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The Wisdom in Quitting

It was Saturday morning, about 10a. I’d been watching for Whitney the last 20 minutes or so, expecting to see her come bounding down the trail at any moment. I was at aid station #4 – mile 19, the first time I’d see her in the race. As her crew, my job was to tend to her needs as quickly as possible (food, drink, salt caps, medication, clothing, etc) and get her back on her way. It’s easy to burn a lot of time in aid stations in a ultra if you aren’t careful, and Whitney has hers down to a science. She had an aggressive time goal and the training to back it up. We both expected a good day.

I finally spotted Whitney and walked up to meet her. I knew she was off her pace sheet by 15 minutes or so, but with 80+ miles remaining in the race, I wasn’t at all concerned. She had plenty of time to make up a slow start and still get her PR. I asked her how it was going and she responded by saying she needed to lie down and that her asthma was really bad. We talked a bit and at her request I grabbed the nurse who happened to be working the aid station. Whitney was able to discuss her symptoms and he checked her out as best he could. She felt better after lying down for a bit, talking with her husband on the phone and using her inhaler. The rainy weather of the preceding few days seemed to stir up a lot of mold, with the fall harvest likely not helping at all. I could tell she was discouraged and frustrated, but with the nurse’s assurances that she was ok, I didn’t want her to quit without giving her body a chance to come out of the hole it was in, as weird things can happen in long races. The Hennepin Hundred has frequent aid stations by ultra running standards, so I knew she wouldn’t be on her own for long, and I was to see her again at mile 32 (aid station #7).

By the time she came into #7, it was raining and she’d lost more time on her goal. She quickly sat down again and wasn’t feeling any better. I was hesitant to push her too much, as my own asthma was giving me fits so I knew there was more to what she was experiencing than just an isolated incident (a fact I didn’t share with her until she was done), but I wanted her to be more confident in dropping. I wasn’t going to talk her into continuing, but I wasn’t going to talk her out of dropping either. After conversation with some very persistent aid station volunteers she went back out one more time. I would see her at the next aid station (providing an easy out if needed), so there wasn’t much to lose by going out one more time.

Coming into aid station #8, nothing had changed. She was still miserable, it was still raining (meaning no magical mold solutions), and 60+ miles remained in the race. By now our friends Lisa and Joe had joined us, as Lisa planned to pace Whitney a bit later in the race, and some of her running friends from Chicago were working the aid station. Whitney still wasn’t 100% certain she wanted to drop (she shared that she’d only be 100% sure if someone had to drag her off the course), but she seemed a lot less interested in continuing. With multiple 100-mile finishes and several wins under her belt, she had nothing to prove. She would risk real damage to her body to continue, only to “just finish” a race she had originally hoped to win.

We runners tend to idolize those who persevere at all costs…the runners who crawl across finish lines, who complete their races battered and bruised. I personally find more to admire in the runners who’ve learned when to go to the well and when to back off. Those who can say today isn’t my day and live to fight again. Whitney digging really deep, deep enough to know for certain that her day wasn’t going to turn around, and only to then decide to walk away, struck me as courageous and brave.

One of the things I love most about running is all of the little life lessons tucked into the training and racing. Ultra running especially has so many parallels to real life, the microcosm of our experience at Hennepin included. My own health situation might be entirely different right now if I had valued quitting in my own life much sooner. If I had more quickly quit the stressful job that started all of this in 2014, not taken the even more stressful job in 2015 (a case of my being stubborn and not wanting to “pause” my career), and just held still in 2016. Quitting is a dirty word in our society. We don’t value those who can look at a situation (or a race) and say “this isn’t for me” and walk away. Why not? Why don’t we value the ability to take care of ourselves, mentally and physically, even when that care involves quitting? I greatly admire my friend’s running accomplishments and what she’s been able to achieve the last few years. But I have even more respect for what I witnessed on Saturday.

As we continue to have conversations about mental health in this country, I hope the collective we start to make space for saying “no”, for walking away from the things that don’t serve us, whether that’s the job, the relationship, the city, the race, etc. I hope we can recognize that realizing what isn’t working is just as powerful as knowing what does. Sometimes the answer is to lean in and fight hard, but sometimes it’s to walk away. For my friend, the answer on Saturday was to walk. May we someday learn that when we honor our bodies and our hearts, it is impossible to let down our “crew” – the people who support us in life. Rather it is in those moments that we honor them the most.


When quitting is done correctly, it isn’t giving up – it’s making room for something better.  ~Adam Kirk Smith

Protests, Athletes, and Developing Understanding

I don’t want to write about this. I’m not “qualified”, I’m not an expert, and I’m not well-versed in the nuance of the issue, all of which leaves me feeling as though my thoughts aren’t valid. I’m a middle-class white woman who doesn’t watch sports. And yet. The noise in my head is so loud, so distracting, that I must write about it, if only selfishly for my own sanity. So here we are.

Even though spectating most professional sports isn’t my jam, I casually followed the Colin Kaepernick story last year. I admired the players who were using their platform to bring attention to inequities and injustices that exist within our society. They are real and they are significant. But after President Trump’s remarks on Friday evening, I’ve spent the last few days thinking deeply about the subject, reading a number of articles of varying opinions, with hopes of gaining a better understanding of my own. What I’ve been unable to do is watch the “rants” posted to social media. I’ll read an article, watch a reasoned conversation, but I am done watching people rage into the camera. My experience is that these only resonate with people who agree with the ranter and do nothing to advance discourse. And they’re exceptionally annoying.

As I’ve followed the dialogue, a number of themes have emerged from those who are critical of the act of kneeling during the national anthem. 1. The players who kneel are unpatriotic. 2. The players who kneel are disrespectful to our military. 3. The players who kneel should stay in their lane – stick to playing football and keep their politics/social justice efforts off the field. 4. The players who are kneeling are ungrateful. (They’re millionaires – what do they have to complain about?)

