Coming Full Circle

  I recently returned from a week-long stay in Keystone, Colorado. I was there with a small group of physicians gathered to restore their voice to the practice of medicine.

How I got there was through a series of events I can only call synchronicity.

What I felt was a profound feeling of "coming home".

I showed up as all of me, in full color. My role was to listen deeply and expansively, and I chose to record what I heard in visual form.

It was as if everything I practiced was serving me in my service to this gathering. Each morning I woke early and rode my rented bike along the many trails around Keystone. I listened to the Snake River winding its way through the trees. I inhaled with awe each time I arrived at the vista of Lake Dillon. I clawed my way up a steep hill only to be rewarded with the jackpot of a stunning view of Breckenridge and beyond.

I had learned from these past few years of practicing self-care that these morning steps were my fuel for being present and thinking creatively. I knew what to do - even in an environment away from my familiar surroundings at home - because I had practiced them into new habits. I had my biking clothes, I was comfortable riding, and all I had to do was explore new roads and read new maps.

I also had my daily sketching and art journaling practice in place, something I started only within the last two years. I have experimented with many different formats and media, and I am comfortable drawing outside. On this trip, I brought a small Moleskine Japanese album with accordion pages. It fit in my small travel purse or pocket, and I carried a pouch with pen, markers, and water brushes.

On my morning rides, I often sketched a scene quickly in ink, filling in color later in the day or in the evening. I noticed what I noticed. I took note of the stories I wanted to tell. And by the time I got home, there were three or four panels that needed coloring, which I completed within a few days.

New experiences, new people, new places -- all of these fuel my creativity and keep me inspired.

I am grateful for the daily practices I cultivate at home, so I am well-prepared to stay open when I'm on the road.

For a frame-by-frame caption story of my Keystone travel journal, see my post here.

For an in-depth reflection on the contents of the physician meeting and its impact on me personally, stay tuned!

The 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.

Waking Up To A New World

As the new year begins to unfold, I am waking up to a brand new world. I am aware of a bigger love within me than I ever knew before. And I came to this awareness not through reading but by acting on my heart's desires. I returned last night from a week-long immersion in Asheville, North Carolina, where I was trained in a beautifully powerful suite of modalities based on reading the map of the eyes.

I could tell you about the iris being a map of our thoughts, words, and feelings believed in our other-than-conscious world. I could describe the role of our words and language in creating states of consciousness. I could share that we have a sacred body language that speaks when our mind has not yet found the words.

What I choose to share is my experience of receiving true love.

In the presence of true love, I was able to touch and love and feel a place within me I had preferred to avoid. A place that was easier to relate to when it was "over there" happening to "those people", many miles or many generations away from my "here and now" reality. However, I know from my experience that trying live above our suppressed emotions, trying to get by with a comfortable material existence, at some point gets old. We grow out of the tiring routine. We know in our hearts something is calling for us to see, touch, feel, and love in a way we have never been able to before.

With guidance and great love, we can touch what we feel, and love what we feel, and experience healing beyond the box of what seems possible, reasonable, or explainable. I know I was raised with an intensity and commitment of unrelenting love, which sometimes felt overwhelming. I now love my parents for their intensity and their commitment, and for never letting me off the hook, even when it was hard for them. I love what I feel when it is hard for me, and I love myself as I do it anyway. This unrelenting love is the depth of love our world is created from, moment by moment by moment.

And this unrelenting love is the love that will heal our own hearts, moment by moment by moment. I am grateful to have the experience and the tools required to touch the experiences in all of us that we did not, in the past, understand how to love. With true love received specifically in the present moment, we begin a new trajectory in fulfillment of our greater mission in life.

If you are ready to wake up to your new world, please get in touch with me for an exploration of how we can partner in your process. I also invite you to join me for a free teleclass on Tuesday, January 20th, entitled, "All About Imagination". Expand your current container and discover a new activation of your imagination from the realm of true potential. Details and registration are here.

What makes you unique?

