Category Archives: communication

The Jar of Smiles

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Who doesn’t need a tiny love note once in a while?

The ‘jar of smiles’ idea came across my Instagram feed some months ago and, though it’s not new, this time it moved me instantly. I could buy a jar of notes online, or I could simply write my own! I have stacks of origami paper left over from past obsessions with the kids–perfect. And since I also save glass jars like a true hoarder, I was all set.

The first two jars went to friends going through hardships. I think of these amazing sisters often and try to text them in real time, and this is another way for them to feel loved by me, but at moments of their own choosing.

Daughter suggested I write a jar for my friends at Ethos, my beloved gym–brilliant! After moving to a beautiful new space 2.5 times bigger than the original and expanding team and services with ambition and gusto, I knew the transition–for all of us–would be a challenge. And it was daunting to consider writing enough smile notes for a whole community. When the gym re-opened last month, the elevated energy was palpable. Every fear or worry I had about the culture not translating was allayed immediately. People’s auras and vibrations pulsed with excitement, light, and possibility. I would not have imagined that the love shared among my gym friends could get better, and here we are–the commute can take up to twice as long now, and I drive it happily just to bask in the light and connection while I train my body. So of course I could pour all that love into a Jar of Smiles!

Turns out, well wishes are easy and fun to write. While listening one night to Beastly Beauty by Jennifer Donnelly (another book I highly recommend; check out my review on Goodreads), the inspiration flowed. Any word from any given passage that crossed my consciousness could evoke something positive. Most messages apply to myself also–reminders of how I want to approach any day or challenge. Music lyrics, books, conversations, memories, items on my desk–once I’m in the love note mindset, each smile message emerges spontaneously and practically writes itself, alternating between affirmations, admonishments for self-compassion and self-care, interesting questions, and cheerleading.

What I had not expected was how uplifted I would feel myself after writing them. Each note is an original thought, occurring to me in real time and sometimes morphing as it emerges, as I run out of space in a line or leave out a letter. But the sentiment and intention remain steadfast–to connect, even anonymously–because we are all human, we are all here doing our best, and our core needs for feeling seen, heard, understood, accepted, and loved are the same. It reminds me of when I write my patients’ action plans at the end of their full day physicals, after consulting with me, the dietician, and the exercise physiologist. The team and I have the luxury of long interviews, when we have time to ask deeper questions and really know people. Our annual health summary acknowledges people’s persistent self-care efforts and serves as pep talk for the year to come. I see you. This is what you mean to your colleagues and loved ones. This is what I wish for you.

My smile jar messages feel like little love darts–the Nerf suction cup kind–shot joyfully at my friends, aiming to bestow mini hickies of encouragement. Maybe a small note will lift someone and make them more likely to lift someone else, because we are always more likely to shine on others when we feel light ourselves. If the effect only lasts a moment, even one subsequent interaction, that’s enough! It’s like dropping grains of sand on a dune (an analogy my mentor taught me), one at a time. Most land uneventfully–the receipient gets a transient oxytocin hit that passes. Once in a while a few grains cause a small slide along the dune face–people start to hold doors for one another, let others into traffic, say hello and start friendly conversations in the check-out line. And over time, with enough grains steadily deposited, ridges and knolls change shape–we start assuming the best instead of the worst in each other, get curious before applying judgment, and seek connection more than division.

Love notes have the power to transform.

I have a 4-inch stack of 3-inch origami squares, a set of rainbow pens, and a box full of glass jars at the ready. I have a list of recipients and occasions, and of course a set of refill smiles for the jar at Ethos. I hope people keep plucking the little squares out regularly, and I hope they do get a good, real smile from each. They are written with love, and I smile myself, rereading as I fold them. It’s meditative and uplifting, and that is my wish for anyone who opens one.

Onward in love and light, my friends. Please share yours, no matter how small–love given away multiplies rather than diminishes–the world needs every grain and every message of love we can muster right now.

The Code of Us: Opening Mind and Heart to Difficult Possibility

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Spoilers likely, dear readers!
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The best books make me both feel and think deeply. The Code of Us by Liv Evans has done so to such a degree that I will not do it justice in this post–I’m still hung over! But processing the story must start somewhere, and if I can move someone here to read or listen to it and discuss, then it will be worth the effort.

Mia, a dedicated neuropsychologist, researches artificial intelligence. Her husband, Arden, creates beautiful sculptures out of things people throw away. Their devoted love story serves as the steadfast anchor for a novel that throws into question everything we may think we know about cognition, memory, technology, relationship, and evolution–about how we think and feel about humanity itself.

