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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.

Wasteful Assumptions and What to Do About Them

“What is something you see others doing and you think, ‘I understand completely why they are doing that, but if they knew what I now know, they would do it differently’?”
–From 30 Creative Writing Prompts for Memoir or Non-Fiction

Assumptions.
We all make them. It’s human.
Too often we are wrong.

Because we cannot possibly know what’s in other people’s minds all the time.
We all assume more than we realize or admit that others think, feel, and perceive the way we do.
And when they don’t, there can be serious and painful disconnect.

I see relationships go sideways all the time because we assume without verification.

THUS:

Ask and clarify.
Do it from your own perspective, without judgment.
Be curious and open, and try to stay connected.

METHOD:

  1. BREATHE.
  2. Master the “I” statement. Describe how you feel, what you think, when something happens–about the thing that happened or what was said, not about the person who did or said it.
  3. Stick to the FACTS. “You said xxx,” not “You insulted me.” “Your voice got louder,” ahead of “You yelled at me.” We call it semantics, dismiss it as unimportant, to our detriment.
  4. BREATHE.
  5. No name calling, mocking, or other attacking language.
  6. Give time and space for response. Get comfortable with uncomfortable silence.
  7. BREATHE.
  8. Be prepared for defensiveness and attack in return.
  9. Self-regulate. Keep calm and cool.
  10. BREATHE.
  11. Ask Open and Honest Questions in follow-up, if you get that far.
    What is an OHQ? “The best definition is that the asker could not possibly anticipate the answer to it.” Curiosity is both friend and teacher here.
  12. Beware all of our self-delusions.
    I may ask you why you do something. You may answer honestly (and vice versa)–and in the end very likely we are each/both expressing rationalizations for our own irrational reactions to our world based on all the baggage we bring to the situation.
  13. BREATHE.

Still, when we show up to one another in this way:
Present
Open
Grounded
Kind
Loving
Smart
We are far more likely to work out our differences and disagreements, understand one another better, and come to resolutions faster and with a lot less pain.

RISKS:

–This is an incredibly vulnerable method of communication. Disclosing feelings can feel unsafe–guage your counterpart and adjust accordingly.
–No matter how soft and loving we approach, we may still be met with lashing out and rejection.
–We may be seen, even attacked, as weak and whining, among other things.
–We may not be heard and we may not get what we want. Then again, consider the likelihood of these things if we approach with aggression…Maybe it’s different, but at what cost?

COSTS:

–Energy: Attention and self-regulation. In the impending train wreck of an emotionally charged moment, applying brakes to the quick, cutting comeback and slowing down to really listen to hear the other person takes tremendous effort, sometimes heroic self-control. I find myself pacing my breath just writing this. It is a simultaneous exercise in acute self-de-escalation and critical external attunement.
–Outcomes deferral: This depends on how we define our goals. Transaction without regard to relationship likely does not succeed with this method. But if transactional gain can wait, and relationship connection fosters smoother negotiations in the future, then we may see this communication method as investment rather than cost.
–Lack of appreciation: We may see this communication practice as taking the high road, an attempt to elevate conversation out of drama and ad hominem. And it may come across as anything from aloofness to arrogance, among other things. We must be ready to delay gratification in multiple ways.

BENEFITS:

–Greater relational integrity, connection, and resilience. To come through conflict with fewer wounds and less resentment makes us more likely to enter hard conversations more willingly in the future, thereby avoiding ‘assumption fester’.
–Stronger self-awareness, self-regulation, and attunement and communication skills with repeated practice
–Greater relational depth, meaning, and trust
–Leadership by example: observers learn by watching, see that a different way is not only possible but better.
–A Better World. Open, honest, and timely communication, without judgment and grounded in love and connection above all, sets the stage and plants the seeds for positive relationship ripples that radiate in all directions and dimensions.

My friends, it’s all so much easier said than done.
And nobody does it perfectly.
Perfection is not the goal, or even relevant.

Conversations to clarify assumptions and resolve conflict are not a competition to see who is better or right. They are opportunities to learn, grow, and connect. Done well, relationships evolve to where such hard conversations are needed less and less, because wasteful assumptions are nipped in the bud by the efficient clippers of frequent, open, and honest questions.

Imagine that.

Then do it, yes?

A Joyous and Synergistic Convergence

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Sometimes I come across something that simply overtakes my senses, moving me to giddy stillness and awe. Today it was this video on Instagram, showing a lone woman demonstrating a traditional wax resist dyeing technique. It was unusually long for an Insta video, and mesmerized me for the entirety. I sent it to multiple people with the message, “Friends–the art, and the FITNESS!”

With a serene and joyful expression throughout, the woman squats to harvest two large baskets of leaves from the ground. She hoists the baskets connected with a bamboo pole onto her shoulder and transports them on foot. After transferring them to large vats to soak, she dead lifts large rocks to weigh them down in the water to make fabric dye. I realize this may not be how it’s really done–a single person doing all of this work. Still, the functional movements here strike me. Modern urban life has relegated us to sit for hours at desks deep indoors, and the most we may ever do is walk a few feet at a time, unless we formally train or travel. Putting my carry-on in the overhead bin approximates a dead lift, lat pull, and shoulder press in series, and that is nothing compared to what these artisans do in their daily lives.

We know how physical activity benefits the body–thickening brain networks required for neuromuscular coordination, sustaining clear cognition with age, and maintaining cardiovascular, muscular, and bone strength and resilience. And to do it outside–with this view every day–imagine how this feels, body, mind, and soul! Watch the whole video–can you not sense the energy of it move something deep within you? What does it inspire?

