Reconciliation

“There’s no getting around anything,” Tyler says… “There’s only getting through things… I had to shine a light into very dark corners and just look, just see. See myself, and all the ways fear and guilt had trapped me. And I came to understand something while I was going through it. To be fully human is to be fully sexual. And while that doesn’t mean having sex, or even sexual desire, it does mean being fully in your body. It means recognizing that there is nothing any less holy about your body than there is about your soul. That as long as your body is treated with consent and respect and affection, and that you treat the bodies of others in the same way, there’s nothing inherently sinful about your flesh, about its desires or lack of desires, about what it does or does not do. You do not have the ability to tarnish her or yourself. That right isn’t given to any mortal person. She’ll be no more or less holy for sex. The same goes for the lack of it… Abstinence is asked of everyone at some point in their lives. Maybe a partner is not emotionally ready for sex. Or maybe they temporarily aren’t able… And for some people celibacy is not a struggle, just like fasting isn’t the same struggle for everyone, or giving up money or giving up spare time, or giving up sleeping in late, or, or, or… A life consecrated to God is a life where you give up personal desires to serve God instead. And there’s nothing more or less special about celibacy than there is about poverty, or seclusion, or sleep. And… it’s not always easy to discern God’s desires for us, because he or she wants us to be fully human and love each other as fully human, and that takes as many different forms as can be imagined… No way is any holier than another. Because our bodies are holy no matter what, and our lives are holy no matter what. Monasticism and lay life are just different ways of loving the same god and showing his love to the world.”
–Tyler Bell, Sinner by Sierra Simone

How wonderful when a passage from one book so validates and reinforces the themes and threads of another? And how fascinating to find myself so lost for words to express the profound effect a book has had on me?

Never After by Alexis Hall

I came to this book, of course, through Shane East/Steve West. As soon as he said it’s one of his favorite emotional reads of the year to date, I knew I was in for something special. I listened, purchased a print copy halfway through, then listened again in tandem with reading, toggling back and forth. I have never marked up a novel like this before, and rarely used this many book darts for one volume. It’s my first novel by Alexis Hall, and will not be the last. The way he engages with readers, her openness and directness in their expressions about the world and us humans, and how s/he writes this story–I feel I have found yet another of my people in the love of all of humanity.

This story of male-male romantic love is so tender, so devoted, so tragically loving, so human. The caring and compassion Hall brings to these characters reminds me so much of Sierra Simone‘s reverence for both the deep faith one can have in the divine and all of love’s manifestations in humanity, even as supposed representatives and rhetoric of said divine in organized religion mortally condemn exactly some of these universally human expressions, in works like Sanguine and the Priest Collection.

Such thoughtful and poignant ethical and moral reconciliation through literature, the journey of empathy and compassion, understanding and reverence of and fidelity to our core humanity, is always what moves me most in any story. Looking back, it is exactly this thread that runs through the books I recommend most:
Beastly Beauty by Jennifer Donnelly
Never the Roses by Jennifer K Lambert
The Crowns Trilogy by Nicola Tyche
To Bless the Space Between Us by John O’Donohue

These books give me hope for bridging our ideological and political differences around sexual orientation, gender, and all other divergent and/or conflicted arguments about expressions of self and how we each/all choose to present in the world. It is our shared humanity, our capacity for curiosity and openness to the ‘other’, that will save us from causing one another the gravest harm, the deepest trauma, from destroying ourselves collectively. Literature like this humanizes us from the backs of our brains, where our deepest and most meaningful connections to one another live, if we allow ourselves to embrace the characters and empathize with their stories, because they could be any of us.

This historical love story between two complicated men, Thomas an Anglican priest and Micha an opium-addicted prostitute, accompanied by their friend Sheba, a former prostitute and single mother, “is tragically compelling from the start, paced such that we feel every nuance of emotion and plot with wrenching saturation,” I wrote on a Shaneiaks Instagram post.
“Such lyrical and poignant writing, a wrenching and real, unvarnished and eloquent portrayal of the best and worst of us,” I commented on Shane’s Insta.
“Lyrically written with emotional depth that captures one’s heart from the outset, breaking and bandaging, transforming us repeatedly alongside the characters. I listened, then listened again while reading, each pass a deeper and more moving journey. Every page is marked up. Steve West’s incredible care and devotion to the story and his craft shine through yet again, bringing all the characters, including the supporting cast, to life such that we cannot help but love them, in all their broken and imperfect humanity. Keep the tissues close.” –My review on Aubible. So I guess I mustered some words here and there.

