Saturday's with Dr. Roffman

Each Saturday, Dr. Joel Roffman, a prominent Dallas cardiologist and author, will share meaningful experiences he has had with patients who are dealing with a variety of physical and emotional issues. You will find the manner in which they deal with life’s problems to be practical, inspirational and uplifting.

Reconcile. Now!

The story just didn’t fit. The aches and pains, the shortness of breath, and yet the normal physical exam and heart studies.

I sat across from Tom, a 68-year-old long-time patient of mine. His daughter joined us in the exam room. I began to suspect that there might be factors beyond the physical involved here. Was it work? Tom was still working and maybe he was being “forced out” by his company because of his age and economic factors. Should I even explore these issues? Should I just be content to tell Tom the good news – his heart was fine – and leave it at that?

Part of being a doctor is, of course, helping people feel better. My job would certainly be simpler if psychological factors were never involved, but that’s just not how the body works. I felt compelled to explore this side of Tom’s life. “So tell me,” I began, “How are things at work and at home?” I was rather startled that within a short time, both Tom and his daughter were in tears. What issue did I uncover?

It seems that Tom had become estranged from his other daughter. And when the issue would come up at home, so also would various somatic symptoms – headaches, chest pain, shortness of breath, a generalized nervous feeling, etc.

I certainly didn’t know what caused the rift between Tom and his daughter. We spent some chatting about it, though, and I hope with the connection between this strife and Tom’s feelings, his family will be able to help Tom and his daughter put the fragmented pieces of their relationship back together.

An old story is told of a rabbi who instructs his pupils to reconcile with others, “On the day before you die.” “But Rabbi", the confused students said, “We can’t know the exact day on which we are going to die!” The rabbi looked at his students and responded, “Precisely!”

If you have a comment or question about this blog entry, email Dr. Roffman at drroffman@cs4seniors.com.

Dr. Joel Roffman has spoken to many church, synagogue and support groups. His book, Coping with Adversity: Judaism’s response to illness and other life struggles is enjoyable, uplifting and informative. It is meant for people of all faiths and can be viewed at http://www.copingwithadversity.com/. It is available at Barnes and Noble, Borders, and Amazon.com.

Saturdays With Doctor Roffman

Each Saturday, Joel Roffman, MD, a prominent Dallas cardiologist and author will share meaningful experiences he has had with patients who are dealing with a variety of physical and emotional issues. You will find the manner in which they deal with life’s problems to be practical, inspirational and uplifting.

Mr. T. - A Different Perspective

Mr. T. is a fit 84-year-old man – still quite active – whom I saw in the office last week to check on his heart rhythm. “Look at all these medicines I’m taking,” he complained. “I feel like a drug store!”

Indeed, the man had nine different prescription medications for various ailments.

“Let’s see,” I said, as I sorted through his bag of medicine containers. “This one is for that awful stomach ulcer you were diagnosed with six years ago. You’ve had no problem with the ulcer since then. You know, a generation ago, people often needed part of their stomach removed for recurrent bleeding from these ulcers. We’re fortunate to have a medicine like this one.”

Methodically, I went through Mr. T’s medicine bottles. There were two for his blood pressure. They have been effective, and significantly reduced Mr. T’s risk for stroke, heart failure and kidney failure. There were two for his diabetes, which have lowered his risk for heart and kidney disease as well as preventing the severe circulatory problems that a generation ago resulted in amputation of the foot or leg in many people.

We discussed how uncommon it would have been for, say, his grandparents to live and be active well into their 80’s, as Mr. T. has been. I concluded that we should be grateful rather than resentful that we have learned so much and have developed effective medications for so many of the conditions that might have been lethal 30 or 40 years ago.

In Genesis, God tells us to master the earthly domain (Ch. 1: 26-28). Modern medicine’s marvels are one way in which we are fulfilling God’s commandment. Taking care of ourselves as best we can and treating the body as sacred – as God’s creation and possession – is another. I hope I gave Mr. T. a different perspective on the medicines he takes.

Dr. Joel Roffman has spoken to many church, synagogue and support groups. His book, Coping with Adversity: Judaism’s response to illness and other life struggles is enjoyable, uplifting and informative. It is meant for people of all faiths and can be viewed at http://www.copingwithadversity.com/. It is available at Barnes and Noble, Borders, and Amazon.com.

Dr. Roffman is also the Health and Fitness Center Faculty Advisor on the Computer School for Seniors campus. He can be reached at drroffman@cs4seniors.com.