Guilt, Guilt, Go Away…

And with that return to work, I gained a new burden that I struggle with now and probably for the rest of my days going forward, one that is shared I think by all moms out there: mom guilt.  I think regardless of our choices after a birth of a child, moms have guilt no matter what path they choose, be it returning to work, working part time, or taking time off of work to pursue raising a family full time.  With all of these choices, I think we moms feel a pang of guilt that we are not doing enough to fulfill all of our expected roles.

5 years ago, at the birth of my daughter, I gained a great gift: motherhood.  With that, I learned all kinds of new challenges, not the least of which is having responsibility over another small human being.  After a few short weeks of maternity leave, however, it was time to return to work.  And with that return to work, I gained a new burden that I struggle with now and probably for the rest of my days going forward, one that is shared I think by all moms out there: mom guilt.  I think regardless of our choices after a birth of a child, moms have guilt no matter what path they choose, be it returning to work, working part time, or taking time off of work to pursue raising a family full time.  With all of these choices, I think we moms feel a pang of guilt that we are not doing enough to fulfill all of our expected roles.

Luca's dump truck
Let’s take Luca’s example and haul away the pervasive negative emotion of guilt.

Our society has changed, indeed, in the last several decades, with many women working outside of the home out of necessity at first, and now as a sense of a way to build an identity of our own.  And in addition to this, the emotional needs, organizational needs, and household chore needs of a family unit still often fall to the mother.  Getting the doctor’s appointments and dentist’s appointments scheduled, getting the kids to said appointments, keeping practices and activities straight on the calendar, paying bills to the school and activities, keeping the house in some semblance of clean, working order, and don’t forget the never ending mountains of laundry that accumulate each week.  I think with this shift, however, moms, and in particular working moms, are not really cut enough slack.  Being a mom is a “full time responsibility.”  Being a working woman is a “full time responsibility.”  And taking care of ourselves is a very time consuming responsibility in and of itself, one that often takes a back seat in our lives.  There are only so many hours in a day, and we only have so much energy to expend each day.  The quality of our work in each of these arenas sometimes suffers.  Or at the least, if we do manage to fulfill our responsibilities to some semblance of acceptableness in our minds, we fail to take care of ourselves.  And we get a pang of that dreaded guilt.

I think we all have limits.  I am starting to gain awareness of my own limits – my emotions and my energy levels, and how these play into my ability to fulfill my work responsibilities and “mom” responsibilities.  Guilt, I think, is sometimes not very helpful in this equation.  (And of course, there is the whole idea of income divide in between men and women, a whole other challenge and topic of debate.)   I am not able to be in two places at once, though sometimes I wish I could be.  But that desire to “do it all” sometimes leads to an uneasy feeling in the pit of my stomach that I am not enough.  Is this correct?  Is this healthy?  I am seeing that resoundingly the answer often is no: it is not a very helpful or healthy emotion.  I am doing the best I can as a working woman, and as a mom and wife.  I am starting to cut myself some “slack” so to speak, and take time for myself.  I did this in the last few years by taking up running, and in the last couple of years with taking up writing in this blog.  I think my children see this time I take for myself and I hope that they see that it is okay to take care of yourself.  By doing so, I then have more emotional reserve and patience in the tank to focus on my family and my patients.  And as any mother of young children knows, patience is always needed to deal with all of the little challenges the little ones can throw at you.

Climbing through life
Let’s be brave like Maddie, and climb through life’s challenges, shedding the often unhelpful emotion of guilt as we ascend.

