Louisville Medicine Volume 62, Issue 2 | Page 37

Doctors’ Lounge sharks, advising them that no one had been eaten recently. If the sharks began to circle them, they should stand their ground and never act afraid. “If one comes at you, punch him in the snout, and he will swim away.” Said Adm. McRaven, “There are a lot of sharks in the world. If you want to change the world, don’t back down from the sharks.” 8 Navy SEALS have to learn to attack ships from underneath, swimming more than two miles usually from their drop off point with only a depth gauge and a compass. The closer they get to the ship, the darker the water gets. And in the centerline of the ship, under the keel where they place their weaponry, is the darkest point of all. “The noise from the machinery is deafening and you cannot see your hand in front of your face; it is easy to get disoriented and fail. It’s at that moment when you must be calm and composed, when all your tactical skills, your power and your inner strength must be brought to bear.” Said Adm. McRaven, “If you want to change the world, you must be your very best in the darkest moment.” 9 10 Traditionally on Wednesday of Hell Week they tackle the Mud Flats, in the wetlands between San Diego and Tijuana. As punishment after a full day of being worked over in the surf and the mud, at sunset his group was ordered to stand in the mud up to their necks. They were promised relief – paddle back home to food and warmth – if only five men would quit. They held out. They had visions of all day all night then all day. They were beyond cold, in the howling wind with chattering teeth and audible shivering. But then – one guy started to sing, then two, then three, then all. Said Adm. McRaven, “If I have learned anything in my time traveling the world, it is the power of hope. If you want to change the world, start singing when you’re up to your neck in mud.” To quit, you rang the brass bell in the center of the compound. If you rang the bell, you got to stop the runs, the swims, the cold, the suffering, the being screamed at, the utter exhaustion that you overcame again and again, to keep going, to keep trying, to never give up. Said Adm. McRaven, “If you want to change the world, don’t ever, ever ring the bell.” Doctors don’t have Hell Week. We have little grindy bitternesses and fatigues and resentments and bites of boredom with doing the same thing over and over. What saves us (since singing might alarm the patient, at least mine) is the freshness of each person we see, each a new chance to accomplish something, each a new diversion from the sameness of our questions, each a reminder of why we get in the boat every day. They help us, we help them. We never forget our mistakes; we have to learn from them and do better. I would not last a minute in that surf – I don’t even paddle in the river if more than 20 feet - but I deeply admire those who do, and am forever gr ]Y