Knowledge

My best knowledge has come from being in the world. From my patients the past twenty years. From community, villages, cities other than the one I was born. Beyond the walls of North America and within. However, mostly from “outsiders.”

I’ve been educated by children. Yes, children. Ironically, I feel the West needs to grow up. I’ve been nourished by different colors, points of view; families full and rich with love. Ritual. My schooling came beyond states of emergency and from facing my own fears. Lessons mostly arrived from Mother Nature. I’ve learned from others’ dream, sorrows, and overwhelming generosity. Dancing, celebrating, eating together regardless of our complexities. And just because — We are Human. Humans with tremendous capacity for intimacy, respect and joy.

Yes, books are beautiful and bountiful and just plain orgasmic, sometimes. But not a thing has made me more FULL and knowing than direct communion with that, that I AM. And sometimes that is an old gas station for yours and my, viewing pleasure.

Resuscitation -Take I-

In these most unprecedented times, the public has been swarmed with a range of portraits/narratives into a medical system that has been quite frankly, working in the closet for years. I don’t think there’s ever been a moment where we’ve had more of a closeup, inside the walls of our hospitals. This closeup though, needs further attention. First and foremost, may we observe lightly as well as think deeply and more objectively into the lens we are viewing from outside the walls. Things are never as what they appear to be….we know this. We live in such a time of glossy and or fake news/entertainment, agenda driven squares and quite frankly, an ever evolving lack of self authority and responsibility.    

In order for us to transcend — renew a sense of responsibility in our Care systems, I think we must begin to storytell. We need stories from deep within the hearts of medical providers. We need the tragic and the beautiful. The moments we have been touched by our patients, when we have learned something from them, and moments we’ve realized, mistakes were made. We need the stories of birth and of death and how we can accommodate both transitions better. We need to hear humans over machines; hearts over minds, at times and the stories that are impacting our environment as well as the health of the providers/patients within these walls. 

Recently, I have listened to many perplexed and anxious medical minds and bodies on the forefront. And we perhaps, have an even more bewildered and scared mass of bodies waiting outside, to be seen by these insides. My hope is we resuscitate a culture that’s too often boot straps and boxing gloves. That we become alive and healthy again through truths, stories and broader perspectives of what it means to be a human in health care. The good, bad and the ugly. Hey, and if you want to do a dance at times, dance.  I guess just looking into the intention, within that celebration. Because remember, the outside is always looking in, fortunately and unfortunately with a more scrutinous eye.  At the end of the day may we all be Ambassadors for something larger than ourselves. 

Nurse Me

Well here it goes. The Nurse me.  If we want to speak of “battles” then I have a battle wound or two. These wounds are more akin to tears(holes, breaks) in my heart. It’s ironic, as my inner compass showed me Medicine for a reason. But it appeared to me,(through my body/my health)in almost my 20th year of service that the way of the West, the way of New York; powering through, the way of metrics, evaluation, speed, waste, and profits no longer met my inner standards/values of what Medicine means to me. In my heart. 

I worked and pushed through a lot of disempowerment in my hospital days. The only thing bringing me back from these edges was not a boss that says “If people aren’t happy, they can leave.”  It was the immense humility to connect and be present, make more comfortable, to see; to see another through a most vulnerable time. Through the gifts of what medicine, at its roots, also entails. Yet these gifts, and I will name them, are the Femine values and virtues/the intangible/the unmeasurable,unquantifiable parts to the whole, that often go unrecognized.  It is the gift of selflessness; as a human being on their deathbed that says. “Give a piece of me to another, please,” and they donate an organ. It is the Nurse that shows up to work countless hours to send money home to their families. It is the Caretaker that comes to work sick, because there lies in these systems, lots of trickery, guilt and shame. It is a system that, in the current conditions, looks so unified on the outside. But the truth is, it’s broken.  

This is not meant to drag the current resilience, bravery and light by which we view the Health Care system off the stage. I only write this to cast some shade…because there’s always a shadow. I admit, I felt betrayed as I walked out of the locker room after eight years of service to a place I brought heart, soul, light and wisdom to.  But I am also so proud of who I’ve become in the process.  I know that we each are our own Medicine following our own heart’s Lub,Dub. And  I was definitely one, to march to the beat of my own drum, always. I guess I no longer felt part of the beat.  

Are We Really at War?

With much respect for those on the health care lines, always, including the patients, I bow to you. I also want to take a moment and express my concern around the  “war”  language blooming in these deeply strange and ambivalent times. To go to “war” on something that “doesn’t want to fight with you,” is a narrative, after deep thought, that I’d like to see retire. – The Saving lives as a Battle – The War on Drugs – The War on Poverty-  When we use terminology such as battle, fight, kill what are we communicating to the layperson?  To the sick?  To the vulnerable? To ourselves?  Do we call it a “fight,” to perhaps soothe our very own fear of mortality, stroke our egos; ease our pains?

Our health isn’t an absence of illness whether acute or chronic. It’s neither an absence of virus, trauma, tumors, infection or mental affliction. These pieces, either one or/and the other that may visit us one day or already do, are parts of our WHOLE health.  Just as poverty and drug addiction are pieces and reflections of a society and its health at large. We don’t need to battle it. We need to understand it from a holistic lens; to view the bigger canvas. We need to treat a human being undergoing surgery, as a whole being, not as parts to a car. Even treatment from a microscopic realm includes vast geography. These parts of me , you, society are not intentionally trying to battle us.  So why wage a war?  

I ask, “Is there an alternative expression for War?”  I don’t know, but I think it’s time to grow out of hostile acts, upon the Other and most importantly, our Selves.