Sheena Yap Chan is creating a valuable resource for women everywhere, with her podcast The Tao of Self-Confidence.She recently interviewed me, and I hadn't thought about the topic of confidence for quite some time. It had never occurred to me that I lacked self-confidence, because I had always been a high achiever. But in the interview, I realize that my source of confidence has shifted from outer accomplishments to an invisible inner source.
Read moreWhat Feeds You?
"When you touch one thing with awareness, you touch everything." - Thich Nhat Hanh
Since moving to the coastside community of Half Moon Bay three years ago, I've become more and more inspired by farmers. Specifically, local organic farmers and the ecosystems they steward. I am not sure how this evolution happened, but somewhere along the way, in the age of industrial farming and processed foods, in the trance of busyness that convinced me to prioritize my "job" over taking the time to feed myself well, I woke up to the way farmers are actually key players in the health care ecosystem.
For me, the past few weeks have included the following. On the first Saturday of May, my acoustic rock duo provided the live music for our local farmers' market. Our evolution from being loyal customers to becoming more active participants in the ecosystem providing this precious resource for our community has been a dream come true for the kind of musicians we desire to be. We play for tips, lettuce, strawberries, olive oil, bread, chocolate, a bit of cash, and a big dose of the love that comes from knowing we are feeding the community with our art and joy.
Two weeks ago, I became a member of my first CSA (Community Supported Agriculture). This means I signed up to get a box of locally grown, organic produce delivered to my door by a farm collective every two weeks. In each box is a note from Farmer Paul, with a poetic missive on his observations in the field, followed by some bullet points on "how to be a great and green member of the farm family". These two lines really hit home for me:
"Remember, you are not a customer; you are a shareholder in our farm.
Paying your bill is not enough. Owning a share means doing your share."
The "aha" for me was that I do have a responsibility. I was not just "buying" a box of food delivered to my door each week. I am now responsible for holding a piece of the thread. I am now a weaver of our local ecosystem. I am adding my voice to the chorus saying "Yes!" to locally grown organic produce, picked by hand, delivered by hand, and gifted to us all by the land. Do you feel that? We are gifted our food from the land. The land is not a factory. It is a generous donor and partner. And what we give to the land it gives back to us in multiples.
Several days later, I attended a lecture by Daphne Miller, MD, a family physician and author of the book, Farmacology: What Innovative Family Farming Can Teach Us About Health and Healing. Her curiosity about the relationship between her patients' health and the health of our soil led her on a global odyssey to visit small family-owned farms, as well as agricultural scientists and ecologists studying organic farming practices. The one-sentence summary of her talk was, "We are the soil." What we put into the earth, we put into ourselves. And what we put into ourselves, we also put back into the earth.
All of this has gotten me thinking more about both how we feed our world, and how we are fed by our world.
The thought seeds that take root in our consciousness create feelings which course through the cells of our body as chemical signals and are digested in each cell, creating our experience of life.
Imagine the gut - our digestive system - as the place where our feelings about the world are taken in, broken down and digested into the elements that fuel our entire being system of Soul+Body+Mind, driving our decisions and actions in the world.
Each of us is a mini ecosystem living within a sphere of progressively larger ecosystems - our bodies, our relationships, our homes, our families, our communities, our nations, our planet, and our cosmos. Mindfulness of food - what we put into our mouths - equals mindfulness of what we take in from our experience of life and what we perceive through our consciousness.
When we touch the essence of "WE ARE THE SOIL", we see that what we feed our consciousness we also feed to our world.
What are some things you can do now, in your world, to live more from this awareness?
- walk outside and breathe fresh air...imagine and feel the air feeding every cell of your body
- notice the products you choose that wash down the drain -- this eventually becomes part of our soil
- plant a garden
- walk barefoot in or touch actual soil or living earth
- vote with your dollars and support a local organic farmer in your area
- receive the sounds in your environment and notice how they are feeding you
- clean up your thinking...junk thoughts equals junk food
- love what you feel and trust your gut
Your mind may react to this list as being too simple to have an impact. But I believe we can each find our own way of remembering the ecosystems we are already part of. And when we remember, we touch everything in our world in a new way.
