Showing posts with label residency. Show all posts
Showing posts with label residency. Show all posts

Wednesday, June 22, 2016

Make Way for Compassion

As salaam alaikum,

It's been more than four months! It's about time for another entry!

This one was a long time in coming, and perhaps more is coming. The Orlando shooting generated a flurry of emotions that are hard to contain and hard to enunciate. The overarching feeling is hurt. Pain. Mourning, dread, anger. Frustration. Anger.

Fear.

As a human being, I mourn the loss of innocent life at the hands of Hatred armed with an assault rifle. As an ally and a person of color, I hurt for the attack on one of the few safe spaces for this very marginalized group of the community.

As a Muslimah, I am the most angry and the most afraid. I was of age post-9/11. I'm even more angry and so much more fearful than I was back then, and this is not because I've shed the ignorance of youth.

I remember going to a college football game with my high school band director, and I didn't know that I could not bring my purse into the stadium. I cried as they made me throw away my new purse, stuffing my belongings into my down coat pockets. I thought the whole exercise was ridiculous, because everything in my purse was in my coat pockets now and the leather posed no additional threat, and besides, who would want to attack a college stadium in the breadbasket of America? I thought terrorists had bigger fish to fry.

Flash forward 14 and 15 years, and this is precisely what these terrorists are doing. They are attacking stadiums and busy tourists squares, office Christmas parties and night clubs. Especially with these American sympathizers, their motives are random and no where is safe.

As an American Muslim, I am angry in some of the same ways that the non-Muslim population is angry, and then some. Terrorists are the foremost attackers of my faith. With each act of terror, with each vitriolic sermon, with each evil intent, in addition to their murders they are smearing the religion of millions of peaceful worshipers as well. Idle American Islamophobia have nothing on the years of heinous activity of these groups.

I am also afraid in some of the same ways as non-Muslims are, but I also fear retaliation. Two mosques in my community were threatened within days of each other after the Orlando shootings and one arrest was made. This is the first year I'm actually afraid for Eid.

Hatred abounds in so many ways, and fear is paralyzing. So I implore everyone reading this to counter with the best self defense: love. Love and compassion.

There are a lot of ways how, and I won't get to them all in this entry, but I'll share a bit of my personal journey.



It wasn't just because of residency and HIPPA that I strayed from this blog. A lot of things changed in 2012. The primary event was the beginning of the relationship with my now-fiance, who likes the term "culturally Muslim" for himself. This relationship transformed the way that I think of myself and the way I envision my religion, and for the sake of our privacy, I have not included details here.

It's mainly in positive ways that the relationship has changed my blogging. I am a lot happier and many of the writing topics born out of angst have no longer come to be.

But the ways in which I practice and believe have changed so rapidly at times, it's like whiplash. Sometimes, I couldn't put it into words.

Residency itself was still a major reason I have not been as prolific as earlier. I struggled my intern year, not only with the rapid changes in my faith but also in tussling with impostor syndrome and not feeling supported in my residency program. In spite of this, one of the gifts of my residency program was a curriculum in self care. "Heal the healer," I often remind myself, which not only reminds me that I need to take care of myself before I can fully take care of others, but that I am a healer. Or at least a healer in training. Not all physicians think of themselves as healers. I certainly didn't for much of residency and didn't intend to when I started.

With the curriculum came teachings on compassion, among many other things. I listened politely as my mentor presented data from randomized control studies showing the power of prayer. I was smug. I didn't need a study to tell me that. And as she taught us about the different types of meditation, I reflected on the aspects of salat that corresponded to each type of medication. God, indeed, knows best.

The study of compassion, particularly self-compassion, was more challenging for me. I learned to quiet the nay-saying voice that rejoiced in my perceived inadequacies and replaced my despondent negative self-talk with mindfulness and the RAIN technique. Until last week, I thought that I was primarily rid of negative self-talk.

Then, I accidentally put something into my mouth during Ramadan.

I have fasted consistently since I was 18, and that first Ramadan I accidentally put a piece of candy I was offered by a well-meaning friend into my mouth. Realizing one second later what I had done, I spit it out and drowned in guilt and shame the rest of the day, wondering if my day's fast had been invalidated.

That happened last week, as my clinic was celebrating Juneteenth and I had painstakingly avoided offers of food all day and reminded each person I was fasting, from the staff meeting breakfast in the morning to the barbecue, at which I was a scheduled speaker. I packed food that I would be eating 6 hours later when the sun set, and somehow, in the midst of that, I was offered an edible flower and I placed it into my mouth before realizing...

...and all those same feelings came back to me as that day 13 years ago.

And I realized why I had imperceptibly started to feel distant from my religion. I had cultivated a personal religion that was often devoid of self-compassion, and it was no longer nurturing me.

And it's lack of compassion and self-compassion that can breed hatred.

I realize this is a weighty claim. More on this later.

Monday, June 29, 2015

No longer a resident

As salaam alaikum,

I've been busy but not busy, if that makes any sense. I've been mentally and emotionally busy, preparing myself for graduation for residency. This included taking (and passing, alhamdulillah) my boards, getting my work schedule arranged for when I start my new job in September, tidying things up for my patients before I hand them off to the new resident, moving...

