Author Archives:

When It Comes to Your Health, Participation is the Key

Today is featured a guest post by
Mary Jo Blackwood, RN, MPH.
I spoke with her recently about how acupuncture is useful in treating neck and shoulder pain, and our conversation quickly spilled into a discussion of the responsibility that is ultimately ours having the final say on our health care; that doctors make great consultants, but we usually know much more about your bodies and conditions. And it is incumbent on us take a leadership role
in our health and wellbeing.
****************************************

For years, I have taught a community class called “Getting Healthwise,” how to maximize your health and handle many common health problems as they arise. My audiences range from seniors, to factory workers, parents, and even health care professionals. One of the points we spend time discussing is how to work with your physician as an equal partner. Often, I hear: “But he (or she) is a doctor, and I’m just an ordinary person. How could I possibly question treatment decisions?” To that, I reply:

“Half of all doctors graduated in the bottom half of their class” and one of them had to be last! But of course your doctor was first in his/her class and has kept up with all the latest developments in that field. Despite all that, you are the expert on your body and how it reacts, what things you have tried in the past and the outcome. If you and your physician do not pool that knowledge and work together, you don’t get the best care, and in fact, it could be downright dangerous.

When one class participant asked me what she should do if her doctor did not want a partner and preferred to call the shots, my response was to get another doctor. Thankfully, that situation is becoming less and less common, but if you don’t feel your participation is valued and that you are not listened to, my advice still stands.

Of course being a partner doesn’t just give you clout. It comes with certain responsibilities. Once you and your doctor decide on a course of treatment, you have an obligation to follow it and communicate on any progress or lack of progress.

You are also responsible for making sure you fully understand what the doctor is trying to accomplish with this approach, how medications work, and when side effects require follow-up. Just deciding not to follow a particular regimen or to stop taking a medication because you don’t like it isn’t a very smart thing for a partner to do. Work out a regimen you can live with, and that meets your mutual goals. That regimen may include lifestyle changes, medication, and complementary therapies such as offered at the Yong Kang Chinese Medicine Clinic. And make sure every practitioner knows any therapies, medications, or supplements you are taking. That way, your partners are all in the loop!

Post to Twitter Post to Facebook

The itch you want to scratch

We all have one. Some of us more so, but everyone has one. An itch. One something that invades our dreams, hijacks our focus as we trudge through the day, or shows up as a constant annoying reminder. We all have something that calls. It could be a score of music, a Texas sized raft of garbage in the ocean, a business that is begging to be created or a lifestyle that provides education to children. It could be a cure for disease, salve for pain, or recipe that nourishes body and soul. We all have an itch, a crack in our view of the world that gives us a constant glimpse of a possibility not yet manifest. We all have something in this world that is our unique gift and path. We all have a sword that can be pulled from a stone; the one that belongs to us.

I suspect it is never given whole and complete. Life provides us with a jigsaw puzzle of inspiration and discontent. It is up to us to piece together that which not yet is, but could be. Could be, if we scratch our itch. Follow the glimpse of our calling. The pied piper dog whistle tune that only we can hear that inspires us to inhabit what others mistake as fantasy. To fall and fail; to relentlessly rise up and continue to hone that desire and calling that is ours, and ours alone.

Courage is not an overwhelming momentary flash of selflessness; courage is the willingness to continue to follow the path in the direction that is uniquely ours. Sail out beyond the map of the world that others have drawn and we believed. There indeed are dragons, and much more as well.

Post to Twitter Post to Facebook

Resistance

I suspect you have encountered this.

That there is a decision made to break the lizard brained pattern of habituality; it could be something as simple as acquiring a new habit of eating, taking the stairs instead of the elevator, stretching in the morning instead of coffee and e-mail. It could be a larger journey of writing a book or learning to speak in public, changing a career, painting a masterpiece, learning a language or following the heart-dream we put on hold in service of obtaining the illusion of approval.

Ever notice how as we move into something new and exciting vibrant we smash headlong into a wall of resistance? Even as feel a creative burn wells up in our chest, almost immediately following comes a constant chatter of doubt and fear. We commonly make the mistake of thinking that doubt is our smarter self, guiding us away from the disaster of the fall of working without a net.

We can think that, but we would be wrong. Every light casts a shadow, and the light of creativity and growth always calls forth resistance. As Newton postulated in his third law of motion, “for every action there is an opposite and equal reaction”; so too will resistance accompany ANY effort we make at pushing ourselves out of the orbit of accumulated habit. Resistance is not some kind of proof we are incapable, it is the yin/yang nature of the universe letting us know that we have slipped ourselves into gear and are getting some traction. It explains why is it that as soon as there is a trace of movement, our wheels seem hit ice and begin to spin.

Resistance is indeed a real force. As Steven Pressfield points out in The War of Art:

Resistance will tell you anything to keep you from doing your work. It will perjure, fabricate, falsify; seduce, bully, cajole. Resistance is protean. It will assume any form, if that’s what it takes to deceive you. It will reason with you like a lawyer or jam a nine-millimeter in your face like a stick-up man. Resistance has no conscience. It understands nothing but power. Resistance cannot be negotiated with. It will pledge anything to get a deal, then double-cross you as soon as your back is turned. If you take Resistance at its word, you deserve everything you get. Resistance is always lying and always full of shit.

