The Flow of Friendship

30 years this October.

Janet and I met at our white coat ceremony in 1995, sat two seats apart, alpha by last name. Walking home from school days later, I learned her family lived in Denver for a while when we were kids. We exchanged parents’ names and went home to call our respective ones. And get this: Her dad was my grandfather’s student, and stayed at the Cheng family home in Tainan, Taiwan one summer while studying engineering. He was one of Yeh-yeh’s favorites. We went to their house for dinner once (neither Janet nor I remember). When Ba recounted the evening, he got most animated about the concrete foundation that Janet’s dad had laid for the playhouse in the backyard (both dads are civil engineering PhD’s).
Positively. Cosmic. Sisters.

We were joined at the hip in school. We sat at the back of lecture halls, Janet doing crosswords and I writing letters. As anatomy partners we created mnemonics with gestures to remember the cranial nerves and their exit points from the brain. We learned interviewing and physical exam skills together, went to the gym, cooked, and basically grew up together in the final stages of adult brain development. Some of our teachers could not tell us apart. We rotated on pediatrics together when she met her now husband, an intern then, eating French fries and drinking ginger ale on call every fourth night. We attended each other’s weddings (I got to stand up in hers). Our kids are similar ages.

As an executive health internist and academic neonatologist, our professional worlds overlap little, yet we still speak multiple languages in common (including American English-accented Mandarin). As we, our parents, and our children have all aged these three decades, contact has fluctuated and our bond remained intact. This weekend Janet came to Chicago and we spent three days together cooking and yapping, our longest in-person time in fifteen years. We made a menu in advance and headed to the grocery store on her arrival. These three days we cooked Vietnamese spring rolls, green onion pancakes, fried rice, potstickers, and curry beef pastries, all steeped in nostalgia and yumminess. Doctoring, momming, daughtering, wifing, teaching, leading, citizening–we covered it all while mixing, rolling, wrapping, frying, steaming, baking, and of course eating.

Our class stays connected on a What’s App chat and we are impressive, I must say, many of us leaders in our fields, making an impact. And yet when we gather, we still meet as the people we knew then: eager, optimistic, young students. We reach out with news, requests, and just to say hi. That easy connection is just so special. How have 30 years passed already? Will we still be around to celebrate another 30? It’s possible, and I will revel in every year we get with one another in the interim.

Dear readers, I wish for us all to have friendships like this–the ones that persist with easy and steadfast confidence, that we trust implicitly, that validate and support, that endure and mature in mutual respect, admiration, growth, and evolution. It’s these meaningful relationships that will hold us up in life, no matter what happens.

On Self-Love

Smile from the Ethos jar, 14 February 2025

“How much do you love yourself? I hope it is at least as much as you are loved by the rest of us.”

I have thought to ask this of several people I know, wishing ardently for them to see their own gifts and strengths as we, their ever loyal friends and loved ones, see them. I hope you have people asking and supporting you in this way, dear reader, every day.

Self-love, at its best and strongest, is not boastful, grandiose, or arrogant. Rather, it is quiet, steadfast, resilient, and humble. It doesn’t need to compete in intellect, beauty, or performance. It tolerates being misunderstood or judged as less than by people whose opinions are simply irrelevant. And it knows when, where, and how to make us stand up and be seen, heard, and known. Self-love is how we know what spaces to take up in confidence and self-worth.

What does it mean to love someone, ourselves included? We honor, care for, think of, miss, wish the best for, sacrifice for, tell the truth to, help, hold accountable, look out for, and want to be with our loved ones, yes? How many of us feel this way for ourselves, as much as for others we love?

Adequate self-love provides the foundation, space, and magnanimity for fervent love of others (‘can’t pour from an empty cup’), and is also fed and nourished by love from others. It sets the standard of attitude and conduct for that mutual, wholehearted, loyal love that we all seek so deeply.

Love is the ultimate positive feedback loop, the best snowball effect.

