When is it safe to tell the truth? And not? What does the ‘not’ cost us? What does the truth cost us?
Feeling called back to my non-fiction roots lately, I have listened to Revenge of the Tipping Pointby Malcolm Gladwell, My Next Breath by Jeremy Renner, and Four Thousand Weeks by Oliver Burkeman. Burkeman’s book, subtitled “Time Management for Mortals,” reminded me of both The Subtle Art of Not Giving a F*ck by Mark Manson and The Infinite Game by Simon Sinek. These three books, as well as Renner’s memoir, remind me that it’s not about manipulating schedules and timetables. It’s about choosing how and on what we will spend our precious and powerful time, energy, and resources, about what impact we intend and act to make in this finite life we are given.
Moved to listen again to Sinek’s descriptions of a Just Cause (for something [rather than against], inclusive, service-oriented, resilient, and idealistic) and how to advance it sustainably (build trusting teams, learn from worthy rivals, flex proactively and authentically, and lead with courage), and considering our current politics and systems, I feel my inner fire of purpose burn a little brighter. The past week has shown me both courage and cowardice, just cause and quick buck, and the risks and consequences of both. Wow.
A colleague once told me, “You call BS (when you see it),” and it was a high compliment. I like to think I do so diplomatically; I can also be both direct and blunt. My wellness talks this summer have centered around psychological safety–building trusting teams on which colleagues feel free to show up their whole, authentic selves. That is when we can all make our best contribution–when our diversity is sought and honored, where inclusivity and mutual respect are the intrinsic ethos more than an external mandate. When I feel safe to call BS and ask the hard questions, to challenge my peers to live into our integrity and highest stated values, I feel it in my chest and the lumbar spine. My posture is upright and I am grounded. I make eye contact and hold my shoulders square. The call to uphold our ideals outweighs any fear of reprimand or retaliation.
And yet, I can imagine how that fear can be paralyzing. How will I respond when the stakes for truth telling are high and the consequences threatening? Will I lose my job? Will I damage a relationship? Will I damage my conscience?
Today, as I think about all the competing interests at play in our systems–institutions, politics, business, economies, family dynamics–it all still boils down, for me, to core values of honesty, integrity, empathy, compassion, and respect. Playing the Infinite Game, to me, means keeping the long view in sight. It means making decisions that advance my just cause now and in the future. I must be vigilant about monitoring for when I’m making excuses, rationalizing, and justifying actions that my gut knows compromise my ethics, that pander.
Looking back, I imagine I have lost ‘opportunities’ as others would see them, when I speak directly, when I dissent. I can point to specific conversations when that may have happened. Overall the relationships I care about are intact, as far as I know. And there are probably negative dynamics I don’t know about–we can never know what everyone/anyone may be saying about us behind our backs. When I look at my life, however, I see no deficits. I believe my reputation is solid and consistent where it matters. I don’t call BS to bring people down or elevate myself. I do it when I see a threat to or violation of a core or stated value, when I see hypocrisy at play. I assume we are all here doing our best. I strive always to be kind, if direct. I hope others will call me out when my words and actions do not align with my professed values. I try to be open and honest about my ambivalence and conflicts (eg practicing concierge medicine when I know access to healthcare is at an all-time low for most people–yikes).
To live an ethical life, I must first be honest with myself–tell the raw, unsweetened truth to myself before I can hope to do it for anyone else. But the truth does not have to be brutal or mean. Kindness goes a long way to making truth bearable, and thus actionable. And what is truth even worth if we do not act on it?
Thank you, Mr. Burkeman, for prompting me to revisit Mr. Sinek’s work. I just never know when, where, or how the next epiphany or breakthrough will come, and it’s always gratifying to meet old lessons with new perspective.
How can we be more kind and truthful in our daily lives? What if we all did both a little more consistently? How can we make it safe for one another to tell the truth and thrive for it? I think it’s about honesty, humility, integrity, empathy, and respect, all in mutual reciprocity. They’re big, aspirational words, I know. But what are we here to do, if not the big, aspirational stuff?
Print found in Parents’ basement this weekend; from October, 1988
Old memories can help us reframe the present.