You think Resistance isn’t real? Resistance will bury you!

The trick it seems is to not take it personally, and not listen to the reptile brain’s loop-tape of doubt and fear. Whatever the goal, whatever the change we want to inhabit, what is required is the constant putting of one foot in front the other. This is not a Hollywood-like sprint of spirit and success. We are talking effort here. Inertia is a brutal force, and only overcome by constantly coming back, again and again to the task at hand. As a successful artist friend of mine once remarked, “I was an overnight success”… after 12 years of hard work.

Find your guiding star, and watch a thousand excuses suddenly bloom in your mind. Then you know you are on the right track.

Post to Twitter Post to Facebook

Onward!

A fortune teller I know in Taiwan once reminded me:

Great goals call forth great obstacles

Perhaps the difficulties we face are not indications of the being on the wrong path, but of being on the right one. What is called for is: resolve. Resolve to continue, one foot in front of the other in the direction we have chosen. We need resolutions much less than a guiding vision. A compass more than instructions.

As they like to say in Taiwan; 慢慢來, slowly slowly arrive.

Post to Twitter Post to Facebook

Gray falls wet

.

Gray falls wet out of the sky, as the dark of the year slips quietly toward light. It is familiar, the relentless wet; the water that spills, flows, trickles and runs. I’ve spent too many winters bathed in the moist embrace of the Pacific Northwest to not love low gray clouds and mosaics of puddles. I had mistakenly thought I would not miss winter’s long slow rainstorm. Oddly enough, it is like a lingering childhood memory; one that both defines one’s being and stakes a claim on the soul.

.

Rain. It is Nature’s soft piano music. It lacks the jiggle and bell of crisp dry cold.

Soft and relentlessly pitter-patter still. It is a comforting familiar soundtrack to accompany the turning of the year.

Post to Twitter Post to Facebook

Language: definition and meaning

 

civilized cities

Fluency is not a list of words that slide off the tongue in the proper order. It is not simply a matter of dictionaries and definitions. Words are like a signal propagated through a carrier be it radio, wire or light; in life we call that carrier culture. It at times renders words utterly unintelligible.

Anyone who has spend even a just a few days in China knows that when it comes to buying and selling there is no standard of conduct other than make the sale. The seller’s job is to charm as much money as possible from the buyer’s pocket; the buyer’s job is to not let that happen. To me it is a curiosity that I get treated with the same blatant lies and sleazy bullshit that a fresh off the plane westerner would get. My Chinese is not great, but it is passable. Passable Chinese means you probably have been lied to, ripped off, and cheated enough times to learn a lesson or two about buying and selling in the middle kingdom.
That is what I would think; what I think happens to be completely wrong.

Like Bill Murray in Groundhog Day, every business transaction is the repeat of a conversation that has long long ago lost its freshness. I know the dance by heart, but that does not excuse me from having to tippity-tap my way through every buying transaction as if it was my very first day in Beijing. One would think I’d have surrendered long ago to the inevitable. I’m like Charlie Brown thinking that at last I am going to kick that football; optimism can be a sad, sad disease.

The trick is to translate meaning, not words.

Vegetarians have a terrible time in China, and we had some in our group these past two weeks. No one here really understands that a human being could possibly voluntarily not eat meat. Perhaps some odd Buddhist monk or nun, but they are strange ghosts in a country purged of any kind of spiritual impulse. So the words “I want a vegetarian dish” gets translated as “I want a dish with vegetables.” The phrase “we have people here at our table who don’t eat meat” apparently evaporates before it can whisper up against the eardrum of the waitstaff. The phrase “we want this dish to be ENTIRELY without meat” does not include the little shrimp or bits of pork that are “spices, ” of course they must be added or the dish would not be delicious.

There is a phrase in Chinese 沒辦法 “mei ban fa.” There is nothing you can do about it.

There is nothing you can do about being lied to about the quality, or lack there of, in the purchase you are about to make. There is nothing you can do about being quoted prices 4 to 5 times higher than you should pay. There is nothing you can do about, being butted in front of as the concept of lines does not exist in mainland Chinese thought. There is nothing that can be done to avoid questions of “how do you like China?” Innocent questions that remind me that while I have experience in the middle kingdom, the middle kingdom still does not have that much experience with outsiders.

Deng Xiaoping may have thrown open the doors to the dragon empire 30 years ago, but there there are still invisible barriers of culture and habit that protect China against the foreign invasion.

I may have some grasp of Mandarin, but my “Chinese” still needs some work.

Post to Twitter Post to Facebook

Inhabiting the moment

 

this moment

It is good to have a retreat. Time away from the habits and well worn grooves that naturally accumulate when life runs smoothly enough. Time inhabiting an alternative slipstream, one that flows on a different elliptic of predictability and clears away the cobwebs of familiarity.

It’s like everyday is the first day of school.

In China the rules are different. Personal space shrinks to what in the west would be would be an assault. On first glance it is chaotic, and on second glance as well. So long as you surrender to the stochastic drift of feet and wheels, and move slow enough to feel the invisible currents that call the tune, there is safety. Putting on speed here will invariably slow you down, surrender is the key.

