Category Archives: gratitude

“When I Go”

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From _Loss_ by Donna Ashworth

After Friend and I talked about her BEAST lawyer last week, somehow we got to thinking about being at peace with death. I told her I’m okay with it–if it were my time tomorrow, I could accept it. She confirmed that my declaration did not feel delusional or arrogant. I have no intention of dying, and I would not want it or like it, but I would have few regrets, I think. Let me be clear: I would certainly regret any pain and suffering that my death might cause my loved ones. But maybe knowing that I’m at peace with my own mortality would help mitigate their pain? In Being Mortal, Atul Gawande tells us that if the person whose life is ending is at peace (it’s redundant, but there isn’t really another expression for it, is there?) with their own end, then their loved ones are far less likely to experience depression and prolonged grief after their death. This is what I wish for my people. I can go first, literally and figuratively.

A few years ago, another dear friend announced his retirement after nearly 30 years with his company, many of them in leadership roles. His LinkedIn page filled with gushing expressions of gratitude and admiration. I thought about him all day, and wrote him spontaneously in the evening:

…And what will the organization and its people be/feel like without you? 

When my kids were little I used to be afraid to die.  I was afraid they would forget me, and that I would not have a chance to pass down my core values, to have a hand in helping them become excellent people.  But then I realized that as long as I am here, I am the one responsible for that, so nobody else thinks to do it for me.  But if I died, and if I lived well, then people would take what they loved best about me and sustain it for my kids in my place.  If I were successful in building the village around them, then they would not be dependent on me alone to get what I most wanted them to get.  

So now I don’t worry so much about it–partly because they are older and I have had time to instill some things, both by example and by teaching.  But also because I trust that my own circle will enclose them and nurture them if/when they are needed.  That reminds me, maybe I should remind and thank my circle for doing that. 😄

Today I have even more confidence. The kids are three years older, their complex adolescent personality formation accelerating. I see my imprints deepen, for better or worse, and we have reflected together how they see my influence in their attitudes and expressions. We agree to help one another identify and manage our respective deficits. The tribe is still strong and willing, and I have hopefully been more explicit about my gratitude and aspirations. But really I just trust Son and Daughter to keep me with them, alive or dead, near or far, like Ashworth’s poem says.

I wrote my 30 ethical earworms for posterity last year, saved now among 504 total posts on this blog so far. If they read one a week starting if I died today, that’s almost 10 more years of me in their mind’s ear. They will continue to become who they are, and find the places where I fit, to carry me most comfortably and usefully.

On the path of life, we leave pieces of ourselves all along the way, accumulated and spread among our relationships. What do we do when our loved ones die? We honor them by nurturing, strenthening, and cultivating those parts of them that live within us, more intentionally and meaningfully than when we had them physically with us.

So it’s a Peace & Mortality Mindset of living, I suppose. Try to not take any day, any moment, with any person, for granted. Take advantage of any and all opportunities to connect in meaning and love. Act with reckless abandon on any and all impulses of empathy, kindness, generosity, and compassion. None of us knows when the end will meet us or those we love. What can we do today to make any of it just a little less painful?

Let’s get on it, ya?

The Sh*t Sandwich

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“I have realized that I really enjoy learning about ***, but I don’t necessarily like studying it and being tested on it.”

And there it is. My mama pride swells at this concise, distilled insight of self-awareness that Son shared with me, about 6 weeks into college. So you really like ***. How much might you be willing to work/tolerate/sacrifice to stick with it? Will you keep *** as a hobby/interest, or can you see yourself making a career out of it? No rush to figure it out! And how cool to know there is a distinction to make?

How much are we willing to give for something we really want? Are we willing to eat the particular flavor of shit sandwich (a la Mark Manson–check out his blog and books!) that’s inevitably served on the path to our goal?

Sometimes we don’t even have to know what we want; clarity about what we don’t want–shit sandwiches we will not eat–is enough to set us on the right path for each of us. Some shit sandwiches I have rejected:

Three Dimentional Calculus and Vector Analysis: Freshman year in college, one problem on the final exam of this class took up 8 pages in the exam book. And why did I have to know it? How did the reasoning help me in life? No more math for me, thank you. I left engineering the following quarter.

Physical Chemistry: Having already gotten a C in physics (which happens when you fail the second midterm because you start dating your husband), empowered with an aversion to math, and knowing already that life is too short for this kind of suffering, I rejected chemistry and embraced biology as a major.