In the weeks since returning from Boulder, I've been spending more time with the idea of the Unique Self teaching of Marc Gafni and the Center for Integral Wisdom. For me it was deeply integrating to hear a story that finally enabled me to bring together both the parts of me I had discovered and cultivated during the last five years - namely, wordless presence, connection with the Oneness, and recognition of egoless identity - and the parts of myself I had "divorced" from - namely, the rules of classical training, the linear reductionist thinking of mechanical science, and the ignoring of subjective experience.

How refreshing to hear someone say, "You can't meditate your ego away. You can't meditate your story away." This was part of my experience as a meditation practitioner! I wanted to put certain chapters in the past, as "the way I used to be", believing that in order to become who I knew myself to be - both creative and spiritual - I needed to forget who I once was. No matter how many relationships I walked away from, no matter how many new practices I adopted, no matter how many new communities I joined, I could not completely ignore my prior experience and stories, and the curiosity I felt about bringing my new learning back to my old communities. I could not pretend they were not in me. Oh, I tried. But I never felt complete in my expression, or full in my generosity of sharing. It was as if there were problems I knew existed, in distant parts of the world, that I was deliberately ignoring for the sake of elevating myself beyond them, transcending them by trying not to pay attention to them anymore. I kept my eyes forward, visioning my ideal life over and over again. And still I felt there was a connection I was not making.

The image of my Unique Self "plugging in" to the infinite mesh of the One via a radically unique shape - not just a generic plug into a generic outlet, but a unique contour fitting in like a puzzle piece perfectly matching in every subtle turn of form - is supporting me to integrate all of my stories, all of my prior and current experiences, and to show up as me. I am now opening my vision to include all the parts of me I would rather hide and avoid, the parts I would rather not have you see, AND embracing my brilliance and light and infinite creativity at a level previously unrecognized....not as opposing sides of a coin, but as different and equally essential points on the same sphere of my wholeness.

So what makes YOU unique? What are the points that constitute the unique shape of your piece of the mighty jigsaw puzzle of all that is?

The invitation of our times is to hold this paradox: what you think you are is not who you really are, and exactly who you are is all you need to be.

When you show up as all of exactly who you are, you heal, transform, and create a world in the way that only you can.

Be Willing to Drop the F Bomb

When I was a senior in high school applying to college, I remember one university had as its essay question, "What was your biggest failure and what did you learn from it?". I remember considering not applying to that school because I couldn't think of a failure to write about.

At the time, I was on the receiving end of a lot of attention and praise for never having failed (publicly at least). But now as an adult, I know the trap of living a life based on avoidance of failure. It's no success to have reached all the goals that have been set for you, to have checked all the boxes other people have laid out as important for you, and then to look in the mirror and not recognize yourself. Or to have your body screaming in pain or exhaustion.

Having been there and done that, I have rediscovered the vital importance of failure. Not "achieving" failure as an identity, but being willing to fail. I gave a workshop on Friday to a group of engineers, coaches, consultants, startup founders, and other change agents interested in how groups of people grow and learn. It was based entirely around sound, voice, and music improvisation - in other words, the most common fears of about ninety-nine percent of the population.

The name of the workshop was, "Play the Wrong Note: Daring Adventures in Learning, Failure, and Creativity". The title actually refers to a specific moment in my life when everything changed for me. Those four words - "Play the wrong note" - were the four most compassionate words ever spoken to me by a teacher. No one in a position of authority had ever said, "Lisa, I want to see you break the rules. And I'll help you." It turned out to be the most loving instructions I ever received, and the framework for an entire body of work.

It was about three months in to my sound healing training program. A weekend workshop dedicated to the art of improvisation. I thought I could just observe and let the others do this improvisation thing, which was clearly for "those people" but not me. So I hid behind the teacher with my violin tucked under my arm, hoping he would not see me or ask me to participate in this bluesy, jazzy jam that was happening all around me.

And, of course, at that very moment, he turned around and pointed right at me. "You! Solo!" he said.

I had no idea what to play. I wasn't into blues or jazz and had no reference point for what sounds to make. He could sense that I needed help so he said, "Play the wrong note."

