Where Science Ends and Wonder Begins in Yantai
There is a story that most physicians in Yantai, Shandong, carry but rarely share: the patient whose recovery defied every prognostic model, the moment in the ICU when something shifted that no monitor could capture. These experiences, dismissed by the culture of evidence-based medicine as anecdotal, are precisely the raw material of Dr. Kolbaba's "Physicians' Untold Stories." In a profession where 42 percent of practitioners report burnout and the average physician spends more time on documentation than on direct patient care, these stories of the unexplained serve as vital reminders that medicine is more than data entry and diagnosis codes. They are invitations to remember the mystery at the heart of healing—a mystery that no electronic health record can contain, and that Yantai's doctors need now more than ever.
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
Human saliva contains opiorphin, a natural painkiller six times more powerful than morphine.
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
The Midwest's land-grant university hospitals near Yantai, Shandong were built on the democratic principle that advanced medical care should be accessible to farmers' children and factory workers' families, not just the wealthy. This egalitarian ethos persists in the region's medical culture, where the quality of care you receive is not determined by your zip code but by the dedication of physicians who chose to practice where they're needed.
The Midwest's culture of understatement near Yantai, Shandong extends to how patients describe their symptoms—'a little discomfort' meaning severe pain, 'not quite right' meaning profoundly ill. Physicians who understand this linguistic modesty learn to multiply the Midwesterner's self-report by a factor of three. Healing begins with accurate assessment, and accurate assessment in the Midwest requires fluency in understatement.
Medical Fact
Identical twins do not have identical fingerprints — they are influenced by random developmental factors in the womb.
Open Questions in Faith and Medicine
The Midwest's revivalist tradition near Yantai, Shandong—camp meetings, tent revivals, Chautauqua circuits—created a culture where transformative spiritual experiences are not unusual. When a patient reports a hospital room vision, a near-death encounter with the divine, or a miraculous remission, the Midwest physician is less likely to reach for the psychiatric referral pad than their coastal counterpart. In the heartland, the extraordinary is part of the landscape.
The Midwest's deacon care programs near Yantai, Shandong assign specific congregants to visit, assist, and advocate for church members who are hospitalized. These deacons—often retired teachers, nurses, and social workers—provide a continuity of spiritual and practical care that the rotating staff of a modern hospital cannot match. They bring not just prayers but clean pajamas, home-cooked meals, and the reassurance that the community is holding the patient's place until they return.
Ghost Stories and the Supernatural Near Yantai, Shandong
Scandinavian immigrant communities near Yantai, Shandong brought a concept of the 'fylgja'—a spirit double that accompanies each person through life. Midwest nurses of Norwegian and Swedish descent occasionally report seeing a patient's fylgja standing beside the bed, visible only in peripheral vision. When the fylgja departs before the patient does, the nurses know what's coming—and they're rarely wrong.
The Chicago Fire of 1871 didn't just destroy buildings—it destroyed the medical infrastructure of the entire region, and hospitals near Yantai, Shandong that were built in its aftermath carry a fire anxiety that borders on the supernatural. Smoke alarms trigger without cause, fire doors close on their own, and the smell of smoke permeates rooms where no fire exists. The Great Fire's ghosts are still trying to escape.
Physician Burnout & Wellness
Residents and fellows in Yantai, Shandong, face a unique set of burnout risk factors that distinguish their experience from that of attending physicians. The combination of clinical inexperience, massive educational demands, hierarchical power structures, and the developmental task of forming a professional identity creates a pressure cooker that can permanently alter a young physician's relationship with medicine. Studies have shown that burnout in residency predicts burnout later in career, suggesting that the habits of emotional coping—or the absence thereof—established in training become deeply ingrained.
Dr. Kolbaba's "Physicians' Untold Stories" offers a formative influence of a different kind. For residents and fellows in Yantai who are in the process of deciding what kind of physician they will be, these extraordinary accounts introduce a dimension of medicine that training curricula rarely address: the dimension of mystery. Engaging with these stories during training can help young physicians develop a professional identity that includes wonder, not just competence—and that may prove more durable against the corrosive effects of the system.
The concept of "joy in practice"—as articulated by the Institute for Healthcare Improvement—offers a counterweight to the burnout narrative in Yantai, Shandong. Rather than simply reducing negative outcomes like emotional exhaustion and depersonalization, the joy framework asks what positive conditions would enable physicians to thrive: meaningful work, camaraderie, participative management, and a sense that everyday efforts contribute to something important. This strengths-based approach recognizes that eliminating burnout is necessary but insufficient—physicians also need a reason to stay, not just the removal of reasons to leave.
