November 23:  Range Makes Me Better

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NaBloPoMo 2019

One of my teachers in med school told me why he loves primary care.  He said at any time, he can decide he wants to be more expert in something and do it for a while, like managing all of his patients’ thyroid illnesses, rather than referring to endocrinologists.  Then when he gets tired of that, he can start referring again and do something else, like nonsurgical orthopaedics.  That was over 20 years ago…  The complexity of both medical knowledge and practice has expanded exponentially since then, so I wonder if he still thinks this way?

Regardless, I agree.  Being a generalist affords me tremendous flexibility and freedom to explore and apply from all fields of medicine.  While I could never approach the expertise of my specialist colleagues, I get to (and to a large extent am expected to) learn a little about everything.  That breadth of exposure and knowledge makes every workday unique and stimulating.  This week, I’m listening to Range by David Epstein, a book that validates everything about my generalist, boundary-spanning life.  From the book description:

Range makes a compelling case for actively cultivating inefficiency. Failing a test is the best way to learn. Frequent quitters end up with the most fulfilling careers. The most impactful inventors cross domains rather than deepening their knowledge in a single area. 

I feel validated about this because I’ve never been especially good at any one thing (except today I’d say I’m an exceptionally good communicator, though that’s a highly subjective and biased self-assessment).  I have, however, observed, explored, tried and experienced myriad things, and I have always seen this as an asset.  And now a New York Times bestseller affirms it. Yay!

Growing up bilingual and bicultural gave me a huge advantage for living and working in an increasingly diverse global society.  Before I started piano, I learned classical Chinese painting in two styles, as well as Chinese folk dancing.  I started skiing in elementary school, volleyball in middle school, golf in college, and in my 40s have picked up kettle bells, yoga, and TRX.  I learn coaching techniques from being coached.  I learn about leadership from reading and interrogating my patients who are leaders, and now actually leading some folks.  I interact with information through podcasts, audiobooks, paper books and journals, and online formats.  I read New England Journal of Medicine and Harvard Business Review, Annals of Internal Medicine and Fast Company, Journal of the American Medical Association and Psychology Today.  I prefer nonfiction, but I recently joined a book club and read my first novel in many years.  My music playlist includes Dierks Bently, Camila Cabello, Bruce Hornsby, Shawn Mendes, Miranda Lambert, Sara Bareilles, The Piano Guys, Mamma Mia and The Greatest Showman soundtracks, John Denver, and Pink.  I attend conferences focused on clinical medicine as well as communication.  I speak to audiences of physicians, business leaders, and designers. I make washi tape cards and moderate Better Angels communication workshops.  It’s kind of an eclectic list of activity; please forgive my self-centered navel gazing here.

If you make a similar list for yourself, I bet it will be more diverse than you think.  How does this help you, make you better?

Epstein posits that generalists’ advantage lies in their ability and propensity to see deep relational connections between diverse domains, use analogical thinking, and practice ‘active open mindedness.’  He also provides multiple examples of when specialists’ narrow perspective hinders creativity and innovation, and even effective problem solving.  Throughout, however, he acknowledges the complementary, yin-yang relationship between focus on the specific and wide-ranging view of the broad.  The book just makes my ENFP heart sing.

I honestly believe range makes me better…  For no other reason than giving me a life full of new and exciting experiences to write about on a blog.

 

November 22:  Listening to People’s Stories Makes Me Better

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NaBloPoMo 2019

What a long, strange week.  I almost forgot to write a post, just wanted to relax and do nothing.

Looking back, overall it was good. And it was people who held me up, as always.  I had some pretty moving and meaningful conversations with patients, and I really helped some people, I think.  But it was a new acquaintance who really made my day today.

I finally had time to bring my car to the body shop this afternoon.  After an unfortunate encounter with a fire hydrant while backing out of a very poorly planned driveway, my front bumper has been partially detached for about 7 weeks.  Every single person at this shop was remarkably nice—from the lady on the phone, to the young man who so politely offered to move my car when I parked it in totally the wrong place.  The waiting area was clean, neat, and well lit, with comfy, non-holey chairs.  After a short wait, a petite and pleasant woman, maybe 40, introduced herself.  She would provide the estimate on my repairs.  We headed outside.  She pointed to the ledge at the doorway on which I had tripped walking in, so I would not do it again.

After I brought her to the car she said I could go back inside and wait, but I asked to hang out with her, because I like to see what other people do.  I know less than nothing about cars, and I loved that here was a youngish, friendly woman who clearly knew her way around them.  I admired her right away.  She was thorough and conscientious, looking inside and out.  She was also extremely knowledgeable and patient, showing me everything, talking me through the parts and functions, and answering my ignorant questions, down to how the VIN includes the paint mix of the make, model and year.  She stayed with me through the whole process, including walking me out to show me the key drop box, because they can’t fix my car for another two weeks.

