Life is Not Forever

I recently had an awakening call about the finite aspect of life. This lesson was given to me by our pet cat, Pixie.

Our cat saying “hi” to the camera.

We have had Pixie now for about 11 years. She has been a steadfast fixture of our family for over a decade now. She is a typical cat, I think, with her personality. She is very opinionated and particular in how/when she is petted (that is, not very often, and on her own schedule, and you better not forget that, or she will remind you firmly each and every time).

In June, our cat suddenly became sick. (She is usually healthy and fortunately not on any chronic medications. I only take her to the vet (begrudgingly for her) for annual checkups and vaccinations.) That weekend in June, she was having unusual accidents outside of the litter box, which was very atypical. She was not eating or drinking, which again was very unusual. (She is a “foodie” if I every met one, and she loves her meal time. She vocalizes to me with a loud “Meow!” to feed her each morning and afternoon when I walk near her bowl.) She was hiding in our basement behind a door to avoid being touched, another new and alarming behavior.

We decided to take her to the vet ER, as of course, this occurred on a Sunday evening when the vet offices were not open. And the check in process was adjusted and different due to the COVID-19 pandemic, and I needed to drop her off in the parking lot and wait in my car. (I fortunately never had to take her to the vet ER, so this was all new territory for me.) After an evaluation behind closed doors, I received a call from the vet with news I dreaded deep down but hoped and prayed that I would not get: they found a large mass in Pixie’s abdomen. And malignancy (cancer) was high on the list of possibilities.

Given how sick she was, and not eating or drinking or not acting normally, I opted to have her stay overnight for further testing and IV hydration. The testing confirmed a mass, and likely again cancer and namely lymphoma was most suspected. Surgery would not solve this, and other therapy (for example, chemotherapy) would be options, but not a definitive cure. We opted to stop further testing, and instead pursue a palliative approach, as aggressive testing and therapy would not really prolong life much longer, perhaps 6 months. (And from my experience seeing testing and therapy in humans for malignancy, I could foresee this route of aggressive medical therapy giving lesser quality of life, with only slight increase in quantity of life.) This was a difficult decision but one we felt was best for Pixie.

Since this unhappy event, I personally have taken life more seriously and have been reminded it is delicate. I cherish all of my time with my cat and all the people I love. Luckily, with a prescription prednisolone (a steroid) daily, and the IV hydration in the vet hospital, our cat’s life has approached a bit of normalcy. I have noticed she more content now to sit and sleep a bit more, and seems less active than usual. But she is back to using her litter box normally, and eating and drinking again. She is purring and begging for pets when it (again) suits her. We are spoiling her more with her favorites (more tuna, cream, and cat treats). She still has a limited prognosis, but her quality of life seems good. And we get some time to be with her and a more gradual way to say goodbye.

One our our cat’s favorite poses, one I call “Time to Sunbathe.”

This experience has highlighted to me that life is unfortunately not forever. It will be my children’s first lesson with death, which is a very difficult topic. We have discussed this with my daughter and son as foreshadowing of what is to come, but I am sure the actual ending will be hard for all of us. The pandemic also runs parallel to this, and I think this has given me more to ponder about life and death, and all of what we can control and cannot. It is not a fun topic to think about. But this reminder that life is finite has reminded me to enjoy life each day as it comes, and to live in the moment.

What I Hope To Teach My Kids

I think my ultimate goal as a parent is to raise happy, well adjusted little people that will some day turn into adult versions of themselves that in turn are productive members of society that will be liked and loved by those around them.  Not too much to ask, right?   How in the world can you accomplish that?  Indeed, it is no easy task.  And parenting is not being simply a boss or drill sergeant.  You are not casting these children out of clay to create them in the exact image you want.  There is an art to parenthood. And when kids get to a certain age, you are often simply guiding them, and hoping the lessons you are teaching will influence their behaviors.  Indeed, I see parallels in my work as a physician working with my patients.  I am only with my patients for a fraction of their days or weeks or months.  I discuss with them what I would like for their health and well being, and then, it is the patient’s prerogative to either follow that advice or not.  The patient is in control of their own health destiny, not me.  I think the same thing eventually goes with our kids. They are under our roof for a brief moment in time from age o to 18 (though of course, this feels like an eternity).  Eventually, they will be on their own.  Scary, right?

