47.520 --> 00:13:49.469 can make all of us 441 00:13:49.470 --> 00:13:50.579 understand better what that 442 00:13:50.580 --> 00:13:52.709 experience is. 443 00:13:52.710 --> 00:13:54.869 Yeah. And I wonder, too, to 444 00:13:54.870 --> 00:13:56.669 think about your work as a poet for 445 00:13:56.670 --> 00:13:57.719 a moment more. 446 00:13:57.720 --> 00:13:59.879 You've written about poetry 447 00:13:59.880 --> 00:14:01.829 and kind of the detachment 448 00:14:01.830 --> 00:14:03.329 that you see in kind of experimental 449 00:14:03.330 --> 00:14:04.889 poetry and abstract poetry. 450 00:14:04.890 --> 00:14:05.969 And it struck me in thinking about 451 00:14:05.970 --> 00:14:07.649 and listening to you now talk about 452 00:14:07.650 --> 00:14:09.779 bodily rhythms that actually, 453 00:14:09.780 --> 00:14:11.579 in terms of the kinds of poetry that 454 00:14:11.580 --> 00:14:13.207 you produce, your work as a doctor 455 00:14:15.360 --> 00:14:17.249 keeps a physical presence in your 456 00:14:17.250 --> 00:14:18.119 poems. 457 00:14:18.120 --> 00:14:20.229 That kind of works against what you 458 00:14:20.230 --> 00:14:21.849 see as a kind of like a certain 459 00:14:21.850 --> 00:14:23.979 trend in contemporary poetry 460 00:14:23.980 --> 00:14:25.359 of being abstract and experimental 461 00:14:25.360 --> 00:14:27.489 and less available for a wider 462 00:14:27.490 --> 00:14:28.059 public. 463 00:14:28.060 --> 00:14:29.079 Yes. Yes. 464 00:14:29.080 --> 00:14:30.999 I have, in some 465 00:14:31.000 --> 00:14:32.289 sense, I think evolved a little bit 466 00:14:32.290 --> 00:14:33.290 on 467 00:14:34.750 --> 00:14:35.769 that particular theme. 468 00:14:35.770 --> 00:14:37.719 But I do find that my 469 00:14:37.720 --> 00:14:40.089 own attraction 470 00:14:40.090 --> 00:14:42.429 to the poem, really, is through 471 00:14:42.430 --> 00:14:44.199 the more physically embodied 472 00:14:44.200 --> 00:14:45.200 rhythms, again, 473 00:14:46.030 --> 00:14:48.159 the notion of 474 00:14:48.160 --> 00:14:49.989 a poetry that is, in some 475 00:14:49.990 --> 00:14:51.009 sense, visceral, that 476 00:14:52.330 --> 00:14:54.549 enters us through physical 477 00:14:54.550 --> 00:14:56.259 channels as well as through our 478 00:14:56.260 --> 00:14:57.309 mental faculties. 479 00:14:57.310 --> 00:14:58.749 And again, that's very much the 480 00:14:58.750 --> 00:14:59.750 experience I have of-- I 481 00:15:00.760 --> 00:15:02.319 was just talking over lunch - this 482 00:15:02.320 --> 00:15:03.309 is going to sound weird. Only a 483 00:15:03.310 --> 00:15:04.500 doctor poet would say this, I guess 484 00:15:04.501 --> 00:15:06.609 - but percussing the liver 485 00:15:06.610 --> 00:15:08.469 and hearing 486 00:15:08.470 --> 00:15:10.629 the difference between 487 00:15:10.630 --> 00:15:13.149 the resonance of the chest cavity 488 00:15:13.150 --> 00:15:15.369 and the dullness of this 489 00:15:15.370 --> 00:15:16.149 internal organ. 490 00:15:16.150 --> 00:15:17.339 And so yeah. 491 00:15:17.340 --> 00:15:19.239 So those are not 492 00:15:19.240 --> 00:15:21.159 abstract notions, in my 493 00:15:21.160 --> 00:15:23.469 experience. Those are real 494 00:15:23.470 --> 00:15:25.599 expressions of our bodies 495 00:15:25.600 --> 00:15:27.459 and how we perceive, also how we 496 00:15:27.460 --> 00:15:29.349 can sound out, how we can 497 00:15:29.350 --> 00:15:30.879 suss out the body. 498 00:15:30.880 --> 00:15:32.799 And so that's, again, a maybe 499 00:15:32.800 --> 00:15:34.299 more a particular fascination of 500 00:15:34.300 --> 00:15:36.369 mine than a kind of a critique of 501 00:15:36.370 --> 00:15:38.319 the other kinds of poetry that are 502 00:15:38.320 --> 00:15:39.609 out there and that are, I think, 503 00:15:39.610 --> 00:15:41.439 interesting for other kinds of 504 00:15:41.440 --> 00:15:41.835 reasons. 505 00:15:41.836 --> 00:15:43.719 This kind 506 00:15:43.720 --> 00:15:44.919 of line of thinking about your work 507 00:15:44.920 --> 00:15:46.869 also reminds me of William Carlos 508 00:15:46.870 --> 00:15:48.939 Williams, who it's hard not to 509 00:15:48.940 --> 00:15:50.889 think of you in dialogue with 510 00:15:50.890 --> 00:15:53.109 because of your histories as doctor 511 00:15:53.110 --> 00:15:54.669 poets from New Jersey. But also 512 00:15:54.670 --> 00:15:56.619 because of a focus on we think 513 00:15:56.620 --> 00:15:58.329 of Williams, and we think of No 514 00:15:58.330 --> 00:16:00.309 Ideas But in Things and a focus 515 00:16:00.310 --> 00:16:01.569 on that. And some of the ways that 516 00:16:01.570 --> 00:16:03.699 you've written about illness brings 517 00:16:03.700 --> 00:16:05.649 us always back to things, right? 518 00:16:05.650 --> 00:16:08.229 Thinking about illness as urine 519 00:16:08.230 --> 00:16:09.219 that you need to dispose of, 520 00:16:09.220 --> 00:16:10.659 thinking of illness as blood that's 521 00:16:10.660 --> 00:16:12.069 escaping from a wound, and things 522 00:16:12.070 --> 00:16:13.569 like that. And you write about 523 00:16:13.570 --> 00:16:14.769 Williams and your relationship to 524 00:16:14.770 --> 00:16:16.569 him in The Healing Art. 525 00:16:16.570 --> 00:16:18.459 Can you say a little bit about what 526 00:16:18.460 --> 00:16:20.379 he's meant to you as someone you've 527 00:16:20.380 --> 00:16:21.249 read? 528 00:16:21.250 --> 00:16:22.509 Oh my gosh, well, where could I 529 00:16:22.510 --> 00:16:23.559 begin? I mean, he's one of my 530 00:16:23.560 --> 00:16:25.479 heroes. And as you say, he was 531 00:16:25.480 --> 00:16:27.309 a primary care doctor, what we 532 00:16:27.310 --> 00:16:28.155 would call a primary care doctor 533 00:16:28.156 --> 00:16:30.009 now, in an 534 00:16:30.010 --> 00:16:32.109 impoverished part of New Jersey, 535 00:16:32.110 --> 00:16:33.069 not far from where I grew up, 536 00:16:33.070 --> 00:16:35.139 actually. And so, yes, 537 00:16:35.140 --> 00:16:37.299 he's always been this really 538 00:16:37.300 --> 00:16:39.399 hero figure for me in many ways. 539 00:16:39.400 --> 00:16:41.259 And his effort 540 00:16:41.260 --> 00:16:43.719 to, I think, express 541 00:16:43.720 --> 00:16:45.729 what he saw in his day-to-day 542 00:16:45.730 --> 00:16:47.889 work as a physician, 543 00:16:47.890 --> 00:16:49.359 this notion of a kind of a 544 00:16:49.360 --> 00:16:50.772 democratic idiom, this notion 545 00:16:51.790 --> 00:16:53.979 of the disturbed body, the 546 00:16:53.980 --> 00:16:55.929 ill body 547 00:16:55.930 --> 00:16:57.789 as one to 548 00:16:57.790 --> 00:16:59.769 which applies 549 00:16:59.770 --> 00:17:01.749 to all of us, really, that someday 550 00:17:01.750 --> 00:17:03.189 we're all going to be patients. 551 00:17:03.190 --> 00:17:05.078 Every single one of us is going 552 00:17:05.079 --> 00:17:06.309 to be in that hospital bed one of 553 00:17:06.310 --> 00:17:07.310 these days. And so 554 00:17:08.319 --> 00:17:10.269 I think one of 555 00:17:10.270 --> 00:17:13.118 the impulses behind his 556 00:17:13.119 --> 00:17:14.318 project, which really, I think, 557 00:17:14.319 --> 00:17:16.149 transformed American poetry 558 00:17:16.150 --> 00:17:17.828 in such important ways, was this 559 00:17:17.829 --> 00:17:19.838 sense of we share 560 00:17:19.839 --> 00:17:21.818 an idiom that's based in 561 00:17:21.819 --> 00:17:23.559 our bodies. But that's also an 562 00:17:23.560 --> 00:17:25.868 expression of our sensuality, 563 00:17:25.869 --> 00:17:26.869 our physicality, 564 00:17:27.849 --> 00:17:29.979 as well as our shared experience 565 00:17:29.980 --> 00:17:32.469 as Americans. And Americans 566 00:17:32.470 --> 00:17:35.109 in that very plural 567 00:17:35.110 --> 00:17:37.059 sense of he was taking care 568 00:17:37.060 --> 00:17:38.469 of immigrants. He was taking care of 569 00:17:38.470 --> 00:17:40.479 the poor. He was taking care of 570 00:17:40.480 --> 00:17:42.639 anybody who walked through his door. 571 00:17:42.640 --> 00:17:43.640 And so 572 00:17:45.010 --> 00:17:46.479 there's something really, again, 573 00:17:46.480 --> 00:17:48.639 heroic, I think, in his joining 574 00:17:48.640 --> 00:17:50.769 of these two 575 00:17:50.770 --> 00:17:51.770 vocations, I would say and 576 00:17:53.590 --> 00:17:55.719 has really served as just 577 00:17:55.720 --> 00:17:57.609 an inspiration to my 578 00:17:57.610 --> 00:17:59.439 own work. And so I 579 00:17:59.440 --> 00:18:01.299 think, yes, that indeed there is 580 00:18:01.300 --> 00:18:03.879 this way in which Williams 581 00:18:03.880 --> 00:18:06.489 and his work reflect how 582 00:18:06.490 --> 00:18:09.069 stories, language 583 00:18:09.070 --> 00:18:11.379 emanates from 584 00:18:11.380 --> 00:18:13.269 us in a way that is 585 00:18:13.270 --> 00:18:15.369 truly universal 586 00:18:15.370 --> 00:18:17.259 and again, 587 00:18:17.260 --> 00:18:19.659 anti-elitist, anti 588 00:18:19.660 --> 00:18:21.759 this sort of poetic 589 00:18:21.760 --> 00:18:23.229 sort of jargon. 