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.

E-Squared Book Club: Week 5

This week we discussed Experiments #6 (The Superhero Principle) and #7 (The Jenny Craig Principle). Both principles relate to the ability of our thoughts to impact physical matter in the material world. First we discussed the results of the seed experiment. As you may recall, Tammy gifted us with sunflower seeds from her studio garden, along with a little bag of soil. It was such a beautiful gift! I went home and planted my seeds that night.

As I tossed them into the soil playfully, I said, "Isn't it AMAZING that this one row of seeds is already growing faster than the other row?? I'm AMAZED!". At that point, of course, they were "just" dry seeds going into soil, sitting on my kitchen table. Nothing had happened yet. Except my thought and feeling of ALREADY being amazed at their growth.

Two days later, I was truly amazed to see sprouts beginning to show. I literally thought nothing about these seeds other than the feeling of amazement that they were already growing faster.

I added a few drops of water to the carton every couple of days, and regardless of what I saw with my eyes, I commented, "Isn't it AMAZING that this row of seeds is growing so much faster than the other row! I am AMAZED!". I didn't say, "I can't believe it!", or "I can't explain it!". I just held the amazement.

 

And they continue to grow and amaze me, every single day!

A couple of notes on this experiment for me: I have absolutely NO expectation about me and growing things. I'm not exactly a "green thumb" and haven't had a major draw to grow plants before. I think because of this, I was able to be truly open and playful. I had nothing to prove and everything would be a surprise for me coming from these seeds.

Tammy planted her seeds one day after mine and they had not sprouted at the time of our meeting yesterday. She had placed them with loving care in a special spot at her studio, and every day as she watered them, she waved her hand over them to transmit loving and encouraging energy to the seeds. She talked to them, using the energy of her words to support their growth.

Why were our results different?

We talked about the difference in energy between "wanting" something to happen and "believing" it is already happening. When you send an energy of "want", the result remains in the future. You receive what you asked for, which is continuous wanting. When you believe that something IS, and carry that energy regardless of the "results" you can see with your eyes right now, you support the essence of life that wants to thrive, grow, and come into being.

We demonstrated this with the Push Together-Pull Apart experiment, which I learned from my life coaching mentor, Martha Beck. It goes like this (and is discussed in Martha's latest book, Finding Your Way in a Wild New World):

1. Have a partner stand with their arms bent, hands in front of their body, with palms facing in (as if they are about to clap).

2. Tell them not to let you push their hands together, as you press on the tops of their hands as hard as you can. Fill your thoughts with effort, pushing, and domination as you do this.

3. Now, do the same thing, except this time hold in your mind thoughts of joy and love, or a time in your life when you felt utterly at peace. Don't think about the other person, just hold these thoughts and allow them to spread throughout your entire being. Now just put your palms on the backs of your partner's hands and move your own hands together.

Experiment #7 was about our food being the carrier of our thoughts' energy into our bodies. Since I don't own a scale, I did this experiment by measuring how I feel in my body when I take the time to taste my food completely. If I'm talking while I eat, this is more difficult to practice. This is when I often lose track of what I'm feeling, and just keep putting food in my mouth until the plate is clean.

For those of you who would like to lose a few pounds, I'm curious what your results are after trying Pam's advice. Notice any negative thoughts you have toward your own body. Let them go and replace them with thoughts that praise your body for the way it already is. Take a moment to bring your thoughts into a state of peace, love, and joy, before you eat your food. And see what happens!

At Quarry Park, the sun continued to shine on us, and it was an unseasonably warm day.

Later in the afternoon, we all attended a monthly gathering of Art and Inspiration hosted by Amy Sullivan. Tammy painted a "butterfly brain" image inspired by the E-Squared Book Club.

Shirley made a collage of cats and flowers and castles and circles.

And I played with my new acrylic gel mediums. FUN! I drew the "Joy" card from the Soul Coaching deck. Its message was to remember that my soul's purpose is simple - to experience joy. And to share this and its healing qualities with the world.