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Swing fun!

Here are the big lessons I hope to teach my kids:

  1. Be nice.  Being kind to others is a way to make the world a better place.  This does not mean being a pushover.  But it does help to be nice in life to gain friends.  And being a jerk certainly won’t win you many admirers.  This can be a tough thing to teach a toddler or young child.  However, I think eventually, the playground teaches kids that if they are not nice, they won’t have too many playmates.  And that isn’t very fun.
  2. Do the right thing, even when no one is looking. This includes telling the truth, even when it hurts.  Of  course, there is tact in life, and there is a time and place to be gentle and kind with your words, which is a skill I think all of us struggle with.  This integrity and honesty concept is a tough thing to teach, and more something I hope to emulate for my kids.  Honesty, unfortunately, is also not a given in our society.  Indeed, I wish more of the world were honest.  Too often, we witness folks cutting corners as they reason, “well, what does it really matter?”  I feel it does matter, at least to me, to know I did a job to the best possible ability I could at the time.  I can look back at the product of my work and know that it is the best work I could put out there.
  3. Try new things.  As I get older, I find it is easy to get set in my ways, and avoid the unknown.  But branching out and trying new things every few months forces me to grow.  And it is a heck of a lot more fun than doing the same old thing over and over again.  As the years go on, I hope to never stop learning, or being creative. I hope to always try to do new things.  By setting an example in my own life of being open to new things, I hope my kids also are adventurous with their time and talents.
  4. Work hard, play hard.  Life is a balancing act. It is important to put your best foot forward when you are working.  But it is also important to take a step back and truly relax.  This latter part of life, relaxing, does not always come easy to me.  However, I see that practicing and emulating relaxing and self care releases some of my pent up stress and helps me recover and become a better version of me.  It also shows a good example for my children as they start advancing into the school system.  As the old adage goes, all work and no play makes Jack a dull boy.  And who wants to be dull or boring?  There is too much of life to live and so much to learn about.
  5. Save. This means being diligent and careful with your resources. This includes your time and money.  Money is a tough thing to teach to kids, but I again plan to do this by example by living a deliberate, relatively frugal life.

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One child happy, one child not so much. Can’t win them all, I guess.

I’m sure there are other great lessons out there to teach kids, but these are the ones I truly value right now. And who knows? This may change as the next several years wear on.  I see these lessons, however, not just something to instill in my kids, but as something I hope to also strive for, as I hope to become the best version of me that I can be.

Running As a Metaphor For Life

Distance running has taught me a lot about life.  I think the key things I have taken away are:

  1. Life is suffering.  Life is hard. Running, in turn, is also hard, particularly going long distances when your body and mind are tired.  But it is through suffering that you can reach and appreciate beauty.  Without suffering and challenge, we would remain the same.  Life would be boring.  Sure – there would be minimal failure and disappointment. But there would also be no glory, or chance for self improvement.  I can see how much easier running has become for me.  It is a way for me to decompress after a tough day.  It is a form of therapy for me, as the repetitive action is a way of physically meditating and zoning out.  Sure, sometimes the runs are uncomfortable.  But with that discomfort, I can see parallels to other parts of my life that are uncomfortable, and I realize that the run will eventually end, I will reach my destination, and the suffering will be relieved.