Ya girl's been busy.

There is also a lot of background noise right now, honestly, that has gone on for the last three years. My faith has been challenged in a very specific way that I have not shared on this blog, because it is a moment in progress. When this metamorphosis of sorts is complete, I will speak more openly and frankly about it. For now, sorry, you just get tidbits.

But alhamdulillah, I have completed residency and I am now a family physician practicing family medicine with obstetrics. This morning, getting up and not going to clinic, I felt starkly naked in a way I never have before in my life. I said at first that I felt naked because I was no longer a resident, but in truth, I've been a resident for only 3 years. It seems like nothing and it seems like forever at the same time.

I gaze at pictures of my co-residents and feel like I miss them already and that I never truly got to know them at the same time. They are a group of 11 people that I love and with whom I have experienced something unique that will not replicate. I feel like I've known them forever and for not that long at the same time. They are excellent people and I hope we continue our road to excellence.

I went in three years from being an insecure medical school graduate, not ready to embrace myself as a physician, to a board certified family physician with no insecurities about my capabilities. Again, alhamdulillah.

This moment, however, reminds me of a song Elis Regina sang, called, "20 Anos Blues."

Ontem de manhã quando acordei / olhei a vida e me espantei. / Eu tenho mais que vinte anos. / Eu tenho mais que mil perguntas sem respostas. / Estou ligada a um futuro blue.

Yesterday morning when I woke up, I looked at life and I startled myself. I am more than 20 years old. I have more than a thousand questions without answers. I'm tied to a blue future.

And while I do not believe I'm tied to a blue future, there were all of those ways, over the past few years, that I realized that I was not my 20 year old self. I am not who I was when I began this journey to be a physician, to be a better Muslimah, to make my own contribution to social justice.

I'm not 20 years old anymore. My grandfather is not on this earth anymore and my brother is an adult with autism who is unemployed, unskilled for most vocations and lives at home with my aging parents. I am a family physician continuing a very separate life on the West Coast, away from my aging parents and away from my brother. My personal life bears harsh realities that I did acknowledge, in a highly dramatized form at 20 years old, but that are more eminent now, as I begin to make plans for marriage and a family of my own.

At the same time, I'm not 20 years old anymore and I don't look for ways to save the world at every turn, in every crevice and with every issue. I'm looking for very specific ways I can make an impact in matters that I care most about and that I know most about.

I'm not 20 and I'm not premed, I'm a family physician. I don't love a man absently who I have no access to, I love one who is here, on earth, with me, who is not a character I created but a real man who doesn't always follow the ideal script for our lives but who is here regardless. I don't look outward for my Muslim identity, I look inward.

So I begin this two months off before starting work period resuming Ramadan (Ramadan Mubarak to all) after the Feminine Interruption. I return to focusing on The Compassionate.

Tuesday, January 27, 2015

Reclaiming Myself

As salaam alaikum,

Happy New Gregorian Calendar Year!

It feels silly to say it now because this year barely felt like a new year, except that it is the first year that I am not sharing a realm with my grandfather. I heard the song that I heard years ago upon waking from a nightmare to daytime in my grandparents' home and I cried because one of the comforting elements of waking up in that environment was gone.

It's also silly because it is 26 days into the month of January, and life has gone on, much as before. It's almost the month of my birth. I turn 30 this year.

I don't have any specific New Years' resolutions, more like continuations of the goals I've had in the months prior to the New Year. But one of the major things that it happening this year, insha'Allah, is that I'll be graduating from residency. And for the first time ever, I'm not tacking on an extra thing, so no fellowship. I am graduating, taking 3 months off, iA, then I'm going to start working in an FQHC (federally qualified health center). All insha'Allah. So soon enough, I will no longer be a resident. And soon enough, I will have time to write as I have not had for some time. I have posted minimally during residency, and it is not for lack of topics.

My life has also been very active, not only in terms of residency training, but in terms of relationship and family stuff. And out of respect for my father and my SO, I keep the discussion of most of the themes of that outside of my blog. So that makes for...not as much to talk about, publicly, at least.

On the other hand, it makes a lot to think about on my own side of things.

So this year, probably not until after June, iA, I plan to revamp this blog, to post more, to be more reflective on residency (that has been challenging, and not just in subject matter), relationships and my life in Islam. For now, I will only be able to deposit little nuggets here and there.

In the meantime, I'm ready for the year of 2015, thirty years after my birth (wow) to get up on out of here!

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.

Monday, September 8, 2014

Body of Confessions: Long Hair

Salaam,

I'm on nights right now and I just squeezed by with only four hours of sleep. There is a mandatory diversity session at my residency tomorrow that I have to attend from 1-5pm, thus abdicating a full morning of sleep. I should have slept more, but I'm so excited that I have a little bit more time to write because I'm sleeping less.

Earlier this week, I decided to resume taking vitamins for hair and nails. I had taken these vitamins consistently for several months during medical school and saw some real results in terms of not only hair health but hair length unparalleled to my previous efforts. I stopped taking them, actually, only after I had lost some weight and the pills started making me nauseous. At that time, I also started doing some other hair care things that really improved my hair health overall, and I have seen more strength, health and growth than I have seen since I was 12 years old. I have had some breakage at my crown, though, so I decided it would be a good time to bring hair vitamins back into the mix.