So my humble request today to all working moms out there: take care of yourself, so you can be the best version of you, for your families and for your workplace, and most importantly, for you and your own wellbeing.  And in taking care of yourself intentionally and regularly, you are setting an important example for your family members and coworkers that can be inspiring to them to start taking better care of themselves.  I am getting better at naming the emotion of guilt I feel, and more importantly, with practice, I am trying my best to let it go.  This guilt often does not serve me positively or productively.  Instead, mom guilt often raises feelings of self doubt and self criticism.  I am practicing seeing the emotion of guilt, seeing if it helps me (often which it does not), and then letting it leave me as soon as I can, so I can move on to the next thing I need to do.  I hope all moms out there can take on the task of learning to let go of that nagging guilt.  Just like the rain of spring showers peppering my area now: Guilt, guilt, please do go away, and I’d rather you NOT come back another day.  But, I if you are (inevitably) back another day, I vow to NOT let you stay.

Money, Money, Money…A Tool For Living

Money is a loaded topic.  It carries a lot of emotional baggage for many.  It is useful, but can also be destructive if utilized in harmful ways.  It can be kept, spent, or given away.  There are so many choices with what to do with it.  I think one thing that has shifted within me in terms of my mindset on money is thinking of money as a tool to get what I want from life.  Instead of seeing it as a roadblock, or as something to accumulate and collect, I see it now as something to earn, use, and trade for things I truly value.

Kids on Trampoline
Thinking about money can be exhausting.  Let’s lay down a bit, relax, and enjoy the sunshine.

Something that has helped me is learning to spend my money on what brings me utility and enjoyment in life.  I am starting to more systemically strategize my own financial plan.  Before, I would have a nebulous, and often frustrating goal of earn more, save more, spend less.  Now, I am breaking this down and making it more concrete via online calculators and the old nerdy standby of Excel spreadsheets.

Seeing things laid out before me in my financial plan has helped me shift how I see my weekly and monthly expenditures.  I am eager to create some breathing room between my necessary expenses and what I have accumulated in the bank.  I get satisfaction from my job, but at the same point, I do not want to be forced into a working position where I have to work to pay the bills.  I think this shift in mindset has helped me start to spend my money more meaningfully, and use money again as a tool to reach my life goals and my financial goals.

The book, Your Money or Your Life, by Vicki Robin and Joe Dominguez, highlights this in the idea of analyzing what you have spent.  After you tally what you are spending in each category in your life (e.g. housing, groceries, restaurants, hobbies), you can then analyze each spending category by giving it a grade – whether it is right where you think it should be, whether you should be spending more in that category, or whether you should be spending less.    I found this idea really helped me start to spend my money strategically, and feel less guilt in spending on what I think is important to me.

Maddie in full pose action
Life is short. Money is useful but never the be all end all. As Maddie displays here: never take yourself too seriously…and never be afraid to pose for the perfect shot.

I hope to also teach good money habits to my children, via how I spend my own money and how I speak about money.  As my children get older, I hope to show my children how money and wealth are a tool to be used, and also how this fits into the bigger picture of the economy of our neighborhood, our city, our nation, and our world.  The book Silver Spoon Kids, by Eileen Gallo and Jon Gallo, had a very interesting chapter in it describing how a huge chunk of the nation’s wealth is concentrated in a very small percentage of the country.  It offers the idea to do an exercise with your children dividing up 10 cookies among your children, to illustrate the distribution of wealth in the country.  As described below in terms of the breakdown in wealth, what happens is one child gets several cookies, another few children get also a fair distribution of the cookies, and the majority of children are forced to break up and share a tiny portion of one cookie.  This is astounding, heartbreaking, and eye opening.  This book was published in 2000, so I suspect the statistics on the distribution of wealth in the United States have probably gotten even more lopsided.

But according to Silver Spoon Kids, around the time the book was published (2000), 40% of the wealth is in the upper 1% of the population, 30% of the wealth is owned by 2-10 percentiles, 29.8% is owned by the 11-60 percentiles.  And the bottom 40 percentile of the population owned only 0.2% of the nation’s wealth.  This is crazy to think about. And I am sure this trend may continue.    I think that part of the book really gave me pause and think very differently about money, wealth, and how it is utilized as a society and an economy.