590 00:18:23.230 --> 00:18:24.609 Sometimes I have colleagues who say, 591 00:18:24.610 --> 00:18:26.109 "Oh, poetry," it's especially, 592 00:18:26.110 --> 00:18:27.999 again, in medicine, "that's all 593 00:18:28.000 --> 00:18:29.169 code language, and I can't 594 00:18:29.170 --> 00:18:31.179 understand it." And it's like, 595 00:18:31.180 --> 00:18:32.679 why don't you just say it? 596 00:18:32.680 --> 00:18:34.399 But that's what Williams did. 597 00:18:34.400 --> 00:18:36.279 He did say it. He was trying 598 00:18:36.280 --> 00:18:38.169 to say it. And again, this 599 00:18:38.170 --> 00:18:40.029 just incredible 600 00:18:40.030 --> 00:18:42.399 American idiom that 601 00:18:42.400 --> 00:18:43.719 everybody could understand. 602 00:18:43.720 --> 00:18:45.189 And that was accessible to all of 603 00:18:45.190 --> 00:18:47.169 us, not in the sort of elitist 604 00:18:48.340 --> 00:18:49.340 language of what 605 00:18:50.590 --> 00:18:52.089 came from Europe, shall we say. 606 00:18:52.090 --> 00:18:54.009 So that's part of 607 00:18:54.010 --> 00:18:55.010 my obsession, fascination 608 00:18:57.250 --> 00:18:58.689 with Williams. 609 00:18:58.690 --> 00:18:59.709 Maybe I said too much about that. 610 00:18:59.710 --> 00:19:00.279 I'm sorry. 611 00:19:00.280 --> 00:19:01.809 No, not at all. I mean, I'm 612 00:19:01.810 --> 00:19:02.979 interested in asking one further 613 00:19:02.980 --> 00:19:04.029 question about that, because he-- 614 00:19:04.030 --> 00:19:05.019 and you mentioned this a few times 615 00:19:05.020 --> 00:19:06.309 in your response. I mean, he 616 00:19:06.310 --> 00:19:07.689 certainly saw his project as an 617 00:19:07.690 --> 00:19:09.309 American one. And he was responding 618 00:19:09.310 --> 00:19:10.179 to T.S. 619 00:19:10.180 --> 00:19:11.319 Eliot. He was responding to Ezra 620 00:19:11.320 --> 00:19:12.459 Pound. 621 00:19:12.460 --> 00:19:13.369 I mean, you were saying coming through, 622 00:19:13.370 --> 00:19:14.859 these are Americans who went to 623 00:19:14.860 --> 00:19:15.909 Europe. People he knew. 624 00:19:15.910 --> 00:19:17.919 He knew Pound when he was at 625 00:19:17.920 --> 00:19:18.939 the University of Pennsylvania. 626 00:19:18.940 --> 00:19:20.089 And you mention a few times there 627 00:19:20.090 --> 00:19:22.159 being an Americaness to his project. 628 00:19:22.160 --> 00:19:23.419 Do you see your project in that way 629 00:19:23.420 --> 00:19:25.159 as being American poetry? 630 00:19:25.160 --> 00:19:27.919 I hope so. I mean, I feel like I am 631 00:19:27.920 --> 00:19:29.389 maybe perhaps a little bit different 632 00:19:29.390 --> 00:19:30.379 from Williams, although he had 633 00:19:30.380 --> 00:19:31.729 Puerto Rican roots. 634 00:19:31.730 --> 00:19:33.679 But I see myself 635 00:19:33.680 --> 00:19:35.809 as almost 636 00:19:35.810 --> 00:19:37.579 as perhaps one of the kinds of 637 00:19:37.580 --> 00:19:40.069 patients he treated 638 00:19:40.070 --> 00:19:41.719 being an immigrant or from an 639 00:19:41.720 --> 00:19:43.549 immigrant family to this country. 640 00:19:43.550 --> 00:19:45.589 And so, yes, I 641 00:19:45.590 --> 00:19:47.689 see America as this 642 00:19:47.690 --> 00:19:48.690 plurality of voices as 643 00:19:50.330 --> 00:19:52.279 a nation of immigrants, as a place 644 00:19:52.280 --> 00:19:54.349 where the American 645 00:19:54.350 --> 00:19:56.329 dream inspires so many people 646 00:19:56.330 --> 00:19:57.359 to come to 647 00:19:58.640 --> 00:20:01.009 seek education, to seek opportunity. 648 00:20:01.010 --> 00:20:02.899 And so, yes, I 649 00:20:02.900 --> 00:20:04.849 do think that my own work, and I 650 00:20:04.850 --> 00:20:07.129 hope, in some sense, my life 651 00:20:07.130 --> 00:20:08.879 is really an expression of that, 652 00:20:10.040 --> 00:20:12.229 I think, fundamentally 653 00:20:12.230 --> 00:20:14.089 American idea, 654 00:20:14.090 --> 00:20:16.099 which I know 655 00:20:16.100 --> 00:20:17.749 drew my parents here. 656 00:20:17.750 --> 00:20:19.759 And I hope I'm, in some sense, 657 00:20:19.760 --> 00:20:21.979 a kind of a product of their 658 00:20:21.980 --> 00:20:23.110 optimism, of their dreams. 659 00:20:25.010 --> 00:20:26.071 They came here with nothing and 660 00:20:26.072 --> 00:20:28.189 taught us, 661 00:20:28.190 --> 00:20:29.629 all of us, my brothers and my 662 00:20:29.630 --> 00:20:31.339 sister, the importance of an 663 00:20:31.340 --> 00:20:32.479 education, the importance of 664 00:20:32.480 --> 00:20:34.579 service, the importance of giving 665 00:20:34.580 --> 00:20:36.679 back to a society that had given 666 00:20:36.680 --> 00:20:37.969 them so much. And so 667 00:20:39.140 --> 00:20:41.209 I think, yes, that's distinctly 668 00:20:41.210 --> 00:20:43.099 American. And I see 669 00:20:43.100 --> 00:20:45.829 America every day in my practice. 670 00:20:45.830 --> 00:20:47.779 My patients are all 671 00:20:47.780 --> 00:20:50.119 of us in every sense of 672 00:20:50.120 --> 00:20:52.069 that diversity, 673 00:20:52.070 --> 00:20:54.079 which I guess, in some ways, now has 674 00:20:54.080 --> 00:20:56.089 almost a 675 00:20:56.090 --> 00:20:59.209 kind of, I don't know, shorthand 676 00:20:59.210 --> 00:21:01.159 meaning now. But I 677 00:21:01.160 --> 00:21:02.839 experience that every day in my 678 00:21:02.840 --> 00:21:04.879 clinic. And it's just 679 00:21:04.880 --> 00:21:06.919 absolutely beautiful 680 00:21:06.920 --> 00:21:08.989 and astonishing, and 681 00:21:08.990 --> 00:21:10.339 I think really exists 682 00:21:11.750 --> 00:21:13.879 only in a country like this. 683 00:21:13.880 --> 00:21:14.989 Well, I want to ask a little bit 684 00:21:14.990 --> 00:21:16.939 about contributions that you feel 685 00:21:16.940 --> 00:21:18.049 that poetry has made to your 686 00:21:18.050 --> 00:21:19.639 practice as a doctor and as a 687 00:21:19.640 --> 00:21:20.539 physician. 688 00:21:20.540 --> 00:21:22.489 And I want to ask to try to be as 689 00:21:22.490 --> 00:21:23.689 specific as possible. 690 00:21:23.690 --> 00:21:25.519 In the beginning of The Healing Art, 691 00:21:25.520 --> 00:21:27.409 there is a really-- this 692 00:21:27.410 --> 00:21:28.290 is your second book of prose. 693 00:21:28.291 --> 00:21:30.289 And there's a really powerful 694 00:21:30.290 --> 00:21:32.149 example of a patient that you 695 00:21:32.150 --> 00:21:33.289 called Daniel in the beginning. 696 00:21:33.290 --> 00:21:35.479 And you talk about the fact that his 697 00:21:35.480 --> 00:21:37.519 symptoms of depression had not 698 00:21:37.520 --> 00:21:39.409 responded to treatment, a variety of 699 00:21:39.410 --> 00:21:41.179 different treatments, and that it 700 00:21:41.180 --> 00:21:43.099 was only after you 701 00:21:43.100 --> 00:21:45.019 learned that he had been abused 702 00:21:45.020 --> 00:21:47.629 in a church as a child 703 00:21:47.630 --> 00:21:49.039 that you were able to intervene more 704 00:21:49.040 --> 00:21:49.879 effectively. 705 00:21:49.880 --> 00:21:51.439 And I want to be as clear as 706 00:21:51.440 --> 00:21:53.269 possible in saying that the way 707 00:21:53.270 --> 00:21:55.249 that it's not that 708 00:21:55.250 --> 00:21:57.079 you learned the fact of his being 709 00:21:57.080 --> 00:21:58.159 abused. It's that you read his 710 00:21:58.160 --> 00:22:00.019 poetry. And you say very 711 00:22:00.020 --> 00:22:02.269 specifically you experienced 712 00:22:02.270 --> 00:22:04.919 the shame of the speaker that 713 00:22:04.920 --> 00:22:06.409 these events inspired. 714 00:22:06.410 --> 00:22:08.209 You experienced the violence of the 715 00:22:08.210 --> 00:22:09.739 events. And it's specifically the 716 00:22:09.740 --> 00:22:11.059 encounter with the poetry, not 717 00:22:11.060 --> 00:22:12.919 learning a fact on a 718 00:22:12.920 --> 00:22:14.524 bullet point or something like that 719 00:22:14.525 --> 00:22:16.369 but reading the poetry itself, that 720 00:22:16.370 --> 00:22:17.539 allows you to intervene more 721 00:22:17.540 --> 00:22:18.589 effectively. 722 00:22:18.590 --> 00:22:19.519 And I wonder if you could say a 723 00:22:19.520 --> 00:22:21.229 little bit about how that 724 00:22:21.230 --> 00:22:22.159 experience. 