I post late this week for good reason–I spent the weekend in my Happy Place and was both too giddy and too pensive to draft anything on the plane last night. Daughter and I went home to Colorado to go through my stuff in Parents’ house, a last girls’ getaway before our college road trip in a few weeks. We culled five boxes of report cards, notebooks, Trapper folders, workbooks, test scores, letters and documents to one box of photos, mementos, and original words and art.
Among the finds was a stash of photo prints from when then Vice President George Bush stopped at my high school on his presidential campaign in 1988. I got to share the stage with him and some of my schoolmates; I’m convinced I got to sit next to him because I was (still am) short enough to not block anyone’s view of his face. My friend and I spoke that day about our chapter of Students Against Driving Drunk; I had to stand on my tip toes to reach the microphone. One of the photographs from that day, with him and me in the foreground, is now a Geddy Image.
I was completely politically uninformed and uninterested back in 1988. I heard a classmate criticizing ‘bleeding heart liberals’ in the cafeteria once and I had no idea what those words meant. Looking back, what I remember most about Bush the First then and onward is his decency. As I matured into liberal progressiveness, I still heard his words as earnest and forthright, principled and moderate, always looking to the greater/greatest good ahead of narrow ideology or partisan rhetoric. I see fewer and fewer politicians this way today, though a few still shine forth.
I remember that he spoke of a ‘kinder, gentler’ America–was it just once or multiple times? I searched briefly and found his inaugural speech. The full text is copied below; I invite you to read through it slowly and consider the context of the time–January 20, 1989. What phase of life was that for you? How did you view politics and politicians then? As you read the speech, imagine the words being delivered in 2009, 2017, or now. Imagine in 1989 that they were read by a new Democratic President. The juxtapositions are a little mindbending, no?
When I read this speech, I take issue with some of the rhetoric, but only some, and only mildly. I imagine that I could easily sit down with him and/or his speechwriter and clarify the parts where the word choice and apparent biases and assumptions grate on me, and discuss the complexities of abortion and supporting women who take their unintended pregnancies to term, and their babies. None of this speech inflames or agitates me. I understand that some of it has to be rhetoric and point to policy and agenda. But most of it strikes me as a higher order ethos, a call to ground in shared humanity and common goals. I admire this speech the way I have admired so many of Barack Obama’s orations and writings.
And yet when I look at this campaign literature, also saved from that day, that inclusive ethos is missing. This reminds me much more of contemporary conservative rhetoric; it comes across as othering, punitive, unempathetic, and borderline dehumanizing–seen, of course, through my present day progressive lens. It just makes me notice how we present ourselves and our messages in different contexts, depending on what impressions we wish to leave or what attitudes and behaviors we aim to encourage or incite.
Platforms are powerful. Leaders set the tone for the spaces and people they lead; culture is set at the very top, by words, actions, and relationships.
There is no comparison. Between the man who sat next to me on that stage my sophomore year in high school and the man occupying the White House today, the gap in ethics, character, and leadership dwarfs the Grand Canyon. How far we have fallen, my friends. It is beyond embarrassing and disgraceful.
How do we come back from this? What hope can we cling to for overcoming the division and mutual loathing that drives our politics and discourse into stalemate and brinksmanship so far ahead of good faith, iterative negotiation and compromise? I think reading words from respectable steward-leaders from the past and present, then amplifying, emulating, and applying them is a good start. So when I have time, I will find other speeches and speakers I admire for their ability to inspire and arouse our kinder, gentler, more inclusive impulses, and amplify them. Who does this for you?
Inaugural Address of George Bush
FRIDAY, JANUARY 20, 1989
Mr. Chief Justice, Mr. President, Vice President Quayle, Senator Mitchell, Speaker Wright, Senator Dole, Congressman Michel, and fellow citizens, neighbors, and friends:
There is a man here who has earned a lasting place in our hearts and in our history. President Reagan, on behalf of our Nation, I thank you for the wonderful things that you have done for America.
I have just repeated word for word the oath taken by George Washington 200 years ago, and the Bible on which I placed my hand is the Bible on which he placed his. It is right that the memory of Washington be with us today, not only because this is our Bicentennial Inauguration, but because Washington remains the Father of our Country. And he would, I think, be gladdened by this day; for today is the concrete expression of a stunning fact: our continuity these 200 years since our government began.
We meet on democracy’s front porch, a good place to talk as neighbors and as friends. For this is a day when our nation is made whole, when our differences, for a moment, are suspended.
