November 25:  My Journals Make Me Better

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NaBloPoMo 2019

“You both have multiple journals that are all partially written in?” I asked, feeling vaguely twitchy.

On an online forum where I like to think I’m making new friends, three of us have bonded over our shared love of journals.  I wrote to the group last week, “I may have almost as many blank journals as I have books–the potential in them, the invitation to fill them with experience and life–they just make me so happy.”  The other two musketeers described their journals of various sizes, shapes, and designs, scattered about their homes.  They get written in whenever inspiration strikes.

That idea made me a little uncomfortable—that thoughts and ideas might be strewn about in different books, lying randomly around a home, disconnected, alone!  Hence the question above that I keyboard-blurted tonight.  I thought at first, “I can’t do that.”  Then I realized, I do do that—I have at least 4 journals going at the same time.  But I do organize them (not that my friends don’t—I have asked them to clarify).  I have a personal one, where I keep all original content. This one has at least three different designs of washi tape tabs, for blog ideas, presentation ideas, and other recurrent themes.  One is for work–a record of meetings, tasks, initiatives and their progress.  In a third I take notes at conferences or other formal learning.  Yet another holds insights from coaching calls and exercises from LOH.  I carry at least two, sometimes all, of them around with me every day. It’s common for me to have at least two out and be writing in both of them at the same time–taking notes from a meeting or presentation in one, then writing reflections, insights, and revelations in the other.  I often flip them over and write from the back covers, to keep lists and other short, serial records.  I attach email printouts and sticky notes, and when I reread I highlight and write in the margins.  These are well-used and well-loved books.

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In 2010 I went to a Mindfulness in Medical Education retreat.  I was physically ill that week with a respiratory virus.  But I had been mentally and emotionally unwell for months, turbulent and restless inside.  All I could do was ruminate, turning thoughts, conversations, and memories over, raking the same terrain, uncovering nothing new, no insights to show for all that psychic energy spent.  On the first night of the retreat we were given some quiet time and a pad of paper.  I filled my mug with hot tea, climbed into the bay window, and started writing.  For a month I had had inexplicable and persistent cubital tunnel syndrome—inflammation of the ulnar nerve at my right elbow that caused such sensitivity and pain in my forearm that I could hardly stand wearing long sleeves.  That night I unloaded the whole of my pent up frustrations onto that legal pad, many pages worth—a total brain dump.  I always journaled growing up, and somehow it had been years since I had last penned for myself.  I had forgotten how cathartic, how therapeutic, it was.  The next morning my arm felt normal.  I have kept a journal ever since, and that pain has never recurred.

***

Another friend mentioned recently that he may leave his house without his wallet or his keys, but he never steps out the door without his journal.  I can totally relate!  Now I suspect there are more of us than I thought.  It’s the most satisfying feeling to have a reliable, accessible repository to record insights, ideas, and discernments, whenever they occur.  When I cannot do this—usually when I’m driving—it’s like having to pee until I can get out the journal at the next stoplight (or pull over).  It occurs to me occasionally to stop accumulating blank journals.  I’ve already set a moratorium on buying yoga pants and washi tape (for now).  But if a blank journal calls to me, I will buy it.  It’s good for my soul.

November 24:  Alone Time Makes Me Better

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NaBloPoMo 2019

How many hours do you get to yourself at a time?  I mean not just in the shower or commuting, or to work out. I mean how much time do you get to really, only take care of yourself?  When there are no kids to pick up or drop off, no meals to plan or prepare, no immediate work deadlines, no call, no commitments?

I had 36 hours this weekend—there are about 25 minutes left.

I realized at the end of Wednesday that my irritation at fellow drivers was probably a projection of anxiety and agitation about my kids being away this weekend, each to a different place, a first experience for both of them and me.  Anxiety often manifests as anger and irritability for me.  I called forth many of my cognitive behavioral and mind body practices to manage the fear and worry, so that I could actually enjoy this amazing alone time—the first such stretch since the elder kid’s birth.

And holy cow, I’ gotta do this more often.

I will spare you the list of restorative activities!  But suffice it to say that I managed to balance sleep, music, food, productivity, creativity, solitude, and connection.  It really was a perfect rhythm.  Deep breath.  And now I’m ready for the family’s return and re-entry into life as usual, a little more relaxed and peaceful.

