Category Archives: Health

Healing Through Connection Turns 10 This Month

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Dear Friends,

Oh my goodness. It’s been a decade. Holy cow. I’m in the feels, people.

I published the very first post here on April 14, 2015, The Premise. Reading it again now (I can’t remember the last time I read it), I’m proud that I can still stand firmly and proudly behind every sentence. At that time, I had only begun to speak nationally on physician burnout and well-being, culminating in multiple memorable and rewarding collaborations until right before the pandemic. That work carries on now without my direct participation, still championed by colleagues whom I admire more than words can express. My own work in wellness has since touched other professions including design, law, and state and federal judiciaries. How humbling to be invited into these spaces; what a privilege. Every opportunity teaches me, broadens my perspective, and reinforces my Premise:

“Patients and physicians have control over one thing above all else: our relationship with each other.  Relationships live and die by communication.  Barriers on the obstacle course of patient-physician communication loom large and formidable. Our system fails us over and again. And it falls to each of us, not the system, to find our way to connection and healing relationships.”

I thought our healthcare system was broken a decade ago; and here we are, worse off still in too many ways to count. Now more than ever, it is our relationships that will save us. It’s another paradox, connection: So important and fundamental, such a necessity, and also kind of mundane. It can happen in the smallest of moments–a glance, a fleeting facial expression, a passing vibe, a shared language–which can be lifesaving and also taken for granted. It can also require collossal effort–tremendous self-restraint, courage, and tenacity–to achieve it across deep and complex conflict and separation. I submit that both/all forms of connection are equally valuable and necessary for us humans to thrive. The longer I live, learn, practice, and write, the more I believe this to my bones.

It did not occur to me until today to do something big and special for my 10th blog birthday. Honestly I had thought of sunsetting the whole thing before the renewal date rolled around last month. But since I had not made any plans or decisions, I paid the fee and here we are.

So let’s have some fun this month, eh?

I think I’ll try to post daily. Nothing too labor intensive, no obligations, no rules. It’s my birthday party and I’ll write if I want to. I have 100 drafts waiting to expand and engage, four occurring just in the space of this morning’s commute.

It really is all about Connection: This blog, medicine, health, wellness, relationships, life.

How ironic: The world feels more divided and polarized, separated and divergent now than I can remember in my lifetime. And yet in my life personally, I feel more connected to people everywhere now than ever. What is that about? How fascinating and wonderful! Let me attempt to explore it and share in the next 28 days, yes?

Healing Through Connection. Connecting in all possible ways, for the good of us all. It’s what we live for, I’m convinced. So let’s dive in, celebrate, and see what emerges! Oh, this could be fun. See you tomorrow!

Love,
Cathy

“You’re Fine.” Not.

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I feel unwell.

–You’re fine.

No really, I’m not myself.

–You’re fine.

But my life is being disrupted by how I feel: Unwell. Not myself!

–But the tests are all normal. I can’t figure it out. Therefore you must be fine.

Why won’t you listen to me? It feels like you don’t care.

–[It’s not that I don’t care.]
–[My training has not taught me now to cope with things I cannot solve.]
–[The system rewards me for more encounters, more tests, and not necessarily more thought, presence, patience, empathy, compassion, or humility.]
–[The culture of my profession resists uncertainty, vulnerability, and holistic complexity.]

[Maybe I really am fine; am I just imagining the unwell?]

–[I wish I had time to sit with folks… to find and ask better questions, to observe, to really listen… to show the care that I felt called to give back when I started…]

I feel unwell.

–Please, tell me more…
–Hmmm. That’s interesting–some things fit together, others don’t.
–Here’s what I’m thinking; let’s do this; talk soon.

I’m still unwell. And here’s what’s happening now.

–Huh. Fascinating. Tests all look normal. Something doesn’t fit.
–Tell me more, again?
–This is not like you. We have not seen this before for you. I actually don’t see this in general. Huh. Then again, some of this fits exactly with how I know you.
–Okay next steps; talk soon.

Gaaah, still unwell! What is going on?

–I’m so sorry. Let’s review again, please?
–[What am I missing, not seeing? Do I need to get closer up or further back?]
–OK time to get help. [Who has a different perspective and can really broaden mine here?]

–You’re not fine.
–But how are you still okay? Let’s maintain that, and still work on the unwell.

–I’m here. With you. I’m not going anywhere. And we will keep getting other help.
–We will get through it.
–Together.

Self-Efficacy, Ethos Session 1

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Ya kinda had to be there, my friends.

And it was all my friends who came to my first ever wellness presentation at Ethos today. For two easy and loving hours ten of us engaged in openness, curiosity, reflection, thought, and connection. After outlining the general themes and objectives of my past wellness presentations, General Manager Elena landed on ‘self-efficacy’ as the all-encompassing concept when we discussed our plans earlier this year. It felt immediately right. This was to be the first of four sessions throughout the year.