The rules are different, and like meditation on the breath is a constant process of remembering our way back to the present moment, so too does navigating life in China serve as a constant call to be acutely sensitive to the moment. It is not that life here is more interesting, it is that it requires more attention. And any time more attention is brought to the moment, life becomes more deeply textured and felt.

Post to Twitter Post to Facebook

Change is the only constant

 

noodle shop

The uniforms of the “security” are still ill fitting affairs with safety pinned badges of rank. Cabbies continue to smoke in their “non-smoking” cabs, and the staff of beauty parlors still take their evening exercise break and do a Chinese version of Dance-A-Robics on the sidewalk. Morning breakfast food carts jam up the sidewalks, and thankfully my favorite noodle soup shack still bubbles up a hot brothy bowl of love in the morning. There is comfort and a hint of stability in that which appears to be the same with each and every glance.

Studying with Dr. Huang is another story. We set up the syllabus over a year ago. It was not until part way into the first afternoon I realized it was a relic, a road map from the past. I expected to translate material with which I was familiar, but without warning we quickly we veered off into new territory. Huang has revised his thinking since the last time I was in Nanjing. It is a new ballgame.

Many of us like to have a sense of what is coming. This sense of predictability pervades our lives and naturally extends to the sphere of education. I did not notice that Huang had other cards up his sleeve, nor did he tip his hand. There is always a riptide of frustration when things do not go as I thought they should, and like the tide the only way to stay afloat is to swim with it. Following a skilled and talented doctor is a challenge and privilege. Not unlike acquiring the ability to ride a spirited horse with a loose hand full of intent. Being able to follow the footsteps of his experience and have it awaken insight and a sharper clinical eye is the reason for this journey.

These next two weeks are going to be very interesting indeed!

Post to Twitter Post to Facebook

22 air hours to China

hk-airport2

Something felt odd, not unlike that feeling of thinking you have not packed something important, even though the list has been gone over three times. Something seemed out of place as I collected my boarding passes from the automatic check-in machine and handled my single bag over to the one of the two clerks, each of whom is now doing the work of what would have been six people in the days before downsizing. Later the discrepancy shows itself. My bag had only been checked as far as the long haul drop off point; Los Angeles. The travel gods smiled on my folly by pre-arranging a 2.5 hour layover. Enough time to grab my bag and tour the check in at LA’s international terminal.

The Asian wing has an oddly third world flavor, low squat concrete bunker construction and a checkerboard of intense halogen and misplaced pools of darkness. There are mountains of bags, jigsawed around gigantic futuristic X-ray machines, awaiting their turn to be imaged as safe. One of which is choking on some obscenely oversized bundle wrapped in an electric pink king-sized sheet. Blue-gloved safety technicians cheer the “big-guy” colleague who is theatrically attempting to kick and shove the constipated bundle through. The ID checkers work in a twilight gray, for some reason there are no lights in this section, but at least a dozen video cameras. I take off my shoes, the modern prayer of travel safety, and then board the midnight express to back to Asia.

Deplaning into the Hong Kong International airport with its sail-like construction and walls of glass I realize how embarrassed I feel about foreigners arriving into my country and being greeted with the likes of LAX. I always love the Hong Kong airport’s tapestry of skin color and language; the living collage of culture, dress and movement.
It is good to be back in Asia.

Post to Twitter Post to Facebook

Shift of Season

roadtrip2

In Seattle it is easy to ignore the lingering slide of summer as it diminishes into an ever-increasing grey with crying skies. In the Pacific Northwest we lack the telltale explosions of deciduous color and menopausal like fluctuations of heat and chill. There are two seasons, wet and dry.

Fall in Taiwan is a delight of cool that drifts for months after the scorch of summer with its typhoons, relentless ever-present heat and invisible fog of humidity. It is not until January that it crashes into a bone chilling soup of cold and damp. By March there are already signs that the furnace of summer is already on the approach. All places have their seasons, their turn of the year that demarks this time from that one.

Here in the American Midwest we live a cycle of four. Four clearly distinct seasons. We see it reflected in the landscape, as it changes its texture and color. We hear it in the buzz or quiet of insect cacophony, the spongy wet or desiccant dry of the air, the song or lack of birds. We see it in the winter coats of our pets, the leaves that blow into doorways, or snow drifted into the corners of fences. Here we have a clear reminder that life moves through phases, it has a rhythm and flow.

We live not apart from these changes, our bodies and spirit are as shaped by them as summer’s invitation to the insects to sing or winter’s cold induces a slumber that will fuel the next cycle of growth. Changes of season always bring some kind of celebration. Reminders that calls us to remember the shifts that are part of life as it moves through the great tides of ebb and flow. It is easy in our electronic cocoon of media and the central air/heat of modern life to forget these ancient tides. But, our bodies cannot ignore them.

The ancient Chinese speak of helping the body to shift into a new season. It is done with habit and diet. Changes in patterns of sleep, a proper change of clothes and different assortment of herbs that inform the soups and cooking all are used to help the body adapt to the reality of the new season.

Whatever the method, so long as we can put down what is not longer appropriate and open to that which now provides proper nourishment, the season will give to us its unique gift.

