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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.

Holding Belonging

Everybody wants to both belong and stand out. The skillset for success here is attuning and differentiating at the same time.

In elections, and in 2024 especially, I perceive voting by many as rejection of the party that rejects us–that makes us feel like we don’t belong. Let us take a moment to let that idea sink in. At first it may seem irrelevant or even childish–and if we recognize it in ourselves, maybe we cannot imagine how ‘the other side’ could possibly feel the same, since they are the ones rejecting? But let’s get still and try to imagine how that could be? Within and among our layers of relationship–personal, professional, cultural–that feeling of rejection and being left out/behind is visceral and profoundly threatening, even when abstract. People feel it on both sides of this election, no question, and that feeling is also profoundly human. It’s vulnerable, raw, existential, and feels for many to be quite literally, not figuratively, life-threatening. If we can bridge even a little understanding around this fundamental and paradoxically shared experience, then we may actually get traction on healing our divides.

This idea of belonging as it relates to politics occurred to me early this month and faded; something calls me to post it tonight. Looking back, I actually already wrote a version, “Attune and Differentiate,” back in February 2020:

“…I listened again to Brené Brown’s Braving the Wilderness.  I highly recommend this book to help us all, conservatives and progressives alike, to engage (not avoid) one another this election year with a lot more compassion, civility, and mutual respect.  Throughout the book Sister Brené shares personal stories as well as evidence from her research that define true belonging, which I think of as another expression for self-actualization and self-transcendence.  In her words:

True belonging requires us to believe in and belong to ourselves so fully that we can find sacredness in both being a part of something, and standing alone when necessary. But in a culture that’s rife with perfectionism and pleasing, and with the erosion of civility, it’s easy to stay quiet, hide in our ideological bunkers, or fit in rather than show up as our true selves and brave the wilderness of uncertainty and criticism.

“Attune and differentiate:  these two practices are not only not mutually exclusive, they are essential and integral for whole person and societal health and well-being.  Read the book to adopt her four practices to advance true belonging, for yourself and for all of us:

  1. People Are Hard to Hate Close Up. Move In.
  2. Speak Truth to Bullshit. Be Civil.
  3. Hold Hands. With Strangers.
  4. Strong Back. Soft Front.  Wild Heart.”

What makes us exclude others?

Once again I’m convinced it’s fear–likely many fears at the same time, all threatening our sense of safety and security. It relates to identity and values, which inform ideology, which manifests in tribes.

I wrote in November 2017:

“…I’m thinking tonight about tribal pride and tribalism—the benefits and risks of belonging.

“We all need our tribes.  Belonging is an essential human need. To fit in, feel understood and accepted, secure—these are necessary for whole person health.  And when our tribes have purpose beyond survival, provide meaning greater than simple self-preservation, our membership feels that much more valuable to us.  But what happens when tribes pit themselves against one another?  How are we all harmed when we veer from ‘We’re great!’ toward ‘They suck’?”

Clearly, many of us have spoken and written about this for years now. And though the movement to bridge divisions grows, we also quite clearly have not kept up. *sigh*
And it’s okay. Human relationships, tribal and otherwise, are an infinite game of fluid context, evolving technology and interaction, and chronic recurrent conflict. I have no illusions of ‘world peace’ in any abstract sense. I think all we can realistically work for now is a return to civility–but not the kind that ignores or erases difference and disagreement. Rather, I want a more thougthful, intentional, and respectfully engaging civility, one that emanates from mutual recognition of our shared core humanity–every. single. one of us.

We all belong to one another, like it, want it, know it or not.

In the first post of this month, Holding Wholeness, I wrote, “…any leader–man, woman, or otherwise–must own all parts of themselves to lead to their full potential. The strong and the soft, the masculine and the feminine, the committed and the flexible, the differentiated and the attuned–these polar and balancing aspects of our nature make us whole humans. People who live in their wholeness lead by example, by inspiration, by resonance with the wholeness of those they lead. They are leaders because we are moved to follow them; we feel their integrity and want it, aspire to it for ourselves.”

I had not planned to reference attunement and differentiation as bookends to this month of reflective posts–each day’s topic emerged in real time. And of course the same ideas recur, right? The ethos of this blog is consistent, if nothing else.

If we want to heal our divisions, I submit that we start with healing ourselves. We all/each have our own inner work to get to true wholeness, true and deep belonging to ourselves first, as Brené Brown writes. There is no interconnection without intraconnection standing right alongside, if not walking ahead. This requires humility, curiosity, and psychological safety, which fosters courage. I feel so impatient, so I can practice self-regulation. We all have our work.

