One senses a mission- that this book is more than an account, but an active attempt to spread the word. No longer exploring, Dr. Mehl-Madrona has become the guru; here he is at the height of his powers and conviction and acts as advocate.

Operating from the perspective of a shaman, Dr. Mehl-Madrona respects the patient's ability to cure himself, but also "straddle(s) cultures," drawing on his varied expertise. As he explains, "Activating the inner healer is the most important aspect of what I do... I use herbs, diet, vitamins, exercise, drugs and a myriad of other techniques, but I recognize that the inner healer makes all these approaches work."

Because of the success of his first book, many people seek him out, and we hear their stories. They have usually been told their cases were beyond hope. Working with the author, some patients do recover, others sadly, do not. But Dr. Mehl-Madrona refuses to speak of "failures," nor does he use cases to argue for or against shamanic or complementary approaches. Rather, he sees the healing process itself as the miracle. As he says:

I build hope. I don't help everyone [in terms of cures]...I help them to show their true humanity, their true spirit, despite adversity...Each of my patients told me what a difference I had made in their lives. All I did was to recognize their true selves and coax those to the surface, despite everything else that was happening... Hope- not despair, not denial, not giving up, not demanding success...It comes from knowing that the Universe cares about us, even when our desires are not possible... The peacefulness of integrating these apparent contradictions is truly a miracle.

Much of his work involves Native American storytelling, using characters in stories to shed light on the patients' struggles. So, a woman who helps many people but is now undergoing chemotherapy is told a story of the "Gatherer," a Native American woman who collected healing plants, and was kidnapped and tortured, but made it through. Another woman who has been ill for decades is told a story about a young woman who was kidnapped, who had to throw away some prized items in order to escape. Here the doctor was showing his patient how to discard illness as an identity.

Some major themes emerge. A loss of community is said to cause disease, and one violently schizophrenic man finds his way back to sanity by being made an "honorary Indian" on a reservation. Another theme is illness as sublimated negativity in one's life.

But the doctor does not "blame the victim." Instead, he defines "disease" as literally that, dis-ease. In the eyes of a shaman, cause of illness is everywhere, and awareness of imbalance will lead us to finding "ease." In the author's words, "I can no longer imagine a physical problem that is not simultaneously psychological, spiritual and social..."

But we are not being punished by our illness, only being told that something is wrong. Gary Null echoes this when he talks about the fires burning in our (physiological) houses, and how often we ignore these fires, whether stress, abuse, self-hatred, etc.

Whether you believe in complimentary healing approaches or not, COYOTE HEALING helps define what it means to fight for wellness with dignity and peace. Having met Dr. Mehl-Madrona at his healing circle, I know his real voice: soft, thoughtful, nonjudgemental, and mischievous. In these pages this voice comes through, and brings comfort. Thank you again, Doctor.