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Author Archives:

When It Comes to Your Health, Participation is the Key

Today is featured a guest post by
Mary Jo Blackwood, RN, MPH.
I spoke with her recently about how acupuncture is useful in treating neck and shoulder pain, and our conversation quickly spilled into a discussion of the responsibility that is ultimately ours having the final say on our health care; that doctors make great consultants, but we usually know much more about your bodies and conditions. And it is incumbent on us take a leadership role
in our health and wellbeing.
****************************************

For years, I have taught a community class called “Getting Healthwise,” how to maximize your health and handle many common health problems as they arise. My audiences range from seniors, to factory workers, parents, and even health care professionals. One of the points we spend time discussing is how to work with your physician as an equal partner. Often, I hear: “But he (or she) is a doctor, and I’m just an ordinary person. How could I possibly question treatment decisions?” To that, I reply:

“Half of all doctors graduated in the bottom half of their class” and one of them had to be last! But of course your doctor was first in his/her class and has kept up with all the latest developments in that field. Despite all that, you are the expert on your body and how it reacts, what things you have tried in the past and the outcome. If you and your physician do not pool that knowledge and work together, you don’t get the best care, and in fact, it could be downright dangerous.

When one class participant asked me what she should do if her doctor did not want a partner and preferred to call the shots, my response was to get another doctor. Thankfully, that situation is becoming less and less common, but if you don’t feel your participation is valued and that you are not listened to, my advice still stands.

Of course being a partner doesn’t just give you clout. It comes with certain responsibilities. Once you and your doctor decide on a course of treatment, you have an obligation to follow it and communicate on any progress or lack of progress.

You are also responsible for making sure you fully understand what the doctor is trying to accomplish with this approach, how medications work, and when side effects require follow-up. Just deciding not to follow a particular regimen or to stop taking a medication because you don’t like it isn’t a very smart thing for a partner to do. Work out a regimen you can live with, and that meets your mutual goals. That regimen may include lifestyle changes, medication, and complementary therapies such as offered at the Yong Kang Chinese Medicine Clinic. And make sure every practitioner knows any therapies, medications, or supplements you are taking. That way, your partners are all in the loop!

Post to Twitter Post to Facebook

The itch you want to scratch

We all have one. Some of us more so, but everyone has one. An itch. One something that invades our dreams, hijacks our focus as we trudge through the day, or shows up as a constant annoying reminder. We all have something that calls. It could be a score of music, a Texas sized raft of garbage in the ocean, a business that is begging to be created or a lifestyle that provides education to children. It could be a cure for disease, salve for pain, or recipe that nourishes body and soul. We all have an itch, a crack in our view of the world that gives us a constant glimpse of a possibility not yet manifest. We all have something in this world that is our unique gift and path. We all have a sword that can be pulled from a stone; the one that belongs to us.

I suspect it is never given whole and complete. Life provides us with a jigsaw puzzle of inspiration and discontent. It is up to us to piece together that which not yet is, but could be. Could be, if we scratch our itch. Follow the glimpse of our calling. The pied piper dog whistle tune that only we can hear that inspires us to inhabit what others mistake as fantasy. To fall and fail; to relentlessly rise up and continue to hone that desire and calling that is ours, and ours alone.

Courage is not an overwhelming momentary flash of selflessness; courage is the willingness to continue to follow the path in the direction that is uniquely ours. Sail out beyond the map of the world that others have drawn and we believed. There indeed are dragons, and much more as well.

Post to Twitter Post to Facebook

Resistance

I suspect you have encountered this.

That there is a decision made to break the lizard brained pattern of habituality; it could be something as simple as acquiring a new habit of eating, taking the stairs instead of the elevator, stretching in the morning instead of coffee and e-mail. It could be a larger journey of writing a book or learning to speak in public, changing a career, painting a masterpiece, learning a language or following the heart-dream we put on hold in service of obtaining the illusion of approval.

Ever notice how as we move into something new and exciting vibrant we smash headlong into a wall of resistance? Even as feel a creative burn wells up in our chest, almost immediately following comes a constant chatter of doubt and fear. We commonly make the mistake of thinking that doubt is our smarter self, guiding us away from the disaster of the fall of working without a net.

We can think that, but we would be wrong. Every light casts a shadow, and the light of creativity and growth always calls forth resistance. As Newton postulated in his third law of motion, “for every action there is an opposite and equal reaction”; so too will resistance accompany ANY effort we make at pushing ourselves out of the orbit of accumulated habit. Resistance is not some kind of proof we are incapable, it is the yin/yang nature of the universe letting us know that we have slipped ourselves into gear and are getting some traction. It explains why is it that as soon as there is a trace of movement, our wheels seem hit ice and begin to spin.

Resistance is indeed a real force. As Steven Pressfield points out in The War of Art:

Resistance will tell you anything to keep you from doing your work. It will perjure, fabricate, falsify; seduce, bully, cajole. Resistance is protean. It will assume any form, if that’s what it takes to deceive you. It will reason with you like a lawyer or jam a nine-millimeter in your face like a stick-up man. Resistance has no conscience. It understands nothing but power. Resistance cannot be negotiated with. It will pledge anything to get a deal, then double-cross you as soon as your back is turned. If you take Resistance at its word, you deserve everything you get. Resistance is always lying and always full of shit.

You think Resistance isn’t real? Resistance will bury you!

