Secrets of the ER: Physician Stories From Iwaki
Every physician practicing in Iwaki carries memories of patients whose outcomes simply cannot be explained by textbooks or training. Dr. Scott Kolbaba collected these accounts in "Physicians' Untold Stories" because he understood a profound truth: that doctors across Tohoku and beyond have witnessed events that challenge the very foundations of medical science. From spontaneous remissions of stage IV cancers to the sudden reversal of irreversible neurological damage, these stories represent medicine's greatest mysteries. They are not anecdotes traded at dinner parties — they are cases backed by laboratory results, pathology reports, and the stunned testimony of entire medical teams. For readers in Iwaki, these accounts carry a special resonance because they remind us that healing sometimes follows paths no physician can map.
Ghost Traditions and Supernatural Beliefs in Japan
Japan has one of the world's most sophisticated and deeply embedded ghost traditions, known collectively as yūrei (幽霊) culture. Unlike Western ghosts, Japanese spirits are categorized by type: onryō are vengeful ghosts driven by hatred or jealousy, goryō are spirits of the aristocratic dead who cause calamity, and ubume are the ghosts of mothers who died in childbirth. The most famous onryō, Oiwa from the kabuki play 'Yotsuya Kaidan' (1825), is so powerful that the cast and crew traditionally visit her grave before every performance to prevent disaster.
The Obon festival (お盆), celebrated each August, is one of Japan's most important observances. For three days, the spirits of ancestors are believed to return to visit the living. Families clean graves, hang lanterns to guide spirits home, and perform Bon Odori dances. At the festival's end, floating lanterns are released on rivers to guide spirits back to the afterlife.
Aokigahara, the 'Sea of Trees' at the base of Mount Fuji, has a reputation as one of the world's most haunted forests. Japanese folklore associates the forest with yūrei, and the area has been linked to supernatural stories for centuries. Throughout Japan, Buddhist temples conduct Segaki ceremonies to feed 'hungry ghosts' — spirits trapped in the realm of unsatisfied desire.
Near-Death Experience Research in Japan
Japanese near-death experiences show fascinating cultural variations from Western NDEs. Researcher Carl Becker at Kyoto University found that Japanese NDEs frequently feature rivers or bodies of water as boundaries between life and death — consistent with Buddhist and Shinto traditions where rivers separate the world of the living from the dead. Rather than tunnels of light, Japanese NDE experiencers often describe flower gardens, which mirrors the Buddhist concept of the Pure Land. Japanese psychiatrist Takashi Tachibana published extensive NDE research in the 1990s. The concept of rinne (輪廻) — the cycle of death and rebirth from Buddhist tradition — provides a cultural framework for understanding NDEs that differs fundamentally from Western interpretations.
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 Japan
Japan's spiritual healing traditions center on practices like Reiki, developed by Mikao Usui in 1922, which has spread worldwide. The Shinto tradition of misogi (禊) — purification through cold water immersion — has been studied for potential health benefits. Japan's Buddhist temples have long served as places of healing, and the practice of healing prayer (kitō) remains common. Medical records from Japanese hospitals have documented cases of spontaneous remission that defy conventional explanation, though Japan's medical culture tends to be more reserved about publicizing such cases than Western institutions.
The History of Grief, Loss & Finding Peace in Medicine
High school sports injuries near Iwaki, Tohoku 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 Iwaki, Tohoku 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 Iwaki, Tohoku—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 Iwaki, Tohoku 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 Iwaki, Tohoku
Farm accident ghosts—a uniquely Midwestern category—haunt rural hospitals near Iwaki, Tohoku 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 Iwaki, Tohoku—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.
Miraculous Recoveries
The concept of terminal illness carries enormous weight in medicine. When a physician in Iwaki 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 Iwaki, Tohoku, 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.
In pediatric oncology, the phenomenon of spontaneous regression is particularly well-documented in neuroblastoma, a cancer of the developing nervous system that primarily affects children under five. Stage 4S neuroblastoma, a specific form of the disease, has a remarkably high rate of spontaneous regression — estimated at up to 90% in some studies — despite the fact that the tumors can be widespread throughout the body. This observation has led researchers to hypothesize that the immature immune system plays a role in these remissions.
Dr. Kolbaba's "Physicians' Untold Stories" includes cases of unexpected pediatric recoveries that resonate deeply with parents and physicians in Iwaki, Tohoku. These stories, while consistent with the medical literature on neuroblastoma regression, extend beyond it to include cases where no such biological explanation is available — cases where children recovered from conditions that mature immune systems, let alone immature ones, should not have been able to overcome.