And my first act as President is a prayer. I ask you to bow your heads:
Heavenly Father, we bow our heads and thank You for Your love. Accept our thanks for the peace that yields this day and the shared faith that makes its continuance likely. Make us strong to do Your work, willing to heed and hear Your will, and write on our hearts these words: “Use power to help people.” For we are given power not to advance our own purposes, nor to make a great show in the world, nor a name. There is but one just use of power, and it is to serve people. Help us to remember it, Lord. Amen.
I come before you and assume the Presidency at a moment rich with promise. We live in a peaceful, prosperous time, but we can make it better. For a new breeze is blowing, and a world refreshed by freedom seems reborn; for in man’s heart, if not in fact, the day of the dictator is over. The totalitarian era is passing, its old ideas blown away like leaves from an ancient, lifeless tree. A new breeze is blowing, and a nation refreshed by freedom stands ready to push on. There is new ground to be broken, and new action to be taken. There are times when the future seems thick as a fog; you sit and wait, hoping the mists will lift and reveal the right path. But this is a time when the future seems a door you can walk right through into a room called tomorrow.
Great nations of the world are moving toward democracy through the door to freedom. Men and women of the world move toward free markets through the door to prosperity. The people of the world agitate for free expression and free thought through the door to the moral and intellectual satisfactions that only liberty allows.
We know what works: Freedom works. We know what’s right: Freedom is right. We know how to secure a more just and prosperous life for man on Earth: through free markets, free speech, free elections, and the exercise of free will unhampered by the state.
For the first time in this century, for the first time in perhaps all history, man does not have to invent a system by which to live. We don’t have to talk late into the night about which form of government is better. We don’t have to wrest justice from the kings. We only have to summon it from within ourselves. We must act on what we know. I take as my guide the hope of a saint: In crucial things, unity; in important things, diversity; in all things, generosity.
America today is a proud, free nation, decent and civil, a place we cannot help but love. We know in our hearts, not loudly and proudly, but as a simple fact, that this country has meaning beyond what we see, and that our strength is a force for good. But have we changed as a nation even in our time? Are we enthralled with material things, less appreciative of the nobility of work and sacrifice?
My friends, we are not the sum of our possessions. They are not the measure of our lives. In our hearts we know what matters. We cannot hope only to leave our children a bigger car, a bigger bank account. We must hope to give them a sense of what it means to be a loyal friend, a loving parent, a citizen who leaves his home, his neighborhood and town better than he found it. What do we want the men and women who work with us to say when we are no longer there? That we were more driven to succeed than anyone around us? Or that we stopped to ask if a sick child had gotten better, and stayed a moment there to trade a word of friendship?
No President, no government, can teach us to remember what is best in what we are. But if the man you have chosen to lead this government can help make a difference; if he can celebrate the quieter, deeper successes that are made not of gold and silk, but of better hearts and finer souls; if he can do these things, then he must.
America is never wholly herself unless she is engaged in high moral principle. We as a people have such a purpose today. It is to make kinder the face of the Nation and gentler the face of the world. My friends, we have work to do. There are the homeless, lost and roaming. There are the children who have nothing, no love, no normalcy. There are those who cannot free themselves of enslavement to whatever addiction–drugs, welfare, the demoralization that rules the slums. There is crime to be conquered, the rough crime of the streets. There are young women to be helped who are about to become mothers of children they can’t care for and might not love. They need our care, our guidance, and our education, though we bless them for choosing life.
The old solution, the old way, was to think that public money alone could end these problems. But we have learned that is not so. And in any case, our funds are low. We have a deficit to bring down. We have more will than wallet; but will is what we need. We will make the hard choices, looking at what we have and perhaps allocating it differently, making our decisions based on honest need and prudent safety. And then we will do the wisest thing of all: We will turn to the only resource we have that in times of need always grows–the goodness and the courage of the American people.
I am speaking of a new engagement in the lives of others, a new activism, hands-on and involved, that gets the job done. We must bring in the generations, harnessing the unused talent of the elderly and the unfocused energy of the young. For not only leadership is passed from generation to generation, but so is stewardship. And the generation born after the Second World War has come of age.