It has been my joy to create this book club and to experience the discoveries together in a circle.

Next week, we discuss the last two chapters, Experiments #8 and #9. In our final week, we will design our own experiments for the holiday season and end of year.

To listen to a brief (17-minute) recording from the phone meeting, click here.

As always, please feel free to share your stories in the comments!

E-Squared Book Club: Week 3 - Laser Focused Intention

How was Experiment #4 for you?This week's meeting was all about finding the intention that aligns the most with true desire, and then filling every cell of our body with that desire. But not in the way you might normally think of desire, as "I want".

This kind of desire is the experience of living as if your intention has already come true.

So if you "want" a new car, picture yourself in vivid detail enjoying every inch of that new car. Feel the leather seats, play with the sleek console, experience the punch of the gas pedal, see your hair whipping in the wind if it's a convertible.

Now feel the sensation in every cell of your body as you imagine this scene.

THAT is the feeling of having a laser-focused intention.

If you're at all like me, when you finally get clear enough to name something you really want, your mind starts to think and plan about how it's going to get it done, make it happen, arrange all the pieces of the puzzle to bring it to fruition.

Sometimes this works, but often it can feel so overwhelming or impossible that you just give up (at least on a subtle level) on your original desire, figuring it's too hard or can't happen.

The essence of this experiment is to see what happens when you let go of all the thoughts that oppose the one clear intention you set. And just bathe yourself in that feeling of laser-focused intention. You don't entertain any of the doubt, or thoughts about how it's going to happen. You just picture it already happening, and then you live your life as if it's happening.

For me personally, it was challenging to focus on one single intention for the duration of the experiment. I found my mind scattered by many "things to do". But during the period of the experiment, I began to notice many instances of gifts arriving that I didn't have to ask for, pleasant surprises and offers to get paid when I hadn't expected to. I was being shown that it's not all about what I "do" but more about how I "am".

Pam talks about prayer in this chapter, and how it's impossible not to pray, because we are constantly "praying" every single thought we have in every moment. We "are" our prayers, and we are constantly inviting in all the experiences we need to fulfill our deepest beliefs about life.

That's an interesting one to experiment with.

I hope you'll share your results from Experiment #4 in the comments. I love hearing your stories!

At Quarry Park today, Tammy and I repeated the "magic wands" from Experiment #3, with some pretty dramatic results. When she held the intention of manifesting a new door, while also thinking about how she was going to get all the logistics to line up and make it happen, the wands turned inward right away. When she held the feeling of already having the new door, enjoying its presence, seeing it in detail, the wands swung out like a pair of butterfly wings!

We walked the labyrinth and held our intentions by savoring and imagining them already happening. I noticed a big smile on my face as I pictured Tammy's new door, and my own intention of being peaceful, playful, and prosperous while sitting at my art table making Beauty to share with the world.

Wishing you many moments of this kind of joy...until next time!

P.S. Here's a link to a brief audio recording I made about Experiment #4, with some questions and journal prompts.

How is your relationship with Not Knowing?

"Not Knowing is most intimate..." - Zen saying

This is a note for you. You are such a good student, when there's a teacher standing in front of the class, and other students surrounding you, all learning to do the same things. You are a stellar worker, always taking responsibility for your job, above and beyond the call of duty. You take instructions quickly, correct your mistakes diligently, and do everything you can to get along with others. You are smart, capable, successful, but still feel there's something missing from your life, even though you can't quite name it.

So what is it? What is that missing thing?

I don't know.

But I'm willing to bet that your relationship with Not Knowing could use a little tune-up. A little checking in and refamiliarizing. You see, each of us was born in a state of perfect Not Knowing. The first several years of our lives were filled with the joy, awe, and wonder of discovering, playing, experimenting, failing, and doing it all over again every single moment. This is how we learned to walk, talk, and explore the world around us. There was tremendous accumulation during this time, but the overwhelming majority of space was occupied with Not Knowing, and being perfectly content with that.