Below the next graphic, I list the topics and concepts that stand out in this story. Below that, I have copied the most outstanding exerpts from the book to me–the ones I reread because they lift me in hope and connection. Read at your own risk–they may turn out to be spoilers.

My highest dream for this post is to bring readers and listeners to this story who might have otherwise rejected it. I wish to gently nudge a door open that someone may have thought permanently locked, to invite them (you?) to consider a perspective (or multiple) previously assumed to lie beyond understanding. This story is worthy of our time, our openness, and our reverent, thoughtful contemplation. Thank heavens for authors like Alexis Hall, Sierra Simone, and others, and for performers like Shane/Steve, who bring these stories to life in our ears and hearts, so we may connect on multiple, overlapping levels of consciousness.

May we all tread a little more lightly on one another’s souls, my friends. We are all healing from something.

Homosexuality
Prostitution
Addiction
Religion
Social norms and expectations
Duty
Suicide
War trauma
Community
Self-acceptance
Devotion
Commitment
Sacrifice
Reconciliation
Peace
Innocence
Honesty
Earnestness
Vulnerability
Courage

“Have I looked thus upon other men before? Not to my recollection but perhaps I deceive myself?… There are many who would hold the thinking, itself a sin–ill thought, the brother of ill deed, whether it is carnality or doubt that preoccupies the wayward, imperfect heart. But I cannot believe that. I believe it is freedom of thought and deed that lends validity to moral choice and action… But if we felt no struggle, if we resisted no temptation, of what worth would be our capitulation to moral law, To God’s love? For what benefit free will, if we have not the mind to exercise it?” –Thomas Mandeville

“…But these thoughts, these thoughts that many would call iniquity, come from some part of me that, though only freshly discovered, seems inviolable. How can I repent that which I know to be wrong, yet does not feel wrong? If I am made in God’s image, then surely he make this also?…But mine must necessarily be a limited understanding. Is there not some plan, as I have often claimed to others? Some deeper meaning? But oh, what is it? What is it? I can find no sense in this. And I cannot see the harm.” — Thomas

“...the time will come that he may want to leave–I dread it and anticipate it, with almost equal fervour. When he is gone, I will be free. I will no longer fear myself and my sins…But it does not feel like liberty. It feels like loss.” — Thomas

“If this was strange, Thomas had no way of to judge its strangeness. There was already too much for him to feel and think. Knowledge that he had always known to be forbidden, revealed to him, in all its beauty, like a vision of heaven itself. To be like this, with another man, crowned in falling leaves and sunlight, seemd a blessing beyond any earthly reckoning. His heart over-spilled on the loveliness of it, and happiness–pure and clear as water–ran through all his veins, as riotous as spring after the longest of winters.”

“‘Micha, you must believe me when I tell you I have not guilt for this. No shame. I cannot. I can only thank you, with all my heart and soul.’
“‘I have always tried to live in accordance with my profession. Until I met you, I did not even reailse I was made this way… And it has been quite the loneliest discovery I have ever made.’
“‘I felt so set apart. So lost. Knowing there was a part of me, an unchangeable part of me, that would make others hate me… But today you showed me it need not be so… I can’t begin to tell you how it feels to know you are as I am. And that you like me too.’
“‘How remarkable… that in the vastness of the world, we should find each other. Some benevolence must have guided us together.'” — Thomas

“‘ …I just feel so very blessed…’
“‘You. Being with you. Knowing I am not utterly alone. And feeling, for perhaps the first time in my life, truly myself.’
“‘… I’ve never felt so confident in the beauty and benevolence of the world, and its creator, but I suppose I must be very far from grace indeed, to be who I am, and do what I have done… I presume an answer will come to me in time…’
“‘Oh,… if only we could be married…’
“‘How could love ever be sinful, whatever form it took? So really our only wickedness is fornication. And that is only because we are denied an alternative.'” — Thomas