"Physicians' Untold Stories" is a joy-in-practice intervention disguised as a book. Dr. Kolbaba's extraordinary accounts do not reduce physician workload or improve EHR functionality, but they powerfully address the meaning dimension of the IHI framework. For physicians in Yantai, reading about the inexplicable in medicine—and feeling the emotional response that such accounts evoke—is an experience of joy in its deepest sense: not happiness, but the recognition that one's work participates in something larger and more mysterious than any productivity metric can measure.
The intersection of physician burnout and health system consolidation in Yantai, Shandong, creates new dynamics that are only beginning to be understood. As independent practices are absorbed by large health systems, physicians lose autonomy, face standardized workflows designed for efficiency rather than clinical judgment, and become employees rather than professionals. The resulting sense of disempowerment compounds existing burnout drivers, with physicians reporting that they feel more like cogs in a machine than like healers trusted to exercise expertise.
Dr. Kolbaba's "Physicians' Untold Stories" speaks directly to this loss of professional identity. The accounts in the book depict physicians as witnesses to the extraordinary—individuals whose presence at the bedside placed them at the intersection of the natural and the transcendent. This is a fundamentally different professional identity from "healthcare provider" or "clinician employee." For physicians in Yantai whose sense of self has been diminished by corporatization, these stories restore a grander vision of what it means to practice medicine—a vision that no organizational restructuring can confer or take away.
Physician suicide represents the most catastrophic outcome of the burnout epidemic, and the data are sobering. An estimated 300 to 400 physicians die by suicide annually in the United States, a rate that is 1.41 times higher than the general population for male physicians and 2.27 times higher for female physicians, according to research published in the American Journal of Psychiatry. The absolute numbers, while tragic, likely undercount actual physician suicides due to underreporting, misclassification, and the reluctance of medical examiners to assign suicide as cause of death for colleagues. Importantly, physician suicide is not primarily a function of untreated mental illness—many physicians who die by suicide were functioning at high levels professionally, masking their distress behind clinical competence.
The Dr. Lorna Breen Health Care Provider Protection Act (Public Law No. 117-105), signed in March 2022, addresses some structural barriers. It funds training programs to improve mental health awareness, allocates grants for evidence-based wellness interventions, and includes provisions to reduce stigma associated with mental health treatment-seeking among healthcare workers. For physicians in Yantai, Shandong, this legislation represents a meaningful step, but legislative change without cultural transformation is insufficient. Dr. Kolbaba's "Physicians' Untold Stories" contributes to cultural transformation by validating the emotional dimensions of medical practice that the profession's stoic culture has suppressed—dimensions whose suppression contributes directly to the despair that drives suicide.
The Dr. Lorna Breen Heroes' Foundation, established by Dr. Breen's family following her death by suicide on April 26, 2020, has become the most visible advocacy organization addressing physician mental health in the United States. The foundation's efforts have been instrumental in several concrete policy achievements: the passage of the Dr. Lorna Breen Health Care Provider Protection Act, successful advocacy campaigns to remove or modify mental health disclosure questions on state medical licensing applications (with 27 states having made changes as of 2024), and the development of educational resources addressing stigma, help-seeking, and systemic burnout drivers.
The foundation's approach is notable for its emphasis on systemic rather than individual solutions. Rather than urging physicians to "seek help," the foundation advocates for removing barriers to help-seeking and restructuring the environments that create the need for help in the first place. For physicians in Yantai, Shandong, the foundation's work has tangible local relevance: changes in licensing board questions may directly affect local physicians' willingness to seek mental health treatment. "Physicians' Untold Stories" supports the foundation's mission by contributing to the cultural shift it advocates—a shift toward acknowledging that physicians are human, that their emotional responses to extraordinary clinical experiences are assets rather than liabilities, and that the work of healing exacts a toll that deserves recognition, not punishment.
Divine Intervention in Medicine
The concept of answered prayers in the operating room occupies a unique space in medical discourse in Yantai, Shandong. Surgeons are trained to attribute outcomes to technique, preparation, and teamwork. Yet a surprising number privately acknowledge moments when something beyond their training appeared to influence the procedure. "Physicians' Untold Stories" by Dr. Scott Kolbaba gives voice to these private acknowledgments, presenting accounts from surgeons who describe the operating room as a place where the sacred and the clinical coexist in ways they did not expect.
