Random Thoughts from a Restless Mind

Dr. Darrell White's Personal Blog

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Archive for November, 2011

Ritual

It’s the end of November. In the United States we are just finishing the Thanksgiving holiday weekend, the purest of our national holidays in all respects. We are entering what is euphemistically known as the “Holiday Season”, a time once used to commemorate the intersection of family and faith, now b@stardized into a commercial org@$mic frenzy. Hidden in there, somewhere, alive against all odds, lie the rituals that bind us together, bind us to some version of our past.

Rituals are different from habits. Habits are trainable, repeatable, common activities we engage consistently in the hopes of some equally consistent, common outcome. They are largely personal and exist in a tiny personal domain. No, rituals are a shared endeavor, and choice is not always a part of the program.

We call these rituals by many names; in the extended White family they are traditions. We are a family that craves such things. Do it once it’s a precedent. Do it next year and it’s a tradition. Do it yet again and however it went is now inviolate ritual. Is this good?

Some rituals are gentle, almost whimsical. They tickle us and we smile little smiles as they come and go. Others are grand, some so outsized that “grandiose” is the only apt descriptor. There is weight to these, demands that must be met, plans that must be made. Some of this weight is real, usually born of history that stretches generations into the past. Some are even pleasant.

The power of ritual to teach and to bind is part of why they persist. The power of a ritual to resist a changing world, whether macro or micro, speaks to the inherent and personal resonance of that ritual. The more internal the effect, the greater the power.The longer lived the ritual, the more resistant it is to a changing world.

Church. The family meal. Travel. Gifting. All of the trappings that surround each. Why do we do what we do, especially at this time of year? Do our rituals remind us of a history that is warm, a legacy that bears propagating? Do they teach a next generation in a way that leads us to look forward with eager anticipation? Even painful rituals such as Yom Kippur end with optimism.

Do they rather simply reinforce some something that should have faded away, been allowed to die? Something that stands in the way of a better today or tomorrow, yesterday as the anchor that drags against full sails and a bright horizon? These we should have the courage to leave behind.

‘Tis the season in which most of us face the longest-lived, most deeply entrenched rituals in our lives. Most of them are likely that way because they bind us to a warm past, teach us, re-fuel and inspire us. Whether writ large or small, these are what we should return to as we face the bombardment of a world a’changing.

 

 

The Magnificence Of The Struggle

“What counts in sports is not the victory, but the magnificence of the struggle.”

There is more than a little merit to that quote. Have you played a sport? Been on a team, or stood alone in the crucible of game day? Everything you have done to prepare, every sacrifice you have made to arrive at that moment in that place now there for the realization. The struggle is not only that which lies before you in the match, but also that which lay before that you could be here, now.

You enter the arena, perhaps filled to the rafters with spectators, just as likely empty and near silent. It matters not; your struggle has brought you here, ready for the game. It’s you vs. them, or him, or her, but it’s just as much you vs. you. Will I commit fully to the struggle? Will I do anything and everything in my power within the rules of whatever game we play to emerge victorious? Aye, and if I have done so, and if the score at the end says I’ve lost, was my struggle any less magnificent? Any less worthy? I did what I could. I did ALL that I could.

Coaches from time immemorial have preached a gospel of lessons learned on the pitch applied to a life outside the sport. You play how you practice. It’s a 60 minute game, and you’ve got to play all 60. Call your own fouls. Be both a good winner and a good loser. It doesn’t matter if you win or lose, it’s how you play the game. I think it’s instructive to make a tiny little change in that quote, one that might have been said by any number of non-sports sages:

“What counts in life is not the victory, but the magnificence of the struggle.”

This fits. This fits in an infinite number of ways and an infinite number of places. Why? Because life has no clock, at least not a clock that we can follow, or a clock on which we can base “game strategy”. We can’t “run out the clock”, manage the shot clock, or make it to the TV time-out. The struggle is continual, and it is endless.

Everything else fits, too. The struggles of yesterday hopefully prepare us for the struggles of today. What will we bring to today? Am I ready for the struggle today? Will I fully commit to the struggle before me today, do all that I can within the rules, all that is asked of me, expected of me, required of me? Life, unlike sport, is not a zero-sum game. I win, if one can call it that, if I’ve done my best. In life, but not necessarily sport, others may win as well, but it is not necessarily so that others must lose so that I, or you, may win.