Before we said goodbye I could not help myself.  I told her how happy it makes me to see a woman doing a job that I have only seen men do.  She seemed genuinely proud and thankful for the compliment, and I’m glad I said something.  I didn’t mean to make her stand outside in the cold any longer, but she started reflecting and telling me her story.  Turns out this was her first day on her own at this job—I thought she had done it for years already.  Nope.  She had done inventory for a railroad company, and programmed machines that cut industrial dies.  She had worked in shops and factories of various kinds, it sounded like, always surrounded by and holding her own among men.

I asked her if it feels different (and hopefully better?) being a woman in these male-dominated fields now, after all these years.  She thought for a moment (looking completely comfortable, while I had started shivering already).  It almost seemed like she had never considered the question before?  She concluded that her peers and coworkers have never been the problem.  It’s the customers.

She kept talking, as if the subsequent story had been waiting days for a sympathetic ear.  In her last days of training, a man brought in a car with severe rear body damage, clearly from a collision.  He gave her a history, she made her appraisal, and he was suspicious and dismissive toward her the whole time.  To assuage him, she brought her trainer to review the case, whose assessment and recommendations were the same as hers.  This time the customer told a different story—admitted to lying to her, basically—and accepted the trainer’s evaluation.  No apology, no remorse, no respect.  She was still affected by it today, and upset with herself that she had let him get under her skin.  Whatever, she said in the end, she’s here to do a job, and there will always be people who underestimate her because of her sex.  Thankfully her trainer was an ally, which made me proud of the good men in our midst.

This woman’s life experience, though clearly different from mine, felt relatable and real to me.  In those few minutes, in the waning daylight of a brisk fall evening in Chicago, surrounded by broken cars, I felt solidarity with and pride for her.  It made me better for reminding me once again of our shared humanity:  Hers, mine, my patients’, those crazy drivers on Wednesday, even her lying customer.

We’re all here doing our best with what we’ got.  I firmly believe this, but sometimes I forget.  Hearing folks’ stories always brings me back.  So I’m thankful for them.

 

November 21:  Cardio Catch-Ups Make Me Better

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Ummm, this may not be my photo!  It was on my phone from 2017 and I can’t remember where it came from–I usually ask friends for permission to use… If it’s yours please claim it!

NaBloPoMo 2019

Is there something you should do but you don’t always want to?

Exercise perhaps, or laundry?  Dishes?  Cleaning and decluttering?

Last year I listened to Better Than Before by Gretchen Rubin.  It was a fun, relatable, well-researched and –reasoned book on habit formation and change.  I have recommended it to many patients for its myriad practical strategies.  One that particularly resonated with me was the idea of pairing.  Basically if we combine the thing we should-but-don’t-want-to-do with something we like or do-want-to-do, we are more likely to form and strengthen the habit of the ‘sbdwtd’.

In one of those Eureka! moments of instant understanding and integration, I started saving my favorite TV show to watch while doing the interval program on my elliptical.  Thanks to the hubs for positioning the cardio machine right in front of the TV in the basement!  Sadly, The Big Bang Theory has concluded and there are no other 30 minute shows quite so compelling to get me moving.  Thankfully I have my favorite podcast and Liked Songs list on Spotify, so I’m not totally sedentary.  On days when I’m really motivated, I still do the 7 minute workout or a TRX program.

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Do you wish you could connect more often with friends?

Years ago I remember talking on the phone while unloading and putting away groceries or folding laundry.  My friend was in San Francisco, I in Chicago.  We knew each other’s days off and would just call when we had a moment, and talk if we were free.  Farther back, in college and med school, we could all just hang out at each other’s apartments, pretending to study, but really just eating and talking.  Now we text, which is nice, but it’s not the same.  Somehow it feels harder to get folks on the phone anymore, and even harder to meet in person…  I miss my friends.

I’m getting a little better, though.  Sometimes I make phone dates with people for my commute.  It can be challenging across time zones, but we make it work.  It’s finite and somewhat reliable—I have to spend 30-40 minutes in the car at some point on any given morning and evening on workdays.  I even managed to connect with two Counsel members for pep talks before important meetings recently.

This month my new friend Alex and I started a new connection method, the Cardio Catch-Up.  She lives in DC and has to walk her dog.  I still need to work out, which I usually do in the evenings.  So we arranged a call over exercise tonight.  It was perfect!  I had to commit to a certain time, and my friend held me accountable.  I got on the machine and didn’t even notice the time going by (okay it just went by a lot faster), while we bonded over our LOH learnings, musings on human behavior and tribal dynamics, and our shared progressive values and aspirations for the planet.  I got my workout in, check.  And we both alighted on themes for future blog posts.  Tonight’s nascent idea:  Is the contagion of urgency the best vehicle for motivation?  Who knows where it will lead, into what it will grow, with what it will merge?  Regardless, it was born of an optimal pairing.

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The Cardio Catch-Up is the perfect multi-win:  Move the body, release stress and tension, connect with another beautiful human, exercise the mind, and inspire the spirit.  Who wants to do it with me next week?