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Imagine the patience it takes to be a maker like this–any artists reading this must be rolling their eyes, duh. While the dye ferments, she draws the entire phoenix pattern and applies wax by hand with fine implements. It reminds me of the parable of two cathedral bricklayers, one who resents the back breaking work because he focuses on what is, and the other who relishes it by imagining what could and will be. Once again I marvel at the dedication, perseverance, and commitment shown in this woman’s painstaking work.

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How motivating, when you start to see your creation emerge in its intended form? These days we are spoiled by instant gratification of digital photos on our phones, carried in our pockets and available in seconds. Remember film cameras? To take 24 photos, retract the entire roll, submit it for development, and not know for weeks whether any turned out the way we wanted, with no chance to repeat the shots… that wires our brains differently. How can we train for this kind of delayed and enhanced gratification in modern life? We appreciate and value of things more the harder we work to acquire or acheive them; we take less for granted. And that makes us humble, generous, and slower to dismiss. We live deeper lives, I think, and this video reminds me.

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Consider how far most of our daily lives occur from nature. Imagine if your work required you to step into white waters, hang onto your creation lest the river sweep it away, and work in collaboration with the earth to bring forth your art for the world? When our creations depend on the natural environment, it broadens our perspective, teaches us how little we control. How humbling and also inspiring, to participate with nature in making something new?

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This video ignites something strong for me–at once cognitive, limbic, and visceral. Epic vistas, resonant music, and a lone human both lifting heavy loads and creating grand art all conspire to incite a deep sense of awe and appreciation for all that we are capable of–Earth and humans alike. It feels like a simultaneous dopamine and serotonin hit, moving me to share immediately with friends, thus also giving me that surge of oxytocin I so live for.

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The woman in the video does everything apparently alone. But we know this production required a team in community, from the planters of the field to pavers of the path, to makers of tools and appliances, to filmmakers. Let us all remember that as much as we may think and feel we operate independently from others, this is rarely the case. Nature always interacts, always intersects, overlaps, merges, and moves in both confluence and opposition. Life is a dance of it all. How literally and figuratively moving!

As we enter autumn, the season of exhalation and shedding of layers, preparing for contraction and rest, let us draw near to that which nourishes us, body, mind, and spirit. This includes art, fitness, and connection in all forms.

Wishing all in the US a happy long holiday weekend! Thank you, friends, for continuing on this journey of discovery and reflection with me all this time.

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Many thanks and much love to friend Kasey McKenney for helping me think through the turning of seasons from a Traditional Chinese Medicine perspective.

Tomorrow Is Not Promised.

“The tumor has shrunk.”

It was the best news I could possibly get on my 51st birthday on Friday, from one of my best friends. Diagnosed with metastatic lung cancer some months ago, their future is now forever altered from what we had assumed and taken for granted.

Another classmate, teammate, and amazing human has terminal brain cancer, dammit.

I write this from my happiest and most contented place on Earth, the Colorado Rockies. For five days I get to hike, read, write, and be. Having received so many messages of love and connection on my birthday, starting the moment I woke up, it was clear that the only way for me to move through this long weekend is in deep gratitude.

Framing everything this way makes my perceptions of and reactions to any and all life occurrences different and better–more tolerable and peaceful. On arrival, my greeting from family: “Hi. So you’ve gained a lot of weight recently, huh?” WTAF, really? –pause– Gratitude. Reframe: This encounter triggers me because it evokes my own inner fat-shame and body image issues. Long standing, multifactorial, and slowly improving, I am shown here that I have more inner work yet to do: self-compassion, self-acceptance, and self-discipline, among other things. Deep breath, forgiveness, thank you for this awareness; now I can let go and move on.

Gratitude makes me revel in my friendships–any and all opportunities to be present and attuned to the amazing humans I have the great, unearned fortune to know and love. In recent weeks I have had the opportunity to connect with my two friends above, and they humble me. Confronted with their own mortality in the prime of life, they exemplify grace. In our honest and loving conversations, they show me the absolute essence of vulnerability, courage, and perspective, and leave me in utter awe. We discuss frankly what it means and what it takes to get to peace with death. It reinforces my three take aways from Being Mortal by Atul Gawande: 1. We need to talk about death early and often, get comfortable with and accept it. 2. End of life decision making is about goals and trade-offs, and those of the dying take precedence. 3. The more peaceful the dying can feel at the end of life, the less suffering for those left behind. How lucky am I that my two friends lead by such wise and peaceful example?

We talk about grief, regrets, relationships, legacy, and meaning. We marvel together at the mind boggling advancement of cancer treatment in our lifetime, and the miracle that is the human body. We laugh, cry, and connect. I am shown starkly and in no uncertain terms that the most important thing in life is relationship, full stop.

One day, one moment, one breath at a time, my friends.

May we be present to all of it, as much as possible, in love and mindfulness, in mutual respect and humble communion. I’m sad, yes. And it’s okay. I revel in every day, every moment, every breath that my friends yet live. My highest goal and wish for them is to know how much they are loved and embraced, how they will never be forgotten, how all of us who know and love them will hold their spirits with us until we die ourselves. And that’s assuming something doesn’t take my own life before theirs end.
Tomorrow is not promised for any of us.

So knowing this, how will we choose to really live? Clarity on this visits me much more often as I age, and once again I am profoundly grateful. I get to choose love, respect, meaning, courage, and connection over resentment, disdain, judgment, and separation.

I can choose peace.

There will be time later to mourn, to grieve. Now is the time to honor, uphold, revel, and live fully in one another’s love and light.