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About Catherine Cheng, MD

I am a general internist in Chicago, Illinois, mother of two, almost native Coloradan, and Northwestern alum. I want to leave the world better for my having lived, by cultivating the best possible relationships between all who know me, and all whom I influence. Join me on this crazy, idealistic, fascinating journey! Look for new posts on the 10th, 20th, and 30th of each month. Opinions posted here are entirely my own, and in no way reflect the opinions or policies of my employer.

Lever Arms, Body Mass, Power, and Leadership

First seen on a social media post by Simon Sinek; please let me know whom to credit!

What makes you an asset to the team? How do you know? How does your leader know?
Does your leader know?

Friend Mark came with me to Ethos last weekend for the last conditioning workout of the block. We pulled the skiers and rowers side by side for 200-300m or 90 seconds, whichever came first, among other movements. No matter how fast I pulled, he still finished at least twenty to thirty seconds before me. Pushing the 215# sleds down and back on the turf, you’d think his weighed almost nothing the way he zipped along, compared to my Sisyphian effort. But I didn’t feel too bad about myself. I’m 5’2″ and 145#; he’s got at least a foot and 60# on me, I’m sure. I marveled briefly at our juxtaposition and just reveled in the fun of having my friend with me in one of my favorite places.

Today, back on the skier and rower, I thought again about our physical differential while pulling, varying my method between leading with legs, back, and arms. I wondered if I’d be an asset or a liability on a rowing team? Is it generally advantageous for rowers to be tall, so they get more distance per pull from their longer lever arms and leg extensions? Could I ever find a rowing method that could compensate for my much shorter limbs? Does my lower body mass give the team any advantage, and if so would it make up for the limb length deficit? How could I maximize my power to contribute? What are the ideal physics of a heterogeneous crew habitus? How could this team win consistently?

It all got me thinking about leadership, naturally.

How do we all contribute from our strengths? How do our leaders identify our strengths and amplify them, then place us in positions of complement and synergy for the good of all?

This requires more attention, thought, intent, creativity, and work than most leaders consider to be their jobs, no? It requires relationship. I must know you to find your true strengths; I must know the whole team to see how we all fit together, where we grind and where we glide. When I do this, you are much more likely to feel seen and valued. I can enlist each person to identify not just their own strengths but one another’s. Proactively synergizing our respective gifts can bond the team in mutual respect and collaboration. My effort, then, is worth the rewards in loyalty and willingness to sacrifice, because we all feel in it together.

Leaders who are willing to do this cultivate cohesive teams who can withstand adversity with confidence and grit. We can call on one another’s superpowers with humility and collegiality, knowing we shine brightest when we all shine together, rather than always trying to outshine one another.

Honesty and transparency stand out as core values here. If I really wanted to row and understood why that would not serve my team, if I were told kindly how I could contribute meaningfully in other ways that also align with my strengths, I’d be much more willing to pivot and still participate fully. That would require my team leader to take time and energy to communicate clearly and completely. I think this is not too much to ask. We should expect it, train it, and hold leaders accountable for it with specific, relevant, and regular feedback.

If the default assumption is that everyone has a worthwhile contribution to make regardless of limb length, body mass or other attribute, and leaders actively help team members identify and amplify their strengths, then that contribution will manifest from each and all of us fully and for the greatest good.
What a wonderful exercise on possibility, no?

Life, Death, and Life

“There is never enough time to be with the ones we love.” Relish every moment.

“‘Our world has been around longer than you can imagine. Your Ma lived in her time and you live in yours. You both lined up for a good nine years. What are the chances of that, in all of human time? Near impossible. Count yourself lucky.'”
–Roger Weathersby, Man of Science, The Resurrectionist of Caligo by Wendy Trimboli and Alicia Zaloga

We celebrated Mary’s life three weeks ago. Two days ago my friend’s 95 year-old father was transferred to the intensive care unit and needed medications to maintain blood pressure; I really worried he would die and my friend may not make it home in time to say goodbye. But he pulled through and my friend is with him now. Yesterday I had the privilege of participating in the life celebration of Hiroshi (Paul) Shimotake, father of my dear friend Tom. Tom, Janet, kids and extended family returned to Chicago for the memorial at the church where both Hiroshi and Hiroko and Tom and Janet were married. It was one of the loveliest tributes I have ever experienced, and I got unusually emotional.

I think it’s normal to take life for granted, at least a little. We make plans assuming we will still be alive and well tomorrow, next week, next year, several years from now–of course we do. Still, none of us knows how much longer any of us have in this lifetime. These recent remembrances bring to mind my own family’s future, as the kids’ independent lives begin in earnest and my parents’ approach their sunsets. What will stand out most when we recall our shared past? What insights will we only gain when our people have passed on? What will we wish we had said or done, cleared, resolved, or mended? As well as we know ourselves and might predict how the death of a loved one will affect us, I’m sure we cannot possibly know until it happens. So much (most? all?) of life is such, no? We can study all we want, and theoretical knowledge is still no match for first hand experience.