Then we acquired language, and experience, and started going to school, where we learned to correct our mistakes diligently, take instructions quickly, and get along with others.

Those skills served us in advancing through lots more school, in getting a job, and then learning the ways of the business and professional worlds.

Somewhere along the way, all of that accumulation began to take up much more space than Not Knowing. In fact, we may not even remember the last time we did something for the first time.

So right now you may be wondering, "How does Not Knowing actually solve a problem I'm experiencing in my life?".

Consider how your life might be different if you reclaimed the fun of it. Not having a reason, but just doing it - you know, whatever that thing is that you've always wanted to do or try. Letting go of what experience tells you, and embracing the fresh innocence of the present moment.  Better yet, just existing without judgment.

If any of these sound scary or crazy, it may just be that you've been out of practice at Not Knowing.

And how do you practice Not Knowing? Well, not by fixing it or solving it. Not by hunting for an answer, or coming up with a plan.

But by consciously being there. And watching attentively while you are there.

Last night I went to my first ever hula dancing class. I had never dreamt of hula before, but I saw a performance locally that really inspired me, and then I found out there was a community class offered right in my town.

So I showed up.

There was a lot to learn. The teacher started out slowly, showing us the basic steps, then putting a few of them together into a simple first dance. Then we newbies were sent to the back of the classroom and were told to fake our way along with the more experienced dancers as they rehearsed songs they already knew.

I got to experience myself in the moment of Not Knowing, and to see how I stayed with myself. Now I am at a point where I can see this as a precious gift. But I also know that not so long ago, this was an edge I very carefully avoided, constructing my life so that I would never be in that position of Not Knowing.

How do you react when you are put in the space of Not Knowing?

Do you ask for more information?

Do you look around for someone who looks like they know what they're doing, then copy?

Do you sit out and wait until next time, when you'll definitely know more and do better?

Do you just keep moving, doing what you can, trusting that this is exactly where you should be?

Do you compare what you can do now to what others around you are doing, trying to figure out what's wrong?

All of these are possible ways to relate to Not Knowing.

And all of these responses - if we are able to observe them in ourselves - hold the possibility to bring us closer to knowing ourselves. Closer to becoming intimate with Not Knowing. And more grateful for being exactly where we are in any given moment.

So that is the gift of any brand new experience, whether you enter it by choice, opportunity, or crisis.

In one form or another, all of my work is an opportunity for you to experience yourself in relationship with Not Knowing. I hold open the space for you to experience how you are as you navigate this unfamiliar territory.

This fall, I'm offering you an expansive yet gentle way to become more intimate with your own space of Not Knowing. It's an oceanside retreat with me and a circle of 6 participants, called "Beyond Knowing: Many Paths to the Present Moment."

We will learn from the teachers in nature - the ocean, the sky, the birds, the trees, the sand. We will also learn from approaching and entering various portals to the present moment, which is always fresh and alive with Not Knowing. We will discover what arises when we clear our attachments to thoughts, align our mind-body-soul, and allow our innate expressions to find a voice. We will create a safe space together where we can touch the space of Not Knowing, with gentleness and firmness, full participation, mutual support, no judgment, no force, and no extra.

You will take home tools that you can continue to practice in your daily life, each time you come in contact with the beauty and terror of Not Knowing. You will also take home artifacts from your unique expressions created in the setting of the circle of support provided during the retreat, reminding you of your heart's truth, and your magical reserves of resilience. You will also have the experience - carried in every cell of your body - of having become more familiar, more intimate with Not Knowing.

You can learn all the details about the retreat here.

On the other side of beautiful

THIS was not a photo on my vision board. I was perfectly content to be performing, showing what I was able to do comfortably, easily, and predictably. I thought I was getting "good" at playing freely, improvising, and creating in the moment. The sound of Chinese Melodrama that matches the stacks of CDs we bring to every gig.

Then THIS had to happen.

