Where I write about people and progress at the intersection of health, culture, spirit, soul and the marketplace.
3/17/10
Let go or be dragged
3/8/10
Choosing growth
...What great advice. Having a flexible framework that serves as a decision aid is a super idea and one worth sharing. I'm definitely choosing growth!
Stuck is a nerve-wracking place. And takes a ton of energy. So much energy, in fact, that it’s hard to find the oomph to do anything other than be stuck.
People who are stuck often face some kind of big decision or life change. And they torment themselves with, “Is this the right choice? What if I make a mistake?”
That is the stuck place. Can’t move forward for fear of doing something wrong, and can’t go back due to the space-time continuum, so… stay stuck.
There’s only one way to break through the muck and get un-stuck. And that is to reframe the question from, “Is this the right choice?” to “Am I choosing growth?”
...
Read the whole post here.
2/11/10
Fall seven times, stand up eight: A review of Therese Borchard's "Beyond Blue"
- Booze: The Quiet Car in My Very Loud Brain (Chapter 3)
- No Really, I'm Not Making It Up: Depression Is a Brain Disease (Chapter 10)
- Sorry, Wrong Number: Codependency and Boundaries (Chapter 15)
Step 1: Find the right doctor - It was doctor number 7, from Johns Hopkins that was her winner.
Step 2: Find the right cocktail - It took her 23 different tries before she found relief in pharmaceuticals.
Step 3: Exercise - Cardio, cardio, cardio.
Step 4: Eat well - "Because some of us really are what we eat," she notices her mood drop after a day or two of toxic eating.
Step 5: Sleep! "... It's about putting your head on the same pillow, on the same bed, at the same time every night, and sleeping for the same amount of time."
Step 6: Light Up - Use light to supplement what's naturally available to you. This helps optimize your circadian rhythms.
Step 7: Reach Out! - Connect with a community of folks like yourself. She quotes Martin Buber, "When two people relate to each other authentically and humanly, God is the electricity that surges between them."
Step 8: Get Involved - "... Love must drive every sentence and blog post that I write, every decision and behavior throughout my day."
Step 9: Keep a Mood/Sleep/Gratitude Journal - Discover your own personal patterns. Get insight.
Step 10: Therapy and Lots of It - This mini-chapter alone serves as an incredible cheat sheet for finding the right therapeutic fit. There is no "one size fits all solution" to mental health, especially if you have a chronic disease such as bipolar.
Step 11: Pray and Meditate - Therese writes, "I yell at God a lot, too, and I consider my loud rants prayer because getting mad and communicating my frustration means that I'm in a real, organic relationship with my Higher Power."
Step 12: Fake It 'Til You Make It - "For at least 18 months, forty-five of my fifty minute therapy sessions went to acting lessons; how to feign a stable and functional person until I became one."
And come to think of it, isn't life about metamorphosis? It's an especially relevant theme for women who regenerate and respond to so many forces. I am all for brave teachers like Therese to lead us in their areas of expertise.
2/9/10
Shy, introverted ... connected
2/2/10
10 mistakes every patient makes: Trisha Torrey's new book
Most patients don't understand that their own healthcare is not a right, it's a responsibility. --Trisha Torrey
If you have a complicated care issue, then check for problems, errors or malpractice by Googling "Dr. Firstname Lastname" plus the word "error" or "complaint" or "malpractice." See what you find.
Also make sure that the doctor is licensed and practicing in the same realm. (She once saw a doctor practicing as a psychiatrist who was not licensed in Psychiatry, but in Internal Medicine!)
- Say thank you. If you feel well-served then go on and say thank you.
- Refer your friends to the doctor.
- Send a "report card" via http://diagKNOWsis.org/reportcard to highlight the positive or where there is room for improvement.
- Prevention is about taking responsibility for your own health, no matter how good or bad it is, and taking the steps you can take in spite of health challenges;
- Prevention is about following doctors orders once the two of you have determined a course of action;
- Prevention is about stepping out of a comfort zone, or "happy" zone
- Prevention is about education. Keep on learning and you'll avoid engaging with less effective treatments.