The trick it seems is to not take it personally, and not listen to the reptile brain’s loop-tape of doubt and fear. Whatever the goal, whatever the change we want to inhabit, what is required is the constant putting of one foot in front the other. This is not a Hollywood-like sprint of spirit and success. We are talking effort here. Inertia is a brutal force, and only overcome by constantly coming back, again and again to the task at hand. As a successful artist friend of mine once remarked, “I was an overnight success”… after 12 years of hard work.

Find your guiding star, and watch a thousand excuses suddenly bloom in your mind. Then you know you are on the right track.

Post to Twitter Post to Facebook

Onward!

A fortune teller I know in Taiwan once reminded me:

Great goals call forth great obstacles

Perhaps the difficulties we face are not indications of the being on the wrong path, but of being on the right one. What is called for is: resolve. Resolve to continue, one foot in front of the other in the direction we have chosen. We need resolutions much less than a guiding vision. A compass more than instructions.

As they like to say in Taiwan; 慢慢來, slowly slowly arrive.

Post to Twitter Post to Facebook

Gray falls wet

.

Gray falls wet out of the sky, as the dark of the year slips quietly toward light. It is familiar, the relentless wet; the water that spills, flows, trickles and runs. I’ve spent too many winters bathed in the moist embrace of the Pacific Northwest to not love low gray clouds and mosaics of puddles. I had mistakenly thought I would not miss winter’s long slow rainstorm. Oddly enough, it is like a lingering childhood memory; one that both defines one’s being and stakes a claim on the soul.

.

Rain. It is Nature’s soft piano music. It lacks the jiggle and bell of crisp dry cold.

Soft and relentlessly pitter-patter still. It is a comforting familiar soundtrack to accompany the turning of the year.

Post to Twitter Post to Facebook

Language: definition and meaning

 

civilized cities

Fluency is not a list of words that slide off the tongue in the proper order. It is not simply a matter of dictionaries and definitions. Words are like a signal propagated through a carrier be it radio, wire or light; in life we call that carrier culture. It at times renders words utterly unintelligible.

Anyone who has spend even a just a few days in China knows that when it comes to buying and selling there is no standard of conduct other than make the sale. The seller’s job is to charm as much money as possible from the buyer’s pocket; the buyer’s job is to not let that happen. To me it is a curiosity that I get treated with the same blatant lies and sleazy bullshit that a fresh off the plane westerner would get. My Chinese is not great, but it is passable. Passable Chinese means you probably have been lied to, ripped off, and cheated enough times to learn a lesson or two about buying and selling in the middle kingdom.
That is what I would think; what I think happens to be completely wrong.

Like Bill Murray in Groundhog Day, every business transaction is the repeat of a conversation that has long long ago lost its freshness. I know the dance by heart, but that does not excuse me from having to tippity-tap my way through every buying transaction as if it was my very first day in Beijing. One would think I’d have surrendered long ago to the inevitable. I’m like Charlie Brown thinking that at last I am going to kick that football; optimism can be a sad, sad disease.

The trick is to translate meaning, not words.

Vegetarians have a terrible time in China, and we had some in our group these past two weeks. No one here really understands that a human being could possibly voluntarily not eat meat. Perhaps some odd Buddhist monk or nun, but they are strange ghosts in a country purged of any kind of spiritual impulse. So the words “I want a vegetarian dish” gets translated as “I want a dish with vegetables.” The phrase “we have people here at our table who don’t eat meat” apparently evaporates before it can whisper up against the eardrum of the waitstaff. The phrase “we want this dish to be ENTIRELY without meat” does not include the little shrimp or bits of pork that are “spices, ” of course they must be added or the dish would not be delicious.

There is a phrase in Chinese 沒辦法 “mei ban fa.” There is nothing you can do about it.

There is nothing you can do about being lied to about the quality, or lack there of, in the purchase you are about to make. There is nothing you can do about being quoted prices 4 to 5 times higher than you should pay. There is nothing you can do about, being butted in front of as the concept of lines does not exist in mainland Chinese thought. There is nothing that can be done to avoid questions of “how do you like China?” Innocent questions that remind me that while I have experience in the middle kingdom, the middle kingdom still does not have that much experience with outsiders.

Deng Xiaoping may have thrown open the doors to the dragon empire 30 years ago, but there there are still invisible barriers of culture and habit that protect China against the foreign invasion.

I may have some grasp of Mandarin, but my “Chinese” still needs some work.

Post to Twitter Post to Facebook

Inhabiting the moment

 

this moment

It is good to have a retreat. Time away from the habits and well worn grooves that naturally accumulate when life runs smoothly enough. Time inhabiting an alternative slipstream, one that flows on a different elliptic of predictability and clears away the cobwebs of familiarity.

It’s like everyday is the first day of school.

In China the rules are different. Personal space shrinks to what in the west would be would be an assault. On first glance it is chaotic, and on second glance as well. So long as you surrender to the stochastic drift of feet and wheels, and move slow enough to feel the invisible currents that call the tune, there is safety. Putting on speed here will invariably slow you down, surrender is the key.

The rules are different, and like meditation on the breath is a constant process of remembering our way back to the present moment, so too does navigating life in China serve as a constant call to be acutely sensitive to the moment. It is not that life here is more interesting, it is that it requires more attention. And any time more attention is brought to the moment, life becomes more deeply textured and felt.

