Thinking like a Queen

So many problems. So little time. Or so we think.

I’m sure we all have these days (or much longer) where we seem to be showered with so many problems that focusing on failure is not an option.

Challenges don’t have signal lights. There are no brake pads in life that tell us when to pause at certain decisions. Whatever we decide on, remember, failure is always an option.

So how do you deal with situations like these?

Always factor in failure as part of the equation to solving a problem. There is no shame in failing because it will always part of the learning curve.

One day, I told my staff over lunch that who they see me today as a successful clinician was a product of failure. I am not ashamed to tell that story over and over again.

In the class of 1983, I was one of those who did not pass the oral revalida. And while the rest of my class marched on stage during graduation, I was making up for the failure. The failure devastated my ego. Whatever ego was left was thrown out the window.

The question was – do I continue or do I give up? What will people say? After wallowing in self pity, I came face to face with realizing that ego never built dreams. It was the most humbling moment of my life. I needed to prove to my tribunal that they were wrong. I could do this.

The rest of my success is history. There is no other story in between except that story of failure and my becoming who I am today.

While we are entitled to failures, it’s a fair reminder that the accountability is ours. Own up to it.

My piece of advice to those who go through life’s failures, is that they are there as part of your journey are not meant to be your final destination.

It will hurt when you fail. But someday you’ll realize when looking back at these struggles, it changed your life for the better.

Believe

I wrote about surrendering a few days ago. Not because giving up is the only option. But because it’s a settling issue when the impossible is your opponent.

Then there’s believing in better outcomes. Believing even during the most uncertain times on better consequences entails two words – faith and hope.

Someone once asked me, why do bad things happen?

Pain is the greatest game changer in our lives. It reminds us that life is all about possibilities and overcoming the obstacles.

“We cannot change the cards we’re dealt with. Just how we play the hand”.

Randy Pauch

The answer is simple, yet complicated. If life does not pose hurdles, what a boring routine we’d need to face each day.

We need to believe in the magic of miracles. They are the anchor of hope during adversity. And yes, the universe has a way of aligning life.

My mind wants me to die

They say that depression is like “living in a body that fights to survive, with a mind that tries to die.”

When my father passed away, my mom went through those moments called depression.

At first we all just thought that after his death, we would go through the usual cycle of grief and overcome the painful loss. It’s really easier to tell someone that “everything is going to be alright”. My mom was devastated. She stared into space every night and seemingly was lost in her own world with all the psychosomatic symptoms of illness. There was nothing I or my sister could do to help her. After all, how could you forget easily someone who had given you so much to remember?

He was gone. We needed to move on. He would have wanted it that way. We will survive. He would have wanted us to be happy. He is in a better place. There is no more hurt or pain.

I needed to repetitively remind myself and my mom of these thoughts. But the tears spontaneously flowed at every occasion. There were no happy thoughts.

What probably hurt most was the non closure of events when death came like a thief in the night. After all, a procrastinated demise has the opportunity to provide one last farewell and make amends in life. Unlike people who probably had to suffer tremendously before dying, my dad’s death had no goodbyes. One day he was just gone.

That’s where all the regret, guilt and depression were coming from. It was a feeling of betrayal on the part of death.

Depression is a sad state to be in. Sad when people are not waiting for happy endings but just waiting for the end. Everyone thinks that depression is just a phase we all go through and snapping out of it is easy. Watching my mom go through this at her phase in life was painful. Perhaps the reason why my grief was short was because I needed to be strong for her, more than her having to be strong for us. After all, after my dad suffered a stroke, she was the strength that kept all of us together. When he passed away, that pillar just gave way.

I will probably never know what lives in the mind of my mom. Even when I ask her about it, she tells me that when she has bouts of loneliness, there is nothing in her mind but a feeling of emptiness and fear.

More than two decades later, with psychiatric help, medicines and family support later, she is better on most days.

I know that there is no one stop shop for depressive disorder. But there is hope and help for anyone going through tough times. And mental illness is something we need to be aware of, talk about, and share.

It’s okay not to be okay. I’m with you on this journey. And I’m writing this for you.

I surrender

I get it.

No matter what you do, things just don’t work out. Most will provide the advice of “never giving up”. Yet there are times when giving up is the best option because you realize that it’s just a whole waste of time crying a river.

There are painful situations in life. Loss of a child or loved one, property or material value, job or career – they’re all part of the circle of life.

Doesn’t it suck that you’re in that situation when you know you need to let go, but you can’t, because “you’re waiting for the impossible to happen?”

Surrendering is an important decision we need to make in our lives. I’m not saying that we need to surrender at each stumble. There are just situations that letting go is the best decision we will make.

The homecoming @35

Class of 1983. Yep! 35 years after graduating from medical school, this bunch of crazy, lovely, wonderful and great people still managed to come together from all parts of the country and the world to be with one another for our alumni homecoming.

This year, we were the coral jubilarians. It was a festive and memorable occasion. While I missed some other gatherings of our batch, I could not help reminisce those crazy times we shared.

School wasn’t just about coming to class and taking and passing the exams. It wasn’t just about studying to get a diploma (though I got mine a few months later than my batch mates). It was having fun and learning at the same time.

After medical school, we all went separate ways. Our journeys may have been different. Some married. Some stayed single. Some worked for the government. Others the academe. Others the corporate world. And most of us went into private practice. Then there were those who passed away. Too soon.

Homecomings remind us of the camaraderie we all share, even after school. It’s a beautiful reminder that life goes on and only we can chart our destinies.