5:30am Rounds: General surgery, my first ever clinical rotation. My intern, the wonderful Gopal Kowdley whom I love to this day, looked at me and said, “You’re tempted, I can tell.” But OMG surgery–the egos, the bombast, the misogyny–AND getting up in the dark every day, forever? Nope.

Lifelong call: I love reading echocardiograms–ultrasounds of the heart, beating in real time. Second year of residency is when internists apply for subspecialty fellowships. That year my cardiology fellow stood right next to me at 10pm, monitoring a dying patient in the cardiac ICU. He had a little girl at home who missed her dad. Later that year, the attending cardiologist, my amazing teacher, sat across from me at the nurses station, in the middle of the night, reviewing the EKG of a lady with a likely heart attack. He had grandchildren already. He had to get up in the dark–in the middle of the night. No cardiology fellowship for me!

I live in Chicago when my home is Colorado. Wut? But Husband is from here, we trained here, and we both found jobs here that fulfill us and allow us to make a difference in people’s lives. WINNER! Love makes us do crazy things, like eat this. huge. shit sandwich. Without hesitation, no matter how it tastes. Every day. For 20+ years.

Through the long hallways of my career, at each door has stood a waiter offering some shit sandwich for me to taste in order to get through. I closed some doors, and walked through others. I wrote last month that I regret none of the work thresholds I’ve crossed to date. Since the beginning, nothing has been be-all, end-all. If I hadn’t gotten into med school the first time I’d have decided to try again or try something else. I committed to finish an internal medicine residency and pay back my student loans; those doors swung heavily one way. Other than that, I have always had the privilege of myriad opportunities to use my skills and credentials in new and interesting ways if I wanted to–generalists are needed everywhere. But the older I get, the more selective I am about what shit sandwiches I’m willing to eat. I think that’s normal.

As Liz Gilbert interprets Manson in her book, Big Magic: “So the question is not so much ‘What are you passionate about?’ The question is ‘What are you passionate enough about that you can endure the most disagreeable aspects of the work?’”

So ONWARD, I say to Son. Keep learning about yourself and the world. Try out different things, taste a little of everything as long as you’re sure it’s not toxic. Carve out your space. I am confident you will find your favorite flavor of shit sandwich.

Potential and Kinetic Energy: Onward In Power

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Here we are, Day 30 of 30, woohoooooo! What a fun month of reflecting, learning, writing, and sharing! Looking back, I see about eight posts to revisit, ideas to flesh out and expand. I also see recurring themes stretching back to before this blog even started–funny how that always is–I am who I am!

I started this blog in 2015; my goal was to make it a year. After that, I’d decide if I wanted to keep it going. Wow. I love perusing the years and seeing which themes persist/repeat, which fade and re-emerge, and which evolve. And something new stirs now, from the 8th annual 30-day challenge.

After nine years of physical training for menopause preparedness, my vertical jump may be higher today than anytime since I was a student. My balance and core strength are definitely better. I know this because my hang time during burpees and single leg jump lunges feels exhilaratingly long. When I squat, on one leg or two, I feel the tension, strength, and stability in my quads and glutes. When I explode up and my toes leave the floor, it really feels like flying, even if for just a half second. I feel confident and powerful, free, and also intentional and in control. I attend to position, landing softly, protecting knees and ankles from injury. I have focus.

The ideas that emerged this month, especiallly the eight, also feel strong and powerful. They have potential. They move. They are, in many ways, the culmination of 8 years–maybe a lifetime, actually–of reflecting, exploring, articulating, synthesizing, integrating, of continuous playing, learning, noodling, seeking. They feel at once like energy stored and released, self-propagating, renewable–light, heat, wind–all of it.

I have lived long enough and through enough challenges now to have pretty good perspective. Nothing stays the same for long; nothing is guaranteed. Hard things happen and I have no control. Worrying and ruminating waste precious time and energy, for no benefit. I can do hard things; I have skills and support. So now I can really, freely, revel in the awesome when I have it. And no matter what hard stuff is happening, I always have something awesome. That clarity shines like the brightest lighthouse from deep in my core, and it orients me–reliably, unassailably–in any storm.

Is this what happens in middle age? Consolidation and magnification, gathering for expansion, the existential equivalent of the strongest and funnest squat jump? If so, I’ll take it! Who knows what’s next, it could be anything! I am ready.

Onward, my friends, there is much work to do!