Blood, Sweat, and Imperfections – Mommy Don’t Look!

Naked and Voyer

Naked and Voyer

Blood soaked and layered with fallen governments, the Acropolis remains, a witness and teacher to a summer fling. 

A tour of the Acropolis and its new museum taught much. #1 – Never go on such travel without a tour guide. She made all the difference. Without her, I might have lasted for an hour, or an hour and a half. I would have thought, “Check! Did the Acropolis! Next?” With her, I felt like I couldn’t get enough. Four hours later. Evi was an intelligent, independent woman, making her way in the world, with the talent of putting ideas together. Another mentor to pick up along my life journey. #gratitude.

(I’m going to try to describe Athens, as seen by a psychiatrist. Smile.)

Evi integrated the paradigms at play, seamlessly, and in flow, from the 800’s B.C. to the 400’s A.D. She spoke about the mathematics involved in The Parthenon architecture, the classical culture seen in the architecture such as the emphasis on the human senses, the development of language and democracy, and more.

None of the construction of The Parthenon is “perfect.” The columns slant, and the stairs bow in their middle. All of this is done to capture the human senses. It was constructed so that when you stand at one corner, you can see almost the entire construct, like inflation of air rounds a balloon. When you look straight on, you are almost able to see entirely around the balloon’s girth. The architect sacrificed perfection toward the ultimate and most valued goals – to experience all the human senses to their fullest, and the classical construction. 

The Greeks developed the idea that whatever is created by man, (scantily garbed statues, architecture, ship making, etc…) should demonstrate, but not surpass the excellence of the human at his or her absolute best. Perfectionism smechsonism.

The kids were a bit horrified by the genitals everywhere. “That’s inappropriate!” or “Mommy, don’t look!” with a hand posturing the Stop! sign, improved my experience 10-fold. 

The Greeks in the 400 A.D.’s recognized the irony in the loveliness of human senses; sight, emotions, spirit, intellect, etc, integrated with the flaws. We are greater, in the best of our imperfect self, than the perfect, mathematical, or any other kind of perfection, eg., 1 + 1 = 2, in a perfect world. 

For example, by tilting the columns, the architect understood that it would give an illusion of straight columns, yet still capturing more of the circumference as seen by the individual. Straight would be perfect. Tilted but looking straight is more representative of a human at her best. Never perfect. And the illusion created by the tilted columns made the construct look shorter, thus not surpassing “the human” capacity to sense it’s grandeur. 

Also, the government ruler at the time, Pericles, was the first known leader to integrate a form of democracy. He used citizens and slaves for the labor. Yet he paid them, including the slaves! Furthermore, he gave them freedom in their work to form independent decisions, stating that someone who is told what to do, doesn’t learn anything. Someone who makes their own mistakes, has the opportunity to learn from his mistakes. This was the fulcrum which our civilizations turned on toward human rights and free thought. Pretty powerful.

The Greeks gave their alphabet to the world, from which Latin developed, and thereafter the Latin languages. For example, I never knew that “Agoraphobia,” comes from the location, named at the time, “Agora,” where all the debates were held, again, inspired by this ruler during the 400’s B.C., spurring on freedom of thinking. You can imagine what happened during heated debates. Some people would suffer anxiety in that context, which would deteriorate into a disabling fear of being humiliated by another potential panic attack when in public places.

The priests of the Greek gods served also as their community’s medical practitioners. For example, they used snake venom to both treat headaches and prophylactic against strokes. It turns out that snake venom is an anticoagulant. Totally brilliant. Snake venom in Greek, is called, “physika”, which means “venom.” The caduceus, a symbol that we still use for the physician’s medical practice, shows a snake wrapped around a staff. Later Aristotle used “physika” to name his treaty on nature and the work evolved into “physician.” Way cool. 

The self-care tip: Work your damndest, while embracing and integrating your imperfections along the way, and in this Grecian effort, you will gain the greatest sensorial experience with the world around you, the individual beside you, and your own self.

Question: 1. How do your imperfections enhance your best self? Please tell us your story!

More videos showing ECT and discussions around the globe

The Mayo Video uses a cartoon to show the procedure

MSNBC… not a full treatment, but a “demonstration”

Here is a VERY dated video… but it includes Max Fink (the master) the the full procedure

I often recommend this TED Talk to patients.  It doesn’t show the procedure. “Sherwin Nuland:  How electroshock therapy changed me.”

The BBC in the UK showed this video of a real patient getting ECT.

