Medicine, Mystery & the Divine Near Curridabat
What would you do if a patient you had pronounced terminally ill walked into your Curridabat clinic six months later, completely healthy? This is not a hypothetical question for the physicians in Dr. Scott Kolbaba's remarkable book. "Physicians' Untold Stories" documents case after case of recoveries that left doctors speechless — not because they lacked medical knowledge, but because their knowledge had no framework for what they witnessed. In Curridabat, San José, as in hospitals worldwide, these miraculous recoveries happen more often than the medical establishment acknowledges. Dr. Kolbaba's courage in collecting and sharing these accounts has opened a long-overdue conversation about the boundaries of what medicine can explain and what lies beyond those boundaries.
Ghost Traditions and Supernatural Beliefs in Costa Rica
Costa Rica's ghost traditions are rooted in a blend of Indigenous Bribri and Cabécar spiritual beliefs, Spanish colonial Catholicism, and Afro-Caribbean traditions from the Limón coast. The Bribri people of the Talamanca region believe in Sibö, the creator god, and maintain a complex cosmology where the dead travel to a place below the earth. Bribri shamans (awá) serve as spiritual intermediaries and healers, communicating with spirits through sacred cacao ceremonies — cacao being considered the sacred blood of the divine.
Costa Rican mestizo folklore includes several iconic supernatural figures. La Llorona, the weeping woman searching for her drowned children, is heard near rivers and streams throughout the Central Valley. La Segua (or Cegua), a beautiful woman who appears to unfaithful men on horseback and reveals a horse's skull face when approached, is one of Costa Rica's most distinctive ghost legends. El Cadejos, a large supernatural dog (appearing as either a white protective spirit or a black malevolent one), accompanies travelers at night. La Tulevieja, a woman cursed for abandoning her child and transformed into a hideous creature with a leaf-like face, haunts forests and waterways.
The Afro-Caribbean community of Limón province, descended from Jamaican workers who built the Atlantic railroad in the late 19th century, brought obeah spiritual practices and Caribbean ghost beliefs, including duppies (ghosts) and spirit communication traditions. These coastal traditions add a distinct layer to Costa Rica's supernatural folklore, creating a ghost culture that varies significantly between the Hispanic highlands and the Caribbean lowlands.
Near-Death Experience Research in Costa Rica
Costa Rica's perspective on near-death experiences is shaped by its Catholic majority and the diverse spiritual traditions of its Indigenous and Afro-Caribbean communities. Bribri beliefs about the soul's journey after death — descending through various levels of the underworld before reaching its final destination — share structural similarities with NDE tunnel and journey narratives. The Afro-Caribbean community's beliefs about duppies and spirit survival after death, brought from Jamaica, provide alternative frameworks for understanding consciousness after clinical death. Costa Rica's well-developed healthcare system and high life expectancy mean that many deaths occur in clinical settings where NDE phenomena can be observed and documented. The country's medical community, while primarily trained in evidence-based medicine, operates within a culture that remains deeply Catholic and spiritually open, creating a context where healthcare professionals may be more willing to discuss and document end-of-life experiences than their counterparts in more rigidly secular medical cultures.
Medical Fact
Physicians who eat meals with colleagues at least 3 times per week report significantly lower burnout and higher job satisfaction.
Miraculous Accounts and Divine Intervention in Costa Rica
Costa Rica's miracle traditions center on its patron saint, the Virgen de los Ángeles (Our Lady of the Angels), whose small stone statue was reportedly found by a mestiza girl named Juana Pereira on August 2, 1635, on a rock in Cartago. According to tradition, the statue repeatedly returned to the rock after being moved, and a spring that emerged beneath the rock is believed to have healing properties. The Basílica de Nuestra Señora de los Ángeles in Cartago is Costa Rica's most important pilgrimage site, and every August 2, approximately two million Costa Ricans (nearly half the population) participate in the Romería — a pilgrimage walk to the basilica, many on their knees, seeking healing or giving thanks. The basilica's collection of milagros (small metal charms representing healed body parts) and ex-votos testifies to centuries of claimed miraculous healings. Bribri healing traditions, centered on the awá shamans who use medicinal plants and spiritual rituals, document healings attributed to spiritual intervention.
