speaking articles schlagbytes about products contact

A Good Day To Die

October 12th, 2014

I loved that scene in the movie “Little Big Man” where Chief Dan George is preparing to depart for the spirit world and tells Dustin Hoffman ‘today is a good day to die”. The Native American concept that you can decide how, when, or where you choose to abandon your life force, has always appealed to me.

In the current healthcare climate we rarely get to make those decisions because they are made for us. Our culture celebrates the denial of death; we encourage interventional medicine that pursues life at all costs; even when the outlook is terminal. Doctors don’t ask patients what their priorities are, what’s important to them, or how they want to spend their last days.

Things are changing though, I just saw a YouTube video that went viral about a 29-year-old woman with an inoperable brain tumor, who has decided when she wants to leave this world. Brittany Maynard’s story is that soon after she got married, on New Year’s Day of 2014, she experienced severe headaches. A thorough workup revealed an aggressive brain cancer, and doctors told her she had less than a year to live.

In her video (http://youtu.be/yPfe3rCcUeQ), Brittany says that she wants to spend the rest of her life traveling around the world. In these last nine months she has traveled to Yellowstone National Park with her husband, been to Alaska with her best friend and mother, and says she is still setting goals for herself. Brittany wants to use this time to raise awareness and advocate for more death with dignity laws. So far only Oregon, Washington, Montana, Vermont, and New Mexico allow terminally ill residents to end their lives using lethal medications prescribed by a doctor and administered by the patients themselves.

Brittany has left her California home and moved to Oregon with her husband in order to qualify for the States, Death With Dignity Act; she has received the drugs to end her life. I applaud Brittany’s efforts in bringing to the forefront this critically important conversation in healthcare. We need to be asking terminal patients what they want, what’s most important to them at this time in their lives; sharing their memories, passing on wisdom and keepsakes, connecting with loved ones, maybe even make some lasting contribution to the world, and then help them achieve those goals. These closing moments are among lifes most important, not only for those dying but for those who are left behind.

Brittany still wants to go to the Grand Canyon, I’d like to take her there myself (maybe introduce her to some Native American ceremonies). In the meantime I’m supporting her at (www.thebrittanyfund.org).

Brittany Maynard may live a short life but she will leave a lasting imprint in the history of our humanity.

My love and blessings go with you Brittany, thank you for the gift of your life, I say this for all my relations. Mi Takuye Oyacin.

nn_05cmc_life_141009.nbcnews-video-reststate-560 brittany-maynard-600

Reunion Nostalgia

September 28th, 2014

I’ve never gone to a reunion before; not high school, college, or until now to medical school. This was my 50th medical school reunion from SUNY Upstate Medical University in Syracuse, and I really wanted to go.

My adult life began in Syracuse; I got married during the Christmas break of my first year in medical school, and had two children by the time I graduated. We were a small class of 82 people and I knew them all. The last time I saw or spoke with any of them was 50 years ago, when we were freshly minted MD’s. We had survived the fiery baptism that is medical education, with its emotionally and physically exhausting workload, intense pressure, and horrendous hours. This is why physicians are more than twice as likely as non-physicians to kill themselves; some 400 doctors commit suicide in the United States every year, and many during their training years.

Before going to our reunion I wondered…would we recognize each other, could we reconnect with the intimacy of those initiation years. It turned out to be an amazing experience, and the reconnections were easy and intimate (after an initial delay in recognition, since the people we revealed on our nametags were taken at our graduation). About 1/3 of the class showed up (most still married to their first wives); we had become professors, researchers, and practitioners of every specialty.

We talked late into the night at receptions, outings, dinners and bars, where we laughed, cried, and reveled in nostalgia. I was surprised at the intensity of our bonding; perhaps it was the acute awareness of how much everything had changed… from our bodies to the neighborhoods. At the soul level we were still the same characters we always were, and seeing them all reminded me of how important it is to stay connected. Those people and places remind you of what you like best about yourself and that your story is not over; the final chapter has not been written, we are still writing new endings to our stories.
Go with joy on the journey and with my blessings in the Jewish New Year 5775.





