Showing posts with label relationships. Show all posts
Showing posts with label relationships. Show all posts

Sunday, April 23, 2017

My Life in NVC

As salaam alaikum,

Before my husband and I married, we initiated a book club--a book club of two. We haven't resumed for a while because we both got busy. Malcolm X is next on our list.

One of the books we read last year was Nonviolent Communication by the late Marshall Rosenberg. I had learned about nonviolent communication, or NVC, from my residency program during our behavioral science block. We were taught the communication paradigm as not only a way to communicate to patients, but a way to communicate with partners, family and friends.

Violent communication, on the other hand, is communication with oneself or others that is laden with judgment and evaluation. It may seem harsh to call this communication violent, but once you call it what it is, you realize the impact it may have on you.

For example, once I was busily cooking a meal for my mother and multitasking in the kitchen. I am very happy to cook for my mother, but I also want things to be just so. So when my mother suddenly said, "Are you burning your food?" I startled and ran to the pan on the flame. The food was fine.

"Why did you say that? Did you think it was burning?" I asked her.

"No, I just asked," she said, shrugging it off.

If she didn't think it was burning, why did she say that? I think she just wanted me to check on my food and didn't realize that what she said was a little bit hurtful, like she assumed I would be burning my food.

I mean, accidents happen. I burn food all of the time while doing too much in the kitchen. But if she didn't think I was burning my food, there was no reason to make that judgment. Especially as I had been carefully and lovingly making meals for her and the family all week.

Anyway...

The premise of  is simple, but it's challenging to execute. There are four elements to NVC: (1) make an observation, (2) state one's feelings (3) express ones needs and (4) make a request. Observation, feelings, needs, request. Each element of this formula has it's own chapter in the book which helps students of NVC use it without injecting the violent language of judgment into the formula.

For example, one makes observations free of evaluation and requests that are specific and life-enriching.

So in the example given above with my mother, if I used NVC, I may have told her, "When you asked me if I was burning my food, I felt hurt and discouraged. I want to be trusted as an accomplished and careful cook in your kitchen. Can you instead ask or suggest that I check on the food when you are afraid I may be distracted? Thank you."

The observation was her asking me if I burned my food, my feelings were of hurt and discouragement. My need was to feel trusted (and respected). And my request was for her to instead ask if I check the food if she thinks I may be distracted.

This was hard for me to write. One could write this, which would not be NVC: "Mom, when you think I'm burning my food, I feel like you expect me to burn the food, like you're judging my skills. I need you to trust me. Don't say things like that to me."

Check it. There is an observation, an attempt at statement of feelings, an expression of needs and a request, but they are laden with judgments and otherwise not quite fitting with NVC.

The observation is not a pure observation, but an evaluation. My mother asked if I was burning my food--she told me she didn't believe I was burning the food, and even if she hadn't, I know what she said and not what she believed. The statement of feelings...is actually not a statement of feelings. Feeling like she expects me to burn the food is not a feeling, and telling her she's judging me is, again, an evaluation of her. To say that I felt judged, ignored, scrutinized or any such verb is relating it to the other person. The NVC statement of feelings should be independent of the other person. That's why my original example included hurt and discouraged.

Finally, the request should be in positive terms and should be specific. "Don't say things like that to me," is a negative request and it is not at all specific.

When our communications are judgmental or evaluative, people are likely to get defensive. The second example I gave would probably not have gone over well. ...and honestly, the first one wouldn't have gone off without a hitch, either. I didn't feel strongly enough about my feelings after my mother asked me if my food was burning to launch into NVC, but just giving an example of how it works.

My husband would sometimes roll his eyes in the early days after we read this book when I would launch into NVC after an argument. Sometimes, he just wants to argue because it feels cathartic to him.

I, on the other hand, do not find arguments cathartic. On the contrary, I find it distressing to have a raise-your-voice argument. Him having grown up with parents who eventually divorced and maybe argued like that, he thinks it's normal. I do not want to deny him catharsis, but I will counter such arguments with NVC every time.

One way to do that within the paradigm is to try to identify, in reverse, one's feelings and needs.

So if he were to say, "I'm the only one doing work around here," I would go backward and try to figure out what observation he made to jump to this conclusion.

"Are you reacting to the floor not being swept?" or, "Are you reacting to the dishes in the sink?" I would continue this without making evaluations until either I or he arrive at the specific observation.

Then I would say, "So, the fact that I haven't swept the floor in two weeks makes you feel angry, yeah?"

And if I misidentified the feeling, perhaps he would tell me. Then, I'd try to identify his need, if he hadn't told me.

"You need to feel as if I care about the house you're working hard to maintain for us, yeah? Do you want me to sweep at least once a week?"

And that would seriously be the root of such vague declarations. We don't argue over each other's household tasks anymore because now I understand that it wasn't so much about him wanting me, as his wife, to do "womanly" housework as much as he wanted to see me do my own tasks (a chore list we agreed upon) as a sign that I cared about the house as much as he did.

I also understand that his main pet peeve is dust. Dirty floor and dusty counter tops to much are just pitfalls of being an active cook in my kitchen. I've watched him cook and pick up every individual rice grain he drops with the pads of his fingers and curse if he gets a drop of sauce on the counter.

When I cook, on the other hand, the kitchen tends towards entropy until the final touches are made and the creation is simmering on the stove.

Don't get me wrong--I don't think in NVC most of the time or talk that way to my husband on a daily basis. But when a communication is important or I sense a miscommunication coming on, going back to that paradigm is helpful for sorting out what we're actually reacting to, what our true feelings are in response, what we actually need and a life-enriching way to request it.

I'm especially interested in the paradigm's take on depression. I'll talk about that later.

Monday, January 16, 2017

Married, Alhamdulillah

As salaam alaikum,

Alhamdulillah, my husband (!!) and I were married this weekend, on January 14, four years and a half from the date we made our relationship official. For very many reasons, I did not noise about my relationship too much on this blog. One reason was from my husband's express request, but the bigger reason was my respect for myself and my privacy. Relationships are delicate, and while it was fine to share so many thoughts and whims as a single woman musing about the future of my life, relationship musings quickly took things to a much more personal space than I imagined.

Then, of course, there are the politics of dating as a Muslim woman, and maybe it could have been helpful for some, but I didn't want to put myself in the position of being judged. And insha'Allah I saved people from being judgmental and backbiting in the process.

Suffice it to say, over the last four-and-a-half years, we've faced challenges that, sorry to be hackneyed, did make us stronger. We will have more challenges ahead. I fret not, because that is what God promises, but I will be prayerful throughout.

Insha'Allah, I plan to write more this year, but it may not be here. I first began the Xanga version of this blog in 2005 or so, began this blog with describing the love I found in family medicine in 2010, and I have been a practicing physician now for four-and-a-half years, practicing post residency for a year and a half. In over 10 years, the way I understand Islam and practice it personally has morphed and changed. I am in a much healthier place now, alhamdulillah, and I don't feel like I need a space like this anymore to be a healthy Muslimah.

And this isn't just because I am married, but it has a lot to do with the relationship even before marriage. It has a lot to do with me finding my people in my career and training for what I actually wanted to do. It had a lot to do with me being honest with myself about where I actually was in my practice and practicing authenticity. A lot of those relatively silent blog years I spent quietly questioning, praying, contemplating.

I am not done growing, and practice is not a static thing. But I feel like this blog space was a space for my long-lasting Identity vs Role Confusion phase, stage 5 for Erikson, which for me lasted for yeaarrrrrsss and, in all honesty, preventing me from successfully entering the Intimacy vs Isolation stage. It was only when I resolved my major identity conflicts and became, again, more authentic, that I was able to finally move forward with a partner.

More importantly, it was only after I began practicing authenticity that I began to do more to care for myself and nurture myself and my spirit. I am not done, but my spirit vessel is much healthier. In the last year, I lost 40 pounds and became physically fit. I began running, working out intensely and now engage in a much healthier diet. I'm training for my first 15K and plan to do a long run today to make up for my rest days due to wedding festivities.

My spirit, as expected, is much more a work in progress. I have struggled with living my submission organically for years, as I am not one to fake it until I make it. I am comforted by God's infinite mercy as I continue to strive. Mindfulness was a part of my journey, and part of mindfulness is accepting, without angst, wherever you are. I had never done that before. I thought I wouldn't be a good Muslim without constantly striving and for me, constantly striving meant never being good enough and embodying that at all times.

But no more!

Instead of forever imagining myself as not where I need to be, I will be prayerful that my life is long and full enough for me to nourish my soul with exactly what it needs to attain Jannah when my vessel has expired. And if life is not long, may it be even fuller that I nourish my soul. Nothing in life is a destination, I've found. Just like my graduation wasn't a stop-point, but rather a bursting forth of so many other possibilities, so, too, has been marriage. So, too, will be having children, insha'Allah.