Post to Twitter Post to Facebook

Change is the only constant

 

noodle shop

The uniforms of the “security” are still ill fitting affairs with safety pinned badges of rank. Cabbies continue to smoke in their “non-smoking” cabs, and the staff of beauty parlors still take their evening exercise break and do a Chinese version of Dance-A-Robics on the sidewalk. Morning breakfast food carts jam up the sidewalks, and thankfully my favorite noodle soup shack still bubbles up a hot brothy bowl of love in the morning. There is comfort and a hint of stability in that which appears to be the same with each and every glance.

Studying with Dr. Huang is another story. We set up the syllabus over a year ago. It was not until part way into the first afternoon I realized it was a relic, a road map from the past. I expected to translate material with which I was familiar, but without warning we quickly we veered off into new territory. Huang has revised his thinking since the last time I was in Nanjing. It is a new ballgame.

Many of us like to have a sense of what is coming. This sense of predictability pervades our lives and naturally extends to the sphere of education. I did not notice that Huang had other cards up his sleeve, nor did he tip his hand. There is always a riptide of frustration when things do not go as I thought they should, and like the tide the only way to stay afloat is to swim with it. Following a skilled and talented doctor is a challenge and privilege. Not unlike acquiring the ability to ride a spirited horse with a loose hand full of intent. Being able to follow the footsteps of his experience and have it awaken insight and a sharper clinical eye is the reason for this journey.

These next two weeks are going to be very interesting indeed!

Post to Twitter Post to Facebook

22 air hours to China

hk-airport2

Something felt odd, not unlike that feeling of thinking you have not packed something important, even though the list has been gone over three times. Something seemed out of place as I collected my boarding passes from the automatic check-in machine and handled my single bag over to the one of the two clerks, each of whom is now doing the work of what would have been six people in the days before downsizing. Later the discrepancy shows itself. My bag had only been checked as far as the long haul drop off point; Los Angeles. The travel gods smiled on my folly by pre-arranging a 2.5 hour layover. Enough time to grab my bag and tour the check in at LA’s international terminal.

The Asian wing has an oddly third world flavor, low squat concrete bunker construction and a checkerboard of intense halogen and misplaced pools of darkness. There are mountains of bags, jigsawed around gigantic futuristic X-ray machines, awaiting their turn to be imaged as safe. One of which is choking on some obscenely oversized bundle wrapped in an electric pink king-sized sheet. Blue-gloved safety technicians cheer the “big-guy” colleague who is theatrically attempting to kick and shove the constipated bundle through. The ID checkers work in a twilight gray, for some reason there are no lights in this section, but at least a dozen video cameras. I take off my shoes, the modern prayer of travel safety, and then board the midnight express to back to Asia.

Deplaning into the Hong Kong International airport with its sail-like construction and walls of glass I realize how embarrassed I feel about foreigners arriving into my country and being greeted with the likes of LAX. I always love the Hong Kong airport’s tapestry of skin color and language; the living collage of culture, dress and movement.
It is good to be back in Asia.

Post to Twitter Post to Facebook

Shift of Season

roadtrip2

In Seattle it is easy to ignore the lingering slide of summer as it diminishes into an ever-increasing grey with crying skies. In the Pacific Northwest we lack the telltale explosions of deciduous color and menopausal like fluctuations of heat and chill. There are two seasons, wet and dry.

Fall in Taiwan is a delight of cool that drifts for months after the scorch of summer with its typhoons, relentless ever-present heat and invisible fog of humidity. It is not until January that it crashes into a bone chilling soup of cold and damp. By March there are already signs that the furnace of summer is already on the approach. All places have their seasons, their turn of the year that demarks this time from that one.

Here in the American Midwest we live a cycle of four. Four clearly distinct seasons. We see it reflected in the landscape, as it changes its texture and color. We hear it in the buzz or quiet of insect cacophony, the spongy wet or desiccant dry of the air, the song or lack of birds. We see it in the winter coats of our pets, the leaves that blow into doorways, or snow drifted into the corners of fences. Here we have a clear reminder that life moves through phases, it has a rhythm and flow.

We live not apart from these changes, our bodies and spirit are as shaped by them as summer’s invitation to the insects to sing or winter’s cold induces a slumber that will fuel the next cycle of growth. Changes of season always bring some kind of celebration. Reminders that calls us to remember the shifts that are part of life as it moves through the great tides of ebb and flow. It is easy in our electronic cocoon of media and the central air/heat of modern life to forget these ancient tides. But, our bodies cannot ignore them.

The ancient Chinese speak of helping the body to shift into a new season. It is done with habit and diet. Changes in patterns of sleep, a proper change of clothes and different assortment of herbs that inform the soups and cooking all are used to help the body adapt to the reality of the new season.

Whatever the method, so long as we can put down what is not longer appropriate and open to that which now provides proper nourishment, the season will give to us its unique gift.