“Struggle” is a very good word in this context. One doesn’t read “struggle” and think “easy” or “soft”. The magnificence of the struggle lies there, I think, in the inherent difficulty of the endeavor. One is struggling. It’s hard to live well. It’s hard to do the right thing because the right thing is so often the hard thing. It’s how you play the game.

Isn’t it?

The struggle is indeed magnificent when you engage in it. When you don’t turn away from the struggle because it is hard but rather embrace it in an attempt to win. That in itself is rather a victory; failure to struggle, failure to try, failure to do what must be done because it is a struggle is a loss. It takes courage to do so. It takes integrity and honor to engage the struggle when no one is watching you, you are alone, and you must make the call. On the pitch and in life.

At some point, in the game or in life, we will be called upon. Take the shot. Make the call. Hold the line. Make the save.

When the game is over, when life winds down, each of us will look back on the struggle and ask these questions. What did I bring to the struggle? Did I fully commit myself to it? Did I do all that I could within the rules, all that was asked of me, all that was required of me?

How magnificent was my struggle?

“What counts in sports is not the victory, but the magnificence of the struggle.” –Joe Paterno

 

 

Veteran’s Day And Coach Cat

When I was a high school senior my football coach became my friend after the season had ended. Only 10 or 12 years my senior, Cat was still single and for the next 4 or 5 years we spent quite a bit of my at home time together. There are quite a few articles in the Veteran’s Day papers this morning, some of them about the difficulties encountered by our servicemen and women when they return from deployment; that’s gotten me to thinking about Coach Cat.

My friend Chris, Coach Cat, and I were having a couple (dozen) beers one summer night when out of nowhere Cat had a rather scary “flashback” to the jungles of Viet Nam. Turns out as a young 2Lt his squad got cut off from support and he was on his own, leading his men out of the jungle. I remember him sobbing that night, choking out “I can’t believe what I had to do, what I did to get us out.” Stunned, Chris and I gently steered him to bed at a buddy’s house and then we drove home in silence.

For after all, what can you say? What can someone like me, never a minute “in country”, say to someone at a time like that? Indeed, even in a non-crisis moment, how does one respond, how does one express understanding and gratitude to one who has done what needed to be done “there”? Papers this morning are awash with stories and commentaries on a nation’s citizens not at war. Of empty, meaningless gestures and expressions of “thanks” and “appreciation” and “support”. Is this true? Are we who are here, so safe and so far behind the line, are we that shallow and insincere?

I confess that I just do not know the answer to that question. Perhaps neither I nor anyone else ever will. Here’s what I think is different now, though, from those days of my youth spent drinking with a friend who’d done his duty and returned to face both his countrymen and his demons–now I think about this generation’s Coach Cats every day, and I think about how to express my understanding, my empathy, and my gratitude every day. I hope that I am not unique. I hope that the columnists are wrong.

CrossFitters will mark the day with a Hero WOD, “Murph”. We will express our gratitude and our respect in our own, special way, just as we did with “White” earlier. We will endeavor to remember EVERY day, not just on “Hero” days, though we will do so with a little more intensity, more conscious intent, with “Murph.”

In the end today is just a Friday off work for Federal employees if you think about it. When we are a country with men and women ON the line, Veteran’s Day is every day of the year.

I gotta find Cat’s phone number.

 

Four Essential Things To Say Now

(With thanks to Ira Byock, M.D.).

I attended a talk yesterday on end of life care, the first in a lecture series honoring the friend I lost to cancer earlier this year. The talk was surprisingly moving, not only because it brought back memories of Ken but also because I will likely lose my Dad in the not too far future, and I thought of my folks throughout the talk. What the speaker discussed as end of life care and end of life preparations also offered a very important take-away that I will try to apply now, today, as if the end of life was nigh.

One should say 4 things often and with ease, not only in the course of completing a life’s work or concluding a life’s relationships, but in the course of living a life:

Please forgive me.
I forgive you.
Thank you.
I love you.