On Patriotism

According to dictionary.com a patriot is: 1. a person who loves, supports, and defends his or her country and its interests with devotion. 2.a person who regards himself or herself as a defender, especially of individual rights, against presumed interference by the federal government. 3.a U.S. Army antiaircraft missile with a range of 37 miles (60 km) and a 200-pound (90 kg) warhead, launched from a tracked vehicle with radar and computer guidance and fire control. (I’m going to ignore the third definition here, as I hope it’s clear that no one is referring to a antiaircraft missile in this dialogue.) Nowhere in the multiple definitions I read does it discuss HOW one acts as a patriot-how someone “loves, supports or defends” the country. There are no guidelines, no requirements which leaves it up to each of us to craft our own image of how a patriot behaves, what one looks like.

In a country as diverse as ours, it makes sense that there would  be a multitude of ideas about how one acts as a patriot. For some, a patriot is one who stands faithfully for our anthem, someone who dutifully supports the president and his (or her) administration, someone who doesn’t question the authority of the police. For others, myself included, the act of protest is patriotic. Standing up for the rights of others, calling out injustice, clamoring for change are acts that are woven into the fabric of our history. Much of the progress made in our society has advanced in part because of protest – the woman’s right to vote, advances in civil liberties, the end of the Vietnam war. Without individuals willing to put themselves on the line, to agitate and make noise, so much of what we take for granted would not be possible. People in power are often not remotely interested in sharing it. It takes tremendous pressure for meaningful change to take place. Horrendous inequalities still exist within our country, and our past suggests that progress won’t be made without people making noise in the proverbial streets.

Snubbing the Military

As the wife of an Air Force reservist, I find the comments about the athletes taking a knee disrespecting the military particularly agitating. I don’t need anyone to speak on my or my husband’s behalf, to assume what actions disrespect us. I’m far more offended by the government’s attempt to take healthcare away from thousands of people than I am a bunch of athletes making a silent protest. Besides, ideologically, military members are as diverse as our country. I’m sure there are more than a few military members and veterans who are offended by those who kneel for our anthem. I’m also certain there are a great many who are not. Let’s not pretend that the military is some monolithic group who’s feelings need protecting.

Lastly, when people join the service, the oath they take is to protect the constitution, not the flag. This is an important distinction, as I’ve seen multiple references to the military’s defense of our flag which is factually incorrect.

Football Only Please

“Stay in your lane” is a statement used in an attempt to put someone in their place. I see it used in regards to Jimmy Kimmel as he speaks about healthcare-a topic that has deeply impacted his family, and I see it used in an attempt to silence the athletes. At first blush, I understand what people mean. They want entertainers to entertain, not distract with “real world” conversation and politics. But upon further thought, that doesn’t make any sense. None of us live in a vacuum. We can’t separate our lives into neat little boxes. Frankly, I think we should all use whatever platform we have to advance conversations and issues that are important to us. Do some people have bigger platforms, larger audiences? Without a doubt. If those people-actors, athletes, musicians, etc-use their given platform for advocacy, and they have their employer’s support, then as far as I’m concerned the case is closed. They don’t need anyone else’s permission. The consent the rest of us provide is watching their show, watching the game, buying the music. If someone is that bothered by the message and the advocacy, walk away. But to expect that individual’s employer, a NFL team owner in this case, to share one’s belief system or one’s expectations about what a player should or shouldn’t do is unreasonable. If enough people aren’t buying the thing-watching football in this case-the owners then get to re-evaluate, but still might make the same decision. That’s on them.

Trump’s comments on Friday night were a very loud “stay in your lane” remark. By referring to the players as “sons of bitches” and stating they should be fired, he brought the government into the conversation, in a way that feels inappropriate. The first amendment protects our right to speak freely. This amendment does not protect our speech from our employers (it is protection from the government’s abridging that right), meaning the NFL owners could do as some NASCAR team owners did and require their athletes to stand for the anthem at games, but that’s not for the government to determine. It’s also impossible to ignore the realities of a white president calling these athletes, who are predominantly African-American, SOBs. I’ve read multiple places that “this has nothing to do with race” but there’s nothing to prove that it doesn’t. And the responsibility always lies with those in power, which in this case is Trump who is not only president, but a white man. It’s on him to ensure that his language is clear enough for us all to know his true intent.

Lastly, what happened to Michael Bennett of the Seattle Seahawks a few weeks ago confirms that this conversation is very much within the lane of a NFL player. Kaepernick initially began kneeling in response to police brutality against African-Americans and minorities. Bennett’s experience in Las Vegas essentially brings the conversation full-circle.

On Gratitude

I really can’t reconcile this one. The implication that these players, because they are millionaires who play a game for a living, should just shut up and be thankful is maddening. From my perspective, the more privilege we have, whether it’s racial privilege, financial, etc, the greater responsibility we have to use that privilege to advance the well-being of others. These players are using what privilege they do have to highlight inequities and facilitate dialogue. Kaepernick himself has paid a significant price for his advocacy, yet it was a price he was willing to pay. The actions of the players who kneel have nothing to do with lack of gratitude for their station in life. One can be grateful and still highlight social injustice (or any other topic). They aren’t mutually exclusive.


There is more to this topic, to this conversation, but this is as far as I’ve gotten in my own thinking. For more reading on the subject, a good friend shared this article earlier Monday, which addresses it far more completely. (Thanks, Troy!) During such tumultuous times, I’m challenging myself to question my own knee jerk reactions to certain situations, of which there seem to be so many these days, and forcing myself develop a deeper understanding of why I think what I do. This post is essentially a verbal vomit of my own grapplings with this particular one. I acknowledge that my perspective will likely continue to evolve, as none of us should be static in our thinking.

