Helper Coda: Shane’s Vespa

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Here is an example of helping in the form of allyship, however inadvertent.

Shane East is now back in LA, returned from Readers Take Denver. He posted a video from his Big Deck immediately on arrival, with a little reflection and invitation:

“Now, how I got my arse from home to the airport and back with all my stuff including a 3ft wide banner was on my trusty Vespa. Strapped and wrapped and ready. People are always surprised when I tell them and often think I can’t possibly fit what I do on there. So in honour of that, what things have you been told you can’t do/make work and you fookin’ went and did it and did, indeed, make it work or more than make it work, made it a success??”

Shane often posts videos asking followers questions like this, that occur to him out of his own, real time experience and observation. When a pair of very old shorts finally died, he asked us what’s in our closets that we refuse to part with. He noticed himself having little outbursts while driving, and asked us about our own road rage. This time he’s calling it his ‘Curiosity for the week’. It makes me happy that we seem to have this in common, as my blog posts also often originate from me wondering about something and then writing to invite you all to wonder about it, too (see Helper post yesterday).

So I wonder whether Shane intended for this post to empower women? He certainly knows that his following is predominantly female, but the vibe of his videos is generally lighthearted and fun rather than overt advocacy of any kind. That said, comments immediately arrived showing in no uncertain terms what his women followers have had to overcome to get what they want in life. They were told they could not do sports, join or survive military service, go back to school, have successful marriages and families, much less while working, and myriad other random ‘you can’t’s. Two that came up for me were playing volleyball well at 5’2″, and doing primary care and loving it. I still roll my eyes at these today.

He was told he couldn’t/shouldn’t carry all the things on his Vespa. He knew better. He exercised his own judgment and agency and proved others wrong. And as usual, he turned that awareness outward, offering us all a chance to reflect on our own agency and self-efficacy, despite the naysayers. Phrases that emerged in the comments included, “Watch me,” and, “I’ve never looked back.” I tell the story that writing these brief comments, recalling the struggles overcome, boosted our sense of accomplishment and pride–gave us a little hit of serotonin. I might have sat up a little straighter or curled my lip a little as I typed my response. I imagine all of us standing a little taller in our resilience and independence, with gumption, just considering his question–an effect that, if repeated, informs our presence in greater society. In this way, I see his post as a man using his platform to empower us women, with our own strengths. To top it off, he has responded to just about every comment with words of affirmation and validation, which tells me he cares. He is an ally by nature, and he manifests it by simply being who he is. What a treasure; I’m so proud to call myself a follower.

So what is up with the naysaying, anyway? Simply, we all do it. It’s our own fears, limiting assumptions, and biases that we project onto others (and ourselves). It’s human, and we don’t have to judge it. We can simply accept that it is likely inevitable in most scenarios. That may seem defeatist, but it’s actually empowering in itself. If I understand that your discouragement is about you, not about me, then I am free to *respectfully* ignore it. I can choose to engage in disagreement and debate or politely excuse myself and get on with it. Of course it’s a different story if you actually stand in my way, but if not, then I am less affected by your negativity; I can brush it off, let it go. Neutral awareness and acceptance are my Teflon. At the same time, however, in advanced human connection practice, I can also query your warning and rationale for any nuance and benefit to my perspective. That is an exercise in maturity and strategy, among other things.

So Shane, in his ever cheerful, observant, and curious way, empowers us women simply by asking open, honest questions that help us remember and reinforce our own strengths and ablities. And what I love most about this post (both his and mine) is that I only came to these conclusions while writing my morning pages today, Day 103. I revised my morning routine after his suggestion in yet another video on January 3. He helps me in so many ways, and I could not be more grateful. Thank you, Shane!

How Are You a Helper?

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Photo by Eileen Barrett

I have thought actively about this question for weeks now, if not many years.

It’s easy to see doctors, nurses, teachers, and childcare workers as Helpers–we do it for a living. Do you consider yourself a member of a Helping profession? Why and why not?
Here is my premise: We are all Helpers.

I just spent two days at Readers Take Denver, my first ever book event (it’s all about romance, surprise!). I skipped my annual national professional society meeting, in the city where Son goes to school, to attend this giant convention where I would meet some of my favorite voice actors and fellow Shane East fanatics. It. Was. Glorious.