On second thought, maybe I won't retire this journal just yet. I may continue to be sparse, but through mindfulness, Ayurveda and non-violent communication, in addition to many other modalities, I've found a way to be a much healthier Muslimah. Maybe I'll focus on that instead. I have so much more to say about that.

I am now married. The thing that I had so much angst about for so long has come to pass. It was a long time in coming. I learned so much along the way and put so much prayer into this union, and will put much more, no doubt, after the fact.

At the same time, I don't hope to come down as preechy or to issue a series of "how-tos." How I arrived here was perilous and messy, as real life is. If I have any advice to give to anyone who is searching, it is to be you always. Be honest to yourself first, and then you will be honest with those who you are dating/talking to. Never, ever purport yourself to be someone who you are not, even if that is someone you aspire to be. Be genuine. Practice authenticity. You want a partner for who you actually are, and not who you want to become and may not attain.

Meet them on earth. Your soul may strive for Jannah, but for now, our souls are here, in grounded vessels, and our partners are before us, also here.

So anyway, here I am, where I've wanted to be for so long, and it is different than I anticipated. I could be hackneyed and say that it is better than I anticipated, but I won't be.

It is more expansive than I anticipated.

Friday, December 2, 2016

If I Were Single

Salaam,

Insha'Allah, my fiance and I are to be married in less than a month and a half. While I make the final preparations for this stage of the wedding (a larger reception with family and friends will be held later), I also make preparations for the rest of our lives together.

Will I continue to take medicine call? Will I take OB call, even? How many hours will I work? It'll be perfect to transition out of doing urgent care during maternity leave if we try for babies soon, insha'Allah...

I also have begun to lament the things I have lost. I'm no longer singing as much and I haven't written seriously nor thought about my novel in many months. Part of me doesn't even feel like a writer anymore, and it's startling.

I've started to question everything else about my life, including my career choice, while I bring my family life into focus. I'm afraid I'm losing myself.

I don't want to.

There are things that used to be meaningful to me, and probably still are, but I haven't had time to explore them. And necessarily, we change with time, I do believe, but...in the case that, God forbid, I'm left to my own devices again, I want to make sure that I am true to myself and make time for the (other) things in my life that bring me joy.

So I wonder--what would I be doing right now if I were still single? What would I be planning, in contrast with what I'm doing now? And don't get me wrong, I don't wish to be single. As a perpetually single woman in my 20s, I did long for companionship and I've been happier than I've ever been in my adult life once I attained it. It just happened that the advent of this companionship coincided with the final stage of my medical training, so there are a lot of confounders at play.

For example, I perceive I have less time for myself in my relationship, but is it perhaps that I had less time for myself as a busy resident and as a first-year attending? I feel like I have changed, but is that perhaps because now I am a practicing physician, and before the relationship, I was not?

Anyway, life would be different, if I were single:


  • I'd still be living in Seattle proper, instead of living in the suburbs to be closer to my fiance. Our family home is purchased, has 5 bedrooms and 3 bathrooms, and insha'Allah after marriage I will add my name and it will be our home. I'll be a sudden home owner. But for now, I commute 20 miles to work, which is 40 minutes at best during rush hour and paying 75 cents on the express toll lanes. In my old apartment, the hospital was a 7 minute walk away and my clinic was a 3 minute drive, about 1.5 miles away. 
  • Obstetrics call would be easier. I'm on OB call this weekend, and I'm dreading it. The last time I was on OB call, I managed two labors and attended one delivery. I had to leave clinic a little early and ended up sleeping in one of the uncomfortable call rooms (beds aren't so comfortable for me anymore, after having lost a bunch of weight).  If I had been living 7 minutes away from the hospital like I used to, I would have gone home after the 11pm delivery and slept in my own bed for a while. But since my own bed is now 20 miles away, I often make the decision to sleep in the hospital if I'm uncertain of someone's labor course. On OB call weekends, that means that I'm potentially spending 48 hours in the hospital. It means that I could drop whatever I'm doing over the weekend with my fiance to drive into the city just to potentially miss a delivery. There's also the stress of his disappointment of not seeing me over the weekend because of my call schedule.
  • I would make more of my own continuity deliveries. Two of my patients delivered over the weekend. One I wouldn't have made anyway, because it was precipitous. The other one, I could have made. It was on a weekend night. Again, if I were 7 minutes away from the hospital and single, I would make an effort to make more of my patient's deliveries. But my fiance and I had a bit of an argument a few months ago when I told him all weekend that one of my patients was in labor and that I wanted to go be there for her during delivery but he still ended up feeling like I was sacrificing our time. I was already on call enough, then I would sacrifice our time together when I wasn't even on call to be there for my patient? "All of your patients are special to you," he shot back when I argued that this patient was special. So when a patient goes into labor, I have to take him into consideration as to whether I'll go in for the delivery...which is fair. One day, insha'Allah, I'll also have babies to take into consideration, so maybe I'll stop giving my patients the impression that I'll be in for their deliveries. ...but if I were single, I would be all about dropping everything to make my patient's deliveries.
  • I might be singing more. There is a family medicine band that invited me to sing with them, but they have practice on Thursday nights. Because I work late on Wednesday nights (until 9pm or 10pm or sometimes later, depending on urgent care), I usually do not want to spend any more time in the city than I have to, and I rush back on Thursday nights. I would like to sing with them eventually, but not with this schedule.
  • I might hang out with Seattle people more. Again, not living in Seattle makes meeting up with Seattle people challenging at times. I factor the commute in prior to every get together now.
  • I may go back to dancing samba. I still may check out the Monday night class at some point, insha'Allah in the New Year, but it'd be something to fill my time with.
  • I might be planning a trip to Nigeria with my Dad in the upcoming year. My Dad got to travel to Nigeria after an over 30-year absence this year. I would love to travel with him, but not only are there the concerns of who will then be my husband, insha'Allah, but also, if I am pregnant or with small children, I definitely won't be able to travel for some time.
  • I might be planning a trip to Salvador. I love Brazil and it's been 8 years since I've been (incredibly!). I would go with my new husband, insha'Allah, but...zika. Cases of microcephaly have happened more in the Northeast of the country. And even if I don't get a zika infection, I don't want to have to worry about that 8 week period in which he could carry it in his semen for family planning...
The rest are all big maybes. I don't know if I'd be writing more if I were single, if I'd get back to drawing, if I would be reading more or keeping up with medical literature more. There are also some potential negatives, like I may not have embarked in this body-transforming fitness journey (I've lost 40 pounds!), I may not have started running races, I may not be cooking nutritious food for myself--I may not have been taking such good care of my emotional, mental and physical health as well as I have been relating to someone else.

It is true that I'm not working as many hours as I imagined and minding my hobbies as much as I used to, but that's not a bad thing. I'm also taking care of myself much better than I ever have in my adult life. And those hobbies are not going away. I just came to a critical moment in which I am reassessing what I want to be in medicine, and my practice may change in a way such that I have more time to be all the other things that I want to be in medicine.

Mainly, now that insha'Allah I can now start planning a family, I realize how much this has always been a top priority for me that was for much of my life out of reach and how much I want to prioritize it now. It's more important than my career. I find myself putting some of those medical aspirations aside for a moment, thinking about the women who have said, "You can have it all...just not all at the same time."

But now that I am marrying, there are things that I want to bring back into my life. I want to bring writing back into my life first, and fiction-reading. This year, I have been reading only non-fiction. Literally, I have not read one piece of fiction this year, which is odd for me. I wanted to be a physician and a writer on the side, but I'm finding that I'm also a person who wants to do all of her jobs well, and I can't be a good physician right now with the hours that I'm working and also write on the side, and I'll be a horrible writer if I'm only writing on the side and not devoting more time to it.

I already don't feel like a writer anymore, and that's devastating for me.

And it's hard to to do either of those things well while making a family.

But I can have it all, but not all at once. Right now, the thing that I put on hold is writing. For years, what I put on hold (in theory) was family life. Next, what I'll put on hold is medicine.

That is the topic for a later entry.

Saturday, August 27, 2016

Learning to Love Myself by Loving Someone Else

Salaam,

The fiance is out of the country for two weeks, so for the first time in several months, I truly have all of my time to myself. Instead of commuting to see each other and dedicating slices of time that used to be dedicated to writing and music instead to our growing relationship, our daily interactions consist of 30 minutes total text breaks.

It was glorious this morning: waking up when my body felt ready, lounging around in my pajamas for the first half of the day, leisurely completing charts from clinic while simultaneously documenting ideas for future writing projects. This instead of my usual Friday fare of hurriedly completing any charting left so that I'll be ready to hang out with him when he gets off of work.

He works half days on Friday, and I have Friday off for that specific reason. It makes up for Wednesdays where we have lunch together but I work until 9 or 10pm and otherwise wouldn't see him that day.