Rumination tends to be eased if we learn to be mindful; if we are able to be aware of, and understand how our own thoughts work. ~ Peter Kinderman

(Re)Learning to Suffer

Comebacks are hard. They’re gritty, messy, imperfect and full of fits-and-starts. My experience is that the longer the layoff, the messier the return. I’ve been unable to train and race with any regularly since 2014, making for three years of decline. Between time off for a broken foot late last year, and very inconsistent training this spring because of health issues, I’m climbing out of the biggest hole in which I’ve ever been. After seriously thinking I might be done competing, both because my body was waving the white flag and my head was tired of fighting, I realized at WILDER in late May that I wasn’t ready to throw in the towel. Being in that sacred space with other women who were so passionate about the sport made me realize how much I still wanted this, with the full understanding it might look much different than before. After getting my health into a slightly better place, I started training again in July with no definitive goal in mind. I just wanted to regain some fitness and go from there.

As one would expect, most runs flat out sucked. July in the midwest means serious heat and humidity, weather I don’t tolerate well in the best of circumstances. Couple that with a complete lack of fitness and it’s a recipe for copious amounts of suckage. In an effort reacclimate myself to effort and pacing, I stuck with progression runs for quality. Most of them were terrible. Pacing was all over the place and I’d regularly run out of gas a few miles before meeting my goal for a run. I knew this was just part of the process and worked hard to not beat myself up or get too frustrated.  But it wasn’t fun. Not in the least.

As mid-August rolled around, I started to get into a groove. Paces were still terribly slow, but progression runs were becoming actual progressions and I usually completed the full distance as intended. On one particular run, I was a bit more aggressive in the middle, pushing myself more than I had in previous runs making the last two miles rather uncomfortable. The narrative in my head those last few miles was total crap. I was thinking of how miserable I felt and how it didn’t used to be this hard. After the run, I spent some time thinking about “before”…when I was healthy, training and racing at my best. And I had to laugh at myself. It’s always been hard. In fact, it’s been much, much harder.

We runners talk about increasing our aerobic capacity, lactate threshold, capillary density, etc. Things we can measure, and for which there is scientific evidence to guide our training. The deficit I uncovered in myself was a disconnect with effort. I forgot how it felt to suffer. What it felt like to sit in the hurt-box, the pain-cave. I thought back to my PR marathon (3:31 in Oct. 2012), a race that was well-executed with a negative split. I distinctly remember talking to myself for the last four miles. Continuously. Forcing myself to keep my foot on the gas, to keep pushing, when every cell in my being wanted to back off. I had a hamstring that threatened to go, especially the last two miles. I was just willing my body to hang on, which thankfully it did. The last 30 minutes of that race was total agony, as racing often is when done right. The confidence to stay on the gas in a race is cultivated in training, through workouts that force an athlete to work through discomfort, and that help find and explore the edges. Exploring these edges used to be my favorite part of training/racing. I enjoyed a hard effort and standing a bit too close to the fire.

Over the past few years of running, which included very little racing, I became completely disconnected with effort and the hurt-box. I developed a rose-colored glasses for the past, easily forgetting the miles and miles of training and discomfort that accompanied the highlights I replay in my mind. Now that I’ve cracked the lid and peered inside, I see a whole new aspect of training that needs attention. Not only do I need to rebuild my physical self, I need to get comfortable being uncomfortable again.

Not surprisingly, after realizing that I needed to regain an ability to lean into discomfort, the past two weeks have marked a step forward in rebuilding fitness. Last Friday I ran my longest run of the year, with last week being the highest weekly mileage (so far). Times are dropping slowly, and I’m less likely to back off when a run gets uncomfortable. Things still suck much of the time, but I’m ok with that. I feel as though I have a better perspective on the work that needs to be done, and the effort it will take to get back in the neighborhood of my previous level of fitness (if that’s even possible). I hope that by not having a firm end-goal in mind, I can stay present and not look too far down the road. It’s been such a joy to put in some miles again, to work hard, to make myself tired. Running can break your heart, crush your soul, but for me it’s always been like breathing. And for the first time in several years, I can take a deep breath again.


“it is a serious thing // just to be alive / on this fresh morning / in this broken world.” ~ Mary Oliver

Photo credit: Marty Barman

 

Beaches, Politics, and Hope

On Friday evening, I went for a walk on the beach. I watched my young niece play in the sand and splash in the waves. I watched my sister fly a kite with her seven-year-old son. My husband and brother-in-law goofed around, my 13-year-old niece looked for shells. The sun set behind the clouds, lighting up some storms off to the east. We were coming to the tail-end of a week long vacation at my family’s favorite beach, a place we’ve been visiting for over 25 years. That we even had this vacation with all of us is something of a miracle, as my dad is sharing his body with a tumor that will eventually take his life. Metastatic pancreatic cancer has been part of our family for two years now, and each milestone and holiday we get to share together is one that I hang on to with every cell in my being.

I was thinking about all of this as we walked back up to the house. I still needed to pack before going to bed, as we were hitting the road early the next morning. I quickly checked Twitter in one last bit of procrastination before throwing my stuff in the suitcase, only to read about what was transpiring in Charlottesville. When I wasn’t driving on Saturday, I spent much of my time following the day’s events on social media, increasingly horrified by what I read. I spent most of the week bathed in gratitude…grateful for a family that continues to choose to spend time together, grateful for parents that made the most of what little we had growing up and who made sure we got to travel outside of our small town when we were young-including this beautiful beach, grateful that my sisters are two of my closest friends, grateful to spend time with their kids-who are all becoming wonderful humans, and grateful for the privilege of spending a week on vacation with all of them. These feelings of gratitude contrasted so sharply with the emotions I felt reading about the “unite the right” rally and the violence that ensued.

As someone who can be a bit of a pollyanna, I’ve spent the last several years reconciling what I think I know of our country with what it actually is. I’m ashamed to admit that it wasn’t until I started working in public health that I began to deeply appreciate the inequities that exist, and how they continue to be perpetuated by public policy. When working in cardiac rehab, I had patients who regularly chose between medication and food, but I had no appreciation for the environmental factors that influence poverty, nor did I understand how policy perpetuates that poverty. When we lived in Fort Collins, I  supervised a grant that provided resources for the facilitation of a health equity coalition. We partnered with eight neighborhoods that were low-income and inhabited by residents who were primarily Hispanic, a number of whom were undocumented. For the first time, I began to dig in to the topic of health equity, and to understand how policy contributes to great inequity in this country. I appreciated working with these honest, hard-working people, and I appreciated getting a small window into the immigration debate, a debate that is certainly not as simple and straightforward as some politicians would like us to believe. “Build a wall” is a ridiculously simple solution to a complex issue, and says more about the person offering the solution than it does about the issue itself.