Sounds simple, huh? Maybe even a little trite. But each one of those little phrases is a bit of a minefield, each one laden with a hidden meaning and a back story, each one the mid-point in a little journey with a “before” you know, and an “after” you can’t possibly predict. There’s a little risk in that “after”, too, and that’s why those 4 little phrases aren’t really all that simple, and why considering this is not at all trivial. All 4 of those little phrases make you look outward, look at another, and in the stating they force you to put yourself at the mercy of that other. Each one of those phrases is a little opening in our guard, an invitation to accept or reject not only the sentiment but the sender.

I’ve spent the better part of 24 hours thinking about those 4 essential things and about how they fit in a life that is not necessarily concluding (at least I hope not!). We are, each of us, part of a tiny little ecosystem; thinking about using these phrases encourages us to look outward and see the others in our own worlds whether we are approaching the conclusion of a life or smack dab in the middle. How will my parents react if I approach this when I visit? Do they know it’s now the 5th act, that we are tying up all of the loose ends in the story?

How about my friends, my kids, my darling bride? Actually, without really knowing it I’ve been on this path for some years now, probably guided by Beth and her inherent goodness. Friends come and go; either way I’ll likely feel a sense of completeness in the relationship if I remember these 4 things. Patients and staff do, too. I think I’m a pretty good boss and pretty user-friendly for patients as far as specialists go. Bet I’ll be better at both if I’m thinking about these, even just a little bit, even now.

Please forgive me.
I forgive you.
Thank you.
I love you.

Don’t wait for the conclusion of your life to think about these.

 

Sunday Musings (Four Essential Things)…

Sunday musings…

1) WOD repeats. Today’s scheduled WOD: Rake leaves, AMRAN (As Many Rounds As Necessary). Repeat X whatever.

2) Goals. I scaled a WOD on Friday, reducing the weight because my goal for that particular WOD was to not stop. I wanted to continue moving and maintain the “breathy” nature of the WOD. I could just have easily chosen to go as Rx’d and achieved a strength-endurance goal.

You vs. you.

3) Goals, again. I’m interested when I talk with a new CrossFitter to hear and understand his or her goals. Why do you want to do CrossFit? What do you hope to achieve? What will you do with the fitness you achieve? I’ve reevaluated my own goals a couple of times these last 6 years, and I’ve pretty much narrowed down my own desired outcomes and uses. How about you? What are your goals? Why are you doing CrossFit?

CrossFit is fun, whether you do it alone or in a Box. As a straight forward GPP (General Physical Preparedness) program I’m convinced it is superior to any and all other similar programs, but you may have a specific physical goal that extends beyond general fitness. Is CrossFit therefore not for you, or someone who shares your goal?

My bid is that an underlying foundation of GPP (upon which you layer your SPP) will make you better at whatever you do unless you are on the farthest extremes of the fitness Y axis, extreme strength or extreme endurance competition. Why there is so much gnashing of teeth and childish ad hominem about this escapes me.

I am especially befuddled when people who make their living teaching CrossFit, who are quite successful because of CrossFit, aid and abet those who launch such attacks.

4) 4 Things (With thanks to Ira Byock). I attended a talk yesterday on end of life care, the first in a lecture series honoring the friend I lost to cancer earlier this year. The talk was surprisingly moving, not only because it brought back memories of Ken but also because I will likely lose my Dad in the not too far future, and I thought of my folks throughout the talk. What the speaker discussed as end of life care and end of life preparations also offered a very important take-away that I will try to apply now, today, as if the end of life was nigh.

One should say 4 things often and with ease, not only in the course of completing a life’s work or concluding a life’s relationships, but in the course of living a life:

Please forgive me.
I forgive you.
Thank you.
I love you.

Sounds simple, huh? Maybe even a little trite. But each one of those little phrases is a bit of a minefield, each one laden with a hidden meaning and a back story, each one the mid-point in a little journey with a “before” you know, and an after you can’t possibly predict. There’s a little risk in that “after”, too, and that’s why those 4 little phrases aren’t really all that simple, and why considering this is not at all trivial. All 4 or those little phrases make you look outward, look at another, and in the stating they force you to put yourself at the mercy of that other. Each one of those phrases is a little opening in our guard, an invitation to accept or reject not only the sentiment but the sender.