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When It Comes to Your Health, Participation is the Key

Today is featured a guest post by
Mary Jo Blackwood, RN, MPH.
I spoke with her recently about how acupuncture is useful in treating neck and shoulder pain, and our conversation quickly spilled into a discussion of the responsibility that is ultimately ours having the final say on our health care; that doctors make great consultants, but we usually know much more about your bodies and conditions. And it is incumbent on us take a leadership role
in our health and wellbeing.
****************************************

For years, I have taught a community class called “Getting Healthwise,” how to maximize your health and handle many common health problems as they arise. My audiences range from seniors, to factory workers, parents, and even health care professionals. One of the points we spend time discussing is how to work with your physician as an equal partner. Often, I hear: “But he (or she) is a doctor, and I’m just an ordinary person. How could I possibly question treatment decisions?” To that, I reply:

“Half of all doctors graduated in the bottom half of their class” and one of them had to be last! But of course your doctor was first in his/her class and has kept up with all the latest developments in that field. Despite all that, you are the expert on your body and how it reacts, what things you have tried in the past and the outcome. If you and your physician do not pool that knowledge and work together, you don’t get the best care, and in fact, it could be downright dangerous.

When one class participant asked me what she should do if her doctor did not want a partner and preferred to call the shots, my response was to get another doctor. Thankfully, that situation is becoming less and less common, but if you don’t feel your participation is valued and that you are not listened to, my advice still stands.

Of course being a partner doesn’t just give you clout. It comes with certain responsibilities. Once you and your doctor decide on a course of treatment, you have an obligation to follow it and communicate on any progress or lack of progress.

You are also responsible for making sure you fully understand what the doctor is trying to accomplish with this approach, how medications work, and when side effects require follow-up. Just deciding not to follow a particular regimen or to stop taking a medication because you don’t like it isn’t a very smart thing for a partner to do. Work out a regimen you can live with, and that meets your mutual goals. That regimen may include lifestyle changes, medication, and complementary therapies such as offered at the Yong Kang Chinese Medicine Clinic. And make sure every practitioner knows any therapies, medications, or supplements you are taking. That way, your partners are all in the loop!

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The itch you want to scratch

We all have one. Some of us more so, but everyone has one. An itch. One something that invades our dreams, hijacks our focus as we trudge through the day, or shows up as a constant annoying reminder. We all have something that calls. It could be a score of music, a Texas sized raft of garbage in the ocean, a business that is begging to be created or a lifestyle that provides education to children. It could be a cure for disease, salve for pain, or recipe that nourishes body and soul. We all have an itch, a crack in our view of the world that gives us a constant glimpse of a possibility not yet manifest. We all have something in this world that is our unique gift and path. We all have a sword that can be pulled from a stone; the one that belongs to us.

I suspect it is never given whole and complete. Life provides us with a jigsaw puzzle of inspiration and discontent. It is up to us to piece together that which not yet is, but could be. Could be, if we scratch our itch. Follow the glimpse of our calling. The pied piper dog whistle tune that only we can hear that inspires us to inhabit what others mistake as fantasy. To fall and fail; to relentlessly rise up and continue to hone that desire and calling that is ours, and ours alone.

Courage is not an overwhelming momentary flash of selflessness; courage is the willingness to continue to follow the path in the direction that is uniquely ours. Sail out beyond the map of the world that others have drawn and we believed. There indeed are dragons, and much more as well.

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Resistance

I suspect you have encountered this.

That there is a decision made to break the lizard brained pattern of habituality; it could be something as simple as acquiring a new habit of eating, taking the stairs instead of the elevator, stretching in the morning instead of coffee and e-mail. It could be a larger journey of writing a book or learning to speak in public, changing a career, painting a masterpiece, learning a language or following the heart-dream we put on hold in service of obtaining the illusion of approval.

Ever notice how as we move into something new and exciting vibrant we smash headlong into a wall of resistance? Even as feel a creative burn wells up in our chest, almost immediately following comes a constant chatter of doubt and fear. We commonly make the mistake of thinking that doubt is our smarter self, guiding us away from the disaster of the fall of working without a net.

We can think that, but we would be wrong. Every light casts a shadow, and the light of creativity and growth always calls forth resistance. As Newton postulated in his third law of motion, “for every action there is an opposite and equal reaction”; so too will resistance accompany ANY effort we make at pushing ourselves out of the orbit of accumulated habit. Resistance is not some kind of proof we are incapable, it is the yin/yang nature of the universe letting us know that we have slipped ourselves into gear and are getting some traction. It explains why is it that as soon as there is a trace of movement, our wheels seem hit ice and begin to spin.

Resistance is indeed a real force. As Steven Pressfield points out in The War of Art:

Resistance will tell you anything to keep you from doing your work. It will perjure, fabricate, falsify; seduce, bully, cajole. Resistance is protean. It will assume any form, if that’s what it takes to deceive you. It will reason with you like a lawyer or jam a nine-millimeter in your face like a stick-up man. Resistance has no conscience. It understands nothing but power. Resistance cannot be negotiated with. It will pledge anything to get a deal, then double-cross you as soon as your back is turned. If you take Resistance at its word, you deserve everything you get. Resistance is always lying and always full of shit.

You think Resistance isn’t real? Resistance will bury you!

The trick it seems is to not take it personally, and not listen to the reptile brain’s loop-tape of doubt and fear. Whatever the goal, whatever the change we want to inhabit, what is required is the constant putting of one foot in front the other. This is not a Hollywood-like sprint of spirit and success. We are talking effort here. Inertia is a brutal force, and only overcome by constantly coming back, again and again to the task at hand. As a successful artist friend of mine once remarked, “I was an overnight success”… after 12 years of hard work.

Find your guiding star, and watch a thousand excuses suddenly bloom in your mind. Then you know you are on the right track.