Questions:  What is your evolving opinions about treatment options for brain illnesses?

Involved in

Free Wheelchair Mission – raising money to give wheelchairs to people who need them.

NAMI

Kaia F.I.T

Speaking

  • Benefits of Exercise… BEYOND the Physical!!  
  • Please join us on 1/11/14 @ 8am
  • location:  Kaia F.I.T. Temecula
  • 31717 Temecula Pkwy
    Temecula, CA 92592

…working, interpersonal/family, a little bit of farming, lots of audible.com, just finished the 3 quilts been working on for many moons (need to share pictures), grieving various life losses, celebrating many life experiences, in all – believing that I am Loved.

Happy New Year, friends!

Question:  What have you been involved in?

Self-Care Tip:  Connection for life.

Words Like: Distended abdomen! and Connection

distended abdomen

A friend of mine told me the other day,

Mentally I went to a bad place during exercise on Tuesday. Like “I’m so slow, I want to go home, the other girls probably think bad things about me”. In my head space now I see those thoughts as ridiculous. But it was tough to get through.

Excuse me but she is brilliant.  She speaks for millions.

So many times we think about the rough out there.  The words that slow our swing down, that are not said right, that somehow take away points from our identity.  We are not a two-dimensional scorecard.  Speaking up does not qualify us.  Good or bad.  Speaking up does not change our value.

I loved her voice.  I am thinking she should start up her own blog.  If she can be this transparent on a blog, she is a needed voice.

If I could fantasize a little, (Now! Now!  Stop that,) I would have her and you go back to our own, here at friendtoyourself.com, and start methodically answering each self-care question, post by post, in your own authentic way.  And just you see what a stroke speaking up makes.  Just see what it does for you inside and out.  Just see what it does for others. …Me for example.  See?  I am affected by you.

As for my transparency, in brief, …I did not survive halloween.  I ate like a motor.  Chocolate.  Chocolate and more chocolate.

Otherwise.  I think this greens-and-beans-effort I am doing has been ok.  I am eating a lot of plants.  Trying to keep the simple carbs low.  Not always the fact but the goal.  I do still eat in volume which I will see if it makes a difference or not when it is this type of volume.  All that fiber is making a difference to my gut though!  my abdomen is distended!  TMI.

A couple posts ago we shared Jessica’s, “Do This.”  My question is, what is yours? What is your, “Do This?”  Please do not make me use any more golf analogies, but where are your …words?  Your words are important for you.  They bring friendship to you from you.  They bring you to connection, community, clarity of thought, and as said in a post long ago:

“And if we stop speaking, we will lose.  If we do not respect the opportunity to connect, if we do not treat it as the treasure that it is, not only will the world miss out on the ‘Me,’ we miss out on the world at large.  It goes both ways.

We have a choice.  Get friendly with yourself.  Speak.  Listen.  Connect.

Self-Care Tip – Stay connected for your sake and for theirs.”

Question:  What has speaking up done for your friendship with yourself?  How are your words kinder said than not? Please tell your story.

Just Left of Center, We Celebrate You

Base on balls

Dear One, (You know who you are)

Congratulations on this life-milestone.  Congratulations on what you have come through and what toward.  Congratulations on being connected.  Although you walk, you do not walk away from your life journey.

There are other crossings when we all step away from our life and look on at a safer distance, binoculars in hand, because not to would bring the apocalypse, or at least frizzy hair.

peruvian casi-frizz

peruvian casi-frizz (Photo credit: casimira parabolica)

At this time we see that you are more than a spectator, more than a narrator or a newscaster, not a stranger to yourself described in shame-filled words and judgment, as if you were the sum of right or wrong.  You are, at this intersection, more than your performance, behaviors and emotions.  You are.  You are more.

Some other day, you may find your binoculars again.  You may need them, and that is what it is.  Not good or bad.  For our part, we will celebrate you then too.

We are blessed.  All this that you are is a benediction for us; the walking, breathing wonder of what comes from Love.  We, as might anyone connected to Magic, bless you in return.

“Keep evil away.  Keep walking in Love.  Bless.”

Congratulations for your proximity to what is difficult, for working hard to love yourself, for finding your specialness in more than what hurts in you.  You are special.

You are special, like a seed or a grown and aging tree.  You are special, like San Francisco is in summer or Australia at Christmas.  You are special, like the worst of us.  Like the best, you are special for more than your imperfections.

You stand, with us, just left of center.  We celebrate you.

Self-Care Tip:  Live a celebrated life.

