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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.

The Green Study’s “Positively Happy Nice Story” Contest: Honorable Mention

Thank you, Michelle at The Green Study for hosting the “Positively Happy Nice Story” blog contest! You are so good at connecting people with wisdom and diverse perspectives to share. Here’s to continued connection, growth, and integration!

Michelle at The Green Study's avatarThe Green Study

An Honorable Mention goes to Cathy over at Healing Through Connection. Her essay “Don’t Give Up!” made me think about caregivers in any capacity and how important it is to reconnect with joy on a regular basis in order to continue caring for others.

She was sent a Green Study Coffee Mug, a unnecessary Minnesota postcard and I donated $25 to the American Red Cross on her behalf.

Don’t Give Up!

By Catherine Cheng, MD at Healing Through Connection

We could not have planned a more uplifting conclusion to our workshop if we tried.

canstockphoto4619305Eileen and Liz, my rock star colleagues from New Mexico and I, presented a seminar on institutional strategies for physician well-being at the International Conference on Physician Health last month.  The two of them have done this for a while.  They generously invited me to participate this time, as we had collaborated on a Grand…

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When Engagement Gets Emotionally Hijacked

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From a friend’s Facebook page, apparently a meme made by another friend.

It is a putrid black cloud that descends on your soul when you realize you have become what you loathe most.  The advancing fog, born of your personal shadows, employs a stealth that defies intellectual understanding.  Toxic vapors insidiously distort your thoughts, feelings, and behaviors.   And by the time you awake to the miasma’s presence, a sticky, rancid web of emotional slime has you affixed to a dark corner, in the nether regions of your personality.

It happened to me in college.  Growing up in Colorado in the ‘80s, I learned to greet strangers with broad smiles and open, friendly salutations.  A few years in Chicago taught me to look down while glowering and keep walking.  Trying to engage strangers in pleasantries would only disappoint.  I chose consciously to reject others before they could reject me; I felt angry and disconnected.  But before long my inner sun broke through.  I realized that my friendliness could actually brighten someone else’s day, and that has been enough to keep me smiling at strangers ever since.

The phenomenon recurred in certain relationships, when I became the dominating, fault-finding, nit-picking debater I had always despised growing up.  This was not a conscious decision, and the revelation in therapy was my first encounter with the hidden darkness.  I still dance with this menace regularly.

The repulsive Trump video of October 7th and subsequent avalanche of discovery triggered yet another mudslide into my internal abyss.  I became addicted to the analysis, provoked by every quote of men and women defending and minimizing his words and deeds.  The most inciting was his son saying, “Strong, powerful women do not allow themselves to be subjected to sexual harassment.”  Within 24 hours of reading that, the expletives in my Facebook posts increased by an order of magnitude, and my mood plummeted proportionally.  Looking back, it all makes sense.

I have witnessed and experienced male domination and intimidation my whole life.  My parents, each in their own ways, taught me to be the strong, powerful woman I am today.  Still, sexual harassment and assault mark my personal history, as they do so many, many others’.  I think back to the times, and one in particular, when I did not speak up.  I did not confront.   I felt weak and powerless—not me.  Eric Trump’s words slashed to my core fear, that I am actually not strong, that I am the opposite of strong: helpless and pathetic.

I know unconditionally, in my cognitive mind, that this is a complete lie, an absolute falsehood—not just about me, but about all victims of sexual assault.  The misogyny of others does not define us by a long shot.  But emotionally, it’s a soft spot.  So last week, out of the dissonance, arose rage.  Friends on Facebook who made what I perceived (in my acutely twisted state of mind) to be dominating and intimidating comments on my posts (but to which I replied calmly) fanned the rage flames to wildfire proportions.  The surly pedestrian and merciless debater emerged again in force.  The black shroud had draped me in full and I lashed out, if not overtly online, then at least in my head and with those closest to me.  I felt viscerally revolted, at both Trump-the-younger’s words and my own disinhibited reaction.  Such are the challenges of living a conscious life.

Thankfully, the cosmos has gifted me with a tight and loving circle of friends and allies.  They have proven themselves, once again, a formidable force of light.  They see the real me, value my efforts to confront humanity’s enemies, and hold the space for me to wrestle the demons within.   I am proud of the work I have done, grappling with my own specters, and I know I could never engage without my tribe holding me up.

This week’s emotional hijacking has resolved.  It will happen again.  The ghosts of our fears lurk ever around the bend.  But my posse and I are ready.  We grow stronger every day, especially when we stand together.  So bring it.  We’ve got this.

Holding the Space for Our Suffering to Heal Us

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Hello again, dear friends.  Peace, love, and joy be with you on this, the autumnal equinox.

This post marks the conclusion of the Healing Through Connection Summer Series, 2016:  Holding the Space.  The story I will tell is important to me, and I love that it’s the series finale.  I wish I had posted on the last day of summer, but the first day of fall is okay, too.  Two days ago I was privileged to witness a whole lot of people, hold a whole lot of space, for a whole lot of suffering.  And I posit that we all came away better for it.  I invite you to sit back, get comfy, and take your time with this one.  I’m feeling particularly fulfilled as I sit to write, and I hope to convey the deep gladness I gained from the experience.

***

It was day three of the International Conference on Physician Health, in Boston.  I had anticipated this meeting giddily for nine months.  From the moment I heard the call for abstracts, through the iterative preparatory steps, to the final emails, texts, PowerPoints, and conference calls with collaborators, through the personal connections and learning, I was now positively beside myself with zeal.  It was everything I had hoped and more.  I was surrounded by colleagues from three continents, all gathered to share and unite around making our professional world more humane.  We explored ideas like awe, joy, mindfulness, empathy, presence, and vulnerability.  I had lived two glorious days in a cocoon of safety, love, and resonance.  I was among my people.