“‘Well,’ [Micha] returned softly, ‘now we’re both damned.’
“Thomas did not flinch, did not stop touching him. ‘No, my love, that was a sacrament, not a sin…’
“‘We are fashioned in His image, Micha. To love each other is the most intimate communion with Him…’
“‘It’s all connected. There is no shame in love.'” –Thomas

“‘You know,… the strange thing is that I feel closer to God than I ever have, in ways I would never have understood before we met. But I can’t remain a priest…’
“‘It wouldn’t feel right, attempting to guide others to the grace of God, when I would be seen as excluded from it.'” –Thomas

“‘I’m scared. It’s frightening, to be who we are, and want what we want. Even though it’s no fucking different to what they take for granted.'” –Michael (Micha) Dashford

“‘And yet,… if you have never known love, the love of your father, the love–as a parent–you will feel for your child, or even the love for a sweetheart or a spouse, how can you even begin to understand the love of God? A love that’s as gentle as it is strong, as tender and as intimate as a lover’s embrace, as warming and wonderful as that first sip of tea. It seems impossible to comprehend, but it’s the nature of love to be all these things, all these things and more, both in heaven and in earthly counterpoint… And that is what I wish to think about today. The miracle of love, in all its multiplicity.’
“‘The more I live, the more I love, the more I know that this is what I want. It’s what I pray for, above all else. Simply that I may grow in love… That loving Him, and loving the world, is mediated through the ways we love the people around us, as partners and parents and lovers and friends. All love flows together, from Him and to Him. The multiplicity of love keeps multiplying.'” –Thomas

“‘Nobody gets everything they want in life. We all pay prices, make choices, accumulate regrets. There will always be paths we didn’t, or couldn’t, take. But I fell in love with you. I wouldn’t change that, even if I could. Even for every other dream in my heart.’
“‘And your God?…’
“‘ My God made me. He’ll work it out.'” –Thomas

Collegial Love And Then Some

Audible Narrator Hall of Fame Class of 2018 and 2026 Inductees

Who are your colleagues?
What connects you?
What do you share with these people that others do not and cannot understand or relate to?

Last week Audible celebrated their second cohort of Hall of Fame narrators, including a couple of my favorites, Andrew Eiden/Teddy Hamilton, and Steve West/Shane East. Andi Arndt, Hall of Fame Class of 2018, gushed about her colleagues on Instagram the night before, reminding me of that deep collegial love that I feel every day in medicine. My impromptu comment on her post stuck with me all week.

The photos of celebration and connection, the joy and energy of the Audible event moved me, too. I haven’t been to an American College of Physicians national meeting since 2019 (it was next weekend in San Francisco, but I came to Portland, Oregon instead, to visit with friends–hence this delayed post), and I miss seeing my colleagues from all over the country, going to sessions and learning together, having coffee, sharing stories, catching up.
Voice acting can be very solitary work, so I imagine these artists relish opportunities to gather and commune, especially when it centers around celebrating their shared love of the work.

I wrote to a VA acquaintance once, “I hope (imagine) that you get enough positive feedback, validation, and reinforcement for your work! 😀 I also hope you get enough contact and connection with your colleagues. I can always walk down the hall and consult mine on challenging cases or difficult encounters. We are friends. My professional support network is at my elbow and fingertips; I hope yours is too!”

I spent time this weekend with Christine, my life coach and friend of 20+ years. She described her experience of ‘supervision,’ wherein she was required to debrief with elder colleagues during a segment of her training, exploring potential personal pitfalls and blind spots that client work may uncover, and how to beware of and manage it all. As coach and physician, our conversations weave in and out of mutual support and informal ‘supervision’ in organic and collegial ways. Our work overlaps with that of therapists, nurses, and probably any other helping profession. Walking along the Willamette River with Grant today, we reflected on how easily we can apply our professional training and skills in any domain where humans interact.