Money is valuable, but I see that it is simply a tool in life.  As described in the book Your Money or Your Life, you are trading some of your time or life energy for your paycheck.  You can then use this money from your paycheck to go to the stores and get other things you want in life (e.g. groceries, a roof over your head, a new set of headphones, a tank of gas).  By using it more deliberately and carefully, I hope to be trading my time during my work for something I truly want. This is a work in progress, of course, but I hope to continue to get better at spending my money wisely.  And I also hope that by leading by example, I can teach my children how to use money wisely, too.

Adversity As A Way To Grow

I was reading a children’s book to my son several weeks ago  – What Do You Do With A Problem? by Kobi Yamada.  I saw parallels in this book to the central ideas in another book I read several months ago – The Obstacle Is The Way by Ryan Holiday.  These books both highlight one premise of stoicism – adversity as a breeding ground for growth and improvement.  The quote from Marcus Aurelius’ Meditations that highlight this idea is as follows: “The impediment to action advances action.  What stands in the way becomes the way.”

Maddie Running
Maddie learning to overcome the cold (and posing in spite of the chill)!

Challenges in life can be disruptive and disheartening. I often which life’s challenges or “problems” would go away. Wouldn’t it be nice if life was smooth sailing?  It seems like a great day when things always go your way.   But by looking at problems via the stoicism lens, I see now that problems and “hiccups” in life give me an opportunity.  An opportunity to sharpen my skills.  A chance to see how far I can go.  Without adversity and problems in life, the world would be a boring, unchanging place.  With problems, we are given the opportunity to make ourselves and the world better.  It is great when I come through an obstacle successfully, and therefore feel myself becoming a stronger, more resilient person.

Of course, things do not always turn out positively.  Sometimes (a lot of the time!) outcomes result in loss or failure.  But again, this can help me gain self awareness about my strengths and my weaknesses.  It makes me honestly assess myself, seeing via examples what I am able to do, and what I cannot do.  I can then focus my efforts on growth and improvement.

Luca Climbing
Luca prevailing by climbing over his obstacles.

Again, if you have a moment, I would recommend The Obstacle Is the Way, a great book to read or listen to.  And if you have a little one, I’d highly recommend What Do You Do With A Problem?  I think these books help reinforce the concept that problems, despite their initial negative appearances and the negative emotions they conjure up, are not always bad.  Depending on how you look at obstacles or adversities in life, they can be seen as catalysts for growth and the starting line for good.

Time Goes On: Learning to Say Goodbye

Life is Short

Learning to say goodbye is never easy.  We are asked to say goodbye in many different ways in life.   Some examples I have seen in my own life: Saying goodbye to my family every morning as we go our separate ways for work or school.  Letting go of items or possessions that no longer serve a purpose.  Saying goodbye to patients after my residency, as I moved on to my attending position.  Expressing condolences for my older patients who have passed away.  Saying goodbye to patients who have moved away, destined to establish with another physician.  Accepting the fact that everyone and everything around me is getting older and time never stands still.  I think the hardest example of this is accepting that my children are growing up.

This little gal is no longer just a crawler but a runner, jumper, and climber.

My Children Are Growing Up

My daughter is no longer a baby.  (But don’t get me wrong: she will always be “my baby” in my heart.)  Physically, she is taller and leaner.  Looking back at pictures from a couple of years ago, I see she has lost her baby fat. She refuses my help many more times than she used to.  She is starting to learn how to read.   She likes to tell me about her day.  She will be turning five in a couple weeks, and will be going to kindergarten this fall.   She still wants me to tuck her in every night and read a bedtime story to her,  and I cherish this. I wonder how quickly the next several years will go.  When she becomes an independent teenager, I will likely miss those moments she needs me so much.

Blink, turn around, and they are already so much older. Hard to believe this was 2 years ago.

My son, too, is a precocious 2 year old.  He is constantly vying for independence. He likes to tell me all that he sees around him.   It is kind of neat to revisit the world from a toddler’s eyes.  Nature has so much beauty and wonder that we adults take too much for granted.  He likes to have as much control of his day as possible, and lays out his demands confidently. This includes insisting on wearing  particular clothing for the day, choosing his own meals, and wanting to turn on and off the light switches himself (though he is not quite tall enough and requires a lift from mom).

