I had not seen jaundice that bad in years. He was Caucasian, in his fifties, about five feet, ten inches tall, 150 pounds, maybe less. He wore straight leg jeans and a thick leather bomber jacket zipped all the way up, and his face was noticeably yellow, even from 100 feet away. We walked toward each other along a busy sidewalk, on an overcast spring day. I immediately scanned down to his hands, looking for a hospital patient ID bracelet. “Why is such a sick man walking around on the street? Which hospital did he just escape from?” I thought. I saw no ID band, and his hands were not yellow, though they did look slightly thick—maybe swelling from liver disease? He walked at a normal pace, no listing or shuffling. Aside from his yellow face and apparent thinness, he actually did not appear ill. As I got closer, I noticed that he wore Top Gun, Tom Cruise-style sunglasses, with lenses the shade of a perfect urine specimen. His skin color was normal.
Would a non-medical person have immediately assumed he was an escaped liver patient, wandering the streets under the influence of hepatotoxic encephalopathy? “How fascinating,” as Ben Zander would say, that I jumped to these conclusions, having only glimpsed this man from a distance. What if I had turned an early corner and not gotten a closer look? In the space of a minute or so, I perceived something shockingly abnormal, and with just a little more observation, reconciled it as only mildly out of the ordinary (I think not a lot of people wear pee-colored glasses).
Weeks later, a headline appeared on my Facebook feed: “Dad’s reply to school on kids’ absence is best response ever.” The school principal had sent a letter to the family informing them that absences for family vacation were unexcused. The father replied with a page-long justification of the high educational value of their trip. Like many, I congratulated the father on his response, feeling righteous and indignant on his behalf. My sister posted a subsequent article on my page, pointing out that the principal’s letter was merely informational and a formality, not a personal indictment of his choice of vacation timing, and that the father’s public shaming of the principal was both uncalled for and petty.
I feel embarrassed for holding him up like I did. I don’t condone public shaming, what was I thinking? I believe now that the headline attracted me for a reason. Maybe I myself feel defensive around my own children’s school absences for family vacations. I think I was preconditioned to take the dad’s side, to take the principal’s letter personally, as my medical training led me to see that man’s yellow face as evidence of end-stage liver disease. Now I am the one wearing pee-colored glasses.
When I first read the father’s response, I wondered about the principal’s purpose in sending her letter. But I did not take the next step to answer my own question. Had I read it again, as I did after my sister’s post, I might have realized sooner that it was simply an informational form letter, and did not at all deserve the father’s negative public retort. How was I able to correct my initial conclusions about the man on the street, and not about the principal? My observations of the man were objectively inconsistent—apparently jaundiced face but normal colored hands and not otherwise ill-appearing—and I have no personal feelings about people with jaundice. I do, apparently, have feelings about receiving notices from school about my decisions regarding my children. My judgment of the principal’s letter came from that emotional place, and impaired my ability to see objectively.
These two very different situations remind me to monitor and manage my biases–inspect the tint of my glasses–early and often.
You’d see more yellow sunglasses here on the Texas coast, perhaps. Fishermen are fond of yellow and amber because of the increased clarity they provide when scanning underwater grass beds and so on for fish.
Your example of the letter made me smile. Every time I see something in my mailbox from the IRS or a medical insurer, I can feel the anxiety rising. My first assumption always is that they’re going to want more money. Usually, it’s nothing more than pure information — but it’s an interesting experience to go through.
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Thank you for your comment! Now when I walk among fishermen I will know. And it makes sense because I was in Boston at the time–maybe the man was a fisherman! 😊
As usual, very insightful! I think it’s very easy to be persuaded by an emotional appeal, especially because you are hearing only one side of the story. It reminds me of situations that arose as a chief resident, where people would give you their side of a situation and your initial reaction could easily be a quick condemnation. But you learned, either through training, mentoring, or experience, that you should hear both sides before drawing any conclusions. I’m sure you’ll remember that from your chief year too. Who knew, being a chief resident was good training for life?
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Thanks, Kathy! And YES, my chief year was *dense* with such lessons, and I remember you teaching me this specifically, with kindness and love, no judgment. 😊 You were my role model!