I got to spend nearly 30 minutes on the chart of a complicated neonate I'm caring for. I carefully documented the birth history, and my plan, and I was about to finalize the document, I remembered something essential I wanted to add to my plan. I went back to the assessment and plan tab and saw that I had already documented that very thing.

I instantly felt that warm glow in my heart space I get whenever I'm proud of myself. Good job, you're pretty sharp! Look at you, way ahead of the game...

...and that gave me pause. How long have I been feeling that way? For a while now, I haven't been counting. I feel particularly accomplished after complete, well-rounded patient visits where our plan for their health worked, or a treatment helped more than either of us expected, or the patient felt listened to like they had by no other provider. That heart space swell happens there, too.

It wasn't always like that, though. And that's what gave me pause this morning. There was a time where I had to imagine someone else being impressed by me before I could be impressed with myself.

Rewind to ten to twelve years ago, and that was exactly the case. I was in love with a man I imagined to be different from who he actually was. Whenever we interacted, he was impressed by me. And I mistook that for interest. And I fell in love with this man, who was so outside my realm, who could enter my world and like me.

He was not that courageous, but I wouldn't come to terms with that for a few years.

When I met him, I was knee deep in depression. I had to have friends talk me down from self-destructive behaviors and plead with me to start medication, which I never did. I prayed and God didn't seem to listen. I had convinced myself that the reason was because I was actually one destined for hell, one whose heart God had hardened. I felt doomed. I was a high functioning severely depressed college woman who earned a 4.0 GPA her freshman year.

And then I met him, and I had a reason for living.

Not only living, but thriving. I had a reason to get better. I wanted to be worthy of his love. I didn't want to be depressed, damaged. So like a whining child who struggles to wipe away signs of crying with a parent's reprimanding, I quickly tried to become normal. I tried to become the full person my depression was keeping me from becoming. And it had to be convincing, so he wouldn't become disconcerted and take his interest elsewhere.

It was often emotional whiplash and I wasn't ready. Depression became neurosis. I used to walk around his dorm late nights, hoping I'd chance to run into him, sometime taking those walks past midnight alone on campus, absently singing "Love's Train" to myself.

"Now if by chance, you'll let me come over. Down on the street, I wanna see you, baby."

I just wanted to see him, to have one of our 2 minute awkward interactions and be on my way, fill myself with the hope that would keep me going.

Long after the time I realized that we would never be and he met the woman that would be his wife, my brain was still stuck in this circuit. I met him in a science class. So, whenever I solved a difficult problem in my science problem sets, years later, I imagined him being impressed with my prowess over the tough material, and I'd get that glow in my heart space, and it would inspire me to keep going.

It took me a while to realize what I was doing, and a while longer to break it.


Sitting here, doing charts, congratulating myself on making a clever plan for my complicated baby patient, I realized that I had to learn to love myself by loving someone else. And isn't that backwards? Isn't that exactly what all of the smarmy advice articles tell you not to do.

Oh well.

My life was close to losing all meaning for myself. And since I was a child, I lost myself in love for others. So it would just make sense that I'd have to lose my self-destroying persona in the love for someone else in order to start over. It may not have been ideal, but it was an emergency!

And through prayer and time, I've come to fully love myself without needing the love of someone else. There are things about me that no one else appreciates that I love. My love for myself is far beyond my fiance's love for me, so I don't have to imagine his pride to be proud of myself. I don't need his love to fill my heart space with warmth.

Although, I must say, having people who love you, including a partner, does wonders to validate your own great love for yourself. It's not everything, though.

All this being said, I don't recommend this way of learning to love oneself. I'm just so grateful that, after years of despair and desolation, I finally do.

Friday, February 5, 2016

Love Vignette 1: The Strategic Valentine

Salaam,

I fully intended to be here more often, but I'm not. Alas, the real world and the realities of preparing to marry (namely the building the relationship part, not wedding plans in the least) have sucked me dry of late--of time, not of inspiration. There are so many thoughts I have and so many things that I want to write. So, at this hour, I am sacrificing sleep in favor of my favorite art form...

...yes, even more favorite than music, somehow...

But I can't bring myself to write anything of substance about the state of the world, about politics, about Black Lives Matter, about mass incarceration, about the Flint water crisis, about ISIS, about the refugee crisis...about the various topics that are important to me and swimming around my head right now.

So instead, I will ease myself back into blogging by posting these little Love Vignettes.

I've started easing my fiancé in by telling him stories about guys I've crushed on over the years--one, to assure him he's got no competition. But also to give him a sense of why and how I love. And in telling him these stories, it's reminded me of some of my favorite stories of childhood crushes. Some of the stories are cute. So, in honor of Valentine's Day approaching and my the impending 31st anniversary of my circling the sun (aA), I'm going to share with you some Love Vignettes.

In no particular order.

This one, for Valentine's Day - The Strategic Valentine.

Before I would fall in love for the first time, I had crushes pretty much every year of kindergarten and elementary school. I had my first crush when I was five years old in kindergarten. His name was Terry. I liked him simply because he was cute. With each year, I would fall in like with a boy for a slightly more nuanced reason. By first grade, though, I hadn't gotten that far.

By the first grade, Terry went to another school. Our kindergarten was district-wide, so all of the kindergarteners of the five elementary school district attended school in one building, Thurston Early Childhood Development Center (Thurston ECDC). Graduating from kindergarten meant going to a new school. So it was in Ms. Miller's first grade class that I would meet my next crush, Darryl.

My like for Darryl would begin a years-long preference for husky or chubby men--one that has not borne out in my present relationship, but that's a different story.

Darryl was a husky little boy. Looking back, he probably was prescribed a steroid inhaler for asthma. Or maybe he was just husky. He was in good company, because I was a chubby little girl. I liked him because he was bigger than the other boys. Bigger and a little bit brusk.

I don't think there was very much more to it than that.

Heaven for me was this one time when we were on a field trip to the Henry Ford Museum, which we lovingly called Greenfield Village, though we never spent time in the actual village, and I got to sit next to him on the bus. And we fell asleep on each other! When he woke me as we arrived to Greenfield Village, I tried to act like I was annoyed with him so he wouldn't guess that I reveled in every minute we lay on each other.

Yes, I was six.

Love as a child can be real and complex, but there is something about being a child that makes it forbidden to be out in the open. It would have mortified me for anyone, especially Darryl, to know. I kept it to myself. Most days it was easy. It wasn't like I swooned from afar. It was enough that I knew that I liked him, it was my own little secret, and I was satisfied with that. I didn't have to do anything with that, we didn't have to become an item, nothing like that. It was what it was.

That is, until Valentine's day.

As an almost 8 year old in the second grade, Darryl was still in my class. I realized that Valentine's Day may blow my cover. I don't know if a note went home with all of the kids, but all of our parents bought valentines enough for the whole class and addressed them to the whole class. The best valentines of elementary school were those that included a sucker or some other sizable piece of candy along with them. Or one of those boxes of chalky Valentine's candy. The message was dispensable.

I was advanced enough at that age to help my mother write out the valentines and assemble them. Or maybe I volunteered to help, because I had to do damage control. Darryl couldn't know that I liked him. Therefore, I had to make sure he didn't get a valentine from me that said something like, "I love you," or, "I like you," or something obvious. I didn't want it to be a thing.

So, I poured over the stack of valentines that my mother bought and found one that I thought was pretty generic and innocent such that no one would have any suspicion about my intent. I felt proud of myself and relieved that my secret was safe with me.

Then I got to school. I passed the valentine's out to my friends in class. I got to his desk and put his valentine down and said nothing. As I walked away, I heard him laugh.

"Hey, this is cool! I like this! Hey, look!" he beckoned to his friend sitting next to him. Shoot, shoot, shoot...it had backfired. What happened? Who would have thought he'd pay any attention to a valentine with a dolphin on it?

"Look at this. It says, 'I flip over you!' Isn't that cool? I flip over you."

I buried my head in the desk, mortified, wishing he'd stop reading it aloud.

My valentine to Darryl that I hand picked precisely so he'd have no idea that I liked him ended up being his favorite out of the 20-some kids in class. Probably because it was the only valentine so painstakingly chosen.

But, little did I know, he would never know that I liked him. He'd have no idea. A smart boy would begin to suspect it after he noticed a girl made effort to sit next to him on the bus so she could press her legs next to him and lie on him.

But no, he was an average boy, and average boys have no clue about those things.

I moved on to a boy named Michael in the third grade, who I liked not only for his looks, but because he was smart (I was getting there!). But not again until Kenneth in the fifth grade would I be so mortified at the possibility of someone knowing that I liked a boy.

...though I would continue to keep crushes secret until I was 25 years old.

