Walking the Talk

NaBloPoMo 2020 – Today’s Lesson

Where do you fall into dogma traps?

Back in March I told friends not to wear masks in public.  I was angry at people for hoarding PPE for personal use when hospital workers did not have enough.  My classmates sewed cloth masks for nurses while people perused grocery stores wearing N95s around their chins.  I stated my opinions strongly and ate those words later.

This week I find myself softening previously strong opinions about in person school and personal gatherings.  I have successfully sought varying perspectives on these issues, and not always so successfully incorporated contrary information into my perspective.  At the end of summer I could not imagine how hordes of kids could be brought back to school safely.  Now I have seen multiple accounts of schools and universities that did it safely.  The keys:  Cogent plans based on local conditions; heavy investment of myriad resources; and constant, clear communication.  While I worry increasingly about family gatherings for the holidays, it looks like restaurants, bars, and churches may still be the chief culprits of the current COVID surge.

I still get a little palpitative hearing some patients’ plans for Thanksgiving, and picturing college students coming home this week.  It could be bad. But thinking in broad, overgeneralized terms, and especially making skeptical assumptions about people and their motives, doesn’t help anything.  I just get grumpy, and my neck hurts.  We messaged our patients about how to do the holidays safely.  Though not quarantining, many have tried earnestly to minimize exposures in advance of gathering.  It could be okay, maybe.

We are all doing our best.  I speak and write about withholding judgment and being present with generosity.  Now is a good time to hold myself accountable to that standard.

Death Comes Closer

NaBloPoMo 2020 – Today’s Lesson

How many more before it’s over?

This weekend I felt the Reaper’s cold breath over my shoulder again.  It came last 20 years ago, when I left residency for a week and flew to Taiwan, where my grandmother was dying.  The ICU at the teaching hospital in her city was positively rudimentary compared to where I was training.  She was intubated but fully awake, and rolled over before the doctor even had to ask, so he could listen to her failing lungs.  That was Po-Po, always making life easier for others, even at the end of her own. 

Imminent death agitates and disorients like nothing else.  In training I learned to detach just enough to be objective.  My elders modeled the compassion and empathy required to shepherd both patients and families through the passage.  In the emergency department and ICU, and on the cancer floor, we observed a calm, professional reverence for the end of life.  But only a few patients might die on any given month-long rotation.  Today my friends in these specialties witness death, sometimes multiple, often gruesome, on a daily basis.  They risk their own lives, and serve also as intimate messengers and chaplains, in service of helping soul after soul ascend in peace, if that’s even possible. 

When it was my Po-Po, I was beside myself.  I cried non-stop the whole 15 hour flight stateside.  And then I went back to work. 

Tonight I pray for all of us, especially our healthcare heroes.  Death will likely claim someone in each of our circles before this pandemic is over, if it hasn’t already.  I wish I could do more to halt the unyielding march.  But how many times can I say mask and distance?  It’s futile.

Do What You Can

NaBloPoMo 2020 – Today’s Lesson

I thank my friend for re-introducing me to Dax Shepard’s podcast, Armchair Expert.  He conducts long form interviews with people who dig into important topics, but with some lightheartednesss. 

Jon Bon Jovi appeared on Episode 251 this fall. I’m reminded why I so admire this pop culture icon, philanthropist, and all around good human. From 44:24 they discuss his new album, 2020. As a rock star also known for his strong give-back ethos, he discusses the risk he takes by making a topical album in a year of remarkable political turmoil. He describes his perspective as a witness to history with an opinion, but without taking sides. He addresses gun violence from the perspective of how it feels for those affected, without stepping in the fray of “guns are bad” or “they’re coming for our guns.” He acknowledges the reality of white privilege, without shaming anyone for it. He recognizes how simply trying to open a conversation may alienate some. He owns his positions and convictions, and earnestly invites discourse from any other perspective. This is what I admire and aspire to myself—to engage by coming alongside rather than coming at.

Do What You Can” is my new favorite rock anthem.  It’s an uplifting balm for all we’re going through, and reminds us that we can be okay, if we stick together: 

Although I’ll keep my social distance
What this world needs is a hug
Until we find the vaccination
There’s no substitute for love
So love yourself and love your family
Love your neighbor and your friend
Ain’t it time we loved the stranger
They’re just a friend you ain’t met yet

What risks are we each willing to take, to make our world better?