By "THIS" I mean: We are at LunarBurn, a three-day outdoor festival and experiment in community living. In my mind, it's a chance to show up and spread the love. We play our first set at the PermaPub, an intimate venue with couches, a bar, and all the impromptu live music one could ask for. We aren’t even finished with a song (Led Zeppelin’s “Over the Hills and Far Away”) near the end of our set, and a guy appears onstage. He has furry white chaps over his jeans, and a grey hoody. He appears to be maybe under the influence of some substances. But what do I even know about these things? I just thought he was a jerk for interrupting our set.

Here’s my, “Get off the stage, jerk!” look:

Yep, what you're seeing is a whole lotta judgment flowing freely from me in that moment. First he wanted to play my violin. I’d rehearsed this response before, so it was easy to say, “Sorry, I don’t let anyone touch my violin.”

He wasn’t looking like he was going to leave the stage, and this being an open, community-driven atmosphere, I said, “You can play yours, and I’ll play mine.”

Then he wanted me to help him tune the thing.

Seriously??? Suddenly I was flung back to my violin school, “Doctor Chu” days, tuning other people’s violins. Spooky.

My partner Randy was way too far away on the other end of the stage, separated from me by a drumset. I was alone to deal with this. But when it was clear that The Guy – Adam, I would later learn, was his name - was there to stay and play, Randy pulled out the right song – like he always does -- and that was all it took.

Adam started to play. All kinds of sounds were flying out of his instrument, no holds barred. Absolutely no judgment.

I’d never heard such sounds before, let alone play with them, try to create with them. But there I was, on a stage, with captive audience, and microphones on. I started to play too. The interplay of sound and listening began to work its magic. Then moments emerged from the chaos that felt like oneness.

Really? With THIS jerk? Yes.

I was listening to all the sounds, noticing, admiring, perhaps sometimes even envying, the beauty that can arise from NOT CARING AT ALL, in other words, no judgment.

You must understand how deeply ingrained it is for me to take GREAT CARE of every sound from my violin. I’ll never forget sitting in a huge auditorium in Chicago watching one of the “big kids” – a high-schooler at the time – in my violin school, receiving a master class with Russian violinist Viktoria Mullova. I was about 10 years old.

“You don’t CARE!”, she said, in a thoroughly Russian, loving way. It was the kind of icy cold Russian love so commonly doled out in violin training. Meanwhile my classmate’s lips trembled, tears beginning to well up behind her eyes. Tears that represented a lifetime, from the age of three, trying so hard to prove that she cared. She was one of the stars, one of the protected ones in the group. No one had ever spoken to her like that. At least not in public. On a stage. In front of other people.

I vowed never to play like I didn’t care, if only to avoid the stinging feeling I felt that day.

So to stand on my stage with this guy – Adam – who had the audacity to walk in on us and just PLAY like he doesn’t CARE was a big moment. A moment either to shut down or to wake up and say yes to life. Shutting down occurred to me for a few moments. Remember this face?

Yeah, I was ready to shut it down. But then I remembered that I could just relax into my own place that doesn’t care so much. The place that knows I can play anything with anyone and I will be OK. The place of trust and surrender.

Because when you don’t care, you really are trusting in something greater than personalities and performances. Somewhere along the way, in our journey of recording and performing and trying to “build” something with Chinese Melodrama, I got caught up (again) in making things beautiful and perfect and acceptable and nice. I got caught up in my idea of what “good” sounds like. What I had to measure up to (in my own mind) in order to be worthy of appreciation, applause, presence, whatever. My idea of what I needed to be in order to be liked and accepted.

What I experienced by not caring so much was another layer of freedom peeled away and revealed to me. The discovery of something workable – beautiful – within the basket of sounds I’d call “dirty”. The sounds I don’t choose automatically because of the depth of my conditioning to play only beautifully. The discovery that he will never sound like me, and I will never sound like him, so there is nothing to fear. We can meet in the oneness of our combined sounds and play. Dance. Listen. See what happens.