These accounts share several common features: a sense of heightened awareness during critical moments, an ability to perform at a level beyond the surgeon's known skill, and a conviction, often arriving with overwhelming certainty, that the patient's survival was not entirely the surgeon's achievement. For surgeons practicing in Yantai, these descriptions may resonate with their own undisclosed experiences. Kolbaba's book creates a space where these experiences can be examined without the professional risk that typically accompanies such disclosures, offering the medical community a vocabulary for discussing the spiritual dimensions of surgical practice.
The Vatican's Congregation for the Causes of Saints employs a medical board composed of independent physicians who evaluate alleged miracles with standards more rigorous than many peer-reviewed journals. The process requires that the original diagnosis be confirmed by multiple physicians, that the cure be complete and lasting, and that no medical explanation exists for the recovery. Each case undergoes years of investigation, and the medical board's findings are subject to theological review. This dual scrutiny—medical and theological—represents perhaps the most thorough system ever devised for evaluating claims of divine healing.
Physicians in Yantai, Shandong may find the Vatican's process instructive as they consider the accounts in "Physicians' Untold Stories" by Dr. Scott Kolbaba. While Kolbaba's book does not claim the same level of institutional scrutiny, it applies a similar spirit of rigorous observation to its cases. The physicians who share their stories provide clinical details that invite verification, and Kolbaba presents these details without embellishment. For readers in Yantai who appreciate both faith and evidence, the existence of formal miracle evaluation processes demonstrates that divine intervention and intellectual rigor are not mutually exclusive.
The theological concept of "common grace"—the idea that divine blessings are available to all people regardless of their religious affiliation—has particular relevance for understanding the physician accounts in "Physicians' Untold Stories" by Dr. Scott Kolbaba. In Reformed theology, common grace explains why good outcomes and beautiful things exist throughout the world, not only among believers. This concept may illuminate the observation that divine intervention in medical settings, as described by Kolbaba's physicians, does not appear to be restricted to patients of any particular faith.
Physicians in Yantai, Shandong who have witnessed unexplainable recoveries across the full spectrum of patient populations—religious and secular, devout and indifferent—may find in the concept of common grace a theological framework that matches their clinical observations. The accounts in Kolbaba's book include patients from diverse backgrounds, each of whom experienced something extraordinary. For the interfaith community of Yantai, this pattern suggests that divine healing, whatever its ultimate source, operates with a generosity that transcends the boundaries of any single religious tradition—a concept that invites both theological reflection and ecumenical dialogue.
The work of Sir John Eccles, Nobel laureate in physiology, on the mind-brain relationship provides a philosophical foundation for taking seriously the physician accounts of divine intervention compiled in "Physicians' Untold Stories" by Dr. Scott Kolbaba. Eccles, who received the Nobel Prize in 1963 for his work on synaptic transmission, spent the latter part of his career arguing against the identity theory of mind—the view that mental events are identical with brain events. In "How the Self Controls Its Brain" (1994) and earlier works with philosopher Karl Popper ("The Self and Its Brain," 1977), Eccles argued for a form of dualist interactionism in which the mind, while dependent on the brain for its expression, is not reducible to brain activity. Eccles proposed that the mind influences brain function at the quantum level, interacting with the probabilistic processes of synaptic transmission in a way that is consistent with the laws of physics but not fully determined by them. This framework, while controversial, opens theoretical space for the possibility that consciousness—whether human or divine—could influence physical outcomes in clinical settings. For physicians and scientists in Yantai, Shandong, Eccles's work is significant because it demonstrates that a rigorous scientist working at the highest level of his discipline found the materialist account of mind insufficient. The physician accounts in Kolbaba's book describe experiences—of guided intuition, of sensing a presence, of witnessing outcomes that exceeded physical causation—that are more naturally accommodated by Eccles's interactionist framework than by strict materialism.
The medical anthropology of miraculous healing, as explored by scholars including Thomas Csordas, Robert Orsi, and Candy Gunther Brown, provides a cross-disciplinary framework for interpreting the physician accounts in "Physicians' Untold Stories" by Dr. Scott Kolbaba. Csordas, in his ethnographic studies of Catholic Charismatic healing services, documented cases of physiological change occurring during prayer sessions, including measurable reductions in blood pressure, normalized blood glucose levels, and the resolution of chronic pain. Brown, in "Testing Prayer" (2012), examined the results of a prospective study of healing prayer conducted in Mozambique, which found statistically significant improvements in auditory and visual function among prayer recipients. These anthropological studies are significant because they employ rigorous ethnographic methods—participant observation, structured interviews, physiological measurement—to document phenomena that laboratory-based researchers have difficulty reproducing. For physicians in Yantai, Shandong, the medical anthropology of healing offers a complementary methodology to the clinical case reports in Kolbaba's book. Both approaches prioritize detailed observation of specific cases in their natural context, rather than attempting to isolate prayer as a variable in a controlled experiment. The convergence of findings across ethnographic fieldwork and clinical testimony suggests that the healing effects of prayer may be most visible not in randomized trials but in the particular, embodied encounters between faith and illness that occur in real communities—including the communities of Yantai.