Wednesday, December 2, 2015

I Never Existed Again, the Prequel

Salaam,

I was just going through a journal of mine from when I was 19 years old and read a paragraph that really exemplified the whole "I never existed again" thing, 4 years before I would hear the Djavan song that would give meaning to the feeling I had. And this was only the beginning of me feeling this way. I had not known MQ for a year yet, and I was already falling into the obsession circuit in my brain.

Anything in brackets are edits I've made in retrospect. This was written in January, 2004. Emphasis, with the bold, was also added by me later.


I think it was last Thursday, so Thursday, January 6. It was the first time I had my Spanish class with Sra. Highfill (and wow, I just suddenly had déjà vu with her and her class…like I’d been there before or something).  Anyway, a girl came in named Sarwat.  I had seen her on thefacebook before, back when I was looking up stuff on Azmat…who didn’t end up pairing up with [MQ] at all.  It was just me being silly…again.


Anyway, Sarwat came in, and for whatever reason, I just thought of [MQ] whenever I looked at her.  Okay, it was obvious why I did…I was thinking about the whole culture thing, and if, for him to ever really consider me, that’s what I would have to be…Desi, Pakistani, whatever…and I never would be…well, obviously.  But yes, I thought about that, and then I started thinking back to him, and all the silly little conversations we had… And that progressed, until I thought about him all day.  And then that kid who’s in my Biochemistry discussion and apparently living in South Quad, Ajay…he reminded me of him, too.  And I would see back of heads [around me in class], and I would get startled when [those backs of heads] looked slightly like [his], and almost wanted to close my eyes and run away in case the head turned around and it was him…

It was something like that, not so eloquently.  And I realized at the end of the day that the whole thing was ridiculous.  I hadn’t seen him since November, and now it’s January, and I hadn’t really spoken to him since we did in the summer, and that was kind of shitty in itself, and I was still nervous to come anywhere close to him, even if it was second hand through his friend Sarwat, who never mentioned him...

[...] as she looked at me as I pronounced my name [for the professor in class], I’d wondered if perhaps she’d heard that name before…and for what reason she would have heard it. [Maybe she'd heard about this girl from him, this girl that was obsessed with him].  Or if it was from the back of random people’s heads that kind of looked like his…I just realized it was getting out of hand, and that I’d spent more time that day thinking of him than thinking of anything that had to do with me.

And I started to wonder how much of myself I had lost in the process of being in love with him.  Yes, I may not have ever gotten him, but I was in love with him, and I wanted him, and I thought that if we worked together, I could marry him…all of that foolishness.  But I wondered how much of myself I lost.  I thought I was losing my personality by being so stuck on him…  But maybe that wasn’t the case at all.  Maybe, in the beginning of this whole ordeal, I didn’t have that much personality to begin with.  Not as much as I thought I had.


This was remarkable for me to read. In that last paragraph especially, it's like I couldn't even remember who I had been before there was him. I go on to write about how my first journal entry began with me musing about the my teenaged crush, Corey, and I wondered how many legitimate thoughts had I had that were not about some male.

Another (perhaps) remarkable thing is that my writing hasn't changed so very much in the last 11 years. I'd like to think I'm a slightly better writer now, and definitely the content is more mature now, but oh well.

I'm, in general, stunned by how naïve I was...11 years is a lot. I ended this entry thinking about taking out loans to take an MCAT class. That's how long ago that was. That was a more than 4 years of medical school, 1 year of public health school and 3 years of residency ago. Wow!

And it's also incredible how you can lose yourself in someone who in the end has nothing to do with you...

Saturday, September 5, 2015

I Never Existed Again

Salaam,

Me apaixonei?
Talvez, pode ser
Enloqueci?
Não sei, nunca vi
Preciso sair
Depois que eu descobri
Que há você
Nunca mais existi

I fell in love?
Maybe, it could be
I went crazy?
I don't know, I've never been there
I need to get out
After I discovered
That there is you
I never existed again.

I told the story of this song before. How I heard this song on my "Haiti" playlist on Pandora in 2008, how I excitedly ordered a CD imported from Brasil with the song on it since I couldn't download it on the internet, how I read the insert in the CD to find a translation of the song, and how I realized that the song put into words what I could not.

I fell in love with a man and then I never existed again.

Alas, the very thing I prayed to God wouldn't happened had happened. I fell in love with a man who would not be mine. Why? Why would God allow it?

Over 11 years later, I still don't know. But this song reminds me of that place.

No song that exists on earth speaks to me more than this one. No artist has more quickly become my favorite than Djavan for the fact that he wrote this song. Talk about killing me softly.

There was a time where I couldn't complete a task without thinking about how this man would be proud of me, as he said he was. Proud of how smart I was, amazed at how smart I was. "I amazed him," he told me once. I had never been admired so brightly and so earnestly by a man. It had to be love.

I was so convinced and he was so emblazoned into my person for years that the best way that I could put it is that I wasn't myself anymore. The me that I was before had stopped existing. I became other. And I never existed again.

I was never the same. I have not existed again. He's since married the woman I knew he would end up with. Years after I was over him, his wife came to me in a dream, and described what he was like at their wedding.

I did not know until days later that I dreamed of her on the day they married. I would later see a Facebook post in which she described him exactly as she described him to me in my dream--serious in the face of his upcoming responsibility as a married man.

It's been 11 years since I first fell for him, and I've moved on. We are at two opposite sides of the country living separate and completely full lives, but I had to dream about him to congratulate him on his son. I hadn't dreamed of him in years, but I guess that was an occasion.

In every manifestation of his life, I can now see that he was meant for her, and she was meant for him. I don't know why I ever came into the picture and interrupted destiny. And I don't mean that to be self-deprecating, because the whole thing sure as hell interrupted my life.

The piece in the anthology only tells part of the story. I was too shy to write about the raw obsession and the pain of disillusionment when I found out he had no idea that I liked him, let alone that I stopped existing because of him.

The best that I can say did come out of the whole experience in the manuscript that I'm gearing up to edit.

I can't believe it's been 11 years. We were two different people then. Now, we're doctors. He has a family, and I'm at the precipice of marrying, at least I hope. When we met, we had no idea where we'd be, what we'd be able to do. We were just two nerdy kids in an organic chemistry class.

He didn't know a black girl could be so smart. I didn't know that the annoying, boisterous kid who I dreaded seeing in class every week would change my life.

The me before I met him never existed again. I wanted that someone who felt so important in my life to remain in my life, but only God knows.

Thursday, March 5, 2015

A Career Woman

As salaam alaikum,

This past Sunday, I was busily cleaning my apartment in anticipation of meeting up with my SO after his trip to SF. My place usually lies in shambles because of the time I spend out of it either hanging out on the East Side or fulfilling my many residency responsibilities. When I planned his Sunday return to Seattle, I proposed he meet me at my place before returning to his place to attend a panel on life after residency by recent graduates with perhaps Ethiopian food thereafter. He happily agreed, even before I mentioned that my place would likely be clean when he came.

"Don't make promises you can't keep," he said flatly.

His dead-pan delivery of jokes usually takes me off guard, and I took mild offense before he told me he was just kidding. Even so, I spent much of my Sunday scrubbing and sweeping and vacuuming.

I was putting the finishing touches on my place when my phone rang. I expected it to be him, because it was almost time for us to leave to go to the recent grad panel. I looked up and it was instead one of my co-residents. I was simultaneously excited and crestfallen. One of my OB patients was due, or as wont to say, "one of my ladies" was due, so I thought it was her presenting to triage in labor. That kind of thing throws monkey wrenches into plans.

Instead, I hear that it is my patient who was supposed to be scheduled for c-section in the coming days. She was contracting painfully every 3 minutes.

I think, great, a c-section at least takes place over a finite amount of time, so I can go in and come out 1.5 hours to two hours later. I told my SO this as we adjusted our evening plans. He would go to a movie while I participated in the section.

Long story short, from anesthesia push back, to slowing contractions to a complicated section, I was not out of the hospital until 6.5 hours after that initial call. By this time, my SO drove back to his place, never having seen my sparkling clean apartment, both of us having missed the grad panel and neither of us having Ethiopian food.

In fact, I didn't eat dinner that night because I had nothing prepared and all food places that I would have bothered with were closed.

It was a gratifying section in which baby was fat and healthy and the surgeon commended me for the command I had over closing the incision. What was not gratifying was talking to my SO to find that he was upset with me after my Sunday was thwarted.

I explained to him that I probably didn't have to be there, but my co-resident sold it as if the delivery were imminent and I got there to find that it was pushed back an hour and a half, then another 2.5 hours, and so on. I couldn't easily say to my patient that I wouldn't return after I had essentially promised her in her last three visits that I would be present for the procedure and round on her in the hospital.