Hair vitamins also have B complex, which is helpful for me for stress. When I started taking B complex in medical school (before I started hair vitamins), my mood improved tremendously in just a couple of weeks of resuming the vitamins.

Anyway, on the eve of taking the hair vitamins, I decided to also straighten my hair to trim my ends. I sometimes trim my ends with my hair straight so I can retain some type of straight shape, and other times when it's kinky by just clipping the ends of twists in my hair. I wanted to straighten it just to get a sense of its straight length.

After straightening my hair, I saw that my hair is actually longer than it has been probably since 2006 or so. It made me realize that I was not able to retain any length in my hair during medical school, probably mainly secondary to vitamin deficiency and stress. It's still odd to look at myself with my hair straight, not only because my hair lives in a puff atop my head for most of the year (which is actually conducive to breakage at my oft-neglected crown), but the last time my hair was straightened, it wasn't this long.

Because duh, hair grows.

And while I reveled in my new hair health, a baseline that so many take for granted, when I slept the next morning (since I'm on nights, I sleep during the day), I had a dream that I had straightened my hair and I was surprised to find that my hair was significantly longer--12 inches longer. And I reveled in having long hair just to awake and remember that though my hair is longer than it has been in a while, it is not that long.

And then I became instantly disappointed in myself.

Long hair, don't care? I feel like that is not a reality for many, if not most, black women. More like, long hair, absolutely do care.

I have lived a life that I tried to be as little about my hair as possible, in some parts of my life more than others (namely, the years where I wore khimar). After having a mother who fussed over how my hair basically dissolved away after chemical treatment, I did not to have any part of continuing that tradition, so I went natural. I stopped letting chemicals seep into my scalp every 6 weeks in favor of my natural texture, the touted "new growth" that for several years had been the nemesis to my attempts at bone-straight hair. I went natural, and all of the straight hair fell out. That was in 2003.

Years later, when the likes of Curly Nikki and Naptural85 and all of these other naturalistas came out, I had already arrived at a hair regimen of my own that mirrored popular natural hair care culture. Braiding my hair and then undoing it to have a longer puff was stretching, that thing I did to get spiraly hair was called flat twists, among other things.

I have worn my natural hair when it is only a few inches long and have struggled with it, sometimes inadvertently destroying my hair. I have not been about length, I have been about health in my daily hair care practices. The fact that I wear my hair in a puff most of the time is a testament to my favoring low-maintenance hair styles for my life as a busy resident.

But regardless of how I feel during the day and how much I am an advocate for love your body, including your hair, as it is, I have persistently had these dreams as an adult. As a child, I have not, only as an adult have I had these dreams where I wake up and my hair is significantly longer than it actually is in real life.

And I guess that's just it. At a subconscious level, I want to have much longer hair, hair that I can straighten and let blow in the wind, hair that I can let shrink and shake about my head and still have some length to it. It usually happens after I do my hair in a way I find particularly cute--invariably, I'll have a dream where it's even longer, and even cuter.

I think the fact of the matter is, subconsciously, so much of my idea of femininity is connected to long hair, and not just longer than men's hair, but long hair at base. And I've never had the length of hair that is in most cultures considered unquestionably female. And while the styles of my hair are generally more female, I have to count on the contours of my body and the way I dress to express more of my femininity, especially in those days I'm in a rush and can only do a puff.

And I wish it weren't like that. I wish I didn't have that subconscious desire to have longer hair, but it is there. It sometimes haunts me in my sleep after a day that I feel like was otherwise content. I know it's not about anyone else--it's about me. Because in the dream, each time, I'm waking up in the morning, preparing for my day, and looking in the mirror in surprise. No one else compliments me, no one else becomes attracted to me, no one else cares. It's just me in front of the mirror, marveling at my own self.

I'm usually thinner in these dreams, too, but I'll save that one for later.

Saturday, August 23, 2014

Some Truths

As salaam alaikum,

"The one thing we did right was the day we started to fight. Keep your eyes on that prize, hold on." - "Eyes on That Prize"

I don't usually get political. On this blog or anywhere else online, really. Definitely not Facebook. But one of my co-residents posted something about Ferguson, and how we should keep talking, and while I agree, more than just talking needs to be done.

More than just media showboating needs to be done.

I posted in the Facebook comment box that we have a militarized police force that has been in full force and growing since the 1980s institution of the War on Drugs. I told her to read The New Jim Crow, which I have to read in pieces because it makes me angry. I told her that post-civil rights is a fallacy. The Civil Rights movement didn't end, it died. It died with a lot of its key leaders who were assassinated, thanks in part to our own FBI. To this day, I don't understand how more people don't know about COINTELPRO. Even if there were only evidence linking the FBI to the death of one Black Panther (and I believe there is more evidence than that), isn't that bad enough?

The movement was posthumously declared over. There was still work to be done and Malcolm X had just found Islam and that shaped the way he saw the movement, Martin Luther King had more than just a dream, he was a man of ideas made tangible and wanted to move to overall social justice and poverty next. So many leaders and non-leaders, young people, killed, so many deaths without justice.