In the run-up to last year’s election, it seemed that a light was being shone into some very dark corners of our collective psyche. A candidate for the highest office in our country admitted to (and bragged about) sexually assaulting women, incited violence at his “rallies”, displayed a shocking level of unfamiliarity with public policy, and thumbed his nose at the transparency we’ve come to expect of presidential candidates (releasing taxes), and was still elected. This speaks volumes to the priorities of a large number of Americans, and to what they’re willing to overlook in order to advance their ideology. Since Trump’s inauguration, Amy Siskind has been tracking subtle shifts in our democracy, and each week’s list is more alarming than the last. This week culminated with a white supremacist rally that ended in violence with three people dead. Many politicians made statements agains hate groups such as nazis and white supremacists, but Trump wasn’t one of them. The anti-immigration, anti-science, anti-environment, and racist agenda of this administration is making every attempt to drag us 50 years into the past. Back to a time when pollution clogged our air and our rivers, when government-sanctioned segregation was still a thing, and when women did not have full autonomy over their bodies.

Throughout the election and the first part of this year, I’ve been careful with my words. I hate conflict and will go out of my way to make others comfortable. In my desire to not offend others, I’ve not honored the values that are most important to me…those of equity and inclusion. Decades upon decades of horrible public policy have harmed entire groups of people in our country. From urban renewal decimating black neighborhoods to the military’s policies on LGBTQ service members, our government has continually and routinely perpetuated inequities.  Over time, some of those policies have been overturned/updated, but so much work remains. In addition to promoting an agenda that will only enhance racial and income inequity, our current president emboldens the worst of us-those that promote hate, abhor diversity and stand for everything our country is supposedly against. Time will tell how we will respond. I recently read the book Hope in the Dark by Rebecca Solnit, which offered great perspective on these dark times:

Hope locates itself in the premises that we don’t know what will happen and that in the spaciousness of uncertainty is room to act. When you recognize uncertainty, you recognize that you may be able to influence the outcomes – you alone or you in concert with a few dozen or several million others. Hope is an embrace of the unknown and the unknowable, an alternative to the certainty of both optimists and pessimists. Optimists think it will all be fine without our involvement; pessimists take the opposite position; both excuse themselves from acting. It’s the belief that what we do matters even though how and when it may matter, who and what it may impact, are not things we can know beforehand. We may not, in fact, know them afterward either, but they matter all the same, and history is full of people whose influence was most powerful after they were gone. 

So I choose hope, and I choose to use my voice. I will use my privilege and the security it affords to not sit silent in the presence of violence, racism and hate. I’ll force myself to get uncomfortable, because the discomfort felt by others is exponentially greater. I’m late to the party, but trust that showing up late is better than not showing up at all. I believe all of us will have to pick a side if you will, that the current administration demands we engage with our government. I do not feel people are being alarmist when they say our democracy is in danger. If you haven’t already been in contact with your members of congress, consider reaching out this week. Ensure they know what’s important to you, and hold them accountable for their words and actions. A little more than half of all eligible voters participated in the 2016 presidential election (61% was the most recent figure I could find). This administration does not represent a majority of voters. Our democracy will function at its best when everyone participates and inequity is all but assured to continue (and likely to worsen) unless we engage. Other forces-money, lobbyists, etc-influence government, but when we are silent we essentially give the microphone to those interests.

If you, like me, are worried, horrified, afraid, concerned, etc, use that energy to act in whatever way you are comfortable. Write letters, donate money, speak out, volunteer your time to organizations that support issues important to you. Don’t sit on the sidelines. As Rebecca Solnit said, we must believe that what we do matters. Because it does.


“There may be times when we are powerless to prevent injustice, but there must never be a time when we fail to protest.” ~ Elie Wiesel

Wilder

It’s just before 6 a.m., sun waking behind the mountains, early dawn filling the air. The four of us stand at the edge of the dock, toes curled over the edge, clothes tossed in a pile. My breath shallow with anticipation. Cold air tingles across my skin. Someone counts off and with a quick jump we’re in. “Holy f-k” runs on repeat in my head, heart racing. The water is so cold I can’t think beyond those two words running like a mantra. I’m kicking furiously, eager to get to the top. Seems to take an eternity, but in reality was just a few seconds. As I break through the surface, I hear the screams of the other women shrieking loudly into the dawn. I think of the neighbors who live along the lake, amused that they’ve likely awoken to the sounds of our adventure. I’m the first one out, teeth chattering, voice stuck in my throat. Wrapping myself in my towel, I turn to find the others standing near. Giggling and smiling, the weekend comes into sharp focus. Courage, discomfort, joy…this is what I was craving. Upon arriving on Friday, I couldn’t have imagined a frigid, pre-sunrise soak in the lake would manifest it.

Like most of the other 29 women who arrived at Caldera on Friday afternoon, I had a fair amount of anxiety about the weekend. I haven’t been able to run much, will I be able to hang? I’ve only recently begun writing, will I have words?  My anticipation and excitement far outweighed any reservations, but I was nervous.

Photo: Jess Barnard

Sunday morning comes, we have a “long run” on the schedule. Courtesy of some recent (and new) health issues, I’ve barely been training. Thankfully we had three distance options – 5, 10 and 14. Even though the 14-miler visited an amazing location, I knew it was out. I hadn’t run double-digits in an exceptionally long time, and am out of practice on very technical trail, which the first four miles promised to be. I decided to go with the five, playing it safe. But a conversation with one of my cabin-mates out on our deck that morning convinced me to bump up to the ten. Worst-case scenario, I walk the last few miles. There’s not much I love more than a long effort on trails, and I was excited to take some photos.

