The Hidden World of Medicine in Texarkana

Arkansas's death customs are deeply rooted in Ozark mountain folkways and Delta African American traditions. In the Ozarks, the tradition of 'telling the bees'—informing the household's beehives that the beekeeper has died, lest the bees die or swarm away—persisted well into the 20th century. Mirrors were covered, clocks stopped, and the body was laid out in the parlor with coins on the eyes. In the Delta region, African American funerary traditions include singing sorrow songs, decorating graves with broken pottery and glass to let the spirit escape, and processional walks to the cemetery that blend Baptist hymns with older spiritual traditions brought from the Deep South.

Arkansas's medical history centers on the University of Arkansas for Medical Sciences (UAMS) in Little Rock, founded in 1879 as the Medical Department of Arkansas Industrial University. UAMS grew into the state's only academic medical center and a critical healthcare provider for the rural Delta region. Arkansas Children's Hospital, established in 1912, became one of the largest pediatric facilities in the United States. Dr. Edith Irby Jones, who in 1948 became the first African American student admitted to a Southern medical school at UAMS, broke a profound racial barrier in American medical education.

The state's rural character shaped its medical challenges profoundly. The Rockefeller Sanitary Commission's hookworm eradication campaign in the early 1900s focused heavily on Arkansas, where the parasitic disease was endemic in the impoverished Delta counties. Hot Springs, Arkansas became a nationally known medical destination, with the Army and Navy General Hospital (now the Hot Springs Rehabilitation Center) treating soldiers since the Civil War, and Bathhouse Row serving as a center for hydrotherapy that drew visitors seeking cures for rheumatism, arthritis, and syphilis throughout the 19th century.

The United States has been at the forefront of medical innovation since the 18th century. Massachusetts General Hospital in Boston performed the first public surgery using ether anesthesia in 1846 — an event known as 'Ether Day' that changed surgery forever. The 'Ether Dome' where it occurred is still preserved.

Bellevue Hospital in New York City, established in 1736, is the oldest public hospital in the United States. The Mayo Clinic in Rochester, Minnesota — where Dr. Scott Kolbaba trained — was founded by the Mayo brothers in the 1880s and pioneered the concept of integrated, multi-specialty group practice that became the model for modern healthcare.

The first successful heart transplant in the U.S. was performed in 1968, and American institutions have led breakthroughs in everything from the polio vaccine (Jonas Salk, 1955) to the first artificial heart implant (1982). Today, the National Institutes of Health in Bethesda, Maryland, is the world's largest biomedical research agency.

The United States has one of the world's richest ghost story traditions, rooted in a blend of Native American spirit beliefs, European colonial folklore, and African American spiritual practices. From the headless horseman of Sleepy Hollow — immortalized by Washington Irving in 1820 — to the restless spirits of Civil War battlefields at Gettysburg, American ghost lore reflects the nation's turbulent history.

New Orleans stands as the undisputed spiritual capital of American ghost culture, where West African Vodou merged with French Catholic mysticism to create a tradition where the boundary between living and dead remains permanently thin. The city's above-ground cemeteries, known as 'Cities of the Dead,' are among the most visited supernatural sites in the world. Marie Laveau, the Voodoo Queen of New Orleans, is said to still grant wishes to those who mark three X's on her tomb.

Appalachian ghost traditions draw from Scots-Irish folklore, with tales of 'haints' — restless spirits trapped between worlds. In the Southwest, Native American traditions speak of skinwalkers and spirit animals, while Hawaiian culture reveres the Night Marchers — ghostly processions of ancient warriors whose torches can still be seen along sacred paths.

The United States has documented numerous cases of unexplained medical recoveries. In Dr. Kolbaba's own book, a physician describes a patient declared brain-dead who suddenly recovered after family prayer. The Lourdes Medical Bureau has certified one American miracle cure. Cases of spontaneous remission from terminal cancer have been documented at institutions including MD Anderson Cancer Center and Memorial Sloan Kettering. The National Library of Medicine contains over 1,000 published case reports of 'spontaneous remission' across various cancers and autoimmune diseases — recoveries that defy current medical explanation.

