True Stories From the Hospitals of Qena

Egypt is the birthplace of organized medicine. The Edwin Smith Papyrus (c. 1600 BCE) is the world's oldest known medical text, describing 48 surgical cases with rational diagnoses and treatments. The Ebers Papyrus (c. 1550 BCE) contains over 700 remedies. Imhotep, who lived around 2650 BCE, is considered the first physician known by name in history — he was later deified as the god of medicine.

Alexandria's medical school, founded in the 3rd century BCE, performed the first systematic human dissections. The tradition continued through the Islamic Golden Age, when Cairo's Bimaristan (hospital) system provided free healthcare to all, including dedicated wards for mental illness. Today, Egypt's Kasr Al-Ainy Hospital, founded in 1837, is one of the Middle East's leading teaching hospitals, and the ancient medical traditions are studied alongside modern practice.

No civilization in history invested more in the afterlife than ancient Egypt. The Egyptian Book of the Dead (properly the 'Book of Coming Forth by Day'), written on papyrus and placed in tombs, served as a guidebook for navigating the afterlife. The ancient Egyptians believed in the ka (life force), ba (personality/soul), and akh (the glorified spirit that joined the gods). Elaborate mummification processes were designed to preserve the body so the ba could return to it.

Modern Egyptian ghost traditions blend ancient beliefs with Islamic and Coptic Christian spirituality. The djinn — supernatural beings created from 'smokeless fire' mentioned in the Quran — are widely believed to inhabit abandoned buildings, desert ruins, and ancient tombs. Tomb workers in the Valley of the Kings report mysterious occurrences, and archaeologists have long noted the 'curse of the pharaohs,' popularized after the death of Lord Carnarvon shortly after opening Tutankhamun's tomb in 1922.

The Pharaonic Village in Cairo recreates ancient funeral processions, and Egyptians today maintain a complex relationship with their pre-Islamic past. The tradition of visiting family graves on feast days — particularly during Eid and Shamm el-Nessim — reflects a continuity of ancestor veneration that stretches back 5,000 years.

Egypt's miracle traditions span multiple faiths. The annual phenomenon at the Cave Church of St. Simon in Mokattam (Cairo) draws thousands seeking healing. The Coptic Christian tradition celebrates numerous miracles attributed to the Holy Family's journey through Egypt and to saints like St. Mark and Pope Kyrillos VI. In 1968, apparitions of the Virgin Mary were reportedly seen by hundreds of thousands at the Church of the Virgin in Zeitoun, Cairo — observed by Muslims, Christians, and atheists alike, and investigated by both the Coptic Patriarchate and Egyptian government. Islamic healing traditions, including visits to the tombs of Sufi saints, remain popular throughout the country.

Amish and Mennonite communities near Qena, Upper Egypt don't typically report hospital ghost stories—their theology doesn't accommodate restless spirits. But physicians who serve these communities note something that might be the inverse of a haunting: an extraordinary stillness in rooms where Amish patients are dying, as if the community's collective faith creates a zone of peace that displaces whatever else might be present.

The Midwest's one-room schoolhouses, many of which were converted to medical clinics before being abandoned, have seeded ghost stories near Qena, Upper Egypt that blend education and medicine. The ghost of the schoolteacher-turned-nurse—a Depression-era figure who taught children by day and dressed wounds by night—appears in rural medical facilities across the heartland, forever multitasking between her two callings.

Research at the University of Iowa near Qena, Upper Egypt into the effects of ketamine and other dissociative anesthetics has revealed pharmacological parallels to NDEs that complicate the 'dying brain' hypothesis. If a drug can produce an experience structurally identical to an NDE in a healthy, living brain, then NDEs may not be products of death at all—they may be products of a neurochemical process that death happens to trigger.

Pediatric cardiologists near Qena, Upper Egypt encounter childhood NDEs with increasing frequency as survival rates for congenital heart defects improve. These children's accounts—simple, unadorned, and free of religious or cultural overlay—provide some of the most compelling NDE data in the literature. A five-year-old who describes meeting a grandmother she never knew, and correctly identifies her from a photograph, presents a research challenge that deserves more than dismissal.

County fairs near Qena, Upper Egypt host health screenings that reach populations who would never visit a doctor's office voluntarily. Between the pig races and the pie-eating contest, fairgoers get their blood pressure checked, their vision tested, and their cholesterol measured. The fair transforms preventive medicine from a clinical obligation into a community event—and the corn dog they eat afterward is part of the healing, too.

The Midwest's tradition of barn raisings—communities gathering to build what no individual could construct alone—finds its medical equivalent near Qena, Upper Egypt in the fundraising dinners, charity auctions, and GoFundMe campaigns that pay for neighbors' medical bills. The Midwest doesn't wait for insurance to cover everything. It passes the hat, fills the plate, and does what needs to be done.