RELATED ARTICLES

Creative Hard Work On What is Personal

I created the graphic myself.

Wouldn’t you know it!  She spends all her best of self at work.

Do not be misled by her personal life.  She does well at work.  When she wants to increase her network, she goes to more community mixers.  Before she falls behind on what is new in her market, she reads, she studies, she goes to conferences, and more.  She is curious, asks why and explores where her thoughts take her.  She is productive and independent.

That is Katalyn at work.  It is what it is for Katalyn.

This is the same girl that asks, “Why am I alone?”

Katalyn, you, Me, we in our culture are ashamed of others seeing us strategically build up what we term, “personal” but not “professional.”  It is what it is, but we have freedom to choose.

Is a personal network any less valuable if it came by deliberate effort, rather than a fairy godmother?  How bout study?  We are ashamed to go to a 12-step group but not the chamber of conference.  It is what it is.

Self-Care Tip:  Put as much creative energy and hard work into your personal life as you want.

Question:  When you reflect on it, do you believe personal connections should “just happen” as if by magic?  How so?  What successes do you have from hard work?  Please tell us your story. 

Designed to Stand But Not Alone – Day 2, Say It Out Loud

20091101 - TouchGraph friend graph (normal)

20091101 – TouchGraph friend graph (normal) (Photo credit: Rev. Xanatos Satanicos Bombasticos (ClintJCL))

Hello Friends.

Yesterday, hearing your voices was like drinking a green tea soy latte, no sweetener, extra matcha, with a scoop of protein!  Your courage to say what you like and are grateful for about yourselves out loud is supportive, inspiring and necessary for the well-being of those around. We are all designed to stand, to be accountable to self, to start and end with Me, but not alone.

Sometimes when I’m in the middle of a work-out, the urge to pack up and go fork into a greasy breakfast is almost overwhelming.  Looking around contemplating my escape, I see the Kaia-girls.  I would never make it without them.  Never!  (Arg!  She’s still here!?!  Dang-her!~  Maybe if she knows I’m going to Denny’s, she’ll leave too…?  Alright.  I’ll stay!  Darn it!)

Yes, designed for community, saying it out loud is friendly to Me.

Please join us in day #2 of our, Say It Out Loud, challenge!

Throughout the next two days, when you think of something(s) you like & are grateful for about yourself, say it out loud to us.

I’ll start!

I like my increasing Kaia-girl self-value.
Say It Out Loud.

thankful for collisions

together

together (Photo credit: jungmoon)

I want to meet you on a narrow path.  A trail that only we can fit so we bump into each other often.  We apologize in turns until finally the collisions become familiar to us both and we accept that you and I are not alone.  Less space so we bang along, is just what I am and was hoping for.

 

Happy Thanks-Giving my friend.  I am thankful for you.

Self-care tip – allow the space to bring you into company and connection.  You are not alone.

 

In Gratitude. Commenting is good self-care.

In gratitude I move between these letters.  My step is often clomping and loud, but is that what we would name a “sure-step?”  Not always.  Even tripping and clipping corners bruising my legs, with my mistakes returning echoes to remind anyone who wants to know what my shifting sounds like.  Even when, I move gratefully.  And it is for you and Me and God.  We have decided confidently once at least.  At least once we have in like-minded strength chosen to dedicate our force to move us to the purpose of becoming a friend to yourself.  Many, more often than once.  Many have decided as often as they deliberately step, like a recovering spinal cord injury remembers just how to lift the leg, tilt the foot and ease it down.  Many find this purpose we have chosen at least as difficult as that.

How bout you?  More?  Less?  Gratitude is an assist for Me, as are the woven combinations of all that make up my process, my presence or we could say personal journey.  Within that weave, there is this thing that runs on the fuel that only kind feed-back can generate.  You people.  In truth, I can not move very far with out you.

I have two specific thank-you’s of this kind.

Some time ago, Beth Parker, gifted the Liebster Award and more recently, Cathy gave the Versatile blogger Award.  These girls are kind.  They are friendly and they are funny.  They give and some of what they give, specifically incredible generous feedback like this, is essential to Me.  I’m pretty sure it’s on the periodic table of elements.  Without it, I’d poop out, like an old jalopy in the desert.  I am grateful.

There’s a bit of an overlap in some spaces of these awards and I’m going to snip it back a little since the day is spent.  The good stuff really is naming off you wonders out there who have voices that must be heard.  I’m going to remake the to-do’s of these awards, because I can and that’s the kind of girl I am ;).

