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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.

Showing Up, Owning My Sh*t

What parts of your personality—who and how you are—will simply not change?

After decades of relationships with certain people, what patterns, clearly and deeply grooved, feel impossible to alter now?  And when those patterns bring frustration, anger, or even contempt, what do we do?  Life only gets shorter, friends.  How can we spend less of it in conflict and grief?

I marvel often at how we humans, each and all of us so uniquely, are who we are from an early age, and also learn, grow, and change throughout life.  It’s one of my favorite paradoxes.  I have done my fair share of Inner Work, much of it documented here over the past decade.  Self-exploration, bibliotherapy, talk therapy, coaching—all to dissect the origins and intersections of my personality with those I love.  It’s humbling, illuminating, and rewarding work.  It’s also exhausting.

Dysfunctional patterns in my closest relationships recur predictably, ad nauseum.  Even as I see the collisions coming, and I know where the off-ramps are, somehow I still crash.  Emotional hijacks still happen after all these years.   But it’s better.  Intensity, duration, and hangover today are all a fraction of those a decade ago.  Yesterday’s mangled pile-ups are today’s fender benders.  All the Inner Work has paid off.  And yet, why do these patterns persist?  Why have I not overcome them even more cleanly already?

Once again, my friends save me.  Christine and I met for brunch last week, our first in person meeting in over a decade.  She reminded me to ‘hold it loosely.’  Duh-HA!  Right there over eggs and pancakes, my long-time life coach and friend called forth a mindset that had somehow diminished to the recesses of my conscious practices.  I have plenty of insight and self-understanding, and I generally operate in high levels of awareness and regulation.  Dissecting more for root causes of my relational challenges at this point may yield diminishing returns.  I know what I need to do to improve my interactions.

Learn. Practice. Train.

Showing up and doing the work when it’s hard is when it counts most.  There is always another level of difficulty higher than the last one I have mastered in interpersonal skills.  Growth and progress can only continue if I commit to showing up to try, fail, learn, repeat. 

When I notice myself complaining and blaming, I can look inward and see how I contribute to and stoke my own unhappiness and dissatisfaction.  The humility and honesty here are uncomfortable, and I train to withstand the discomfort so I may keep from stepping into and fully immersing in victim mentality, that easy, tempting place from which nothing good comes.  Inevitably, I am responsible for at least 50% of my own suffering (dammit). 

It’s been a few decades since my brain approached its fully formed state.  Looking back on the long arc of functional adulthood, I see clear progress in my interpersonal skills.  The curve demonstrates periods of both stagnation and exponential advancement, with an impressive net gain.  I wonder how much better it could still get?  Statistically I have a couple decades yet to live—plenty of runway to gain more relational mastery and live even more joyfully than I already do. 

Consistence matters.  “All or something,” as The Betty Rocker says.  ODOMOBaaT.  I can choose to see every instance of friction and conflict as an opportunity to practice what I preach.  I can bring whatever I have in that moment to meet the challenge and feel good about the effort, almost regardless of the outcome. 

I am confident the growth will continue.  I just had to write myself this little pep talk tonight.

What’s Your Signature?

“That has the mark of Cathy on it.”

Many years ago I sent fun and functional wall decorations to Tom and Janet’s kids for Christmas. I had apparently neglected to include a gift message at the online checkout and still, my friends knew it was from me.

How do your friends know you? How strangers? Colleagues and rivals?
What is the essence of you that lingers after any encounter?
Is it what you hope or want? Is it how you know yourself to be?
Who would you ask, and what do you feel in your body at the prospect?

What impact do we each wish to have on the world, now and after we’re gone?
I think it’s okay if we don’t have a particular wish or plan for it.
But let’s be clear: Each and every one of us makes a mark, intentional or not.
Because we all matter, truly, each and every one of us.

It occurred to me this weekend what my signature likely is. It emerged like a warm light I’ve always carried that just got a little brighter, a little bigger, catching and holding my attention, waking me from a much needed and now completed psychological (existential?) nap. Small and mighty, as so many great insights are–that little popcorn epiphany has now nudged me to pick up Book work again. I can’t remember when I had put it down, but it was the right thing to do at the time. And now I shall try again. I think I’ll have a lot more fun this time around.
So wish me discipline, perseverance, openness, humility, and full ownership of my awesomeness, please? That’s the only way this thing gets out into the world, after all.

What can I hold for you, dear reader? Let’s help each other out, yes?
Onward, my friends. We’ got stuff to do.

Strong and Soft: Integrating Our Masculine and Feminine Selves

How do you see and experience your masculine and feminine sides?
Consider your strengths and vulnerabilities–how do you relate them, if at all, to gendered aspects of your personality, behavior, and biases? How would others answer these questions about you?