The next day, after I apologized again (even though it really wasn't my fault!) and my SO told me that he was going to ask me a question the next day and he wanted me to think it over. I asked him if it were an ultimatum. He told me it wasn't. I really had no idea what he was thinking, what he was really angry about, and what I had done wrong.

I knew he was going to ask it over dinner. So yesterday, after our quesadillas arrived at this Mexican restaurant near his place, he asked me, "How much of a career woman do you see yourself as? I think I know the answer, but I just want to hear it from you."

Really? That was it? All of that build for that question.

So I answered, "Well, you know, babe, I could totally see me taking some time off of my work schedule to spend time at home with children."

"I know you say that, but then things like Sunday happen."

Things like Sunday? What was special about Sunday? I've delivered nearly 30 continuity patients, some of whom have come in times that it interrupts my plans with my SO. He's understood before. Similarly, I've been called in back up at random times.

"I was fine until you said you didn't have to go in," he told me.

Ahh. And therein lies the problem. I said too much.

For him, I didn't have to go in, but I went in, anyway, prioritizing something I didn't have to do over our plans. Even though I explained to him that I didn't have to go in (I never do for continuities), but I promised this patient that I would come to her c-section when it was scheduled for a future date. I didn't have to but I felt obligated. And, more than that, I wanted to be there for a patient I had bonded with throughout her pregnancy.

"I just want to know if, after we're married, I'm eventually going to be seeing you only 1 or 2 times a week."

Really? This is what came of me scrubbing into one c-section, the exact circumstances of which I described to him? Him thinking that suddenly I'm going to become a workaholic who never comes home?

And he thinks there is some definable dichotomy between being a "career woman" and...not, whatever either of those mean.

So I told him, "First of all, babe, career woman is a really antiquated term."

"Really?"

"Yes, but I know what you mean."

So I broke it down for him.

Because, the truth of the matter is, if I could have married and started a family years ago, even as much as 10 years ago, I would have, if the opportunity came along. So it didn't. So I continued with my education. I asked him, if there were such a thing as a dichotomy between me being a working woman and being more domestic, I shouldn't have gone into medicine at all. I should have instead worked small-time or more acceptably domestic jobs until a potential husband came along. But that's not how I roll. So I continued my education and training, all the while knowing that whenever I did marry and have children, I would adapt it into whatever stage and position of life I was in.

Furthermore, I told him, it is hard to say what I will be like when I have children. Life doesn't stop because I plan to have children in the future. It is a fluid position that changes. So while right now I'd love to be involved in many of my continuity patient's deliveries, I recognize that, at some point, family time will take priority.

But that was such a hilarious question to me. If we got married tomorrow and he wanted to start a family right away, I would be game. But in the meantime, life goes on, I have a robust work life with many professional and patient-doctor relationships to maintain as well. I cannot put my life on pause for a course of life that has never been my decision alone to make. 

Friday, February 27, 2015

Unconditional Love

As salaam alaikum,

As I said a short prayer to myself before walking into colposcopy clinic this afternoon, I suddenly realized why people over time have been pulled to pray to their ancestors.



One of my friends, who is Christian, once told me that she equally regards most faiths, including Islam, and including worship of ancestors. As a Muslim who acknowledges my own faith to be the one right path for me and not necessarily for everyone else, I could intellectually understand where she was coming from, but did find the view to be peculiar. The way I understood it was that the bounds of her faith would allow for a syncretic existence in which ancestors would be revered close to God for consult and comfort. I couldn't imagine that for myself.

And I still cannot imagine that for myself, but I understand it a little bit more now. And now that I understand it a little bit more, it's making me rethink my imagining of God.

I understand it a little bit more since my grandfather died. As I heard the news of his passing last year, July 16 and shed my first tears, I was instantly filled with hope, calm and reassurance. That was from God. I knew that Grandfather was with God. I knew that he had gone to the Good Place. I had no doubt, and I grieved easier.

In fact, I was so reassured that I struggled to pray for my grandfather in the way that we're supposed to when someone passed because, in a way, I was like, "God's got this." And for the weeks following his passing, I felt him very present with me, as I felt that he had now come to know the truth of all things, and his soul was set at ease for all of the things he despaired about in this world. I also felt like he was getting to see me, all of me, in a way he'd never imagined me as a granddaughter.

That feeling slowly passed with the noor of Ramadan as the month ended, but since then, I've struggled to relate with that closeness. Grandfather's absent in this realm but very much present spiritually for me. My aunt says she talks to him sometimes. She has talked to deceased relatives all of her life. I don't do that. I took issue to that because I figure who better to talk to, effectively pray to, than God. So I pray for my grandfather but I don't talk to him.

But as I walked to clinic today, I thought about how proud Grandfather probably is of me, now that he knows everything about me and exactly what it takes to be a physician and what I've done, probably more than he understood when he was on earth. And then I faced the thought that always deters me from spending too much time in this paradigm: Grandfather also knows my sins. If Grandfather knows the truth of all things and is privy to the current happenings of this world, Grandfather knows all that I've done wrong. Not only that, but knowing the truth of all things, he knows better than me the cumulative consequences of my wrongs.

And that gave me very brief pause. I knew I wouldn't be upsetting a man who is basking in his life's reward, but I wondered if Grandfather's disappointment in those things that I had done wrong outweighed his pride for the things I'd done right. And while I was still in this slippery paradigm, I though, well, Grandfather would love me, anyway.

And I stopped there, and turned to God in prayer.

I realized at that moment that I saw my Grandfather as unconditionally loving, whereas my conception of God is not that, at all. Of course my memory of Grandfather, which is not at all the representation of the whole man that he was, is of an unconditionally loving patriarch. If Grandfather on this earth knew everything there was to know about me, of course he'd love me anyway. It would balance out. I project that to whatever form his soul has taken/will take/had taken in the outside realm.

But while God is Merciful (in that way that, at times, is so difficult for us to grasp), God's love is not unconditional in my conception of God.

I came of age believing in a God who loved charity, service, kindness and good matters and hated all that was evil, from murder to the sometimes vague perversion. So if I committed evil, I would not be loved by God. That is the condition.

Whereas for Grandfather, we'd have to be pretty shitty people before he no longer loved us, for God it seemed sometimes uncertain how much any particular good or bad weighed.

When put before an omniscient, inconceivable but reportedly merciful and just Being and your loving Grandfather, it would be way less intimidating, if it were an option, to go to your grandfather for guidance.

But as a Muslim, I believe that no one can help me or hurt me but God. And by extension, I also believe that God can and would hurt me, if indicated.

Grandfather wouldn't.

But without belaboring that point, whenever I find myself in that space, I extract myself and return to God. Grandfather, insha'Allah, I'll see on the other side and I can learn about the man I'd come to love in his 60s, in the latter years of his life. I look forward to that day but will complete my term in this world gladly, day by day, year by year, and prayerfully with many more.

But God is Greater. And maybe my imagining of God doesn't do justice to God's mercy and love. Not that I'm going to reduce God to a big grandfather in the sky or anything, but...

If I were too intimidated to come to God, who could I really go to?

I know why it is. It's the language of our Book. A God that doesn't need our prayers or reverence. A God that can replace us with beings that are better than us. God doesn't need us, but we think of people who love us as needing us a little bit.

So I understand how it would be nice to worship a center of unconditional love, but that's just not the way I believe.

Tuesday, December 23, 2014

2014 Retrospective

As salaam alaikum,

As predicted, residency (and life) swallowed me in a way that did not allow me to post (or even write) that often, but that is soon going to be history! I am now a third year resident, and in six months time, I'll be graduating and taking a 3 month break before I start working for real. What I do in those three months are dependent on how much money I save up moonlighting in the next year, but that's another story.

Anyway, for me, the year is hardly over, as my SO is flying down tomorrow to meet my parents, which will get a little notch in my year-in-review, but I figure I may be pretty busy the end of this year so I'd better get in my retrospective now while I'm ahead.

So, this was my 2014, roughly, and maybe not exactly chronologically, but in order of things that stand out to me.

Grandfather: The last time I saw my grandfather fully lucid in this realm was around Christmas of 2013. There was a big ice storm in Flint and surrounding northern communities and it resulted in a prolonged black out. My grandparents were staying at my Uncle Maurice's place because the power was out in their house. My grandfather talked about how much he appreciated what we did for him, an old man, and he started crying. Early this year, he likely had another stroke and went into a fast decline that almost ended in his death in March of this year but ultimately ended in his death early in the morning, July 16, peacefully in his sleep. I love that man with all of my heart and I eagerly but patiently await the day when I hear the rest of his stories in Jannah, iA.

Auntie and Uncle: I met my Nigerian Aunt and Uncle for the first time this year. My uncle, who my father had not seen in over 30 years, and his wife traveled to the United States for the first time and stayed with my family. I cried when I saw the brothers together, reunited. They stayed for four months and I visited with them two weeks out of those four months. I would love to travel with my father to Nigeria one day and visit with the rest of the family. I could say much more about this visit, but that will have to be for another venue.