I’ve spent the better part of 24 hours thinking about those 4 essential things and about how they fit in a life that is not necessarily concluding (at least I hope not!). We are, each of us, part of a tiny little ecosystem; thinking about using these phrases encourages us to look outward and see the others in our own worlds whether we are approaching the conclusion of a life or smack dab in the middle. How will my parents react if I approach this when I visit? Do they know it’s now the 5th act, that we are tying up all of the loose ends in the story?

How about my friends, my kids, my darling bride? Actually, without really knowing it I’ve been on this path for some years now, probably guided by Beth and her inherent goodness. Friends come and go; either way I’ll likely feel a sense of completeness in the relationship if I remember these 4 things. Patients and staff do, too. I think I’m a pretty good boss and pretty user-friendly for patients as far as specialists go. Bet I’ll be better at both if I’m thinking about these, even just a little bit, even now.

Please forgive me.
I forgive you.
Thank you.
I love you.

Don’t wait for the conclusion of your life to think about these.

I’ll see you next week…

Posted by bingo at November 6, 2011 6:13 AM

 

Consistency

Discipline vs. habit. Have you had those days when you trudge into the gym, the Box, with little to no desire to be there? Beaten down and on the verge of defeat, you simply show up, punch in, go through the motions, punch out. Had some of those? Yah…me, too. It happens elsewhere in your life, too, in other places and at other times when you don’t really ‘have to’ be there, doesn’t it?

Well then, why did you show up?

There’s a continuum, I think, along a line that includes discipline, motivation, and habit. It might be a circle or a feedback loop–I’m not sure yet. The end result is something like consistency. Was it some sort of discipline that prompted you to go to the gym and do that workout when you didn’t really have any too much desire to be there? Some sort of force of will, a conscious imposition of rational to overpower emotional? Or were you simply motivated by some end-goal long before chosen, a milepost toward which you travel no matter what because the destination is so compelling? Subtle, I know, and I confess that the subtle difference between discipline and motivation escapes my vocabulary and my understanding at this stage.

What I DO understand, though, is the concept of habit, and habit formation, and the consistency that arises from positive habits. You know, just like the Crossfit prescription of Form before Consistency before Intensity. Whether it’s the PULL of motivation to arrive at some wonderful destination, or the PUSH of discipline driving you there, it is the creation of habit, of consistency, that ultimately gets the job done. Similar prescriptions exist elsewhere, I’m sure.  CrossFit is just what I know.

Success is about building those habits, the ones that produce good outcomes. You went to the gym that day because going to the Box at that time is the habit you’ve developed; punching that clock on that day provides the consistency that will bring a giant forward leap on the next day when you show up with a spring in your step and fire in your belly. Any kind of habit that consistently moves you forward along a road to success is a habit worth creating. For example, I’m in the habit of assuming that every day in the office is gonna be a good day, unless it’s a great day, and I’ve noticed that this kind of habit is contagious.

Whether pushed by discipline or pulled by motivation, give yourself permission to create habits that move you.

 

Anthem For A Single-Payer System*

*Sung to the tune of Janis Joplin’s “Mercedes Benz”

Uncle Sam, won’t you buy me, a Mercedes Benz.The Aetna guys drive Audi’s, I must make amends. Worked hard all through med school, make less than my friends. Uncle Sam, won’t you buy me, a Mercedes Benz.

Uncle Sam, won’t you buy me, a flat-screen TV. American Idol is trying to find me. I’m smarter than a banker; I’ve got my MD. Uncle Sam, won’t you buy me, a flat-screen TV.

Uncle Sam, won’t you buy me a night on the town. Big Pharma’s been busted, you’ve run them to the ground. Sold m’soul to my gov’ment, got pennies on the pound. Uncle Sam, won’t you buy me, a night on the town.

EVERYBODY!

Uncle Sam, won’t you buy me, a Mercedes Benz. The Aetna guys drive Audi’s, I must make amends. Worked hard all through med school, make less than my friends. Uncle Sam, won’t you buy me, a Mercedes Benz.

That’s it…

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