It feels to me as though the world is becoming more and more openly callous and harsh. We have terrorists blowing up picnicking families because they were of the wrong faith in the wrong country. We have American presidential candidates bolstering their vote count by fanning the flames of the lowest common denominators of hatred and fear among citizens who are looking for something to believe in and someone to blame for their perceived misfortune. We see photos of children in Africa who were burned alive by the multiple dozens and girls kidnapped because they have the effrontery to want to go to school. We have public figures proactively and openly admitting to choking, and others drugging, naive intimate partners, and a legal system that can’t convict them. Society seems expected to accept that this is simply a sexual choice that the assailants make and that the victims should know better. We have bloggers and trolls who make it their business to cruelly call out and sometimes fatally bully whomever they want to hurt, protecting themselves behind the anonymity of their Internet handles. Refugee babies are tragically washing up on the shores of the countries to which their families were fleeing. The movies and games that make the most money (and it’s always about money) seem to be those that glorify violence, gore, unequal sex, and destruction. Ancient cultural icons that stood for thousands of years are toppled in minutes and crushed in the name of religious empowerment. If you love the wrong gender you can be legally targeted in some places in the modern Western world. Reality television is scripted and edited to create as much discomfort and conflict as possible. Profits have taken over happiness. Children are being killed by guns in their classrooms in record numbers and the loudest voices are those promoting the idea that more guns in classrooms is the only answer.
Cruelty, disdain, disrespect, and derision are everywhere, and it feels insane.
I know that in the grand scheme of things we live in a relatively nonviolent time. There are no crusades or systems of government that officially rely on violence to deal with conflict. Having police and systemized law enforcement in place means that crimes can be prevented or at least tried in a court of law to mete out appropriate punishment most of the time. However, thanks to the globalization of communication we hear about and are at least subtly influenced by all of this cruelty whenever we open a screen, newspaper, or magazine. It’s not just physical violence; it’s the pervasive mood of a generation. And it’s very hard to get away from it.
Until you go to work.
We should all be extremely grateful that our chosen profession is one in which we place value on compassion, kindness, caring, listening, and healing. Where judgment and hatred have no place, even unofficially. Where differences in religious or philosophical beliefs may create differences in opinion about medical issues, but where we are obliged to maintain professionalism and fairness in our offices and treatment rooms when making decisions that may not be what we would choose for ourselves.
We are so privileged to have work whose entire basis is to be kind, healing, and helpful to patients and their families. We may not always think about it so literally, but when you compare it to what is flying around out there, it is an amazing relief.
In this cruel world our practice has become a little sanctuary where we can strive for kindness and caring. It’s not that we should ignore the rest of the world, but every one of us who chooses kindness as the underlying tenet of our practice decisions, even when it’s hard, is pushing back a little bit at the nastiness that exists outside of work. It’s really wonderful to have work that is fulfilling and challenging, and that allows us to choose to be on the giving side of kindness every single day. Maybe one day, if we keep trying really hard, our collective kindness will rule the world.
Above is the information needed to cite this article in your paper or presentation. The International Committee
of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally
accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
About the ICMJE and citation styles
The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
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For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org