silence

As I sit in the silence of the morning–flooded by light–I think about the silence filling the world.

Silence that sifts through hospital rooms, behind masks and shields, greeting those are ill. The silence that fills the space where family should be, normally would be–now empty space reserved for a time in the future, a time hard to imagine.

Silence creeps into the house, usually filled with laughter, chatter, warmth of bodies. Now empty and alone, silence filling the space. Silence, a new and archaic friend, coming back into a noisy world. We didn’t ask for you but you are here.

Silence fills those places we live, the spaces we love–parks, malls, salons, little shops and little stores–normally full of hustle and bustle but now jam-packed with profound silence that reaches into every corner we used to be. Silence is the store owner’s biggest fear and right now, our closest friend.

So I could feel alone as I sit here in my own silence, contemplating the state of our scared, broken, anxious world.

But in my own silence I can hear the voices of others, feeling the same way I do, across the country, across the world. We sit together today, alone, with our silence so that the silence will leave our hospitals, nursing homes, clinics. We welcome silence, invite it, realizing one thing for sure:

My silence is worth one less hospital bed that goes–finally, unexpectedly, painfully–silent.

 

the hope of healing

As I reflect over the past six months on learning to become a doctor, I think of how my perspective of illness has shifted. As a healthcare worker, you see people at their most vulnerable, when they are in the greatest need. Yet throughout illness, each patient retains their identity as someone who exists outside of the hospital walls—this, to me, has become some of the most important work I do as a medical student. Looking past, reaching out, and seeing people for who they really are and what they really love. Not only seeing those attributes but also allowing people to bring their dignity, identity, and personhood into the hospital room.

I see mothers, fathers, and young people who have faced life-changing illnesses that prevent them from doing what they love in life. I see women in their 50s who have scars from breast cancer or who can’t speak in full sentences because of COPD.

I see a 70-year-old man who had an intracranial hemorrhage that damaged his sense of memory and self; I see his wife transform from a lover into a caretaker, and I hear her yearnings for a husband who once walked 30 miles with her in Europe.

I see a man, struggling with substance use, silently cry out for help behind a composed, stoic face as he searches for a solution to his suffering and pain. I hear him talk about suicide ideation in one breath and his two daughters in another.

I see a girl, near my age, who has been in the hospital for 3 months now, and I see pictures she’s painted posted up around her room with a view that spans the Charles River. It’s a beautiful view, but she wants to see anything else in the world.

I see a mother, with her two toddler sons running around the exam room listening to cartoons on iPhones, as she mourns the loss of her sister to sudden cardiac arrest. She went to sleep and never woke up.

I see a grandmother start crying as she describes the pain she feels after a fall she endured. “You can’t even understand the pain I am in!” Honestly, I can’t. I’ve probably never felt a pain like hers before—physical pain mixed with loneliness, uncertainty, and fear. She’s way stronger than I’ve ever been.

That’s where my fear comes in, the awareness of the fragility of life. I see my mother, sister, brother, boyfriend, niece and nephew, dad, grandparents, best friends, and future children in the faces of all those who suffer openly in front of me. I try to dip into their pain, to feel what they feel if only in that moment—to protect myself—but find myself overwhelmed by the emotion they bring to the conversation. I fear how a single moment can transform everything—the moment a cell becomes cancerous, or a fall becomes a brain injury, or a goodbye becomes the last one.

This confrontation with illness is new to me, and I’m still learning how I will embrace the reality that life is fragile yet somehow malleable. In the context of my own existence, it makes me realize how precious life is right now, at this moment. It encourages me to take walks, read books, call those I love, and, honestly, it sometimes makes me wonder about choosing a career that separates me from my family and hometown. There is no doubt about it: medical training is hard emotionally, socially, and physically at times. There are days of studying unimaginable hours. There are disparities and heartbreaking realities in medicine. There is powerlessness and emotional warfare.

Despite these considerations, being in medicine gives me hope. It gives me an understanding of humanity. Amidst all the suffering, pain, sadness, and illness, people are relying on their providers to give them hope. That is why the woman with breast cancer is sitting in front of me with scars that gave her cure, or the man with the intracranial bleed can walk 2 miles with his wife now instead of being confined to a chair, or that the woman with the toddlers is learning of her genetic cardiomyopathy so that she doesn’t leave her own children behind. They are given hope through the medical system, research, and intervention. More than anything, my patients teach me to have hope. They remind to align my life so that I can do those things that I would being doing if I woke up tomorrow with a life-changing illness—enjoy the sunshine, prayer and community, the arts and humanities. They also encourage me to be a part of the system that provides hope to those who feel hopeless. Yes, I see life as more fragile now than I did six months ago, but I’m also much more appreciative of what it means to be healthy and alive. I hope to continue evolving my understanding of illness, suffering, and death as I meet more people, gain more perspective, and realize the blessing of medical care.

 

little inconveniences

Drip drop, drip drop.

I’ve heard it a million times from a million people before.