Ebola Healing

September 17th, 2014

The Ebola virus is epidemic in Liberia, with people left dying in the streets. If a family member has died or if you have symptoms nobody talks about it, because the government has been singularly non-supportive and/or punitive.

Unfortunately, anyone who has been in contact with an Ebola victim and walks away is a ticking time bomb. There are 1.5 million people in Monrovia, the capital city where the infection and death rates are escalating daily. There are critical shortages of all treatment resources from hospital beds to health workers, and vehicles to remove the dead.

Into this lethal outbreak walks Dr. Mosoka Fallah, a 44-year-old epidemiologist/immunologist with extensive experience working in humanitarian crisis with Doctors Without Borders. Dr. Fallah, who now lives in the U.S., grew up in Monrovia’s poorest neighborhood before getting a doctorate in microbiology and immunology at the University of Kentucky, an MPH from Harvard.

Now that the pathogen has been identified and antidotes/vaccines developed, everyone must be informed about how to protect him or herself. Dr. Fallah has plunged into the slums to search for any information about dead or sick people, and remove bodies before the disease spreads. But spreading the word requires a community who believe in what you are saying and doing, who trust that you will deliver, and be there with them.

Dr. Fallah recruited leaders in the community to spread the word, they believed in him, knew he was one of them, and trusted that he would be there with them. Dr. Fallah said (NYT Sept. 14. 2014) if they don’t trust you they’ll hide the body and you’ll never know who has been exposed and the virus will keep spreading. The surveillance teams instruct the community on the use of bleach and water to wash their hands; the youth have raised money to print an eight-page informational pamphlet.

Dr  Mosoka Fallah inspires me, he provides living testimony of a compassionate healer,  restores my faith in the healing profession, and in our humanity.  We treat the sick in hospitals, but we heal and prevent disease ain communities. I made a contribution to their Ebola program in Dr. Fallah’s honor @  www.doctorswithoutborders.org.

P.S. For those of you out there who want to magnify your power to heal come join Mona Polacca and me Dec. 7-9, 2014 in Phoenix, AZ. for our Turtle Island Project retreat entitled Rituals and Ceremonies of Healing. Early bird discounts still apply.

A Miraculous Day

September 1st, 2014

Just back from my annual clown trip to Iquitos, Peru with Patch Adams M.D., and 130 clowns from all over the world, where we participate in the Belen Project. It is a community preventative health initiative that’s been going on for 10 years; that in addition to our clowning work (visiting hospitals, children’s workshops, street theater, painting murals), we also conduct mental health clinics in the streets which I’ve described in detail before ( http://www.healingdoc.com/blogs/category/articles/ )

The professionals who staff these clinics are all clowns, who in addition are healthcare professionals from many disciplines (doctors, social workers, nurses, psychologists, counselors, chaplain/ministers, body workers), all work with people and their problems.

The Gesundheit! model features a one time, 20 minute, intense heartfelt encounter, intently listening and focusing less on the trauma, and more on the patients strengths and resilience. We don’t make diagnoses or prescribe medication, but we sometimes give away amulets and blessings. In the 3 years I’ve been doing this, we find that in this short time one can make a heartfelt connection that can inspire hope. This year I broke the rule and saw someone a second time.

Maria is a 42-year-old woman who was acutely suicidal. She woke up, and after her morning prayers, decided today was the day she was going to kill herself. After 6 months of unbearable suffering she’d had enough; told me her 20-year-old daughter had been raped 6 months ago and was now pregnant. Maria’s family blamed her, saying if she hadn’t divorced her husband 15 years earlier, this would not have happened. Maria knew she was not to blame, in which I concurred, but alas she could not, as her family suggested, get over it and move on.

I told her I thought today was a miracle; this morning she was ready to die, and this afternoon we showed up on her street. What are the odds of that happening? I also said I believed her and that she could kill herself so she had two choices; she could be hospitalized, or she could make me a promise at least for today and tonight she would not kill herself. I would give her an amulet that had been blessed by Navajo and Huichol Shaman, and I wanted her to hold it during tomorrows morning prayers; she would feel our blessings and remember this miraculous day that we found one another. Perhaps tomorrow she could make a promise to herself to live for another day.