The History of Grief, Loss & Finding Peace in Medicine
The Midwest's tornado recovery efforts near Curridabat, San José demonstrate a healing capacity that extends beyond individual patients to entire communities. When a tornado destroys a town, the rebuilding process—coordinated through churches, schools, and civic organizations—becomes a communal therapy that treats collective trauma through collective action. The community that rebuilds together heals together. The hammer is medicine.
Harvest season near Curridabat, San José creates a surge in agricultural injuries that Midwest emergency departments handle with practiced efficiency. But the healing that matters most to these farming families isn't just physical—it's the reassurance that the crop will be saved. Neighbors who harvest a hospitalized farmer's fields are performing a medical intervention: they're removing the stress that would impede the patient's recovery.
Medical Fact
A 5-minute gratitude exercise before starting a clinical shift improves physician mood and patient satisfaction scores.
Open Questions in Faith and Medicine
Sunday morning hospital rounds near Curridabat, San José have a different quality than weekday rounds. The pace is slower, the conversations longer, the white coats softer. Some Midwest physicians use Sunday rounds to ask the questions weekdays don't allow: 'How are you really doing? What are you afraid of? Is there someone you'd like me to call?' The Sabbath tradition of rest and reflection permeates the hospital, creating space for the kind of honest exchange that healing requires.
Quaker meeting houses near Curridabat, San José practice a communal silence that has therapeutic applications no one intended. Patients from Quaker backgrounds who request silence during procedures—no music, no chatter, no television—are drawing on a faith tradition that treats silence as the medium through which healing speaks. Physicians who honor this request discover that surgical outcomes in quiet rooms are measurably better than in noisy ones.
Ghost Stories and the Supernatural Near Curridabat, San José
Midwest hospital basements near Curridabat, San José contain generations of medical equipment—iron lungs, radium therapy machines, early X-ray units—stored rather than discarded, as if the hospitals can't quite let go of their past. Workers who enter these storage areas report the machines activating on their own: iron lungs cycling, X-ray tubes glowing, EKG machines printing rhythms. The technology remembers its purpose.
The Midwest's abandoned mining towns, their populations drained by economic collapse, have left behind hospitals near Curridabat, San José that sit empty and haunted. These ghost towns within ghost towns produce the most desolate hauntings in American medicine: not dramatic apparitions but subtle signs of absence—a children's ward where the swings still move, a maternity ward where a bassinet still rocks, everything in motion with no one there to cause it.
Miraculous Recoveries
One of the most poignant aspects of "Physicians' Untold Stories" is the impact that witnessing miraculous recoveries has had on the physicians themselves. Several contributors describe their experiences as pivotal moments in their careers — events that fundamentally altered how they practice medicine, how they communicate with patients, and how they understand their role as healers. For some, the experience deepened an existing faith. For others, it sparked a spiritual journey they had never anticipated.
For physicians practicing in Curridabat, San José, these personal testimonies are perhaps as valuable as the medical cases themselves. They demonstrate that witnessing the unexplained does not require abandoning scientific rigor. Instead, it can deepen a physician's commitment to honest inquiry while expanding their compassion and humility. Dr. Kolbaba's book shows that the best physicians are not those who have all the answers but those who remain open to questions they never expected to face.
The relationship between stress and disease has been extensively studied, with research consistently showing that chronic stress impairs immune function, accelerates cellular aging, and increases susceptibility to a wide range of illnesses. Less studied, but equally important, is the relationship between stress relief and recovery. Some researchers have hypothesized that the sudden resolution of chronic stress — whether through spiritual experience, psychological breakthrough, or changed life circumstances — may trigger healing processes that were previously suppressed.