1/20/10
The soul of the child
I recently experienced being interconnected with my son when he had a tough year in school (last year). It wasn't tough in a traditional way; there were no bad grades, no attention issues, bullying or behavior problems dogging him. His grades were excellent, his teachers liked him, and his behavior was just fine. The trouble was, his heart and soul weren't present. He wasn't engaged in what he was doing in the least. He was drifting. He was sad. He didn't want to go to school.
This is the kind of disconnect that makes a mother crazy. I mean, when your kid needs help, I for one prefer to have a clear failure to point to, not a murky, uneasy, sinking feeling that something unnamed is amiss when we go to the school admin and ask for help. And yet, the soul of my child (which is how I framed the problem we had) was whispering in a quiet voice and moving to its own rhythm. You can imagine the challenge I had bringing this to the table in a traditional school environment.
I spent roughly 4 months advocating for our son at our neighborhood public school. The work included: initiating mediation with our Principal, lots of bedtime conversations, staying in constant contact with the school and asking for specific changes to his school day. It took dozens and dozens of hours from work, and was truly uncomfortable to become such a squeaky wheel. But what was the other choice? If not a parent, then who will advocate for the soul of the child?
As I stepped through this process, I was mindful of just how fortunate we are to know how to work the channels. There are millions of mothers and fathers who don't know how, or are too strapped for time, vision, confidence, or money to take even the first steps outbound to the school on behalf of their child.
I am going to skip some detail about how things resolved. Suffice it to say that he recovered by the end of the year, but that we have also moved him to an independent school where he is thriving.
Here's the point: Pay attention to the soul of your child. Trust your instincts. When you feel burnt out and as if you just cannot do another thing about the situation, take a rest and count it as a blessing that you possess the tools to be a powerful advocate. Your child's soul is watching, and learning how to do the same for itself someday.
Related
- Best bonding activity for families
- Coco's weekly meal plan: Kid tested
- ECO-canciousness, even at your house
1/18/10
"Doing" health
Health is learned
On the most fundamental level, a health encounter in our system is a learned transaction. It is a learned experience. No adult or child knows how to “survive” cancer, or “beat” diabetes, or be a parent for that matter when he or she starts on day 1. Quite the contrary.
Health is developmental
Health is a developmental process, a series of baby steps deeply and inextricably linked to cultural norms and expectations. Since so many of those norms are being challenged right now, it is a great time to think about how we learn to navigate the health system and what opportunities exist today to make improvements.
Oversimplifying this I realize, but if you were taught not to ask questions of your doctor, then you'll probably need more encouragement to start asking questions and participate more. If you were taught (from experience or environment) that medicine is a crap shoot, then you may be more comfortable advocating for yourself or another in a health care setting. You might feel righteous ... as many do. Or, you may simply give up from the stress of it all and become uncompliant.
We learn by participating
My point is that we learn to "do" health. We learn by participating. By showing up and "muddling on through" in many cases. We learn by accepting uncomfortable treatments, procedures and interventions; by asking questions and wrestling with the answers we get until we are able to take a step forward. The maddening paradox is that healing often brings discomfort, at least initially.
And more discomfort is hard to tolerate when you're in a healing crisis.
"Just right" health care
A patient learning how to participate in her own care can look a lot like Goldilocks from the children's classic. An empowered, participatory patient won't stop looking and learning until she finds what feels "just right" right to her. While the social web can help a patient climb a steep learning curve, so may pharma, tech, friendship, prayer, play, and (____you name it here___). These are all powerful cultural modalities in the healing repertoire.
So, while we don't start out knowing how to "do" a health crisis, the silver lining is that wherever you begin your challenge along the continuum of health, you will have an opportunity to learn and develop. That's right; we are all beginners. Even doctors and nurses are beginners when it comes to their own health crises. And while anything can happen, there is no guarantee that it will.
Get better at health by practicing it
Whether it is learning to eat better and exercise; stay calm and organize a response to a terrifying diagnosis; work like hell to seek alternative treatments; or advocate to “free the damn data,” as ePatient Dave says - adults learn how to “do” health by participating in it.
The good news is…we get much better at "doing" health with practice. Start when you are healthy.
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Related posts:
Communicating with doctors: Practice when you're healthy
Are we betting on the "me" in medicine?