I decided to get the whole experience, so I registered to volunteer for parts of the event. I was assigned to help Susie Tate for an afternoon, taking pictures with readers and moving books. I knew of her but have not read or listened to any of her work. Turns out she’s a doctor in the UK! We hung out between signings, and when anyone approached the table I got so excited to help a fellow woman physician writer connect with her readers! What a privilege. Looking back on our conversations, it stands out to me that Susie’s work as both physician and romance author helps people immensely. She may see 50 patients a day in her general practice clinic, and when someone is sick she knows how to navigate the system to get them admitted while also caring for everybody else on her schedule. It’s heroic. She draws on her medical knowledge and experience in writing novels with complex characters, living relationships of struggle and redemption. Readers and listeners relate to her stories and gush about how much her books mean to them. Susie Tate and all of her romance author peers are Helpers, no question.

Let’s also consider the amazing, talented, generous, and gifted romance narrators, shall we? I have now met Shane, as well as Jason Clarke, Sofia Lette, Kit Swann, Angelina Rocca, Gary Furlong, Henry Kramer, Sean Crisden, Lessa Lamb, Chris Brinkley, Aaron Shedlock, and Teri Schnaubelt. Not only do they bring these empathic stories to life in our ears, but they are, themselves, some of the most kind, compassionate, present, thoughtful, and attuned people I have met. It makes sense, right? They engage with stories every day, putting themselves in a diversity of characters’ shoes, minds, and hearts, all in service of helping us relate more deeply and meaningfully to our shared humanity. Wow. Helpers. God bless ’em all.

En route to Denver, I texted my Ethos friends (who are all basically 20 years my junior):

The Ethos Breakfast Club showed up! Encouragement, reflection, validation, humor, and love flowed forth more than I could have imagined, and I felt immediately buoyed. I was able to present at the convention not just to Shane, but to everybody I met, all me and all in, feeling humbly confident, grounded, and attuned. If you are a friend, you are a Helper! In times of struggle, pain, defeat, and fear, who but our friends lift us up? In times of joy, accomplishment, celebration, and connection, who but our friends ampify the light most brightly? I say often, “The only way out is through; the best way through is together.” It is a truth I hold sacred; none of us does anything without help from others.

And it was on me to ask for the help I needed, no? Helping oneself, in this case knowing when, where, and on whom to call, is a life skill, as important as any other. Individualistic Western culture promotes a delusion of self-made-ness that harms us. With help from one another, we can learn to balance independence with interdependence and live richer, more stable, and more fulfilling lives. We simply cannot overestimate how much human connection helps and heals.

Know it, like it, want it or not, we are all in relationship. All humans, everything in nature, the cosmos. Therefore, anytime you do something that makes anything better for anyone else, you Help us all. Stocking grocery store shelves. Driving a city bus. Growing food. Performing standup comedy. Listening. Parenting. Taking care of yourself.
Imagine if we defined any given job or activity as Helping? How would this change our perspective about its role in society? How would we show up differently to the work in this new context? ‘Helping,’ as a concept, feels very different from ‘providing a service.’ The former is personal; the latter is transactional.
Helping is connecting, person to person, recognizing and honoring shared humanity.

Identify as a Helper.

How could everything be better if we all practiced this, even a little bit?

Susceptible

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How do you assess risk?

For a long while now I have thought of risk in terms of intrinsic and extrinsic factors. For any given challenge, any individual (or collective) may have certain baseline predispositions for a certain consequence or outcome. The intersection of those innate properties with the external environment and conditions then create the actual outcome(s). This post is about self-awareness and self-regulation in service of mitigating risk in two situations: Infection and severe mental stress.

Infection

When was your last COVID vaccine? There have now been two booster vaccines available after the initial doses back in 2021. In the current endemic state of the virus, repeated vaccination feels less urgent than before. Some will continue to say ‘always’ or ‘never,’ but most of my patients want to discern more thoughtfully. I advise situationally. The following applies not just to COVID, but for any infection we may contract in the wild:

Intrinsic risk: What is your overall state of health? How many risk factors for infection and complication do you have (eg advanced age, respiratory illness, diabetes, other immune compromise)? What are your nutrition, exercise, and sleep habits, generally and now, and do they protect you or make you vulnerable (sleep deprivation and high mental stress increase risk)?

Extrinsic risk: What is your likelihood of exposure, in terms of intensity, duration, and novelty? What is your access to healthcare in case of severe illness? How would infection impact your function, livelihood, and the health and function of those around you (and what are their intrinsic risks, if you were to expose them)?