The class of 83 is family to me.

We are like branches on a tree. We grow in different directions. Yet our roots remain as one.

I will always be grateful to my Alma Mater and my professors who have molded us into who, what and where we are today.

Until the next five years again my friends when all roads lead us back home.

Silver linings

We’re all a bunch of idealists. Growing up, we’re filled with these dreams and aspirations for a perfect life.

But that’s not what life throws at us.

I’ve learned that what happens, happens. At first, I was disappointed that in spite of so much effort and goodness (or doing the right thing) some endeavours ended up unappreciated. In retrospect, whatever decisions were made was a good thing. It provided less responsibility and consequently less accountability and stress. It was the silver lining.

We all have these anxious moments. They are touch and go situations with unpredictable outcomes. It’s miserable if things happen not the way we expect or plan. And it’s an inappropriate reaction to not give a f*ck about the events in our lives. But things happen.

I will not venture on why things happen. But they do. And that’s the reality of life. We move on. The hurt will be there, but the world continues to revolve around the sun and the moon will still shine more brightly in the darkest nights.

Coming to terms with reality of life and death, with victories and defeat, with struggles and ease are not easy.

But life has its silver linings.

As Martin Luther King, Jr. aptly puts it

Only in darkness can you see the stars.

For my friends who have been with me during my darkest days, thank you for making me see the stars.

How much are you worth?

During one quiet moment, a friend’s father asked me “how much are your principles worth?”.

My initial reaction was shock.

Until he elaborated.

Everyone has a price. Even the most principled man has a price. Even heroes or saints have a price. Some of us may have not yet met that situation that made us decide on the price of our principle. We all have.

Let’s put a situation:

Say you needed 3 Million pesos badly because your father needed treatment for a disease. He has been in the ICU for the last 30 days. The savings of the family has dried up. Your family had to sell the house you live in. The loans are building up.

Your current job entails you access to vital confidential information that when revealed can bring down the business. The competitor of the company you work for knows your dilemma. Offers you 3M in exchange for that information. The life of your father or the information to the competition?

The scenario can vary from a hungry beggar who’s willing to break a law to feed his hungry and sick children or a drug addict who is willing to sell his or her body in exchange for a fix. Or the politician whose level of greed is shallow and is willing to exchange justice in order to keep up or maintain his family’s lifestyle.

If you’ve not met this challenge in your life, sometime you will. It can come either in the form of a crisis or temptation. But it will come.

For those who already have “sold” some of their “principled values”, only our conscience will dictate how we resolve them and if and when we can sleep better at nights.

We do what we need to do after thorough deliberation with our conscience.

Remember

there’s something wrong with your character if opportunity controls your loyalty.

What defines us at the end of our journey in life is not how well we lived but how we lived a life of kindness and gratefulness.

3 weddings and 7 funerals

That’s the number of celebrations of life…and death of friends in 2017.

The beginning of 2018 marked the passing of the mom of a colleague. A depressing and somber mood to greet new beginnings.

I recall the story of the conversation between life and death.

Life asked death, why do people love me but hate you?

Death responded, because you are a beautiful lie and I’m a painful truth.

The cycle of life, and sadly, death, begins as soon as one is born. The older one lives in society, the more celebrations of life and death one encounters. Time has a way of showing us who and what matters in life. It also reminds us of joy of beginnings and the pains in letting go.

We all want happy moments. It is human nature to expect that. To most of us, celebrations are made up of these happy days – birthdays, anniversaries, special occasions, marriages, Christmases. Moments where “gift giving” is an obligatory event. Most of us avoid discussing death as a celebration.

I’d like to think that death, as dreary and morbid as he may seem is an obligatory event that’s worth celebrating. It provides us the opportunity to remember all the good and bad journeys of the person. It provides closure to life, no matter how short or how long it is shared with others. No matter how difficult or comfortable life was, death will always be the final book that the person wrote in his lifetime.

Albert Camus once said “there is a life and there is a death, and there are beauty and melancholy between.”

I’m smiling, but you’re not the reason anymore

If you’re searching for a reason to leave, stop. The search is a reason.

I recall when we were growing up, we thought of the New Year as an opportune time to make changes in our lives.

A little drama here and there. A few promises and swears. I promise you, it’s the first few days or weeks of the year that you see some “magical change” in some people.

Old habits are just hard to break. And the cycle (well more or less) begins again. Promises, after all, are made to be broken.

So here’s my take on resolutions.

First, it’s got to be something you promise yourself because you know that it’s doable. No matter how painful, it needs to get done. Searching for a reason is a sign.

Second, is it’s a priority. If you had to choose between a fucked up love life or relationship, a shitty job that’s too painful to even wake up to, or a weird family to contend with each day, which would be the least of all evil to deal with? I’m not telling you which you should choose. It’s your life after all.

Third, and oddly I’d give advise, is you’ve got to balance which ones you can fix and which ones are not repairable. There are those that diplomacy or a bit of tact can solve. Then there are, after all, lost causes. Doesn’t matter whether you conjure the devil, it’s just hell having to contend with it day in and day out. It’s true when they say, misery loves company.

Finally, it’s just honor and pride in the end. You know the feeling of being treated like dirt shit? Well, been there and done that. You need to walk away from these situations. They’re deadly and they’ll leave you stressed and hating yourself.

Fair reminder. The more days you waste resolving these issues, the more regretful you become with yourself for not making decisions sooner. Procrastinating the inevitable is shit thrown at you and you liking it.

I’m making my resolution. I’m going to smile again. And yes, it’s not because of you.