After the clinic, I couldn’t get her out of my mind, so I asked my clinic coordinator to check in on her the next day. We were going to be conducting another clinic not far from her home, and to invite her to the next clinic we would be conducting in a few days and to please bring her daughter as well.

Maria showed up not only with her six-months pregnant daughter, but also her younger 18-year-old daughter. Together they told me the rest of the story. Both girls had been raped (the younger over a year ago), and both by different maternal uncles. They had never spoken about it to anyone outside the family, and although Maria confronted her brothers she refused to press charges (this is not a culture in which women seek legal redress and prosecute their rapists).

At the end, I gave both the girls an amulet and blessed the family; whatever they faced they would face it better together. Their love for each other would be showered on this new baby, along with blessings of many relatives all over the world.

It doesn’t take a long time to connect at the soul level if you are actively in the moment, and it is in those miraculous moments that we are reminded of our shared humanity.

PS: If you want to connect with your own healing power check out the only workshop I will be doing with Mona Polacca this year entitled Rituals and Ceremonies of Healing (http://healingdoc.com/rituals-and-ceremonies-of-healing.php )

CIMG7084 10469088_10204449334580560_6533917266405864031_n10557185_719929228078130_1358577332417463279_n

Robin and Patch

August 19th, 2014

I learned of Robin Williams’ death while I was with Patch Adams MD on our annual clown trip to the Peruvian Amazon. We are here with supporting the Belen Project a community health initiative that’s been going on here for the last 10 years.

Clowns from all over the world have been coming to this impoverished community in the middle of the Amazon floodplain to work with children, collaborate with community service organizations, conduct street clinics, paint homes, and create murals… all promoting community health.

As soon as the news of Robin’s suicide came out reporters appeared at the door of Patch’s hotel asking for his response. Patch, in his usual style, told them he was here working with the Belen Project and wanted to talk about that. The media had no interest in pursuing that, and Patch told them that he lamented this tragic loss of Robin’s genius talent, and was grateful for his extraordinary gifts that reminded people of our shared humanity.

There is no question that the movie made Patch the most recognized humanitarian clown in the world, but the fact is Patch hadn’t spoken or corresponded with Robin (or anybody else involved in the movie) after the first year of its release.

The movie is not what Patch Adams MD is all about, that’s a Hollywood version, and the story ends when Patch graduates from medical school at age 25. Patch is now 69 years old, and for the last 40+ years still trying to build his hospital in West Virginia. He has committed his life to supporting his prophetic vision that love can heal individuals, communities, and planet.

The reporters weren’t interested in his tireless work for peace and social justice; they only wanted his thoughts on Robin Williams The problems in Belen (gut wrenching poverty, disease, violence, sexual exploitation, political disenfranchisement) were not reported because the worship of celebrity and sensationalism seems to be more real.

Robin could make us laugh until we couldn’t catch our breath, but he extinguished his own because of his suffering. I lament the loss of this comic genius, and am pained that no drug or doctor could save him from himself.

Patch said, “ I wish we could have become pals… I could have loved him in his loneliness.

Patch wanted to add his own commentary, so I encourage those of you who only read my Schlagbytes, to also watch this one.

DSCN0746 DSCN0744 DSCN0733

Losing it and Finding it

August 3rd, 2014

During my recent trip to the Pacific Northwest, I was out was asked to assess a woman who’d been diagnosed with early onset dementia and subsequent Parkinsonism when she was 60.

Dee is a former physical education teacher and fitness expert whose escalating lapses in memory, thinking, and judgment were making her anxious and depressed. Doctors prescribed medications for all her symptoms, but some of their side effects left her tired and more forgetful.

We talked on a back porch, on the cool evening while watching the sun set. Dee was well dressed, engaging, conversational, with a sense of humor, in short, seemed quite together. She was oriented in every arena; she knew where she was, whom she was with, and events in the world. Then in a flash, she’d suddenly stop in mid sentence, and have no idea what she’d been talking about. She acknowledged the lapse, asked me where she was in the conversation, and when I reminded her, continued on without hesitation.

