Thursday Thoughts From the Throne

Clock feature in a small park in NYC

Is the day over? No?

Phew!

Made it. 

My colon has been awfully out of whack this week. So has my running schedule, come to think of it…

So, most of the time I try to avoid talking politics and religion with my patients and my friends. There are only a few trusted people I feel I can have a rational conversation with. Today, though, I ran across one of those people who was trying to convince me that my theology was misguided and that abortion was wrong in all circumstances. Even in the case of an 11 year old girl who was molested by her uncle.

Don’t get me wrong, I like this guy. He is a good man, even if we fundamentally disagree. However, he made a comment about prayer in school that got my dander up. Specifically he said that Christian prayers only should open every school day and that more of it probably would have prevented the Las Vegas shooter from killing all of those people.

Um. No.

I am going to skip the theology question and the abortion issue and hit on that school prayer statement.

Being prayed at is not the thing that prevents hurting people from lashing out. Love does. Good parents who try to do right by their kids and their spouses, fellow human beings who show kindness…. these are the things that prevent damaged people. 

Loving people who need it is awfully darn hard. 

I am not saying don’t pray. Go ahead and pray. I pray. Prayer is powerful. Prayer can help you love, help you find kindness when you don’t think there is any left inside of you. Here’s the thing, though: Don’t you ever think for one minute that your prayer means you have done your duty and your responsibility to other people stops there. No. You have to physically reach outside of yourself and help those around you or you are just saying empty words. 

I used to be that person, the one for whom the world was black and white. No amount of arguing or reasoning could change my mind. I was so full of anger back then. Why doesn’t everyone see the logic that I see? Life had to show me the all of the other shades of gray and the myriad of vibrant colors that make up this world. It had to show me that I am not as smart as I thought I was. 

Life is still teaching me.

Kind of makes me wonder what I will think of this post in ten years…

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Princess Panties

Doors at St. Patrick’s Cathedral in NYC

“Mommy! You’re wearing princess panties?!??!??” My daughter’s squeal of delight reverberated off of the metal walls of the stall. 

She stared in awe.

The overly crowded movie theater bathroom seemed to fall deathly silent in an instant.

“Shhhhhh!”

“Mommy. They are so beautiful! I want some.” She reached out reverentially to touch them as I hovered over the toilet seat doing my business. I swatted her hand away.

“Not until you are much, much older.”

We washed our hands then headed back out into the hallway where her brother and her dad and the dozens other men were standing, waiting on their female companions.

“Daddy! Daddy!” she called loudly as she skipped happily over to him. “Did you know Mom is wearing princess panties?”

So much for the element of surprise.

And from that moment forward, my lacy underwear was known as “princess panties.”

Flight

Birds in flight inside the American Museum of Natural History in NYC

“I asked her, ‘Aren’t you afraid?’ She touched my face and smiled. ‘No. Not at all.’

‘How can you not have fear?’

‘Because I have you. You are the strongest man I know.’”

He stopped for a moment, emotion stealing his words.

“The tumor doubled in size in 7 days. I don’t know what to do, how to help her… how to let her go.”

I have had so many conversations like this, two just this week. I always marvel at how the afflicted can be so strong, so full of peace and resolve even as those around them are falling to pieces. 

What sets them apart? 

There have been times in my life where I have been so depressed I have prayed to die. 

Please, God, take me in any way that you see fit…

But I was never peaceful about it.

I have fear. So much fear.

Fear of suffering. Fear of the unknown. Fear of the loss of control. Fear of being known for who I really am.

Who am I?

What sets them apart?

How do you come to terms with dying? 

“She says she will see me later, that it isn’t really goodbye.”

Faith.

Is it possible that it is simply faith in love… love which takes many forms… that gives us peace?

Deflowering

Close up of a rose
“Who hogs the sheets at night?”

The bride and groom hesitated. A room full of reception guests held their breath waiting for the answer.

Awkward silence dragged on.

“Uh, we don’t know?” The bride offered, finally.

Mercifully the MC seemed to sense the faux pas and appeared set to quickly move on to the next question. The relief in the room was palpable until he got the next question completely out. 