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    At the end of my tough runs, if I endure the suffering, I’m often rewarded by smiling little faces like this one.
  2. Focus on the mile you are in.  I recently read the memoir, Run the Mile You’re In, by Ryan Hall (a recently retired marathoner).  I think that one of the themes he touches on, that is the title of the book, is very poignant.  We should continue to refocus our thoughts on the moment at hand, or in running, the mile you are in.  In a race, or a workout, it is easy to get ahead of yourself, and start thinking of all the other miles you have left.  Or in life, it is easy to start focusing too much on the future, and neglecting the present.  Take a moment to relish the here and now.  You are only going to have this day once.  Tomorrow, sure, is around the corner, but it is crucial to not be so future oriented that you fail to live in the present.

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    Sometimes life gives you a long journey, or a traffic jam.  Don’t get too focused on the car lengths ahead of you.  Instead, stay mindful of the present.  Enjoy the beauty (and in this case, organization and order) that can be present in life.
  3. Take time to relish victories.  Take time to reflect on the past, and see how well things have gone in your life.  It is good practice to take some time and think of your past victories.  Sure, I am no elite runner, and I will probably never truly “win” a race in a field of runners, and I am okay with that.  But for me, success is able to be self-defined.  It can be finishing a distance you have never finished before. It can be setting a new personal record.  It can be finishing a training plan and/or race injury free.  As in my 2nd marathon, it can be gritting through a less-than-deal situation (e.g. illness) and finishing a race anyways.  And as I reflect on my own past successes, I think of ways to incorporate these into my future plans, so I can repeat things I have done well.
  4. Learn from mistakes.  Life is not perfect.  That is also true in sports.  Sometimes things do not go as planned.  A particular meal, perhaps, the night before a long run is one to avoid in the future.  Forcing a run after a long week of work or stressful night of call can lead to a weakened immune system and make you more prone to catching an infection or getting injured.  Learning to listen to your body is an acquired skill, and takes practice. I think that by analyzing things I have done wrong, I am able to hopefully better plan for future situations, so I won’t make the same mistake again.
  5. Being content with my own thoughts, and letting creativity run wild.  I find running helps often burn off excess negative energy, e.g. a patient encounter that did not go well, or a conversation with my family that could have gone better.  And it also opens up my creative side.  Sometimes I have music playing, or a podcast or audiobook going while I run. And with this audio simultaneously playing and inspiring me on my run, I notice new connections and ideas cropping up organically.  Exercise, I feel, is a way to get in better touch with your inner mind, and all that it entails – emotions, thoughts, and hopes for the future.  Running for me is my exercise of choice, and it has brought me to a greater connection to my own creative and spiritual side.

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    Enjoy all that life has to offer.  Life is sometimes rocky (or wobbly as in this ride) but it can also teach you a lot, and these challenges are what make life interesting and worth living.

Life is full of trials and tribulations.  In this journey of life, it can be easy to be one-track minded, and go day in, day out, in the same routine. Wake up, go to work, get home, eat dinner, go to bed, rinse and repeat.  I think my hobby of distance running has helped enrich my life.  It isn’t only cardiovascular exercise (although this, don’t get me wrong, is truly quite valuable).  I think more than that, though, it gives me an outlet, and serves as my form of therapy and meditation.  Running has taught me a lot, and I think this hobby will continue to teach me as I advance further in my development as a runner.

Busy Wife, Busy Life

My goal is to share my own successes (and failures) in my own busy life. If you read my tips and tricks, your life will also…

Thank you for checking out my blog! And welcome to my first post! I am a full time family physician.  I am also a full time wife and mom. I strive to keep my husband, son, daughter, and beloved pet cat all clean, fed, and sheltered.   I personally understand how challenging this tall order can be. I am by no means perfect, but I want to be a resource to you as I share things that have worked for me in my own life as a working mom.

I invite you to join me as I share some useful life tips and tricks. I will share my own advice to become a supportive, compassionate partner/spouse, a nurturing parent, and a happier and grounded person. I have passions in family medicine, distance running, bowling, and cooking, so I plan to also share some posts in these fields as the next several weeks and months unfold. Please follow me and message me with any impressions or ideas you may have!