My deep gratitude compels me to name off the folks who comment.  They talk.  They speak and connect and let themselves know and be known.  What an honor.  You, and to all have had the courage to write your vulnerable self into words and engage – Thank you.

This commenting-thing is more than pom-pom action.  When we speak out loud, we open closet doors, shame is aired, fears are invited for tea and then ushered out more easily.  We hook into the self-care tips and make them our own when we breathe out audibly.  We may not know it but we claim them and the people in this community of “Friend to Yourself-ers” or FTY’s.  (How do you like that?  FTY?)  This is awesome and powerful and free.  As we say here, “speak.”

You may or may not be on this “WordPress” generated statistic of commenters, but either way, you are here with us.  You fuel us in our life journey uniquely and importantly.  For those who read but don’t comment, thank you as well for letting us share ourselves with you.  Comment if you will, but keep coming either way.

In gratitude:

Nancy 64
Carl D’Agostino 50
Col 34
Cindy Taylor 26
duckofindeed 21
livingvictoriously 17

Sincerely, 

Me

I am Liebster’d and It’s Grand

The last award I received was the Stylish Blogger award.  It’s only happened a couple of times but it has always been a fun surprise.

Our friend, Carl D’Agostino, awarded FriendtoYourself.com the Liebster Blog Award.  Why?  He says it’s to bring additional recognition to this site.  I now understand that FriendtoYourself.com qualifies because it has less than 200 followers.  This is the one time I am glad to have less than 200 followers because being honored by Carl is huge for me.  If you check out his comments here at FriendtoYourself.com, his cartoons and comics on his own blog, i know i made you smile, and start interacting with him through his comment section, it won’t take you long to understand why.

Carl has over the past year+ become my friend and mentor.  He never asked for it.  You know that in the presence of a generous spirit, we naturally give without expecting more in return than that person is who they are.  His intuition and sometimes edge, inspire and instruct.  I’d be a fool not to listen.  He doesn’t ask for it.  But you know how it goes.  In the presence of a generous spirit….  (Liebster means ‘beloved’ in German.  Is that right Thysleroux?  I think it’s real sweet.  Thanks Carl.)

The rules roll that if you receive the award, not only do you have the, “less than 200 followers,” but you should have more.  Those are the rules :).  That, and, you should link back to the blogger that nominated you (yours truly) and nominate five more blogs.  Let them know that you nominated them, or it may be that your tree grows in a forest of Internet Web and jungle but never seen.

Here are five blogs I am honored to share space with…. Five out of almost a google more out there that I admire – all for their own reasons.  (You know who you are.)  People doing what they love to do and working hard at it are a delight in life.  Keep on.

1.  Absurd Old Bird ~ aka Val Erde… who plays with words and images.

2.  The Duck of Indeed The Duck of Indeed  Art, writing, and one person’s journey to do it all, – with, well… Duck.

3.  KANSAS MEDIOCRITY, – with Tracy Phillips.

4.  ocdbloggergirl.com LIVING WITH OCD…WITH HUMOR, – with Lisa

5.  Living Victoriously Hope, Life, Inspiration, and Realities, – with Marie.

The Gift of Desperation

Life (23/365)

LIFE

Misty sounded relieved,

Yes.  That’s it.

She had just realized that life isn’t fair.  Sure.  She knew that before, but she just realized what she knew.  Don’t we all love that moment when our senses join up – sight, hearing, taste, touch, smell, emotion, intellect, spiritual and the rest.  That is a lot to coördinate after all and sometimes some of them don’t make the train.

Misty was a single mom of three.  Her ex-husband was what she called, “Disney-Dad,” and her kids relished their time with him.  Misty complained that she didn’t get to spend the special times with her kids.  She mainly took care of them, but missed out on irresponsible fun.  She was sure her kids wouldn’t look back and think of her like they would their father.  She was getting angrier about it all the time, ruminating about it and it was getting in the way of her ability to connect with others and feel pleasure.  There it was in front of her blocking her from seeing her kids even, let alone herself.

Then after weeks of this along with medication and talk therapy, she told me,

Yes.  That’s it.  Life is not fair.  There are many other things in my life that aren’t fair either and if I look for them, I could spend my whole day every day counting them off.  

It broke my heart a bit to hear her and see her there.  Humble like that; she would I think affect you the same way.  So real.

Yesterday, Carl D’Agostino replied to our post about growing our understanding of our choices beautifully.