I’ve thought about this idea sporadically for many years, from writing my residency application essay to interacting with fellow physicians in different specialities, to caring for patients in corporate leadership roles grappling with gender stereotypes and biases. It’s complex and fascinating, intuitive and also worth parsing intellectually. The language can be so charged that having a truly open and curious, non-judgmental and exploratory conversation about it is often challenging. Many thanks to my friends who engage and exchange with me so willingly and generously.

This post will live in the questions more than seek answers. I intend to describe and explore, and invite you to do the same. As I consider what to include here, I feel open, calm, welcoming, warm and giddy with potential connection. I wish for a convening, not just of people–readers of this blog–but of the diverse aspects within any one of us. I hold space for fluid and dynamic integration, for easy flow of energy in an infinite, three-dimensional loop of experience that adapts to context, needs, and goals for individuals and collectives alike.

Does this description feel feminine to you? It does to me, and it aligns with how feminine, or yin 陰 energy is often described. The other night as I discussed non-adversarial advocacy with dear friends, I felt the energy of proactivity, purpose, mission, and leadership–what many would align with masculine, or yang 陽 traits. When I think of me at my best, I strive for ‘Strong Back, Soft Front,” integrating these apparently opposing or dissonant vibrations into something coherent, adaptive, and beneficial for myself, my relationships and my contributions to spaces I inhabit.

From PauseMeditation.org

If we define masculine and feminine as ‘energies,’ then I think we can agree that all humans, regardless of gender, possess both. They manifest in infinite combinations depending on myriad factors. Both energies serve us, and their healthy integration elevates our relationships and effectiveness exponentially, compared to when they are imbalanced.

In the graphic above, add ‘dominating,’ ‘homophobic,’ and ‘misogynist’, and ‘hyper-‘ to ‘competitive’ on the list of words describing Masculine Imbalance. Consider both men and women who exhibit these traits, yourself included, and the contexts in which they occur. In my residency essay I explicitly stated my awareness of medicine as a male-dominated profession, and that I wanted to avoid exhibiting negative male traits as I navigated my career, while also standing up for my own beliefs and ideas. I also intended not to let my naturally caring and agreeable nature be taken advantage of.
Now look at the descriptors of Feminine Imbalance, and think of when/where in your life you observe these traits in yourself and others. If we are honest, I think we can recognize parts of ourselves in all of these words, in certain contexts and relationships.

These traits and their integration are especially important to me in leadership. The best leaders do the inner work to integrate both receptive and assertive, nurturing and directive, caring and accountable, soft and strong aspects of themselves, so they may manifest all of it in cohesive and holistic presence for the benefit of all. These leaders are both attuned (feminine) and differentiated (masculine): They sense the emotions and needs of those they lead and still maintain focus and direction to move us together from the front. For an excellent discussion of an example from fiction, watch Cinema Therapy’s episode, Aragorn vs. Toxic Masculinity. It’s an excellent twenty minutes to spend.

From Verywell Mind, “How to Harness Yin and Yang for Mental Peace and Clarity“, which I also recommend reading:

“What Are Yin and Yang?

“These forces are complementary and present in all phenomena. In some situations, one force might be more dominant. However, this balance may shift depending on what is needed at the given moment.

  • Yin: Yin is characterized as negative, passive, and feminine. It represents the energy of the Earth and moon. It is often described as receptive, dark, cool, soft, still, and contemplative.  
  • Yang“: Yang is portrayed as positive, active, and masculine. It represents the energy of the sun. It is often described as energetic, expansive, and warm.

“It is important to remember that while the yin and yang (are) opposite of one another, it does not mean they are oppositional or in conflict. Instead, they can be thought of as balancing energies that complement one another.”

Where do our masculine and feminine traits and presence serve us well? Where are they a liability? How is this a function of how we balance (or don’t) the energies we manifest? When I need to stand firm and call BS, I can do it lovingly, from a place of caring–attuned differentiation–balanced masculinity. This is different from and related to differentiated attunement, where I am open and receptive to others while also maintaining my own separate, independent identity–balanced femininity.

Whether we describe these energies, traits, and tendencies as masculine/feminine, yin/yang, or in other terms altogether, my wish is for us all to be more aware of and intentional about the energies we maintain, emit, and absorb from one another. I wish for us to practice Strong Back, Soft Front. May we all Attune and Differentiate. Consider thinking Both AND when presented with any dichotomy. Integrate the polarities, seek the win-win.

I intend to write more about masculine/feminine, male/female dynamic and relationship. It’s so interesting and also fraught; I look forward to the challenge of expressing the nuances and complexities clearly and invitingly. Let’s see how it goes!

Happy Sunday, all.