Part II
Life Changes,
Hawaii and a New Way of Thinking
One afternoon after
several months of recurring episodes of atrial fibrillation, it
became clear that I was not going to be able to continue functioning
the way I had set up my life. I was beginning to realize that
running into the hospital to perform deliveries, performing
emergency surgeries, the day to day stresses of running my own
practice, and also overseeing three others, was taking a great toll
on me. At one of my now weekly visits to the cardiologist I asked
him, “Why this was happening to me? Why the atrial fibrillation?” He
shook his head. Then out of the blue, I asked a question that
changed my life, “Do you think that stress could play any role in
this?” My friend looked up at me shrugged his shoulders and said,
“Sure! But we really do not know a lot about the role of stress in
causing atrial fibrillation. Why don’t you take some time off, get
away for a while and see if it makes a difference?”
I arranged for another
doctor to cover my practice and went off to Maui, Hawaii for a month
to lie on the beach rest and reduce my stress. It was almost like
magic, as soon as I left the plane and checked into the hotel, my
heart rate returned to normal. Over the entire month, I do not
believe that I had one abnormal beat of my heart. I felt rested,
relaxed and by the end of our stay was raring to return to work, to
my patients and to my practice.
In early December 1983, I
returned to Encino a new man. My heart was normal again and I was
ready to throw myself back into the complex life I had created for
myself. I could not entirely however, get past the feeling that more
than just a rest had happened to me, somehow the fact that my heart
had gotten better while I was away seemed to mean something more
than just “a rest.” I had changed my life, at least temporarily, and
it had changed my body. This impressed me but it would not be for a
while longer that I would realize that this was a significant event
and I had just had a very significant insight.
Unfortunately, or possibly
as things have turned out, fortunately, almost as soon as submerged
myself back into my old life my fibrillation returned and this time
with a vengeance. It was worse now than it had been before, at times
I found it nearly impossible to function. I was at best functioning
only marginally most of the time. In mid January 1984, I was at the
edge my ability to cope with it all, my wife and I decided to take
two weeks off and go back to Maui. We stayed in Maui for two weeks,
and as with my first trip almost as soon as I debarked the plane my
heart returned to normal. I do not believe that I had one single
episode of fibrillation during the two weeks.
While in a shop on Maui a
stranger asked where I came from and I told him that I was from Los
Angeles, California. We talked for a while and it turned out that he
also was a physician and worked for a medical group in Kehei, Maui,
Hawaii. When I told him I was an OB/Gyn he told me that their OB/Gyn
had just left and that they were looking for someone to replace him.
He gave me the name of the owner of Kehei Physicians Medical Clinic,
and I called him after I returned to my hotel room. This was on a
Thursday and I was returning to Los Angeles on the next Saturday
afternoon, 2 days from then. Saturday morning I meet with the owner
and Medical Director of Kehei Physicians Medical Clinic, we talked
for a while and we liked each other. We left the meeting with no
resolution only “Let’s think about it?” on both or our parts. I
boarded the plane to Los Angeles that afternoon and was back in the
office early Monday morning. And almost as soon as I walked into my
office my heart began to fibrillate.
That afternoon I received
a call from the owner of Kehei Physicians Medical Clinic, “We want
you to start as soon as possible!” I talked with my wife and we made
the decision to sell my practice and move to Maui. In two weeks we
were Maui bound.