Several accounts in "Physicians' Untold Stories" are consistent with this hypothesis. Patients who experienced dramatic recoveries often described concurrent changes in their psychological or spiritual state — a sudden sense of peace, a release of long-held fear, a transformative spiritual experience. For psychoneuroimmunology researchers in Curridabat, San José, these accounts suggest a possible mechanism for at least some spontaneous remissions: the removal of chronic stress as a barrier to the body's innate healing capacity.
The phenomenon of deathbed recovery — cases where terminally ill patients experience a sudden, unexpected improvement in the hours or days before death — is one of the most mysterious in all of medicine. Also known as terminal lucidity, this phenomenon is well-documented in medical literature and has been observed across cultures, centuries, and disease types. Patients with advanced dementia suddenly regain clarity. Comatose patients awaken. Paralyzed patients move.
While terminal lucidity is typically brief and ultimately followed by death, some cases documented in "Physicians' Untold Stories" describe a different trajectory — patients whose "deathbed" recovery proved to be not a final rally but the beginning of a sustained return to health. For physicians in Curridabat, San José who have witnessed terminal lucidity, these cases raise a provocative question: Is the brief recovery that often precedes death a glimpse of a healing capacity that the dying brain is able to activate — a capacity that, in some patients, proves sufficient to reverse the process of dying itself?
The Institute of Noetic Sciences Spontaneous Remission Bibliography, compiled by Caryle Hirshberg and Brendan O'Regan and published in 1993, remains the most comprehensive catalogue of medically documented spontaneous remissions ever assembled. Drawing on over 800 references from medical literature in more than 20 languages, the bibliography documents cases of spontaneous remission across virtually every category of disease, including cancers of every organ system, autoimmune conditions, infectious diseases, and degenerative neurological disorders. What makes this resource particularly significant is its reliance exclusively on published medical literature — case reports from peer-reviewed journals that met editorial standards for documentation and verification.
Dr. Scott Kolbaba's "Physicians' Untold Stories" extends this tradition of documentation by adding a dimension that the bibliography necessarily lacks: the voices of the physicians themselves. While Hirshberg and O'Regan catalogued the medical facts, Kolbaba captures the human experience — the disbelief, the wonder, the professional risk of speaking about events that defy medical explanation. For readers in Curridabat, San José, the combination of these two resources creates a compelling picture: spontaneous remission is not rare, not fictional, and not confined to any single disease, population, or era. It is a persistent feature of human biology that the medical profession has documented extensively but studied inadequately. Kolbaba's contribution is to insist that this neglect is not sustainable — that the sheer volume of documented cases demands a scientific response.
Herbert Benson's research on the relaxation response, conducted over four decades at Harvard Medical School, demonstrated that meditation and prayer can produce measurable physiological changes: decreased heart rate, reduced blood pressure, lower oxygen consumption, and altered brain wave patterns. More recent research by his group has shown that the relaxation response also affects gene expression, upregulating genes associated with energy metabolism and mitochondrial function while downregulating genes associated with inflammation and oxidative stress. These findings provide a biological framework for understanding how meditative and prayer practices might influence physical health.
Dr. Kolbaba's "Physicians' Untold Stories" documents cases where prayer and spiritual practice appeared to correlate with healing outcomes far more dramatic than the relaxation response alone would predict. For mind-body medicine researchers in Curridabat, San José, the question is whether the relaxation response represents the lower end of a spectrum of prayer-induced physiological changes — whether more intense, sustained, or transformative spiritual experiences might produce correspondingly more dramatic biological effects. Benson himself has acknowledged this possibility, and the cases in Kolbaba's book provide the clinical observations that might help define the upper reaches of this spectrum.