The run passes like a dream. The trail is a bit technical in spots, enough to require attention, but not so much so that it prevents getting into a groove. I run the first few miles with others, and then end up on my own with the stops for photos. The miles pass by comfortably, I keep waiting for the wheels to come off. Made it to five miles, refilled my water bottle and quickly got back on my way. The light is magical on this morning, filtering through the leaves, dancing off the water. I get to seven, then eight miles. My legs are tired, but I know I’m going to run it in. I finally get to the end of the run, and am immediately greeted by Lauren, who gives me a huge smile and hug, and asks how it was. I tell her it was great, but what I don’t have the words for yet, what I’m not able to tell her, is that on this morning I rediscovered joy. It’s been a really, really long time since running felt joyful for me, but on this day, on this trail, I’m reminded why I love this sport. Being in the mountains with these women refills my cup, a cup I didn’t even realize had gone dry.

Baggage dropped, expectations released. These are the fruits of this work. Without an ounce of hyperbole, meeting this group of strangers for a weekend in the mountains restored some of my faith in humanity. Knowing these women are out there, doing their thing, quietly, fiercely, full of lady-swagger, brings me such joy. I met women who inspired me, who helped me walk outside myself, who led with heart and grace (thank you Marianne and Lauren). Women who gave me tools for developing this craft, women who inspired me with their words, with their feet.

Monday morning post-“swim”, we go for a silent run on a different  trail. I’ve intentionally left my phone behind (which was in airplane mode most of the weekend and functioned primarily as a camera), intentionally saving my creative energy for the writing that’s to follow. Before turning that part of my brain off for the morning, I make a mental note to come back to the trail before driving to Portland later that afternoon, as I imagined the light would be perfect in a few hours (it was). The river flows swiftly, swollen from winter, the trail snaking along the bank. I feel the energy from the river, from the trees and the mountains. I feel the energy from the other women. Words dancing along with my feet, gratitude for the fatigue in my legs, the words on the page.


Freedom as I dance

Feet flickering

Breath deep and full

Sunlight streaming

Heart racing

Sweat dripping from my hat

Around the next bend

Water rushing

Moss draping

Joy,  wild and free

Photo: Jess Barnard

I Hate My Phone

A few days ago I was sitting in a cafe having lunch. I was eating alone, reading my book. I know that reading while eating is a bad habit, but I’ve been doing it since I was a kid and can’t stop. While waiting for my food, I looked around at the handful of tables and the majority of people were eating with others. Every so often I’d glance up from my book and towards the end of my lunch, I was struck by how much time these people spent on their devices. What’s the point of lunching with friends or colleagues if much of the time your noise is buried in a device? Put down the phones, people.

I was late to the texting and social media game. Not because of any noble principles, but mostly because technology doesn’t interest me much. As the years have gone on and devices get easier to use (and do more stuff), I’ve found myself spending more time on my phone. And lately I’ve begun to hate it, which is a tricky place to be. We don’t have a landline, and even if we did, I wouldn’t want anyone to call me on it. There’s not much I hate more than talking on the phone. Texting and social media are great, ideal forms of communication for a quiet person. I have a large number of friends with whom I wouldn’t be connected without them, and I’m not interested in letting those relationships go just so I can “disconnect”. But I struggle to find a balance with being connected and being TOO connected. More recently, I’ve noticed myself grabbing my phone when my brain needs a break. This feels like a slippery slope, one that I want to step off of quickly. I think it’s reducing my ability to focus, almost like the habit itself is creating a sort of ADD.

I’ve read a number of articles providing insight on how and why to disconnect. But I don’t want to disconnect, I simply want to connect more intentionally. I used to be terrible at keeping my cell on my person, which wasn’t a big deal until I missed a call from M’s best friend telling me he’d had a skydiving accident. (Major wife fail.) Now I wear a bluetooth-enabled watch, which feels like a good solution for someone who still doesn’t keep her phone close by…I rarely miss messages/calls anymore, but can turn off the bluetooth when I want to unplug.

I’ve thought a great deal about the person I don’t want to be…I don’t want to be the girl checking her phone at stoplights (this makes me crazy…when did sitting still for two minutes become so damn difficult?). I don’t want to be the person texting/on social media while sharing a meal with others. I don’t want to interrupt conversations with live, in-person humans to take care of something on my phone. I don’t want to reach for a device when my brain needs to check out for a few min. I need to develop some boundaries, but I’m not yet sure what those boundaries look like.

This post is less a description of a solution and more an exploration of the problem. Cell phones, social media and increased connectivity aren’t going away, and I don’t want them to. But I want to cultivate a healthier relationship with them so that I can be more present, even if it’s just being more present with myself. This introvert is prone to daydreaming and a wandering mind, and in someways, these technologies reinforce the darker side of that tendency. Our time on this planet is incredibly short…walking around with my nose in a device isn’t how I want to prioritize my time. Savoring conversations with the humans in my life (conversations which could be electronic), cooking a fabulous meal, hanging out with my dog, seeing, smelling, feeling nature as I run through the woods, that’s the good stuff for me. I need to ensure that how I utilize my devices supports how I want to spend my time, and that they don’t become a distraction that syphons my attention from what matters.

“The real ugliness lies in the relationship between people who produce the technology and the things they produce, which results in a similar relationship between the people who use the technology and the things they use.”  ― Robert M. Pirsig

Obesity and the ACA

Early in my career, I had the privilege of working in cardiac rehabilitation. I was an exercise physiologist, so much of my job included writing exercise prescriptions, teaching education classes (mostly on modifying lifestyle behaviors such as diet, stress and smoking) and individually counseling patients living with heart disease. In all of those years, what I didn’t do was ask any of my patients, not one of them, about the environment in which they lived. I didn’t ask about how often they shopped for groceries, or whether or not their neighborhood was safe. I didn’t ask if their local grocery had fresh fruits and vegetables, and whether or not they could afford them. I didn’t ask if they could afford all of the medications prescribed to them by their physician. The care I provided followed the guidelines of what I was taught, what we all were taught: exercise at least 30 minutes most days of the week, eat at least five servings of fruits and vegetables per day, reduce stress, quit smoking, take meds. Period.