…we wait until we are at our wit’s end before we seek assistance…. considering reaching out as personal failure or inadequacy re: our own self-esteem…. Foolishly we wait until our way just is not working anymore. That is why AA calls this a gift: the gift of desperation. …For many, the depths into which we have succumbed are now found not to be so deep at all and in fact, ladders are readily available if we use them in recovery. 

Ah Carl.  Say it again.

The gift of desperation.

Too good.  Don’t you think?

Questions:  Have you ever received the gift of desperation?  What did it bring you?  Where did it take you?  What did it do to you?  Do you still have it?  Please tell me your story.

Self-Care Tip – Celebrate your gift of desperation.

Why Psychiatry?

An American Lady butterfly against a cloud-fil...

Image via Wikipedia

If we have ever seen a psychiatrist, then there has been some point in our lives when someone told us to go or we told ourselves.  I have some questions for you.

How did you hear about psychiatry?

What are your thoughts?

What did/do you understand?

Please tell me your story!

Self-Care Tip – Explore your connection with psychiatry.

Eight hugs a Day

Evening friends.  Spent the afternoon enjoying the company of friends and family.  Including enjoying a lecture from the “love doctor,” Paul Zak PhD.  Dr. Zak gave us a practice run on his upcoming lecture for TED in Scotland.  He told us about the amazing hormone, oxytocin, which Dr. Zak tells us is the morality hormone.  It increases any time we have increased social connection.  Oxytocin makes people trust, empathize and have increased moral behaviors.  Dr. Zak’s prescription is eight hugs a day (hugs increase oxytocin).  Awesome.

Our Patient-Doctor Relationship Improved by Self-Care and Back At You!

NICU Nursery

Image by EMS Shane in Portland via Flickr

I am writing a series of blog-posts outlining self-care in which we examine the tenets of self-care:

Self-Care Tip #265 – Use your connections to help yourself and use your self-care to improve your connections (such as your patient-doctor relationship.)

Damaged and premature, my niece was born needing help to live. Now, one year later, I am playing ball with her on the floor. Her intelligent smile, thriving body, and especially the lovely nape of her neck with that baby-curl of hair lipping up makes remembering her near death-dive into life surreal. I don’t want to remember it anyway. But when I can’t help myself, what I like to think of is how my brother and sister-in-law were treated.

The clinicians at UCSD were unbelievable, my brother said. They included him in their decision-making and informed him of medical study results. If you don’t know, if you’ve never been sick or been in a medical setting otherwise, this doesn’t always happen. It isn’t traditional to share medical information directly with patients (such as x-rays, laboratory results, differential diagnoses, and to ask their opinion. Can you imagine?!  “…Um. Yes PLEASE! Can I be your patient!?” Sounds like fantasy.)

I’ve also struggled to collaborate. Hovering over charts and laboratory results, many of us practitioners behave as if our patients were at any moment going to throw us into court. It’s embarrassing, even though the truth is, too many of us clinicians are stalked by litigious intentions, whilst the truly awful practitioners seem to sail away on unsinkable malpractice without pursuit.

I have not enjoyed myself when I’ve done this. When I’ve acted suspicious of the very people I’m meant to team up with, work was not good for me. I don’t think my patients felt comfortable with the doctor-patient relationship either during those times. Hearing my brother talk about how he was treated has emboldened me to engage with more trust in the care I offer patients. Moreso, being friendly to myself has helped me be a better physician.  It’s tail chasing but with productive and enriching effects.

Making a choice to choose trust and transparency with patients and clinicians, even being present with the fear, is self-care although high pressure. With people’s lives on the line, clinicians and patients know mistakes will happen. The self-care will grow our ability to forgive each other.

My journey with self-care has brought me to see people differently. I look at them from the self-care angle. I look for those sticky bits where we can connect and collaborate. I expect things from them. I ally myself with their self-respect, with their intuitive desire to be friends with themselves. I am bored at work when I don’t do this. I am bored at work when my patients don’t do this too. Without self-care for myself and without my patient’s interest in self-care, medical practice becomes everything that the negative reputations advertise about the physician and the patient.

Yes. My quality of practice has definitely improved.

Who isn’t blessed when she sees the courage to face stigma, shame and bewildering illness? Who isn’t more informed every time someone chooses the freedom to do self-care, chooses to live, fights hard like my niece did and shows what that fight is worth?

Who doesn’t learn from that? When someone loses her identity to the defacing ravages of disease but still knows she is worth the fight, like PattyAnne, working beside her is one of the best places in the world to be. For Me. It starts and ends with Me.