I Hold Belonging for Us tonight. Whether or not we recognize, accept, or embrace it, we all share this need. How fascinating the metamorphosis of its expression and manifestation at the personal and local versus the government and policy levels, no? OH there is so much more to explore here. For now, though, I just Hold it. Belonging. What if we each take a few minutes, a few times, in the next several weeks and months, just contemplating the idea, encouraging ourselves to include as many people in our intersecting tribes as possible? It reminds me of loving kindness meditation–emanating belonging from our inner circles out to all of humanity. It costs energy and risks ego. The rewards of understanding and connection, in my strident opinion, far outweigh the costs and risks.

Holding Appreciation

Photo by Eileen Barrett

Happy Thanksgiving to all who celebrate. Wishing all a sense of peace, connection, and of course gratitude.

From Facebook

On holidays like Thanksgiving and Mother’s Day, I really appreciate posts like this, which remind us how conventionally observed events land differently for people.

From Instagram

These messages remind me to not take things for granted. They help me recognize my privileges, earned and unearned. It’s not about provoking guilt, shame, blame or anger, or pointing out oppression. It’s also more than simply acknowledging gratitude in the usual way.

It’s an important practice in perspective. Each reminder that everybody doesn’t move through the world as I do, people perceive the same events in widely divergent ways, and there are always multiple valid points of view, grounds me in awareness, humility, empathy, compassion, and non-judgment.

I do not advocate deriving life meaning from comparison to others. Still, appreciation for all I have that others don’t, my top 1% default life, gives me pause, as well it should. MaBa started life as their parents fled the Communist Revolution in China. While survival may have only been threatened briefly, real material scarcity imprinted on my elder generations’ psyches in ways I will never truly fathom. Recalling life as college and medical students, and even as residents, prompts Hubs and me to appreciate deeply the freedoms our current status affords us. Physicians enjoy very high standing in our culture, both financially and socially, and yet nothing is guaranteed. Fortunes can turn on a dime. I don’t spend time or energy ruminating on this, but I practice cognizance so in the event of catastrophe, at least I appreciated what I had when I had it.

This reflection evokes a sense of responsibility, accountability, contribution, and community. It motivates me from wishing to wanting to working for all to have at least the basics to live safely, securely, and with dignity, and more ideally to thrive in full societal engagement, fulfillment, and joy.

Gratitude and thanksgiving feel good. Gathering to celebrate and express the sentiments connects us. If it can also move us to turn our gratitude outward and present as helpers in the world, in any way, then all the better.

I Hold Appreciation for Us tonight. May we root deeply in gratitude for all we have, and seek to grow prosperity beyond ourselves, however we can.

Holding Rest

*sigh*

Son home from college. Clinic notes finished for the week. All work messages answered and results reported as of leaving the office tonight. Grocery shopping completed, food prep planned, execution begun.

*sigh*

It’s been a dense month, no? Thank you so much to those who have read along these four weeks–four days to go! 28 daily posts down, the most ambitious and unguarded theme since 2021… I have walked the talk of honesty, vulnerability, and openness, among other things; I’m proud of the effort. The output itself gratifies me, too: In both process and product, I think this could be my best writing yet. Whether or not Book ever gets published, I already have a body of work–659 posts. It’s a substantial volume of original and consistent content that I own–all me, all in, BOOBS OUT.

I still have tasks to accomplish this long weekend, and they will get done. But I want to slow the frenetic pace these last four days of the month, breathe more deeply, be more still. I will bake, watch movies, sit on the sofa. I will write, of course, and it will be that much sweeter with a longer stretch of time each day. I feel muscles loosen even as I imagine it now.

Holidays in general and gatherings in particular can feel chaotic and intese. It all lands on each of us differently. I hope for us all, however we feel about any of it, to find at least some moments of rest and comfort here at the end of the year, and this weekend in particular. Space, time, and breath: May we find that languid expanse that signals relaxation, that neurophysiologic response that drops us to center, as close to contentment and serenity as we can get, even if only for a little while.

*sigh*

Wherever we are, whomever we’re with, whatever is happening around us, may we have the wherewithal to effectively self-soothe. Sometimes it really only takes one deep, slow breath.

I Hold Rest for Us All. We need it. May we seek and secure it reliably.
Reset. Recharge. Ready.
We have much work ahead.