“So who snores the most?”

Another awkward silence. The bride and groom turned to look at each other in disbelief.

Granted, it was a second wedding but there were four (yes FOUR) pastors present at the reception plus two sets of parents in their 70’s and 80’s, deeply religious people. Three fourths of the room sat frowning disapprovingly, their arms crossed. The rest leaned forward grinning in amusement, not wanting to miss a single word. 

Always know your audience….

Concierge 

Gerber Daisies

“The letter said I had to pay $2400 each year to remain a patient because from now on he was going to be running a concierge practice. I would still have to use my insurance and pay deductibles and such. He’s a good doctor but I just don’t have that kind of money!” She said it in a way that made it clear the she hoped he would not hold it against her that she would have to find a new doctor. It wasn’t his fault. It was hers…

Trust me, honey, I know him. He doesn’t give a rat’s ass.

I get told all the time that I ought to go into concierge practice. 

But I won’t. 

Not ever. 

The fact is, I would feel like such a sellout, I wouldn’t be able to live with myself.

Why do I hate concierge medicine so much? 

I want to believe that it is because I think healthcare should be equally good for everyone, not better for those who can pay more. Concierge medicine smacks of elitism. Maybe, though, it is because I don’t understand people that have that kind of money, that kind of entitlement. Yes, I have assigned an unfair stereotype, haven’t I? 

Maybe I am simply jealous of them?

And then I wonder at what point do I actually become one of those rich, entitled people? Is it when I become willing to pay the retainer fee? Or some point before? 

Do I have to have gobs of money to be one of them?

Is wearing a large chunk of fake diamond on my finger selling out, too, in a way? I have had it for just over a year now. People treat me very differently when they notice the “rock” on my finger and I have to admit that I like it, I like the deference and I feel dirty because I like it. And then I ask myself WHY does that make me feel dirty and not any number of other things from my checkered past? 

And so I come back to some level of jealousy. 

I am not noble. I am eaten up with jealousy and having to face that every day would be painfully difficult.

That is why I cannot do concierge medicine. 

Thursday Thoughts From The Throne #4


Today’s’ thought is brought to you by my upstairs bathroom….

I am a huge fan of grandparents. I really love celebrating Grandparents Day. I do NOT, however, appreciate schools celebrating Grandparents Day by inviting everyone’s grandparents to come for some function or another. 

Here’s why:

  1. They are invariably disorganized.
  2. There are always a fair number of kids whose grandparents are dead or live too far away to come.

My kids are blessed that they have a grandmother who comes to these things but I have each year encountered the kids who don’t, who are stashed in a back room looking forlorn and left out. It tugs at my heart. 

This year my kids were supposed to write letters and make artwork for their grandparents. Earlier this year their PawPaw died. My son’s letter read like this:

Dear grandfather, I wish I could still speak with you. Even if I will not see you, I will always keep you in my heart.

He gave it to his Granny instead. 

It was good on some level, helping the kids work through their grief but I sure do wish the exchange could have been done privately instead of in front of the whole assembly, putting their grief and their grandmother’s grief on display. 

And that is all my butt has time for today!

Pumped Up

IMG_1233

“Well, you see… I was benching 300 pounds and felt something give in my right shoulder. It’s been hurting ever since.”

“How long ago was this?”

“Um.” He searched his memory. “Three months ago? Maybe longer.” He shrugged, then winced.

“Why the hell are you benching 300 pounds?” 

Did he really do that? Or was he maybe exaggerating just a smidge?

I mashed around on his shoulder, bringing on another wince, and walked him through some range of motion exercises to evaluate the joint further. This was his sixth injury from lifting in past 24 months. I had already told him he needed to back off a bit.

“I need to gain weight. I need more muscle.” 

He came from a long line of average height, thinly built people. He had already put on 25 pounds of muscle since the last time I saw him. Much more was going to be impossible.

“You are fighting genetics, you know. You are not going to be able to bulk up more than you already have without doing dangerous stuff.”