Post-civil rights movement is a fallacy and that's exactly how Michael Brown could be shot with his arms up, feet away from the police officer so many times into his poor body and left dead in a pool of his own blood on the streets of Ferguson for hours in the sun, like a dog.

Black life is not valued in this country, never has, and if we do nothing, never will. Some black people do not value black life. That's how my cousin was murdered and left for dead in a pool of his own blood while trying to go to work to provide for his young family. For a few dollar bills. And the killer has not been found. That's how another cousin killed in cold blood and will spend the rest of his life in prison. That's how Emmit Till and thousands of other black men had their bodies destroyed for sport. That's how Eric Garner was choked to death in public and that's how Michael Brown was shot and left for dead.

Left like a dog. Or worse than that, because someone would have handled the body of even a stray dog.

I could say so much more, but this is not the only issue out there right now. This summer was a hard Ramadan for many because of injustice and death so many places in the world, most notably in Gaza. I don't like to get political mainly because I don't have time, during my training, to be part of the grander solution. I don't have time to be well read and therefore the best spoken here, and I don't put my prose to its best use, which I do not believe is an online blog that few people read. I believe that is mobilizing people who have the tools and the drive to affect legislation.

My parents have also always feared my online presence, especially as a Muslimah, because long before we knew about NSA, my mother, as a former black nationalist, knew about the NSA. In the sense that she knew after 9/11 there were most certainly governmental bodies that had the power to tap into our lives as the NSA has. Call that some old NOI conspiracy theorizing, but it was true, and now folks acting shocked.

I could say so much more, but instead, I choose to end this entry with a series of truths. This goes beyond Ferguson. This goes beyond the other string of innocent black men that were killed before Michael Brown this year and were killed after. This is about Civil Rights.

1. The militarized police are here to stay and will continue to use excessive force unless meaningful and deep rooted legislative action happens to eradicate it, much of which is firmly based in the War on Drugs. Our legislative bodies have not been in a state to affect that type of change and won't be in the foreseeable future.

2. The 1960s were a horrendous decade, not only because so many people were killed, but because the government lied, step by step, over and over and over again.

3. The Civil Rights movement should not have been over when it was. There were many victories but the status quo is not a victory we can declare post-civil rights worthy by any stretch of the imagination.

4. As Affirmative Action programs have ended over the country over the last 10 years, the "playing field" is still far from "level," as long as predominantly black schools remain predominantly poor, meaning the majority of black kids get substandard education to inhibit college success.

5. SCOTUS knew exactly what they were doing in voting down the Voting Rights Act, and that "country has come so far" rhetoric was a cover. Poor blacks won't be counting marbles in a jar to get the vote but there will surely be other restrictive measures popping back up, and it won't be restricted to the South.

6. Speaking of the value of black life, some black people also do not value black life, this is true. The reality of white-on-white crime aside, black self-violence is apparent not only in crimes and murders committed but in our own music, our entertainment, our leisure. This must stop because, fair or not, there is a group of people who will not value our lives because they figure we also don't value our own. And we will continue to die in our own hands and in the hands of others, on the street, in pools of blood for hours, worse than dogs.

7. Regardless of the above, it is egregious to blame the victim, and every time a young black man is killed, the victim is blamed, it is justified based on circumstantial issues that really are not worth dying over. Like Trayvon and weed. Like Emmit Till and flirting with a white woman. The latter should sound as ridiculous as reasons to die as Michael Brown stealing candy and Eric Garner selling taxless cigarette singles, except even more so because it was carried out by law enforcement.

8. COINTELPRO is real and it's declassified. And just because its now declassified doesn't mean that our government wouldn't and hasn't had similar endeavors, so to speak.

9. We talk about how our healthcare system is broken, and it is, but moreso our penal system is broken, broken and costlier than the education of our children, which further feeds into the system. The disregarded black bodies that are not slaughtered spend some time in the penitentiary, if not the majority of their lives, most of them for petty drug offenses, spending time and tax payer money in a place that has no reformatory value and leave unable to make lives for themselves because of ex-con status.

10. Injustices such as these will continue to happen, in spite of peaceful protest and marching in Ferguson until our government takes thing seriously enough and do as they did during the movement and sign the needed changes into law.

I think 10 is a nice round number. There are probably others that I could include.

It's been more than a month since my grandfather passed, and I feel even more emboldened to try to take over where he left off before a stroke and an ICU stay in the 1970s changed him from the outspoken member of his local black nationalist organization to a quiet man whose memory of injustice often suffered in silence as he changed his focus to his growing family of grandchildren.

"The one thing we did wrong was stay in the wilderness a day too long."

Let's not let time pass after Ferguson, security set in, and we wander back to the wilderness.

Wednesday, June 18, 2014

All I Want to Be

Salaam,

As another Ramadan approaches, I'm starting to become more reflective and introspective at a time that my incoming rotation will not allow me to be. I'll be on a surgery inpatient service for the duration of Ramadan. I just have to get in enough calories and hydrate enough during suhoor and before I begin my shifts at 5am, and I think I'll be fine, iA.