Back in 2017, the night before presenting at general surgery grand rounds (unusual for an internist), I wrote about tribal pride and tribalism:
“We all need our tribes. Belonging is an essential human need. To fit in, feel understood and accepted, secure—these are necessary for whole person health. And when our tribes have purpose beyond survival, provide meaning greater than simple self-preservation, our membership feels that much more valuable to us. But what happens when tribes pit themselves against one another? How are we all harmed when we veer from ‘We’re great!’ toward ‘They suck’?”

Nine years on, how do we assess the relationship between tribal pride and tribalism in any given domain on the current geopolitical landscape? Surgery vs. medicine, staff vs. leadership, conservatives vs. progressives, advocates for vs. against AI… How can we maintain our human connections above all, no matter what our divergence? I have often thought of myself as a ‘lumper’ as opposed to a ‘splitter’–always looking for connection, commonality, and relationship everywhere, among all people. In the same message to my VA acquaintance:

“Acting and medicine: What do you imagine are the overlapping aspects of our respective work?  I see it mostly in story—empathy for and holistic understanding of the full human experience, from the euphoric highs to the most sorrowful lows.  For both of us, to be truly excellent at our work, we must call forth real and sincere empathy from our own depths, which is vulnerable and courageous in a lot of ways, don’t you think?  For you, the stories are complete, and you get to interpret and bring them to life, to present them for our benefit.  I get to elicit the stories, coax them to emerge in real time, and interpret them along with my patients.  What stories do people tell about their health, their lives, their agency to influence it, and the outcomes they can/not achieve?  We get to dissect and discuss and then act on our shared interpretation.  We edit and revise together over time.”

So this weekend I communed with two of my coaching friends. I spent quality time with Phara who has a degree in psychology, and Heather, a fellow writer. We bonded over parenting–the unique mental load of moms, especially working moms. This theme has emerged powerfully in my medical practice, no matter the moms’ day jobs and no matter our kids’ ages.

Colleagues share language, training, experience, and perspective. We compare notes, tell stories, and connect. But we do this not just in professional circles. Our tribal memberships intersect and overlap, often in ways we could not predict or design. So really, we can find love in commonality anywhere, with anyone, if we just open up and ask, no?

What a fun exercise to come across an idea on social media, feel it in my heart, react in real time, then process it for days and see what arises in stream-of-consciousness blogging while stuck at the airport! Tomorrow I get to co-present on health and wellness to the Illinois Judiciary–another esteemed tribe of helpers, as I see them. What a privilege.

My tank is so full from a long weekend of deep and thick connection with my amazing friends here in the Pacific Northwest. I will miss this year’s chance to commune with my fellow internists nationally, but I’ll get back to the office this week and soak it all up locally. How lucky I am, truly. I hope whatever your profession, whomever you call colleagues and friends, that you get to enjoy this deep, collegial love born of shared humanity. And if you can recognize and strengthen it across domains, even better. That’s what will save us all, I am convinced.

Bit Post: Hooray for Our Inner Cheerleaders

Seoul, South Korea

Hey, hey, it’s okay,

We all fuck up anyway!

Hey, ho, let’s go now,

We learn and move on anyhow

Hey now, let’s take heart,

Each of us can do our part

To give each other a new start

Ok so, here we go,

On this journey, ebb and flow

Boo, hiss, our Critic yells, 

Anxiety and blame it sells

Hello no, Cheerleader beams,

We’ got strengths galore in reams

Integration’d be ideal, it seems?

Both perspectives offer truth

Bitter swill and sweet vermouth 

But Critic’s voice too often wins

Harshly calling out our sins 

So let’s give joyful Cheers the mic

To let our spirits get a hike

And give self-efficacy a spike

Humility and confidence 

Both are virtues, both make sense

Our critical and cheerful sides

We need them both to ride the tides

To stay aware and make our strides

In our chaos world of me before all

Critics and Cheers both heed the call

To live our values and when we fall

Stand up again with integrity tall

So no need to silence the Critic, friends 

It plays a role in our best ends

Just make sure to bring Cheers along

Like a playful partner in attitude ping pong

To keep perspective clear and strong

Inspired by Manifesting Success by Elisha Ainsley, narrated by Steve West

Meditation on the Sleepiest app