I have spoken of a thousand points of light, of all the community organizations that are spread like stars throughout the Nation, doing good. We will work hand in hand, encouraging, sometimes leading, sometimes being led, rewarding. We will work on this in the White House, in the Cabinet agencies. I will go to the people and the programs that are the brighter points of light, and I will ask every member of my government to become involved. The old ideas are new again because they are not old, they are timeless: duty, sacrifice, commitment, and a patriotism that finds its expression in taking part and pitching in.
We need a new engagement, too, between the Executive and the Congress. The challenges before us will be thrashed out with the House and the Senate. We must bring the Federal budget into balance. And we must ensure that America stands before the world united, strong, at peace, and fiscally sound. But, of course, things may be difficult. We need compromise; we have had dissension. We need harmony; we have had a chorus of discordant voices.
For Congress, too, has changed in our time. There has grown a certain divisiveness. We have seen the hard looks and heard the statements in which not each other’s ideas are challenged, but each other’s motives. And our great parties have too often been far apart and untrusting of each other. It has been this way since Vietnam. That war cleaves us still. But, friends, that war began in earnest a quarter of a century ago; and surely the statute of limitations has been reached. This is a fact: The final lesson of Vietnam is that no great nation can long afford to be sundered by a memory. A new breeze is blowing, and the old bipartisanship must be made new again.
To my friends–and yes, I do mean friends–in the loyal opposition–and yes, I mean loyal: I put out my hand. I am putting out my hand to you, Mr. Speaker. I am putting out my hand to you Mr. Majority Leader. For this is the thing: This is the age of the offered hand. We can’t turn back clocks, and I don’t want to. But when our fathers were young, Mr. Speaker, our differences ended at the water’s edge. And we don’t wish to turn back time, but when our mothers were young, Mr. Majority Leader, the Congress and the Executive were capable of working together to produce a budget on which this nation could live. Let us negotiate soon and hard. But in the end, let us produce. The American people await action. They didn’t send us here to bicker. They ask us to rise above the merely partisan. “In crucial things, unity”–and this, my friends, is crucial.
To the world, too, we offer new engagement and a renewed vow: We will stay strong to protect the peace. The “offered hand” is a reluctant fist; but once made, strong, and can be used with great effect. There are today Americans who are held against their will in foreign lands, and Americans who are unaccounted for. Assistance can be shown here, and will be long remembered. Good will begets good will. Good faith can be a spiral that endlessly moves on.
Great nations like great men must keep their word. When America says something, America means it, whether a treaty or an agreement or a vow made on marble steps. We will always try to speak clearly, for candor is a compliment, but subtlety, too, is good and has its place. While keeping our alliances and friendships around the world strong, ever strong, we will continue the new closeness with the Soviet Union, consistent both with our security and with progress. One might say that our new relationship in part reflects the triumph of hope and strength over experience. But hope is good, and so are strength and vigilance.
Here today are tens of thousands of our citizens who feel the understandable satisfaction of those who have taken part in democracy and seen their hopes fulfilled. But my thoughts have been turning the past few days to those who would be watching at home to an older fellow who will throw a salute by himself when the flag goes by, and the woman who will tell her sons the words of the battle hymns. I don’t mean this to be sentimental. I mean that on days like this, we remember that we are all part of a continuum, inescapably connected by the ties that bind.
Our children are watching in schools throughout our great land. And to them I say, thank you for watching democracy’s big day. For democracy belongs to us all, and freedom is like a beautiful kite that can go higher and higher with the breeze. And to all I say: No matter what your circumstances or where you are, you are part of this day, you are part of the life of our great nation.
A President is neither prince nor pope, and I don’t seek a window on men’s souls. In fact, I yearn for a greater tolerance, an easy- goingness about each other’s attitudes and way of life.
There are few clear areas in which we as a society must rise up united and express our intolerance. The most obvious now is drugs. And when that first cocaine was smuggled in on a ship, it may as well have been a deadly bacteria, so much has it hurt the body, the soul of our country. And there is much to be done and to be said, but take my word for it: This scourge will stop.
And so, there is much to do; and tomorrow the work begins. I do not mistrust the future; I do not fear what is ahead. For our problems are large, but our heart is larger. Our challenges are great, but our will is greater. And if our flaws are endless, God’s love is truly boundless.
Some see leadership as high drama, and the sound of trumpets calling, and sometimes it is that. But I see history as a book with many pages, and each day we fill a page with acts of hopefulness and meaning. The new breeze blows, a page turns, the story unfolds. And so today a chapter begins, a small and stately story of unity, diversity, and generosity–shared, and written, together.