But also, as another Ramadan approaches, I reflect on all of the things I've wanted to be over the years, all of the things I want to be, and all of the things that I've tucked away, at least temporarily. One of them is a better Muslim. That definition has shifted over time and looks a bit different than it did 11 years ago when I fasted my first full Ramadan outside of my parent's home as an 18-year-old college freshman.

It looks different than it did when I was a new, 21-year-old hijabi.

It looks different than it did when I was a 24-year-old medical student, struggling with the fear that my first Muslim brother-crush, who was marrying someone else, was maybe the best, the last and the only chance I'd ever get at love.

It looks different than I did when I was 27, newly disillusioned with love and certain aspects of my religion and moving from east to west coast with hopes to realize my dream career.

I think that, more than any time in my life, my self-definition is fluid. That sounds wishy-washy. I mean that I realize that parts of who I am are continually evolving as I grow and learn. I do not expect to reach my destination and still have life left to live.

In essence, I will not attain "better Muslim" at once and then sit pretty for the rest of the time. It will be one of those life goals I will work toward until the end, whether that is the end of my life or the terminal decline of my cognition.

And while one could say that my Islam is all-encompassing of the most important things of my life, I also have other aspects of my life for which I recognize that I will not reach a destination before the end. These identities of mine are constantly growing and changing, and I thank God for that. It means I'm very much alive.

It also means I can't close my eyes and see where I want to be at any given time. I used to be able to close my eyes and see such vivid detail, from the color of my clothes to the height of my husband, to how many kids we'd have at our sides. With maturity these details have necessarily become more vague or are now nonexistent, replaced with an intangible placeholder named insha'Allah.

Because I couldn't have made up the last two years of my life when I was an 18-year-old freshman or a 21-year-old hijabi or a 24-year-old medical student.

And that removes the pressure I feel to be all that I want to be. I no longer feel pressure to be all of these things soon, as if it would never happen otherwise. I no longer feel pressure to be all of the things I want to be at once.

I no longer feel the urgency of being all the things I want to be. It's all insha'Allah, and for the first time in a couple of years, insha'Allah doesn't feel daunting to me.

I guess this is what it means to Submit.

There's so much that I am that I want to be as much of my life as I can, but I cannot, because of the earthly limits of space and time. I want to be all of these things, including a writer, an artist, a singer, a musician - a family physician, a public health practitioner, possibly a medical director - a mother, a wife, a daughter-in-law--while carrying with the things I already am--a Muslim, a daughter, a sister, a cousin, a friend, the list probably goes on. I want to be all of these things at once because I enjoy each of them, in each of them I find meaning and purpose, in each of them I express a little of myself, and to several of them I aspire absolutely.

And for the first time, I'm okay with the fact that there may be some things that I'll never be. I'm not despairing right now with the possibility of never bearing my own children, but maybe I'll adopt or foster. I may never publish a fiction piece, but I'll keep writing. I may never marry, but I'll love and nurture those who are in my life. Not saying that they would not be hard to come to terms with, but I'm accepting.

Whereas when I was a teen, when I saw the future, I saw black, bleak, dark--whereas when I was in my early 20s, I saw future as a series of detailed ideals with a backdrop of grave anxiety--I can't see the future now, as I never was able to, really, and I'm placing my trust in God, the best of planners, while moving forward prayerfully with my own purposeful plans in the meantime.

By God's grace, I will be able to be all I want to be.

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.

Thursday, May 1, 2014

Dissociative Moment

Salaam,

I just had a dissociative moment. I looked at my full name, first and last, on facebook and didn't recognize it as my name for a moment.

Because Nigerian names are so unfamiliar to most in the NW, and penned by my residency classmates, I've started going by Chi or sometimes Dr. Chi. Which is cute on several levels, yes, but that's not my name. My name is Chinyere. Everyone in medical school called me Chinyere, except the West Africans and my Romanian friend called me ChiChi on occasion.

Chinyere, ChiChi--those are my names. I refuse to use ChiChi in the professional standpoint, but I'm Chinyere.

Then, my SO's friends call me by my middle name because that's how he's introduced me for months before they met me, because he doesn't want them to butcher my name, but that's also disorienting...and then his mother calls me my middle name in Albanian...

And at the end of the day, I've been called other than Chinyere the entire time that I barely feel like Chinyere anymore.

And that's a weird feeling.

I call home, and my mother is more likely to call me one of my many nicknames with her (including, but not limited to Missy, Missy Moosey, Lucy, Lucinda, etc.). I can count on one hand the number of times my mother has actually called me Chinyere (well...maybe if I don't count Chinyere-bee-baby...for those who don't know how to pronounce my name, re-bee rhymes with baby).

My father...almost never calls me by my name unless he's locating me in the house or commanding me to do something. So the only correct way I know how to pronounce my name (because I even mispronounce my name to make it easier for English speakers) is in the context of a shout.

"CHIN-yere!"

I think the rest of the time, he calls me Nne Nne...or nothing.

Oh yeah, more nicknames from my mother - Chich (pron. Cheech...she never calls me ChiChi), Chichmeister...

Yeah, I guess my father doesn't have a ton of nicknames for me. I'm Nne Nne, my brother is Nna. Or Nne Nne Le and Nna Le. Or Nna Nka.

