Feeling Alone? You Can Sit With Us

This was a statement made at a recent training I attended. The invitation implies that you are welcome, wanted, and encouraged to join those already sitting.

How many of us spend precious energy talking ourselves out of that invitation.
Today, more than ever, we feel separated, without connections, living with loneliness and forlorn. These doubts often rule us and impact our lives in ways that might take decades to weed through.

I am too different. They won’t like me. I think differently. They wouldn’t understand my past, my present, my choices, my trauma…


Before you sit at the table, do you feel you must introduce your quirks to the group? I do. Over the past 5 months, I have had multiple provider-level job interviews where I have been asked many ‘get to know you’ questions. Below are my answers to the ‘Tell us something about yourself that you would want to change or that makes you feel uncomfortable’ questions.

“Sorry, sometimes I say what I am thinking. I am a bit spectrum and I don’t always catch cues. I’m not very good with big change. I do get overstimulated sometimes, but if you give me a minute it gets better. I’m not always good with authority, I might complain first.”

One of my interviews started with a pretty hefty game of phone tag. When we finally connected, the other person was light-hearted completely disarming. We laughed about our game, and they expressed how glad they were that we finally met. I felt welcomed at that table.

Contrast that with the moments we have walked into a room without engagement. It doesn’t take long for those negative feelings to come up, for the excuses to pile high, and for your mind to convince you that you are not welcome. We have all been there. We assume the lack of welcome is judgment.

I have literally had to repeat to myself, “No one is talking about me. No one is judging me. I am worthy to be here.”


I envy those who have the confidence to welcome themselves to the table. I am grateful for those who look for a moment to connect. Those who wave you to a seat, welcome you with a smile, come up and say hello. I have been blessed to have people who genuinely welcome me to sit with them when I do not feel the need to explain why I don’t belong.

It is really amazing what a smile can do. How a glance can disarm. The priceless act of grace pushes back against self-judgment and doubt. I can only hope that at some time in my life, I can offer a sincere invitation and help someone feel the belonging that has been gifted to me.

Luckily for us, there are those that grab our hand and pull us in before we can turn away.

Next time you are invited to sit, just sit. Forget the excuses, don’t worry about the purpose of the invitation, ignore the doubt. Sit. It is the only way to know if these are your people. It is the only way to find out if this is your place. If it doesn’t work out, then focus on creating your table of belonging. Work to surround yourself with those you want to sit with. Be the smile, the welcoming glance, the outstretched arm. Create your place to fit in, and you won’t have to doubt if you belong.

Pushing Back Against Fear

I am not very good about guarding what I say. I  am awkward and often say the wrong thing.  If an act, statement, or policy is harmful, unproductive, or meant to limit my ability to improve, I tend to speak before my passion can be tamped.  I have gotten in trouble for making a “thing” out of a moment and bringing a concern to light.  Unfortunately, there have been plenty of inopportune misunderstandings,  and my actions negatively hurt myself or others, creating fear instead of change.

We encounter fear in many forms; fear of loss, fear of harm, fear of the unknown, fear of physical, psychological, and emotional pain, fear of inadequacy, fear of punishment and repercussions for ourselves and those we love, and more. 

The use of fear to align others with a specific ideology, behavior, or action is written throughout history.  Fear motivates positive and negative responses and can create those responses en masse if utilized correctly.  Fear can motivate a kind of peer pressure so intense that those who do not conform encounter danger to themselves and their family simply by choosing not to follow and not to be afraid.  Fear shut down the world and had neighbors calling authorities on neighbors for simply being outside their front door. 

I understand that fear is an amazing change agent! Targeting one person on a team, when that person is leading a policy change or encouraging transparency and a better environment for the team can quash all momentum and stop any movement toward change.  Using fear to set an example works. 

This is especially true in the patient care setting, where the use of coercion, threats, gaslighting, narcissistic behavior,  deflection, and fallacy is used to gain patient compliance.  It can happen to anyone, even the most seasoned patient advocate I know.   