Building trust in a patient or a clinician starts with us staying connected to others in our personal circle and along the ripples as the circle widens. We have to have a voice and hear their voice and we do this by maintaining a community of people.

Connection is part of self-care for both clinician and patient. In the case of PattyAnne, (yes, she’s still in our story,) she could take an action toward her self-care with the intention of gaining stronger connection to her community and to me. She could ask herself about her intentions. In fact, we both would do better self-care approaching each other this way.

Connection via the patient-doctor relationship is self-care and then back the other way too!

It starts and ends with Me.

Questions: Has your patient-doctor relationship been a friendly part of what you’ve given yourself?  What are some examples or in what ways have other connections you’ve chosen improved your self-care?  How has self-care inversely improved your patient-doctor relationship?  Please tell me your story.

Presence Encourages Self-Care

The Forgetful Professor

Image via Wikipedia

I am writing a series of blog-posts outlining self-care in which we examine the tenets of self-care:

Self-Care Tip – Sit back and listen to the emotion to be present in your own life.

There are two terms we’ve used in psychotherapy since before Freud and Jung were around:

  • Transference – putting our feelings on the clinician.  For example, my clinician looks like my father.  I will transfer onto him my feelings about my father and subconsciously think he is like my father.
  • Countertransference is the opposite.  The clinician thrusts her own memories and associations on her patient.

These can be positive or negative.  Of course they do not stay in the clinic.  Transference and countertransference happen between all of us all the time.  Often it is healthy.  It helps us grow, model others, fantasize and move towards fantasies long enough to make them true.

Remember PattyAnne from yesterday?  …In PattyAnne’s and my case, PattyAnne could be said to have transferred her fear of being treated as a lesser person.  But what was my reaction and what is yours in similar situations?  What is our countertransference?

I have often been guilty of negative countertransference in situations like this.  I remember feeling dirtied by people’s prejudices and fears.  Almost like I needed to bathe afterwards.  The truth is, though, we don’t have to feel this way.

When people are afraid of us, we do not have to be afraid of them.  We do not have to anger, agitate, or feel “soiled.”   We can just be with them.  Let it be about them and not run away.  Be present.

Clinicians can be open to hearing this song.  When any patient starts in again, this time, sit back and listen to her fear rather than worry about what words carried it.  Patients will be better for it.  Maybe clinicians will be, too.  And that is key.  The gift we give first is to ourselves.  By just being with someone in her fear, we can just be with ourselves too, and vice versa.  Quite friendly to us both.

Presence encourages self-care.  It helps guard us against the temptation to see ourselves as victims.  When we do not realize that our emotions and behaviors come from us, were not imposed upon us from external sources or realize more specifically the transference or countertransference that we are responsible for – we can feel like victims.

Any time we do not own our emotions and behaviors, this is a quick path to losing our connection to our personal journey and become “absent” rather than present with ourselves.

Still, many wonder: at what point does “too much self-care” become part of the symptomatology?  This concern will resolve when we see how emotions are not moral implications.  “See” you tomorrow!

Questions:  How has feeling like a victim disconnected you from others and yourself?  How have you collected your absent self and come together again?  Please tell me your story.

 

Self-Knowledge as a Step Toward Self-Care

Yesterday, we introduced self-care and today we continue with self-knowledge.

Knowledge, mural by Robert Lewis Reid. Second ...

PattyAnne came in knowing what she wanted.  She was sure she was struggling with ADHD.  She could not focus, she had difficulty connecting with others, and she was impulsive.  This was limiting her intimacy with the people she wanted in her life.  PattyAnne had read about ADHD and was relieved thinking that taking a stimulant would improve her that much.

PattyAnne is rich inside, dark chocolate, not white, aromatic and effectively affecting.  Being with her means being touched.  When PattyAnne is good, her fresh aura in our shared space is healing.  Many baffled by this wonder why, when she passes through, they feel so much better.

Consistent with this intensity, when PattyAnne is not good, whatever comes from her is chemical warfare, and we are not safe.  You can leave, but you will always leave touched. Any time with PattyAnne feels like either too much time or too little.  We are wanting: wanting more or wanting less, somehow with PattyAnne, we will never feel satisfied.

This is part of why PattyAnne projected confidence while self-diagnosing.  Her temperament and coping skills predisposed her to do it.  Self-diagnosis in her and others also happen because of fear, lack of trust in their medical provider or defensiveness per their feelings of inequality.

There are good things that come with self-diagnosis to consider.

