It Came Up In Conversation

Friends, how are you?

So many people are having a really hard time right now. I feel it all around, and it’s heartbreaking. So much pain, both first hand and vicarious; such powerlessness, leading to agitation, rage, and despair… or at least an angsty restlessness, a deep vibrational yearning for things to be very different from how they are. **deep breath** Whatever you have going on, I wish you all you need to suffer as little as possible.


During one clinical encounter this week, Patient and I sensed a vague yet deep restlessness in her. At the end of the visit I had no useful advice to give. Rather than disappointed or apologetic, though, I felt stimulated. From her low energy starting point, I felt wide space for potential, and a rapid slew of questions coming on. So I grabbed my notepad and scrawled as they emerged:

  1. How much do you want a life change?
  2. If change then how, in what way?
  3. Why–what will that give you?
  4. What are the steps?
  5. Who can help (assume you need help!)?
  6. How will you measure progress?

As I wrote, I changed “(do you need help?)” to “(assume you need help!)” and “success” to “progress” in real time.

Looking back, I’m not sure she really wanted to engage with these questions, which felt okay to me. I did not intend to pressure her into doing anything. I did, however, want to share my sense of possibility, openness, curiosity, and agency on her behalf. No urgency or requirement to answer anything, I told her. To “live the questions,” as Rilke wrote, is all we need sometimes. Turns out I ask these questions of myself pretty regularly. Maybe that’s why they came to mind so readily.

What/how do these questions move for you, if anything/at all? What other questions do they spark, if any? What else?


“What proportion of your daily routine/decisions/actions/default activities are driven by convention, social norms, or otherwise extrinsic factors?”

Yet another spontaneous question, this time arising while looking in another patient’s ears and talking about their very young kids’ multiple sports and activities, the intensity and schedules of which rival that of my high schooler. “It’s what you do,” they said.

Getting married, having kids, buying a house, climbing the corporate ladder; PTA, kids’ sports, yoga, pickleball, having an opinion on everything: How much do we do these things because “it’s what you do”? Please understand, I’m not necessarily judging any of it. Social norms have purpose; they provide structure and order in our messy human lives. I also think it’s good to consider, regularly and often, how our personal values and goals align with our myriad forceful cultural defaults.

Where do convention and personal integrity intersect for maximum benefit, fulfillment, growth, and contribution?

I really like this question, I look forward to living it for a while, and I’m grateful to my patient for helping me form it.


Hey, National Blog Posting Month (NaBloPoMo) starts November 1! My 2023 theme reveal will drop here on October 31, so stay tuned. This will be Year 9 for me, and I think it could be transformative…


OK friends, now I get to tell you about my Big Fat Hairy Project.

I pitched my first ever book proposal to a kind young agent in June and received generous encouragement in response. Over the ensuing months, I have found myself stymied by fear and imposter syndrome, possibly to the point of physical pain. Admonishing myself to simply plant BUTT IN CHAIR was not enough to make me produce any content. Things shifted recently, though, not sure how or why. Maybe it’s the season? Maybe it’s seeing body changes in both function and appearance after 7 months of regular strength training, convicing me that I can do new and hard things? Maybe it’s connecting more closely with readers and writers, an innately inclusive, generous, and encouraging tribe? Regardless, there is movement afoot. Yay!

On October 15 I committed publicly to a nightly book work discipline: Typed word count, handwritten journal page count, time spent reading/researching, etc.–whatever I did, I resolved to track and share. I knew at some point I would need to actually write editable words in larger numbers–the shittiest first draft is better than no draft at all. But it was not until yesterday that I committed to something concrete there, too: 500 words three times a week or 1500 weekly words, however I can get them out.

Friends, the first 871 wildly imperfect words of my book now exist. O. M. G. And I will add more tonight! HOLY MOLY, is that momentum I feel? I have a weekly skeleton schedule written out: no book work required on days I see patients, at least to start. And I still need to consume books for my sanity (176 titles started this year and ohmygoodness, some are so good!). *sigh* I feel good in body and mind, joyous, solid, and buoyant, in this resolve and commitment.

If you’re interested, follow me on Instagram at @chenger91. Every Sunday I will post a photo of the laptop and my inspriational writing mug. Each day of that week I will log book work in that post’s comments. See 10/15 and 10/22 on the page now!

I wonder how I will stick to this and also write 30 blog posts in 30 days? WHOOO KNOWS?? It’s okay, I get to invent and evolve my way–nothing to lose! And I resolve to have FUN. Let’s do this.