Physician Burnout & Wellness
The specialty-specific patterns of burnout in Curridabat, San José, reflect both the unique demands of each field and the universal pressures of modern medicine. Emergency physicians face the relentless pace of acute care and the moral distress of treating patients whose suffering is rooted in social determinants—poverty, addiction, violence—that medicine alone cannot fix. Surgeons contend with the physical toll of long operative cases and the psychological weight of outcomes that hinge on technical perfection. Primary care physicians drown in panel sizes that make meaningful relationships with patients nearly impossible.
Yet across these differences, a common thread emerges: the loss of connection to medicine's deeper purpose. "Physicians' Untold Stories" addresses this universal loss through narratives that transcend specialty. Whether a reader is an emergency physician, a surgeon, or a family doctor in Curridabat, Dr. Kolbaba's accounts of the inexplicable in medicine touch the same nerve—the one that first activated when they decided to devote their lives to healing, and that burnout has been slowly deadening.
Telemedicine, accelerated by the COVID-19 pandemic, has introduced new dimensions to physician burnout in Curridabat, San José. While telehealth offers flexibility and eliminates commuting time, it has also blurred the boundaries between work and home, increased screen fatigue, and reduced the physical presence that many physicians find essential to meaningful patient interaction. Research published in the Journal of General Internal Medicine suggests that telemedicine may reduce one aspect of burnout (time pressure) while exacerbating another (emotional disconnection), creating a net-zero or even negative effect on overall wellness.
"Physicians' Untold Stories" speaks to the disconnection that screen-mediated medicine can produce. Dr. Kolbaba's accounts are overwhelmingly stories of presence—a physician at a bedside, a patient's eyes meeting a doctor's in a moment of crisis, the laying on of hands that no video call can replicate. For physicians in Curridabat who are navigating the trade-offs of telemedicine, these stories serve as anchors, reminding them of what is gained and what is at risk when the healing encounter moves from the exam room to the screen.
The financial toxicity of physician burnout extends beyond institutional costs to the broader healthcare economy in Curridabat, San José. When physicians burn out and leave practice, patients lose access, communities lose healthcare capacity, and the economic multiplier effect of physician spending diminishes. A single primary care physician generates an estimated $2.4 million in annual economic activity through direct patient care, ancillary services, and downstream healthcare utilization. The loss of that physician to burnout represents not just a personal tragedy but a significant economic contraction for the local community.
Viewed through this economic lens, investments in physician wellness—including seemingly modest ones like providing physicians with books that restore their sense of calling—represent high-return propositions. "Physicians' Untold Stories" costs less than a single wellness seminar registration, yet its potential impact on physician retention and engagement is significant. For healthcare system leaders in Curridabat calculating the ROI of wellness interventions, Dr. Kolbaba's book deserves consideration not as a luxury but as a cost-effective tool for protecting one of the community's most valuable economic and human assets.
The epidemiology of compassion fatigue among physicians in Curridabat, San José, draws on the foundational work of Charles Figley, who defined compassion fatigue as the "cost of caring" for those in emotional pain. Figley's model distinguishes between primary traumatic stress (from direct exposure to trauma) and secondary traumatic stress (from empathic engagement with traumatized individuals), arguing that healthcare providers are vulnerable to both. The Professional Quality of Life Scale (ProQOL), developed by Beth Hudnall Stamm, operationalizes this model by measuring compassion satisfaction, burnout, and secondary traumatic stress as three interrelated dimensions.
Research using the ProQOL in physician populations has revealed a consistent pattern: compassion satisfaction—the positive feelings derived from helping others—serves as a significant buffer against both burnout and secondary traumatic stress. Physicians who maintain high compassion satisfaction, even in high-acuity specialties, report lower overall distress. This finding has important implications: interventions that increase compassion satisfaction may be as effective as those that reduce stressors. "Physicians' Untold Stories" is precisely such an intervention. Dr. Kolbaba's extraordinary accounts increase compassion satisfaction by reminding physicians in Curridabat of the profound privilege of their work—a privilege that manifests most clearly in the moments when medicine transcends the ordinary and touches something inexplicable.