Arden agrees to serve as Mia’s alpha subject for her ‘replicated intelligence’ project, meant to preserve and enhance human memory in service of improving people’s quality of life–eventually, when the product is fully developed. When a traumatic brain injury renders him essentially brain dead and on the brink of actual death, she and her two colleagues and close friends rush to implant Arden with a chip that brings him back to life, body and mind, with the still nascent but fully functional technology. Told in alternating present day and flashback, a complex journey of loving intentions, ethical dilemma, grief and loss, unintended consequences, and social implication unfolds.

While the plot engages, stimulates, and challenges me intellectually, it’s the emotional and relational evocativeness–the human(e) relatability–that makes this book an instant treasure in my library. In a mere 188 pages (5:37 hours, narrated by the multitalented Jodie Harris and Steve West), Evans examines–presciently, brilliantly–myriad potential complications and consequences of artificial intelligence–intellectual, social, legal, psychological, and corporeal, among others.

To ground the exploration in an unwavering love story, though, centers readers’ attention on the relational implications, which speak directly to my raison d’etre. Of all the questions that emerged in 10 pages of journaling on this book, the one I most wish for us all to consider is, “How does AI, in any given space, uphold and protect the humanity of all whom it touches?” I almost dismissed it as too difficult a question to attempt answering. But the more I consider the complexity, inevitability, and acceleration of this technology, the more I feel convicted that we, the human creators and consumers of AI, must step up to ask and answer exactly such challenging and overwhelming questions. We are called to be more thoughtful, considerate, inclusive, and complexity-tolerant than we have ever been, by a long shot.

Whatever we do will always be imperfect. There will always be unintended benefits and harms, and our attempts to weigh, compare, and justify it all will always leave many unsatisfied and frustrated. So how do we proceed? How do we show up to engage with the most complex adaptive problem that many of us can ever fathom? What mindset(s) will minimize the risk of nefarious, greedy, and inhumane forces overtaking the altruistic, humanitarian, and egalitarian ones?

Last fall was the first time I thought and wrote in any depth about how AI will change medical practice. Since then I open more and more to the potential benefits, led by my astute and altruistic colleagues in primary care, who model thoughtfulness, compassion, and critical (neither blind nor cynical) appraisal and application.

As my own learning progresses, some key concepts emerge that I will hold in front. They will evolve, obviously, and I ground them always in the commitment to enhancing human to human connection, no matter what tool is considered.

Acceptance with conditions

Humans innovate. We create. We aspire, imagine, and push boundaries. It is the greatest gift of our intellect, and also a potentially fatal flaw. What’s done cannot usually be undone. I accept it all in iterations, fear and trepidation giving way slowly to cautious possibility. That said, nobody should be given carte blanche to advance technology unfettered. Banning development only drives it underground, where the presence and risk of nefarious forces increases, in my estimation. Thus, we must accept and embrace our discomfort with the unknown and uncertain, ask the hard questions, and grapple with the ardent persistence of true infinite game masters.

Transparent and mindful accountability

Ethics committees are a good start. Checks and balances on the runaway flaws of primarily capitalist ventures must be established and maintained. Open source data and outcomes sharing will be key for minimizing harm, I think. That conflicts directly with the competitive financial drivers of innovation, I know. So we must, somehow, wrestle earnestly, honestly, openly, and in good faith with the novel humanitarian complexities and problems that AI creates. We must do accountability better than we ever have which, sadly, is not saying much.

Agile and adapative commitment

There are no words better than exponential acceleration to describe the march of modern technology. We have built this kite that flies ever higher and faster, and if we hope to influence its path at all, it will take more than the string and gym shoes we started with. We must invent the tethering, weighting, and conveyance materials, structures, and vehicles in real time. The faster and more fully we accept the inexorable progress of AI, the more effectively we may flow with it rather than against, to move swiftly and smoothly to manage its ethical, humanitarian, and social implications and consequences.

