Monthly Archives: November 2020

Keeping In Touch

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NaBloPoMo 2020 – Today’s Lesson

How have you maintained and nurtured your ties this year? 

As the days get shorter and colder, I feel the annual personal regression set in.  In 2020, this carries new and important implications.  The busier I get, the more I value quiet and solitude.  But my soul sings in connection—broad, frequent, and deep.

Since March I count at least six new, recurring engagements with friends and family, occurring over phone, Zoom, and snail mail.  They have all held me up and calmed me down through tumult.  And they all occurred organically—all of us seeking comfort, connection, and meaning through the chaos and morass.  All signs point to these as my social and emotional beacons through the coming winter.  What will your beacons be?

At work, this year has tested our teams.  Even the most resilient ones have strained under the stress of complex and prolonged uncertainty.  Though we returned to work in June, we are still not together like before.  We’ve had to find new ways to stay connected, including weekly video calls and now the possibility of daily, one-song, video dance parties.  I see more clearly now where I can connect more regularly one on one, and how individuals may need me to show up in different ways.  I would have told you for many years now that I understand this concept; today I feel at least one step closer to living it for real.

Relationships are already hard.  Cultivating and sustaining healthy ones in the midst of crisis, in an increasingly Volatile, Uncertain, Complex and Ambiguous (VUCA) world, takes extra attention and effort.  I must constantly attune and retune. 

Every encounter is an opportunity to try; it makes me better, and I’m grateful.

What a Privilege

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NaBloPoMo 2020 – Today’s Lesson

I’ve said it before and I’ll keep saying it:  People are suffering.  Not everybody, but many, and many pretty badly.  A prolonged global pandemic, unprecedented political polarization, escalating agitation for social justice—any one of these would be enough to push us over the edges of our sanity, and yet here we are, surviving all three and more.

I know it’s a challenging day when I’ve handled three phone calls before getting out of the car at work in the morning, and in the afternoon I think Hallelujah and give joyful thanks for one patient’s globally negative Review of Systems and another’s 95% oxygen saturation.  But this is also the most fulfilling day.  I did good work today.

Like most primary care doctors, my message volume has increased by about 30-50% in recent months. Complex questions and issues require time and patience to think and talk through. Many cannot be readily answered or solved, and the uncertainty calls out all of our anxieties and defenses, insecurities and grievances. Every patient experiences this historic moment in a unique and acute way. As the storm rolls over the neighborhood, I see it land on each doorstep, knowing what’s already in the house—how the furniture is arranged, what’s in the closets, maybe even the state of the foundation. I am allowed inside, invited to inspect and advise.

What an amazing privilege to be a physician in this moment, to witness, and to help.  This is absolutely what I signed up for, what I’m called to, and what I trained for.  I promise to do my best, and we will get through it together.

Up and Accountable, You Hold Me

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NaBloPoMo 2020 – Today’s Lesson

What if Yoda sang love songs?  Does it not brighten your day just thinking about it?

Who holds you up?  Who holds you accountable?  Do they do it with love?  If you’re lucky like me and the same people do all three, you possess a rare gift.  I learned this again today and the realization sustained me, even through some hard conversations and decisions.

* * * * *

“I feel like garbage after I talk to her,” a friend told me today.  We commiserated around our mutual acquaintance, Dolores*.  Dolores constantly focuses on the negative—how we could always do this or that better, how this or that thing is never right.  She nit-picks and dissects.  It’s hard to be around Dolores; her positive to negative interaction ratio is 0 to infinity—or at least it feels that way. 

We like Apollo* better.   He consistently notices and shows us the good we do.  He points out our strengths to others.  And it’s not lip service—he truly sees, appreciates, and acknowledges how we contribute—we feel his sincerity and gratitude.  His ratio approaches 5 to 1, which is an important sign (driver?) of healthy relationships.

And Apollo’s 1’s, what are those about?  He tests us, makes us uncomfortable sometimes.  We clash with him sometimes on how to walk the talk, on the methods we choose to manifest our mission.  But because our relationships are healthy, because we know our ties are stronger than our tensions, we can negotiate in good faith.  We challenge one another to live up to our ideals—to defend our methods–we hold each other accountable, and we all benefit.

Like I said, lucky.

*not their real names