Secrets of the ER: Physician Stories From Dalian
Faith-based coping — the use of religious beliefs and practices to manage the stress of serious illness — is one of the most common and most studied coping strategies in the psychological literature. Research consistently shows that patients who use faith-based coping experience less anxiety, less depression, higher quality of life, and greater satisfaction with their medical care. Dr. Scott Kolbaba's "Physicians' Untold Stories" adds clinical depth to these psychological findings by documenting cases where faith-based coping appeared to contribute not just to patients' emotional wellbeing but to their physical recovery. For psychologists and healthcare providers in Dalian, Liaoning, the book reinforces the evidence that supporting patients' faith-based coping strategies is not just compassionate care but effective care.
Ghost Traditions and Supernatural Beliefs in China
China's ghost traditions span over three millennia and are deeply embedded in the fabric of Chinese civilization, drawing from Confucian ancestor worship, Taoist cosmology, and Buddhist theology. The Chinese concept of gui (鬼) encompasses a vast taxonomy of spirits, from benevolent ancestral ghosts who protect their descendants to malevolent hungry ghosts (饿鬼, è guǐ) who were denied proper burial or mourning rites. The Hungry Ghost Festival (中元节, Zhōngyuán Jié), observed on the fifteenth day of the seventh lunar month, is one of China's most important supernatural observances. During this period, the gates of the underworld are believed to open, releasing spirits to roam the earth. Families burn joss paper (representing money), paper houses, cars, and even paper smartphones as offerings to ensure their deceased relatives' comfort in the afterlife, while elaborate Taoist and Buddhist ceremonies are performed to appease wandering ghosts.
Perhaps China's most iconic supernatural figure is the jiangshi (僵尸), the "stiff corpse" or hopping vampire, a reanimated cadaver that moves by hopping with outstretched arms. Rooted in Qing Dynasty folklore, jiangshi were said to be created when a person died far from home and a Taoist priest would reanimate the body to "hop" it back for proper burial — a practice possibly inspired by the real tradition of transporting corpses over mountains using bamboo poles, which gave the appearance of hopping. Chinese ghost lore also features the nü gui (女鬼), a female ghost typically dressed in red who died unjustly and returns for vengeance, and the yuan gui (冤鬼), ghosts of those who died from injustice who haunt the living until their grievances are addressed.
The Chinese afterlife is conceived as a vast bureaucratic underworld called Diyu (地狱), presided over by Yanluo Wang (the King of Hell, adapted from the Hindu Yama) and staffed by judges who review the moral record of each soul. This underworld contains multiple courts and levels of punishment, reflecting the Confucian emphasis on moral accountability. The concept of ancestor worship — maintaining tablets, offering food and incense at household altars, and performing ceremonies during Qingming Festival (Tomb Sweeping Day) — remains one of Chinese civilization's most enduring practices, reflecting the belief that the dead continue to influence the fortunes of the living.
Near-Death Experience Research in China
Chinese near-death experience accounts are distinctively shaped by the cultural concept of Diyu, the bureaucratic underworld. Research has shown that Chinese NDEs frequently involve encounters with underworld officials, being judged in halls of justice, and having one's life record reviewed — reflecting the Taoist and Buddhist vision of an afterlife judiciary. A landmark 1992 study by Zhi-ying and Jian-xun surveyed 81 survivors of the 1976 Tangshan earthquake (one of the deadliest in history, killing approximately 242,000 people) and found that many reported NDE-like experiences, though their content differed markedly from Western patterns. Chinese accounts were more likely to feature a sense of the world being destroyed around them and less likely to include tunnel or light experiences. Buddhist concepts of the bardo (intermediate state between death and rebirth) and the Tibetan Book of the Dead have contributed significantly to cross-cultural NDE research.
Medical Fact
The term "pandemic" was first used by Galen of Pergamon in the 2nd century CE to describe widespread disease.