Critical hope and optimism

Be warned: The Code of Us is not a romance novel, despite its love story core. The book does not end happily, though the end of the book is not necessarily the end of the story. It took a few days for me to identify all of my emotions, led by sadness in depth and intensity. Liv Evans summons, with incredible economy of language, a viscerally, if not cognitively coherent (and thus quintessentially human) cacophony of feelings that at once proves the undeniable shared humanity that fiction evokes, and yet wholly defies full articulation. I don’t think I have ever journaled ten pages about any book, and I’m still intellectually, emotionally, and existentially entangled. Surprisingly, it feels light rather than heavy. This book teaches me a lesson that recurs: With every degree of acceptance, I gain a commensurate measure of liberation. Despite so many egregious examples to the contrary, I still believe humans can transcend our most self-serving, collectively self-destructive tendencies. I believe we have the capacity to collaborate for the common welfare. We just don’t readily exercise it. I have called myself a cynical optimist. Today I choose critical optimist, because we simply must proceed. We must hold onto that kite and not allow ourselves be dragged. In medicine we learn critical appraisal skills: how to evaluate data and evidence for validity and application. When the data is good, we accept it and apply, until new and better data shows us otherwise.

My opitimism is not blind. It is realistic and evidence-informed, if not fully evidence-based. I will deepen my acceptance, demand transparency and accountability, and train for adaptive cognitive and emotional agility. I intend to run with rather than get dragged or trampled.

We humans may destroy ourselves in the end, and that will be what it will be.
Until then, however, I still have hope that we may yet save ourselves.

Your Best Self Reflected

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I share below a message to my friend who requested my stories of when I have seen them at their best, as part of a leadership program they have begun. I hope my response serves their puproses and goals. I share here because reflections like this, between friends, nourish our souls mutually. The experience makes me consider others for whom I might do this exercise, so that I may deepen my own appreciation for them, and thus present more openly, humbly, and lovingly to them. There are definitely relationships in my life that could benefit from this boost of connection.

My question for you, Dear Readers:
Whom would you ask to tell their stories of you at your best, and how would those stories affect you, them, and your relationships?
I have only now asked myself this question, and I look forward to what emerges hereafter. Maybe I’ll even write about it sometime. 🙂

Onward:

—–

My Dear Friend,

Thank you for your patience for this feedback.  I apologize for the delay—I wanted it to be worthy of your review! 😜

On 21 May I wrote my thoughts stream-of-consciousness style, wanted to get the notes down before writing them out for you formally.  I’ve done this more lately with writing to others—like a first draft.  Then I find that after I’ve gotten it out, I’m less motivated to go back and edit/polish.  Fascinating!  I bet this is a part of my process that will require management if I’m actually going to write a whole book—so THANK YOU for helping me discover it! 😜  But this message is supposed to be about YOU… 😉

Please find below photos of the journaling.  They are not stories, exactly, but they are honest reflections of the time I have spent with you since we met back in 2017.  I hope the descriptions in ink serve the purpose and goals of the exercise—telling you stories of when I have experienced you at your best?  

What a GIFT our relationship is to me, because my only​ experience of you, I realize now, is you at your best– it’s you in friendship.  ​​It’s you in Agape loving connection, for no other purpose than that, for its own sake… Well, for the sake of living a life of meaning, in accordance with your core values and integrity…  My story of us, of our friendship, is that we are here to uphold each other.  We serve each other as pillars of validation, exploration, curiosity, learning, and growth.  It doesn’t matter what we’re dealing with in our lives, what’s happening in our other relationships—our friendship is both separate from and closely tied to all of it—does that make sense?  

​I write below about your caring, your patience, your trust.  I see now that I left out your practice of judgment.  I value withholding judgment, especially the kind that makes us closed to new information and experience in our relationships.  I also recognize the value of judgment in a different sense—the reconciliation and navigation of our observations and perceptions with and against our values and goals.  You don’t judge people and their actions/behaviors as good or bad.  You don’t label people and categorize them, write them off—like EVER!   Rather, you continuously observe, assess, and attune.  You actively seek both the consonance and dissonance that lead to insight and right action!  ‘Discernment’ keeps coming up for me now, as I attempt to summarize my ‘story’ of you at your best. 

sigh​

So lucky, so thankful.  Exercises like this, if they benefit you, the receiver at all, definitely also benefit us, the ‘givers.’  Reflection on relationship nourishes my soul—OMG I just live for it!

It’s raining outside today, and I feel positively lit—from inside and out, the fire of connection burning slow and bright, tended and stoked consistently with love from all around.  Going now to meet (Friend), another bright light like you.

Wishing you everything good, everything you need to keep your own fires lit and burning bright, my dear friend!!  Can’t wait to see you again and continue the conversation!

Blessings and peace, and love to you and all of yours–

❤️ Cathy xo