We can reclaim our position as owners again...not just customers, but holders of our own share in this web of life.
All About Love - Unpacking the L Word
Why is "love" such a hot button word for so many of us? It seems we remain as divided with respect to this word as we are on so many other issues. There are "hopeless romantics" and there are "anti-Valentine's" party hosts. There are those who sprinkle the word "love" over every communication with strangers or friends, and there are those who use it sparingly, like precious strands of saffron reserved only for the finest occasion.
We never said the word "love" in our house, so during my childhood, I formed the belief that something was missing from my experience compared to the outer world of suburban midwestern America I lived in. We didn't talk like the characters on The Brady Bunch. The emotions expressed in my family were much more raw, more volatile, so close to the surface and not easily contained. The love I experienced was unrelenting, filled with the need to protect me from constant imminent danger, and would never let me off the hook.
Over a lifetime of accumulating ideas of what love is - from what I was told, from what I experienced, and from what I imagined - I decided, other-than-consciously, that it was not safe to love fully.
So I made up a definition of love that suited me, protected me, and preserved my belief in what was possible. I chose different outer images to imitate. I tried on many different outfits in my attempts to recreate safety in love. First, it was a white coat in medical school. Then, it was a pant suit that placed me at the negotiating table, equal to men. Next, it was high heels and feminine-looking skirt suits that projected a combination of power and approachability. Finally, I went barefoot and wore "spiritual" clothes (whatever that means).
These were symbols of the stories I made up about love. I believed I had to earn love by being a skilled professional, by being accepted by a prestigious institution, by measuring up to someone else's standard, by performing above all the rest, or by joining in special rituals. I believed, other-than-consciously, that how I chose to present myself on the outside actually represented how much I loved myself on the inside. So I placed my attention on my outer presentation, believing I could come up with the "right" thoughts or do the "right" things to create the outer world I desired, while continuing to avoid the depths I feared most.
The bigger experience of love I have recently awakened to, through the precise application of language, love and presence, has truly gone to the root of all - and that is consciousness. I finally touched and stayed in places I had avoided for so long. I was shown, by experience and not any concept, how to love my fear, love my pain, love my anger, and love even what I had given up on ever loving again. And to allow "loving what I feel" to transform each emotion into a petal of my heart's desires blooming in action. This was an experience of love bigger than my imagination could accommodate. It was beyond the box of my known reality.
Any thought pattern I chose in the past as a way to survive is no match for the power of being fully present and allowing the love contained in presence itself to shine its unrelenting light on my anger, pain, grief, and even apathy. I had believed that by not touching these feelings, I would somehow rise above them. In fact, I was unaware of the energy required to keep them suppressed and avoided. My buoyancy returned only after being willing to touch, stay, and love exactly what I had believed to be untouchable, unworthy of my attention, and unloveable. In the light of love, which I experienced as pure nonjudgmental and unflinching presence, everything I once thought I was not safe to feel became my love, expanded. I found myself forgiving people I was once convinced had really "damaged" me. I found myself spontaneously making lists of the things I love about my mom (how she never let me off the hook, how she unrelentingly saw my highest self already expressed in the world, and how she did it even though it was hard for her so much of the time).
I am now excited when I experience uncomfortable feelings, as they are a chance to expand my capacity for love. I get to love what I feel, and let my love grow. I now reclaim my love as the life force which has loved me into existence, expressing itself in every experience, feeling, and desire that has come through me. I AM my love. And I love my love.
I facilitate this awakening in my Eye Reading sessions and this is the level at which all of my work is offered. It is time to play a bigger game.
This month, you can join me in awakening to your greater depths of love in a free teleclass, "Renegotiating Love", a free Friday talk at Prajna Center in Belmont, "Receiving The Love That You Are", and my ongoing introduction to my program for physicians, "Live Your Medicine: Responding To The Evolutionary Wake-Up Call to Remember Your Love, Your Art, and Your Medicine".