He look back at me, clearly horrified. “Oh, no, I’d never do that, Doc! But I’ve at least got to make my chest look good. That’s what the ladies want.” He puffed up his chest for effect.

“I’m a lady. That’s not what I want. I don’t think that is what most women want.”

He stared at me with a single eyebrow cocked up in disbelief standing out on his fresh-out-of-college face.

“So, what do women want, then?”

“Security. Respect. Love. Not necessarily in that order.”

He rolled his eyes and laughed. 

Had no one said this to him before?

“Sure, Doc….” His reply held a hint of sarcasm.

“Don’t get me wrong. I appreciate a man who takes care of himself, who stays fit. That in itself is an act of love, but having impeccable pecs is really not necessary. Pushing the envelope is really not necessary. A guy who says, ‘You need to carry the groceries in yourself, hon, because I can’t lift the sacks with my jacked up shoulders and I can’t walk with this bum knee,’ isn’t really sexy if he did it to himself.”

There was silence as I ordered an MRI in the computer. Thousands of dollars already spent treating his injuries, what was a few more?

Then he laughed.

“I guess you’re right, Doc.”

Damn right, I’m right.

“Just take it easy on your body. It has to last you the rest of your life…”

*****************************************

I have had several conversations like this over the past year. I talk a lot about how body image issues affect women but there is a ton of pressure for men, for boys even, and it is getting worse. A distortion and misrepresentation of what is possible and what is desired is being perpetuated by media, by people selling lies. 

Fight back, I say. 

Fight back.

Missing Out

IMG_1621
“Why can’t I go?” I held the paper clutched to my chest. I’d earned a trip to a church summer camp for free. My ticket out of my own little hell for two weeks. I needed this. Never had I been allowed to go to camp. Up to that point I had been led to believe it was a money issue.

Please let her say yes, God. Please, please make her say yes. I promise to go to South America to do mission work when I grow up if you will just let me have this one thing!

My mother stood silently, her face turned away. 

“Mom! Why won’t you answer me?”

Her body stiffened. 

Finally, her back still turned to me, she answered:

“Because I never got to do something like that.” 

And then it dawned on me. My mother, my own mother, was jealous of me. Jealous of this opportunity. Was there more to it? Probably. But there was an undercurrent of envy and that was what I latched onto.

I judged her harshly.

How can you be jealous of your own daughter? What kind of person does that make you?

It struck me yesterday, listening to my son and daughter practicing on the piano, that I am envious of them. I am jealous that they get the opportunity to have piano lessons from a real teacher. I am jealous of my son’s spelling and math ability, how easily music comes to him. I am jealous of my daughter’s artistic creativity, her ability to easily make friends, and her extensive glitter pen collection. What I could have done with even a couple of those glitter pens back in the day… 

Even now I don’t understand all of the reason behind my mother’s refusal but I did learn an important lesson. I learned I could survive without church camp. I also learned, and a great big wave of relief washes over me even now when I think about it, that God did not *want* me to serve as a missionary in South America. 

Whew.

So where am I going with all of this?

Envy was a surprising emotion to recognize in myself and I find it embarrassing to admit. It snuck up on me. Since I am not a particularly unique person and I am living on this planet with billions of other not so unique people, I expect this means that other parents also experience jealousy when it comes to their kids. I wonder how many?

We all want to believe that we are somehow better than our parents, though, don’t we? 

And yet we aren’t.

I expect that maybe even more than my kids’ glitter pens and the piano lessons that I am most jealous of their youth…. those unexplored futures, the potential looming ahead of them. I wonder if this is simply because I am an older parent, or if younger parents feel this acutely, too.

Ultimately, I don’t intend for jealousy to motivate my saying “no” to things in the future… except maybe if my daughter wants to go out for cheerleading.

Thursday Thoughts From The Throne #3

Black and white Gerber daisies

The nice thing about your loved one continuing to ignore your advice about going to the ER for their severe right lower quadrant abdominal pain until their appendix eventually ruptures is that in a few weeks when it is clear they will live and the post op pain subsides (you have to be nice to them until then) you will have ammunition to use for the rest of their life… if you are the kind of person who does that sort of thing.

*wink*