Thank you. God bless you and God bless the United States of America.
It’s been a week, friends—I shall spare you the details. Suffice it to say that somewhere along the way I started to ask myself the question above. As I prepare to kick off a series of wellness presentations based on the idea that we Lead from Any Chair—that how we show up for ourselves and others has power and impact whether we intend it or not—I must check in on my own integrity. How do I show up?
I jotted notes for an “Impact and Impairment” post a few days ago:
Progression of stress: What are the first signs, when and what do I notice? Are they thoughts? Body sensations? Moods? What are the smoke alarms, and can others detect them before I can? What do I do in response to awareness? How am I impacted by this stress right now—sleep, workouts, eating? And how is my function? Am I getting everything done that needs doing and would I notice impairment soon enough and have the resources to recover? What does the housefire look and feel like?
Lazy Susan unicycle: I can’t remember the last time I thought of this image, which I wrote on this blog many years ago. Sometimes life feels like holding a lazy Susan in each hand, loaded with life things and spinning in opposite directions, while unicycling through traffic wearing a scratchy pant suit. That it came to me this week felt like a sign that I felt the impact of everything, no question—volume, intensity, risk—all my stress management skills and mantras called forth and tested: ODOMOBaaT Goals and trade-offs Do what you can Do what works Commit and Flex
After my last commitment on Friday I could finally breathe and relax. All I wanted to do was cut and write jar smiles. It was positively meditative and recharging, for hours while listening to romantasy in the most delicious voices—that was all day and night yesterday—ready to attack today! Then the WiFi crashed at home (fixed now, thanks Hubs). No problem, there’s a café down the street, I could cram all internet-requiring tasks into a single time window and crank through. I’ got this!
I started to wonder how constraints like this could make me more efficient in general, which led me to question my own capacity for discipline. I estimated it as moderate, and the words ‘good enough’ emerged with force. How do we define ‘good enough’? Looking back, I compared my grades in high school to college and med school, and realized that what mattered was not the grades themselves, but whether I thought I was showing up to my full potential, and whether it mattered to me. Whatever grade I got was ‘good enough’ as long as I had done the work that was worth the costs to me at the time. In retrospect, I have always had a strong intrinsic sense of the value of my energy and effort. Except for some parts of residency, I have rarely self-sacrificed or burned out in any pursuit that I can recall.
I found the lower limit of my half-assedness in college, when my life task balance seesaw hit the ground with a resounding thud. It was the first quarter of physics—mechanics. I hate physics. Hubs and I were just starting to date. I chose to hang out with him rather than study the week of the second midterm and failed the exam spectacularly. I got a C for the class; that did not feel good. I have studied enough and not failed another exam since.
Morning pages. Exercise. Blog writing. Patient care. Parenting. “Yes, I am disciplined and also flexible,” I journaled today—in the morning but not formally as Morning Pages. “Consistency…80/20? I am consistent enough to get the results I want—mostly…” I don’t have the body I want (very ambivalent relationship with my body at the moment—more on that another post, perhaps); yet I put forth all the effort I can muster each day in that direction. “For now, I feel ok with my body the way it is because I know in my thinking brain that I am strong and healthy… And in my feeling brain I still kind of hate how fat I am now compared to before… But would I rather be that shape and weaker? Hmmm… I think given the choice, I might actually choose me now.” That felt good, and I’m glad I took the time to write it out.
When I look at the long arc of action in the domains that matter—exercise, patient care, relationships, and even nutrition, where healthy habits are still such a struggle—I show up consistently and reliably with my core values, highest goals, and integrity in front. When things get heavy and stressful I feel it, as we all do. It’s very uncomfortable and I don’t like it. I think it’s fair to question my responses, to assess whether I do what I recommend to others in such circumstances, and what I have written every week on this blog for the past decade.
Our culture pressures us to be perfect. Impossible. Traffic gets heavy, the suit gets sweaty, and things fly off the lazy Suzan. Sometimes we must put it all down and reset. Then we get back on, maybe with lighter loads on smaller roads. We get to decide. Slowing down and taking time to look behind, here, and ahead can help ground us in perspective and confidence that we are indeed showing up how we want—compassionately and consistently.