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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.

Recognize. Rest. Regulate.

“When you’re stressed out you think the marriage is bad.”

Hubs had this insight about me years ago and I immediately dismissed it as ridiculous. Thankfully months (years?) later I admitted the accuracy of his assessment and have worked to recognize the phenomenon in real time, so as to self-regulate and avoid immersing in false stories, making myself and others suffer unnecessarily.

So what story do I tell about the emotional roller coaster that was this past week? I had a ‘this marriage sucks’ moment some weeks ago and nipped it; I think I can avoid that hole in the sidewalk more reliably now. Yesterday felt particularly low, and I scrambled to make sense of it–the physician’s diagnostic and therapeutic mind taking over. The rabbit hole beckoned. But as of tonight I can put down the dissection tools. Life calls me to just be in it, whatever it is, without judgment, resistance, or exposition, for now. But I thought I’d document the thought and emotion journey here, for my own records, and also to see if anyone else can relate.

It all started 8 days ago when I realized suddenly that I would drive Daughter to college in six (now five) weeks. In one of those rapid cinematic zoom-in moments of the mind, everything about my life changed in that heartbeat; a new, irrevocable perspective emerged and disrupted everything, even as I had thought myself flowing with life’s predictable evolution rather smoothly. As if called forth by magic, strong and conflicting emotions rose in a whirlwind and began a multidimensional tug of war with my psyche in the ensuing days.

Excitement: Now after twenty-two years of primary parenthood, the last paragraphs of this chapter are only a few pages away–how will Kids and I write them? It’s been long and arduous, fraught and heavy with responsibility and fear of failure, my Book of Parenting. It’s also inarticulably rewarding and edifying–talk about the headwinds that shape us–I could not be happier about how we’ve all turned out. My children have made me a deeper, more thoughtful, more empathetic, smarter, and stronger person that I imagine I would otherwise be. I cannot wait to watch them thrive in adulthood; they are ready and powerful.

Guilt: But what about all of my parenting fuck-ups? When and how will those come back to bite us all in the butt, and hard? Whenever I admire my kids with pride and joy, guilt always lurks somewhere in the bushes nearby. *sigh* Oh well, what’s done is done; all I can do now is continue to learn and apply, and apologize and ask for forgiveness when needed.

Optimism: Dinner with an old college friend mid-week revealed our shared attitude toward artificial intelligence–one of immense potential and serious concern that self-serving and short-term reward and profit-driven impulses will overtake collaborative and holistic ones in its development and applications. We resolved, therefore, to combine our platforms somehow to amplify and advocate for the latter, and to find and rally fellow early adopters of that cause.

Self-loathing: This one is acute. Remember when I wrote how I’m getting okay with being squishy and strong? I did not lie, but as with so many things, my feeling brain does not agree with my thinking brain. As of today, I hate my appearance, especially the shape of my body as I see it in photographs. When I look in the mirror with clothes on, I honestly think I look okay. Not as lean as I’d like and as I once was, but not horrible. Then I look at pictures and absolutely cringe. How fascinating! Even as I feel stable, strong, flexible, agile, and resilient in my body, even as I recognize my remarkably healthy constitution, both physical and psychological, I cannot seem to shake this one severe self-judgment–at least for now.
*deep breath*

So the marriage is fine, my stress mind says. But now I’m not at all good enough myself?
How fascinating again.

Middle age. Menopause. Impending empty nest. Severe geopolitical chaos and uncertainty. Deep and meaningful connections and relationships. Rising liberation and agency in expertise and wisdom. “No longer stupid, not yet infirm.”

I recognize the laden morass of intersecting contexts of my life, its weight and density.
I resolve to rest my mind and spirit, to breathe deeply. I can be with and get through it, to find my most authentic and honest way, one breath at a time.
I can regulate my thoughts, stories, words, actions, reactions, and relationships according to my values and integrity. I can live a life with low risk for severe regrets, if I slow down, be, and do me.
Everything is and will be okay.

Healing Through Connection

“How did you get to be so kind, generous, compassionate, empathetic, self-aware, thoughtful, and creative?”

I asked this of someone I admire recently, and then considered all the other people I know and admire to whom I’d ask the same thing. Knowing what I know about their lives, here is my story.