I can still recall both of my children being tiny infants, requiring constant care and attention, with their only mode of communication being cries and shrieks.   Now they each have their own little voices and thoughts, and their own emotions and opinions.  Where did the time go?

Being Thankful

Seeing my kids grew up so quickly has made me more aware of how short time on this earth can be. Instead of focusing so much on the past or future, I am trying to enjoy the present. Tied with this, is the concept of gratitude.    I strive at the end of every day to think of three things I am thankful for.   Invariably, my answers involve relationships, my family, and my health.  This mindfulness practice has fueled my desire to be more focused on the present moment.  I see every day in my life as a mom and a physician how fleeting  time can be.

I think looking back on how far we’ve come is a useful exercise.  It is hard to say goodbye to the past, and with that goodbye, to admit that life has changed.  Sometimes I think I forget how quickly time passes and take a lot of things in my life for granted.  Purposefully and deliberately looking back at the past allows me to properly say goodbye to things that are no longer present.   I’m able to express appreciation for how much I have in the present, and take stock of all of my blessings.  And I enjoy imagining how things will look in the future.

Handling Emotions – Nurturing Emotional Intelligence

Emotional Intelligence, EQ

I read a wonderful book, Emotional Intelligence by Daniel Goleman, a few months ago.  This book was recommended during a continuing education workshop I recently attended.  And I greatly recommend it to anyone else who hasn’t read it yet.

I wish I had read it sooner, particularly as it relates to raising my kids, particularly as it relates to toddlerhood. (Terrible 2’s and the classic toddler tantrums are a perfect example of how poor emotional control can manifest when faced with negative emotions.   Not something that adults should really be doing, though I admit sometimes I want to.   And I don’t think I am the only one.  Strong emotions can really inhibit your self control sometimes.)

The book, Emotional Intelligence, outlines what emotional intelligence is, and why is is important.  I admit this was a relatively new concept to me. But one that is intuitive and vital for all aspects of life.

A brief definition of emotional intelligence, or EQ, is the ability for someone to recognize, harness, and express one’s emotions, and recognizing how emotions a person feels can affect relationships and how one interacts with others.  Not easy to do, but something very important to fit in with a society where we greatly benefit from teamwork and working with others.

Two Pathways for Emotions

A concept I found really pivotal in the book is that the brain has 2 pathways when it comes to processing emotions.  One pathway goes through a slower pathway that travels through the cortex, or higher reasoning part of the brain.

The faster pathway, which can be thought of as an evolutionary protection mechanism, goes from the thalamus straight to the amygdala.  This is what makes you have your “fight or flight” response to a perceived threat (which may indeed not really be a threat).  The second fast pathway is what drives me to startle and feel fearful when I hear a loud noise, or feel my cat brush along my leg when I don’t realize she is there.  Afterward, with the help of my higher cortex, I reason out why I had the response I did.

I can see how this drives me to often react unhealthily to stress in my daily life.  Just realizing this has helped me become more self aware of my actions and thoughts.  And forgive myself for occasional bad actions.  I am nowhere near perfect, but I think just understanding emotions and emotional intelligence better helps calm me and drives me to be better.

Childhood Development and Emotional Intelligence

The book also describes emotional intelligence and how it develops in childhood.  I kind of think of this as the key concepts kindergarteners learn.   Listen.  Share.  The Golden Rule – Do unto others as you would want to be done to you. After reading about the concept and analyzing my own life and the lives of my children, I see how vital this concept really is. And how hard it can sometimes be to control.  IQ or “book smarts” as I like to think of is something that is geared toward in our modern school system.

But to really thrive in life, I see that  having just book smarts is not enough. People smarts (and emotional smarts) will actually get your further (and create a happier, more fulfilled life).