725 00:22:22.160 --> 00:22:24.109 What it let you do 726 00:22:24.110 --> 00:22:25.159 that you wouldn't have been able to 727 00:22:25.160 --> 00:22:26.899 do otherwise, and why that was more 728 00:22:26.900 --> 00:22:28.429 effective in that case? 729 00:22:28.430 --> 00:22:29.779 Yeah. So those are also great 730 00:22:29.780 --> 00:22:31.759 questions. I would say, in a number 731 00:22:31.760 --> 00:22:33.169 of ways-- I think, in that 732 00:22:33.170 --> 00:22:34.759 particular case, because there are 733 00:22:34.760 --> 00:22:36.589 so many silences 734 00:22:36.590 --> 00:22:38.779 around abuse for 735 00:22:38.780 --> 00:22:40.549 many people who have experienced 736 00:22:40.550 --> 00:22:42.559 abuse, that the 737 00:22:42.560 --> 00:22:44.509 poetry that he wrote and the poems 738 00:22:44.510 --> 00:22:46.699 he shared with me allowed 739 00:22:46.700 --> 00:22:49.459 a kind of connection around 740 00:22:49.460 --> 00:22:51.679 that experience that I don't think 741 00:22:51.680 --> 00:22:53.279 would have been possible through the 742 00:22:53.280 --> 00:22:55.220 standard sort of medical interview. 743 00:22:56.300 --> 00:22:58.039 It seemed to me at the time that he 744 00:22:58.040 --> 00:22:59.569 could only express what had happened 745 00:22:59.570 --> 00:23:01.729 to him through that particular 746 00:23:01.730 --> 00:23:02.770 medium. And so, in 747 00:23:03.860 --> 00:23:06.919 a very real sense, it opened up 748 00:23:06.920 --> 00:23:08.929 an opportunity, in a way, 749 00:23:08.930 --> 00:23:11.119 to offer support, 750 00:23:11.120 --> 00:23:13.069 resources, treatment 751 00:23:13.070 --> 00:23:14.989 that I might not never have even 752 00:23:14.990 --> 00:23:16.969 known about that he needed. 753 00:23:16.970 --> 00:23:18.829 And so in that 754 00:23:18.830 --> 00:23:21.079 very, I think, practical 755 00:23:21.080 --> 00:23:23.029 sense. But also, 756 00:23:23.030 --> 00:23:24.919 I think, and this is maybe 757 00:23:24.920 --> 00:23:26.809 perhaps a more sort of aesthetic or 758 00:23:26.810 --> 00:23:28.699 maybe even sort of philosophical 759 00:23:28.700 --> 00:23:30.739 notion. But I think poetry really 760 00:23:30.740 --> 00:23:32.749 does allow us to speak 761 00:23:32.750 --> 00:23:33.679 the unspeakable. 762 00:23:33.680 --> 00:23:36.589 It is a container 763 00:23:36.590 --> 00:23:37.590 of 764 00:23:38.420 --> 00:23:40.269 the most difficult kinds of emotions 765 00:23:40.270 --> 00:23:42.109 I think that we 766 00:23:42.110 --> 00:23:43.609 can feel. And whether they're 767 00:23:44.720 --> 00:23:46.879 shame, pain, 768 00:23:46.880 --> 00:23:48.739 the kinds of suffering 769 00:23:48.740 --> 00:23:50.659 that often attend the 770 00:23:50.660 --> 00:23:51.889 experience of illness, or whether 771 00:23:51.890 --> 00:23:53.659 they're also ecstatic experiences, 772 00:23:53.660 --> 00:23:55.759 whether they're experiences of 773 00:23:55.760 --> 00:23:57.019 unspeakable joy. 774 00:23:57.020 --> 00:23:59.539 This is why we 775 00:23:59.540 --> 00:24:00.540 turn to 776 00:24:01.490 --> 00:24:03.409 not only poetry but to 777 00:24:03.410 --> 00:24:05.539 music, to art. 778 00:24:05.540 --> 00:24:07.459 These are ways in which we can 779 00:24:07.460 --> 00:24:09.619 express these experiences 780 00:24:09.620 --> 00:24:10.620 that, 781 00:24:11.510 --> 00:24:13.939 again, I find are 782 00:24:13.940 --> 00:24:15.569 physically engaging. 783 00:24:15.570 --> 00:24:17.419 The way that the hair on the back of 784 00:24:17.420 --> 00:24:19.249 our necks stands up when we when 785 00:24:19.250 --> 00:24:21.499 we see an image that, again, 786 00:24:21.500 --> 00:24:23.359 we can't articulate 787 00:24:23.360 --> 00:24:24.360 exactly 788 00:24:25.190 --> 00:24:27.169 what it says to us or how it speaks 789 00:24:27.170 --> 00:24:29.479 to us. But yet, we are moved 790 00:24:29.480 --> 00:24:31.369 in a way that, again, allowed me to 791 00:24:31.370 --> 00:24:33.349 be much more present 792 00:24:33.350 --> 00:24:35.539 in Daniel's particular 793 00:24:35.540 --> 00:24:37.459 case than 794 00:24:37.460 --> 00:24:39.559 had I been in my 795 00:24:39.560 --> 00:24:41.480 more sort of standard 796 00:24:42.800 --> 00:24:44.659 position of the doctor in the white 797 00:24:44.660 --> 00:24:46.112 coat with my detached concern and 798 00:24:47.780 --> 00:24:49.789 perhaps more objectively 799 00:24:49.790 --> 00:24:51.199 interviewing him and seeking 800 00:24:51.200 --> 00:24:53.179 information about what was 801 00:24:53.180 --> 00:24:55.969 going on in terms of symptoms and 802 00:24:55.970 --> 00:24:57.739 pain on the 1 to 10 scale that we 803 00:24:57.740 --> 00:24:58.740 use. And there 804 00:25:00.200 --> 00:25:03.199 was this opportunity-- 805 00:25:03.200 --> 00:25:04.200 more than an opportunity, this demand 806 00:25:05.690 --> 00:25:07.849 that I 807 00:25:07.850 --> 00:25:09.214 engage with him, that I 808 00:25:10.460 --> 00:25:11.809 connect empathetically with him. 809 00:25:11.810 --> 00:25:13.669 And there has been much written 810 00:25:13.670 --> 00:25:16.069 about the healing 811 00:25:16.070 --> 00:25:18.259 possibilities of empathy in the 812 00:25:18.260 --> 00:25:20.599 psychiatric and mental health 813 00:25:20.600 --> 00:25:22.579 literature. But I think there really 814 00:25:22.580 --> 00:25:24.569 is, again, perhaps 815 00:25:24.570 --> 00:25:25.909 this getting back to a more 816 00:25:25.910 --> 00:25:27.739 practical way 817 00:25:27.740 --> 00:25:29.239 of thinking about it. But indeed, I 818 00:25:29.240 --> 00:25:31.309 think empathy does allow 819 00:25:31.310 --> 00:25:34.009 us to form 820 00:25:34.010 --> 00:25:35.869 healing connections with 821 00:25:35.870 --> 00:25:38.419 our patients that are part of 822 00:25:38.420 --> 00:25:39.420 the therapeutic 823 00:25:40.610 --> 00:25:41.766 intervention, if you will, that's 824 00:25:41.767 --> 00:25:43.789 simply listening. 825 00:25:43.790 --> 00:25:45.409 And there are even studies from the 826 00:25:45.410 --> 00:25:46.550 primary care setting that 827 00:25:47.630 --> 00:25:49.609 doctors who spend more time 828 00:25:49.610 --> 00:25:51.469 listening to their patients 829 00:25:51.470 --> 00:25:53.569 are not only 830 00:25:53.570 --> 00:25:55.279 rated more highly by their patients 831 00:25:55.280 --> 00:25:56.599 in terms of the quality of care that 832 00:25:56.600 --> 00:25:58.519 the patients receive but 833 00:25:58.520 --> 00:25:59.783 also the outcomes of the patients-- 834 00:25:59.784 --> 00:26:00.784 better 835 00:26:02.060 --> 00:26:03.649 outcomes in terms of blood pressure, 836 00:26:03.650 --> 00:26:04.650 in terms of 837 00:26:05.840 --> 00:26:07.759 what endpoints 838 00:26:07.760 --> 00:26:09.979 we can more or less objectively 839 00:26:09.980 --> 00:26:11.929 measure. Not that 840 00:26:11.930 --> 00:26:13.639 I think all of this should be 841 00:26:13.640 --> 00:26:15.529 quantitatively 842 00:26:15.530 --> 00:26:16.530 assessed, but 843 00:26:17.450 --> 00:26:18.979 the poet in me bristles a little in 844 00:26:18.980 --> 00:26:19.980 trying to say this 845 00:26:21.050 --> 00:26:21.289 but-- 846 00:26:21.290 --> 00:26:22.729 It's one benefit, but it doesn't 847 00:26:22.730 --> 00:26:23.269 have to be the only one. 848 00:26:23.270 --> 00:26:24.199 It's not the only one. 849 00:26:24.200 --> 00:26:26.149 It's one benefit that we can 850 00:26:26.150 --> 00:26:28.009 measure. And it is actually 851 00:26:28.010 --> 00:26:29.929 useful to speak to 852 00:26:29.930 --> 00:26:31.274 my medical colleagues in that in 853 00:26:32.840 --> 00:26:34.669 their language of randomized 854 00:26:34.670 --> 00:26:36.589 controlled trials or 855 00:26:36.590 --> 00:26:39.349 that kind of data. But, yes, there's 856 00:26:39.350 --> 00:26:41.659 much, much data to 857 00:26:41.660 --> 00:26:43.909 suggest that the empathetic 858 00:26:43.910 --> 00:26:45.349 relationship, the therapeutic 859 00:26:45.350 --> 00:26:47.449 alliance itself, is 860 00:26:47.450 --> 00:26:48.619 healing for patients. 