“Beyond our ideas of right-doing and wrong-doing there is a field. I’ll  meet you there. When the soul lies down in that grass, the world is too full to talk about.” – Rumi

The next day, I returned to the stage with Randy. No Adam this time. Yet I still had the taste of the experience in my body, my ears, my whole being. I carried the permission of those “dirty” notes with me. They gave me wings to be less careful, more adventurous, more willing to be curious without worrying I would hurt or disappoint anyone. I had fun. I moved more. I felt my own joy. I invited it in. I was inspired by "no judgment".

I noticed that as I became more playful, my entire body began to participate. My feet were not firmly planted on the floor with my legs stable. My knees began to bend. My spine began to twist and turn. My feet were walking (sometimes stomping). My head was leaning. The feelings of the music flowed through my entire being, when my mind was no longer involved in saying, “Now what can I play that will be really beautiful?”.

When the music becomes a dance, when I am truly playing, then it’s not about what the notes are, but what is going on inside me as I am playing them. Even if I play every single note “beautifully”, correctly, in tune, like I was taught, it may not connect with a feeling. Because I may actually be trying very hard to create this state of “beautiful” and “correct”. Within me, I am not playful. I am controlling myself. When I am controlling myself, I radiate the energy of control.

When I lose control, anything can happen. Scary, yes. But on the other side of scary, there is beauty. Not “beautiful”, but beauty. The beauty of anything and everything. The beauty of what is.

P.S. Thank you so much to Adam, Matty, and everyone at LunarBurn who played and listened!

Empowering Your Self With Vision

“How you see determines what you see, and what you feel.” – Tenzin Wangyal Rinpoche

I’ve had a love-hate relationship with vision boards since the very beginning. My very first one was an assignment for the very first personal development workshop I attended. End of Day One, before we were to break for dinner, we had a few hours to make a board of what makes our heart come alive.

The second one I made was later that year with an ex-boyfriend on a retreat in Santa Cruz. It was my first beach weekend retreat since moving to California five years before. What had taken me so long?

Then I made another one that made me feel like crap, but I didn’t quite know why.

I kept up with vision boards for some reason. Maybe it was my determination to see if they would really work for me in my life. I was a total skeptic in the beginning, going through the motions like a good student, but not truly expecting anything to happen.

After several years of practice, now I know that when I approach them from a certain place within me, vision boards can invite in some real magic into my life.

I haven't yet written about the latest example of how a vision board changed my life, and since I’m leading a vision board workshop next week, this seems like a good time to really tell the story in completeness.

From Complaining to Creating

I was living in a tiny house with my boyfriend. It was his house. I moved into it. This was after I had downsized my own belongings by eighty percent. I had moved out of a commercial office space, and then moved out of my apartment after staring at the furniture for months and months, not knowing how I would detach myself from it.

There was really no space that was “mine”, although I had access to everything that was his. We made a garden. We cooked. We adventured mostly outside the house. But we felt closed in because we were surrounded by apartment buildings, a parking garage, an architectural firm, and a daycare center. Our blinds were always closed, and there was only one door to the outside. I had a tiny space in the back, about the dimensions of a single yoga mat, where I did my morning ritual, meditation and chanting. I could see a patch of the sky, and the tops of trees from the windows in there, which gave me a daily dose of spaciousness.

My enlightened self can identify the gifts of that time in my life – the gifts of being outdoors for a long hike every single weekend, the gifts of being in my garden every day in the summer, the gifts of not working so hard on my business, the gifts of discovering REI, and the gift of becoming more open to things falling apart.

But I still found myself spending most of my waking hours complaining about the space, what was missing, how it was impeding my ability to focus on my work.

I realized most of my energy and attention were being spent on what I didn’t want, and what wasn’t working. I was blaming the space for all of the things I wasn’t able to feel within myself.

One day it occurred to me that I was also free to ask, “What if I shifted my attention to what I do want?” Aha! I hadn’t done that in awhile. Complaining was my mind’s way of dealing with the situation, believing that if I complained enough, maybe something would happen differently.

