Category Archives: mindfulness

What Are We Doing?

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On this day in 2013, Karl Pierson walked into my high school with a shotgun. When approached by classmate Claire Davis, who asked, “Oh my gosh, Karl, what are you doing?” he shot her. She died 8 days later.

At her memorial on New Year’s Day, 2014, her dad Michael Davis said:

“We can all realize Claire’s last words in our own lives by asking ourselves, in those times when we are less than loving, ‘Gosh, what am I doing?’ … Unchecked anger and rage can lead to hatred, and unchecked hatred can lead to tragedy, blindness and a loss of humanity. The last thing Desiree and I would want is to perpetuate this anger and rage and hatred in connection with Claire. Claire would also not want this.”

Follow the link to read about the light that was Claire, who shone for 17 short years, and how she brightened the lives she touched.

I ran around all day today, forgetting this anniversary. I got to see a friend for coffee and talk leadership, culture, and honest appreciation. I got to run errands, buy things, enjoy an excellent salad while finishing romance audiobook #62, pick up Daughter from school, cook dinner, and now sit at my laptop to reflect and share my thoughts. Claire will never get to do these things, the things I take for granted.

She will never again sit in traffic, hearing people honking loudly in frustrated powerlessness. She will never now witness people actually getting out of their cars to confront each other on the street when one of them makes a wrong turn. She is not here to see first hand the rapid demise of her fellow humans, sliding ever faster and forcefully into grief, rage, violence, and hatred.

Seriously, what are we doing? Is everybody just walking around with a giant can of gasoline, looking to douse random embers and light wildfires, just to watch them burn? What are we feeling that makes us behave like (believe?) everybody we meet is the enemy? I am convinced that people who lash out, even in the most violent ways, are not fundamentally evil. I think we generally treat one another pretty well when we feel good ourselves. For so many, though, whose reasons for feeling pretty terrible are cumulative and compounding right now, I can see how unregulated negative emotions explode at any provocation. I can validate the emotion without condoning destructive behavior, and hold folks accountable to natural consequences. And let’s be clear, all of us do this sometimes, to varying degrees, under stress. Hopefully we can recognize in time to repair, in most cases.

Better to prevent, though–illness, disease, relationship rupture, and social destruction alike.

For myself, I commit to practicing, however imperfectly, one deep breath at a time. Before speaking. Before honking. Before entering a patient room. Before replying to an email or social media post. Before snark. I will go to bed earlier, drink less coffee, eat more plants. I will move my body regularly. I will look for stories of people helping each other and share them generously. I will practice gratitude and presence, humility and curiosity. And I will connect deeply and unabashedly with the people who do the same, so we may hold one another up.

We can ask, and then act, when we answer the question, “What would LOVE do?”

And maybe let some music lift us, too. “Forever Young” by The Tenors helps me tonight.

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!