Talismans of Love

Barack Obama carries around charms in his pockets. People give him things when they meet him–little tokens, trinkets, you might say–offered with admiration and meaning, to feel connected. What would we expect a world leader to do with such bits and pieces? He keeps them in a bowl and every day picks a handful to tuck close, to remind him, he says, of why he does what he does. He writes about it in the memoir of his first term, A Promised Land, which I cannot recommend highly enough. What does it say about a man of such high status, who intentionally holds the well wishes of regular people on his person every day? I see it as profound humility and groundedness; I admire it and aspire to cultivate such qualities myself.

What talismans of love do you carry, visible and not?

My senior year of high school, after volleyball season ended, I started wearing one of my mom’s rings from her teen years. When it broke I replaced it with another gold band, another gift from a family member. When I started med school and had some money, I bought an intentional replacement, one with a bamboo motif, signifying my Chinese family roots. Now I also see it as a symbol of strength and flexibility, two practices I value highly, and which Ma exemplifies. I still wear my ‘one breath’ ring, and upgraded to a more solid yin-yang band. Like my wedding rings, these pieces stay on 24/7; if you find me down, you will still/already know some things about me.

When I travel, I wear a necklace with four pendants: Son’s and Daughter’s birthstones, and each of their passions. When Son left for college I got him a keychain admonishing, “Have Fun, Be Safe, Make Good Decisions, Call Your Mother.” He left it at home, but when I text him ‘HaFuBeSaMaGoDe’ he knows what I mean. It’s a shortcut. A reminder. A way to stay connected across time and distance.

Rosaries, malas, crosses, heirlooms. Poems, paper scraps, letters.
Wedding rings. Tattoos.

Symbols. Representations. Expressions, signals. This is what matters to me, the talismans say. We feel seen when someone notices, acknowledges, and admires, reminded again of our choice to mark ourselves. The objects and signs communicate visually, tactilely, beyond what speech can convey. It’s almost visceral.

Comfort. Power. Hope. Agency. Meaningful objects remind us of our core values, direction, and purpose. We get to choose our symbols’ meaning. It may or may not matter whether/how others understand them; they are for ourselves and those with whom we bond over shared significance. We rub, clench, kiss, and hold them, often in the hardest, lowest times of our lives.

What if we try harder to notice and admire one another’s talismans? Get curious and ask the bearers to share their stories, and practice kind, reverent presence with it? How might that make things just a little better?

Loving Lessons from Saint by Sierra Simone

My dear friends, thank you for tolerating the continuous gushing about my romance immersion, 12 months now and still going strong! This post is about more than just the smut, I promise.

Disclosure: Spoilers!

My review of Saint by Sierra Simone on Goodreads (MM = male/male):

“Only my second MM romance. Captivating. So empathically and compassionately written, descriptions of the intrinsic experiences of mental illness, moral conflict, honest self-exploration and accountability open listeners’ minds and hearts to the depth of our fellow humans’ emotional, spiritual, and relational lives–with self as well as others. Sierra Simone‘s voluminous and passionate love of and attention to history shine so brightly, and her writing is both utterly sophisticated and completely relatable. Again, as in Sinner, social commentary is rendered gently, if clearly. This book could be read/heard and thoroughly enjoyed simply as sexy, contemporary romance. And with just a little more contemplation, its meaning and impact become so clearly and importantly much, much more.
Jacob Morgan‘s and Sean Crisden‘s performances move and resonate. Morgan’s accents bring us to Belgium and France with vocal ease. The narrators’ expert acting proves that voice alone is enough to convey all we need to know and feel another’s experience.”

OK SO: Sierra Simone. O.M.G, a QUEEN of language and expression, holy cow! Of all the romance authors whose work I have now consumed (and there are so many more, I will not know them all in this lifetime), her voice stands out, rich and vibrant. “…utterly sophistocated and completely relatable”–maybe I aspire to be so, hence my zealous admiration–because while I cannot think of better words to decribe her work, I know she can.

I have now listened to all three full length novels in the Priest Collection and I highly recommend them all. Jacob Morgan narrates with others, and his voice acting is simply superb, so honest and real. Inspired to listen by the Facebook Shaneiaks group live chat with Sierra and Shane East, once again I cannot thank this community enough for broadening my exposure, experience, and insights from fiction! Sierra is known for her explicitly erotic writing, and she describes in the chat how she came to commit, BOOBS OUT you might say, to writing spicy (‘ghost pepper’ level) romance for her own creative fulfillment. It so happens that doing this resonates deeply with readers and listeners everywhere–such a shining example of the far-reaching ripple benefits of open and audacious authenticity. I was moved to tears by Sinner and to deep thought by Saint, to the point of ordering the latter in print to annotate–only the second print romance I own so far.