‘A one person lovefest invites others to the party
To celebrate one another in joyous togetherness
Without competition or comparison
Only in mutual affection and validation’

So many professions of love this past weekend, so beautiful and connecting. I hope each of us, at our core, can hold onto a deep sense of self-love, regardless of age, gender, sexual orientation, relationship status, family dynamic, or political leaning. Love is the foundation of the healthiest, strongest, and most fulfilling relationships, and it’s never too late, never too little to start or start over.

Soothe Thyself. Then Get Going.

Attune. Attend. Assess. Adjust. Then Activate and Advocate. Always Adapt.

Turns out I’ve been stress eating for the past six weeks or so. I only noticed a few days ago. I’m past the point of berating or judging myself for it, and I also marvel at how stress can manifest so overtly and insidiously at the same time.

What have been your sub/unconscious signs of stress lately? What would those who know and love you say?

My other current signs are lack of motivation to work out at home and a constant urge to write Jar Smiles. That last one is new, and its impulse strong. I tell the story that the nature and level of my current stress is such that only connection with others, however I can get it, can soothe me. So if I want to get back on the elliptical at home, I should probably schedule calls with friends at that time!

It’s been a rough few weeks for us Blue voters. I wonder who among Red voters feels, or even sees our distress? Every time I talk to my Red voting friends I understand better that we live in wildly divergent information universes. I wish to slowly bridge that gap with high quality primary sources and reporting, shared by and with me. This will take time, patience, openness, and true humility.

I see people advocating in the usual way–with overtly adversarial attitude and tactics. Isn’t that how we got here in the first place? Isn’t it time to reconsider our processes and methods? I am no longer interested in protests or writing postcards. I understand their place in activism, but for me they feel neither soothing nor productive. I think all of our jobs now are to self-soothe and advocate effectively. Venting to members of our own tribes can be cathartic and healing. I listened to friends do this for the better part of an hour this past week. We shared stories, concerns, fears, hopes, and support. I was so gratified to not hear ad hominem attacks on any other humans; only anguish over what is and struggle to figure out what to do.

So we must self-soothe. I don’t recommend stress eating, though the foods I eat under stress now are healthier than in the past. I think writing jar smiles is good, as long as I don’t procrastinate necessary tasks too much to write them (how many loads of laundry need folding, again?). Certainly if I’m lashing out at people, self-harming, or otherwise behaving in high-risk or destructive ways as I seek comfort, that is maladaptive. I hope I would have people around me to both support and hold me accountable for my attitudes and actions, and their consequences.

Once I have de-escalated and regained some equilibrium, once I feel stable and grounded in my values and have clarity on both what needs to happen and how I can contribute, I can then direct my energies and actions mindfully, intentionally, effectively, and in concert with others rather than counter to or in competition.

A dear friend asked today for books on ‘reframing arguments/persuasion.’ I answered:
“-Getting to Yes, Roger Fisher and William Ury
I Never Thought of It That Way, Mónica Guzmán
High Conflict, Amanda Ripley
Think Again, Adam Grant
Why We’re Polarized
, Ezra Klein
“It’s about understanding first, explaining second, converting only incidentally, if at all.
So much easier said than done, especially when feeling stressed and threatened.
Still worth the effort in the long run, if we can muster it, and easier the more we practice/train.
Happy to discuss anytime!!”

That last part continues to resonate and give me hope–discuss and take time–repeatedly and in earnest. Healing Through Connection.

I have just causes to advance: women’s health, a stronger and more reliable healthcare system in general, and above all, healthier relationships between humans in any and all contexts. These are infinite games which will outlast my lifetime. If any of us plans to make a meaningful contribution to our respective just causes, then our job is to stay fit enough to continue playing. We must adapt our strategies and execution to conditions and players as they evolve and emerge. We can commit to our Why and be flexible with the Hows and the Whats, as Simon Sinek says.

I think I may have successfully reset a bit this weekend. I connected with friends and family, made good food, and did my first 8am conditioning workout at Ethos in a month. The little love notes hit their marks, I am told. The stress eating awareness already diminishes the impulse; my agency has re-emerged and my nutrition rudder restablized.

All of our highest self-care and relationship skills are called forth now and for the foreseeable future, my friends.
I have confidence that we can meet this challenge if we walk together, no matter how we voted, in humility, generosity, kindness, and collaboration.