It had been over a year and nothing had “happened” differently, at least with the space.

So I decided to make a vision board.

What It Looks Like versus What It Feels Like

I used google to search for images of places and views and living spaces that felt like  what I wanted to experience from my own living space, but had never dared to say out loud. Knowing what I wanted to feel like is an important difference from believing I knew what things were supposed to look like. We’re so bombarded with images these days that we rarely have time to sink into our bodily sensations that come up in response to these images. I've learned that when I connect with the feeling behind images, I am often surprised that what they look like is nothing like what I imagined.

The qualities I wanted to feel were captured with the words gathering space, nourishing space, convertible space, walking space, creativity, honoring earth, peace, reflection, nature, beauty, energizing, growth, inspiration, joy.

Since I wasn’t able to see these qualities in my living space at that time, I didn’t believe they could be part of my reality ever. But I set aside those doubts for one evening, and put myself in the place of the person in my imagination – the “me” who had it all. I found pictures of nature, hiking trails in the backyard, a garden, expansive views of hillsides, trees, big windows, high ceilings, convertible spaces for creating, reflecting, gathering, eating, and seeing nature.

Then I said, What the heck, since I’m doing this exercise, why not put everything out there? The stuff I really don’t believe is possible.

So I put in a recording studio – a picture of a guy playing guitar in front of a microphone, surrounded by windows opening into views of trees and nature. Another secret desire of mine was to have my own creative space, and for my boyfriend to have his own creative space, so that we could come together in each of these spaces but were not forced to work in the same space at the same time. I put in a picture of a home yoga studio with luxurious amounts of open hardwood floor space, literally thinking, “Yeah, right. No one has that!” while feeling in my body the tingles of excitement around the idea of, “What if I did?”

I loved the resulting images, and it was enough for me to make it the wallpaper on our computer so I could dream of living there on a daily basis.

Three magic words: "Thanks, I quit."

Then I let go.

There was a sense of relief and freedom just from having created the vision board. And in my mind, everything about the images seemed impossible – there was nowhere I had ever seen in the Bay Area that would meet all these criteria, be affordable enough for us, close enough to my boyfriend’s work for a manageable commute, and so on. My naysayer mind chimed in again with its list of “no way”s.

I let go but I didn’t forget. I left the vision board on the wallpaper of our computer, and then I returned to the tasks of daily life.

Within three weeks, my boyfriend sent me a link to a property for rent in Half Moon Bay. The pictures had windows that looked similar to the images on the vision board. Interesting, I thought. I clicked back onto craigslist and saw that there were two other places in Half Moon Bay within our price range. One of them had very dark pictures, and a very simple description that wasn’t flashy. Yet it just had a feeling that intrigued me, and I wanted to check it out. We scheduled appointments at all three properties for that weekend.

The minute we turned the corner and started driving down the street, I knew this was the one. I just felt this was where we were going to live.

Then our jaws kept dropping. The beach was just steps from the front door.

There was a large room facing the ocean that is now our home music studio and house concert venue. And the front room, with two large windows peeking out to the ocean view, is now my home yoga and meditation space and painting studio!

I even have my own office, which I honestly didn’t even expect. I was prepared to let that go in exchange for the yoga and creative space. But I got it all!

We got it all.

We are both so happy and inspired in this space, as it serves our needs and creative purpose in life right now. We enjoy sharing it with the community in the form of house concerts, my new SoulBodyMind Salon series, and who knows what other forms will emerge.

I tell this story whenever anyone asks “how we found” this place, because I know from experience that the place found us.

By shifting the energy from “what’s missing” and “what’s not working” to “What do we want to create?”, we invited in our own ability to see possibilities in a whole new way.

I never imagined, even at the moment of making the vision board, that we would end up living by the ocean. I was in love with the tall trees, the mountains, the rivers. I thought we would find a little cottage up there somewhere. But my ability to imagine was only based on my prior experience, and the universe had a greater vision and infinite possibilities waiting for my ability – my vision - to discover them.

