Louisville Medicine Volume 67, Issue 6 | Page 37

REFLECTIONS OF COMINGS AND GOINGS AUTHOR Teresita Bacani-Oropilla, MD “The falling leaves, Drift by the window The autumn leaves Of red and gold” Nat King Cole’s song has lost its oomph this year. Exhausted by the prolonged record heat, many leaves have turned prematurely brown, lost their grip and have fallen lifeless to the ground. Thus, no glowing shades of colors to crown our trees, which now look stark. Children find no joy in jumping and burying themselves in the dry crackle of turf beneath the trees. Consider the parallel with Homo sapiens. The loss of colleagues, friends and family who walked with us in the path of life left us bereft of the nourishment of love, camaraderie and exchange of ideas; what had nourished our souls for so long is now gone. We miss their direction, their approval of our purpose in life. We search for other pursuits but with only our own guidance. We needed their loving help just as rain refreshes the greening leaves. Change, and accepting change, however, seems to be the inevitable story of life. An infant cry the moment he/she leaves the cozy cocoon of the womb. Faced with bright lights and cold air around its warm body, he has to breathe on his own to survive. Helpless, he has to be cradled, fed, and cared for until able to do all for himself. By this process, the caring and letting go, he is molded by innumerable interactions with others until he proudly takes his place in the adult world and starts the cycle all over for the next generation. We sometimes forget, or take for granted, the myriad interactions in a person’s life. Consider parents, babysitters, grandparents, nannies, or ayahs who helped to raise a child. Think of the doctors, teachers, coworkers and patients who were indispensable to our success and well-being. Don’t forget the caretakers of the people who once made the decisions of life or death for others, dealt with riches or penury, who now themselves need physical and mental care in their vulnerable years. Everyone, the cared for and their caretakers, is affected by memories and actual services given, affections exchanged and impending loss, at the time of separation. Although painful, it has to be gone through because, as the saying goes, without pain there is no gain. Fortunately, we all have springs to look forward to, when the rains come and bring back the sap from the once parched earth, and the new leaves and flowers bloom again. When the young look to their future with confidence and the old look back with satisfaction on what they have done, Louis Armstrong, another singer, can sing excerpts from his song with joy. “I see skies of blue Red roses too I see them bloom For me and you. I hear babies cry I see them grow They’ll learn much more Than I’ll never know And I say to myself What A Wonderful World!” Thus the world comes and goes! Dr. Bacani-Oropilla is a retired psychiatrist. NOVEMBER 2019 35