“Oh, there it is again, the stupid sink dripping water all night long, waking me up in the middle of the night, keeping me where I can’t sleep. I’ll ask him to fix it but he’ll probably forget, or when he does fix it the next thing will pop up, probably on my way to work–it’ll be the engine, but when I get to work it’ll be my phone or when I get home from work it will be the big, loud fat drops of water dripping from the ceiling onto the kitchen table–or is it the sink again?”

Drip drop, drip drop.

Every day something new pops up–a new inconvenience to my ordinarily smooth-sailing life, a new form of drip drop, drip drop, drip drop like the incessant noise all night long from the sink, slowly letting one drop hit the bottom before the next one crashes out, staying with me all night long, echoing in the back of my mind.

I think about how that little inconvenience feels so huge–how that little inconvenience, all those little inconveniences daily, add up to a life riddled with inconveniences of the smallest scale. The person who doesn’t go immediately at a green light. The 30 seconds too long I popped the popcorn. The glass bottle I dropped and shattered and now have to clean up. I’m constantly inconvenienced.

But then, I think of what I could be hearing: that barely-there whisper of the drip drop, drip drop, drip drop, except this time it isn’t the sink slowly letting out water on to the drain, but the IV bag slowly, carefully, measurably dripping poison into my veins. It’s the IV bag keeping me alive, resisting desiccation, or tumor growth, or infection. An inconvenience so large that I must rely on it to live–suddenly, I think of all those other inconveniences–the broken phone, broken engine, broken roof, broken glass, broken house, and suddenly they all become overwhelmingly insignificant compared to the prospect of a broken body, a broken soul.

I’ll be thankful for my little inconveniences every day.

identity

What if your identity

Is not found in the big city

But in a small town

Where few people are brown or black

But mostly different shades of white

And every day the sun shines down as they

Continue to fight the good fight

To pay the bills

And maybe some buy the pills

Just to get the thrill

To survive.

Not thrive, because that would mean breaking out

Of the shell that looked like hell

But to others looked like a quiet Main Street

And a few stop lights

And county fair nights

And a simple, little peaceful town.

Sometimes your identity is not in

Prestige and honor and fame

But in the sincere scene of a gathered team

To pray before a game

Or a group gathered to cry

Over a blown out flame of someone loved

Who just lost the fight.

The good fight.

What if your identity isn’t in big city skies

But catching fireflies

In the evening light

And yelling hey to the neighbor who just passed by

And leaving your doors unlocked at night.

I’m learning, though,

Your identity isn’t where you are

It’s who you are

It’s the stories you carry within you

Not the culmination

Of your awards and accreditations

But your soul

Your sense of why

Your sense of who you are.

No matter how far away you go,

Hold onto your identity,

like a rope,

steadfastly.

the free

Piece by piece

We build the wall

That works to separate us all

From those who have from those don’t

From those who can to those who won’t.

We throw our words around like flames

That scar and burn but mostly blame

Because those who won’t just steal from me

And those who don’t just need to flee.

Word by word

We all fall down

Our piercing words can only drown

Those who seek a sweeter place

To love and live and show their face.

All they find is hate and harm

From those with dangling, cross-shaped charms

“Build the wall!” they shout with glee

And as we do, we imprison the free.

Heart by heart

We deny the hate

That steals our love and determines our fate

We stand together in unity

Remembering whose pain once set us free.

We don’t speak loud but we do speak out

Because acts of love don’t scream and shout

The greatest of love has spoken for me

Now I speak for Him on that sacred tree.

I wrote this on a plane ride back from visits in Boston and Providence over the weekend. I was really inspired by the people, love, passion, and humanity that swept me up over the past few days and felt compelled to write this piece of poetry. It is political, but our lives are political. They are messy, confusing, never black and white. This poem, I hope, urges us to consider the gray– to find our place in the gray. The piece is also about love, peace, freedom, Christ, and unity. I hope the beauty of the woods isn’t missed for focusing in on the tree. I’d love to hear your thoughts.

values collection

Sometimes we must make big decisions in our lives.

I hate these times.

I’m horrible at making big decisions, or small decisions for that matter. I’m clearly not a very decisive person. I tend to change my mind often, and I’m easily convinced by someone who has a good argument. A part of this is because I dodge confrontation at all costs and quickly catch onto the current of the popular wave. I also think I change my mind often because life is complex, messy, and human lives are involved. This isn’t make-believe. Black and white answers are often misleading and potentially damaging. In many ways being indecisive is a conduit to being open-minded and listening to many perspectives.

I absorb new information like a sponge. Then, I add that new information to the pool of ideas that shifts and swirls within my head (it’s like a chaotic whirlpool up there). New information has huge influence over our lives. We’re all susceptible to the pull of new ideas or propaganda: politically, you may think differently today than you did five or ten years ago. You may have changed your mind about vaccinations. When you once thought they were harmless and very beneficial, now you’re skeptical because of alarmist news, trending discussion on the topic, and changing trust in authority. I’m not saying any of this is wrong, and I think it is even right to question new information. Some people spend their whole lives never questioning if what they believe is right or wrong. Those people are typically stubbornly blind in their ways and oftentimes closed-minded and hard. New information and the decision-making process can become an opportunity to explore what we believe and why.