This year has been intense, fast-paced, and dense with learning, both personal and professional.  I think we all appreciate the idea of alone time, and we understand its importance intellectually.  But like so many things, to actually experience it first hand, for real, is completely different and profound.  I finished listening to Range this morning.  In it David Epstein describes how teams do best when members have a balance between solitary and interactive, collaborative work, as opposed to all one or the other.  Coaches know that training for any skill, be it athletic, musical, or otherwise, requires alternation between periods of sustained, focused practice and rest, time away.  New neural pathways require downtime to fully integrate.  This weekend, I was able to synthesize ideas from Epstein’s book on diversity of experience, and assimilate them with what I’m reading in Ozan’s book, Think Like a Rocket Scientist, on combinatory play.  In the quiet of an empty house, freed from rushing off to the next activity, insights arose more freely, and I connected dots to previous experiences and learning much more easily.  Today I started The Infinite Game by Simon Sinek.  More transformative ideas (simple and profound) to start incorporating into my world view and leadership practice, and to write about later—Yahoo!

I wondered if I’d be lonely this weekend… Nope, not at all.  This time alone was exactly what I needed.  Loving thanks to the family for gifting it to me.

November 23:  Range Makes Me Better

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NaBloPoMo 2019

One of my teachers in med school told me why he loves primary care.  He said at any time, he can decide he wants to be more expert in something and do it for a while, like managing all of his patients’ thyroid illnesses, rather than referring to endocrinologists.  Then when he gets tired of that, he can start referring again and do something else, like nonsurgical orthopaedics.  That was over 20 years ago…  The complexity of both medical knowledge and practice has expanded exponentially since then, so I wonder if he still thinks this way?

Regardless, I agree.  Being a generalist affords me tremendous flexibility and freedom to explore and apply from all fields of medicine.  While I could never approach the expertise of my specialist colleagues, I get to (and to a large extent am expected to) learn a little about everything.  That breadth of exposure and knowledge makes every workday unique and stimulating.  This week, I’m listening to Range by David Epstein, a book that validates everything about my generalist, boundary-spanning life.  From the book description:

Range makes a compelling case for actively cultivating inefficiency. Failing a test is the best way to learn. Frequent quitters end up with the most fulfilling careers. The most impactful inventors cross domains rather than deepening their knowledge in a single area. 

I feel validated about this because I’ve never been especially good at any one thing (except today I’d say I’m an exceptionally good communicator, though that’s a highly subjective and biased self-assessment).  I have, however, observed, explored, tried and experienced myriad things, and I have always seen this as an asset.  And now a New York Times bestseller affirms it. Yay!

Growing up bilingual and bicultural gave me a huge advantage for living and working in an increasingly diverse global society.  Before I started piano, I learned classical Chinese painting in two styles, as well as Chinese folk dancing.  I started skiing in elementary school, volleyball in middle school, golf in college, and in my 40s have picked up kettle bells, yoga, and TRX.  I learn coaching techniques from being coached.  I learn about leadership from reading and interrogating my patients who are leaders, and now actually leading some folks.  I interact with information through podcasts, audiobooks, paper books and journals, and online formats.  I read New England Journal of Medicine and Harvard Business Review, Annals of Internal Medicine and Fast Company, Journal of the American Medical Association and Psychology Today.  I prefer nonfiction, but I recently joined a book club and read my first novel in many years.  My music playlist includes Dierks Bently, Camila Cabello, Bruce Hornsby, Shawn Mendes, Miranda Lambert, Sara Bareilles, The Piano Guys, Mamma Mia and The Greatest Showman soundtracks, John Denver, and Pink.  I attend conferences focused on clinical medicine as well as communication.  I speak to audiences of physicians, business leaders, and designers. I make washi tape cards and moderate Better Angels communication workshops.  It’s kind of an eclectic list of activity; please forgive my self-centered navel gazing here.

If you make a similar list for yourself, I bet it will be more diverse than you think.  How does this help you, make you better?

Epstein posits that generalists’ advantage lies in their ability and propensity to see deep relational connections between diverse domains, use analogical thinking, and practice ‘active open mindedness.’  He also provides multiple examples of when specialists’ narrow perspective hinders creativity and innovation, and even effective problem solving.  Throughout, however, he acknowledges the complementary, yin-yang relationship between focus on the specific and wide-ranging view of the broad.  The book just makes my ENFP heart sing.

I honestly believe range makes me better…  For no other reason than giving me a life full of new and exciting experiences to write about on a blog.