861 00:26:48.620 --> 00:26:50.959 So, yes, I think that transformed 862 00:26:50.960 --> 00:26:52.549 the care that I was able to provide 863 00:26:52.550 --> 00:26:54.589 Daniel. And, in some sense, 864 00:26:54.590 --> 00:26:56.629 he wrote to me some years ago 865 00:26:56.630 --> 00:26:58.489 after we 866 00:26:59.660 --> 00:27:01.609 worked together. He moved 867 00:27:01.610 --> 00:27:03.169 to another city. But he wrote to me, 868 00:27:03.170 --> 00:27:04.579 and he said to me later that, "I 869 00:27:04.580 --> 00:27:06.949 think being able to engage with you 870 00:27:06.950 --> 00:27:08.719 through my poems really saved my 871 00:27:08.720 --> 00:27:10.999 life." And it was an extraordinary 872 00:27:11.000 --> 00:27:12.889 thing to hear so many years later 873 00:27:12.890 --> 00:27:14.839 from someone 874 00:27:14.840 --> 00:27:17.239 who was very troubled at that time. 875 00:27:17.240 --> 00:27:19.819 In that case, it was only after 876 00:27:19.820 --> 00:27:21.649 a long relationship 877 00:27:21.650 --> 00:27:23.638 with him that he gave you the poems. 878 00:27:25.430 --> 00:27:27.139 I mean, that particular example is 879 00:27:27.140 --> 00:27:28.279 one where it took a long time. 880 00:27:28.280 --> 00:27:29.419 And it took, I think, if I remember 881 00:27:29.420 --> 00:27:30.799 correctly, a suicide attempt on his 882 00:27:30.800 --> 00:27:32.839 part in order to get 883 00:27:32.840 --> 00:27:34.399 to the point where he-- 884 00:27:34.400 --> 00:27:34.899 He could. 885 00:27:34.900 --> 00:27:37.219 He was sharing these poems with you. 886 00:27:37.220 --> 00:27:39.679 How do you work to cultivate 887 00:27:39.680 --> 00:27:41.719 those kinds of relationships 888 00:27:41.720 --> 00:27:43.759 in other cases where 889 00:27:43.760 --> 00:27:45.289 you may not have the same amount of 890 00:27:45.290 --> 00:27:46.309 time, where you may not have the 891 00:27:46.310 --> 00:27:47.149 same amount of conditions? 892 00:27:47.150 --> 00:27:48.919 How do you work as a doctor to try 893 00:27:48.920 --> 00:27:50.239 to cultivate those kinds of 894 00:27:50.240 --> 00:27:51.679 relationships with patients in a 895 00:27:51.680 --> 00:27:52.999 variety of settings? 896 00:27:53.000 --> 00:27:55.159 Yes. Well, I do often invite 897 00:27:55.160 --> 00:27:57.049 my patients. Most of the care I 898 00:27:57.050 --> 00:27:58.879 give is through my primary care 899 00:27:58.880 --> 00:28:01.039 clinic. And so, I have longitudinal, 900 00:28:01.040 --> 00:28:02.899 long-term relationships with most 901 00:28:02.900 --> 00:28:04.579 of my patients. But even when I'm 902 00:28:04.580 --> 00:28:06.049 attending on the wards, for example, 903 00:28:06.050 --> 00:28:07.609 and my interactions with patients 904 00:28:07.610 --> 00:28:09.379 may be more constrained to that 905 00:28:09.380 --> 00:28:11.689 particular space 906 00:28:11.690 --> 00:28:13.519 in the hospital, there are 907 00:28:13.520 --> 00:28:15.949 many ways in which engaging 908 00:28:15.950 --> 00:28:18.409 narratively with patients 909 00:28:18.410 --> 00:28:19.939 can be really powerful. 910 00:28:21.950 --> 00:28:23.689 When I'm rounding with my students 911 00:28:23.690 --> 00:28:25.819 and residents, I always ask patients 912 00:28:25.820 --> 00:28:27.656 to tell me a story about why are 913 00:28:29.240 --> 00:28:30.240 you famous? 914 00:28:31.550 --> 00:28:33.559 Tell me a story about who 915 00:28:33.560 --> 00:28:35.179 you are outside of the hospital. 916 00:28:35.180 --> 00:28:36.739 And it's extraordinary the kinds of 917 00:28:36.740 --> 00:28:38.719 things that people will say 918 00:28:38.720 --> 00:28:40.219 in response to that very simple 919 00:28:40.220 --> 00:28:41.220 question that 920 00:28:42.740 --> 00:28:44.209 changes the perspective of the 921 00:28:44.210 --> 00:28:46.429 entire team caring for someone, 922 00:28:46.430 --> 00:28:48.529 for example, with substance 923 00:28:48.530 --> 00:28:49.530 use problems who, 924 00:28:50.630 --> 00:28:52.429 I would say, of all the populations 925 00:28:52.430 --> 00:28:54.169 of patients we care for are often 926 00:28:54.170 --> 00:28:55.969 the most sort of dismissed or 927 00:28:55.970 --> 00:28:56.970 denigrated. There 928 00:28:58.430 --> 00:29:00.799 are so many kinds of bias against 929 00:29:00.800 --> 00:29:03.079 people struggling with addiction in 930 00:29:03.080 --> 00:29:05.029 the hospital. And 931 00:29:05.030 --> 00:29:07.039 when we ask-- sometimes I'll ask a 932 00:29:07.040 --> 00:29:08.719 patient who's struggling with 933 00:29:08.720 --> 00:29:09.720 addiction to 934 00:29:10.700 --> 00:29:12.339 tell me about the first time you 935 00:29:12.340 --> 00:29:14.119 used? Tell me what that was like. 936 00:29:14.120 --> 00:29:14.899 What were you doing? 937 00:29:14.900 --> 00:29:16.849 What was your life like then? 938 00:29:16.850 --> 00:29:19.309 And again, these stories 939 00:29:19.310 --> 00:29:20.310 open up and are so 940 00:29:21.550 --> 00:29:22.960 powerfully humanizing that 941 00:29:24.040 --> 00:29:26.709 all the stereotypes of, "Oh, that 942 00:29:26.710 --> 00:29:27.867 junkie, that dirtbag," 943 00:29:29.440 --> 00:29:31.671 are just completely challenged. 944 00:29:33.760 --> 00:29:35.469 So those are a couple of, again, 945 00:29:35.470 --> 00:29:37.059 sort of off the top of my head, 946 00:29:37.060 --> 00:29:38.527 examples of how even in a very busy 947 00:29:38.528 --> 00:29:39.528 hospital 948 00:29:40.780 --> 00:29:42.489 ward setting, that just simply 949 00:29:42.490 --> 00:29:43.959 taking a few minutes to hear the 950 00:29:43.960 --> 00:29:45.879 patient's story can make a 951 00:29:45.880 --> 00:29:47.889 tremendous difference in how we see 952 00:29:47.890 --> 00:29:49.899 that person. So suddenly, 953 00:29:49.900 --> 00:29:51.849 they're not the shooter 954 00:29:51.850 --> 00:29:52.850 with endocarditis 955 00:29:54.370 --> 00:29:56.409 and HIV and Hepatitis C. 956 00:29:57.850 --> 00:29:59.648 They're the young mother who was 957 00:29:59.649 --> 00:30:01.269 desperate and made certain-- 958 00:30:01.270 --> 00:30:02.270 Made a series of decisions. 959 00:30:03.160 --> 00:30:05.079 Individual reasons that brings a 960 00:30:05.080 --> 00:30:06.399 person to that point instead of 961 00:30:06.400 --> 00:30:07.929 being a category. 962 00:30:07.930 --> 00:30:08.889 Exactly. And they're not the category 963 00:30:08.890 --> 00:30:10.500 anymore. And that's just 964 00:30:12.460 --> 00:30:14.319 incredibly powerful. 965 00:30:14.320 --> 00:30:16.329 Well, I want to ask 966 00:30:16.330 --> 00:30:18.249 you a question about 967 00:30:18.250 --> 00:30:19.719 your writing about AIDS because 968 00:30:19.720 --> 00:30:20.589 that's been something that you've 969 00:30:20.590 --> 00:30:21.639 done for so long. 970 00:30:21.640 --> 00:30:22.869 It's been such an important part of 971 00:30:22.870 --> 00:30:24.729 your career, writing in your 972 00:30:24.730 --> 00:30:26.079 essays and also your poetry. 973 00:30:27.130 --> 00:30:28.359 One of the things that I really 974 00:30:28.360 --> 00:30:29.559 enjoyed about reading your work is 975 00:30:29.560 --> 00:30:31.239 that it brought me to Susan Sontag's 976 00:30:31.240 --> 00:30:33.429 essays Illness as Metaphor 977 00:30:33.430 --> 00:30:34.509 and then also AIDS and Its 978 00:30:34.510 --> 00:30:35.949 Metaphors. Really, I know those are 979 00:30:35.950 --> 00:30:37.119 important works to you. 980 00:30:37.120 --> 00:30:38.709 And they were very powerful and 981 00:30:38.710 --> 00:30:39.571 illuminating for me too. 982 00:30:39.572 --> 00:30:40.572 In Illness 983 00:30:42.010 --> 00:30:43.359 as Metaphor, she's writing that in 984 00:30:43.360 --> 00:30:44.889 the late seventies, and she writes 985 00:30:44.890 --> 00:30:46.029 about cancer. 986 00:30:46.030 --> 00:30:47.019 She's talking about kind of the 987 00:30:47.020 --> 00:30:48.849 cultural life of cancer 988 00:30:48.850 --> 00:30:50.919 and comparing it to tuberculosis. 989 00:30:50.920 --> 00:30:53.019 And she writes about cancer 990 00:30:53.020 --> 00:30:54.969 at the time being unsuitable for 991 00:30:54.970 --> 00:30:55.991 poetry. You can't aestheticize it. 992 00:30:57.190 --> 00:30:59.079 It's obscene, she says. 993 00:30:59.080 --> 00:31:00.579 Right? We can't speak about it. 994 00:31:00.580 --> 00:31:02.709 I got the sense reading 995 00:31:02.710 --> 00:31:04.599 that and then 996 00:31:04.600 --> 00:31:06.309 reading you writing about AIDS that 997 00:31:06.310 --> 00:31:08.469 that was roughly your 998 00:31:08.470 --> 00:31:10.329 experience of AIDS, especially 999 00:31:10.330 --> 00:31:11.289 in the early years. That it was 1000 00:31:11.290 --> 00:31:12.939 something that wasn't supposed to be 1001 00:31:12.940 --> 00:31:14.169 talked about and couldn't be talked 1002 00:31:14.170 --> 00:31:15.369 about for a variety of reasons, 1003 00:31:15.370 --> 00:31:16.233 different maybe than cancer. 