My facial expression must have communicated the feeling I had, which was, "OK. But...which one?". There were an infinite number of wrong notes I could play. How would I know which one was right?

He smiled and took my finger in his hand, and moved it to a random place on the fingerboard of my violin. "Play that," he said gently.

I heard his instructions, but when I tried to play, my bow arm literally would not move. I was so hard-wired to play only the right notes - after daily practicing from age four - that my entire body would not allow me to play any wrong ones.

It was the perfect timing for me. I was ready. I had had a lifetime of good training, practice, and mastery. I was wired for success. But I had no wiring for freedom, fun, or failure. And in that moment, standing there, stranded, in the middle of a room with forty or so people making sounds, having a great time, and waiting for me to solo, I got it.

I could continue to avoid failure, or I could choose to grow into the unknown.

Later that day, in the same workshop, my violin case fell off its chair and onto the floor.

I took it as a sign and stopped avoiding the failures that were wanting to happen for me. I closed my violin school a little over a month later. I started practicing - first in the privacy of my own home, and using my voice, not my violin - making sounds that were all "wrong" to my trained ears. I started PLAYING again. Something I had not done in a long time, and maybe never on my violin.

The adventure that followed was a list of things I could never have planned for my life. I started playing only improvised music, in public, on a stage. I discovered hiking and backpacking. I went to the top of Half Dome and the bottom of the Grand Canyon. I started working at REI - the retail job I was never allowed to have as a teenager because I could earn more money teaching violin or staying home to practice. I won a gig as a gear tester and reporter for Backpacker Magazine, including a free trip to the Outdoor Retailer show in Salt Lake City. I discovered Thai massage and Breema bodywork, which led to traveling to three countries I would never have dreamed of visiting before - Bali, Thailand and Laos. And through my practice of these forms of bodywork, I traded massages for studio days with a couple of artist friends. And I discovered that I could play with paint. Which led to a daily art-making habit. Which has (so far, in the year or so that I've been doing it) led to a juried show, a new blog, and a whole lotta new art supplies in my house.

I could not have written these down on a bucket list because I would never have let my imagination run that wild. Until I was willing to Play The Wrong Note.

And not just once, in a workshop. It was about making a decision to bring the learning from that moment back to my daily life. To find ways to practice that willingness every time the opportunity came up.

It started with music. Being willing to play the wrong note in my personal comfort zone. And then it expanded. Not with planning but as a natural consequence of becoming familiar with the willingness to be "wrong".

So this is my soapbox.

Risk taking is necessary. Being open and willing to fail is necessary. Not knowing is necessary. And these skills are not taught in school. They are not the skills that get you straight A's. They are not the skills that make you look "smart". They are not the skills that earn you the proud distinction of being a Good Daughter (or Wife or Mother). They are not the skills that you use to fill out a college or medical school application. They are often not the stuff of polite cocktail party conversation.

They are the skills of the maverick. The rebel. The free thinker. The one who creates.

So no matter how long ago it was that you experienced your last failure - whether it was just this morning or decades ago or not at all - it is never too late to dive right in. Start practicing the F word.

Take it from a straight A student. Me.

Curious about my "Play The Wrong Note" workshop? Read this blog post or listen to the Creative Conversation we had yesterday about it.

And if you're ready to start practicing Fun, Freedom, and Failure with writing as improvisation, check out my brand new coaching program here.

Wishing You The Fun and Freedom of Being Willing to Fail,

Lisa

Exercise Your Write To Be Free

I rarely share client stories, but a recent experience is birthing a whole new way of working for me. I just finished a 30-day writing experiment with a physician client who is just starting out on a brand new path. Having already found the courage to leave his medical practice and head into the open space of the unknown, we worked on rekindling a secret dream he's held for a long time, maybe his whole life: writing.

He always wanted to try writing, but never did because he had a belief it was too impractical and was no way to make a living. Yet he knew he had stories to share, and ones that would help others if he did.

I wanted to hear these stories myself. I was curious what touched him so deeply about his experiences in medicine. I knew that in hearing these stories, we could both experience a healing journey.