  1. Self-diagnosis is always informative.  Always.
  2. Clinicians may use it as a tool to build trust.  When not put off by self-diagnosis, clinicians might recognize these opportunities.

The self-knowledge each of us has on either side of the patient-doctor relationship is not inherently dangerous, and consider the inverse.  Clinicians come to the room with their own self-diagnoses as designed by biases and countertransference.  And which clinician is not also a patient?  There is good with bad and we have a choice, as always, within stories within stories….

Patients and clinicians perceive self-knowledge, at least in part, as self-care, and we are right.  Like Dad says, “Knowledge is never wasted.”  How many times have clinicians asked why patients do not try to educate themselves about their disease?  To begrudge them for it is to deny the value of that process and what clinicians also do under the guise of a license to practice.

Any of us can imagine that for both parties, these types of encounters cost emotional and physical energy.  For PattyAnne, we have mentioned already that she came defensive.

For me, I regret the times when I did not own responsibility for my feelings.  When a patient self-diagnosed, I too quickly assumed mal-intent, personalized behaviors and missed my opportunity to benefit from the connection inherent in the patient-doctor relationship.  This is what I wanted to avoid with PattyAnne.

I celebrate, however, these past many months our work on FriendtoYourself.com.  I experience much more pleasure in my profession.  I am even more clinically effective by taking care of myself first; by being present with myself.  My self-care professionally mirrors my personal self-care in that when I am first able to be present with my own self, such as through writing and interacting with you, my online community, I can then be present with my patients.

…I thank you for teaching me and hope we share this exchange for a long time.

When I can be present, I do not have to moralize my perceptions of patients’ behaviors and feelings.  Self-care is not a moral issue.

In the following posts we will discuss more about these terms: presence, moralizing self-care, trust, and the patient-doctor relationship.

Self-Care Tip – Grow your self-knowledge and find what it offers you, in turn, when observing it in others.

Questions:  What has your experience been when you have gone to your clinician with self-knowledge?  How has gaining self-knowledge been a friendly thing to yourself?  Please tell me your story.

 

Give Yourself Over to Connection In Your Good-Bye

Michael Scott (The Office)

Image via Wikipedia

Hello folks.  Just cried my eyes out watching the well-developed character of Michael Scott close out his work at The Office.  What is it that moved me so much?  The connection.  Michael Scott, played by the talented Steve Carol, ended his performance with the question,

They say that at your death-bed you’re never going to wish you spent more time at the office.  Not me.  I’m going to wish I had more….  Who are the people you work with?  Your very best friends in the world.

I could barely breath at this point.  Pile of tissues on the table.  My stunned husband letting me blubber goo on his shirt.  He asked,

What is it that you liked so much?

Only my husband would ask what I liked in the middle of a good cry.  He knows that crying doesn’t mean I don’t like what’s happening.  He knows my twisted ways.  Connection is lovely enough to like, miraculous enough to marvel over, worthy enough to lose my cool over.  It is after all one of our favorite topics here at FriendtoYourself.com.  It is after all what you and I have shared, working so hard for, spending hours every day writing or whatever it is that each of us do to grow that fragile yet strong wonder of humankind – connection.  This bit of self-care follows us into heaven, or leads. Who knows, follow and lead, when we are connected.

Within the friendly grip of connection, in this marvelous episode, we see that good-byes might bring us even closer together.  I see this all the time in crisis settings, hospitals, illnesses, pending closures to something that was loved.  The closure draws us closer into what good the connection had offered us.  To improve what we had previously thought was so good that it was beyond improving.  To draw forth, our greater selves.

Self-Care Tip #  – Give yourself over to the miracle of connection in all your good-bye’s.

Questions:  What makes connection part of self-care?  How have you been a better friend to yourself by the influence of connections?

The Testimony of The White-Headed People – Connection and Aging

Once again, I find myself in a café.  This doesn’t happen often enough for me.  But here,Almond paste tart with chocolate mouse and blueberries

I am

at the wonderful le Croissant Bakery, indulging not only in the quiet of my private thoughts, not only in my delectable chocolate croissant with coffee, but also in the ambiance.

Here, there is this completely lovely group of white-headeds, maybe ten of them at a table, sharing the treasured community of each other.  None of them walk completely upright.  One is wearing his oxygen tubing with tank in tow.  The ladies are coiffed irregardless of their folding skin and thin hair.  Fruit tart

I am

so blessed to be in their community, testifying to me that aging doesn’t have to be done alone.  Flourless Chocolate cake with Ganache inside

I am

sure, 100% sure, that none of them are aging as they dreamed.  Each of them have outlived many loved ones and the ground they walk on has changed many many times.  They have, each of them, learned to walk again after suffering the type of loss that put’s any of us in bed.

