Category Archives: Health

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!

On Self-Love

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Smile from the Ethos jar, 14 February 2025

“How much do you love yourself? I hope it is at least as much as you are loved by the rest of us.”

I have thought to ask this of several people I know, wishing ardently for them to see their own gifts and strengths as we, their ever loyal friends and loved ones, see them. I hope you have people asking and supporting you in this way, dear reader, every day.

Self-love, at its best and strongest, is not boastful, grandiose, or arrogant. Rather, it is quiet, steadfast, resilient, and humble. It doesn’t need to compete in intellect, beauty, or performance. It tolerates being misunderstood or judged as less than by people whose opinions are simply irrelevant. And it knows when, where, and how to make us stand up and be seen, heard, and known. Self-love is how we know what spaces to take up in confidence and self-worth.

What does it mean to love someone, ourselves included? We honor, care for, think of, miss, wish the best for, sacrifice for, tell the truth to, help, hold accountable, look out for, and want to be with our loved ones, yes? How many of us feel this way for ourselves, as much as for others we love?

Adequate self-love provides the foundation, space, and magnanimity for fervent love of others (‘can’t pour from an empty cup’), and is also fed and nourished by love from others. It sets the standard of attitude and conduct for that mutual, wholehearted, loyal love that we all seek so deeply.

Love is the ultimate positive feedback loop, the best snowball effect.

‘A one person lovefest invites others to the party
To celebrate one another in joyous togetherness
Without competition or comparison
Only in mutual affection and validation’

So many professions of love this past weekend, so beautiful and connecting. I hope each of us, at our core, can hold onto a deep sense of self-love, regardless of age, gender, sexual orientation, relationship status, family dynamic, or political leaning. Love is the foundation of the healthiest, strongest, and most fulfilling relationships, and it’s never too late, never too little to start or start over.

Soothe Thyself. Then Get Going.

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Attune. Attend. Assess. Adjust. Then Activate and Advocate. Always Adapt.

Turns out I’ve been stress eating for the past six weeks or so. I only noticed a few days ago. I’m past the point of berating or judging myself for it, and I also marvel at how stress can manifest so overtly and insidiously at the same time.

What have been your sub/unconscious signs of stress lately? What would those who know and love you say?

My other current signs are lack of motivation to work out at home and a constant urge to write Jar Smiles. That last one is new, and its impulse strong. I tell the story that the nature and level of my current stress is such that only connection with others, however I can get it, can soothe me. So if I want to get back on the elliptical at home, I should probably schedule calls with friends at that time!

It’s been a rough few weeks for us Blue voters. I wonder who among Red voters feels, or even sees our distress? Every time I talk to my Red voting friends I understand better that we live in wildly divergent information universes. I wish to slowly bridge that gap with high quality primary sources and reporting, shared by and with me. This will take time, patience, openness, and true humility.

I see people advocating in the usual way–with overtly adversarial attitude and tactics. Isn’t that how we got here in the first place? Isn’t it time to reconsider our processes and methods? I am no longer interested in protests or writing postcards. I understand their place in activism, but for me they feel neither soothing nor productive. I think all of our jobs now are to self-soothe and advocate effectively. Venting to members of our own tribes can be cathartic and healing. I listened to friends do this for the better part of an hour this past week. We shared stories, concerns, fears, hopes, and support. I was so gratified to not hear ad hominem attacks on any other humans; only anguish over what is and struggle to figure out what to do.

So we must self-soothe. I don’t recommend stress eating, though the foods I eat under stress now are healthier than in the past. I think writing jar smiles is good, as long as I don’t procrastinate necessary tasks too much to write them (how many loads of laundry need folding, again?). Certainly if I’m lashing out at people, self-harming, or otherwise behaving in high-risk or destructive ways as I seek comfort, that is maladaptive. I hope I would have people around me to both support and hold me accountable for my attitudes and actions, and their consequences.

Once I have de-escalated and regained some equilibrium, once I feel stable and grounded in my values and have clarity on both what needs to happen and how I can contribute, I can then direct my energies and actions mindfully, intentionally, effectively, and in concert with others rather than counter to or in competition.

A dear friend asked today for books on ‘reframing arguments/persuasion.’ I answered:
“-Getting to Yes, Roger Fisher and William Ury
–I Never Thought of It That Way, Mónica Guzmán
–High Conflict, Amanda Ripley
–Think Again, Adam Grant
–Why We’re Polarized, Ezra Klein
“It’s about understanding first, explaining second, converting only incidentally, if at all.
So much easier said than done, especially when feeling stressed and threatened.
Still worth the effort in the long run, if we can muster it, and easier the more we practice/train.
Happy to discuss anytime!!”

That last part continues to resonate and give me hope–discuss and take time–repeatedly and in earnest. Healing Through Connection.

I have just causes to advance: women’s health, a stronger and more reliable healthcare system in general, and above all, healthier relationships between humans in any and all contexts. These are infinite games which will outlast my lifetime. If any of us plans to make a meaningful contribution to our respective just causes, then our job is to stay fit enough to continue playing. We must adapt our strategies and execution to conditions and players as they evolve and emerge. We can commit to our Why and be flexible with the Hows and the Whats, as Simon Sinek says.

I think I may have successfully reset a bit this weekend. I connected with friends and family, made good food, and did my first 8am conditioning workout at Ethos in a month. The little love notes hit their marks, I am told. The stress eating awareness already diminishes the impulse; my agency has re-emerged and my nutrition rudder restablized.

All of our highest self-care and relationship skills are called forth now and for the foreseeable future, my friends.
I have confidence that we can meet this challenge if we walk together, no matter how we voted, in humility, generosity, kindness, and collaboration.