Throughout my undergraduate and graduate education, not once did we discuss the influence of the environments in which we live on health. Nor did we discuss how to counsel and advise patients in the context of their home environment. Telling someone to go for a walk everyday when they live in a neighborhood with poorly maintained sidewalks, or in one that is plagued by crime, is absurd. I can only wonder about how many of my patients went home feeling despair or defeat because they did not know how to follow our recommendations due to their circumstances.

Over the past 15-20 years, research has taught us a lot about what causes obesity. At a societal level (so not in the context of your neighbor who enjoys too many cheeseburgers), our personal choices have very little to do with what is making us, the collective us, fat and sick. But first, a few facts (all stats from CDC):

  • 36.5% of Americans are obese
  • Non-hispanic blacks have the highest age-adjusted rates of obesity at 48.1%, followed by Hispanics at 42.5% and non-Hispanic Asians at 11.7%
  • Obesity rates are higher among middle age adults age 40-59 years (40.2%) and older adults age 60 and over (37.0%) than among younger adults age 20–39 (32.3%)
  • Childhood obesity has more than doubled in children and quadrupled in adolescents in the past 30 years.
  • The percentage of children aged 6–11 years in the United States who were obese increased from 7% in 1980 to nearly 18% in 2012. Similarly, the percentage of adolescents aged 12–19 years who were obese increased from 5% to nearly 21% over the same period.
  • In 2012, more than one third of children and adolescents were overweight or obese.

Americans are fat. And getting fatter. But why? The social determinants of health (SDOH) tell us much about the insidious forces contributing to this epidemic. Social determinants of health are conditions in the places where people live, learn, work, and play that affect a wide range of health risks and outcomes.

In looking at the pyramid above, the education I provided my patients was at the tippy-top. My advice, no matter how good it was, was not going to have much impact on the factors that contributed to their illness. Similarly, a physician telling their patient to lose 30 lbs is not likely to have much of an impact, if any, on that patient’s health status. That’s not to say that those conversations shouldn’t happen, because they should, but that can’t be our only approach.

The obesity epidemic in the United States will continue unchecked as long as our solutions continue focusing at the top of the pyramid. So, what do policy, systems and environmental approaches to reduce obesity look like? If educating people isn’t the solution, what is? This list is by no means exhaustive, but provides some context:

  • Interventions that address poverty – poor communities bear the enormous costs of disease (including obesity) at disproportional rates. Programs that stabilize those living in poverty and that support people as they transition to a more stable financial environment can have significant impacts on health.
  • Interventions that address housing – many people living in poverty reside in structures that are unsafe and unhealthy, riddled with mold and poor air quality. Working with city governments to improve codes and code enforcement, and working with landlords to improve living conditions can go a long way to improve conditions such as asthma. But wait a minute, I thought we were talking about obesity? We are…would you spend your free time being physically active if you had uncontrolled asthma due to your mold-ridden home?
  • Interventions that address inequities – despite what you might hear on certain news stations, all Americans aren’t equal. Great health disparities exist, and often they fall along racial and gender lines, and around how much money you make, where you live. Did you know there are communities in this country where living 10 miles at opposite ends of the same road means a ten-year difference in life expectancy? In some communities, the disparities between neighborhoods can be as great as 25 years. In many places, your zip code has more of an influence on your health status than any other variable.
  • Interventions that address community environments: Improving the built environment to encourage walking/running and biking. This can include building/improving sidewalks, adding bike lanes, improving safety and addressing play deserts. Increasing access to healthy, affordable foods by expanding farmers market initiatives, corner store initiatives, addressing food deserts, improving the nutritional value of food in schools, and examining/changing national food policies to incentivize healthy, whole foods.

So what does the Affordable Care Act (ACA) have to do with all of this? While many people are familiar with some of the hallmarks of the ACA such as free preventive care, the ability to keep children on a parent’s policy until age 26, and prohibiting discrimination due to gender or pre-existing conditions, what you might not know is that it also requires not-for-profit hospitals to conduct a community health needs assessment every three years. In addition to the needs assessments, hospitals must also develop a community health improvement plan and report progress annually. All of this is required for a hospital to maintain its non-profit status.

To develop the needs assessment, most hospitals utilize both an extensive review of primary and secondary data (this can include community surveys, hospital statistics such as emergency department utilization rates, heat maps by diagnosis, etc), in addition to more qualitative approaches such as focus groups and stakeholder meetings. In my community, the two non-profit hospitals have gone one step further, in that they’ve partnered with each other, the local health department and a community service organization to develop one needs assessment and implementation plan for the entire community. Nearly 50 organizations participated in the development of our community’s assessment and implementation plan.

In addition to the assessment and implementation plan, non-profit hospitals must divert a percentage of their funds for “community benefit”. In the past, much of these community benefit funds went to uncompensated care, meaning the funds the hospital spent to care for patients who were uninsured. As uncompensated care went down with more people being covered by insurance, the expectation is that these dollars would begin to flow out into the community to address needs identified in the assessment and to fund portions of the implementation plan.

Back to obesity…not surprisingly, many communities are identifying obesity as one of their top health concerns. Not only is it a prevalent, stubborn issue, but it is a co-factor in so many other conditions such as heart disease, diabetes, certain types of cancer, depression, etc. Many people believe that if we can crack the obesity nut, we will go a long way to solving some of the other persistent (and expensive) health issues plaguing Americans. The ACA created a framework for community partnership beyond anything that existed previously. Many hospitals are taking their assessments/plans seriously, dedicating significant staff time and funds to the efforts.