These lapses escalated her anxiety, and she was unforgiving of herself for these new limitations. Her husband was devoted to her care, and always by her side. He was clearly wearing down, the stress escalating the frequency of his cardiac arrhythmias.

Dee and I sat on rockers, both under blankets watching the sunset. It’s farewell glow created a halo over the distant snowcapped peaks as we talked intimately about the things that were important to us.

My six year-old Grandson was playing nearby, and the scene was so breathtakingly beautiful that I felt my voice quiver when I spoke. I told Dee that Native people looking at the setting sun and say…thank you for this day and for the one that will come tomorrow. I told her everything changes, the way it was is not the way it is, and it’s up to us to find a way to be happy in this moment. Look how beautiful this is, and as I watched my Grandson I felt my eyes moisten. I told Dee to visit with an animal loving, tree hugging, sage burning friend of mine who had faced some serious losses herself and could help her create more moments just like this.

An estimated 15% of the population over 65 is diagnosed with a dementia, and 33% will be affected by the time they are 85. As a culture we’re getting older, and it’s imposing an enormous burden on families and caregivers. We don’t need to be over-medicating our elderly, we do need to be making more personal connections…(support groups for patients and caregivers, chaplains, friends and relatives, people who will walk the dog with you, see the flowers, hear the music, listen to each others stories), these are all the things that stimulate our physical, sensory and cognitive abilities.

We cannot cure dementia but a community coming together can make the path a healing journey.

Fluorescent Stories

July 22nd, 2014

For the first time in at least a year and a half, I left my computer and all wireless contact behind for five days. I say this with some chagrin because I have railed endlessly about how imprisoned we are becoming by the instruments that were intended to free us but end up chaining us. But this is the time of year we celebrate our annual family reunion at Oregon Country Fair, this place we ceremonially separate ourselves from our ordinary reality to live in the community that celebrates the art, science and spirit of living together in harmony with people and planet.

I love coming here, although it’s not easy living. This is the only place I still tent camp, use portable toilets and washbasins.  We live side by side, in a multi-generational community of about 20 families, many of whom we only see at this time. The OCF is always an extraordinary experience… music, theater, vaudeville, saunas, clowning as The Truth Fairy, intellectual stimulation, and the camaraderie of friends who live in a spirit of tolerance.

This year’s most personally impactful moment was when I spoke to four boys (aged 5 through 12. We were sitting under a tent canopy illuminated by a fluorescent lamp, and I told the colorful Native American story about two boys who were once sworn enemies but later became brothers.

My grandson fell asleep in my arms not long after I started talking (which happens frequently among my family members), but it still left 75% of my audience staring hypnotically with   mouths open in awe. I can’t remember the last time I have left an audience so entranced.

Native American legends hold that if you can tell the stories you learned from your great-grandfather to your grandchildren then your tribe will survive forever. Stories, myths, ceremonies, that transmit an ethic of morality and teach us something about how to live in the world.

Our future is not ensured through the transmission of our DNA, but through the transmission of our stories. So get away and play, separate yourself from your ordinary reality, leave your wireless instruments behind and remember another way to tell your story .

IMG_2658 IMG_2636 IMG_2605 DSCN0667

What is Clown Therapy?

July 10th, 2014

The Clown/Fool/Jester is a recognizable figure in every culture in recorded history. The clown is an archetype, a human characteristic that’s biologically embedded in the mind, universally present in the human psyche. There are many archetypes; Kings, Warriors, Princesses, Wizards, and Demons, and they are all pieces of ourselves that all reflect unconscious patterns and appear in dreams, myths, fairytales, and wisdom stories.

The Clown archetype is a character that lightens the mood, pokes fun, is irreverent, provides social commentary, flaunts taboos, diffuses anxiety, and embodies healing wisdom. The Clown stands at the threshold between reality and imagination, and in that space allows us to see the world from another perspective.

The literature is filled with both anecdotal and research evidence about the therapeutic efficacy of humor. Laughing in the face of tragedy seems to shield a person from its effects; it even seems to have a buffering effect against physical pain. It’s abundantly clear that the central nervous system, cardiovascular and immune systems are all strengthened by laughter and joyful connections.