We emit and express these qualities from at least two origins:

First, we have felt them from other people. We were open to and received kindness, compassion, empathy, thoughtfulness–love, basically–from fellow humans. It was role modeled to us. Second, we experienced challenges, struggles, and pain that taught us the value and importance of having this love in our lives. As I think more, these experiences–feeling loved and supported in times of crisis and pain–integrate to make us stronger and more resilient, more grounded in ourselves and open to relationship with others. This is the essence of Healing Through Connection.

Consider the folks you know who exude these qualities. I bet you could easily describe them as Strong and Soft, vulnerable and courageous, with a depth, mass, and volume that can hold space and tolerance for a wide and divergent field of ideas and experiences, even and especially conflicting and paradoxical ones. They are the ones we seek when we long to feel this wideness, this grace.

Then I think about how the opposite happens: When in times of existential crisis and pain we feel isolated, unperceiving of love and support. Just thinking about it evokes a deep sadness, an instant recognition of profound loneliness that seeks immediate relief. What is this dynamic? How does it happen that someone faces pain and struggle truly alone and devoid of kindness, empathy, compassion, and grace–of any connection–shown to them? I know it happens, and I am likely guilty of ignoring or simply being oblivious to other’s struggles as I go about my own busy life.

So when I come across someone who exudes the opposite of kindness, empathy, compassion, generosity, openness, and grace, what story do I tell about that? How does my story, told subconsciously and automatically, then affect and even dictate how I show up to that person? How might I modify and optimize my default story to then raise the likelihood that I will interact with this person in a way that connects and heals?

We’re living in tumultuous and fraught times, friends. The stories we tell about one another, the presence or absence of love in our daily encounters, matter more now than ever. Look around you for the role models. See how they move through life with ease and joy, resilience and hope, optimism despite everything. Observe them, query them, emulate them. Feel the rewards of connection with them, and amplify that.

It’s never too late, and no action is ever too little, to Heal Through Connection.

Headwinds and How They Shape Us

“Beautiful sun, but high winds. Tough ride leaning into the gales. There’s a metaphor in there somewhere…”

Andy “AJ” Wilson-Taylor rides Rory, his trusty motorbike, throughout Europe and Scandanavia this summer on a music and filmmaking quest. He’s two-thirds of the way through this three month Odyssey, sharing photos and captions all along the way. He posted this one today and it struck a chord.

“It’s through the struggles that we grow” —Melissa Orth-Fray
It’s been over eleven years since I started a regular fitness program, and I’m stronger now than ever in my life, having come through ACL rupture and reconstruction, among other struggles. Daughter is graduated from high school and headed to college in the fall, also having come through more than her fair share of life challenges. Looking back at my 51 and her 18 years, I see both copious joy and serious pain, and loads of strength, resilience, and growth.

So how has all of that shaped each of us, and both of us together? How has our family formed, deformed, and reformed through and around each and all of our respective trials?

I have no experience on motorcycles, so I assume ‘leaning into the gales’ is something one does to remain both stable and mobile on a bike through high winds. Son sails boats; I bet he knows something about that–it’s called tacking, right? When and where else, literally and figuratively, must we ‘lean in’ against and toward adversity to get where we’re going, to stay our course?

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Or maybe we don’t actually stay any course? Certainly we choose many roads in life, and some winds still blow us onto and down paths that we would never have chosen. And here we are, having lived them all, and we keep going.

Headwinds do shape us. They affect our posture, choice of gear, timing, speed, and of course direction. Compared to tailwinds, wow, what a difference–I feel it body, mind, and spirit, just thinking and writing about it.

And then there are crosswinds, too! I wonder about all the ways AJ had to lean Rory on those mountain roads in Iceland today to stay steady and upright? If headwinds are like resistance to forward progress, maybe crosswinds are like distractions, detours, and derailments? Regardless, no day in life is without weather of some kind, and we get to choose how we engage.

Resistance trains us, makes us more alert, stronger, and resilient. It helps us appreciate when we can glide and rest. It teaches us about energy conservation and the aspects of power. It shows us our limits as well as our capabilities.

Leaning into the gales, indeed. Here we go, onward.