Catholic hospitals in the Southeast near Texarkana, Arkansas inherit the legacy of religious sisters who nursed Confederate and Union soldiers alike—a radical act of medical neutrality rooted in the Beatitudes. The Daughters of Charity, Sisters of Mercy, and Dominican Sisters built hospitals across the South at a time when no secular institution would serve the poor. Their spirit persists in mission statements that prioritize the vulnerable.

Southern Quaker communities near Texarkana, Arkansas, though small, have contributed disproportionately to medical ethics through their testimony of equality—the insistence that every person, regardless of status, deserves equal care. Quaker-founded hospitals in the South were among the first to treat Black and white patients in the same wards, a radical act of faith-driven medicine that took secular institutions decades to follow.

Civil War battlefield spirits are woven into the fabric of Southern medicine near Texarkana, Arkansas. Field hospitals set up in churches, schoolhouses, and private homes created hauntings that persist to this day. Surgeons who amputated limbs by candlelight left behind something more than blood stains—they left the sounds of their work, replaying on humid summer nights when the air is thick enough to hold memory.

Tobacco Road poverty and the medical neglect it produced created ghosts near Texarkana, Arkansas that are less theatrical and more tragic than the aristocratic spirits of plantation lore. These are the specters of sharecroppers who died of pellagra, children who perished from hookworm, women who bled to death in childbirth because the nearest doctor was fifty miles away. Their hauntings are quiet—just a footstep, a cough, a baby's cry.

Duke University's Rhine Research Center, one of the oldest parapsychology laboratories in the world, sits in the heart of the Southeast. Its decades of research into consciousness and perception have influenced how physicians near Texarkana, Arkansas think about the boundaries between mind and brain. The South's academic NDE research tradition is older, deeper, and more established than many outsiders realize.

Drowning NDEs along the Southeast's rivers, lakes, and coastline near Texarkana, Arkansas represent a distinct subcategory of the phenomenon. These water-related NDEs frequently include a specific element absent from cardiac-arrest NDEs: a period of profound peace while submerged, a sensation of the water becoming warm and luminous, and an experience of breathing underwater as if the lungs had found a medium they were designed for.

The psychological burden of experiencing premonitions is rarely discussed but deeply felt by the physicians who report them. Knowing — or believing you know — that a patient will die creates an emotional experience that is qualitatively different from clinical prognostication. The physician who predicts death based on clinical data feels sad but prepared. The physician who predicts death based on a dream feels haunted, uncertain, and burdened by a form of knowledge they did not ask for and cannot explain.

Dr. Kolbaba's interviews revealed that many physicians who experience premonitions struggle with questions of responsibility: if I knew this patient was going to die, should I have done something differently? If I received information in a dream and did not act on it, am I culpable? These questions have no clinical or legal answers, but they carry enormous psychological weight. For physicians in Texarkana wrestling with similar questions, the book offers the comfort of shared experience and the reassurance that these questions are not signs of instability but of conscience.

The societal implications of widespread physician precognition — if it exists as the accounts in Dr. Kolbaba's book suggest — would be profound. A healthcare system that acknowledged and developed physicians' precognitive capacities would look very different from the current system, which treats all forms of non-evidence-based knowledge as illegitimate. It might include training programs for developing clinical intuition, protocols for integrating dream-based information into clinical decision-making, and a professional culture that rewards openness to non-rational sources of knowledge rather than punishing it.

Such a transformation is, of course, far from current reality. But Dr. Kolbaba's book takes the first essential step: documenting that physician precognition exists, that it saves lives, and that the physicians who experience it are not aberrant but exemplary. For the medical community in Texarkana and beyond, this documentation is an invitation to consider whether the current boundaries of legitimate clinical knowledge are drawn too narrowly.

The practical question for physicians who experience premonitions — 'What should I do with this information?' — has been addressed by several physician ethicists and commentators. Dr. Larry Dossey recommends a pragmatic approach: treat premonition-based information as you would any other clinical data point — evaluate it in context, weigh it against other evidence, and act on it when the potential benefit outweighs the potential risk. Dr. Kolbaba's physician interviewees independently arrived at a similar approach, often describing a decision calculus in which the specificity of the premonition, the severity of the potential outcome, and the cost of acting on the premonition (in terms of unnecessary tests or delayed discharge) were weighed against each other. For physicians in Texarkana who experience premonitions, this pragmatic framework provides guidance that is both ethically sound and clinically practical.