1004 00:31:16.234 --> 00:31:18.249 Can you talk about 1005 00:31:18.250 --> 00:31:19.239 that a little bit like you were 1006 00:31:19.240 --> 00:31:20.949 especially writing about AIDS, 1007 00:31:20.950 --> 00:31:23.139 poetry and prose, especially in 1008 00:31:23.140 --> 00:31:24.819 the earlier years of your writing 1009 00:31:24.820 --> 00:31:25.179 about it? 1010 00:31:25.180 --> 00:31:26.019 Yes, absolutely. 1011 00:31:26.020 --> 00:31:27.849 I remember very clearly 1012 00:31:27.850 --> 00:31:30.009 being a resident 1013 00:31:30.010 --> 00:31:31.869 at UCSF, University of 1014 00:31:31.870 --> 00:31:33.879 California San Francisco, at 1015 00:31:33.880 --> 00:31:35.709 what was really, I think, the 1016 00:31:35.710 --> 00:31:37.929 sort of peak of the AIDS 1017 00:31:37.930 --> 00:31:39.879 epidemic here in the United States. 1018 00:31:39.880 --> 00:31:40.930 And I remember people 1019 00:31:42.890 --> 00:31:44.700 in the streets with these signs and 1020 00:31:46.130 --> 00:31:47.876 chanting "silence = death" and 1021 00:31:49.130 --> 00:31:50.289 this notion that 1022 00:31:51.320 --> 00:31:54.409 indeed, our words 1023 00:31:54.410 --> 00:31:56.299 potentially could save 1024 00:31:56.300 --> 00:31:58.159 lives. And so 1025 00:31:58.160 --> 00:31:59.839 to go from this notion of this 1026 00:31:59.840 --> 00:32:01.849 highly stigmatized, 1027 00:32:01.850 --> 00:32:03.649 shaming disease, that was a 1028 00:32:03.650 --> 00:32:05.089 punishment from God, that was a 1029 00:32:05.090 --> 00:32:06.569 punishment for being queer, 1030 00:32:08.600 --> 00:32:10.672 that was going to inevitably 1031 00:32:11.870 --> 00:32:14.299 lead to a painful, 1032 00:32:14.300 --> 00:32:15.300 horrifying death to 1033 00:32:16.520 --> 00:32:18.090 this humanized notion of 1034 00:32:19.310 --> 00:32:20.870 communities grappling with 1035 00:32:22.670 --> 00:32:24.319 how can we survive plague? 1036 00:32:24.320 --> 00:32:25.320 How can we 1037 00:32:27.230 --> 00:32:29.179 live through this 1038 00:32:29.180 --> 00:32:30.230 crisis that was 1039 00:32:31.340 --> 00:32:33.319 killing young men my age? 1040 00:32:33.320 --> 00:32:34.320 I mean, when I was on 1041 00:32:35.270 --> 00:32:36.289 the hospital wards, 1042 00:32:37.310 --> 00:32:39.499 rounding every morning 1043 00:32:39.500 --> 00:32:41.419 during that time in my life, 1044 00:32:41.420 --> 00:32:43.609 18 of the 20 patients I 1045 00:32:43.610 --> 00:32:45.499 was caring for at a 1046 00:32:45.500 --> 00:32:47.539 given time were all men my age 1047 00:32:47.540 --> 00:32:48.859 dying of AIDS. 1048 00:32:48.860 --> 00:32:50.689 We had nothing we could offer to 1049 00:32:50.690 --> 00:32:51.690 treat them. 1050 00:32:52.490 --> 00:32:54.289 So I became, again, very, I think, 1051 00:32:54.290 --> 00:32:57.319 acutely aware of how 1052 00:32:57.320 --> 00:32:59.149 our words could save us. 1053 00:32:59.150 --> 00:33:00.799 Not only were they a call to 1054 00:33:00.800 --> 00:33:03.049 community, a call to action, 1055 00:33:03.050 --> 00:33:04.879 but they were also, I 1056 00:33:04.880 --> 00:33:06.191 think, a way of remembering, in 1057 00:33:10.180 --> 00:33:12.309 a way, immortalizing those who 1058 00:33:12.310 --> 00:33:13.989 were dying, for whom we had no 1059 00:33:13.990 --> 00:33:15.999 treatments. But we had our stories. 1060 00:33:16.000 --> 00:33:17.529 We had poetry. 1061 00:33:17.530 --> 00:33:19.439 We had this opportunity to 1062 00:33:19.440 --> 00:33:21.339 be galvanized as 1063 00:33:21.340 --> 00:33:23.259 a community and to 1064 00:33:23.260 --> 00:33:24.999 fight for change. 1065 00:33:25.000 --> 00:33:26.000 And I would say 1066 00:33:26.920 --> 00:33:28.479 that those poems and those stories 1067 00:33:28.480 --> 00:33:30.639 that came out of the HIV 1068 00:33:30.640 --> 00:33:32.559 epidemic, and that still 1069 00:33:32.560 --> 00:33:33.789 are being written, are still being 1070 00:33:33.790 --> 00:33:35.979 told, did 1071 00:33:35.980 --> 00:33:38.289 actually, in some ways, practically 1072 00:33:38.290 --> 00:33:40.029 change the course of the epidemic. 1073 00:33:40.030 --> 00:33:42.189 And we have treatment 1074 00:33:42.190 --> 00:33:43.719 now for HIV and AIDS. 1075 00:33:43.720 --> 00:33:45.819 It's not available to everybody, but 1076 00:33:45.820 --> 00:33:47.829 we have treatments that 1077 00:33:47.830 --> 00:33:49.719 save lives now 1078 00:33:49.720 --> 00:33:51.669 that we couldn't even imagine then. 1079 00:33:51.670 --> 00:33:52.670 And so, 1080 00:33:54.550 --> 00:33:56.379 yes, I think part 1081 00:33:56.380 --> 00:33:58.269 of my misgivings at that time 1082 00:33:58.270 --> 00:34:00.249 about writing about 1083 00:34:00.250 --> 00:34:02.199 this just absolutely 1084 00:34:02.200 --> 00:34:03.200 harrowing 1085 00:34:04.390 --> 00:34:06.150 crisis had to do with the 1086 00:34:07.270 --> 00:34:09.099 notion of not wanting to 1087 00:34:09.100 --> 00:34:10.100 sort of monumentalize or 1088 00:34:12.730 --> 00:34:14.859 aestheticize, or make some 1089 00:34:14.860 --> 00:34:16.329 sort of beautiful object out of 1090 00:34:16.330 --> 00:34:18.669 suffering. That was 1091 00:34:18.670 --> 00:34:20.529 troubling to me. But then, as I was 1092 00:34:20.530 --> 00:34:22.959 saying, I recognize that what 1093 00:34:22.960 --> 00:34:24.819 these activists, what these poets, 1094 00:34:24.820 --> 00:34:26.678 what these teachers, what 1095 00:34:26.679 --> 00:34:28.539 these community 1096 00:34:28.540 --> 00:34:30.569 leaders were trying to do was not to 1097 00:34:31.900 --> 00:34:32.900 monumentalize or 1098 00:34:34.270 --> 00:34:35.859 sugarcoat or to 1099 00:34:37.120 --> 00:34:38.319 prettify what was happening but was 1100 00:34:38.320 --> 00:34:40.599 to really sustain 1101 00:34:40.600 --> 00:34:41.529 us as a community. 1102 00:34:41.530 --> 00:34:43.629 And to, again, 1103 00:34:43.630 --> 00:34:45.638 I experienced it so much more as 1104 00:34:45.639 --> 00:34:47.229 a kind of call to action, which is 1105 00:34:47.230 --> 00:34:48.639 the kind of objection I have with 1106 00:34:50.380 --> 00:34:51.910 some of Sontag's arguments. 1107 00:34:51.911 --> 00:34:52.911 When 1108 00:34:54.010 --> 00:34:55.988 she says that, for example, 1109 00:34:55.989 --> 00:34:58.029 that our superstitions and our 1110 00:34:58.030 --> 00:34:59.889 negative metaphors in the 1111 00:34:59.890 --> 00:35:01.479 way we think about illness are 1112 00:35:01.480 --> 00:35:02.979 actually harmful to people who are 1113 00:35:02.980 --> 00:35:03.819 ill. 1114 00:35:03.820 --> 00:35:05.649 I get that. 1115 00:35:05.650 --> 00:35:06.729 But what I think sometimes 1116 00:35:07.990 --> 00:35:09.849 she neglects 1117 00:35:09.850 --> 00:35:11.679 is that there are also positive 1118 00:35:11.680 --> 00:35:13.929 metaphors, hopeful metaphors 1119 00:35:13.930 --> 00:35:15.939 that come out of the 1120 00:35:15.940 --> 00:35:17.799 experience of illness that are 1121 00:35:17.800 --> 00:35:20.019 inspiring, that make 1122 00:35:20.020 --> 00:35:22.389 change, that bring people together 1123 00:35:22.390 --> 00:35:23.289 in community. 1124 00:35:23.290 --> 00:35:25.179 And again, I think, certainly in the 1125 00:35:25.180 --> 00:35:27.279 case of HIV/AIDS, but I think also 1126 00:35:27.280 --> 00:35:29.109 in the world of cancer and in other 1127 00:35:29.110 --> 00:35:31.119 realms, actually, really do save 1128 00:35:31.120 --> 00:35:32.120 lives. And 1129 00:35:33.040 --> 00:35:34.119 so I think it's a little more 1130 00:35:34.120 --> 00:35:36.579 complicated than what Sontag 1131 00:35:36.580 --> 00:35:37.929 puts forward in some of her 1132 00:35:37.930 --> 00:35:40.209 arguments that not all metaphoric 1133 00:35:40.210 --> 00:35:42.129 thinking, not all art that's 1134 00:35:42.130 --> 00:35:44.199 made about the experience of illness 1135 00:35:45.940 --> 00:35:47.499 reflects these kinds of negative 1136 00:35:47.500 --> 00:35:48.663 stereotypes that we have. 1137 00:35:50.530 --> 00:35:51.849 And yes, there are many of those 1138 00:35:51.850 --> 00:35:53.979 that-- of course, the romanticized 1139 00:35:53.980 --> 00:35:56.349 notion of tuberculosis, as this 1140 00:35:56.350 --> 00:35:57.350 way that 1141 00:35:58.930 --> 00:36:01.149 effete gentleman died and 1142 00:36:01.150 --> 00:36:02.530 sort of wasted away. 1143 00:36:03.670 --> 00:36:04.780 And the poets and artists-- or 1144 00:36:06.310 --> 00:36:07.779 that we get cancer because we have 1145 00:36:07.780 --> 00:36:09.250 internalized rage or 1146 00:36:10.840 --> 00:36:12.939 that we get AIDS because we've 1147 00:36:12.940 --> 00:36:14.499 sinned in some sense or another. 