Caryle Hirshberg's pioneering research on spontaneous remission, conducted in collaboration with the Institute of Noetic Sciences, established several important principles that inform the accounts in "Physicians' Untold Stories." First, Hirshberg demonstrated that spontaneous remission occurs across virtually every type of cancer and many other diseases previously considered incurable. Second, she showed that remission is not always sudden — it can occur gradually, over weeks or months, complicating detection and documentation.
Third, and perhaps most significantly for readers in Iwaki, Tohoku, Hirshberg found that many patients who experienced spontaneous remission reported making significant changes in their lives around the time of their recovery — changes in diet, lifestyle, relationships, spiritual practice, or psychological outlook. While these changes do not constitute a recipe for healing, they suggest that spontaneous remission is not purely random but may be influenced by factors within the patient's awareness and, potentially, within their control.
The placebo effect literature contains a category of response known as the "mega-placebo" — cases where patients receiving inert treatments experience healing outcomes that dramatically exceed the typical magnitude of placebo responses. These cases, while rare, have been documented across multiple therapeutic contexts and suggest that the mind's capacity to influence the body is not limited to the modest effects typically observed in clinical trials. Some researchers, including Fabrizio Benedetti at the University of Turin, have proposed that mega-placebo responses may involve the activation of endogenous healing systems — opioid, cannabinoid, and dopamine pathways — that, when fully engaged, can produce physiological changes comparable to active drug treatment.
The recoveries documented in "Physicians' Untold Stories" may represent phenomena on the extreme end of this spectrum — cases where the body's endogenous healing systems were activated to a degree that exceeds anything observed in placebo research. For neuroscience and pharmacology researchers in Iwaki, Tohoku, these cases raise the possibility that the body possesses self-healing mechanisms of far greater power than current models suggest — mechanisms that can, under the right conditions, produce outcomes that rival or exceed the effects of the most powerful drugs. Understanding the conditions that activate these mechanisms is arguably one of the most important challenges in 21st-century medicine.
The concept of "type C personality" — a psychological profile characterized by emotional suppression, conflict avoidance, and excessive niceness — was proposed by researchers in the 1980s as a potential risk factor for cancer. While the evidence for a direct link between personality type and cancer incidence remains controversial, research has shown that emotional suppression is associated with impaired immune function, elevated cortisol levels, and increased inflammatory markers — all of which could theoretically promote tumor growth and impair the body's ability to fight cancer.
Several patients in "Physicians' Untold Stories" whose cancers regressed spontaneously described undergoing significant psychological transformations during or before their recovery — transitions from emotional suppression to authentic emotional expression, from passive acceptance to active engagement, from hopelessness to renewed purpose. These transformations, while not reducible to the type C framework, are consistent with the hypothesis that psychological change can influence immune function and, potentially, cancer outcomes. For psycho-oncology researchers in Iwaki, Tohoku, these cases provide clinical observations that support further investigation of the relationship between psychological transformation and cancer regression.
Physician Burnout & Wellness
Physician wellness programs in Iwaki and across the country have proliferated in recent years, but their effectiveness varies widely. The most successful programs share common features: they are physician-led rather than administratively imposed, they address systemic drivers of burnout rather than individual coping skills alone, and they create safe spaces for physicians to share vulnerabilities without professional consequences.
Dr. Kolbaba's book has been incorporated into physician wellness programs as a reading assignment — a tool for prompting discussion about the spiritual and emotional dimensions of medical practice. For wellness programs in Iwaki, the book offers a unique advantage: it does not pathologize physicians or treat burnout as an individual failing. Instead, it reconnects physicians to the wonder and meaning of their profession through stories that remind them why medicine, at its best, is not just a career but a calling.
The gender dimension of physician burnout in Iwaki, Tohoku, deserves particular attention. Research consistently shows that female physicians report higher rates of burnout than their male counterparts, driven by a combination of factors including greater emotional labor, disproportionate domestic responsibilities, gender-based harassment and discrimination, and the "maternal wall" that penalizes physicians who prioritize family obligations. Yet female physicians also demonstrate stronger communication skills, higher patient satisfaction scores, and—according to a landmark study in JAMA Internal Medicine—lower patient mortality rates.
The paradox is striking: the physicians who may be best for patients are most at risk of leaving the profession. "Physicians' Untold Stories" speaks to all burned-out physicians regardless of gender, but its emphasis on emotional engagement with the mysteries of medicine may hold particular resonance for female physicians in Iwaki whose empathic orientation—often dismissed as a professional liability—is reframed by Dr. Kolbaba's accounts as a gateway to the most profound experiences in clinical practice.
The administrative burden on physicians in Iwaki, Tohoku, has reached a tipping point that threatens the viability of independent practice. Studies show that for every hour of direct patient care, physicians spend nearly two hours on administrative tasks, with prior authorization alone consuming an estimated 34 hours per week per practice. This administrative creep does not merely waste time—it corrodes professional identity, transforming physicians from autonomous healers into data entry clerks constrained by insurance company algorithms and government reporting mandates.