Miraculous Accounts and Divine Intervention in China
China's vast history contains numerous accounts of miraculous healings, many associated with Taoist immortals, Buddhist bodhisattvas, and folk deities. Guanyin (Avalokiteśvara), the Bodhisattva of Compassion, is widely venerated as a healer, and temples dedicated to Guanyin — such as the Putuoshan temple complex in Zhejiang Province — maintain extensive records of attributed miraculous cures spanning centuries. In TCM, the concept of "miraculous" healing is often framed differently than in the West, with practitioners pointing to cases where correct qi alignment produced seemingly impossible recoveries. Modern Chinese hospitals have documented cases of spontaneous remission that combine elements of traditional practice and unexplained phenomena. The qigong movement of the 1980s and 1990s produced numerous claims of extraordinary healing abilities, some investigated by Chinese Academy of Sciences researchers, though many remained controversial.
The History of Grief, Loss & Finding Peace in Medicine
High school sports injuries near Dalian, Liaoning create a community investment in healing that extends far beyond the patient. When the starting quarterback tears an ACL, the whole town follows his recovery—from the orthopedic surgeon's office to the physical therapy clinic to the first practice back. This communal attention isn't pressure; it's support. The Midwest heals its athletes the way it raises its barns: together.
Spring in the Midwest near Dalian, Liaoning carries a healing power that winter's survivors understand viscerally. The first warm day, the first green shoot, the first robin—these aren't metaphors for recovery. They're the recovery itself, experienced at a physiological level by people whose bodies have endured months of cold and darkness. The Midwest physician who says 'hang on until spring' is prescribing the most effective antidepressant the region produces.
Medical Fact
Hope — the belief that things can get better — has been shown to activate the brain's reward circuitry and reduce pain perception.
Open Questions in Faith and Medicine
The Midwest's tradition of pastoral care visits near Dalian, Liaoning—the pastor who appears at the hospital within an hour of learning that a congregant has been admitted—creates a spiritual rapid response system that parallels the medical one. The patient who wakes from anesthesia to find their pastor praying at the bedside receives a message more powerful than any medication: you are not alone, and your community has not forgotten you.
Lutheran hospital traditions near Dalian, Liaoning carry Martin Luther's insistence that caring for the sick is not a work of merit but a response to grace. This theological framework produces a medical culture that values humility over heroism—the Lutheran physician doesn't heal to earn divine favor; they heal because they've already received it. The result is a quiet, persistent compassion that doesn't seek recognition.
Ghost Stories and the Supernatural Near Dalian, Liaoning
Farm accident ghosts—a uniquely Midwestern category—haunt rural hospitals near Dalian, Liaoning with a workmanlike persistence. These spirits of farmers killed by combines, PTOs, and grain augers appear in overalls and work boots, checking on fellow farmers who arrive in emergency departments with similar injuries. They don't try to communicate; they simply stand watch, one worker looking out for another.
The Midwest's tradition of barn medicine—veterinarians and farmers treating each other's injuries alongside livestock ailments near Dalian, Liaoning—produced a pragmatic approach to healing that persists in rural hospitals. The ghost of the farmer who set his own broken leg with fence wire and baling twine is a Midwest archetype: a spirit that embodies self-reliance so deeply that even death doesn't diminish its competence.
Faith and Medicine
The growing interest in mindfulness-based interventions in medicine — programs like Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT) — reflects a broader cultural shift toward integrating contemplative practices into healthcare. While mindfulness is often presented as a secular practice, its roots in Buddhist meditation connect it to a rich spiritual tradition. Research has shown that MBSR and similar programs can reduce pain, anxiety, depression, and stress while improving immune function and quality of life.
Dr. Kolbaba's "Physicians' Untold Stories" situates these mindfulness findings within a broader context of spiritual practice and healing. While the book's cases involve primarily prayer and Christian spiritual practices, the underlying principle — that contemplative engagement with the transcendent can influence physical health — is consistent with the mindfulness literature and with contemplative traditions across faiths. For integrative medicine practitioners in Dalian, Liaoning, the book reinforces the evidence that contemplative practices, regardless of their specific religious context, can be valuable components of comprehensive medical care.
The tradition of "laying on of hands" — a practice found in multiple faith traditions where a healer places their hands on or near a sick person while praying — has been studied by researchers investigating the biological mechanisms of therapeutic touch. Studies have shown that compassionate human contact can reduce cortisol levels, increase oxytocin release, and modulate immune function. While these effects do not require a spiritual framework, they are consistent with the faith-based understanding that physical touch conveys healing energy or divine grace.