1148 00:36:14.500 --> 00:36:16.779 Those negative metaphors are 1149 00:36:16.780 --> 00:36:18.609 potentially, I think, destructive. 1150 00:36:18.610 --> 00:36:21.099 But, again, I think she 1151 00:36:21.100 --> 00:36:23.199 doesn't register that 1152 00:36:23.200 --> 00:36:25.239 some imaginative thinking about 1153 00:36:25.240 --> 00:36:27.219 illness and some art and 1154 00:36:27.220 --> 00:36:29.259 poetry and other responses 1155 00:36:29.260 --> 00:36:30.669 to the experience of illness are 1156 00:36:30.670 --> 00:36:32.829 actually hopeful and are actually 1157 00:36:32.830 --> 00:36:34.119 empowering. 1158 00:36:34.120 --> 00:36:36.039 But I think that 1159 00:36:36.040 --> 00:36:38.169 it's really interesting what 1160 00:36:38.170 --> 00:36:40.030 she has to say about illness 1161 00:36:41.080 --> 00:36:42.339 in those two essays that you mention 1162 00:36:42.340 --> 00:36:44.079 there. I recommend them highly to 1163 00:36:44.080 --> 00:36:45.129 everybody who is thinking about 1164 00:36:45.130 --> 00:36:46.130 these questions. 1165 00:36:47.199 --> 00:36:48.159 Yeah. Well, I wonder, thinking about 1166 00:36:48.160 --> 00:36:49.381 your writing about AIDS, in 1167 00:36:49.382 --> 00:36:50.709 particular, in the early years. 1168 00:36:50.710 --> 00:36:52.269 Would you be willing to read one or 1169 00:36:52.270 --> 00:36:53.619 two poems, particularly an early 1170 00:36:53.620 --> 00:36:54.789 one? 1171 00:36:54.790 --> 00:36:56.079 The one that you got there is the 1172 00:36:56.080 --> 00:36:57.639 10,000th AIDS Death in San 1173 00:36:57.640 --> 00:36:59.559 Francisco. And this is from an 1174 00:36:59.560 --> 00:37:01.299 early collection of yours, What the 1175 00:37:01.300 --> 00:37:02.589 Body Told. 1176 00:37:02.590 --> 00:37:03.760 This is a blast from the past. 1177 00:37:04.810 --> 00:37:06.189 Maybe I could read this and then 1178 00:37:06.190 --> 00:37:07.899 contrast it with one that's more 1179 00:37:07.900 --> 00:37:09.684 recent about the same theme 1180 00:37:09.685 --> 00:37:10.478 because-- 1181 00:37:10.479 --> 00:37:10.988 That would be great. 1182 00:37:10.989 --> 00:37:13.689 there's been such evolution in 1183 00:37:13.690 --> 00:37:15.249 how we take care of people with 1184 00:37:15.250 --> 00:37:15.579 AIDS. 1185 00:37:15.580 --> 00:37:17.679 This is from 1996-- a collection 1186 00:37:17.680 --> 00:37:19.209 that was put out in 1996 but written 1187 00:37:19.210 --> 00:37:19.539 earlier. 1188 00:37:19.540 --> 00:37:21.909 Yes. Yes. Written earlier in 1993. 1189 00:37:21.910 --> 00:37:23.289 So this was written on the occasion 1190 00:37:23.290 --> 00:37:25.239 of the 10,000th AIDS death in San 1191 00:37:25.240 --> 00:37:26.240 Francisco. 1192 00:37:27.190 --> 00:37:28.779 "A woman hurried past me in the 1193 00:37:28.780 --> 00:37:30.639 street today, reminding me 1194 00:37:30.640 --> 00:37:32.499 it's not a dream. 1195 00:37:32.500 --> 00:37:34.479 While eating an expensive lunch in 1196 00:37:34.480 --> 00:37:36.999 some expensive Caribbean restaurant, 1197 00:37:37.000 --> 00:37:38.750 I keep imagining is Cuban-owned. 1198 00:37:39.790 --> 00:37:41.709 I notice that I keep imagining 1199 00:37:41.710 --> 00:37:43.689 the AIDS ward where I saw 1200 00:37:43.690 --> 00:37:46.719 a man my age die yesterday. 1201 00:37:46.720 --> 00:37:48.639 I can't say why, but when 1202 00:37:48.640 --> 00:37:50.469 he looked at me, I wanted him to 1203 00:37:50.470 --> 00:37:52.479 kiss my face. 1204 00:37:52.480 --> 00:37:54.429 I wanted him to live with me 1205 00:37:54.430 --> 00:37:56.289 and tell me stories. 1206 00:37:56.290 --> 00:37:58.299 Stories 17 or 18 1207 00:37:58.300 --> 00:38:00.339 hours long involving 1208 00:38:00.340 --> 00:38:02.319 sex beneath the stars 1209 00:38:02.320 --> 00:38:04.149 or with celebrities beneath some 1210 00:38:04.150 --> 00:38:05.633 perfect, countless stars. 1211 00:38:05.634 --> 00:38:07.509 About the days 1212 00:38:07.510 --> 00:38:09.669 before the epidemic killed so many 1213 00:38:09.670 --> 00:38:10.750 thousand people. 1214 00:38:11.860 --> 00:38:13.689 Wanting him to live, I 1215 00:38:13.690 --> 00:38:15.699 stood erect beside the bed, 1216 00:38:15.700 --> 00:38:17.559 wanting him. 1217 00:38:17.560 --> 00:38:19.959 The sex itself was great, I'm sure. 1218 00:38:19.960 --> 00:38:21.699 But what I'd really like to know was 1219 00:38:21.700 --> 00:38:23.549 how it felt to know that after 1220 00:38:23.550 --> 00:38:25.419 a lunch, in some expensive 1221 00:38:25.420 --> 00:38:27.249 restaurant, your friends would 1222 00:38:27.250 --> 00:38:29.079 be alive. 1223 00:38:29.080 --> 00:38:30.161 Your friends would be alive. 1224 00:38:30.162 --> 00:38:32.109 To know no 1225 00:38:32.110 --> 00:38:34.059 friend would die like that 1226 00:38:34.060 --> 00:38:36.399 of cryptococcal meningitis, 1227 00:38:36.400 --> 00:38:38.889 or another kind of meningitis 1228 00:38:38.890 --> 00:38:41.349 or a lung infection so severe 1229 00:38:41.350 --> 00:38:43.629 it makes a kiss impossible 1230 00:38:43.630 --> 00:38:45.759 because the need to breathe is even 1231 00:38:45.760 --> 00:38:46.760 greater. 1232 00:38:47.350 --> 00:38:49.509 Hurriedly, I paid the bill 1233 00:38:49.510 --> 00:38:51.159 because I need to breathe, and 1234 00:38:51.160 --> 00:38:53.499 suddenly, I'm seeing stars. 1235 00:38:53.500 --> 00:38:55.569 I see myself outside some 1236 00:38:55.570 --> 00:38:57.729 Cuban restaurant. 1237 00:38:57.730 --> 00:38:59.679 A woman hurries past me, 1238 00:38:59.680 --> 00:39:00.909 frowning. 1239 00:39:00.910 --> 00:39:01.910 Far." 1240 00:39:04.960 --> 00:39:05.949 Thanks so much. 1241 00:39:05.950 --> 00:39:07.269 Do you want to-- and do you want to 1242 00:39:07.270 --> 00:39:08.919 go on the-- another poem we have 1243 00:39:08.920 --> 00:39:10.539 with us is Recent Past Events, which 1244 00:39:10.540 --> 00:39:12.879 is a more recent work 1245 00:39:12.880 --> 00:39:14.679 from your most recent collection, 1246 00:39:14.680 --> 00:39:15.639 Alternative Medicine. 1247 00:39:15.640 --> 00:39:16.749 If you don't mind, maybe I would 1248 00:39:16.750 --> 00:39:17.635 read it just because the contrast 1249 00:39:17.636 --> 00:39:18.636 between the two is, I think, maybe 1250 00:39:20.230 --> 00:39:22.269 worth reflecting on a little bit and 1251 00:39:22.270 --> 00:39:24.099 how things have changed and 1252 00:39:24.100 --> 00:39:25.300 have not changed, actually. 1253 00:39:26.380 --> 00:39:28.239 So this is from a much more 1254 00:39:28.240 --> 00:39:30.129 recent collection, Recent 1255 00:39:30.130 --> 00:39:31.130 Past Events. 1256 00:39:32.170 --> 00:39:35.019 "It wasn't so miraculous back then. 1257 00:39:35.020 --> 00:39:36.909 Some said we had their blood on our 1258 00:39:36.910 --> 00:39:38.529 prim hands. 1259 00:39:38.530 --> 00:39:39.909 We were ashamed of our good 1260 00:39:39.910 --> 00:39:41.439 appetites. 1261 00:39:41.440 --> 00:39:43.209 We marched together in gay pride 1262 00:39:43.210 --> 00:39:44.589 parades. 1263 00:39:44.590 --> 00:39:46.449 We feared their blood. 1264 00:39:46.450 --> 00:39:48.699 We prayed for it to end. 1265 00:39:48.700 --> 00:39:50.259 We learned the names of lands in 1266 00:39:50.260 --> 00:39:51.369 Africa. 1267 00:39:51.370 --> 00:39:53.349 Botswana, Ghana, 1268 00:39:53.350 --> 00:39:56.049 Tanzania, Chad. 1269 00:39:56.050 --> 00:39:58.929 We adopted universal precautions. 1270 00:39:58.930 --> 00:40:01.029 We prayed for it to end. 1271 00:40:01.030 --> 00:40:02.889 We feared their blood. 1272 00:40:02.890 --> 00:40:04.719 We were afraid to call our parents, 1273 00:40:04.720 --> 00:40:07.239 who we knew would think the worst. 1274 00:40:07.240 --> 00:40:09.879 We learned to speak in acronyms. 1275 00:40:09.880 --> 00:40:11.469 We watched two women kiss on 1276 00:40:11.470 --> 00:40:13.749 television late one night. 1277 00:40:13.750 --> 00:40:15.279 We cried. 1278 00:40:15.280 --> 00:40:17.199 We handed out free condoms in 1279 00:40:17.200 --> 00:40:18.200 the fens. 1280 00:40:18.700 --> 00:40:20.529 Remember when it seemed miraculous 1281 00:40:20.530 --> 00:40:21.999 that most of our close friends 1282 00:40:22.000 --> 00:40:23.589 weren't dead? 1283 00:40:23.590 --> 00:40:25.599 We feared their blood. 1284 00:40:25.600 --> 00:40:27.279 We were ashamed. 1285 00:40:27.280 --> 00:40:29.769 We went on trips to Africa. 1286 00:40:29.770 --> 00:40:32.109 We saw a leopard kill an antelope. 