Sayulita, Nayarit: I still feel like we totally pulled a coup in our residency by taking this trip. For our second-year retreat, instead of the usual long weekend in Leavenworth, we took five days in Mexico with our favorite faculty member in March. It was a coup because those five days did not count towards our paid time off, it was "conference/educational time." So we were paid for five days in which we did maybe 4 hours a day of therapeutic small groups (which were excellent!) and spent the rest of the time as beach bums, wandering around this semi-hidden jewel resort town. I actually got sunburned on this trip. Yes, black people can sunburn. Skin peeled from every exposed surface over the next couple of weeks and I felt like I was molting. So those times I wore sunscreen in the Dominican Republic were not in vain. The 12 of us and our faculty member spent 5 glorious days sharing a house on the hill that overlooked the beach. It was definitely a second bonding point for my classmates and I fell in love with them again.

Jamaica: I had never been to Jamaica, and at first felt conflicting going there to attend a wedding in July, not only of people I had never met before (my SO was best man, and I was his date), but also as the only black person in the party. Yes, I felt conflicted going to a majority black country with a group of white people. This was only the second international trip (Sayulita was the first) that I've made that was not part of a service project. And then to go to a resort where I felt like I may be inherently exploiting the people who work there? It was challenging until I got there and realized that over half of the patrons at this particular resort were black, many of them Jamaican, having conferences or spending a relaxing weekend at the resort. There were also a lot of African Americans there. And I realize that supporting tourism in a country like Jamaica is probably more productive than any of the service projects I carried out in other countries the past, though I still found it polemic. At some point, I finally just let myself relax. I was welcomed by my SO's friend and his wife warmly into their wedding party and was pulled in to do some Serbian dances during the reception (courtesy of the groom's family). Minus the sand flies biting the left side of my body, it was a good time. This is another place I have to go back to. I love going to countries with majority black people!

Stevie Wonder: I attended Stevie Wonder's "Songs in the Key of Life" concert as he toured the country. He actually made a stop in Seattle on December 3. So many performers and performances skip Seattle (like Motown, the Musical), but he came by. I was chief on Family Medicine Service at the time, and though I tried to switch my call days, I ended up on call on the day that our service went from tame to crazy. After that day, we would continue to admit patients and eventually cap out our service. My call days usually saw me staying at least until 8:30pm most days, and this day was no exception...exactly why I wanted to switch my call day so I could make the concert! In the end, I'm glad I didn't switch my call day because Friday (the day I was going to trade out) ended up to be a busier day. The concert started at 8pm, I got out of the hospital at 8:30pm and made it to the concert by 9pm. The people next to me lamented that I had missed "so much," though I got there as he did "Pastime Paradise," and knew that he had much of the album left, though I had missed "Sir Duke." I had heard from my cousins, who went to the concert in Detroit, that it went on for three hours. And Stevie did not disappoint. Our concert went on for four hours, which means I got to jam with Stevie for a full three hours after sliding in an hour late, until midnight! And, after four hours of sleep, I got in to work the next day, saw a full set of patients during my half day in clinic, and realized that age really is just a number. I thought that my days of staying up that late and then being fully functional the next day (without coffee) were behind me. At 29, I surprised myself with the stamina of a 19 year old while working full time. And Stevie, of course, was awesome. He sang each song from the album exactly as it was in the album. And his daughter Aisha Morris was one of his backup singers! And I could go on, but it definitely made my life to see my favorite artist in concert.

Nephew: My best friend from medical school had a baby boy in September, and I got to visit him in November when he was 6 weeks old. I've never witnessed someone I'm that close to have a baby, during those very new periods, someone that I knew before she met her husband when we were both very much single young women. And now seeing her as a mother, watching the transformation she and her husband have made...all I can say is, it's real. It's the only thing that gave my baby fever a pause. Not because of the job they were doing...no, they were doing excellently. It's just that I see that the struggle is real, there is no magical transformation. I was watching them as they were learning and adapting with a newborn. That is how life is, and that is how my life will be when, one day, iA, I have one of my own. Hopefully a girl. I already have some names picked out. Okay, so baby fever was on pause, did not completely go away.

Babies, babies, babies: This was the year of the babies. I think I delivered more than 20 babies this year, most of them being my own patients'. I just delivered one a few days ago, my patient's gorgeous baby girl. I have three more of my own patients due and then my residency adviser cut me off from deliveries. It's just as well. I've more than exceeded the number of continuities I need for graduation. My poor SO is tired of me talking about labor and delivery, and babies. He states that he could probably deliver a baby at this point from my descriptions of it.

Licensed Physician: I took (and passed) Step 3 earlier this year, officially completing USMLE and becoming a licensed physician. Seriously, exam taking in medicine feels like the "Song that Doesn't End." I started medical school and heard about the boards, and then learned about what would be the hardest exam I'd take in my life, disconcertingly named "Step 1." Disconcerting because if there is a step 1, there is probably a step 2, and maybe it goes on. Each year, I learned a little bit more about the exams I was going to be in for. Depending on one's specialty and if they go on to fellowship, there are a whole list of exams besides the USMLE steps that one had to pass to become not only licensed, but also board-certified. As I've chosen family medicine, I have an every-10-year board exam that I will have to pass and certain amount of Continuing Medical Education (CME) credits that I have to keep up with to maintain board certification. The family medicine boards through the ABFM is the last exam I'll take in residency, and the last exam I'll take in life (unless I lose my mind and go for more education or more board certification). But, in February of this year, I took and passed step 3, making me a licensed physician, able to practice independently (thus, moonlighting).

That Full Circle Moment: A couple of weeks ago in clinic, I had one of my first full-circle moments in family medicine. I went into the clinic counseling a pregnant woman on some cramping that she was having. She planned to do her prenatal care elsewhere, so it was going to be a simple visit. As I entered the room and began talking to her, I noticed there were tears in her eyes. She then told me that I was the doctor that told her that her grandfather was dying. Back in my intern year, when I was completing a night float rotation, I led a family meeting at 1am for a family whose beloved grandfather, who I had admitted hours earlier, was passing. It was the defining moment of my residency. I laid myself bare for that family as they looked to me to prognosticate what I couldn't with numbers. People were rolling on the floor, crying. I myself felt completely spent and cried after that interaction. I had never put so much of myself into a patient interaction in residency, and that was a great transition point for me. I actually didn't remember that woman in the sea of family members that were there, but she remembered me. Together, in the exam room, after I reassured her that there was no threat to her pregnancy at present, we remembered her grandfather. I shared with her that my grandfather had also passed that year, so I understood what it felt like to lose someone who had lived a long, complete life but who was still very beloved. We shared that moment and that continuity in a 15 minute visit. And so at the beginning of residency I saw the end of one life I was there at the beginning of another in the same family.

Saturday Thanksgiving: The last three Thanksgivings, I have been working. The first year, I was on the Family Medicine Service and served on a skeleton team that included my seniors and the chief and rounded on all of the patients of the day. My second year, I was on maternal child and covered the team's OB service. This past year, I was again on FMS, this time as chief, and I covered for my interns so they could all have the day off and me and one of the second years covered service for them. My first year, I wanted to prepare a turkey, so I made a full Thanksgiving meal on the day that I had off--Saturday. Since then, I've made Saturday Thanksgiving a small tradition for my residency class. This past year included one of the newest additions to our residency family, one of my co-resident's baby girls.

Death of a Cousin: In January, one of my second cousins lost his life senselessly. He was an anesthesia tec in his hometown in Ohio and he was paged in to work to help with a transplant. His car was in the shop so he couldn't drive there so he walked to catch a bus early in the morning and was robbed and shot dead, in cold blood, his body left in front of the bus stop where it was found shortly thereafter. This Christmas, my cousin, his father, a pastor, is celebrating his life and mourning his only son, the father of his two grandchildren.

A lot more happened this year on the smaller scale that is more tedious to recount. Overall, it was a good year, a year of challenge, growth and transition. And here I find myself.

And here I am.

Sunday, November 2, 2014

Long Time

Salaam,

It's been a long time since I've liked a popular song this much. Maybe 7 years or more. Maybe more than that.


The voice is an incredible instrument. It's also incredible how many unique melodies can be created over time.

Otherwise, I'm in a pensive mood tonight. I'm stuck on a presentation I have to make on Tuesday but don't want to do any more work on it tonight. And so many other things on my mind.

Thursday, September 18, 2014

Black Achievement

As salaam alaikum,

I was reminded of this while watching a "Key and Peele" episode in which they compared black college movies with white college movies. White college movies were all about the party and college was a given. Black college movies were all about college as the destination, as if once insurmountable.

