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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.

Do Not Throw Away Your Friends

*deep breath*

Let’s all slow down and sink into this moment, shall we?  I mean really get settled. Be here only, right now.   *deep*   *breath*

How are you feeling, physically, emotionally, mentally, spiritually, and relationally?  I think I will live more peacefully if I ask myself this more often, and take the time to answer and reflect, before I speak or act.

I had finally walked out of some heavy darkness after a truly regenerative vacation.  I started two and finished three books after Christmas.  I wrote all of our family New Year greetings in one sitting, got a better handle on stress eating, and made inroads on social media moderation.  I even worked out four days in a row—2021 was off to an awesome start!

And then this week happened.  I followed peripherally through the workday as our Capitol was besieged by rioters seeking to overthrow the government, then proceeded to doom scroll and [out]rage post into the wee hours of night.  I felt agitated, like most, and also weirdly vindicated.  Thinking back to the dread and despair I experienced this time four years ago, and my conservative friends telling me I was overreacting, I thought, “See?  I was right to worry.” 

“I was right.”  Such a delicious and potentially toxic sentiment.  How does it make anything better?

I saw so many people on January 6th telling their Facebook friends to unfriend if they still support 45.  Another classmate, a Trump supporter, announced she was deactivating her account due to the hostility and blanket dismissals of her as a person.  “You’re dead to me,” my liberal friends announced.  How is a person supposed to respond to that in any kind of productive way?  The title of this post came to me that evening, as I left the office.

In 2016 I friended a high school classmate for the express purpose of conducting civil political discourse on social media.  At that time I did not quite understand what an exercise in futility this can be (mostly is).  I’m proud to say that our exchanges have always, indeed, exemplified civility.  Over the years we also bonded over hiking, shared nerdhood, and not much else.  He asked me occasionally for general medical information and challenged me with math problems he presented to his high school students (I solved them with authority).  But the political interactions became tiresome as the current administration continued.  Last year I requested to cease our political conversations; he graciously agreed.  It was just too unsatisfying, and I felt relieved to just be friendly.  I look forward to when we can meet in person to engage, because I’m so much better at that now.

In face to face political conversations, I have learned to define and hew to clear and simple objectives in any interaction, and it’s almost never to persuade anyone of my rightness.  Most of the time it can only be to understand the other person’s perspective; I’m almost always the one asking more questions and listening more.  I’ve had to accept that and practice patience.  I’ve also had to muzzle my inner rage monster whenever I hear sweeping, oversimplified generalizations like “Democrats’ policies will make everything worse for America,” or “Democrats have no soul.”  I’m not a Democrat, but right now that is the party that more often advances causes and policies that I support.  Conservative and progressive ideals are never all good or all bad.  Rather, they are complex and intricate polarities to be managed in the infinite game of democracy.  Adherents to each side are not mutually demonic and subhuman, monolithic enemies to be vanquished.  They are our neighbors, colleagues, family, and friends.  Nothing will get better if we go around cutting ties left and right (hey! Pun!), especially not in the heat of a moment when the country most needs our collective composure, despite our most agitated emotions.  This is why we must breathe deeply and settle in to our best selves, before we open our mouths or type another word online.

My friend has renounced Trump, saying it took a fair amount of rationalization to vote for him this time, which he regrets.  Welcome to humanity, sir, where we all rationalize most of our decisions, more than we know and much more than we’d like to admit.  He has also declared steadfast commitment to his conservative principles, which I wholeheartedly support.  I’m so hopeful that we may continue to practice our discourse skills on and with each other.  I still may not engage on Facebook, and he has yet to accept a Zoom invitation, but I feel progress coming on (as Progressives often do). 

Comfort Food

“Rice Grandma”, fermented glutinous rice just like my own PoPo used to make, and in the background glutinous rice balls filled with black sesame paste. Both foods that bring me home.

What foods make you happy?  Why?

In Disney’s 2007 film “Ratatouille”, the hostile food critic experiences an existential transformation after his first bite of the unsophisticated but sentimental title dish.  His olfactory sense, the most primitive and tightly bound to long term memory of them all, triggers intense feelings of comfort, love, and security from childhood, when his mother served him ratatouille after he was hurt.

Sister and I bonded recently over the Asian food display at my local Costco.  We found the pork sausage that Ma used to use in her fried rice, and egg yolk pies that we can almost never find in stores, even in Chinatown.  When I gushed about it to a fellow East Asian friend, she pointed me to a new Chinese supermarket near me.  Daughter and I went exploring today.  …While I would not quite call my experience existential, it was intensely joyful, and our haul provided a unique satisfaction that moved me unexpectedly.  I found myself texting photos to my parents, wishing they could be with us, recalling the flavors, sounds, and memories of growing up Chinese in white, suburban America.

I learned early in childhood not to bring food from home for lunch at school.  Stares and disgusted facial expressions from classmates at the appearance or smell of my family’s cooking vaporized my appetite and made me unpleasantly self-conscious.  It’s okay though, because I loved hot lunches at school—it was stuff I never got at home—overcooked green beans, spaghetti and meatballs served with an oversized ice cream scooper, and chicken fried steak—I had no idea what it was, but it tasted great—so different!

Authentic Chinese food was enjoyed at home only, especially the really weird stuff like preserved or salted duck eggs, fermented bean curd, and dried pork sung.  Like most teens, I did not fully appreciate these foods at the time.  In college I got to explore Japanese, Indian, Middle Eastern, and Thai food, all new to my naïve palate.  But when I went home—when I go home still—Sunday mornings eating rice porridge with the small plates of colorful, multi-odorous, myriad-textured food really was (is!) comforting.  Daughter saw today how giddy it all made me, and it excites her to try these foods for herself.  Another generation bonded to cultural roots awaits its next awakening.  