I did not get my second COVID booster until right before I traveled to Taiwan last month, even though it’s been available since last fall. It was mostly due to inconvenience, though I also did not want to spend a whole day in bed (my reaction to this vaccine), and I assessed my risk of infection and complication to be low. Then Husband got infected at the same time that Friend told me all about her severe and prolonged experience with long COVID, and I learned that cases in Taiwan were still fruequent and severe. I would be traveling alone with Daughter, who has asthma, spending 20+ hours each way and all days in country in crowded airports and public spaces. So while I had no overt intrinsic health risks, I was moved to vaccinate by both subjective and objective extrinsic factors.
I prioritized sleep the week before and all through traveling. I minimized caffeine intake. We wore KN95 masks in all public spaces throughout the trip and washed hands vigilantly. COVID infection during international travel is no joke, and we took no chances. Thankfully, we arrived back home uninfected and healthy.

When thinking about any infectious disease, I consider goals and trade offs. How important is it to avoid this illness, in general and right now? What are we willing to do and not do to prevent infection? What are the real costs of prevention and potential costs of illness? How can I minimize my susceptibility in a realistic, pragmatic, and balanced way? As a physician, I must consider infection impact not just on an individual’s health, but on public health as well.

Severe Mental Stress

In recent years, I have added a slide on distress tolerance to my wellness presentations. Practices like cold water to the face, paced breathing, and progressive muscle relaxation can help de-escalate us in the throes of acute emotional hijack, helping us get back from fight or flight to thinking clearly and acting reasonably. We have all encountered situations when we feel overwhelmed, out of control, and powerless. We each have our own unique triggers and reaction patterns, whether it’s performance anxiety, phobia, vicarious trauma, or simply rage, sadness, shame, etc.

Intrinsic risks for severe acute mental stress include history of trauma, tendency to avoid uncomfortable feelings, difficulty managing and expressing feelings or thoughts, and baseline anxiety, depression, etc.

Extrinsic risks for emotional hijack include inciting events that trigger past trauma reactions, often subconsciously. This could be anything from seeing someone else experience the harm you endured, to simply entering an environment similar to one in which you felt unsafe before. Certain words or gestures can trigger us–it can literally be anything. We each have a different threshold in any given situation, depending on the intersection of our current state, baseline traits, and real time conditions.

Susceptibility to mental stress, however, goes beyond simply passive innate attributes coming in contact with inciting circumstances. We all have our stress tendencies, many of which we can only partially control, if at all. Here is where our daily patterns, habits, and practices can really save us. Sleep deprivation and dehydration make everything feel exponentially worse, in my observation. Regular physical activity regulates the autonomic nervous system and improves sleep quality. Moderation of caffeine and alcohol help mitigate these substances’ disruptive effects on brain and body. Consistent self-assessment of mood and energy, what affects them, and anticipating challenges and threats on the horizon can increase confidence in our ability to meet them. Practices such as mindfulness, prayer, and communion with loving others also boost resilience–both mental and physical. And we cannot overestimate the profound importance of healthy, strong, and loving relationships to hold us up through anything life may bring.

For mental stress, while intrinsic psychological risks matter, our strong and consistent habits in the 5 reciprocal domains of health can (sleep, exercise, nutrition, stress management, and relationships) combine in synergy to minimize (or at least mitigate) our susceptibility to acute emotional hijack. Mindset, self-talk, communication skills, and attunement to others in daily life can set us up generally to encounter adversity feeling grounded and solid or vulnerable and insecure.

Thus, in addition to intrinsic and extrinsic risks, intrinsic assets also matter. The more we strengthen them when things are easy, the more easily we can call them forth when things get really hard.

I remind myself that though dividing risk into intrinsic and extrinsic is clear and helpful, it is also an oversimplification. History of trauma is not innate to me as a person, but the experience is integrated into my nervous system. Repeated subjective experiences accumulate and integrate further. I have, one could argue, adapted to it all in a way that protects me from recurrent harm in the future by alarming my system, mind and body, to similar threats, perceived and real. And while I practice my centering, grounding, inner peace methods, it also behooves me to honor and embrace my natural, un-peaceful tendencies. My best outcomes occur when I hold these all in dynamic balance, with nonjudgmental awareness and self-regulation. Anticipation, preparedness, and seeking support from trusted others also help mitigate my susceptibility to adverse outcomes and suffering.

In the end, I wish for all of us to live more peaceful, self-aware, self-efficacious lives. I want us all to move through good fortune with joy, and through adversity with fortitude and confidence, even while we allow ourselves to fully feel fear and distress. As an advanced practice in this domain, the better we understand our own intrinsic vulnerabilities and the conditions which expose them, and manage them effectively, the more likely we may recognize the unique struggles of others. We may all suffer less when these skills help us see, hear, and understand one another more empathically, compassionately, intimately, and lovingly.
We can, if we choose, help minimize one another’s susceptibility to pain and suffering.