I recently gave Mary’s spouse the twelve Remembrance Love Notes. Yesterday I gave Tom and family Love, Homecoming, and Reunion. That felt right. I still find peace in the wish, “May their memory be a blessing,” as it acknowledges the passing as well as the legacy. I chose remembrance as the theme of my post after ‘grief’ and ‘loss’ both felt incomplete. I know we must journey through all of the feelings, memories, and processing, recurrently and often in convoluted fashion, over time. That’s just how it is. And of course, it’s just so much easier to do it together. I think the meaning we make this way is deeper, more connecting, and more healing.

“Mortality has no domain over love,” I wrote in my card to the family yesterday. I meant ‘no dominion,’ but I think they will still catch my meaning.

What a reassuring way to think of death, no? It hurts for those left behind, but if there was/is love, then the pain can be borne, especially if we share it. And isn’t that the case with most (any?) pain? I say often that pain is inevitable and suffering can be a choice. We mitigate our suffering by sharing our pain, no? I’m generally not a fan of formal or rigid rituals, but I appreciate better their comfort and importance for connection as I age.

How wonderful to be able to hold my friends’ loss, grief, and remembrances with them. I had not anticipated some of my own visceral, emotional, or cognitive responses. But I am not at all surprised, and infinitely grateful, for the glowing fullness I feel in my heart from tightening meaningful connections, even in these sad circumstances.

Death comes for us all eventually. What will help us be at peace at our end? What will we regret? How can we live today to make the balance of both be what we want? What can we do now to help our loved ones make it for themselves? Every life and death is experienced individually, even when we come together to share them. What helps us hold the space for ourselves and one another? I think the best we can do is simply to live intentionally and according to our highest values, and to maintain our connections to the people and causes that matter most. Relationships and meaning. Simple and complex, both.

In my middle age I see life as both long and short. It makes me smile. I’ve had such good fortune, done so much, come through my challenges relatively unscathed. And there is still so much to look forward to, so much more to experience and learn. So bring it! I can take good care of myself and those around me so we may all have the best chance at maximally enjoying one another and whatever time we have left together. And when any of us passes, my greatest wish is that we nurture the hurt with all the love, and not fear the pain. That deep, strong, soul-saving love, cultivated now and sustained later, is worth the pain of grief, I say today. But when death claims someone I love, will I wish I loved them less, so I could hurt less? I can imagine that thought crossing my mind. I hope if it does, that I will allow it, investigate it, and nurture it as well, and nurture myself and others in patience and compassion.

So let us all live fully, my friends, and remember our loved ones in word, action, and relationship. That is the best way I can think of to honor us all.

Love Notes Wrap Up and an Invitation

Hello Friends!

What a FUN 30 days! It went by so fast, I’m so surprised, and I would definitely do this again! How was it, did you enjoy it? I’d love if you found this month of 12 daily Love Notes both simple and deep, uplifting and grounding at the same time.

I now have a stack of 360 original, unfolded Jar Smile Love Notes that need homes. Would you like some? Here’s my invitation:

Take a look at the thirty themes below.
Which one(s) resonate(s) with you?
Who in your life could use a few of these messages?

I will mail them to you, in an envelope with a stamp and everything!
Let me know if you want them folded or flat.
I can mail internationally, no problem!
Please comment on this post on WordPress, Instagram, or Facebook to request. You can request as many sets as you want, first come, first served. I will send them in whole dozens; no cherry picking. If you only want a few, maybe carry the rest around and strew them in your loving wake?
You can message me your address privately on my Instagram account, @chenger91, or we can figure out something else.

In exchange, please consider making a donation to Braver Angels or Digs With Dignity. These are my two favorite non-profits; they do so much concrete good in our world!
Tell me in your comment how these notes landed for you this month, and how you might pay the feelings forward, either by sharing the notes you request, writing your own, or in some other creative and loving way.

I will take requests through 6:00pm US Central Standard Time Tuesday, December 30th.
I will mark/update the list below as the sets are spoken for.
I think I know what I will do with the leftovers, but wouldn’t it be wonderful if there weren’t any?

The goal here is to spread the Love, my friends–how far can we fling it?
I can’t wait to see!

ADDENDUM: I will strikethrough the sets as they are taken.

1.Transition
2. Rest
3. Work
4. Making Friends
5. Uncertainty
6. Perseverance
7. Balance
8. Revival
9. Lightness
10. Kindness
11. Gratitude
12. Friendship
13. Love
14. Reunion
15. Fitness
16. Remembrance
17. Humanity
18. Learning
19. Bridging Difference
20. Solidarity
21. Dancing
22. Finding Joy
23. Creativity
24. Listening
25. Empathy
26. Patience
27. Homecoming
28. Honesty
29. Change for Good
30. Peace

Typical Smile Jar refill snail mail