I have two cousins doing their studies in my hometown. One is in her first three weeks of graduate school, the other has started as an undergraduate. Both of them had small meltdowns on Facebook over the course of this week, threatening (though purely out of frustration) to drop out of their respective programs.

These are two highly motivated, very intelligent young women who earned their acceptance into their respective programs but who I feel did not have a realistic idea of what they were getting into upon matriculation.

Which is fine. I certainly did not know what I was getting into when I started medical school.

But I recognize something that one of my friends pointed out about black students. I recognize that she made sweeping generalizations and that there is no data, but I found her observations interesting. My friend was a tutor at one of the Harvard residence halls and had students of various ethnicities. She was supposed to be a resource, or at least a gateway to resources for the students. She noticed students of other races and ethnicities either had their own external resources for money and mentorship or they sought her out. Black students, who were the least likely to have outside money or mentors, also did not seek help. Another of my friends, also a tutor, acknowledged the same thing. The two of them believed that this was because, for the black students, college was the destination. They did not plan for the during or the after.

For a lot of black students, college is the destination. Education is the goal, not career.

Though few of these students would admit to matriculating into a school for the sake of college, few of them actually have the tools or insight to apply their education to their career aspiration. And few have the first idea of how to get those tools.

Facebook doesn't help. Facebook for both of my cousins became a place to boast their achievements and make sweeping statements about their broad aspirations, the audience being adoring family and friends who really do admire the ambition but have little to offer. Facebook also became the place of the meltdown, where those same people offer platitudes but no solid mentorship.

I'm not saying that this phenomenon is unique to black students. I'm sure a lot of college students of many backgrounds find themselves in the same place. I'm also not saying it's true of all black college students. But there are some things that ring true for me in my own educational and career trajectory, although, alhamdulillah, I've done well.

But college cannot be the destination. Sometimes, our families, as in black families, only know how to laud college. How's school and how's your grades? That's good, baby.

And that is good, but what are you studying? What classes are you taking for that? Have you been able to shadow or get an internship over the summer for that? How are you using your summers? Who are your mentors? If you don't have any, can you get some? Is there anyone whose career path you'd like to emulate? How does your resume look?

College is not the destination. Sometimes, your first career is not the destination. We should continue to congratulate high-achieving young people, but empty praise is not going to help them when school or training ultimately hits bumps or becomes frustrating.

The destination is not the 4.0. While grades and even grade point can be important depending on what career you are in, the goal is sustainable learning and application.

The destination is not the degree. It's not even the doors opened once you have the degree or the job you ultimately get with your qualifications.

The destination is not walking across the stage, loved ones looking on, pictures cross-posted on Facebook and Instagram, the degree on display in your home.

There are no destinations, just steps along a journey.

And as long as our students continue to set premature destinations and form their study habits, aspirations and life paradigms around these premature endpoints, then yes, there will be frustration, and yes, there will be wasted time, and yes, things will feel insurmountable that don't have to.

So I'm going to try to be there for my cousins and let them know that.

Tuesday, May 13, 2014

Angry

Salaam,

One day, I got angry. One of my younger cousins posted a picture of her boyfriend on Facebook.

That wasn't why I got angry. It was a cute picture and the guy reminded me of her dad, my first cousin. We often are attracted to men with certain traits like our fathers. That was not my concern.

My concern were all of these likes from family members who do not know this man from Adam. Some of the same baseless likes that my cousin got when she talked about how much she loved the man who, unbeknownst to much of the family, was beating her bloody.

Oh, because that's "black love."

I'm not hating on the entity, "black love." It's never something I specifically aspired to myself, pero bueno...

I was angry because I knew I couldn't post a similar picture of my SO without flack, hate, and promises of being disowned.

Because this isn't black love. This is interracial.

I hate the term swirling, so this is the last time you'll see me write it.

One of my cousins, in person, already asked me, "Why do you post all those pictures on your Facebook with all of those white people?"

I answered, "They are my co-workers." That satisfied him for a moment, but implicit in that question was probably...how about that one guy you seem to be standing close to in a lot of your pictures?

Taking pictures with all of those white people, indeed.

I could hear it now. "What's wrong with a black man?" "Oh, why are you with a *****." I don't even want to imagine the permutations.

And then, I probably scrolled down to another picture of someone with their loving in-laws, and I thought about how my SO was impressed that his mother behaved herself around me, though she's always worried about what people in the Old Country will think of her son being with a black woman.

And I just got angry. Angry then quickly tired.

I wish I could introduce this man to my family without drama. I wish they would welcome him like they welcomed my black cousins-in-law with open arms, call him cousin. I wish I could introduce him to my grandparents without at least one of those grandparents being pained. I wish I could include him in my family.

...that my father already doesn't like him is almost requisite, regardless of his race, hehe.

But I wish...man, I wish...

And I never aspired to black love, but I never aspired to be with a white man, either, precisely because of my family's racism and otherwise baggage that we have with our Nation of Islam roots. I figured if I were with another non-African brown person, they would be too confused to be racist. I'd still get off comments about I obviously haven't been with a black man, blah blah blah, but it'd be more tolerable. Maybe that one uncle wouldn't disown me.

But really...there are too many men in my family who will see it as somehow a personal affront if I don't end up with a black man. Like I'm making a commentary on their worth. No, I make no commentary. My relationship the living manifestation of exactly who desired to marry me. He who did not is not standing next to me right now.

So there.

So my SO won't be called cousin. We may not even have a wedding we can invite the rest of my family to. That makes me angry, but oh well. I love my family enough to recognize there's no changing them.

Tuesday, April 29, 2014

Learning to Be Alone

Salaam,

Now that I've been stably in a relationship for nearly two years, I've gone back and read some of those pieces aimed specifically at single people that I couldn't palate the while I was single. Most of the time, I am usually dismayed that I was not able to arrive at the level of sheer self-contentment that the articles recommend. Happily partnered and not desirous of single status, though intellectually feeling that this time around, I could handle it, I wondered how much of my partnership was just for the sake of not being alone. I began to wonder if I would keep looking if I had arrived at a place where I was as content with solitude as these pieces recommend single people to be.

One of the pieces of advice that these articles often cite is that one needs to learn how to be alone, in general. Not just be single, but learn how to be content with one's own company.

And I thought about how bad I was at doing that even while still single. It wasn't that I was constantly yearning for a significant other to fill a space. But my space was constantly filled--with phone calls to my family and friends and visits from friends. The time that I actually spent alone was very meticulously filled with necessary studying while I was in school and writing projects or casual reading when I had free time. I usually exercised alone as well. But I didn't think I enjoyed this time alone--it was just a matter of course.

I enjoy hot showers after sweaty workouts, for example, but showering is something that one necessarily does alone the grand majority of times--I assume this is true even for married women.

But then, it happened. After a week of staycation and getting my life in my apartment organized for the first time since the first few months that I had moved in, I was organized enough to seek out samba class. I found one that I wanted to check out, finished my rotation duties and headed over to the class. I had a good dance and workout, walked home, cooled down and then jumped into the shower to wash the paint off of my feet (I danced barefoot on a raggedy, painted dance floor in a small cultural center in the International District) and in general enjoy the hot spray on my body.

Then, lotioned and deodorized, I sat on my futon and adjusted the temperature in my place by placing the window fan in the window, turning on the only lamp that survived the move from Boston in the corner, and settling down to write a little.

And I probably let one of those this-is-the-life sighs escape my lips before I realized...

Here I am, alone, in my own space, completely content with being alone right now, with the trajectory of the day, with how I plan to conclude my evening, with the fact that I can sit down and write.

It took me two years of a stable relationship to learn to be alone.

When my apartment was filled with papers that needed organizing, laundry to be sorted and washed and put away, dishes caked in grease that didn't come off with one round of dishwashing (but always with a clean bathroom!), I did not enjoy my time here. I spent most of the time in my bed, the only relatively clear spot in my place, with the blinds drawn because...if I have a night shift, I sometimes sleep during the day, so the goal of the bedroom is darkness. I spent most of my days at my SO's place, because he has a house, actually, and is a minimalist so has very little clutter. My house became a cluttered sleeping den with a refrigerator I was afraid to open.

Now, with all of my educational papers organized into binders and files, all of the junk mail that I had let accumulate over two years shreaded and recycled, the kitchen clean and ready for the next meal, my dining room apetizing, my reading corner restored with my papasan chair open and inviting...I have no need to be anywhere else. My space is less than 600 square feet, but I now can do almost everything I want in here. I can practice my samba moves in the living room with my small stereo system with sub woofer. I can experiment with different recipes and eat them at my dining room table or my now pristine bar area at the sink. I can curl up with a good book or medical journal and read in my reading corner. I can take a nap on my futon.

Or, like now, I can sit with my legs crossed and my laptop on my lap and write whatever comes to mind.

