Decoding Disease with Dr. Rue

The Knowing Smile | Ep. 079

Rumbidzai Mudzonga Season 1 Episode 79

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0:00 | 8:14

Every patient who walks through my door brings more than a diagnosis. They bring a lifetime of experiences, beliefs, fears, and perspectives that shape the way they move through illness. In this episode, I share a conversation from my clinic that reminded me just how powerful our outlook can be and why two people facing similar circumstances may experience completely different journeys.

Decoding Disease with Dr. Rue

Decoding Disease with Dr. Rue

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SPEAKER_00

Last episode I told you about a woman whose hope was allowed. You could feel it the second she walked into a room. Radiant, grateful, certain in a way that filled the space around her. This next patient had the exact same diagnosis, stage three breast cancer, and almost nothing else about her was the same. She was quiet, genuinely quiet, the kind of quiet that makes you wonder at first if someone's shut down, if they're struggling more than they're letting on, or if it's something else. She didn't talk about her faith the way my first patient did. She didn't feel the silence. She'd sit through our appointments with this stillness that if you weren't paying close attention, you might mistake for resignation. But I was paying attention, and there was something underneath that stillness, something in her eyes ready, steady and shaken. I want to be honest with you about something, because I think it matters more than the ending of the story does. Her treatment was never easy. I don't want you walking away thinking this was some smooth, uninterrupted climb towards good news. There were hard weeks, there were appointments where the numbers went what we'd hoped for, where I had to sit across from her and deliver something less encouraging and watch her take it in. And even then, even on those weeks, she carried it with this grace I still think about. She wouldn't fall apart. She wouldn't spiral into the kind of fear I've watched swallow other patients. Home after a single hard result. She would sip with the news, let it land, and then she'd tell me in that same calm voice she always used, I know I'm going to be fine. I just know it. I feel it. One day I asked her how she managed to hold on to something so consistently, even on the weeks that didn't give her much reason to. And she told me something I'd never had a patient describe quite that way before. She said she spoke healing to her body, not just thought it, not just hoped it quietly to herself, spoke it out loud sometimes, in the shower, in the car, before appointments. She talked to her own cells like they were listening, telling her body what she needed it to do, thanking it in advance for doing it. I found that so genuinely impactful, especially coming from her, someone who wasn't loud about much of anything in her life. This wasn't performance. This was private, deliberate, and completely hers. I have to be honest with you about what actually stuck with me here, because it caught me off guard. I've seen faith move in charge settings before. Atmosphere's built for it, energy in the room, music, lights, the kind of environment where you almost expect something to happen. This was nothing like that. This was a fluorescent lit exam room, a vanilla chair, a frightening diagnosis sitting on the desk between us, no music, lights, no atmosphere doing any of the work for her. Just her, her own quiet, unwavering belief in something that was holding her up, in a setting built for none of that. And she carried herself through it anyway, with her grace I hadn't expected to find there. That's what I couldn't stop thinking about afterwards. Not just the outcome, the setting it happened in, stripped of everything that usually makes conviction feel easy to access. I want to be clear, this isn't meant to be a faith story, not really. It's not about the specific thing she believed in. It's about the fact that she found something that gave her hope, something solid enough to hold on to, and then she used it, deliberately, to endure something genuinely frightening. Every single time I asked her how she was doing, whether it was a good week or a hard one, she gave me the same answer, in that same calm voice. I know I'm going to be fine. I just know it. I feel it. I'll be honest with you, the first few times she said this, I didn't know what to do with it. Because then I was trained to look at labs, I trusted the data in front of me over the feeling in someone's chest. And the data doesn't care how certain a person sounds when they say it. So I nodded, I documented, and I kept watching the numbers. By the third week of treatment, those numbers had started moving, genuinely, measurably in exactly the direction we needed. I remember sitting there with her, chart open, staring at the trend line and saying out loud, this is amazing. She didn't look surprised. She just smiled, this small knowing smile, like I'd finally caught up to something she'd understood from the very beginning. I've sat with that moment a lot since then, because here's what I want you to really see in these two stories side by side. One woman's hope was loud and expressive, wrapped in faith, spoken constantly out loud to me and to everyone around her. The other was quiet, private, spoken instead directly to her own body, in moments no one else ever witnessed. On the surface, you'd never guess that they had anything in common. But underneath they were carrying the exact same thing, through the exact same hard weeks and good weeks alike. A certainty that they were going to be okay. Held so completely that it changed how their bodies moved through treatment. Less bracing, less fear circulating through their system day after day. Even on the weeks that gave them every reason to be afraid. More room for their bodies to actually do the work for healing instead of spending that energy defending against a threat that in their minds they had already decided wasn't going to win. Hope doesn't have to look one volume or one personality. It doesn't have to be loud to be real, and it doesn't have to be quiet to be doubted. I want to bring you into more of these conversations because not every story I have for you ends the way these two did. And the ones that don't taught me something just as important. Something I think about just as often. See you in the next episode.