Three Years Ago Today

Where were you on February 25, 2020? What was happening around you? What were you doing, planning, looking forward to, worried about?

What day did COVID change your life?

On New Year’s Eve, 2019, my niece declared that everybody was overreacting to the infection sweeping across Wuhan, China. It won’t be a big deal, she said. I specialize neither in infectious disease nor public health, but I knew then that what was coming would be a big. fucking. deal.

This morning, stepping out into the bright sun and crisp air at the end of another unusually mild Chicago winter, Daughter and I recalled 3 years ago. We had just spent a long weekend in Seattle, just for fun. Son had said then that he could see himself living there ‘after school,’ and lo, he ended up there for school. Little did we know then that COVID had already landed, right there, where we were.

Within weeks, whole organizations and governments mobilized and immobilized; life mutated irrevocably around us everywhere. COVID hit me in the face by cracking one of my friendships early on. The week of March 9, I begged off of a gathering, and my friend was angry. I respected and admired her, and loved her family–still do. She subsequently railed at the prospect of lockdown and social distancing, citing economic fallout, apparently dismissing my alarm at the risk to our healthcare system, and my own colleagues, if we deferred such drastic measures. It took me by surprise, floored me, and I was hurt. I wanted to talk more about it, talk through it. But these three years, every time we approach our differences here, she respectfully declines to continue. I respectfully agree. We hit a boundary in our friendship then, which I accept. I can engage with difference elsewhere; there is no shortage of opportunities. Over this time I believe I have both sharpened and softened my communication skills around disagreement and dissent, and I’m still grateful for every chance to practice, learn, and improve.

Facebook showed me what I posted three years ago today. I don’t know which leader moved me to profess my appreciation on social media, but I bet it was one of two, so I emailed them both today with the screen snip of the post. “…recalling 3 years ago, watching and waiting for the pandemic wave to hit us, standing in a state of novel awe and uncertainty.  I also remember feeling confident, though; I understood the medical and public implications and trusted my immediate professional and personal circles to think and act rationally and thoughtfully… Our organization has its challenges, both intrinsic and extrinsic.  Each day, though, I’m still convinced and proud that everybody’s doing their best for the greater good. So Happy Saturday, and thank you for you leadership. 🙂” Having led a small practice through the first 14 months of the COVID morass, I suspect any sincere expression of acknowledgement and appreciation, at anytime, even now, boosts any leader’s spirits. We are all still going through it, and we still need to hold one another up.

This is the 42nd post that appears on a “COVID” search of this blog. I process by writing. Reading back, I apparently felt more fear and anxiety at the outset than I may remember. Memory is complex! Today I recall vividly the acutely discordant and uncomfortable conversations with my friend, while minimizing the overall stress of the time and circumstances? How fascinating. We would all do well to ‘remember’ this paradox of recollection as we continue to navigate, negotiate, and collaborate hereafter.

“We write to taste life twice, in the moment and in retrospect.” Anna Quindlen includes this quote by Anais Nin in her book, Write For Your Life. Have you anything to review from three years ago–emails, letters, photos with captions, blog posts? What does any of it show you about your feelings, thoughts, actions, and relationships back then? How has your life evolved and transformed in the short and profound time since? How have your relationships moved? I’m gratified to take some time today to recall and reflect, and to have concrete evidence of myself to do it with.

Write on, my friends.

Use Your Signals: It Matters

A car stopped on the street in front of me yesterday. Then its hazard lights came on. I was so grateful, because then I knew what to expect and do! HALLELUJAH, THANK YOU!

Brake. Turn. Reverse. Hazard. High beam. Our cars are designed with signals to make our intentions and actions on the road efficiently and effectively communicable.

Car going straight goes before car turning at a stop sign. If both cars are going straight then the one on the right goes first. No changing lanes in an intersection. DO NOT ENTER AN INTERSECTION YOU CANNOT CLEAR. Our traffic laws are designed to make vehicular interactions uniform and safe.

And yet, much like passengers during air flight, drivers seem to disregard any and all conventions of safety and courtesy more and more every year. We disregard one another.

“Always make eye contact.”

The most important safety lesson I learned from the Susan G Komen Breast Cancer 3-day in 2002 was to always make eye contact with drivers at intersections, before crossing the street. I had never thought discreetly about it before, and suddenly it made total sense; I adopted the practice immediately and fully.

20+ years later now, I see this as yet another practice in relationship (of course!). It’s not just about safety, though that is the primary goal, for both pedestrian and driver. Nobody wants an accident. When we make eye contact, we see each other and negotiate our interaction–our relationship–if only nonverbally and in a second or two.

All of these practices–using car signals, following traffic law, and acknowledging one another while out and about–connect us as fellow humans. By offering other drivers and pedestrians the courtesy of a signal, a gesture of invitation to cross, or God forbid a wave and a smile of gratitude when someone lets us pass or merge, we make the world a little less cold, a little more personal, and a lot better, one small and significant interaction at a time.

Imagine if we all treated one another like someone we care about while out on the road? Imagine if we all actually cared for one another, just because we are all here, fellow humans, doing our best to get through this crazy, chaotic life with a little more dignity and a little less suffering?

Imagine if we all used our readily available, efficient, direct, and effective communication tools to signal our intentions, needs, and caring for one another off the road, too?

Wow, what an amazing world this might be.

New on HTC: The Bit Post; Choices

Captured from Facebook

Friends, every once in a while I have moments of relative wisdom and avid connection. Often it comes while responding to patient questions, sometimes on the phone, sometimes on email or portal messaging, and very often over text. So many posts on this blog started as these little, ‘bit’ insights. I marinate them, stir them around, turn them like a Rubik’s cube, until they’re so convoluted that it takes another, longer period to unravel them again to be ‘worthy’ to post.

So tonight I’m trying something new: the Bit Post. When moved, after brief and thoughtful enough consideration, I give myself permission to post these small notes, as is and with just enough background, just to share, in case they resonate with anyone. I feel an urge to engage here on the blog more frequently and lightheartedly, with less perfectionism and self-doubt. So we will see how this goes!

I sent the message below after a dear patient apologized for some behaviors that appear to have led to suboptimal blood test results. They made a self-judgmental comment about their life. I could feel their guilt and maybe some shame. So I replied honestly, as I wrestle with many of the same challenges. The example I give happened just last night.

So we go together, my patients and I. We are all here doing our best!!

Onward, my friends—ODOMOBaaT!

“Your life is what it is. Your choices are what they are, influenced by many circumstantial factors that vary day to day, moment to moment. No need to apologize to me—I’m not you!
“I have a rapidly evolving perspective recently on how I counsel people on habit and behavior change anymore.
“I’m here to inform and advise, not to judge. All of our choices are trade offs made in real time. I overeat tonight because I’m with friends and enjoying the food and that is more important to me in this moment than losing weight. I may regret it later and I’m not consistent at slowing down and asking myself when the weight later becomes equally important to me as dessert now. You see?
“We just have to own both our choices and their consequences.
“My goal is to have the fewest possible regrets when I die. I wish that for you too, but only you can know what choices will get you there.
“Makes sense?”