Secrets of the ER: Physician Stories From Puyallup

Washington State's medical history is defined by the University of Washington School of Medicine in Seattle, which has been ranked the number one primary care medical school in the nation by U.S. News & World Report for over 25 consecutive years. The WWAMI (Washington, Wyoming, Alaska, Montana, Idaho) program, launched in 1971, trains physicians for the five-state region and is a model for regional medical education. Fred Hutchinson Cancer Center (formerly Fred Hutchinson Cancer Research Center), established in 1975 in Seattle, pioneered bone marrow transplantation under Dr. E. Donnall Thomas, who received the 1990 Nobel Prize in Physiology or Medicine for his work.

Seattle Children's Hospital, founded in 1907, has become a top-ranked pediatric center specializing in childhood cancer and genetic disorders. Virginia Mason Medical Center in Seattle adopted the Toyota Production System for healthcare (Virginia Mason Production System) in 2002, becoming an internationally recognized model for quality improvement and patient safety. Harborview Medical Center, the only Level I trauma center for the WWAMI region, serves as the primary trauma and burn center for the Pacific Northwest. The state also played a role in the early COVID-19 pandemic response; the Life Care Center in Kirkland was the first identified major outbreak site in the United States in February 2020, with 37 deaths among residents and staff.

Washington State's supernatural folklore is dominated by Sasquatch, or Bigfoot, which has deep roots in the Pacific Northwest. The Coast Salish peoples of Puget Sound have longstanding traditions about the Ts'emekwes, a large, hairy wild man of the forests. Modern Bigfoot reports in Washington intensified after the famous Patterson-Gimlin film was shot just across the border in Northern California in 1967, and the state consistently leads the nation in reported sightings. The Ape Caves on the southern slope of Mount St. Helens—actually a 2-mile lava tube—take their name from a local scout troop called the "Apes" but the association with Bigfoot has made them a popular destination for cryptozoologists.

The Northern State Hospital in Sedro-Woolley, which operated from 1912 to 1973, is considered one of the most haunted locations in the Pacific Northwest. Over 1,500 patients died at the facility and were buried in a cemetery on the grounds. Visitors report hearing screams, seeing apparitions in the windows of remaining buildings, and encountering an overwhelming sense of despair on the former hospital grounds. The Meeker Mansion in Puyallup, built in 1890 by Ezra Meeker—a pioneer who crossed the Oregon Trail in 1852—is reportedly haunted by Meeker's wife Eliza Jane, who died in the home.

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 is the global center of near-death experience research. Dr. Raymond Moody coined the term 'near-death experience' in his 1975 book 'Life After Life,' sparking decades of scientific inquiry. The University of Virginia's Division of Perceptual Studies, founded by Dr. Ian Stevenson, has documented over 2,500 cases of children reporting past-life memories.

Dr. Sam Parnia at NYU Langone Health led the landmark AWARE-II study, published in 2023, which found that 39% of cardiac arrest survivors had awareness during clinical death, with brain activity detected up to 60 minutes into CPR. Dr. Bruce Greyson at the University of Virginia developed the Greyson NDE Scale in 1983, still the gold standard for measuring NDE depth. An estimated 15 million Americans — roughly 1 in 20 adults — have reported a near-death experience.

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 Pacific Northwest's tradition of leaving wild spaces wild near Puyallup, Washington—protected wilderness, unmanicured urban nature, deliberate preservation of old growth—provides healing environments that manicured landscapes cannot replicate. The healing power of wilderness lies partly in its refusal to accommodate human preferences: it is what it is, and the patient who enters it must adapt rather than control. This surrender is therapeutic.

The Pacific Northwest's culture of repair near Puyallup, Washington—mending clothes, fixing bicycles, patching boats, maintaining old houses—provides a metaphor for medical healing that resonates with the region's residents. The body, like a well-loved wooden boat, doesn't need to be replaced when it's damaged; it needs to be repaired with skill, patience, and quality materials. The Pacific Northwest heals through craftsmanship, treating the body as an object worthy of careful restoration.

The Pacific Northwest's tradition of silent retreats near Puyallup, Washington—from Zen sesshins to Quaker retreats to secular silent weekends—provides a healing practice that requires no belief, no theology, and no spiritual framework. The silence itself is the practice, and its effects—reduced anxiety, improved sleep, enhanced self-awareness—are accessible to anyone willing to stop talking and start listening. The Pacific Northwest's faith is sometimes simply the faith that silence is sufficient.

The 'spiritual but not religious' demographic near Puyallup, Washington defines the Pacific Northwest's faith landscape. More residents here claim no religious affiliation than in any other region, yet they describe rich spiritual lives—meditation practices, nature reverence, psychedelic exploration, energy work—that profoundly affect their healthcare decisions. The physician who can engage with this diffuse spirituality serves their patients more completely.

The 1964 Good Friday earthquake in Alaska sent a tsunami that struck Pacific Northwest coastal communities near Puyallup, Washington, destroying homes, businesses, and the small medical facilities that served them. The ghosts of tsunami victims appear on anniversary dates and during coastal storm warnings, arriving in emergency departments soaking wet and disoriented, asking if the wave has passed. For these ghosts, the wave never passes.

Salmon spawning runs near Puyallup, Washington provide the Pacific Northwest's most powerful metaphor for the cycle of life and death. Hospitals along salmon rivers report that patient deaths increase during spawning season—not in numbers, but in their quality. Patients who die during the salmon run die with an acceptance that seems to draw from the salmon's example: the return home, the completion of purpose, the release of the body into the river of mortality.