Dr. Kolbaba's "Physicians' Untold Stories" includes accounts where the laying on of hands — whether by clergy, by physicians, or by family members — coincided with dramatic physical improvements. For physicians in Dalian, Liaoning, these accounts invite reflection on the healing power of human touch in clinical practice. In an era of increasingly technology-mediated medicine, the simple act of touching a patient — holding their hand, placing a hand on their shoulder, or offering a healing embrace — may carry biological and spiritual significance that current medical practice undervalues.
The role of physician empathy in patient outcomes has been extensively studied, with research consistently showing that empathetic physicians achieve better clinical results across a range of conditions. A landmark study by Hojat and colleagues found that diabetic patients treated by physicians who scored higher on empathy measures had significantly better glycemic control and fewer complications. Other studies have linked physician empathy to improved patient adherence, better pain management, and higher patient satisfaction.
Dr. Kolbaba's "Physicians' Untold Stories" suggests that the connection between empathy and outcomes may extend to the spiritual dimension. The physicians in his book who engaged most deeply with their patients' faith lives — who prayed with them, honored their spiritual concerns, and remained open to the possibility of transcendent healing — also describe relationships with their patients that were characterized by unusual depth and trust. For physicians in Dalian, Liaoning, this connection between spiritual engagement and clinical empathy offers a practical insight: that attending to the spiritual dimension of care may enhance the physician-patient relationship in ways that benefit both parties.
The concept of 'spiritual distress' has been recognized as a legitimate nursing diagnosis by the North American Nursing Diagnosis Association since 1978, and has been increasingly acknowledged by physicians as a clinical condition that, if unaddressed, can worsen medical outcomes. Research published in the Journal of Palliative Medicine found that patients experiencing spiritual distress — defined as a disruption in the belief system that provides meaning, purpose, and connection — had longer hospital stays, higher rates of depression, more requests for physician-assisted death, and lower satisfaction with their care compared to patients without spiritual distress. Conversely, spiritual care interventions — chaplain visits, prayer, meditation instruction, and meaning-making conversations — were associated with reduced spiritual distress and improved clinical outcomes. For the healthcare system serving Dalian, these findings argue that spiritual care is not a luxury or an amenity but a clinical necessity with measurable impact on outcomes that healthcare administrators traditionally care about: length of stay, patient satisfaction, and cost of care.
The philosophical tradition of phenomenology — which studies the structures of human experience without reducing them to their biological or psychological components — offers a valuable framework for understanding the accounts in "Physicians' Untold Stories." Phenomenological philosophy, developed by Edmund Husserl and extended by Martin Heidegger, Maurice Merleau-Ponty, and others, insists that human experience is irreducible — that the lived experience of prayer, healing, and transcendence cannot be fully captured by brain scans, hormone levels, or immune function measurements. These scientific measurements are valuable, but they describe correlates of experience, not the experience itself.
Dr. Kolbaba's book is, in many ways, a phenomenological document — a collection of physicians' first-person accounts of experiences that resist reduction to their scientific components. The physicians describe not just what happened biologically but what it was like to witness healing that defied their training. For philosophers and medical humanists in Dalian, Liaoning, this phenomenological dimension of the book is significant because it insists that the faith-medicine intersection cannot be adequately studied by science alone. Understanding it requires not just measurement but attention to the irreducible quality of human experience — the way it feels to pray for a patient's healing and then watch that healing occur.
Comfort, Hope & Healing
The phenomenology of "terminal lucidity"—the unexpected return of mental clarity and energy shortly before death in patients who have been unresponsive or cognitively impaired, sometimes for years—has been documented in the medical literature since the 19th century and has received renewed research attention in the 21st. A 2009 study by Nahm and Greyson, published in the Archives of Gerontology and Geriatrics, reviewed 49 cases spanning two centuries and concluded that terminal lucidity is a real and well-documented phenomenon that challenges current neuroscientific understanding of the relationship between brain function and consciousness.
For families in Dalian, Liaoning, who have witnessed a loved one with dementia suddenly recognize family members, speak coherently, and express love and farewell in the hours before death, the phenomenon of terminal lucidity is deeply meaningful—but also confusing, because it contradicts everything they were told about the progressive nature of neurological decline. "Physicians' Untold Stories" validates these experiences by presenting physician-witnessed accounts of similar phenomena. Dr. Kolbaba's book tells Dalian's families that what they saw was real, that it has been observed by medical professionals, and that its occurrence—however unexplained—is consistent with a growing body of evidence suggesting that consciousness may not be reducible to brain function alone.