I really regret that I don't know Igbo.

So I spent a lot of my life either being called out of my name or having my name butchered by those around me. My friends always knew how to pronounce my name, though.

But after a full day of being called Chi and Dr. Chi (occasionally actually hearing my last name)...it's a weird, dissociative feeling. I feel like I used to be Chinyere, but now, I'm Chi.

That's it. I'm going to start using my full name again. No more, "Red team, this is Chi." It's back to, "Red team, this is Chinyere," when I'm on service.

Because I love my name, and I feel the most me with it.

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.

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.

Wednesday, February 19, 2014

The Business of Being Born

Salaam,

I'm following along with my cousin's induction at a distance. She was excited to go into the hospital yesterday, but I knew all too well what a nightmare inductions from 0 dilation can be. I've been following along, step by step, and now, more than 24 hours into her induction, she is finally getting into a more active labor pattern (wouldn't call her being in active labor yet!).

When she and her mother began to get discouraged when she was 1cm after 12 hours of misoprostol, I assured her that I had managed some women who were inducing over the course of 4 days (I didn't include that some of these women were so tired by the end that they opted for c-section).

To which her mother, my cousin, said, "They were in labor for 4 days?"

To which I answered, "Yes and no." Putting misoprostol in the cervix is not the start of labor. The start of labor is regular, painful contractions and cervical change. So some of those women were not even in latent labor for more than 24 hours after the first cervical maturing agents were given.

My poor cousin, who did a lot of talk on Facebook and elsewhere about her moment, how no one was going to ruin it or force her to take medications...asked for an epidural after the first hour of contractions at 2cm dilated.

Can't say I didn't see that coming...but anyway.

When my time comes in the next 5 years insha'Allah, I will not turn my nose up at an epidural, I'll say that right now! It'll be nice to try natural, but I'm for safe delivery of babies first, and I'm not sure I'd tolerate a foley balloon, either.

Anyway, all of this bustle around the third great-great-grandbaby of my grandparents (my cousin's first granddaughter, my newest first cousin twice removed, hehe) has gotten me excited about my own childbearing prospects.

So I'm just going to say it, categorically, once and for all.

I love babies. I love babies, always have, always have wanted more than I'll perhaps be able to handle, and always looked forward to the day of being a mommy. And ever since the first time that I witnessed childbirth, I've wanted to experience that as well. Yes, the moment that make most women cringe as they watch the head pop out of the introitus, sometimes destroying the perineum in its wake and gushing forth with blood and poop made me say...I want to do that!

I'm continuously bitten by the bug of seeing women around me pregnant and birthing babies. From one of my attendings, one of the former residents of my program, who had glamor shots after she had a successful vaginal delivery of her 6 pound beauty, to my co-resident who recently went to c-section to deliver her surprisingly plump 12-pounder. From the plans of one of my attendings to conceive in the next year to the current 21 week pregnancy of one of my classmate's wives. Not to mention the oodles and oodles of babies my med school classmates have been having.

I can wait my turn!

That is not a typo, haha. I certainly can wait my turn, but it doesn't make me any less excited! I don't feel any less privileged to take part in the birthing process for all of the families that I've delivered, even as that number builds up. Every time I get to deliver a baby is still exciting, though in different ways than it was initially as I build up experience. But I've seen enough people on the other side of things to know that starting a family is no joke in a way I cannot appreciate until I'm there.

So I'll just keep training for now, work on getting married first, and then will make an actual five-year plan...

In the meantime, my cousin just dilated to 5. I have to go to work in an hour in which I will be managing our maternal child service in the afternoon. So I'll be surrounded by all things baby soon enough. For now, this morning, I have to focus on my medicine patients.

But, rest assured, I've been excited about having my own children for years now. I think about having my own children seriously every day, from what they'll look like (with my current SO as the combination) to what I'll name...the girls. Boys names are tough for me.

And having experienced, through friends and patients, the joys and traumas of the conception process, from miscarriages in the second trimester, fetal demises in the third trimester, preterm deliveries, complications, and infertility...I'm ready for parenthood in any form, whether they are my own children or whether I am adopting. Insha'Allah, I'm ready...

...to wait!

Sunday, February 16, 2014

Hypomanic Birthday

Salaam,

Last week, I worked for 76 hours. I haven't worked that much since I was an intern (God bless R2 year!). Yesterday alone, I worked from 6:30am to nearly 11pm. I had a video to make for my former boss (long story short) and I had to fry chicken for our weekly Friday potluck, so I got up yesterday at 4:30am. I went to bed yesterday just before midnight, I think. And then I woke up at 4am and couldn't go back to sleep and began digging into old projects.

For example, my dream would be to do a rotation in Family Medicine of some sort in Brazil, São Paulo or in Salvador if possible. I reopened my A Capella project in which I'm producing an arrangement of "What You Won't Do For Love." I was up, scrambling around my apartment looking for the notebook in which I sketched out the bass line and was immediately intimidated by the amount of work I put into this project months ago and realized that it wasn't the best project to resume at 5am.

And I don't know where I would start in trying to find contacts in Brazil in Family Medicine. Actually, I do know...I emailed a physician who I was connected with who worked in public health in São Paulo who I hadn't spoken with in almost 6 years.