I encountered the use of peer pressure and fear of failure in a recent conversation with an MD influencer.  This MD used her platform and personal success with an elective 39-week induction to encourage her followers to comply with her preferences.  I spoke up, but the replies were invalidating, and some were downright mean because I was not a doctor. It did not matter what  ACOG statement I shared (the doctor’s governing body) supporting informed choice or the research indicating the benefits of spontaneous labor in low-risk pregnancies and the risks of elective induction…I was told my experience did not count because I didn’t have the ‘right’ credentials and did not know what I was talking about.

As a nurse, I have stood at a patient’s bedside listening to their provider use these tactics to gain consent or listened as the patient is told that they do not have the experience to make medical decisions regarding healthcare interventions. 

Fear is used to create doubt and compliance en masse, because if the system can make you feel like an outsider, it is easier for it to control you. 

So....what is the answer?

In my experience, finding those who think and believe like you.  Want a homebirth? Find others who have birthed at home.  Want to give birth in a birth center, extended breastfeeding (breastfeeding > 2 years old), not circumcise your son, or make other care decisions considered not mainstream?  Find those who have made those choices, and the fear is melted away with support and knowledge. 

This is a special note to those we turn to for support in our choices.  To those who help us navigate informed choices and our options, please remember yours is not to convince but to guide, support, and ease the fear that comes when we venture away from the influencers and followers.   It is easy to become the fearmonger when you have convinced yourself that your choices are right for everyone or that you know best because of your training and credentials. We need you to push that aside and support informed choice so that every voice can be heard.

Fear...it has had enough control!  It is time to be brave!

Featured

Snapshots

I was thinking the other day about who we are to others, who we appear to be at this moment in time, and what is missing from the impressions we leave behind.  This is why those “I have not done” lists on social media are so popular.  We want to know a person’s story and who they were before who they have become.  These lists are like the pictures of the 80-year-old woman standing in front of the mirror, and in her reflection, you see a nurse, a lawyer, a soldier…or a childSnapshots miss so much about what made us who we are today, and they completely disregard the changes we have made in our lives.  Most of all, they miss our growth and the lessons we learned within that change.  The danger is that we dismiss the person’s past and expect what we see, often leading to less grace, less humanity, and less forgiveness. 

Then ask yourself why it is necessary to know why someone is the way they are, or what in their past taints their now, for you to give them the understanding and grace you would readily give if you met them in that past moment.”

*My children know I am a survivor of childhood abuse, domestic violence, and sexual assault.  These have never been in-depth conversations and usually come about through topics such as autonomy, protecting self, how we treat others, and why I or others are the way we are.   Many things have gone unsaid, and I have told my children that if they read my journals, they should do so with caution, and certainly after I have left this world because there are things they may not know.  I think that is likely true for all parents, as we tend to guard our children from our past. 

This is where I remind you that you are not responsible for the choices of others, especially when you were a child or the outcomes of those choices.  It is not your responsibility to carry the weight of those decisions; doing so harms you and your future self.  While you are responsible for your own actions and reactions, it is limited to what you knew at that time. If you, as a child, were given alcohol or drugs by an adult and became an addict, you are only responsible for what you did when it was solely your choice.  If once you were responsible for yourself, you continued to use it, then that is where your responsibility starts.  There are still consequences for your behaviors as a child; sadly, those consequences may carry through your life and into other’s lives.  This is especially true in cases such as a child giving another child drugs, or a child sexually abusing another child We must learn to forgive ourselves and let go of the psychological and emotional weight brought by another’s choice.  Carrying this weight prevents us from healing and prevents that person from being held responsible.  If you were standing in front of me, I would physically lift that invisible weight off of your shoulders, and we would symbolically place that weight on the person responsible. It is theirs to carry, not yours.

If you have known me for any period of time you have heard me say, “When you know better, you do better”.  I often talk about the discussions I have had with my (now adult) children about their childhood and their perceptions.  My husband and I have prompted our children to take what was positive from childhood into adulthood and leave the negative.  We are honest that we made mistakes, sometimes that caused emotional and psychological harm, and we want our children to know that they can always talk to us about those mistakes. My fondest wish is to roadblock any passed down/generational trauma and forge the way for permanent change for future generations of my family.

Take what I told you above about my childhood, and think of a moment when you have judged another by their snapshot.  If you knew more, would you have reacted differently to that moment?