1/12/10
Why tech firms target moms
Take this quote from the article above:
When families with children set out to buy a new laptop computer, for example, it is Mom, not Dad, who is more likely to initiate the discussion, the study revealed. And Mom is more likely to make the final decisions on what features to look for and how much to pay for it.
Most striking is that Mom is much more likely to use the new laptop than Dad. The survey found that 96 percent of mothers said they would make “regular use” of the device, compared to only 80 percent of fathers.
- Moms buy computers, gaming systems, gadgets, etc., in part, to keep control over the extent to which others in the house get to use technology. They set the tone. (It may look like offense, but it is actually defense.)
- Moms buy cameras that help them get stuff done so that after work and cleaning and putting the kids to bed they get a professional result when they spend 100s of hours doing image editing and uploading shots as CEO of the "Family Memory."
- Moms conduct lots and lots of online health research because -- either separated from or disappointed by their extended families -- there is literally nowhere else to turn for quick health advice that wouldn't involve 1 hour waits, high co-pays, and time off from work. (The Library used to be handy, but they've had to trim back on evening hours due to resource constraints.)
- Moms buy and adopt technology to serve others and to feel successful about serving others. Mothering, in spite of all the media noise surrounding it, is still one tough and invisible job.
1/8/10
Unleash the hot talent: A letter from a patient
Sincerely,
Your Patient
The mother of all health reform
Who's on the other end of a search query?
Are we betting on the "me" in medicine?
14 takeaways from Gel Health 2009
A limitation of Health 2.0
Shopping for health insurance
If e-health was simple...
Back to main page
1/6/10
Predicting the future
We got to talking. My son offered a few inventive ideas inspired by experiences with technology: the Wii, TV, the remote, iPhone, instruments, the computer, cool cars, etc. I made a single prediction. I predicted that in the year 2110 we'd have 30% more land being used for active farming in America.
His eyes glazed over at my suggestion and even I had to chuckle at how outlandish the idea seemed. But who knows, maybe it isn't that outlandish after all. Consider it. Given the speed with which people are becoming conscious of the food-farm-health connection, maybe reclaiming a percentage of the land and the productivity we've lost is possible.
Stranger things have happened in America over a span of 100 years...
12/30/09
Who is on the other end of a health search query?
While I don't make films anymore, I curate and create online health content. Sometimes it's like making a movie, but more often it's like making a scene within a movie. The work is creative and growing ever more so with each advance in technology. But what really keeps me interested in the field is that I am always conjuring that audience on the other end of the search query . . .
Is she alone? Or poor? Is he afraid, angry about what he's about to lose? Is the searcher seeking data - just the stats? Or wisdom? Or is it forgiveness he's after?
These distinct "genres" of health queries ideally receive a response that is a rich, service driven offering that meets a searcher where he is, so to speak, then moves him gradually to a place of new understanding and action. We expect a lot, don't we? We regularly promote, "Take control" and "Make it happen" on the pages of the most popular health websites today.
But asking a lot of patients doesn't help them accomplish a lot. And that's why now is the time for companies to invest in building compassionate service-driven content. Now is the time to provide health seachers results that bear witness to the many dimensions of human experience; that educates and cares for people where they are. Now is a time for leadership.
"Mind, body, spirit - from birth to death - by life stage and with empathy," is a possible call to action for health editors today.
As an editor, one cannot help but feel both excitement and responsibility when she's creating content that may influence another person's course of healing. That's why we hope that most editors are compassionate. That they balance science and art in their approach. We also hope that they are experienced and not just cranking content farm pages out based on keyword metrics.
Remember: We are creating content and engines that will fuel pages and pages of search results for years to come. Millions of people will depend on those results.
Professor Karanovic's words come to life when someone I know and love becomes the person behind the search query. That's when my humble impact on the world is revealed for what it is: a drop in the bucket. Yet, in these moments, when I sit with a sick friend and I sense her excruciating search for answers to questions such as: Why is this happening? How can I get back to ___ or ___? Will I be able to afford this medicine? Can anyone help me? Am I going to die? . . . I am living the themes of my work.