For caregivers in Dalian — those caring for aging parents, sick children, or loved ones with chronic illness — the book offers a particular kind of relief. It validates the spiritual dimension of caregiving that medicine often ignores. It says: your prayers matter. Your presence matters. And the love you pour into your caregiving is not lost.
Caregiving is one of the most isolating experiences in modern life. The caregiver's world contracts to the dimensions of a sickroom, and the outside world — with its normal rhythms, its casual conversations, its assumption that everyone is healthy — can feel like a foreign country. Dr. Kolbaba's book reaches into that isolation and offers connection: the voices of physicians who understand what the caregiver is going through, because they live with the same proximity to suffering every day.
Post-traumatic growth—the positive psychological change that can emerge from the struggle with highly challenging life circumstances—was first systematically described by Tedeschi and Calhoun in their 1996 foundational study. Their research identified five domains of post-traumatic growth: greater appreciation of life, improved relationships, new possibilities, personal strength, and spiritual or existential change. Subsequent studies, including meta-analyses published in the Journal of Traumatic Stress, have confirmed that a significant minority of individuals who experience trauma—including the trauma of losing a loved one—report meaningful positive growth alongside their suffering.
"Physicians' Untold Stories" can facilitate post-traumatic growth for grieving readers in Dalian, Liaoning, by addressing each of Tedeschi and Calhoun's five domains. The book's extraordinary accounts inspire greater appreciation for the mystery and beauty of life. They foster connection between readers who share and discuss the stories. They open new possibilities by suggesting that death may not be the final chapter. They reveal the strength of physicians who carry the weight of these experiences. And they catalyze spiritual change by presenting evidence of the transcendent from within the most empirical of professions. Dr. Kolbaba's collection is, in essence, a post-traumatic growth resource disguised as a collection of remarkable true stories.
The positive psychology intervention research literature provides evidence-based support for the therapeutic effects that "Physicians' Untold Stories" may produce in grieving readers in Dalian, Liaoning. Sin and Lyubomirsky's 2009 meta-analysis in the Journal of Clinical Psychology synthesized 51 positive psychology interventions and found that activities promoting gratitude, meaning, and positive emotional engagement produced significant and sustained improvements in well-being and reductions in depressive symptoms. The effect sizes were comparable to traditional psychotherapy and antidepressant medication, and the benefits persisted at follow-up intervals ranging from weeks to months.
Within the positive psychology toolkit, "savoring" interventions—which involve deliberately attending to and amplifying positive experiences—are particularly relevant to the reading of "Physicians' Untold Stories." Fred Bryant's research on savoring has demonstrated that the capacity to sustain and amplify positive emotions through deliberate attention is a significant predictor of well-being. Reading Dr. Kolbaba's extraordinary accounts and allowing oneself to dwell on the wonder, hope, and beauty they contain is an act of savoring—a deliberate engagement with positive emotional material that, the research predicts, will produce lasting improvements in mood and well-being. For the bereaved in Dalian, who may feel that savoring positive emotions is inappropriate or disloyal to their grief, the book offers permission: these are true accounts from reputable physicians, and the positive emotions they evoke are appropriate responses to genuinely extraordinary events.
The psychological construct of "meaning reconstruction" in bereavement, developed by Robert Neimeyer and colleagues at the University of Memphis, represents the leading contemporary framework for understanding how people adapt to loss. Neimeyer's approach, drawing on constructivist psychology and narrative theory, holds that grief is fundamentally a process of meaning-making—the bereaved must reconstruct a coherent life narrative that accommodates the reality of the loss. When this reconstruction succeeds, the bereaved person integrates the loss into a meaningful life story; when it fails, complicated grief often results. Neimeyer has identified three processes central to meaning reconstruction: sense-making (finding an explanation for the loss), benefit-finding (identifying positive outcomes or growth), and identity reconstruction (revising one's self-narrative to accommodate the loss).