Self-efficacy: “an individual’s belief in their capacity to act in the ways necessary to reach specific goals.” (Bandura, 1977, 1986, 1997)

I have presented to academic surgeons on national stages and judges of the Federal Circuit Courts. Still, speaking to the Ethos community made me a little nervous. There would be fitness experts in the audience–what could I ‘teach’ them on the topic of exercise? This was a new and potentially very diverse group; one that did not necessarily know my credentials or professional expertise. My highest goal was for all of us to leave the session feeling inspired, empowered, connected, and thought-provoked. My intent was not to simply lecture or convey, rather to offer, invite, and receive in fluid exchange and mutual engagement. I had to give msyelf pep talks all week, calling forth my confidence in attuning, listening, asking good questions, reflecting, paraphrasing, as well as presenting.

What a real-time practice in self-efficacy, no? Walk the Talk, Chenger!

Dry erase before: “Of health and wellness: Domains, Practices, Attributes”

I planned today to introduce my ‘5-3-5’ framework of health: 5 domains, 3 core practices, and 5 atrributes. It’s a work in progress, which makes it a fun and high-potential foundation for discussion with any audience. After sharing our respective thoughts and experiences of self-efficacy, we explored how it applies in health and wellness.

“What are important domains of health?” I have written about ‘the five domains of health’–sleep, exercise, nutrition, stress management, and relationships–on patient action plans and this blog for many years. It’s relevant, reliable, and comprehensive for the purposes of an annual physical exam. But I wanted to learn from this audience how they see ‘domains of health’ in life as we live it. The brainstorm and discussion that ensued showed us all how layers of complexity and interconnected relationships at both individual and collective levels impact our experiences of both health and un-health.

Self-awareness, self-regulation, and effective communication: in my mind, these are the three core life practices that help us assess, adjust, and adapt to whatever life brings. The group’s suggestions of key health practices, we could argue, could all fit under one or more of the three. And it also emerged today that there may be a missing element of movement–that to be healthy we must not only attune inwardly, but act–we must both be and do–or not–there’s something here about intention and volition, about agency, I think. I invited. My friends offered. We noodled, played, exchanged, and documented. And now I have so much more to mush around with, to dig into and mine for treasures!

“When I am healthy, I feel…”

By now folks had caught on. I ask the open-ended question, record the responses, and when one of my own words comes up, I write it under the heading. Brother-in-law Kinnier compared the process to playing Family Feud and we all laughed. When I think of how I want us to feel in health–in body, mind, spirit, work, and relationship–these five words top my list today: Stable. Strong. Flexible. Agile. Resilient. The words my friends offered in this section represent sensations, emotions, and states of being, among other things. What words would you add? How besides words would you express/explain what it means to you to be healthy?

When I look at the ‘after’ state of the board (I did not take a picture of the whole due to glare, but I wish now that I had), I feel so gratified. I successfully offered my framework for health, developed organically and in collaboration with patients, colleagues, friends, and fellow life journeyers over decades of medical practice and living. We agreed at the end that next time we can include non-verbal expressions such as emojis, diagrams, symbols, and pictograms, to further deepen our exchange and discourse on these ideas.

*sigh*

The openness, curiosity, safety, warmth, connection, and love I felt today, friends. Ohmygoodness. I had to encourage myself in advance, reassure myself that I had what was needed to lead a discussion, to facilitate this opening, and invite and allow all of our wisdom to emerge and mingle. The energy in the Den vibrated today. It had a temperature, a depth. We all both contributed and benefited (I think), offered and received. The outcome felt elevated and synergistic–immensely greater than the sum of its individual parts.

This presentation series is part of my project to broaden my reach, to expand my contribution in health and wellness to more audiences, and to facilitate engagement, empowerment, and agency for individuals and organizations. Elena and I had orginally planned four quarterly sessions this year. Today’s session lasted thirty minutes longer than scheduled, and many of us wanted to keep the energy flowing, to continue the conversation sooner than three months from now, as we looked at the ‘after’ state of the board and saw so much possibility for future conversations!

YES. THIS. This is what I live for, my friends!

I write this summary so those who could not attend today might get a feel for what it was like. But I could only capture here a fraction of just my own experience. There is just something about a gathering, an intentional meeting when and where we choose to spend (give?) our time, energy, and resources together in service of lifting ourselves and one another.

There are simply not enough words to express my gratitude and appreciation for my friends who showed up today. Their unwavering presence and love made it safe for me to be BOOBS OUT, all me, all in, open and honest, curious and confident. We agreed today to all go home and let it sink in, to saturate in the connection, and see/feel what emerges that calls us to gather and commune around next time.

I. cannot. wait. Hope to see you there!