Secrets of the ER: Physician Stories From State College

Pennsylvania's death customs span centuries of cultural tradition. The Pennsylvania Dutch practice of Totenbild—creating a death portrait or memorial picture of the deceased—dates to the colonial era and persists in some Lancaster County Amish communities, where simplicity in death is paramount: plain pine coffins, hand-dug graves, and burial within three days without embalming. In Pittsburgh's Polish neighborhoods like Polish Hill and Lawrenceville, traditional wakes include reciting the rosary over the body for two nights, with kielbasa, pierogi, and dark rye bread served to mourners. Philadelphia's African American community has a tradition of elaborate homegoing celebrations, where funeral processions through neighborhoods like Germantown and North Philadelphia include open cars displaying flowers and portraits of the deceased.

Pennsylvania is the birthplace of American medicine. The University of Pennsylvania's Perelman School of Medicine, founded in 1765 by Dr. John Morgan and Dr. William Shippen Jr., is the oldest medical school in the United States. Pennsylvania Hospital, founded in 1751 by Benjamin Franklin and Dr. Thomas Bond, was the nation's first hospital. The Hospital of the University of Pennsylvania pioneered the first general-purpose electronic computer (ENIAC) in partnership with the School of Engineering, and its medical innovations include the development of the first general anesthesia using diethyl ether by Dr. Crawford Long's contemporaries and the first cadaveric organ transplant program.

The University of Pittsburgh School of Medicine gained worldwide fame when Dr. Jonas Salk developed the polio vaccine there in 1955. Thomas Jefferson University Hospital in Philadelphia, founded in 1825, has been a leader in surgery and rehabilitation medicine. Hershey Medical Center, established in 1963 with a donation from the Milton Hershey School Trust, brought academic medicine to central Pennsylvania. The state also bears the history of the Eastern State Penitentiary, which pioneered solitary confinement in 1829 and caused such severe psychiatric deterioration among inmates that Charles Dickens described it as "rigid, strict, and hopeless" after his 1842 visit.

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.

The Northeast's seasons provide a natural metaphor for healing that physicians near State College, Pennsylvania see played out in their patients. The long, dark winter of illness gives way to a tentative spring of recovery. Patients who began treatment in January's despair often find themselves, by April, surprised by their own capacity to bloom again. The body's will to heal mirrors the land's will to thaw.

The Northeast's medical conferences near State College, Pennsylvania bring together physicians who, for a few days, step outside the relentless pace of clinical practice to remember why they chose medicine. The best conferences aren't about the latest drug or device—they're about the case that changed a physician's perspective, the patient who taught a lesson no textbook contained, the moment when medicine became something sacred.

The Protestant work ethic that built the Northeast's industrial economy near State College, Pennsylvania created a medical culture that values productivity, efficiency, and outcomes. But this same ethic can pathologize rest, make patients feel guilty for being sick, and pressure physicians to see more patients faster. The tension between faith-driven industry and faith-driven compassion plays out daily in Northeast hospitals.

The tradition of visiting the sick—bikur cholim in Judaism, the corporal works of mercy in Catholicism—creates a volunteer infrastructure near State College, Pennsylvania that supplements professional medical care. Faith communities that organize meal deliveries, transportation to appointments, and companionship for homebound patients provide a social determinant of health that no hospital can replicate.

Maritime ghost stories along the Northeast coast often intersect with medicine in ways landlocked regions never experience. In State College, Pennsylvania, the old port hospitals that once treated sailors carry tales of drowned men appearing on gurneys, their clothes soaking wet, only to vanish when a nurse turns to fetch a chart. The Atlantic has always given up its dead reluctantly.

New York's Bellevue, the oldest public hospital in America, has seeded ghost stories that have migrated to every Northeast medical facility, including those near State College, Pennsylvania. The tale of the night nurse who follows her rounds exactly as she did in 1903 has been adapted and localized across the region, but the core details—the starched white cap, the carbolic acid smell, the gentle tucking of blankets—never change.