Happy 29th birthday to me! Feburary 15!

That was my yesterday. I think I've finally chilled out.

I usually look at my birthday as a new year of sorts. Actually, my birthday feels more like new years than the actual advent of the new year on the Gregorian calendar does. I think my call day sent me into a temporary hypomania from which I came down slowly.

This year also totally did not feel like the beginning of a new year. I think I was too busy to have an intention-filled, mindful birthday. But that doesn't mean I don't have goals for my 29th year.

Realizations I've made in the last year, being 28 years old:

(1) I never got used to being 28. It was the most I've worked in my life and I rarely thought of how old I was. I had to think when people asked me how old I was. It seems like I was 27 longer than I was 28.

(2) 28 was a challenging year but I think it's the happiest year I've had in a while. Residency surely gave me enough stress but I think I was the healthiest I've been in a while from a mental health standpoint this past year.

(3) Prayer changes things. Immediately, sometimes! I shall never abandon it, as God has never abandoned me, even when I consider myself worthy of abandoning.

So, with that, goals for my 29th year:

-- To eat more mindfully.
-- To make more space in my life for gratitude, in prayer and in my relationships.
-- To move forward in my own personal Islam that has been in the making for the last few years.
-- To dance samba!
-- To get in the shape of my life.
-- To up my running game!
-- To write with abandon like I used to, now that I have more to write about.
-- To read more, because there's so many things I've always wanted to know more about.
-- To spend more time with friends.
-- To be more honest with myself and others about my personal values and goals.

I think that'll do it. That's a hefty enough list to tackle in one year's time.

Saturday, December 28, 2013

Superwoman

Salaam,

"Very well
I believe I know you
Very well
Wish that you knew me, too
Very well
And I think I can deal with everything going through your head."
--Stevie Wonder "Superwoman/Where Were you When I Needed You."

After the summer of 2004, before I started to lose my grip on reality and when I began to sense that a relationship between me and MQ was not to be, this song was my theme song. Or rather, my theme song for how I felt about him.

For whatever reason, I felt like I knew him well, if he'd just let me tell him about himself. He would see that I knew him well, and he would come to love me for it. And together, we could deal with everything going through his head.

But then there was this cumbersome part of the lyric to reconcile, and that was about Mary wanting to be a superwoman.

The woman that I was early college, I wasn't into that lyric. What's wrong with Mary wanting to be a superwoman, I asked myself...and probably seriously asked my mother. She didn't give me an answer. For those who have never enjoyed this wonderful Stevie song, here is a sampling of not just the chorus:

"Mary wants to be a superwoman
But is that really in her head?
'Cause I just wanna live each day
And love her for what she is

"Mary wants to be another movie star
But is that really in her mind?
And all the things she wants to be
She needs to leave behind."

Then it launches into the "very well" part.

As my brother is want to say, I took offense to this lyric. Why does Mary have to leave behind the things she wants to do? Her dreams, her aspirations, just for this man? And he claims to know her very well, well enough to know what is best for her as if she doesn't.

"My woman wants to be a superwoman
And I just had to say goodbye
Because I can't spend all my hours
Start to cry."

And like that, it's over.

The lyrics were based on Stevie's relationship with his first wife who had aspirations to be a singer herself. I think he helped produce her first album or something, but it was splitsville from there.

Towards the end of that marriage, Stevie wrote "You Are the Sunshine of My Life" for a woman not his wife. Burn.

Just a little music trivia there.

I took offense and I told myself I never wanted to be with a man who wouldn't let me be a superwoman. Because I've always imagined myself being somewhat of a superwoman. That image has metamorphosed over time...

From my 6-year-old imaginings of a thinner, browner-skinned version of myself sporting bantu knots, a tank top and capri jeans singing "Yes and yes indeed, nobody's just a-right for me," while passing by interested young black men on either side of me in an elaborate fantasy music video daydream to my 21-year-old image of myself in black hijab and jilbab with my activist husband to my left and my young son on my hip, overlooking the landscape of the human rights march we had organized, I always imagine myself a superwoman.

That has got to be the longest sentence I've ever written.

These days, superwoman me is a bit nebulous at best. I see her as some kind of leader in medicine, leader in her community, loving wife and mother, champion of the underserved. I don't see my hair texture or color or whether or not its covered. I don't see the color of my husband or my babies. I don't see my size and I don't hear my voice and the specific of my aspirations I don't know, but I do know I want to be great.

But is that beyond what I am?

Maybe I don't have within me to be a leader. Maybe I'm too soft spoken and accommodating. I've certainly had time in my life to be as activist as I want to be, and I haven't done nearly what I could have done.

Maybe I want to be a superwoman, but that's not really what's in my head. Maybe I should just be satisfied with who I am and go on from there.

...I still take issue with someone telling you, for the sake of your relationship, to forsake your ambitions. Although, at least he left without giving an ultimatum.

The truth of the matter is that I am not the superwoman I saw myself being when I was younger and even among the things I'm relatively good at, I'm mediocre at best at them in the grand scheme of things. I'm relatively poorly read, I'm not that good of a writer, I am not a model Muslimah, and my body has swung on the pendulum back to the fat side of things. My hair is broken at the crown in spite of its growth, and I'm an okay family medicine resident. I'm an occasionally disappointing daughter (to my father) and a distant sister. I'm a hesitant significant other. I'm not the best at anything that I do.