One of my goals this year is to live much more mindfully.  This includes cooking more at home, and really appreciating and enjoying—savoring!—my food, rather than inhaling it while attending to a dozen other tasks or problems.  My Chinese grocery acquisitions these last few weeks excite me more than I anticipated.  Maybe I’ll start bringing leftovers for lunch again.

Welcoming 2021

It’s almost here, friends, a New Year!

What lessons and mementos will you hold in front, what light guides you?

Tonight I consider the landscape and path ahead.  What do I look forward to, and how do I want to be?  How will I approach relationships, media, leadership, projects, and health?  How will I challenge myself?  On the last blog post of 2021, what do I want to look back and be able to write about what’s important to me in the year past?

Relationships:  Always work to do here.  Some will require more vulnerability, which is scary.  In others I will work to overcome booth pride and self-doubt—maybe that is the ultimate paradox of imposter syndrome?  At my best I exemplify curiosity, humility, generosity, honesty, and kindness.  In the hardest moments I must cultivate non-judgment, empathy, and patience. I will scrutinize my inner narratives and assumptions, and look always to connect.

Media:  Ask. More. Questions.  What is the writer/reporter/source’s objective?  What is their bias?  What is mine?  Where/how can I access primary data in full context?  How should I be willing, and how willing should I be, to learn, change, and grow from what I take in?  How will this make me better, and to what end?  To practice thoughtful discernment—before, during, and after consumption—that’s the goal.

Leadership:  What do people need from me, individually and as a group?  How can I best also lead those who lead me?  In 2020 I completed a 360 evaluation; the feedback has served me well, and I review it often.  In 2021 I commit to stepping out of my default styles more often.  I will nurture my I, S, T, and J sides and attune better to those who live at these frequencies.  Goal:  To help my people and organizations advance toward our full potential, always aligned with and in service of our deepest core values.

Projects:  Assuming the invitations continue, this could be hard.  Every new presentation, paper, group, conference, and class, in my mind, is another exciting opportunity to learn, synthesize, integrate, and connect!  But I can’t do everything, and I must stop “screwing your future self,” as Ozan puts it, by overcommitting. 

Health:  Walk the talk.  Sleep, Exercise, Nutrition, Stress Management, and Relationships.  After all this time, defining health in terms of these five reciprocal domains continues to bring clarity and direction for both my patients and me.  I’m learning about keystone habits, which I bet will help all of us in the coming year.  Thankfully, not every domain goes to hell at the same time, and all behaviors are subject to change.  Goal for 2021 is to fortify healthy habits in each domain, especially the weak ones, to make them less susceptible to derailers.

Coda – Some last thoughts for the year

Books:  This week I started and finished Matthew McConaughey’s Greenlights on Audible in about 36 hours.  I don’t know if his hoots and whistles are written in the book, but they and he are a riot to hear on audio.  What a master storyteller!  And the life lessons are valuable, too, offered with humor and confident humility—highly recommend.

Since I shared my 2020 book list last week, friends have made myriad suggestions that are now in the queue for 2021:

The Naked Now by Richard Rohr

Upstream by Dan Heath

Nonviolent Communication by Marshall Rosenberg

Who You Are: The Science of Connectedness by Michael J. Spivey

You’re Not Listening: What You’re Missing and Why It Matters by Kate Murphy

Thinking In Bets by Annie Duke

Out of Our Minds: Learning to Be Creative by Ken Robinson

The Coddling of the American Mind by Greg Lukainoff and Johathan Haidt

The Long Game by Mitch McConnell

I’ve considered reading that last two for a few years now, and always avoided it.  Didn’t want to be uncomfortable.  In 2021 I commit to training in discomfort, to learn and broaden perspective.

Songs:  A friend solicited a playlist to bridge what has been to what can be.  Here are my contributions.

Do What You Can, Bon Jovi

May We All, Florida Georgia Line

Burn the White Flag, Joseph

Stand By You, Rachel Platten

No I In Beer, Brad Paisley

Days Like This, Van Morrison

The Mountain, Dierks Bentley

From Now On, The Greatest Showman Soundtrack

Dancing Queen, ABBA

What’s on your lists?

COVID Vaccine:  I recommend it.  After reassurance that my colleagues at higher risk than I who wanted it have gotten it, I got my first dose of the Pfizer/BioNtech vaccine yesterday.  34 hours out now, I have minimal, focal, and superficial arm soreness at the injection site and no other symptoms.  I did my usual HIIT workout tonight without limitation.  Read this concise and user friendly guide to the mRNA vaccines by Pfizer/BioNtech and Moderna, with references to data on safety and efficacy.  To see when you will likely be eligible to receive the vaccine, refer to this slide deck from the CDC, also concise and easy to read.  There are many months yet ahead to stay vigilant and mindful, though.  Cases and deaths will continue to rise before receding, especially with all of the people still traveling for the holidays.  Please continue all of your best COVID exposure precautions, for all our sakes. 

So much lies out of our control, friends.  And yet we all still have all kinds of agency.  We get to shape our future.  Let us all use our personal power for good, shall we?  At the end of each day may we look back and forward on myriad words and acts of kindness, generosity, humility, and connection, rather than judgment, ridicule, derision, and exclusion.  That’s how we can make 2021 infinitely better than 2020.