1287 00:40:32.110 --> 00:40:34.449 We saw the vast red dunes Namibia 1288 00:40:34.450 --> 00:40:36.219 is famous for. 1289 00:40:36.220 --> 00:40:38.829 We cried at patients' funerals. 1290 00:40:38.830 --> 00:40:40.719 We handed out clean needles in the 1291 00:40:40.720 --> 00:40:41.720 fens. 1292 00:40:42.070 --> 00:40:44.169 We feared their blood. 1293 00:40:44.170 --> 00:40:45.849 We touched each other carefully at 1294 00:40:45.850 --> 00:40:48.009 night, remembered when it felt 1295 00:40:48.010 --> 00:40:49.809 miraculous. 1296 00:40:49.810 --> 00:40:51.549 Remember when his cheekbones didn't 1297 00:40:51.550 --> 00:40:53.559 shut out so much? 1298 00:40:53.560 --> 00:40:55.779 We had their blood on our 1299 00:40:55.780 --> 00:40:57.489 clean hands. 1300 00:40:57.490 --> 00:40:59.229 We were ashamed of living while they 1301 00:40:59.230 --> 00:41:00.609 died. 1302 00:41:00.610 --> 00:41:02.559 We cooked for friends. 1303 00:41:02.560 --> 00:41:04.689 We prayed for it to end. 1304 00:41:04.690 --> 00:41:06.579 We traveled to Peru, New 1305 00:41:06.580 --> 00:41:08.799 Zealand, France. 1306 00:41:08.800 --> 00:41:10.809 We bungee jumped from cliffs. 1307 00:41:10.810 --> 00:41:12.429 We sipped red wine. 1308 00:41:12.430 --> 00:41:14.259 We shopped for clothes that fit us 1309 00:41:14.260 --> 00:41:15.549 well. 1310 00:41:15.550 --> 00:41:17.229 We watched the president announce 1311 00:41:17.230 --> 00:41:18.849 more funds. 1312 00:41:18.850 --> 00:41:20.379 We cried. 1313 00:41:20.380 --> 00:41:21.759 We were ashamed of our good 1314 00:41:21.760 --> 00:41:23.379 appetites. 1315 00:41:23.380 --> 00:41:25.269 We watched two women kiss outside 1316 00:41:25.270 --> 00:41:27.249 the door of our favorite Chinese 1317 00:41:27.250 --> 00:41:28.749 restaurant. 1318 00:41:28.750 --> 00:41:31.419 We talked about adopting kids. 1319 00:41:31.420 --> 00:41:34.059 We feared what people thought of us. 1320 00:41:34.060 --> 00:41:35.889 We bought a house. 1321 00:41:35.890 --> 00:41:37.929 We painted the back bedroom red 1322 00:41:37.930 --> 00:41:39.549 like blood. 1323 00:41:39.550 --> 00:41:42.399 We gave less money to the charities. 1324 00:41:42.400 --> 00:41:44.439 We found a nice church that accepted 1325 00:41:44.440 --> 00:41:45.579 us. 1326 00:41:45.580 --> 00:41:47.649 The stained glass windows seemed 1327 00:41:47.650 --> 00:41:48.650 miraculous. 1328 00:41:49.600 --> 00:41:51.369 We ate our dinner. 1329 00:41:51.370 --> 00:41:53.049 We remembered how we feared their 1330 00:41:53.050 --> 00:41:54.879 blood, and how we prayed 1331 00:41:54.880 --> 00:41:56.859 for it to end and 1332 00:41:56.860 --> 00:41:58.239 how it never really did." 1333 00:42:03.700 --> 00:42:04.700 Thanks so much. 1334 00:42:05.860 --> 00:42:07.029 I wonder if you just would be 1335 00:42:07.030 --> 00:42:08.589 willing to reflect on those two 1336 00:42:08.590 --> 00:42:10.269 poems and thoughts that you have 1337 00:42:10.270 --> 00:42:12.129 now, reading them and 1338 00:42:12.130 --> 00:42:13.444 thinking about your 1339 00:42:14.710 --> 00:42:15.789 poems that you've written on this 1340 00:42:15.790 --> 00:42:17.769 subject and others. 1341 00:42:17.770 --> 00:42:19.659 Yes. Well, I 1342 00:42:19.660 --> 00:42:20.660 can't help but mark 1343 00:42:21.790 --> 00:42:23.769 the incredible distance 1344 00:42:23.770 --> 00:42:25.989 we've traveled in 1345 00:42:25.990 --> 00:42:28.149 caring for people with HIV and AIDS. 1346 00:42:28.150 --> 00:42:30.369 But at the same time, how 1347 00:42:30.370 --> 00:42:32.529 little things have changed in 1348 00:42:32.530 --> 00:42:33.530 some ways. I 1349 00:42:34.750 --> 00:42:35.750 think that 1350 00:42:37.630 --> 00:42:39.129 I actually wrote the second poem 1351 00:42:39.130 --> 00:42:41.469 after I gave a-- 1352 00:42:41.470 --> 00:42:43.149 it was a reading on World AIDS Day, 1353 00:42:43.150 --> 00:42:45.039 actually, at a liberal arts 1354 00:42:45.040 --> 00:42:47.499 college I love very much. 1355 00:42:47.500 --> 00:42:49.089 That's very much like my alma mater, 1356 00:42:49.090 --> 00:42:50.319 Oberlin College. 1357 00:42:50.320 --> 00:42:51.129 And one of the students who 1358 00:42:51.130 --> 00:42:52.569 organized this wonderful event came 1359 00:42:52.570 --> 00:42:54.519 up to me afterward and said, 1360 00:42:54.520 --> 00:42:55.539 "Well, it's so great that you're 1361 00:42:55.540 --> 00:42:57.129 still writing about HIV and AIDS 1362 00:42:57.130 --> 00:42:58.737 because now that we have a cure and 1363 00:43:00.550 --> 00:43:02.109 it's just really important that 1364 00:43:02.110 --> 00:43:04.749 someone still is writing about 1365 00:43:04.750 --> 00:43:06.639 this disease." And 1366 00:43:06.640 --> 00:43:08.679 I was just so taken aback 1367 00:43:08.680 --> 00:43:10.689 by this 1368 00:43:10.690 --> 00:43:13.089 comment that we had 1369 00:43:13.090 --> 00:43:14.319 a cure for AIDS. 1370 00:43:14.320 --> 00:43:16.119 And it made me reflect on that. 1371 00:43:17.920 --> 00:43:20.289 In biomedicine, we tend to 1372 00:43:20.290 --> 00:43:22.150 overhype all of our advances and 1373 00:43:23.890 --> 00:43:24.755 all of our technologies. 1374 00:43:24.756 --> 00:43:25.756 And, 1375 00:43:27.910 --> 00:43:28.910 again, we do have amazing 1376 00:43:30.820 --> 00:43:33.159 treatments that weren't available 1377 00:43:33.160 --> 00:43:35.049 even ten years ago for people with 1378 00:43:35.050 --> 00:43:36.050 HIV and AIDS. But, at 1379 00:43:36.910 --> 00:43:38.269 the same time, there are still 40 1380 00:43:38.270 --> 00:43:39.879 million people on this planet who 1381 00:43:39.880 --> 00:43:41.679 have HIV infection. 1382 00:43:41.680 --> 00:43:43.569 And most of them are going to die of 1383 00:43:43.570 --> 00:43:45.219 AIDS because they don't have access 1384 00:43:45.220 --> 00:43:47.979 to these miraculous 1385 00:43:47.980 --> 00:43:49.070 treatments. And so 1386 00:43:50.770 --> 00:43:52.779 it was a moment for me to reflect 1387 00:43:52.780 --> 00:43:54.789 back on the time 1388 00:43:54.790 --> 00:43:55.790 of 1993 when 1389 00:43:56.800 --> 00:43:58.149 we didn't have any treatment at all. 1390 00:43:58.150 --> 00:44:00.011 And yet, how 1391 00:44:03.220 --> 00:44:05.679 we think we 1392 00:44:05.680 --> 00:44:07.749 have, in some ways, solved 1393 00:44:07.750 --> 00:44:10.359 this crisis 1394 00:44:10.360 --> 00:44:11.398 through science. 1395 00:44:11.399 --> 00:44:13.689 Again, I think 1396 00:44:13.690 --> 00:44:15.549 we still have need for 1397 00:44:15.550 --> 00:44:16.550 poems that speak 1398 00:44:18.070 --> 00:44:19.959 in some sense to the 1399 00:44:19.960 --> 00:44:21.969 ongoing truths of an epidemic 1400 00:44:21.970 --> 00:44:24.399 that rages on, and that 1401 00:44:24.400 --> 00:44:26.409 is killing people 1402 00:44:26.410 --> 00:44:28.149 in Africa, in particular, but in 1403 00:44:28.150 --> 00:44:29.150 other parts of the world 1404 00:44:30.160 --> 00:44:31.709 without these treatment. 1405 00:44:31.710 --> 00:44:32.710 So, yes, 1406 00:44:34.000 --> 00:44:35.049 things have changed in San 1407 00:44:35.050 --> 00:44:36.249 Francisco, perhaps, but 1408 00:44:37.300 --> 00:44:39.249 they haven't yet changed 1409 00:44:39.250 --> 00:44:39.759 everywhere. 1410 00:44:39.760 --> 00:44:41.889 Yeah. Well, one of the features 1411 00:44:41.890 --> 00:44:43.839 of the second poem that you read 1412 00:44:43.840 --> 00:44:46.389 that stands out to me very much 1413 00:44:46.390 --> 00:44:47.619 is the vary in kinds of 1414 00:44:48.640 --> 00:44:50.529 collectivities signaled by the "we." 1415 00:44:50.530 --> 00:44:52.359 There's "We adopted universal 1416 00:44:52.360 --> 00:44:53.559 precautions" is a very different 1417 00:44:53.560 --> 00:44:55.449 "we" then "we travel to 1418 00:44:55.450 --> 00:44:56.450 Africa," for example. 1419 00:44:57.590 --> 00:44:58.689 We adopted kids. 1420 00:44:58.690 --> 00:44:59.079 Yes. 1421 00:44:59.080 --> 00:45:00.399 Yeah. 1422 00:45:00.400 --> 00:45:02.499 So that, to me, 1423 00:45:02.500 --> 00:45:04.539 is a question about politics 1424 00:45:04.540 --> 00:45:05.619 that is raised through your poem. 1425 00:45:05.620 --> 00:45:07.089 Right? The relationship between 1426 00:45:07.090 --> 00:45:08.949 these different sizes of groups of 1427 00:45:08.950 --> 00:45:09.819 people. 1428 00:45:09.820 --> 00:45:11.469 And so, I wonder if we could finish 1429 00:45:11.470 --> 00:45:13.329 by me asking you about 1430 00:45:13.330 --> 00:45:14.679 the last essay in The Desire to 1431 00:45:14.680 --> 00:45:16.419 Heal, which to me, is the essay of 1432 00:45:16.420 --> 00:45:18.309 yours where you address the 1433 00:45:18.310 --> 00:45:20.139 politics of being a poet and being 1434 00:45:20.140 --> 00:45:21.759 a doctor most directly. 