When Physician Burnout & Wellness Intersects With Physician Burnout & Wellness
The impact of the electronic health record on physician burnout in Yantai, Shandong, extends beyond time consumption to a more fundamental disruption of the doctor-patient encounter. When a physician must face a computer screen while taking a patient's history, the quality of attention—the nuanced reading of facial expression, body language, and vocal tone that experienced clinicians rely on—is inevitably degraded. Dr. Abraham Verghese of Stanford has eloquently described this phenomenon as the "iPatient" problem: the digital representation of the patient receiving more attention than the actual patient in the room.
"Physicians' Untold Stories" is, in a sense, an argument against the iPatient. Every extraordinary account in Dr. Kolbaba's collection occurred through direct, human, present encounter—a physician at a bedside, watching, listening, and being present to something that no electronic record could capture. For Yantai's physicians who feel that the EHR has interposed itself between them and their patients, these stories are a reminder of what becomes possible when attention is fully given, and what is lost when it is divided.
The wellness industry that has sprung up around physician burnout in Yantai, Shandong, is itself a source of growing cynicism among doctors. Wellness vendors offer mindfulness apps, resilience coaching, stress management workshops, and burnout assessment tools—all for a fee, all promising solutions to a problem that physicians correctly identify as primarily systemic rather than personal. The phrase "physician wellness" has become, for many doctors, code for "institution deflects responsibility onto individual." This cynicism is rational and evidence-based, making it particularly resistant to well-intentioned interventions.
"Physicians' Untold Stories" cuts through this cynicism because it does not position itself as a wellness product. Dr. Kolbaba is a practicing physician sharing remarkable stories from his profession—not a consultant selling a burnout solution. This authenticity matters. For physicians in Yantai who have become allergic to anything packaged as "wellness," a book of true, extraordinary medical accounts offers engagement without the manipulative subtext. It is not trying to fix them; it is simply telling them stories that happen to be the kind of stories that make being a physician feel worth it again.
The resilience literature as applied to physician burnout has undergone significant theoretical evolution. Early resilience interventions in Yantai, Shandong, and elsewhere focused on individual-level traits and skills: grit, emotional intelligence, stress management techniques, and cognitive reframing. These approaches, while grounded in psychological science, were increasingly criticized for placing the burden of adaptation on the individual rather than on the systems that create the need for adaptation. The backlash against "resilience training" among physicians reached a peak during the COVID-19 pandemic, when healthcare institutions offered mindfulness webinars to frontline workers who lacked adequate PPE—a juxtaposition that crystallized the absurdity of individual-level solutions to structural problems.
Subsequent resilience scholarship has evolved toward an ecological model that recognizes resilience as a product of the interaction between individual capacities and environmental conditions. This model, articulated by researchers including Ungar and Luthar in the developmental psychology literature, suggests that "resilient" individuals are not those who possess extraordinary internal resources but those who have access to external resources—social support, meaningful work, adequate rest, and institutional fairness—that enable effective coping. "Physicians' Untold Stories" aligns with this ecological view. Dr. Kolbaba's book is an external resource—a culturally available narrative that provides meaning, wonder, and connection. For physicians in Yantai, it is not a demand to be more resilient but an offering that makes resilience more accessible by replenishing the inner resources that the healthcare environment depletes.
How This Book Can Help You
Grain co-op meetings, Rotary Club luncheons, and Lions Club dinners near Yantai, Shandong are unlikely venues for discussing medical mysteries, but this book has found its way into these gatherings because the Midwest doesn't separate life into neat categories. The farmer who reads about a physician's ghostly encounter over breakfast applies it to his own 3 AM experience in the barn, and the categories of 'medical,' 'spiritual,' and 'agricultural' dissolve into a single, coherent life.
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
A single drop of blood contains approximately 5 million red blood cells, 10,000 white blood cells, and 250,000 platelets.
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