Research on the relationship between meaning in work and burnout has identified a paradox specific to physicians: despite consistently reporting that they find their work meaningful (85% in a 2019 JAMA study), physicians also report among the highest burnout rates of any profession. This 'meaning-burnout paradox' suggests that meaning alone is not protective against burnout when working conditions are sufficiently toxic. However, the research also suggests that meaning serves as a buffer — physicians who report high meaning in their work are less likely to leave practice, even when burned out, than physicians who report low meaning. Dr. Kolbaba's book directly enhances physicians' sense of meaning by demonstrating that medical practice is connected to something transcendent. For physicians in Curridabat who feel trapped between the meaningfulness of their calling and the misery of their working conditions, the book offers not an escape but a lifeline — proof that the meaning is real, even when the conditions are brutal.
Miraculous Recoveries Through the Lens of Miraculous Recoveries
The concept of terminal illness carries enormous weight in medicine. When a physician in Curridabat tells a patient that their condition is terminal, that assessment reflects a careful evaluation of the disease, the available treatments, and the statistical evidence. It is not a judgment made lightly. Yet "Physicians' Untold Stories" documents multiple cases where patients who received terminal diagnoses went on to achieve complete recoveries — living not just weeks or months beyond their prognosis, but years and decades.
These cases do not invalidate the concept of terminal illness. They do, however, complicate it. Dr. Kolbaba suggests that the language of terminal diagnosis, while necessary and often accurate, may sometimes foreclose possibilities that remain open. For patients and families in Curridabat, San José, this nuance matters enormously. It does not mean that every terminal diagnosis is wrong, but it does mean that certainty about the future — even medical certainty — should always be held with a measure of humility.
Researchers have long noted that spontaneous remission of cancer appears to occur more frequently in certain tumor types — renal cell carcinoma, neuroblastoma, melanoma, and certain lymphomas — than in others. This observation, while not fully explained, suggests that biological factors play a role in these remissions and that they are not purely random events. Some researchers hypothesize that these tumor types may be particularly immunogenic, making them more susceptible to immune-mediated regression.
Dr. Scott Kolbaba's "Physicians' Untold Stories" includes cases spanning multiple tumor types, some consistent with this immunogenicity hypothesis and others that challenge it. For oncology researchers in Curridabat, San José, these accounts add valuable anecdotal evidence to the growing case for systematic study of spontaneous remission. Understanding why certain tumors regress spontaneously could revolutionize cancer treatment — transforming what is currently a medical mystery into a therapeutic strategy.
The Barbara Cummiskey case, central to Physicians' Untold Stories, has been independently verified by multiple neurologists. Cummiskey was diagnosed with progressive multiple sclerosis in 1972 and deteriorated over the next 19 years to a state of near-total disability. Her medical records document bilateral optic neuritis, progressive quadriparesis, dysphagia, and respiratory failure requiring supplemental oxygen. MRI imaging confirmed extensive demyelination throughout her central nervous system. In June 1981, following a reported spiritual experience in which she heard a voice telling her to get up and walk, Cummiskey suddenly and completely recovered all motor function. She walked out of her room unassisted, ate a full meal, and spoke clearly for the first time in years. Follow-up imaging showed resolution of previously documented lesions. No pharmacological, surgical, or rehabilitative intervention can account for the reversal of established demyelination. The case has been presented at medical conferences and cited in multiple publications on the intersection of faith and healing.
How This Book Can Help You
For Midwest medical students near Curridabat, San José who are deciding whether to pursue careers in rural medicine, this book provides an unexpected argument for staying close to home. The most extraordinary medical experiences described in these pages didn't happen in gleaming academic centers—they happened in small hospitals, in patients' homes, in the intimate spaces where medicine and mystery share a room.
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
Physicians who practice reflective meditation report feeling more present and connected with their patients.
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