In these moments I am overcome with a desire to reassure and to serve in whatever way is appropriate and practical. But it is not my desire to reassure a friend that she will survive or live the way she used to live. No, it is more my wish to reassure her that she is not alone, that the suffering she feels is real, and overwhelming, and frightening. And that, in spite of all these things, she still stands a chance of making it through. Yes, it is powerful training to sit and share with sick people.
But the bulk of the job gets done when I return to my desk to humbly curate and edit packets of health information. I cannot help but be mindful of the human being on the other end of the search query.
...
12/29/09
3 elevated ideas from 2009
#1 - It is easier to be a prophet than a saint.M. Scott Peck said it best, but it is my family and close friends who remind me every day that living well and generously is less about being clever than it is about being consistent and actively creating a life of purpose and meaning. This quote reminds me to stay grounded in the face of change.
Innovation and progress are fertile, close-to-the-ground energies with social dimensions. This quote reminds me to get intimate, to share out in order to dream big. If you are interested in catching an in-depth glimpse into these social dynamics at work, read The Blue Sweater. In it, Jaqueline Novogratz, treats us to an inspiring account of her search for an end to global poverty. The book is a rare first person account of the sacrifices and celebrations a social entrepeneur makes on her way to manifesting her own authentic leadership style.#2 - "[We just don't] fathom ... that most big dreams originate in someone's living room with a small group of people, regardless of where they come from or how they are dressed." (p. 50, The Blue Sweater)
#3 - "... We love to talk on things we don't know about." (Ten Thousand Words, by The Avett Brothers) Listen to this track.I joined The Conversation in a big way this year because Twitter gave me a mic. Mostly, the conversations have been educational and entertaining. As I participate, however, I worry about how the acceleration of information will impact us long term. The fast pace seems likely to destabilize institutions and economic pipelines in ways we won't understand until significant compression has occurred. That said, these are exciting times and there is no turning back.
11/24/09
Gardeners call it pruning: Forced abandonment for 2010
Gardeners call the letting go process "pruning." Parents call it "grounding." Peter Drucker upped the ante and called it "forced abandonment."
But there is a difference between me pruning a tree and me force abandoning my long held plan to accomplish X or Y in my lifetime. The latter takes a lot more chutzpah.
11/18/09
Rosabeth Moss Kanter's 15-minute competitive advantage
Just like your children need to be able to understand and incorporate changes in roles and expectations at home, so do your clients need to understand and incorporate the innovations you present to them before they will support you. This is especially important for innovations within the health care system.
For inspiration, here is Rosabeth Moss Kanter's short list of innovations most likely to succeed at gaining the support of your customers. They are fiendishly simple:
- Trial-able: The idea or product can be demonstrated on a pilot basis. Customers can see it in action first and incorporate it on a small scale before committing to replace everything.
- Divisible: It can be adopted in segments or phases. Users can ease into it, a step at a time. They can even use it in parallel with current solutions.
- Reversible: If it doesn't work, it's possible to return to pre-innovation status. Eventually you want life to be unimaginable without it, but at least in theory, it's possible to go back to zero.
- Tangible: It offers concrete results that can be seen to make a difference in something that users need and value.
- Fits prior investments: The idea builds on "sunk costs" or actions already taken, so it looks like not much change is involved.
- Familiar: It feels like things that people already understand, so it is not jarring to use. It is consistent with other experiences, especially successful ones.
- Congruent with future direction: It is in line with where things are heading anyway. It doesn't require people to rethink their priorities or pathways, even though of course it changes things.
- Positive publicity value: It will make everyone look good.
I hope you'll read the entire article, "Find the 15-Minute Competitive Advantage." Ms. Kanter is one of the finest business writers out there.
BIO: Rosabeth Moss Kanter holds the Ernest L. Arbuckle Professorship at Harvard Business School, where she specializes in strategy, innovation, and leadership for change. Her strategic and practical insights have guided leaders of large and small organizations worldwide for over 25 years. The former Editor of Harvard Business Review (1989-1992), Professor Kanter has been named to The Times of London list of the “50 most powerful women in the world”.
Her latest book is SuperCorp: How Vanguard Companies Create Innovation, Profits, Growth, and Social Good. At Harvard, she is chair and director of the Advanced Leadership Initiative, a University-wide faculty group aimed at deploying a leadership force of experienced leaders who can address challenging national and global problems in their next stage of life.