The Gesundheit! model of clown therapy is to have clown-clinicians, healthcare practitioners all of whom make their living working with people with problem’s…(doctors, nurses, counselors, social workers, body workers, nutritionists, traditional healers). What distinguishes these clinicians is their willingness to get out of their heads and connect with people at the heart level. Clown therapists trust their intuition, are willing to open channels into their unconscious minds and find something to say or do they might be helpful.

We see people for short periods of time (15-20 minutes), and in public places. We wear clown noses, and are active listeners, which means we are acutely present in every moment. We talk to anyone about anything that’s important to him or her. We do not make diagnoses or prescribe pills. The clown-therapist can acknowledge suffering without becoming consumed by it. In the midst of crises they don’t “awful-ize” or “catastrophe-ize”, instead they can identify what gives their patients meaning in their lives and find a way to reveal to them what they still have inside that his not been lost.

My own journey into clown therapy came late in my career as a psychiatrist. I was middle-aged, and traditionally trained psychiatrist, before I met Patch Adams MD, perhaps the world’s most recognizable humanitarian clown. We were both speaking at a dental convention. I watched him get 40 dentists to dress-up and parade in public. Patch asked them to find things in their rooms to dress up in, and they appeared in bathrobes and lampshades, he gave them a clown nose and led these usually meticulous, exact, measured, detailed, organized doctors through the streets of a Colorado ski resort town. It made such an impression on me that I sought him out afterwards and that led to the start of a close family relationship.

A decade ago, at our annual family reunion at the Oregon Country Fair, I emerged as The Truth Fairy (see pictures), a pink ballerina in tights and tutu who invited people to talk with him for 3 minutes about an important question/issue/problem that they wanted answered…if they were ready to hear the truth. I sat in the middle of a meadow filled with hundreds of people, in a 10 x 10 roped off enclosure, with an empty chair facing me. People stood in line to spend… 3’ With The Truth Fairy; it turns out people will share the most intimate things because it’s completely anonymous, and you can choose to ignore whatever you hear. It gave me the opportunity to listen intently and trust my intuition to see something that was often funny and helpful.

We’ve expanded upon this model in the streets of Iquitos, Peru at the Belen Project where clown-clinicians from a dozen countries invite people to come and talk to them for 20 minutes about whatever concerns they might be having. In soccer fields, storefronts, and schoolyards, and marketplaces we have set up chairs, and seen people who want to talk. Often speaking through interpreters, we find these encounters have been profoundly impactful on both the people and the clinicians. They remind us that in the presence of traumas and disasters people can connect in ways that remind us of our shared humanity.

We have repeated these street clinics again and again, and find that making the heartfelt connections, and actively listening is an intimate therapeutic connection…and those are moments that make suffering bearable.

Carl A. Hammerschlag M.D.

Chief of Community Mental Health, Gesundheit! Institute


– – – – – – – – – – – – – – – – – – – –


Psychiatry and the Art of Listening, Clinical Psychiatry News, Nov. 2012

Global Outreach Project, Clinical Psychiatry News, Nov. 2013

3” With the Truth Fairy, Schlagbyte, Aug. 29, 21011

Fireworks and Farewell

July 7th, 2014

Amidst the celebration and fireworks of Independence Day, I mourned the death of my holy mentor, guide, and friend Rabbi Zalman Schachter-Shalomi who was buried that morning. We met almost 30 years ago, at a time in my life when I had pretty much abandoned the organized Judaism of my past and expressed my spiritual life through participation in Native American ceremonies and rituals.

I was introduced to Zalman by another Rabbi, Aryeh Hirschfield  whom I met during a sweat lodge at a Lakota Sundance ceremony in the mid 1980’s. (I have written about that meeting and the intense friendship it created, in my book The Dancing Healers). Reb Aryeh, who was also a Yeshiva boy, had been ordained by Zalman, and he said his entire view of about Jewishness and how it could be expressed, was the result of  R. Zalman’s influence…we had to meet he said.

It just happened to come at the perfect time, because the first gathering of the Jewish Renewal movement was about to take place outside Philadelphia; and my wife was making more and more noise about wanting to find a Jewish spiritual path we might walk together.

