Friday, June 16, 2006

Elitism




Recently I did several things that most people living and working in the city do on a daily basis: eat in a cafeteria and take public transportation. I can hear you saying, "What is the big deal" and seven years ago I would have concurred, but not now. I am just beginning to realize that since completing my residency I have become increasingly isolated. It is as if I joined a private club and no longer need to deal with the rest of the world.

Of course I am exaggerating. Being a lowly Family Practitioner I am hardly in an income bracket that would allow me to completely separate myself from daily chores. I cut the grass, fix the plumbing, sit in the waiting room while my car is repaired and unlike the senior George Bush, know what a grocery check out looks like. But still, I have been afforded a few perks: the doctor's lounge at the hospital and a flexible schedule that allows me to leisurely drive my car to the office.

Most days, for a minimal charge, I sit and eat in a room reserved for physicians. Occasionally there are interlopers, but mostly we gather together and eat. The talk centers on medicine and the food, well most of us would consult our patients against consuming it.

When the lounge was closed temporarily, we were instructed to report to the hospital's cafeteria for lunch. There a long line of employees, many of whom have become my patients over the years, confronted me. I was alarmed at how uncomfortable I felt standing in the long gray coat that is the uniform of an attending physician. Had I become the prima donna we all railed against in medical school. I think not, but still I find just having these thoughts is instructive.

My next foray into the life of the city is on my way to meet my wife and visitors from Kansas City for dinner. Of course it is a Friday afternoon when my car's check engine light comes on. It is not a novel occurrence. Over the years of owning this German car I have learned to ignore the light and its accompanying chime extolling me to perform an "Emissions Workshop".

This afternoon though the light not only appears, but begins flashing in time with the surging of the engine. I pull over, hit the four way flashers and get out the owner’s manual. A reference to the imminent destruction of the catalytic converter jumps out at me, and I begin to plot where to park and how to get a tow while keeping my dinner engagement.

After several confirmatory phone calls, I find myself stepping into a crowded bus. The conveyance is populated with single mothers towing multiple infants and toddlers. A few stops down the road we are boarded by twenty or so well-dressed riotous teenage boys going downtown to the movies. To make matters more interesting a disheveled odiferous young man plants himself very, and I mean very close to me as we all squeeze back into the bus.

Then just when things seem to settle down the bus driver fearlessly barks out a command for the young couple, who boarded during the chaos and slinked to the back without paying, to pay up or get off. At this point in the drama, being fairly close to the elevated train station that is my destination, I bail and walk the rest of the way to the Brown line.

So again I hear you saying, “What is the big deal”. Is he some kind of rube from the country? It is just a bus ride and to that I say, the fact that I am even thinking in these terms is a big deal, at least for me.

Why am I relating this tale to you and what in the world does this have to do with the usual topic of these commentaries, Chanoyu, the Tea Ceremony. Chanoyu in its most traditional setting has a unique feature called the nijiriguchi, the crawling-in entrance. It is a low door that compels all who enter the tearoom to bow low as they enter.

It is a subtle but profound equalizer of people and may be one of the reasons Sen Rikyu, the founder of Chanoyu, was commanded to commit seppuku by Hideyoshi, the ruler of Japan whom he served. The nijiriguchi forced Hideyoshi to humble himself every time Sen Rikyu served him tea and the humility that necessarily accompanies this act is what I feel in danger of losing.

So from now on, as I enter the doctor's lounge, walk into a patient's room or slide quietly into the tearoom I will bow slightly as homage to the nijiriguchi. After all, is that not the whole point of Sen Rikyu’s teaching; to bring the tenets of Chanoyu out of the rarified world of Tea and into every day life.