And you know what, that's okay.

Maybe now I can focus on making real goals in my life and not idealized ones, just as I will focus on making a life with a real man in my life, and not an idealized one.

One who I do not know very well. One who I'm not sure I can deal with everything inside his head. And I won't be able to. But that doesn't preclude me from becoming part of his life.

And now I've come full circle.

Sunday, September 29, 2013

Can I Choose You?

Salaam,

I posted this back June 27, 2012, and removed it for various reasons. I decided to repost it because here, a year and change later, having worked with G for several rotations, the while forming a relationship with someone else...I still feel this way when I'm around him.

I think it's just that he has a beautiful spirit...


Can I Choose You? (Repost)

As salaam alaikum,

This stage of my life is amazing and I don't have all of the words to describe it. There are so many things happening, and I'm learning so many things about myself. At the same time, I'm on the cusp of another challenging phase of my life, of many more challenging and rewarding phases to come. I'm drastically changing philosophies that I've held at one time in favor of more organic, realistic and practical ways of living my life, love and faith.

And man, it's not easy.

But in the midst of all of this, I want to say I've fallen in love. I actually haven't. I just have a crush. One like I've never had before, one that was immediate, some enchanted evening, love at first sight, across a crowded room type deals.

We'll call him G.

It's time for me to get ready for work so I don't have a ton to say, except...there's something different about this one, and I can't tell if it's destiny or desire to make it destiny, strong enough, that uncontrollable thing that people always talk about, you can't help who you like.

Because you want to make strong feelings destiny.

You want to believe that there is an eternal meaning for your emotions, that it's part of God's plan, that the strong pull you're feeling towards another human being is God guiding you down the straight path, the path He intends for you. Like, snap out of it, girl, this is it. This is the it you've always wanted.

And the first time I looked into G's eyes, that's what I felt. And I've never felt that way about any living human being before. It wasn't just the striking pale green of his eyes offset by the olive of his skin and his dark brown hair. Because I've seen attractive men before but never been so drawn before...

So, as I prepare for work for the day and other things, I'm deciding what I'm going to do with this. And praying on it, because really, what I want is him. It sounds silly and crazy for someone who lived through an MTQ, but I feel like we're meant to be, and yeah. I want to lock that, secure that in any way I can.

Is it okay if I choose you, G?

Thursday, August 22, 2013

Two AM Insomniac

Salaam,

I just got off of a pediatric emergency department rotation that ended with a week of night shifts ranging from 5am-2am, 2pm-2am and 7pm-7am. As a result, for the past few days, I have been very awake at 2am and 3am. Yesterday, I was only able to get back to sleep at 3am. This is also fueled by the expectation I have for a patient who is in early latent labor right now and could go into labor at any minute...or in several days. Also fueled by being very worried about a patient that I picked up and hoping she survives the night...for several reasons.

So now I'm awake. And I could have just sat in bed and reflected and tried to go back to sleep for hours, but I guess I've already slept four hours and I have until 8am to get up, so what better to do when having insomnia than to get up in front of a screen for a few minutes?

...actually, no, bad. Screen time is not the way to go back to sleep, and this doctor knows that. The fact that I do most of my major activities in this bed these days (including working, eating some meals, leisure time, practicing my clarinet and sleeping) also doesn't help.

The bed is very comfortable, though.

I had a fitful time getting to sleep, too, with all sorts of pre-sleep hallucinations about being awaken shortly after taking melatonin to go attend to a delivery. If it weren't for the whole continuity delivery thing, second year would be easier than first year. I'm going to have to find a way to deal with that.

That, and my plans for an elective are currently up in the air because I've just been so busy with inpatient rotations I haven't had time to adequately prepare and plan. That, and it is so hard to get to faculty to help me out in the matter.

The past few weeks have been filled with a mix of excitement, sadness and challenges. There have been bachelorette parties and weddings, conferences and night floats, a very isolated Ramadan again without being able to attend Eid prayer because of work, Trayvon Martin and The New Jim Crow. It has been an emotional roller coaster and the fact that I'm waking up afraid for my patient's life, unsure about this rotation and, indeed, unsure about my future, make the perfect recipe for my insomnia.

I just lay on my stomach and prayed desperately for a while. The place of prayer in my life has morphed over the last several months.

I also wonder about this relationship I'm in, with a man that I'm pretty sure no person whose ever known me would imagine for me or may not even want for me. I made the decision a while ago that this didn't matter. However, it does make certain aspects of life more isolating.

I think this is a road, no matter what the outcome, that I must travel, though. It is a lesson for me and it will inspire humility. After years of being disappointed that MTQ couldn't see past our racial and ethnic differences to try to make something out of our mutual attraction--I now see how hard that is when you face your loving family's disapproval.

I don't have the strength right now to deal with the "you could do better" and "what's wrong with black men?"

In all, life is really hard, it's an uphill battle and a slippery slope. The feeling of God wavers from familiar to distant and more things are subjective than I'm comfortable with. So boo.