When I first saw him, he was of average height but looked taller than he was; had a shaggy, white-flecked beard, was dressed in a long caftan, colorful yarmulke (skullcap), rainbow colored tallis (prayer shawl), and a smile that was heart melting.

Reb Zalman was born in Poland in 1924, escaped from the Nazi’s, and came to the US in 1941. He was ordained as an Orthodox rabbi in the Lubavitch Hassidic community, became a Hillel Rabbi on college campuses and slowly his ideas about how Judaism could be practiced with absolute kosher legitimacy, began to be expressed. He moved away from his ultra-orthodox Hasidic roots and founded the Jewish Renewal Movement. Jewish Renewal was about the transformation of spiritual expression. Like my Native relatives, he said you could pray in any language and sing any song because he saw the Great Spirit in everything and everyone, and everyone had a direct link to that energetic source. Zalman pioneered interfaith dialogue (hobnobbed with Ram Dass and the Dalai Lama); he was a passionate activist for women, LGBT community, and explored the sacramental value of hallucinogens.

He was one of a tiny handful of spiritual teachers I have ever known, who grabbed me by the throat and dragged me to face the power of Awe. After that first Kallah in Radnor, Pennsylvania, we saw one another and spoke periodically for the next 30 years. He was an anchor in my struggles, and the bridge to restoring my Jewish soul.

On July 4th , this day that we remember the visionary gifts’ of our founding fathers, I’m looking at the fireworks and seeing my Lubavitcher Rebbe. The death of a Tzaddik (a great teacher) does not extinguish his light, it only reminds us that what’s most important in life, is what you leave behind.

I feel your smile sweet Z, farewell, and I’m smiling with you.


Commencement Address

June 22nd, 2014

I watched proudly as my eldest granddaughter graduated with honors from the University of Oregon. It was a deliriously joyful weekend, filled with parties, parades, and the usual commencement ceremonial rituals.

The commencement address is today’s secular sermon, and usually addresses themes like, endings and new beginnings, or what determines success in life. I was sitting in a huge arena, far from the stage, the marginal sound system, and found myself thinking about Steve Job’s’ moving commencement address at Stanford in 2005.

Jobs, the legendary founder of Apple and Pixar told the graduating class that speaking to them that day was the closest he’d ever been to a college graduation. He said he dropped out of college because he wasn’t learning what he wanted to know, and that experience taught him three most important things he believed were necessary to be happy and successful in life: 1. Trust your intuition 2. Love what you do 3. Live as if today was the last day of your life.

He told the graduates that last in the last year he’d been diagnosed with pancreatic cancer. Initially he was told he’d live 3-6 months, but after the tumor was biopsied and analyzed it turned out to be a rare type that was curable with surgery. It didn’t matter how much time he had left, the diagnosis woke him up to a new appreciation of the biological truth that our time on earth is limited. Don’t let other peoples opinions/predictions stop you from trusting your intuition and pursuing what brings you joy and meaning. Steve Jobs was not cured, he lived 6 more years after delivering that address and loved what he did every day.

I found myself reminiscing that 50 years ago, right about this time I graduated from medical school, and wondered am I doing what I love doing, Surely I love being surrounded by love in these families celebrations, and I want to bring the Clown Town Healing Fest to a city in America before my last breath. A city that understands the future of healthcare is shifting our focus from a model based on the intervention (diagnosing and treating diseases) to one based on predicting and preventing them.

This Fest is about how we heal better in community, by integrating a communities healing resources, and inspiring people to taking the necessary steps to live healthier lives. Gesundheit! Global Outreach (GO!) Clowns will soon launch a campaign to make this happen and I’m hoping you will help me spread the word.

IMG_6835 IMG_6934 IMG_6957

Dr. Carl A. Hammerschlag, M.D., CPAE is a psychiatrist, author, and professional keynote speaker. He is an authority in the science of psychoneuroimmunology mind, body, spirit medicine and speaks about health and wellness, healing, leadership and authenticity . He has delivered motivational keynote speeches to corporate and business clients around the world.