What Doctors Can Learn From Artists and Entrepreneurs
Since leaving medicine, I’ve been an entrepreneur and an independent artist. They are similar pursuits, and both have taught me about the experience of living in creative rather than reactive mode. In the moment you can claim your role in creating the experience you are having right now - as reflected to you by the external circumstances you find yourself in - you begin to take a creative stance. You begin to see yourself differently within the grand puzzle of your world. No longer can you point your finger and your attention outward at “them”, but now you must see the source within you that holds your power to create, choose, and act.
Every artist and every entrepreneur has had to touch this inner place in order to bring a never-before-seen vision into material reality. Whether you name it “imagination” or “vision” or “desire”, every human being has an inner source of creativity. Some of us have placed this in a box in the basement of our consciousness. Maybe we have given up on ever being able to use it in this lifetime. But as long as you are alive, you have this source within you, waiting for you to open the space for it to breathe.
Here are four creative mindsets you have within you, waiting to be awakened and remembered.
Read moreThe Gifts of Burnout: An Evolutionary Wake-Up Call for Doctors
It has been fourteen years since I graduated from University of Michigan Medical School. I have journeyed far from the field of medicine, and yet my heart keeps hearing the call to return to my physician communities and share what I have learned. I simply cannot ignore my sense that the pain within our health care system - now felt at every level, including patients, physicians, and payors - is a resounding call to wake us up to our next stage of evolution.
It takes only a cursory scanning of the headlines of medical blogs like this one to get a sense for the unrest, the frustration, and the abundance of innovative practices emerging as a result of the rising sense of powerlessness among doctors. I left medicine immediately after receiving my MD, moving into uncharted waters after the Dean of Career Development at Michigan told me, "You're on your own. We can't help you with that." This was when, as a fourth year student, I announced I would be pursuing a career in venture capital.
I volunteered at a private equity investment firm - yes, I worked for no pay - and six weeks later, I was hired as an Associate. Within two years I was the youngest partner-level Investment Manager in the firm. No one told me this was possible. I simply would not accept anyone else's opinion of what I could or could not do. Especially after what I witnessed in my world of medical training.
One of my most vivid memories was on my Vascular Surgery rotation, where I was absolutely loving the concept of what we were doing - as intellectual masturbation material. But in practice, what I saw was my future laid out in the following scenarios. The second year resident, sick as a dog, showed up to work anyway, and, too weak to stand, lay down on a gurney in the OR while a case was going on. The third year vascular surgery fellow, a gentile Southern man, was in the middle of a lower extremity bypass graft and stepped out of the room. He lifted his mask, vomited into the scrub sink, and then reentered the OR to continue the procedure. This happened two more times within the same procedure before he completed.
Many of you reading this may be nodding and saying, "Yup. That's just the way it is. Suck it up or leave it." And my question is, "If you have trained yourself not to feel, what else might you be missing in your experience of other people?".
Later in the month, on a Saturday night call, we brought Mrs. X into the OR at about 10pm. This was hospital day 50-something for her. She had come in for a routine renal artery stent, and apparently had embolized into her IMA, killing off part of her gut. Her wound was infected, she developed multi-organ failure, and was kept alive, with an open abdominal incision, on a ventilator. She was unresponsive, and it was unclear, each day of the month we rounded on her, whether the family was aware of her prognosis. One day I spoke to her husband, and he told me, glossy-eyed, that the day before she was admitted to the hospital, they had played tennis together. He looked forward to the day they could do this again. What a far cry from the rigid piece of meat that was plugged into machinery and called "alive". I was confused, then, when we suddenly decided to bring her back to the OR to "drain her abdomen" or do something surgical, when there was no clinical evidence of any change in her status.