When these teams go looking for best practices to address the obesity epidemic, they immediately bump into the social determinants of health. Within the context of the social determinants, when they go back through their own primary data – heat maps of particular diagnoses such as asthma for example – they can begin to see very real patterns emerging in the community. As hospitals work to improve patient outcomes and reduce re-admissions (also an expectation of the ACA), these new approaches to care are vital, and great for the patient. The ACA was the foundation for all of this progress. No longer are hospitals only responsible for the patients that walk through their doors, they are responsible for the health of the community, just as health departments have been for decades. Only by looking for solutions outside hospital walls will they move the needle on such complex problems. In this situation, there are no losers.

In the doomsday scenario discussed by some Republicans, meaning a complete repeal without a replacement of the ACA, not only will many Americans have a reduction in coverage or lose their insurance altogether, communities will lose a transformative platform for change in how we approach community health. These new collaborations are in their very early stages and we’re several years away from knowing how powerful they might be. One thing is for certain though, communities will not solve complex health problems such as obesity by working in isolation, and unfortunately organizations often need a nudge to do the right thing. The ACA provided a powerful platform for improving community health and addressing obesity. On the hierarchy of bad things that would happen with a repeal, this might not feel as urgent, but for our vulnerable communities this is one of the better opportunities we have at making a real dent in the disparities that affect their health every single day.

People can’t make healthy choices when they live in communities that aren’t safe, that lack access to fresh, healthy, affordable foods, that lack safe places for walking, biking and other types of physical activity, when they reside in homes that are contaminated and when they face the multitude of challenges that accompany being poor in this country. Offering “personal responsibility” as a solution is irresponsible. The price we pay for poor health is obscene. Not only is it the  direct cost in medical bills, it is sick time at work, lost productivity, missed days at school. Until we recognize that solving these issues is going to take more than finger pointing, obesity rates and related health problems, will only increase. Gutting the ACA will add fuel to the fire.

Photo credit: Marty Barman

Learning to Listen

One of the qualities possessed by most introverts is that of being a good listener. Generally speaking, I’d much rather hear someone else’s story than share my own. Like many things in life, it’s a continuum and there are times when I don’t take in a message as deeply as I should, but for the most part I tend to align with the stereotype of the attentive, empathetic introvert.

I’ve recently realized that there’s a hard stop with when it comes to my ability to listen. While I take great joy in listening to the stories of my friends, learning what’s important to them and what they value, I’m terrible at listening to myself. As I’ve struggled with my health the past few years, not much else has become as apparent.

I do a really good job of listening to other people’s thoughts about what I should do to get well. I listen to people tell me it will be fine and that things will go back to the way they used to be, when there’s absolutely nothing to suggest that they will (which really is fine…the past should never be the goal). I listen to people diminish my concerns, and let their perceptions influence my understanding of my own reality. A few days ago, I listened to one of my physicians disparage the doc that single-handedly pulled me out of the worst Hashi’s flare I’ve ever endured. It was that moment that made me realize that I need to stop listening to other people’s opinion quite as much, particularly when it comes to my wellbeing.

I know what I need to do to recover from the latest setback (not Hashi’s related, for better or worse). I know that it requires sacrifices I don’t want to make, which I think makes it easy for me to believe the stories other people tell, the picture they paint. Every time, I walk away questioning what I need to do, wondering if I’m being too rash, too dramatic, even though when I step back from the situation and view it objectively, I know I’m not.

My health-related challenges are a drop in the bucket compared to what some people endure. One of my favorite people on the planet is battling a devastating cancer, and my hubby nearly died in an accident a few years ago. While life isn’t what I thought it would be right now, I still have much for which I am grateful. It’s quite likely that I’ll recover from this latest setback, and while the future might look different from the past, that’s not necessarily a bad thing.

Through all of the bullshit of the last several years, what I’ve realized matters most to me is time. Time to spend with friends and family, time to be in the mountains with my most favorite person, time to hang out with my dog. I don’t have to run marathons to hang out with my friends that do (see recent weekend in Boston). I don’t have to have an “important” job title to make an impact. While I have a lot of frustration over the past few years, I can see much more clearly that which matters to me. I’m present in a way I wasn’t before.

So perhaps I have learned to listen to myself. Perhaps it’s a skill to be stretched and developed, just like any other. I don’t know that it will ever be easy for me to cut out the noise, but the clearer my priorities, the easier it becomes.

“I may not have gone where I intended to go, but I think I have ended up where I intended to be.” ~Douglas Noel Adams

A Delicate Subject

Earlier this week, I was perusing Instagram when I came across a post by a food blogger that I follow. It was a picture of her infant daughter sitting on a beach with the caption “You don’t know what the expression ‘my heart is full’ means until you become a mama”. Instantly, my blood was boiling, which was annoying because generally that only happens when I’m on Facebook. Her post brought to the surface a few things I’ve been thinking about at length lately…what does it mean to be happy? What does it mean to be fulfilled? What does it meant to be successful? How does society influence what we perceive to be a good life? And why is being a parent the benchmark?

I’ve known since I was a kid that being a parent wasn’t for me. I dreamed of traveling, having a job that positively impacted others, spending time with my family, reading good books, sharing my home with dogs, sharing my life with someone (maybe), but never of having children. As a teenager, this would occasionally come up in conversation with adults (not my parents, who’ve never given two shits about whether or not I had kids) and they’d always assure me that I’d change my mind when I got older. Those assurances continued well into my 20s. Even as a youngster this struck me as insulting. What did it matter to them if I had kids? Why the need to be condescending? So what if I changed my mind? And so began 30+ years of “defending” my choice. An abbreviated list of comments made to me:

  • I’ll regret it.
  • Who will take care of me when I’m old?
  • I’m selfish.
  • I don’t know what it means to be happy/fulfilled.
  • I don’t know what it means to be tired/exhausted/in pain/challenged/etc.
  • I’m missing out.
  • My life is easy/simple.
  • When M was deployed, I was “lucky” that it was just me. Similarly, when he had his accident, I was “lucky” we didn’t have kids.
  • What does my husband think?

