Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Fitting in is not belonging

Loren A. Olson, MD
Physician
June 4, 2022
Share
Tweet
Share

An excerpt from No More Neckties: A Memoir in Essays.

The sign that welcomed visitors to Wakefield, Nebraska, said: “Pop. 1030.” The town’s size didn’t vary in all the years I lived there. It was a close-knit community linked by culture, economy, religion, and blood. The people knew each other and knew each other’s histories.

Most families had many interconnecting links. In the generation before me, four Anderson brothers had married four sisters. Most of the family names were Swedish, although a few Germans had settled there too. Five Lutheran churches were scattered over a 10-mile radius from Wakefield. Church services were held in English and Swedish until the early 20th century. Most people looked alike, thought alike and believed alike.

Wakefield was pastoral, but not in its being a charming and serene small town in rural America. It was pastoral because the Lutheran pastors were leaders in the community who made clear the distinctions between right and wrong. To an outsider, Wakefield appeared normal. The people who lived in Wakefield thought it was better than normal. They believed it was definitely better than Emerson and Allen, the two closest towns.

When I was nine years old, a neighbor made a deal with me. If he bought a power mower, I could use it to mow lawns around Wakefield to make some money for the family. The one condition of the deal was I would mow his lawn regularly too. We needed the money.

I always struggled to start the mower. One day, I called my widowed mother at her work and sobbed, “I can’t get the lawnmower started again.”

She responded, “Of course, you can. You’re a man, aren’t you?”

How does one answer that question? I thought, “Men fix machines; I can’t fix mine; I must not be a man.” I felt as if she’d ripped off one testicle.

Men’s and women’s roles were dogmatic, and if people strayed too far from those roles, they paid the penalty for it. My mother knew the values of her generation and wanted to teach them to me. Had I been a girl, she might very well have said to me, “Of course, you can cook. You’re a woman, aren’t you?” It was the way she understood the world.

My mother was a kind woman and protective of my feelings.

Now, as an adult, I can see she had intended to encourage my nascent manhood. All I could think was, “If my dad were here, he would have taught me. How can I learn to be a man without a dad? I will never measure up.”

The number of people in Wakefield never changed during the entire fifteen years that I lived there. The people who lived in my hometown didn’t change much either. Although a few new people came to town from time to time, they usually didn’t stay long. It would have been hard for them to feel welcome when the people who lived there had been there for generations and could recite everyone’s history down to the most intimate details.

My wife, Lynn, and I lived in Maine for ten years, and our children were both born there. People whose families have lived for generations in Maine think of people like us who move there as “from away.” As one story goes, a man who had moved to Maine and raised his children there asked an old Mainer, “I know that I will always be considered ‘from away.’ But since my children were born here, are they Mainers?”

ADVERTISEMENT

The old Mainer responded, “If a cat has its kittens in an oven, you don’t call them muffins.” Although you may find a new life in a new place, the place you came from never entirely lets go of you.

In Wakefield, if someone asked for directions to a farm home, the directions weren’t given in distance. Instead, that person more likely would be told something like, “Go down the cemetery road past the old Dahlgren place. Then take the next left. You’ll pass the Anderson place and then the Fisher’s. The next lane on the right will be the one you want. Can’t miss it.” And no one ever did.

The people of Wakefield were taciturn. They meted out discipline through quiet shame. The citizens kept their houses painted and their lawns mowed at the same height as their neighbors’ lawns. One Sunday morning, my friend Fred and I were called out by Pastor Carlson in the middle of his sermon. The congregation turned to us with disapproving looks when he said, “Loren and Fred, will you be quiet!” My mother punished me by saying, “Loren, I am so disappointed in you.” That was enough.

Wakefield didn’t have any bad boys. Sure, some would squeal their tires, throw eggs at Aunt Edna’s house or drink a little beer after a football game. But your parents always knew what you’d done by the time you got home. We lived by a universally subscribed moral code enforced by the fact that there were no secrets. Having everyone know your business wasn’t seen as a bad thing. My mother always left her keys in the car. When I asked her about it, she responded, “You just never know when someone might need to borrow your car.”