Try out the experiment of taking an area of struggle in your life, an area where you notice yourself spending a lot of time complaining about what’s wrong or missing, and try asking, “What do I want to create in this situation?”

I’d love to know what you see through these new eyes.

Join me on February 9th for a Vision Board Workshop at Prajna Yoga & Healing Arts in Belmont, CA. Do you want to have me facilitate a Vision Board Workshop for your organization or in your home? I'd love to talk about that with you. Contact me to discuss your curiosity and interest.

Photo credits: sunset, Randy Bales. All others by the author. Prints of hand-painted heart image available at my online Zazzle store.

Can you really take a day off?

[singlepic id=410 w=320 h=240 float=center] There was a time when I believed - when I was totally convinced - that I could not take a day off.

Maybe it was the example of my parents, whom I saw work tirelessly every single day, never letting go of the responsibilities of their jobs, and never taking a day off unless they were absolutely required to (and by that I mean, being so sick they had to be admitted to the hospital).

Or maybe it was medical school, where I learned by working alongside residents and fellows who would regularly show up to work sick, because they "couldn't take a day off". On one rotation, I recall the vascular surgery fellow being so rundown from flu-like symptoms that he had to dash out of the operating room to throw up in the scrub sink during a procedure he was performing. I watched wide-eyed and took everything in, my mind drawing the conclusion that "people with important jobs can never take a day off".

I became determined to find work that would enable me to take a day off, and still be considered important.

The problem was, I really had no idea what was truly important to me. I had many concepts that had been implanted by messages from my family, from images in movies and advertisements, and from the culture in which I was living. "What's important" was a moving target, a reaction to whatever "everyone else" appeared to be doing.

Meanwhile, in my heart I knew that I wanted to make a difference in this world, to care about something genuinely, and to share my story somehow in this life.

But the only way I knew - based on what I had seen, learned, and been taught - was to put my head down and work.

I worked hard at everything I did. I didn't take many days off. When I did, I remember feeling an odd combination of freedom and loss.

"Who am I without my email inbox full of requests and my voicemail full of messages?"

"Who am I when I am not answering to anyone else?"

"What would I choose to do if I had an entire day with no obligations, no one telling me where to be or what I had to do?"

Questions like these would pop up in the few instances I let myself off the hook and took a break. The questions themselves brought up feelings of fear and confusion, because no one had ever asked them of me before. I had never dared take the time to find out what the questions might reveal, if I invited them into my life.

So I pushed them away, filling my time with work instead.

It was easier than grappling with the questions.

And yet I know now, looking back, that the times when I felt the courage - the imperative - to take time away from my routine and give myself a change of place, a change of pace, and a piece of open space to allow these questions to surface, have been food for transformation in my life. Had I not followed the instinct to "Just do it", I would not have been given the chance to watch my true story unfold, and so many of my genuine desires come into reality.

These days I am often approached by people for advice on career transition, achieving happiness or fulfillment, healing from chronic medical diagnoses, and how to get "unstuck" in life.

I listen, and I am always deeply humbled by the courage required to put our struggles into words and share them with another person.

I know that, being another human being, I never have the answers for another human being. To say that I do would only feed that part of our minds with an insatiable appetite for certainty and control - the same part that tells us we can never take a day off.

The coaching or healing or help or support I provide - whichever word you choose to describe the energy of being in the presence of divine acceptance of what is - is a practice of opening space, of giving permission to ask the questions that come up (no matter how much fear accompanies them), and celebrating the miracle of the unique journey we each take in this life.

So, can you really take a day off?

I don't know the answer for you.

But if the question interests you, why not try it and see where the answer takes you?

Here's an opportunity to join me and my friend Mary Bartnikowski - photographer, author, kundalini yoga instructor, and world traveler - for a May Day ReTREAT at the beach in Half Moon Bay: Spring Cleaning For Your Soul