Christina Puchalski's development of the FICA Spiritual History Tool transformed the practice of spiritual assessment in clinical settings. The FICA tool — which stands for Faith/beliefs, Importance/influence, Community, and Address/action — provides physicians with a structured, respectful framework for exploring patients' spiritual lives. The tool was designed to be brief enough for routine clinical use, open enough to accommodate any faith tradition or spiritual perspective, and clinically focused enough to elicit information relevant to patient care.

Research on the FICA tool and similar instruments has shown that spiritual assessment improves patient-physician communication, increases patient satisfaction, and helps physicians identify spiritual distress that may be affecting health outcomes. Importantly, research also shows that patients overwhelmingly want their physicians to address spiritual concerns — surveys consistently find that 70-80% of patients believe physicians should be aware of their spiritual needs, and 40-50% want physicians to pray with them. Dr. Kolbaba's "Physicians' Untold Stories" illustrates what happens when physicians respond to these patient preferences: deeper relationships, greater trust, more comprehensive care, and, in some cases, healing outcomes that purely biomedical approaches did not achieve. For medical educators and practitioners in Qena, Upper Egypt, Kolbaba's book provides compelling evidence that spiritual assessment is not a peripheral concern but a central component of patient-centered care.

The concept of "salutary faith" — religious belief and practice that contributes positively to health — has been distinguished by researchers from "toxic faith" — belief and practice that harms health. This distinction is crucial for the faith-medicine conversation because it acknowledges that religion is not uniformly beneficial. Research has identified several characteristics of salutary faith: a benevolent image of God, an intrinsic (personally meaningful) rather than extrinsic (socially motivated) religious orientation, participation in a supportive community, and the use of collaborative (rather than passive or self-directing) religious coping strategies.

Dr. Kolbaba's "Physicians' Untold Stories" predominantly documents cases consistent with salutary faith — patients whose benevolent, intrinsic, communal, and collaborative faith appeared to support their healing. The book does not ignore the existence of toxic faith, but it focuses on cases where faith functioned as a health resource rather than a health risk. For healthcare providers and chaplains in Qena, Upper Egypt, this distinction is clinically important. Supporting patients' faith lives means not merely endorsing religiosity in general but helping patients cultivate the specific forms of faith that research has shown to be health-promoting — and gently addressing forms of faith that may be contributing to distress.

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 Qena, Upper Egypt, 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.

Over 90 percent of U.S. medical schools now include content on spirituality and health in their curricula, according to surveys by the Association of American Medical Colleges. This represents a dramatic shift from the strict scientific secularism that characterized medical education throughout most of the 20th century. The shift has been driven by accumulating evidence that patients' spiritual lives affect their health outcomes, by patient demand for physicians who address spiritual needs, and by a growing recognition that treating the whole person requires attending to all dimensions of the human experience.

Dr. Scott Kolbaba's "Physicians' Untold Stories" provides a vivid case for why this curricular shift matters. The physicians in his book who engaged with their patients' spiritual lives — who prayed with them, listened to their faith stories, and honored their spiritual needs — consistently describe these encounters as among the most meaningful and clinically productive of their careers. For medical educators in Qena, Upper Egypt, Kolbaba's book offers teaching material that no textbook can replicate: firsthand accounts from practicing physicians about how attending to the spiritual dimension of care changed their practice and, in some cases, their patients' outcomes.

The evidence linking gratitude — a virtue cultivated in virtually every religious tradition — to physical health has grown substantially in recent years. Studies by Robert Emmons at UC Davis and others have shown that regular gratitude practice is associated with improved sleep quality, reduced inflammation, lower blood pressure, and enhanced immune function. Gratitude appears to influence health through multiple pathways, including stress reduction, improved social relationships, and increased engagement in health-promoting behaviors.

Dr. Kolbaba's "Physicians' Untold Stories" does not explicitly address gratitude as a health practice, but many of the patients whose recoveries are documented in the book describe profound experiences of gratitude during or after their healing — gratitude toward God, toward their physicians, toward their communities, and toward life itself. For healthcare providers in Qena, Upper Egypt, this observation suggests a bidirectional relationship between gratitude and healing: gratitude may promote health, and health restoration may deepen gratitude, creating a positive feedback loop that sustains recovery.

The relationship between physician spirituality and clinical outcomes has been examined in several studies with surprising results. A study published in BMC Medical Education found that medical students who reported strong spiritual or religious beliefs scored higher on empathy scales and demonstrated better patient communication skills than their secular peers. A separate study in the Journal of General Internal Medicine found that physicians who described themselves as spiritual were more likely to discuss psychosocial issues with patients, more likely to refer patients to counseling, and less likely to report emotional exhaustion. These findings suggest that physician spirituality may not be merely a personal characteristic but a clinical competency — one that enhances the therapeutic relationship and improves the quality of care. For the medical education institutions that train physicians for practice in Qena, these findings raise important questions about whether spiritual development should be included in medical curriculum alongside clinical skills and scientific knowledge.