The thoughts and feelings evoked by these stories almost escape verbalization. Journaling to untangle it all, I could only list the broad topics approached, addressed, probed, and articulated, individually and all intersecting: Racism. Religion. Spirituality. Grief. Blame. Conflict. Paradox. Love. Lust. Intimacy. Self-delusion. Fear. Shame. Communion. Self-love. Self-compassion. Honesty. Reconciliation. Peace. Commitment. Flexibility. AND. Reformation. Relationship, omg: Parental. Fraternal. Platonic. Romantic. Intimate. Carnal. Spiritual. Intellectual. Multidimensional. Eternal. It’s all an intense, existential jumble, yet conveyed wholly and elegantly in a couple hundred pages of writing, through only dialogue and narrative. Amazing.

The Catholic Church. Simone notes at the beginning of Priest: “I spent the majority of my life in the Catholic faith, and while I’m no longer Catholic, I still have the utmost affection and respect for the Catholic Church… That being said, this novel is about a Catholic priest falling in love. There is sex, more sex, and definitely some blasphemy. (The fun kind).” Her attitude toward the church is respectful, even reverent, as she clearly acknowledges its flaws and failures. Her criticism is loving, never disparaging or rude. How would our world be altered if more of us could take this approach to change and justice?

I think I liked Saint in particular because of the courageous and difficult journey Aiden takes toward integration–to know that he may carve a unique and unprecedented path to being wholly devoted to God without sacrificing any part of himself. I wanted so much for him to embrace that infinity loop of polarity navigation–self-acceptance and independence from dogma and wholehearted communal spiritual participation. Simone’s portayal of church leaders, always local and in personal relationship with the heroes, is so empathetic–they exemplify the ideal spiritual leaders and pastors–helping people through their personal conflicts and crises with love, compassion, humility, and non-judgment.

Characters on journeys to becoming their whole selves, loving each other in the process, helping each other self-actualize–is that what moves me? Isn’t that what heals? In the context of a social structure that has so much of its own paradox–such profound benefits of faith and community and also radically high risk for severe dysfunction, omg… Is there an institution other than religion, that harbors such gaping potential for both healing and harm?

Simone shows how to maintain a loving, open perspective, accepting both poles of the Church, by writing how three brothers in one family react to the same trauma (sister sexually assaulted by priest, later dying by suicide)… Her books do not generalize, dehumanize, demonize, or judge anyone or anything in broad strokes. She does not throw anyone or anything away, nor does she dismiss, excuse, minimize, or deflect. The novels don’t necessarily explore deeply–or I should say explicitly? They are not political or sociological commentary at their core. But through the characters’ struggles and stories, we get to consider myriad gray areas and dig, if we wish, patiently and lovingly, into deeper meaning, both collective and individual, shared and private. The characters’ relationships bridge diversity of race, gender, sexuality, and other aspects of humanity; their moments of epiphany, empathy, and connection emerge in gentle starkness, drawing readers/listeners into vicarious, second hand emotional education.

The ancillary characters all play important roles–obvious and blatant in message–necessarily. They remind me of my own role as physician: I get to observe you, my patient, and your life, as a third party. I am not in your life with you, for the most part. I get to stand and walk next to you when you come to me; I witness. I can know you, and you get to control (much of) that. I can only pry so much; you can choose to withhold. And I may still, if I pay attention, see you. Because our relationship is low-stakes and imbalanced (my role is only to survey and advise, much like the mentors, teachers, and pastors in these stories), I have the freedom to speak frankly, objectively, and lovingly… You may receive my advice more openly than from loved ones because of my credentials and the nature of our relationship. What a fascinating and meaningful privilege.

I wonder how people reject these stories–what do they object to, what are the emotions, triggers, rationalizations, and other factors? To me, these stories can be taken as lessons in honesty. Maybe that’s why I love them so much, because honesty is important to me, and barriers to honesty and self-relection can be formidable in the context of such strong, dogmatic social norms as in the Catholic Church, so heavily steeped in ritual, tradition, and institutionalization. Maybe I see these stories as exemplary works for culture change–fiction as vehicle for social movement–duh-HA! Does anyone expect that from romance? It’s unexpected and, I think, deliciously subversive. Such artful integration, BRAVA. More, please.

God bless Sierra Simone and authors everywhere and in all times, who make us think, feel, and connect, to be and do better.