I’m making a big decision right now, and it is hard. Every day I grow more anxious about deciding where I will go for medical school (full disclosure: it will be either Stanford or Harvard). There are a lot of factors to consider when making this decision, and, unfortunately, no one can make it for me. What I’ve learned throughout this very tough decision, though, is how to articulate what my values are. About five or six years ago, Mrs. Kelly Hinson, my high school cheerleading coach at the time, encouraged us to write down qualities we valued in a future husband. This was my first exercise is clearly stating what I find important, and I continue to reflect on my life in terms of values today.

It’s easy to get caught up in the impressing game. We all want to be impressive; it’s the driving factor for what we post on social media, how we dress, what we share with others, how we spend our money, etc. Not many people go around starting a conversation with, “Yeah, last week I failed an exam, wrecked my car, and then forgot to pay my credit card bill.” Or “I’m pretty unhappy at the moment. Yeah, I’m sad. I’m learning to cope and find outlets, but right now is honestly a hard time for me.” We just don’t shape the perception of our lives in this way. We aim to impress, subconsciously or consciously.

I’m trying to avoid the impressing game and focus on the values game. I’ve spent a lot of time narrowing in on what is important to me over the years. We spend a lot of time crafting our personal “values collection.” We avoid excess, eliminate toxicity, seek out righteousness, love what’s good, and hate what’s harmful. The actions of our lives become the patterns of our decision-making. As I make this huge, scary decision, I’m focusing on my own values: community, support, acceptance, love, flexibility, family, honesty, integrity, and compassion. Sometimes it requires taking it back old-school style and grabbing a pen and paper to simply write words that are important. If you feel caught up in the indecision of our political system or you’re being carried too much by the waves of other people, just write down what is important to you. Your own “values collection” can serve as a handy compass when navigating this complex, confusing world.

dream big

Reader, I did it.

I got into Harvard Medical School.

This isn’t a post about the hours I poured over biochemistry pathways or the different immune cells. It isn’t about my boyfriend, Avery, who made quotes for me to read every day I studied for the MCAT. It isn’t even about my gratitude for my mom and dad who empowered this dream.

This is a post to you, to say YOU CAN DO IT. I promise you can. Whatever it is that sets your heart alive, gives you a purpose that is bigger than yourself, or wakes you up in the morning, I am begging you to chase that dream. Nothing is more beautiful than settling that thing in you that is urging you to pursue your dreams. Four years ago, I was a high school senior in a small town in rural Tennessee. I had never taken an AP class or won a national spelling bee or been inducted into the National Honors Society. I applied to one university and never even imagined applying to an Ivy League school. I had a few key mentors, a passion for science and service, and a door that was hanging wide open in front of me. Through that door, I saw limitless opportunity and chance. I saw hope. Belmont University was my vessel to explore that thing within me that said “Hey, go for it. I believe in you.” I have always felt there is something greater within me, something calling me to do more and to be more than my small and limited mind can comprehend. I followed the crazy things that thing called me towards, and I achieved a dream – a dream bigger than I ever imagined.

I think everyone has this thing within them, gnawing at their spirit. It may be starting a business, working as a nurse, doing mission work, becoming a writer or artist, helping those that are differently-abled, or finally going back to school. It may be small; it may be big. Whatever you have in you that is inching to get out, it matters. Your contribution to the world matters.

People will discourage you. People will question you. People will try to limit your ambition and your dreams. My biggest advice is to never be that person to yourself. Believe in who you are. If you do this, other people will believe in you, too. My freshman year of college, my mentor Dr. Javid Moslehi consistently introduced me as, “This is Mary. She’s going to be a Harvard medical student one day.” I jokingly laughed it off and didn’t believe him, but his belief encouraged me to believe in myself. Find those people that believe in you. They are the ones that throw gasoline on the fire within your heart.

Dream big but work hard. My dad always told me, “There are people a lot smarter than me, but none of them can work harder.” This is my motto now, too. You can be a math genius or an art prodigy, but if you do no work with that talent, you will never fulfill your potential. Seriously, work hard. Where you are deficient, hard work can compensate. I fully believe anyone can learn anything with enough time and effort. If hard work can get a girl like me into Harvard, it can get you anywhere you imagine.

Just go for it. The worst thing that can happen is that you fail, and if you fail then you just start over and try again. My mom always reminded my younger sister, “What happens when we fall? We learn to pick ourselves up.” You can always pick yourself up, and you’ll probably have people around you that are there to catch you anyways. Whatever is holding you back, throw it off. Whoever is holding you down, let them go. You are worth achieving your dreams. You are worth making a difference. I promise: you can do it.

“Tell me, what is it you plan to do with your one wild and precious life?” – Mary Oliver

“My mission in life is not merely to survive, but to thrive; and to do so with some passion, some compassion, some humor, and some style.” – Maya Angelou