So I came up with this idea, which I had never done with a client before: a writing experiment. The assignment was to write daily for ten minutes a day, thirty days in a row. Then send that writing to me, which I read every day. Mostly we let the process run itself, but we had two phone conversations during the month, once to check in and then again to review the entire process.

I knew that a small, daily commitment done over a sustained period of time would lead to something. A new habit at the very least. An awakened sense of hope and creativity I envisioned as possible.

What I didn't expect was the vast territory we would cover in those ten minutes of daily writing each day. Not only did I learn from my client's deep minings that occurred from this type of reflection, but I heard accounts of key moments, important feelings, and long-held beliefs that it might have taken months to get to with traditional weekly phone coaching calls. In timed writing, you get to the heart of the matter quickly. You can try to dance around, squirm a bit, but the hand keeps moving and the clock keeps ticking, and something gets said that has juice to it, even if at the very end.

And when you have a curious, compassionate witness, who wants to hear more, and will ask you questions and deliver you the next prompt to inspire more writing, it unfolds with surprising beauty.

It was so beautiful that we are continuing the process for another thirty days, this time including a few additional daily and weekly practices like meditation and art-making (yes! eek! art!). And now, I want to offer this powerful experience to you.

First, here is the practice, which you can do entirely for free on your own. Form a group of friends and do this together. It could, in my client's words, be a "life-altering experience".

The practice:

1. Choose a start date. Why not tomorrow?
2. Choose a time and place you will do your writing every day for the next thirty days. Yes, you need to think about this in advance, or it will not happen.
3. Choose a pen and notebook that you LOVE, and that you will use only for this writing practice. You can use the computer too if you must, but I highly encourage the use of pen and paper for this. There are enough reasons we are called to the computer, and not enough good reasons to go manual these days. Here's one.
4. Get a timer. Most phones have a timer app. Or use a good old-fashioned egg timer or stopwatch or alarm.
5. Set the timer for 10 minutes. When you sit down to write, you start the timer. When the timer starts, your hand starts moving across the page. You don't stop. You don't pick the pen up off the paper. You are not thinking. You are letting your hand move, letting it lead the process. You don't edit grammatical or spelling errors. Don't cross anything out. Just keep writing. Lose control. See what happens. Don't have a plan.
6. When the timer goes off, you stop. That's it. Pick your hand up off the paper. Close your notebook. Go do something else. This is important, too. Give yourself an endpoint that is defined.
7. The next day, repeat.
8. And repeat again and again for thirty days.

The page serves as a mirror to our present state, in a beautifully unedited and raw form. We get to see inside ourselves in a way we probably don't look for on our own. Our minds are too busy arranging things. Or we're reacting or responding to something outside ourselves.

With this form of writing (which is influenced and inspired by several of my favorite creativity teachers), we come into contact with the reality of the present moment, and how raw and fresh and changing it is. With practice, we also begin to create a space for ourselves to witness what is. To be OK with whatever shows up on the page. To not always be meeting some idea of an expectation. To let go of an agenda and trust, even if only for ten minutes a day.

And all of this, again in my client's words, could lead to "a whole new world opening up".

You can totally do this effectively on your own as a practice. There are great books that speak to the depth of what this can uncover, and provide you with pages and pages of prompts to go far and wild.

But if you want to work one-on-one with me, receive weekly written responses to your writing (I am not an editor or a coach or a critic, but a supportive, curious listener who tells you when I want to hear more), and have two phone conversations during your thirty-day process (one brief check-in after week one, and another full-length conversation at the end), then I am offering the opportunity for a limited number of individual clients, starting October 15th.

I've learned this about myself during the past few years: I don't do online forums, and I don't do auto-responder emails. I thrive in one-on-one interactions. According to the online marketing experts, this breaks all the rules of becoming a rock-star millionaire business owner. But that doesn't faze me. I'm following the bliss of what I know to be an extremely potent process, which is in alignment with everything I know from experience to be valuable to the recovery of the soul.

Here's how to join me in October.