Medical Philosophy & Psychological Relief
The Subversive Joy of Finding Out You Aren’t Special
Why “boring” is the highest form of luxury in medicine, and why the ego’s thirst for drama is a dangerous health toxin.
Jun-seo is tracing the phantom outline of a hairline that hasn’t existed in any meaningful way for . He is sitting in a waiting room in Pohang, a city where the air smells faintly of industrial salt and progress, looking at a poster of a man with hair so thick it looks like a helmet.
Jun-seo is 44 years old, and he has spent the last convinced that his scalp is the site of a unique biological tragedy. He has researched obscure autoimmune conditions, looked into the effects of local microplastics, and wondered if the stress of his middle-management job has triggered a rare, stress-induced shedding that doctors will one day name after him. He expects the dermatologist to be baffled. He expects a battery of tests that will lead to a breakthrough paper in a medical journal.
The clinic door opens. The dermatologist, a woman who looks like she hasn’t been surprised by anything since , beckons him in.
She doesn’t look at his charts for more than 4 seconds. She looks at his scalp for maybe 14.
“Male pattern baldness,” she says, leaning back in a chair that squeaks with the weight of a thousand similar verdicts. “Typical thinning. Age-appropriate. You can do nothing, you can take a daily pill, or we can talk about topical solutions. It’s very common. Next.”
In that moment, Jun-seo feels a flicker of offense. Common? Typical? He wanted a mystery; he wanted the dignity of a complex struggle. But as he walks out into the Pohang humidity, the offense dissolves into something much denser and more valuable: relief. The burden of being a medical anomaly has been lifted. He is just a man with a scalp doing exactly what millions of other scalps are doing.
I cracked my neck too hard this morning, and the sharp pop reminded me of how much we obsess over the mechanics of our own bodies when they start to deviate from the script. We live in a culture that fetishizes the “bespoke” and the “unique.” We are told from birth that we are special, that our journeys are one-of-a-kind, and that our problems deserve a personalized solution that reflects our individual essence.
Sneakers, Netflix icons, and personalized playlists. Here, being unique is an asset.
Diagnosis, treatment, and biological code. Here, being unique is a terrifying isolation.
This works well for buying sneakers or choosing a Netflix profile icon, but it is a psychological poison when it comes to health. When we believe our ailments are unique, we feel isolated. We feel like we are fighting a war without a manual.
Standard Creosote and the Ego’s Disappointment
Aisha J.-P., a chimney inspector I met once during a particularly cold winter in a town with historic brick houses, understood this better than most. Aisha spends her days climbing onto roofs, looking down into dark, soot-stained voids. She told me that homeowners always want their chimney’s problems to be “interesting.”
They want to hear that a rare bird has nested in a way that defies physics, or that the mortar is crumbling because of a specific, localized seismic anomaly.
“They get disappointed when I tell them it’s just standard creosote buildup. They feel like I’m calling them lazy or unoriginal.”
– Aisha J.-P., Chimney Inspector
“But I always tell them-you want creosote. Creosote I can fix in . A ‘unique’ structural failure means I have to condemn your house.” We crave the drama of the specific because it validates our ego, but we need the safety of the general to actually survive.
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Men who walked this path before you and left behind a map.
If your hair loss is “boring,” it means the path forward is paved. It means there is data. It means there are men who have walked this path before you and left behind a map. When the dermatologist tells you that your situation is unremarkable, they aren’t dismissing you; they are inviting you back into the fold of the collective human experience.
There is a specific kind of technical precision required to handle the “common” effectively. Just because a problem is typical doesn’t mean the solution is effortless, but it does mean the solution is known. We often mistake “common” for “easy,” which leads to a different kind of frustration.
When Jun-seo realized his hair loss was standard, he also had to realize that the fix was a matter of discipline, not a miracle. He started looking into his options, moving past the flashy, “revolutionary” advertisements that promised secret cures for rare conditions. He looked for the meat-and-potatoes stuff. He looked for
because he finally understood that he didn’t need a revolution; he needed a routine.
The Inversely Proportional Law of Medical Drama
The irony of the medical encounter is that drama and accuracy usually move in opposite directions. A doctor who gasps when they see your scan is an accurate doctor, but you don’t want to be the reason they’re gasping. You want the doctor who is slightly bored. You want the professional who sees your “crisis” as their Tuesday morning.
I remember a mistake I made a few years ago. I found a small, dark spot on my left shoulder. I spent 4 nights awake, convinced it was a rare form of melanoma that was already traveling through my lymph nodes.
I had imagined the tearful goodbyes. I had planned the posthumous letters. When I finally saw a specialist, he glanced at it and said, “It’s a seborrheic keratosis. It’s a ‘barnacle of aging.’ I have four of them on my own back.”
I felt a strange, hollow sort of embarrassment. I had prepared for a tragedy, and I was given a “barnacle.” It felt like being dressed for a gala and being told the event was actually a backyard barbecue. But that embarrassment is the price of admission for health. We have to be willing to be “basic” to be okay.
A culture that romanticizes specialness has trained itself to undervalue the deep comfort of being told one is unspectacular. We see this in the way people discuss their mental health, their physical fitness, and even their aging process. There is a “main character syndrome” that infects our biology.
We want our gray hairs to be “distinguished” and our thinning crowns to be “signs of high testosterone” or “intellectual burnout.” We struggle to accept that they are simply the result of 44 cycles of the sun and a genetic code that is doing exactly what it was programmed to do in .
“If we look at the data-and I mean the real, boring, spreadsheets-with- columns data-we see that the most successful outcomes come from the patients who embrace the mundane nature of their condition.”
The person who accepts that they have “typical” hair loss is the person who actually sticks to the treatment. They don’t jump from one “unique” miracle oil to the next. They don’t spend $444 on a laser helmet that looks like a prop from a B-movie. They take the pill, they apply the foam, and they go about their lives.
The struggle, of course, is that the ego hates being a statistic. We want to be the 1% in everything, even in our suffering. But in health, you want to be the 99%. You want to be part of the group that responds to the standard treatment. You want your blood pressure to be “textbook.” You want your follicles to be “responding as expected.”
The Experimental Flue of 1924
Aisha J.-P. once told me about a chimney she inspected that actually *was* unique. It was built with a weird, experimental flue system from the World’s Fair. When it broke, there were no parts. No one knew how the airflow worked.
The owner spent and a small fortune trying to fix a “special” chimney while his house smelled like smoke every single day. He would have given anything for a boring, standard, run-of-the-mill brick chimney.
We should apply that same logic to our own bodies. When you look in the mirror and see more scalp than you did last year, the panic is a search for meaning. You want it to mean something about your life, your stress, your identity. But the most healing thing you can do is realize it doesn’t mean much at all. It’s just biology. It’s just the creosote in the chimney.
This realization allows for a different kind of agency. When you aren’t special, you aren’t alone. You can talk to the guy at the gym, or the cousin you haven’t seen in 4 years, and realize you are both navigating the same terrain. There is a communal strength in the “typical.”
Jun-seo left the clinic in Pohang and went to a small cafe. He sat there and watched the men walking by. He noticed the 34-year-olds with receding hairlines and the 64-year-olds with silver wisps. He saw the “boring” reality of the human condition everywhere he looked.
For the first time in months, he didn’t feel like a man who was losing something; he felt like a man who was simply arriving at a new, very well-populated destination.
He didn’t need a miracle anymore. He just needed to decide how he wanted to manage his version of the ordinary. And that, perhaps, is the most extraordinary feeling of all-the realization that you are okay, not because you are different, but because you are exactly like everyone else. The doctor was right. It was boring. And thank God for that.