I plan to read more in the future about Emotional Intelligence as it pertains to children,  and how it can impact my children as they develop.  I am trying more and more to help my children name their emotions.   And I have analyzed how good my children are at recognizing emotions, in me, in themselves, or others.  The fast pathway of the brain I think can easily pick up on negative versus positive emotion. But it takes a bit more learning, experience, and thought to see what exactly that emotion is, and what to do about it.

My daughter easily reads annoyance or tiredness on my face, but sometimes says “why are you mad?”  This is a good (but embarrassing) reminder to adapt my facial expression (but also my own feelings and thoughts) to better suit my interactions with her.  And I try to take this further when talking with my other family members, coworkers, and patients.

Like I said, I am still a work in progress (but aren’t we all).I plan to continue to develop my own skills in emotional intelligence.   I think I have always intuitively recognized that emotional intelligence is vital to good relationships and success in the real world.  And as I raise my young kids, I hope I can help them better recognize and harness their emotions, so they can be happy, loved, helpful members of society.

Digitalization of Society and Its Relationship to Emotion

Though our society is becoming more digital and fragmented, there remains a great deal of emotion in our lives and that will never change.     Think of how a brash, “thoughtless” comment on the internet can make you feel sad, anxious, or angry.  When you engage your higher learning centers in your cortex, however, and start to look at possibilities of what the other person was feeling, you can realize why you, in reaction, felt how you did.  For me, naming that emotion helps me disengage, and often forgive the comment. And not to take things to heart, particularly if that is more harmful than helpful.

Self Care and Its Importance to Emotions

If I am tired, stressed, or overworked, my emotional reserve to control myself goes out the window.  This fact has made me focus more on self care – sleep, stress reduction via hobbies and time away from work, eating well, and exercise.

If I have a good nights sleep, I think I make better cognitive decisions.  But my emotions are also calmer.  This I think is a good example of how EQ and IQ can overlap and interact.  And how the mind, the body, your emotions are interdependent and intertwined.

Nurturing Emotional Intelligence in Others

Like I described above, I am trying to help my kids navigate the tumultuous world of their internal emotions. But I also hope to set an example, for my kids and for everyone else I interact with, including my patients.  I see a lot how emotions can create rifts in families and relationships  Looking at things from afar, it is easy to judge and think about how sometimes silly these fights can seem.  But delving into conversations with my patients, and truly spending 10-15 minutes walking in their shoes, I see how things get a bit murky and difficult.  I recognize that emotions, thoughts, and facts get intertwined.  And how hard it can be to forgive.  But how powerful and freeing it can be to forgive and let go.

Parting Thoughts

I hope to continue to be vigilant in recognizing emotions, not just in myself but in everyone around me.   To do this well, I believe it first takes recognition of this idea, and self study.  I plan to read more books about this, particularly how it pertains to childhood development.  There is a lot more I can learn about it.  I am steadily recognizing too that good self care (rest, nutrition, exercise, play) is vital in ensuring I have good self control and am setting myself up for success in managing my emotions.

Just like every skill in life,  this takes practice.  I am trying to train myself to not let the fast emotional pathway control my reactions, and instead work constantly to engage the slower, higher thinking pathway.  This will lead to better outcomes and less regrets.  Since learning about Emotional Intelligence and how the emotional centers of the brain work, I  am more explicit in  naming my own emotions and learning how they drive me to act.

As a parent, I am also seeing how this naming of emotions is crucial in helping to calm my children if a tantrum arises and they are not getting their way.  It eases misunderstandings and miscommunications.  My kids feel “heard.”

Happy smiles.

As a doctor, I am striving to use my understanding of emotions to choose words and actions that are more beneficial to everyone around me.    I believe it has helped me better see those around me, particularly my patients, in a new light. I feel better able to comprehend their emotions, and how emotions impact their choices in life.  And I feel it has improved my communication skills and ability to understand what others are communicating to me.  I think and hope this practice will help me to continue to grow and improve, as a doctor, a mom, and a human being.