Abstract

In lieu of an abstract, here is a brief excerpt of the content:The Emperor’s Daughter, the Wise Rabbi, and the Realtor’s FaceliftJohn Davidson and Ruhama WeissFour decades ago during the clinical years of medical school, my (JD) first patient–care efforts included serendipitous contacts with three non–physician mentors. Each a rabbi. Each a Texan. Each of a different generation. Each acting in a pastoral care role in Houston’s Texas Medical Center. By sharing with all–comers their command of the two–millennia–old rabbinic literary corpus, especially its aggadic, or nonlegal texts, they changed me forever. Theological dogma was not their passion. Caregiving for their hospitalized congregants was. And in so doing, they opened gates of discovery to rabbinic stories (aggadot) as articles of faith to be put into action for patients, staff, students, and doctors alike. These unexpected gifts have catalyzed and sustained my medical career and personal life ever since.The most influential of those stories was the famous Talmudic tale of the eminent Rabbi Eliezer (Babylonian Talmud, Bava Metzia 59b) using every conceivable means to support his view in a dispute, including miracles and a voice of approval from Heaven. His colleagues refused to assent to the singularity of his methods or arrival. They insisted on reasoning their way through to a majority decision based on consideration of the evidence at hand with the tools available. The tale ends with a joyous, proud, yet defeated parental deity declaring, “My children have bested Me, my children have bested Me.”The legend empowered me as a student to speak my mind in seeking to value the methodical, collaborative process of clinical decision–making over the sometimes ferocious voices of “the experts.” It continues to resurface decades later in daily efforts at finding common ground with both patients and other clinicians as we try to figure out, “what to do.” For more on this topic see my article, “Empathy and Integrative Thinking: Talmudic Paradigms for the Essentials of a Medical Interview” found in Medical Humanities.Just as those rabbis in the 1970’s told their stories in order to make sense of worldly and spiritual matters, so have I come now to appreciate the value of similar narratives for my patients and myself. Sometimes stories are shared in a near prescriptive fashion. Sometimes they are recalled silently as a compass suggesting the next step in an interview or treatment process. These rabbinic tales come to mind during clinical encounters after years of personal reflection on favorite texts and even more often in the midst of weekly if not daily textual study as a central element of my Jewish religious life. This practice has led to a realization that recalling rabbinic texts in contemporary clinical contexts is neither far–fetched nor irrelevant. At times it is uncannily helpful. Two millennia are not so long ago.During the past year, an Israeli colleague (RW) and I have revisited various Talmudic passages on a regular basis. Unlike Texas four decades ago, now I have learned with a pastoral care clinician who is a “hevruta,” or study partner, from the same Hebrew root as “haver,” meaning “friend.” Ours is a centuries–old way of study consisting of a pair of learners conversing freely on equal footing as they wrestle with interpreting a chosen, often familiar, text in a new way. My hevruta and I parse verbs. We examine articles. We question redundancy and grammatical reversals. We search for allusions. We read closely. We do all of this for its sake alone. It is part of our spiritual journey. It is one way we search for God. We engage the words on the page or screen and talk to each other.It is also a dyadic effort whose process and content bear a likeness to that of a doctor and a patient as they try to dialogue together regarding a patient’s concerns and the doctor’s capacity to help. Here, too, there is give and take, an attention to details, a reinterpretation of the past, and a reconsidering of the present. It is not surprising that the fruits of an ongoing dialogue on one stage with a hevruta, related to rabbinic stories and grammatical puzzlements, is of use on another...