Ask yourself why it is necessary to know why someone is the way they are and what in their past taints their now for you to give them the understanding and grace you would readily give if you met them in that past moment.

Snapshots are only one moment in the making of a lifetime.

Everything Has Risks

I am a fierce supporter of informed choice and autonomy in healthcare. I have worked for 23 years to give my clients and patients the freedom to choose what they feel is best for them. That means carefully educating to avoid bias, coercion, intimidation, or the appearance of authority.

Every choice we have made leading up to that moment has created outcomes that pertain only to us and only to that moment.

Informed choice involves the review of the risks and benefits of options and is not solely a medical treatment issue. It often impacts the choices we make in our daily lives that have little to do with healthcare. Additionally, the choices we have made before this point, especially the choices we have made with our bodies, and our lifestyle, impact our options and the risks of those options.

This is the risk-benefit ratio.  These are the options and choices where you have to consider the risks versus the benefits and is highly individualized.  My risks and benefits pertain to my circumstances and center around previous choices and outcomes. This is the reason why routine care policies and standard practices can be harmful. Every choice we have made leading up to that moment has created outcomes that pertain only to us and only to that moment.  It is our risk-benefit ratio, and no one has the right to tell us what risks are too much, and what benefits are too few or vice versa.

I have had clients/patients who want their nurse or provider to make their care decisions. In those cases I take that responsibility very seriously and try to consider the risks and benefits within their treatment.  I then introduce options with the least risk first, ask their preference, and continue to involve them in their care as much as they desire.  I never want to be responsible for making decisions for a human who can choose for themselves. Even as a parent, the “because I said so” was very rare, and there were almost always two choices and an explanation of why. I’m not going to let you run into the street and get hit by a car or grab a hot pan, but if you try to do those things, we will talk about the risks.

We don’t get to choose the risks or consequences, as they are a part of the natural order of humanity.

The fact is, everything has risks, even those choices that do the most good or have the highest reward, we perceived the benefit so greatly outweighs the risks that we do not consider there to be negatives.  We don’t get to choose the risks or consequences, as they are a part of the natural order of humanity, and even when we only see the benefits or positives of our choice, there will be a negative aspect.

My risks and benefits pertain to my circumstances and center around previous choices and outcomes. “

For those that do not want children, either temporarily or permanently, the risk of pregnancy is so high that they will do everything to prevent it.  They accept the risk of their decisions, namely birth control or surgery, because the risk of a pregnancy is much higher. For those who want children, they view pregnancy as a positive without risk, or the benefits so greatly overshadow the risks they are minimized to the point of null.  However, the risks still exist, and usually show up to be dealt with; such nausea and vomiting, fatigue, stretch marks, bone and joint aches, and ultimately birth. 

However, the choice is ultimately ours, and no one has the right to remove our ability to choose which risks and benefits are acceptable to the individual.

When we generalize healthcare and create an environment where everyone has the same interventions, we take away informed choice and force negative impacts creating a high risk, low benefit care environment.  This is especially true with “you will” interventions – and often these are presented as you will have or we will be doing this intervention, and the options are often timed.  For example: at 20 weeks you will have an ultrasound – at 37 weeks you will have a GBS (beta-strep) swab – we will break your water at 3 pm. These are suggested as interventions without risk, or where the benefit is assumed and the risk minimized, yet no one but us can assess the risks and benefits, and there lies the problem.  For me, the option presented may carry acceptable risks, but for you the risks may outweigh the benefits and carry more harm.

Additionally, the choices we have made before this point, especially the choices we have made with our bodies, and our lifestyle, impact our options and the risks of those options.

I live the consequences of my choices.  Yes, some of those choices impact others around me, and that should be considered in the assessment of risks and benefits.  However, the choice is ultimately ours, and no one has the right to remove our ability to choose which risks and benefits are acceptable to the individual. As patients we have the right and responsibility to question, investigate, research, and expect feedback regarding our options.  As providers we have to acknowledge that we do not fully know the risks or benefits for our patients, and since we do not live their life, we have to defer to their personal assessment.   This means taking the time to listen and educate without the bias or our belief system or personal experiences. 

*Sometime the options available are outside of the providers skills or ethical beliefs.  The solution is referring or deferring to a different provider that can meet your patient’s needs.*