I am

blessed.  This collection of café moments they have together does not account for these losses.  This does not resolve their ongoing conflicts or pain.

But none of them,

Almond paste tart with chocolate mouse and blueberries

I am

100% sure, did not let those things keep them from having this moment together today.

All this sureness without having checked my notes with them?  Yes.

I am.

Crumbs on a Plate

Image by rockbadger via Flickr

Being A Student… To Yourself!

Montmartre

Image by John Althouse Cohen via Flickr

Self-Care Tip #240 – Be a student to yourself.

The PossAbilities Triathlon today was the best.  It was the first triathlon for my young niece.  Doing it with her made it so much more than just a triathlon.  She is someone who works hard on what she loves.

Her father, who is my brother Vance, and I had more time to chat today, thanks to my niece’s excellent pacing.  Vance is a natural teacher as well and he’s been practicing on me our whole lives together.  The fact that we are old now doesn’t change the dynamics much and I think we are both just fine with that.

Today we talked about teaching directly.  Vance said,

To teach well, first you have to understand what their fears are, and waylay them.  Then you inspire, but you can’t inspire until the fears are examined at some level and trust grows.

Isn’t that lovely?  So my question for us today, is how do we do this for ourselves?  Sure, we want to be humble students as well as educators in the teams we work with involving others.  However, reducing this to the basics of self-care, we finger the idea that this can start right here, where things start and end with “Me.”

Understand our fears and let them lose their power over us.  Then spend our time and energy on what inspires us.  This is how we can teach ourselves and learn from ourselves!  What a delight.

Questions:  What do you think about the idea of being a good teacher to yourself?  Is it ridiculous?  Arrogant?  Possible or not?  How do you teach yourself?  Is it the same as a “doctor-heal-thyself” trap, or as described in this bl0g-post, “teacher teach thyself?”  Is there still self-care potential in this, despite its obvious limitations?  Please tell me your story.

Self-Care As it Affects Your Professional Self

Of the patients waiting at the Out-Patient Dep...

Image via Wikipedia

Self-Care Tip #236 – Think about what self-care is doing for your professional self.

When speaking with managing editor of the Journal of Participatory Medicine (JoPM,) Kathleen O’Malley yesterday, I struggled to explain the presumed simple description of what effect self-care has had over the past many months on my professional self.  I realized that I hadn’t spoken much about that yet.  The words spilled out, messy and ungraceful.  I’d like to say it better so I’m going to try again, and then many more times.  Self-care has helped me be a better physician.

I see people differently.  I look at them from the self-care angle.  I look for those sticky bits where we can connect and collaborate.  I expect things from them.  I ally myself with their self-respect, with their intuitive desire to be a friend with themselves.  I am bored at work when I don’t do this.  I am bored at work when my patients don’t do this too.  Yes.  My quality of practice has definitely improved.

Who isn’t blessed when they see the courage to face stigma, shame and bewildering illness?  Who isn’t more informed every time someone chooses the freedom to do self-care, chooses to live when disease is damaging them, fights hard like my niece did and shows what that fight is worth?  Who doesn’t learn from that?  Who doesn’t want more?  When someone loses their identity to the defacing ravages of disease but still knows who they are, is for me, one of the best places in the world to be.

Working harder on myself personally is working harder to improve myself professionally.  One healthy is another healthy Me.  Self-care has helped me find more pleasure at work because I know I am responsible about how I feel when I’m there.  I take care of myself when I’m there and then I’m able to give more to my patients because of it, including just being present.

Being present is really a lot to get and a lot to give.  I sense this in my kids who want me to see them.  They call out for observation of activities; riding without training wheels, jumping super high, running in fast shoes, building awesomeness.  But those are code.  They want me to see them.  I just can’t do that when I’m self-neglected.  It carries over in all spheres of my life, including the office.  Who wants to consult a physician who is half asleep in the chair?  (Now if I need a nap, I just go all the way and sleep! j/k.)

I know my self-care is participating in the practice of this kind of medicine with you.  I’m hoping to get better saying it.

Questions:  What has self-care done for you in your professional world?  How has it helped you work better as a team-member?  How has it helped you receive better from others who have something to give – such as teach you or give directions?  Please tell me your story.