Documente Academic
Documente Profesional
Documente Cultură
I am Dying
I know I am dying, because, well, I just know. I'm certain of it. I can
feel it.
That pain on the left side of my stomach still hasn't gone away. It's
been there for eight or nine months now. The ultrasound came up
negative. So did the CT scan, the MRI and the colonoscopy.
Eyes roll. "You're fine," my father says. "You're fine," my mother says.
"You're fine," my sister-in-law says.
"You're 37 years old. You run marathons. You play basketball every
Monday. You've never even broken a bone," my wife says. "You're
fine."
Man on a stretcher
It begins innocently enough. Just recently, for example, I woke up
with blurry vision in my left eye. I was OK for a while. I rubbed the eye.
Tried lubricating drops. But when the vision remained blurred for
several days, my mind began to wander. Is something wrong with
that side of my brain? Why is my neck hurting? I mentioned it to my
wife, who said, "You're probably fine—don't go to the computer." I
went to the computer, where I Googled "blurred vision and tumor." A
whopping 199,000 results came up, many of which confirmed my
worst nightmares.
This damned pain ... the greeks invented the term to describe
ailments caused by movement of the upper region of the
abdomen—from hypo (below) and chondros (breast bone cartilage).
By the late 19th century, however, hypochondriasis had come to
mean "illness without a specific cause."
Medicines
Symptomatology, she adds, may be simply the "flavor" that a
person's ruminations take on. "Illness is a very common content of
the ruminations in obsessive-compulsive disorder, anxiety, and
depression." For her, an important question is at what point a
person's lack of reassurability about health becomes pathological.
There's no firm line.
The one thing I did have, however, was Grandpa Curt, an ornery,
brooding man whose night table was topped with a cornucopia of pill
bottles and whose hands routinely trembled as if his fingers housed
jumping beans. When we visited my grandparents in their Manhattan
apartment, I would tiptoe around Grandpa, fearful of brushing against
him and drawing his ire.
"He went to the doctor at least once per week," my mother recently
recalled. "He'd call the doctors all the time, and after a while they
didn't want to take his phone calls. He was never terribly sick, but he
always thought he was."
Initially the process increases anxiety levels. "But over time," she
says, "it will settle down and stop meaning so much. You've
confronted your fear up close, and you see it for what it truly is:
merely a fear, not a reality."
The use of Prozac and similar medications is now under formal study.
Columbia's Fallon and Arthur Barsky, a professor of psychiatry at
Harvard Medical School, are conducting the largest trial ever
undertaken of the disorder. They are enrolling 264 hypochondriacs in
a randomized, placebo-controlled clinical trial comparing cognitive
behavioral therapy, Prozac, and a combination of the two. They
suspect that CBT and the drug will be equally effective, but that
combination therapy will be even more effective for "this major public
health disorder." "I don't know what to expect," says Fallon. "But it
will be very interesting."
Two days after speaking with Fallon, I find myself sitting across from
a therapist specializing in cognitive therapy. It is our first session, and
as I tell him about my health issues, and my troubled mental state,
and my grandfather, and my weaknesses, he nods knowingly. I feel
naked. Embarrassed. At times, stupid. I am a healthy man with a
great family, a great job, a great life.
"You're getting help," he says, nodding. "And you're trying to end the
pain."