This day’s workshop focused on compassion, and aimed to tap its deepest reaches within each attendee.  The presenter prepared us for the exercise by describing his work with previous groups—CEOs breaking open in anger, shame, forgiveness, and finally compassion.  He asked that we hold the gravity of vulnerability with reverence and respect.  We understood the solemnness asked of us, and responded in kind.  This was the exercise:

On a blank 5×7 index card, write a personal story.  You will have five minutes.  The cards will be collected at your table, redistributed, and shared anonymously at another table.  Be aware that your writing may be shared aloud with the whole group, later in the exercise.  Instruction:  Write the story of a time in the past year that was really hard for you, when you suffered.  It could be personal or professional.

For a split second I felt a catching in my chest—‘Yikes!’  And in the next breath, ‘Bring it.’  I knew this tribe.  They would hold it for me, with me, no question.  And because I was also a tribe member, I would do it for them.  I looked forward to it, actually.  I wrote with surprisingly little effort, concisely yet in detail, about a particularly challenging relationship and my struggles with perfectionism.  How could my other relationships shine so brightly, feel so easy, and flow so freely, while this one so regularly caused me angst and turmoil?

At the end of five minutes my tablemates and I placed our cards in an envelope provided.  I felt oddly relieved, as though a great weight I carried all this year had been lifted.  The envelope was marked, then passed three or four times between tables, so we didn’t know where our cards ended up.  They were as letters in a corked bottle, cast into the ocean, released to an uncertain, but hopeful, fate.

Our presenter explained that at this time, the envelopes would normally be opened, and each of us would take one card and read it.  We were to hold it and its anonymous author in the space of compassion, then share with our tablemates.  We would help one another hold one another.  Then, if so moved, each table would choose one card to share with the larger group.  Our task was to connect, with ourselves and one another, to feel deeply now, to remind us how to do it out in the world.  This was where it would get real, we all knew.   And though he had warned us earlier about an unforeseen shortening of the workshop schedule, we did not see the abrupt end of the exercise coming.  He told us we would not have enough time to do the exercise justice, and so the envelopes would remain unopened this day.  He acknowledged the conflict we all felt, the urge to look.  But he stood firm that experiences like this cannot be rushed, and he respected the time constraints of the meeting.

The tension in the room was palpable, even as we all sat in silence.  It felt jarring, painful, anxious.  What would happen to the cards?  What about all that suffering contained in them, people’s hearts and lives scribed with intention to be seen, known, understood, and held?  Surely they would not just be thrown in the trash?  One colleague voiced so poignantly our core conflict:  We all wanted closure for this vulnerable exercise, and that need competed with honor for the time required to complete it.  Our leader gracefully acknowledged this truth, and solemnly held the space for us all to be present to its discomfort.

For a moment we felt stuck, we connection seekers.  I looked at our leader.  His expression conveyed nothing but humility and empathy.  His posture conveyed resolution.  Despite our deep longing, he refused to lead us into treacherously thorny fields, because he knew he did not have the time to bring us safely through to the other side.  But he also allowed us to process, invited us to consider how else we could collectively resolve our unease.

I wondered what would physically become of the cards.  Would he take them home with him?  Would he burn them in a reverent ceremony of sorts?  I knew he felt responsible for us and our predicament.  Would he read each one, hold each of us and all of our suffering, all by himself?  I felt immediate compassion for him, and hoped that he would not take that route; none of us would want that for him.

I wanted to suggest that we be given the option of each pulling one card, to hold in compassion privately, as we left the workshop.   But we were spread out in a big room, feeling separated from one another rather than connected, and I felt sheepish.

Within a minute or so we had decided to collect the envelopes together, stand surrounding them as if around an altar, and offer a benediction of sorts.  I could not shake the urge to reach out, to take one person’s suffering and hold it for them, love them, send energy of compassion and solidarity to them, whoever they may be.  I realized also that this was exactly what I wanted for my card, for my suffering.  And now that we stood shoulder to shoulder, at least physically if not emotionally proximal, I felt more comfortable to speak.  “I really want for someone to take my card and hold it for me, and I really want to do that for someone.”  Another attendee immediately looked me in the eye and said, “I’ll do it.”  The group consented; each of us would take a card at random, if we wanted.  I pulled one from the third envelope from the top of the pile.  I held it to my chest and returned to my seat.  I forgot all about my own card, and my anxiety evaporated.  I no longer cared if anyone saw mine; I had released it.  My task was to hold my colleague’s sorrow with my own heart, and wish with my whole being for their peace and healing.

I’m so proud of all of us.  We attended to so many needs that morning, all with respect and kindness.  The presenter set the tone for the workshop from the beginning and we all understood the learning objectives: Practice opening up to let the healing in and practice the inner work of holding another’s suffering with your own.  Connect with our shared humanity.  We all learned an important lesson in flexibility, creativity, collaboration, and acceptance.  We held space like champions.

I’m proud of myself for finally speaking up, for asking for what I needed.  That I was met with such generosity and tenderness speaks to the remarkable power of mutual understanding and compassion.  I took a deep breath and read the card in my hands.  My colleague’s story was short, about the 5 year anniversary of his/her father’s death, and memories of loss and helplessness.  Tears came when I read it.  I hugged the card and said a prayer for its writer.  I’ll keep the card someplace safe, and eventually release it in some respectful, peaceful way.

I don’t know if anyone pulled my card.  It’s okay.  Just the hope that someone might have seen it and given it some consideration is enough.  I learned the lesson I needed: Offering my pain for someone else to hold a while, and accepting another’s sorrow to hold for them, constitutes the cycle of healing.  We are not here to go it alone.  We need one another in the best ways.