At times when I was younger, I was as guilty as the insensitive commenter. I’d agree that I was “lucky” we didn’t have kids when M was deployed; I’d agree that I was selfish; I’d agree that my life was easy because it’s just us. More recently, I’ve pushed back against such statements. Mostly because the older I get, the more I appreciate how freaking complicated and messy life is for everyone. No one has it easy, even if they tell you they do. I’m uncomfortable with parenting being the benchmark by which we measure emotions and experiences. In a broader context, I’m more interested in how we add-to the world, versus take-away-from, and while raising good kids would certainly be a big check mark in the add-to column, I don’t think it’s the only check nor do I buy in to an artificial hierarchy of contribution based on offspring.

As I got into my mid-late 30s, I began to realize that most of the cringe-worthy comments had more to do with the person who said them than me. (In many ways, getting older is such a wonderful blessing.) Some of it is innocent, in that people don’t realize they’re being insensitive. In other cases, I think my choice forced people to consider their own choices. I’ve had similar experiences recently when talking about my career…I’m no longer invested in climbing ladders, job titles or the amount of the paycheck and it doesn’t always resonate. (What I am invested in is spending time with my family and friends, hanging out with my dog, traveling, sleep (!!), and doing my part to make the world a better place.) I believe some people go through life following a path society expects…marriage, kids, career, house, etc, not because it’s their hearts’ desire, but because it’s just what people do. When confronted with someone who’s intentionally taken a different path, I think it can be discomfiting, which sometimes gets projected back to me. At 41, I’m ok with this. At 25, it just pissed me off, mostly because I didn’t understand. (Again, the blessings of age!)

We all have the challenge of sorting through the noise and determining what matters most to us. If we’re lucky, how we spend our time aligns closely with what we believe is important. Society tells us that success is 2.2 kids, having a job with a fancy title and a fat paycheck, and being skinny. For some that may very well be the definition of happiness and fulfillment. For others, it looks very different. May we all do the hard work of identifying our priorities and then doing everything we can to ensure how we spend our time aligns closely with those priorities. And if it doesn’t? It’s on us to make changes. For my part, I will work hard to not calibrate or qualify someone’s experience against my own…someone doesn’t need to have an autoimmune condition to know crushing fatigue, or be a marathoner to know hard work. Diminishing their experience doesn’t lift up mine. Also, I will cheer on those around me as they work to discover their own definition of happiness/fulfillment…because it’s kind of like the flight attendants say at the beginning of a flight, we must put on our own oxygen mask before helping others. If we are content and fulfilled, we are able to be more present for our loved ones and better-positioned to do more good in the world, which is really what it’s all about I think.

And about that Instagram post, it has since been taken down. Another follower and I both commented respectfully, and rather than respond and leave the post, she deleted it. Had she said “I didn’t know what the expression ‘my heart is full’ meant until I became a mama”, I would’ve scrolled right on by, but the moment she said that I don’t know what it means to have a full heart because I’m not a “mama”, she made it about me and all of her followers. And I wholeheartedly disagree with her statement…no pun intended. 🙂

“Your work is discover your world and then with all your heart give yourself to it.” ~Buddha

Sunrise over St. Joseph’s Bay, Cape San Blas, FL. Photo by Kim Barman

Welcome to the Shitshow – Whole30 Week 1 Recap

I made it to day seven…one full week without eating any grains, legumes, dairy, alcohol, added sugar, or artificial sweeteners. Not one sandwich, not one diet soda, not one bite of cheese, not one piece of gum. Because I don’t drink coffee or much tea, it also meant not having caffeine. Honestly, getting here feels like a miracle.

This week has been HARD. I had no illusions about how challenging it would be and there were days where it felt hour-to-hour. If it wasn’t a craving for a sandwich, it was a diet coke or a piece of gum. The cravings were everywhere, some of them more out of habit (I LOVE routine) than a particular desire for the food (which is insightful in-and-of itself). My sleep schedule has been a mess…I’ve been in bed by 8:30p three different evenings, by 9:00p the other three, and awake at 4:30a a handful of mornings. Some nights have been really restful, others not so much. Focusing at work in the afternoons nearly took an act of God.

But it’s not been all bad…since I can’t spend my lunch hour enjoying a sandwich at the little bakery around the corner from my office, I’ve been bringing my lunch, eating at my desk, and then going for a walk outside after I’m done eating. I’ve yet to find a route that allows me to avoid all of the smokers out on their own lunch breaks, and it doesn’t prevent the crash from not having a diet soda, but the fresh air makes me happy and it feels good to get some exercise in the middle of the day. Also, since I can’t have gum, I’m taking a toothbrush and toothpaste to leave at my desk at work. I never would have guessed that the Whole30 would lead to more tooth-brushing. I’ve been drinking a ton of water, and while I was well-hydrated before, I do think drinking primarily water for a few weeks is going to help flush my system of a whole bunch of crap. On the suggestion of a friend, I’ve been adding lemon essential oil to it sometimes, which provides welcome variety (thanks, Jenni!). Lastly, the bloat in my stomach is completely gone. I went into this with 20 lbs to lose, so there is no doubt that I need to make changes for the long haul, but my belly is noticeably flatter after just a week (I’m lookin’ at you, grains and dairy).

I’m fairly certain I wouldn’t have made it through the week without M, who did the heavy lifting with dinner several nights and gently reminded me more than once why I was doing this (I did A LOT of bitching mid-week…the “kill all the things” phase is legit). Initially, I would’ve preferred to start this when he was on a trip, just so he could avoid the first-week drama, but I’m really glad he ended up being home. Week two will be all me, but I feel prepared.

This week has forced me to confront every bad habit I have related to food, which is exactly what I need. Having my sister going through this right along with me has been a huge help…not letting her down is almost as much motivation as not letting myself down. In a lot of ways, it’s hard and miserable, but there’s no denying that my digestive system is happier. From what I’ve read, the cravings should diminish in another week or so. And there’s something called “tiger blood” in Whole30 circles that is supposed to be pretty amazing. That doesn’t show up until late in the process, but I’d love to feel that good. It’s been a while.