Truth

As I'm the only doctor not on vacation this week at the Wound Clinic, I get to cover all the patients all week long. This means meeting new people which is quite fun and amusing for me. Don't let that statement change my crusty, jaded, and misanthropic image. ;)

Today, a well-dressed 57 year old gentleman wearing just a bit too much cologne told me that he used to go hunting with Tom Selleck.

"Oh, he's really a very nice man." he says.

I respond, "Tom Selleck seems like a nice guy on TV."

The patient goes on to tell me that his first wife was a Playboy bunny and that he knew Hugh Hefner. As I debrided the goo from his diabetic foot ulcer, I thought it would stand to reason that if one was married to a Playboy bunny, one might come to know Mr. Hefner. I must have looked interested because the patient went on to regale me with tales of travel to Thailand (he was a Vietnam vet), a 30 day cruise to South America from which he had just returned, an upcoming trip he was taking to Africa.

When I ask him where he'd been in Thailand, he answers, "I don't remember the names."

Fair enough, the Vietnam War was a long time ago.

Still interested in his travel stories (I love travel stories!) and planning my trip to Ecuador this spring, I ask him where his cruise in South America was.

He hesitates, "7 countries."

Hmm. I say, "I've been to Tanzania. Where are you going in Africa on your cruise?"

He stammers, "14 countries."

He's not making eye contact with me at all with these answers. I'm beginning to feel bad about making him so uncomfortable; and mercifully, I've finished dressing his wound.

I don't think he was trying to fool me. What could he possibly gain by convincing the female doctor in a Wound Clinic that he was married to a busty woman, knew Magnum P.I., and went on cruises? Besides, I didn't see any point in disturbing his fantasy world.

Whatever inside him that needed to feel worldly and important enough to tell me those things (which might be true, but does it matter?), I will never nor do I want to understand. How we perceive and process the world around us is our reality. I thought about how I quantified my own reality, my alleged truth. The measurable things are easy and concrete: the balance in my bank account, my shoe size, Vdot, my 5th grade math scores. The immeasurable truths: I like birds; I'm generous but want to take credit for the generosity; I often feel like I'll never be good enough; I really want to fit in---how accurate, how true are those? Ralph Waldo Emerson said: Truth is beautiful, without doubt; but so are lies.

I walked away from that patient thinking 2 things:

1. I wonder what it would be like to go hunting with Tom Selleck.

2. I hope that I truth I've created and believe about myself is accurate. If not, then I'll see you when I get back from my exotic trip with Steve McQueen--we're going on a cruise to 30 countries!