"Physicians' Untold Stories" responds to this identity crisis with stories that reaffirm what physicians actually are. Dr. Kolbaba's accounts remind readers that physicians are not documenters, coders, or data processors—they are witnesses to the most profound moments in human life, including moments that transcend medical explanation. For Iwaki's physicians who have forgotten this truth under the weight of paperwork, these stories are not merely entertaining—they are restorative, reconnecting doctors with a professional identity that no amount of administrative burden can permanently erase.
The concept of "death by a thousand cuts" has been applied to physician burnout by researchers who argue that it is not any single stressor but the cumulative effect of countless minor frustrations that drives physicians out of medicine. Dr. Christine Sinsky, vice president of professional satisfaction at the AMA, has documented the "pebbles in the shoe" of daily practice: the EHR login that requires multiple passwords, the prior authorization fax that goes unanswered, the policy that mandates documentation of a negative review of systems for every visit, the meeting that could have been an email. Each pebble, taken individually, is trivial. Collectively, they create an environment so friction-laden that the fundamental acts of medicine—listening, examining, diagnosing, treating—become secondary to the administrative apparatus that surrounds them.
Sinsky's ethnographic time-motion studies, published in the Annals of Internal Medicine, provide the most granular data available on how physicians in Iwaki, Tohoku, and nationwide actually spend their time. The findings are sobering: for every hour of direct patient care, physicians spend nearly two hours on EHR and desk work, with an additional one to two hours of after-hours work at home. These ratios invert the purpose of medical practice—the physician exists to serve the record, not the patient. "Physicians' Untold Stories" represents a conscious inversion of this inversion. Dr. Kolbaba's accounts center the patient encounter—in all its mystery and wonder—as the irreducible core of medical practice, reminding physicians that the pebbles, however numerous, cannot bury the bedrock.
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 Iwaki, Tohoku, 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.
Where Miraculous Recoveries Meets Miraculous Recoveries
Among the most striking patterns in "Physicians' Untold Stories" is the timing of many unexplained recoveries. In case after case, dramatic improvement occurred during or immediately after episodes of intense prayer, meditation, or spiritual experience. Dr. Kolbaba presents these temporal correlations without making causal claims, respecting the scientific training that prevents him from drawing conclusions that the data cannot support.
Yet the pattern is difficult to ignore, and for readers in Iwaki, Tohoku, it raises profound questions about the relationship between spiritual practice and physical healing. Are these correlations merely coincidental — the result of selective memory or confirmation bias? Or do they point toward genuine mechanisms by which consciousness, intention, or faith can influence biological processes? "Physicians' Untold Stories" does not answer these questions, but it insists, with quiet authority, that they are questions worth asking.
The story of multiple sclerosis in medical literature is, with very rare exceptions, a story of progressive decline. Patients may experience remissions and exacerbations, but the overall trajectory of the disease — particularly in the progressive forms — is one of increasing disability. The brain lesions that characterize MS are generally considered irreversible; lost myelin does not regenerate, and damaged neurons do not repair themselves.
Yet Barbara Cummiskey's case, as documented in "Physicians' Untold Stories," contradicts this understanding entirely. Not only did her symptoms resolve completely, but her brain lesions — visible on MRI, documented by multiple neurologists — vanished. For neurologists in Iwaki, Tohoku, this case represents not just a medical mystery but a direct challenge to fundamental assumptions about neurological disease. If one patient's brain can reverse this kind of damage, what does that imply about the brain's potential for healing in general?
The concept of terminal lucidity — the unexpected return of mental clarity in patients with severe dementia, brain damage, or other neurological conditions shortly before death — has been documented in medical literature for centuries but has received serious scientific attention only in the past two decades. Michael Nahm's landmark 2009 review identified over 80 case reports in the medical literature, many involving patients whose brains showed extensive structural damage incompatible with normal cognitive function. These cases challenge the assumption that consciousness is strictly dependent on brain structure and suggest that the relationship between mind and brain is more complex than materialist neuroscience has proposed.
Dr. Kolbaba's "Physicians' Untold Stories" includes cases that resemble terminal lucidity but diverge from it in a crucial way: instead of a brief rally followed by death, these patients experienced sustained recoveries of cognitive and physical function. For neuroscientists in Iwaki, Tohoku, these cases raise fundamental questions about the brain's capacity for functional recovery. If a patient with extensive brain damage can regain full cognitive function — even temporarily — what does that tell us about the brain's redundancy, plasticity, and potential for repair? And if the recovery proves durable, as it does in some of Kolbaba's cases, what mechanisms could account for the apparent restoration of function in damaged tissue?
How This Book Can Help You
County medical society meetings near Iwaki, Tohoku 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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