I will never forget the first snipping of the sutures holding her abdominal fascia together, as a wave of black liquid gushed out of her belly. We tried to catch some of it in a test tube to "send it for culture". As if we couldn't predict the lab report of "multiple anaerobic organisms not otherwise specified". Then, at around 11pm, our 63-year-old attending vascular surgeon walked in. He had street clothes on, and held a mask over his face. He leaned about ten degrees in over the body and said, "OK, I'm signing off". Then walked out.
We were left with closing her up, bringing this woman - not just a body - back to the ICU, and coming up with a story in our notes about what we did and why.
I moved on to a different rotation before she was ever pronounced dead. I wasn't there when someone had to break the news to her husband that they would never play tennis again in this lifetime. But I internalized a lesson in that month about the price of actually DOING what I LOVED. A door inside my heart closed, believing that my heart's desire - to do a job I loved, and to live a LIFE I loved - was simply not possible. I had to choose one or the other.
Since then, I have been a partner-track professional in a venture capital firm (again, something I was told would not be possible given my experience), I moved to California to follow my childhood dream of starting a violin school, built a successful six-figure business on my own from scratch, and then experienced the loss of that school through what I now see was burnout.
The gifts of burnout have been the rediscovery of my humanity, my desire, my creativity, my purpose, my own healing, and my love. I love empowering people and being co-empowered in relationships. I love seeing my ideas in action. And I love being the facilitator of true healing and transformation in people.
I have created a life in which I do what I love, and I am fully supported in the very uniqueness of my expressions of love. I have received trainings in life coaching, sound healing, traditional Thai massage, Breema bodywork, and Bio Optic Holography. I made a conscious transition from playing only classical music for thirty-plus years to improvising on my violin, voice, and other instruments. I co-created an acoustic rock duo with my partner-in-life, and we perform in public regularly. We live in a beautiful natural setting, among a community of people who value artistic expression, stewardship of the earth, and mutual support. I birthed myself as a visual artist, and have exhibited in a juried show during my first year as a painter. I have traveled the world and studied with the most inspiring people I have ever met in my life. And I share this with people, one-on-one, in groups, by phone and face-to-face.
I have avoided sharing the fullness of my learnings with physicians, other than those who happen to find me in their own internet searches. I have been hiding my joy. And now, even as I feel my fear of wading into shark-infested waters, I choose to bring my message to you. It is not necessary to settle for what others have told you is possible, or even for what you have defined in the past as possible. You are a creative force far beyond your current imagination.
I have followed the public and academic discourse on physician burnout and suicide, and I notice several things. First, the good news. It's being discussed and therefore legitimized as a "syndrome" in the eyes of the medical establishment. Not surprisingly, however, burnout is being "medicalized" as a diagnosis that must be prevented, eradicated, treated aggressively, and fought like a battle against a raging enemy among us. This is the medical mindset. It's how we were all trained to see the world - to focus on what's right and wrong, eradicate the wrong, and restore the system to its previous state if at all possible.
I have a different perspective. I see the experience of burnout not as something to be eradicated, shamed, attacked, or avoided, but as something to experience with full participation and curiosity. To see the depths of despair and loss as a form of structural tension within a system that holds great innate latent potential to launch a powerful trajectory in the direction of your greater mission in life. Yes, I believe your personal, specific experience of burnout holds the very keys to the fulfillment of your wildest dreams and desires for your thriving life.
Fundamentally, the process is one of remembering your love. Remembering your art. Remembering YOUR medicine. And LIVING YOUR MEDICINE. Yes, that means looking at yourself. Shining loving light - transcending right and wrong - on those experiences within you that require healing attention. When you have walked with courage through your own healing process, and you have touched the places within you that you did not understand how to love previously, you become your medicine. You embody the grace of healing, and you effortlessly deliver the level of care, compassion, and precision that flows through you as love.
If your heart says YES, please join me for a free introductory call to my new program for physicians, "Live Your Medicine", by registering here. Vote for your own joy, creativity, and desire by taking a courageous step on behalf of your own heart. And please reach out to any colleagues you know who may benefit from this discussion.