Empirical research supporting this framework has been published in Death Studies, Omega: Journal of Death and Dying, and the Journal of Consulting and Clinical Psychology, consistently finding that the ability to make meaning of loss is the strongest predictor of healthy bereavement adjustment—stronger than time since loss, strength of attachment, or mode of death. "Physicians' Untold Stories" facilitates all three meaning reconstruction processes. Its extraordinary accounts support sense-making by suggesting that death may be accompanied by transcendent experiences that imbue it with significance. They facilitate benefit-finding by offering the bereaved a source of hope and wonder. And they support identity reconstruction by providing narrative models—physicians who witnessed the extraordinary and were transformed by it—that readers in Dalian, Liaoning, can incorporate into their own evolving self-narratives.
Where Faith and Medicine Meets Faith and Medicine
The role of music and sacred art in the healing environment has been studied by researchers who have found that exposure to music, art, and beauty can reduce stress hormones, lower blood pressure, and enhance immune function. Many hospitals in Dalian, Liaoning now incorporate art programs, music therapy, and sacred imagery into their healing environments, recognizing that aesthetic and spiritual experiences can contribute to physical recovery.
Dr. Kolbaba's "Physicians' Untold Stories" touches on this theme by documenting patients whose spiritual experiences — which often included beauty, music, and transcendent imagery — coincided with physical healing. While the book does not specifically advocate for art-in-medicine programs, its accounts of the healing power of spiritual experience support the growing evidence that environments and experiences that nourish the spirit also nourish the body. For healthcare designers and administrators in Dalian, these accounts reinforce the case for creating healing environments that engage the whole person — body, mind, and spirit.
The growing body of research on "meaning-making" in the context of serious illness — the process by which patients construct narratives that give purpose and coherence to their suffering — has important implications for the faith-medicine intersection. Studies by Crystal Park and others have shown that patients who successfully find meaning in their illness experience better psychological adjustment, lower rates of depression, and in some studies, better physical health outcomes. Faith provides one of the most powerful frameworks for meaning-making, offering patients narratives of divine purpose, redemptive suffering, and ultimate hope.
Dr. Kolbaba's "Physicians' Untold Stories" documents patients whose meaning-making — grounded in faith and supported by community — appeared to contribute to their physical healing. For physicians, chaplains, and psychologists in Dalian, Liaoning, these cases underscore the clinical importance of supporting patients' meaning-making processes, particularly when those processes involve faith. Helping a patient find meaning in their suffering is not merely providing emotional comfort — it may be facilitating a process that has measurable effects on their physical health.
The vagus nerve — the longest cranial nerve, running from the brainstem to the abdomen — has emerged as a key mediator of the mind-body connection in recent neuroscience research. Kevin Tracey's discovery of the "inflammatory reflex" showed that vagal nerve stimulation can inhibit the production of pro-inflammatory cytokines, providing a direct neural pathway through which the brain can modulate immune function and inflammation. Subsequent research has shown that practices like meditation, deep breathing, and chanting — common components of prayer across traditions — increase vagal tone, measured by heart rate variability (HRV).
The vagal pathway provides a plausible biological mechanism for understanding some of the health effects associated with prayer and spiritual practice. If prayer increases vagal tone, and increased vagal tone reduces inflammation, then prayer may have anti-inflammatory effects that could influence the course of diseases ranging from arthritis to cancer. Dr. Kolbaba's "Physicians' Untold Stories" documents cases where prayer coincided with dramatic health improvements in conditions involving significant inflammation, providing clinical evidence consistent with the vagal anti-inflammatory hypothesis. For researchers in Dalian, Liaoning, the intersection of vagal nerve science and prayer research represents a promising frontier — one where rigorous neuroscience meets the clinical observations documented in Kolbaba's book.
How This Book Can Help You
County medical society meetings near Dalian, Liaoning that discuss this book will find it generates the kind of collegial conversation that these societies were founded to promote. When physicians share their extraordinary experiences with peers who understand the professional stakes of such disclosure, the conversation achieves a depth and honesty that no other forum permits. This book is an invitation to that conversation.
About the Author
Dr. Scott J. Kolbaba, MD is an internist at Northwestern Medicine. Mayo Clinic trained, he spent three years interviewing 200+ physicians about their most extraordinary experiences.
Medical Fact
Deep breathing exercises have been shown to lower blood pressure by 10-15 mmHg in hypertensive patients within minutes.
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