A farmer knew that if he lost his arm in a corn picker that the neighbors would harvest his crops. Those who helped out thought, “There but for the grace of God go I.” When I was in Lutheran catechism class, I learned that GRACE stood for “God’s riches at Christ’s expense.” I used to wonder — at least when I had more faith in God — “If God’s grace kept you from losing your arm, why didn’t that same God’s mercy keep him from losing his arm? On what basis does God dispense grace? If God has so much grace to hand out, why had she skipped my family?”

Behavior was monitored through gossip. For the gossipers, accusations trumped truth.

Loren A. Olson is a psychiatrist and author of No More Neckties: A Memoir in Essays.

Image credit: Shutterstock.com

Prev

Military and medicine: shared risk factors for eating disorder development [PODCAST]

June 3, 2022 Kevin 0
…
Next

How to tackle the physician shortage

June 4, 2022 Kevin 3
…

Tagged as: Primary Care

Post navigation

< Previous Post
Military and medicine: shared risk factors for eating disorder development [PODCAST]
Next Post >
How to tackle the physician shortage

ADVERTISEMENT

More by Loren A. Olson, MD

  • a desk with keyboard and ipad with the kevinmd logo

    Isolated gay people and support from the LGBT community

    Loren A. Olson, MD

Related Posts

  • A physician’s addiction to social media

    Amanda Xi, MD
  • How a physician keynote can highlight your conference

    Kevin Pho, MD
  • Chasing numbers contributes to physician burnout

    DrizzleMD
  • The black physician’s burden

    Naomi Tweyo Nkinsi
  • Advocating for people with disabilities: People First Language

    Leonard Wang
  • Why this physician supports Medicare for all

    Thad Salmon, MD

More in Physician

  • Why judgment is hurting doctors—and how mindfulness can heal

    Jessie Mahoney, MD
  • Why evidence-based management may be an effective strategy for stronger health care leadership and equity

    Olumuyiwa Bamgbade, MD
  • The gift we keep giving: How medicine demands everything—even our holidays

    Tomi Mitchell, MD
  • From burnout to balance: a neurosurgeon’s bold career redesign

    Jessie Mahoney, MD
  • Why working in Hawai’i health care isn’t all paradise

    Clayton Foster, MD
  • How New Mexico became a malpractice lawsuit hotspot

    Patrick Hudson, MD
  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Why health care leaders fail at execution—and how to fix it

      Dave Cummings, RN | Policy
    • How veteran health care is being transformed by tech and teamwork

      Deborah Lafer Scher | Conditions
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why flashy AI tools won’t fix health care without real infrastructure

      David Carmouche, MD | Tech
  • Recent Posts

    • How veteran health care is being transformed by tech and teamwork

      Deborah Lafer Scher | Conditions
    • Why judgment is hurting doctors—and how mindfulness can heal

      Jessie Mahoney, MD | Physician
    • Why medical schools must ditch lectures and embrace active learning

      Arlen Meyers, MD, MBA | Education
    • Why helping people means more than getting an MD

      Vaishali Jha | Education
    • How digital tools are reshaping the doctor-patient relationship

      Vineet Vishwanath | Tech
    • Why evidence-based management may be an effective strategy for stronger health care leadership and equity

      Olumuyiwa Bamgbade, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Why health care leaders fail at execution—and how to fix it

      Dave Cummings, RN | Policy
    • How veteran health care is being transformed by tech and teamwork

      Deborah Lafer Scher | Conditions
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why flashy AI tools won’t fix health care without real infrastructure

      David Carmouche, MD | Tech
  • Recent Posts

    • How veteran health care is being transformed by tech and teamwork

      Deborah Lafer Scher | Conditions
    • Why judgment is hurting doctors—and how mindfulness can heal

      Jessie Mahoney, MD | Physician
    • Why medical schools must ditch lectures and embrace active learning

      Arlen Meyers, MD, MBA | Education
    • Why helping people means more than getting an MD

      Vaishali Jha | Education
    • How digital tools are reshaping the doctor-patient relationship

      Vineet Vishwanath | Tech
    • Why evidence-based management may be an effective strategy for stronger health care leadership and equity

      Olumuyiwa Bamgbade, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...