1435 00:45:21.760 --> 00:45:23.319 It was inspired by a conversation 1436 00:45:23.320 --> 00:45:25.419 you had by a dean 1437 00:45:25.420 --> 00:45:26.619 at Harvard Medical School who 1438 00:45:26.620 --> 00:45:28.449 suggested that, in your future 1439 00:45:28.450 --> 00:45:29.679 career, you would want to give back 1440 00:45:29.680 --> 00:45:31.299 to your community or the community 1441 00:45:31.300 --> 00:45:33.189 or whatever. But the essay is 1442 00:45:33.190 --> 00:45:35.019 about complicating that suggestion 1443 00:45:35.020 --> 00:45:36.849 and about giving and the 1444 00:45:36.850 --> 00:45:38.590 various ways that people can give-- 1445 00:45:38.591 --> 00:45:40.149 about communities and the various 1446 00:45:40.150 --> 00:45:41.649 kinds of communities that any one 1447 00:45:41.650 --> 00:45:43.059 person is in. 1448 00:45:43.060 --> 00:45:44.679 And you finish the essay talking a 1449 00:45:44.680 --> 00:45:46.089 little bit about poetry and its 1450 00:45:46.090 --> 00:45:48.129 relationship for you to all of this, 1451 00:45:48.130 --> 00:45:50.049 how complicated that is. 1452 00:45:50.050 --> 00:45:51.789 So I wonder if we could finish this 1453 00:45:51.790 --> 00:45:53.679 part, at least, 1454 00:45:53.680 --> 00:45:55.089 with you just reflecting a little 1455 00:45:55.090 --> 00:45:56.919 bit on poetry and 1456 00:45:56.920 --> 00:45:59.169 giving and poetry as giving. 1457 00:45:59.170 --> 00:46:00.170 And what 1458 00:46:01.120 --> 00:46:02.859 that makes you think of in terms of 1459 00:46:02.860 --> 00:46:04.719 how poetry has worked for you 1460 00:46:04.720 --> 00:46:06.579 in your career as a poet, as 1461 00:46:06.580 --> 00:46:08.439 a doctor, and as a person. 1462 00:46:08.440 --> 00:46:09.440 Wow. Well, 1463 00:46:11.080 --> 00:46:12.399 I could spend a lot of time 1464 00:46:12.400 --> 00:46:14.229 answering that question, but I'll 1465 00:46:14.230 --> 00:46:16.149 try to be more brief, I 1466 00:46:16.150 --> 00:46:17.889 think. My goodness, yes. 1467 00:46:17.890 --> 00:46:21.039 Poetry has, I think, extraordinary 1468 00:46:21.040 --> 00:46:22.959 power, I think to join us 1469 00:46:22.960 --> 00:46:24.369 empathetically, as we were saying 1470 00:46:24.370 --> 00:46:26.199 earlier. And I can't think 1471 00:46:26.200 --> 00:46:28.389 of any form 1472 00:46:28.390 --> 00:46:29.390 of service, of 1473 00:46:30.280 --> 00:46:32.979 giving of oneself that is 1474 00:46:32.980 --> 00:46:34.239 perhaps more 1475 00:46:35.350 --> 00:46:37.539 powerful, more 1476 00:46:37.540 --> 00:46:39.729 meaningful than 1477 00:46:39.730 --> 00:46:41.679 the way I think 1478 00:46:41.680 --> 00:46:43.509 souls can sort 1479 00:46:43.510 --> 00:46:46.209 of touch each other through the 1480 00:46:46.210 --> 00:46:48.189 experience of sharing 1481 00:46:48.190 --> 00:46:50.019 a story, sharing a poem. 1482 00:46:50.020 --> 00:46:51.639 And so, in that very sort of 1483 00:46:51.640 --> 00:46:52.869 personal sense, I think 1484 00:46:54.610 --> 00:46:56.920 poetry is this 1485 00:46:57.970 --> 00:47:00.099 conduit to giving 1486 00:47:00.100 --> 00:47:02.229 of oneself and giving 1487 00:47:02.230 --> 00:47:04.499 not only one's fullest 1488 00:47:04.500 --> 00:47:06.389 attention through the 1489 00:47:06.390 --> 00:47:07.390 empathetic 1490 00:47:08.730 --> 00:47:10.889 joining that I just described, 1491 00:47:10.890 --> 00:47:12.089 but also, I think 1492 00:47:13.710 --> 00:47:14.789 giving of one's 1493 00:47:16.110 --> 00:47:17.999 sense of self 1494 00:47:18.000 --> 00:47:19.456 that I think-- 1495 00:47:20.670 --> 00:47:22.679 again, in medicine, 1496 00:47:22.680 --> 00:47:24.509 we so often regard our patients 1497 00:47:24.510 --> 00:47:26.339 as the sum of their problem 1498 00:47:26.340 --> 00:47:28.259 lists. And we don't 1499 00:47:28.260 --> 00:47:30.119 recognize the person 1500 00:47:30.120 --> 00:47:32.399 sitting there with us in the clinic, 1501 00:47:32.400 --> 00:47:34.229 sitting there in that 1502 00:47:34.230 --> 00:47:35.340 flimsy paper gown, who 1503 00:47:36.930 --> 00:47:38.969 has a whole life narrative 1504 00:47:38.970 --> 00:47:41.099 that isn't just 1505 00:47:41.100 --> 00:47:42.809 another case of breast cancer, that 1506 00:47:42.810 --> 00:47:43.810 isn't just another HIV 1507 00:47:46.500 --> 00:47:47.639 diagnosis. 1508 00:47:47.640 --> 00:47:49.979 There's a whole particular story 1509 00:47:49.980 --> 00:47:52.469 in each of those 1510 00:47:52.470 --> 00:47:54.179 person's experiences that 1511 00:47:55.470 --> 00:47:57.869 we often neglect. 1512 00:47:57.870 --> 00:48:00.209 And so, I think 1513 00:48:00.210 --> 00:48:02.459 in that way, poetry and, again, 1514 00:48:02.460 --> 00:48:04.439 being attentive to the 1515 00:48:04.440 --> 00:48:06.510 poetry of my patients 1516 00:48:07.530 --> 00:48:09.359 stories has 1517 00:48:09.360 --> 00:48:11.429 really given me, I think, 1518 00:48:11.430 --> 00:48:13.079 the opportunity to be a more 1519 00:48:13.080 --> 00:48:14.730 effective, more present, 1520 00:48:16.620 --> 00:48:18.739 more compassionate - I hope - 1521 00:48:18.740 --> 00:48:20.309 healer in a broad sense. 1522 00:48:20.310 --> 00:48:21.929 And I think 1523 00:48:22.980 --> 00:48:24.869 this notion also of community that 1524 00:48:24.870 --> 00:48:27.119 you mentioned I think 1525 00:48:27.120 --> 00:48:28.124 poetry also is 1526 00:48:29.250 --> 00:48:31.379 because of the way in which 1527 00:48:31.380 --> 00:48:33.209 I think it really does call 1528 00:48:33.210 --> 00:48:35.249 us together, perhaps 1529 00:48:35.250 --> 00:48:37.259 more so than any other kind of 1530 00:48:37.260 --> 00:48:39.149 written art form, because it is also 1531 00:48:39.150 --> 00:48:41.279 spoken. And we join 1532 00:48:41.280 --> 00:48:43.559 together in the experience of 1533 00:48:43.560 --> 00:48:44.560 voice 1534 00:48:45.390 --> 00:48:46.229 through poetry. 1535 00:48:46.230 --> 00:48:47.605 And so I think 1536 00:48:48.900 --> 00:48:51.299 that's another way in which poetry 1537 00:48:51.300 --> 00:48:53.609 gives all of us this opportunity 1538 00:48:53.610 --> 00:48:54.610 to be 1539 00:48:57.000 --> 00:48:58.709 really more present to one another 1540 00:48:58.710 --> 00:49:00.779 and to be joined in shared 1541 00:49:00.780 --> 00:49:02.429 experience, to be, as I said a 1542 00:49:02.430 --> 00:49:04.229 little bit earlier, immersed in 1543 00:49:04.230 --> 00:49:06.269 another person's voice 1544 00:49:06.270 --> 00:49:08.549 instead of in our little 1545 00:49:08.550 --> 00:49:10.379 kind of tiny screens and 1546 00:49:10.380 --> 00:49:12.142 our own sort of echo chambers of 1547 00:49:12.143 --> 00:49:13.143 technology-induced 1548 00:49:16.650 --> 00:49:17.939 disconnection. 1549 00:49:17.940 --> 00:49:19.769 Although I know we're in a smaller 1550 00:49:19.770 --> 00:49:21.509 and smaller world, I sometimes 1551 00:49:21.510 --> 00:49:23.459 wonder if we are becoming, in some 1552 00:49:23.460 --> 00:49:25.050 ways, more 1553 00:49:26.490 --> 00:49:29.159 disjoint from each other through 1554 00:49:29.160 --> 00:49:29.969 these technologies. 1555 00:49:29.970 --> 00:49:32.009 So I 1556 00:49:32.010 --> 00:49:33.179 think those are some of the ways in 1557 00:49:33.180 --> 00:49:35.309 which poetry 1558 00:49:35.310 --> 00:49:36.089 gives. 1559 00:49:36.090 --> 00:49:37.979 And I 1560 00:49:37.980 --> 00:49:40.049 think it's really-- I can't imagine 1561 00:49:40.050 --> 00:49:41.969 doing my work every day 1562 00:49:41.970 --> 00:49:43.462 without poetry present in my life. 1563 00:49:44.520 --> 00:49:46.109 Dr. Campo, thank you so much. 1564 00:49:46.110 --> 00:49:47.110 Thank you. 1565 00:49:52.830 --> 00:49:54.059 That's it for this edition of Being 1566 00:49:54.060 --> 00:49:54.959 Human. 1567 00:49:54.960 --> 00:49:56.429 This episode was produced by Matt 1568 00:49:56.430 --> 00:49:58.259 Moret, Undergraduate Media Fellow at 1569 00:49:58.260 --> 00:49:59.669 the University of Pittsburgh. 1570 00:49:59.670 --> 00:50:01.019 Stay tuned next time when my guest 1571 00:50:01.020 --> 00:50:02.759 will be Rudolph Ware, director of 1572 00:50:02.760 --> 00:50:03.989 the Islamic Knowledge Research 1573 00:50:03.990 --> 00:50:05.159 Initiative at the University of 1574 00:50:05.160 --> 00:50:06.119 Michigan. 1575 00:50:06.120 --> 00:50:07.120 Thanks for listening.