And my room, small and functional, can be reserved for what I always meant it to be for: sleep! Fresh sheets, organized closet and dresser drawers, dusted nightstand with my Qur'an, alarm clock and personal effects there at the side. It's back to being my bedroom again, and not a glorified dorm room of yore.

In med school more than in college, my dorm room bed was a place to eat, study, watch television, read and sleep. And repeat. And sometimes cry.

And there are so many other things that I occasionally do when I'm here, like long hair-care days. I recently spent 9 hours twisting my hair, and could spend a similar amount of time doing my next henna rinse and deep conditioning routine. And of course, there's the singing and the documentary-watching.

And this is just inside of my apartment! There's a whole world of things outside of the apartment that I enjoy doing solo - my samba classes, my workouts, shopping, eating what I want without being policed.

Not that I don't love doing things with my SO. Not at all. But there are definitely things that I did when my time was all my own that I miss now because I'm trying to balance a busy work schedule with future family time, so to speak.

That's when I wondered whether these self-help blurbs for singles are written by people who are happily partnered. Because it sounds a lot like my happily married mother's advice when I was a young, yearning girl. "One day, you'll look back at this time and be repentant," is the only thing missing from the learn to be alone injunction. 

Because that's what I wish I could tell my single self now and what I'll know in the future. This time that you're spending doing whatever the hell you want is priceless. Don't sell it short for the sake of a relationship. Enjoy it. Soak in it. You may not have it again.

Especially since I have baby fever at all times, I don't feel like I'm going to get to enjoy too much of my future married life non-pregnant or mothering, insha'Allah.

So if I don't take advantage of the last of my alone time now, gone could be the days of my concurrent samba dancing, jazz club singing (!!), personal training, exercising, hair henna glossing, two strand twisting, journal writing, MPB singing all the while doctoring self.

Ahhh...I get it.

But I did not arrive at this place when I was perpetually single. I didn't know what it was like to divide my time. I had time to do all of those things but I also had time to be lonely, devastated and disillusioned. That space is now filled and is overflowing into my alone time.

So now, I know how to be alone. Yes. Great.

No, but actually, great! It just gives me hope that my success in a relationship was not dependent on my being completely happy single. In fact, part of the impetus that keeps any two of us together as disparate human beings is anything from a preference against to a fear of being alone. So that's okay.

But I didn't need to have the single thing perfect before leaving that stage of my life.

...and the fact still remains, if nothing much is going on, I'm going to end up calling my mother, preferentially, anyway.

Monday, April 7, 2014

We Are Fantastic!

As salaam alaikum,

I was single until I was 27. Scratch that, I was woefully single until I was 27. I am 29 and still unmarried. In the age of more equality for women than in recent past, higher percentages women in colleges and universities than men and entering the era of embracing or rejecting leaning in, people have given me reasons why we're still single since before I should have been worried about it.

Those of us who are in this class, those of us who are or have been woefully single, know these "rationale" well. We know it so well and it's so tired that I'm not going to recant it here! Suffice it to say, it is largely untrue.

Whether it's a small pool of black men who will accept a woman who has more degrees or more earning potential, whether it's a small pool of Muslim men who will accept such a woman, whether it's a small pool of men, regardless of religion, who won't push sex...there are diverse factors at play as to why so many of us have been so woefully single.

But we should never think that it's because we are impossible. That it's impossible for us to be desired by a man, impossible for us to be loved, impossible or just too damn hard, because that is also not true.

We, my sisters, are fantastic!

Every long-single woman I know, whether she is woeful or not, is a fantastic, multifaceted woman who is not in any way impossible.

Granted, being in an actual relationship after being long-single is a steep learning curve. We are fantastic but we're far from perfect and after living comfortably in your own clutter, so to speak, someone else being present and moving through that clutter puts your shortcomings on blast!

After being long-single, being in a relationship with another person will present a steep learning curve, but it's not impossible. And it may be hard to break through the walls we've built for so many years to protect ourselves from loving too easily and getting too hurt. And things that may be self-evident for someone who has had more relationships than we have we have to experience for the first time. In some unanticipated ways, we are grown women like young girls in ways our partners do not expect.

And the rest is starting from zero and recognizing that letting someone, anyone into your life like this, this close, this intimate, is hard simply because that person is outside of your body and not you.

Not impossible.

And it's not our faces, the amount we cover or do not cover, our size, our shape. When it comes to the physical strictly, there is literally someone for everyone. When I was woefully single, I used to want someone who loved me but never did I imagine someone looking lovingly upon me when I couldn't look that lovingly on myself. Who would have though that I would still be gorgeous even when gaining weight and my face starts to take on that rounded oval shape?

We are fantastic! And there are tons of things that we don't have to have all figured out before entering these relationships. We don't have to love ourselves fully, we don't have to have lived out our every ambition, traveled to all of the places we wanted to go, be fully realized women. It would be nice, but we're not perfect, and we're still going to frown at our thighs in the mirror sometimes, and engage in negative self talk every now and again about the stupid mistake we made at work, stupid me. We won't have learned that third language, we won't have filled up our passport, because it's okay to still be a work in progress.

Because we won't change but the context of ourselves and aspirations change when we make space in our life for another. And it's okay to grow from that point, too.

We are not impossible, we are fantastic.

I know because at 27 I met someone with whom I could just be exactly the Muslim woman I am, exactly the physician that I am, exactly the black woman I am and everything in between that I haven't had the chance to be with anyone else. And I thought there was something wrong with me, intermittently, in the years before when I wasn't considered past my face, by body, my cover or lack of cover, and my potential in short-term sexual encounters. And loving me is easy to him. And loving him is easy.

And before I met him, I knew I was fantastic.

I just also thought I was impossible.

But none of us, sisters, are impossible.

Wednesday, March 5, 2014

The Other Side of the Storm

Salaam,

I'm waking up on the other side of the storm. I just completed 5 weeks of inpatient medicine where I was a senior on service. It was great - I learned a ton, I taught a ton, and I have so much more to learn. I passed Step 3, I'm completely done with the USMLE and I'm one step closer to being a sho' nuff doctor. I'm coasting through the rest of second year with all outpatient rotations after being fairly front-loaded.

And my life around me is a bit of a mess.

I'm sure I have some rotting food in my fridge that I'll soon be obligated to touch to throw out, my bathroom is the nastiest I've ever let a bathroom get (I have a low tolerance for bathroom mess), I have one load of laundry left to do, a bunch of clean laundry to hang and a whole new bunch of laundry piling up in my hamper. I have weeks of eating hospital food catching up with me and I'm off my wellness game. I have evaluations to complete, procedures to log, continuities to track, all sorts of things. I basically have my work cut out for me right now.

But...I'm going to take it one step at a time. Tonight, laundry will go unwashed, the tub will keep it's ring, the rotting food that is now frozen in time in my freezer will freeze another day. After clinic, I will go to the gym, I will come back and do a hot oil treatment, shower and shampoo, and then chill the rest of the evening.

Early spring cleaning? I'll save that for Friday after the gym.

I admittedly let myself go during this last block in favor of being a present, active, senior. I had a bunch of awesome interns that made my job easy. And I think I did the right thing. In order to be as fully committed to service as possible as a resident, you have to siphon some energy from other parts of your life sometimes. The part that I didn't want to sacrifice were relationships. So I kept relationships up and running, maintained the bare minimum personal hygiene, and pushed forward on service.

Last night leaving was relatively cathartic. But residency goes on.

Now what? I have a full day of clinic, then I begin our behavioral health block. I look forward to hanging out with my second year class and sorting out the untidiness in my life and faith right now.


On a slightly unrelated note, I only have nightmares when I sleep on my back. Last night, I had a disturbing dream that the world around me was being destroyed by huge bombs. Already, several people had died and the world was left in a state of anarchy and uncertainty. I was back at home, and it was only my mother and I at home at the time. I don't know where my father and brother were. I was sitting at the table, eating a breakfast of mixed fruit (which was dream fruit so it didn't look like real fruit) that I think was good. My mother and I were having a good morning, shrouded in the fact that we were living each moment like we could get killed the next. It was so scary, but I was a full physician at this time and I had to drive out to work. The problem was, I didn't know which route to take. There was a freeway exchange in my dreams (way back...I'm reaching back, now, because I hadn't had a dream about that exit in a while) that I usually avoided taking when leaving Ann Arbor but that I'd have to take because my other route had recently been destroyed.

And although we knew that we could get killed at any moment, our moments were filled with constant prayer and we had faith in God that we would be seen through. And with all of this on my mind, I ate the fruit plate before me and chatted with my mother about the state of the world as the sun shone more brightly than it usually does in Michigan and as the deceptively tranquil day was before us with blue skies.

I woke up, fearing for my life, sleeping on my back with my head to the side, looking at my open closet. Not sure why I only have nightmares when sleeping on my back.