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Onward!

A fortune teller I know in Taiwan once reminded me:

Great goals call forth great obstacles

Perhaps the difficulties we face are not indications of the being on the wrong path, but of being on the right one. What is called for is: resolve. Resolve to continue, one foot in front of the other in the direction we have chosen. We need resolutions much less than a guiding vision. A compass more than instructions.

As they like to say in Taiwan; 慢慢來, slowly slowly arrive.

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Gray falls wet

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Gray falls wet out of the sky, as the dark of the year slips quietly toward light. It is familiar, the relentless wet; the water that spills, flows, trickles and runs. I’ve spent too many winters bathed in the moist embrace of the Pacific Northwest to not love low gray clouds and mosaics of puddles. I had mistakenly thought I would not miss winter’s long slow rainstorm. Oddly enough, it is like a lingering childhood memory; one that both defines one’s being and stakes a claim on the soul.

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Rain. It is Nature’s soft piano music. It lacks the jiggle and bell of crisp dry cold.

Soft and relentlessly pitter-patter still. It is a comforting familiar soundtrack to accompany the turning of the year.

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Language: definition and meaning

 

civilized cities

Fluency is not a list of words that slide off the tongue in the proper order. It is not simply a matter of dictionaries and definitions. Words are like a signal propagated through a carrier be it radio, wire or light; in life we call that carrier culture. It at times renders words utterly unintelligible.

Anyone who has spend even a just a few days in China knows that when it comes to buying and selling there is no standard of conduct other than make the sale. The seller’s job is to charm as much money as possible from the buyer’s pocket; the buyer’s job is to not let that happen. To me it is a curiosity that I get treated with the same blatant lies and sleazy bullshit that a fresh off the plane westerner would get. My Chinese is not great, but it is passable. Passable Chinese means you probably have been lied to, ripped off, and cheated enough times to learn a lesson or two about buying and selling in the middle kingdom.
That is what I would think; what I think happens to be completely wrong.

Like Bill Murray in Groundhog Day, every business transaction is the repeat of a conversation that has long long ago lost its freshness. I know the dance by heart, but that does not excuse me from having to tippity-tap my way through every buying transaction as if it was my very first day in Beijing. One would think I’d have surrendered long ago to the inevitable. I’m like Charlie Brown thinking that at last I am going to kick that football; optimism can be a sad, sad disease.

The trick is to translate meaning, not words.

Vegetarians have a terrible time in China, and we had some in our group these past two weeks. No one here really understands that a human being could possibly voluntarily not eat meat. Perhaps some odd Buddhist monk or nun, but they are strange ghosts in a country purged of any kind of spiritual impulse. So the words “I want a vegetarian dish” gets translated as “I want a dish with vegetables.” The phrase “we have people here at our table who don’t eat meat” apparently evaporates before it can whisper up against the eardrum of the waitstaff. The phrase “we want this dish to be ENTIRELY without meat” does not include the little shrimp or bits of pork that are “spices, ” of course they must be added or the dish would not be delicious.

There is a phrase in Chinese 沒辦法 “mei ban fa.” There is nothing you can do about it.

There is nothing you can do about being lied to about the quality, or lack there of, in the purchase you are about to make. There is nothing you can do about being quoted prices 4 to 5 times higher than you should pay. There is nothing you can do about, being butted in front of as the concept of lines does not exist in mainland Chinese thought. There is nothing that can be done to avoid questions of “how do you like China?” Innocent questions that remind me that while I have experience in the middle kingdom, the middle kingdom still does not have that much experience with outsiders.

Deng Xiaoping may have thrown open the doors to the dragon empire 30 years ago, but there there are still invisible barriers of culture and habit that protect China against the foreign invasion.

I may have some grasp of Mandarin, but my “Chinese” still needs some work.

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Inhabiting the moment

 

this moment

It is good to have a retreat. Time away from the habits and well worn grooves that naturally accumulate when life runs smoothly enough. Time inhabiting an alternative slipstream, one that flows on a different elliptic of predictability and clears away the cobwebs of familiarity.

It’s like everyday is the first day of school.

In China the rules are different. Personal space shrinks to what in the west would be would be an assault. On first glance it is chaotic, and on second glance as well. So long as you surrender to the stochastic drift of feet and wheels, and move slow enough to feel the invisible currents that call the tune, there is safety. Putting on speed here will invariably slow you down, surrender is the key.

The rules are different, and like meditation on the breath is a constant process of remembering our way back to the present moment, so too does navigating life in China serve as a constant call to be acutely sensitive to the moment. It is not that life here is more interesting, it is that it requires more attention. And any time more attention is brought to the moment, life becomes more deeply textured and felt.

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Change is the only constant

 

noodle shop

The uniforms of the “security” are still ill fitting affairs with safety pinned badges of rank. Cabbies continue to smoke in their “non-smoking” cabs, and the staff of beauty parlors still take their evening exercise break and do a Chinese version of Dance-A-Robics on the sidewalk. Morning breakfast food carts jam up the sidewalks, and thankfully my favorite noodle soup shack still bubbles up a hot brothy bowl of love in the morning. There is comfort and a hint of stability in that which appears to be the same with each and every glance.

Studying with Dr. Huang is another story. We set up the syllabus over a year ago. It was not until part way into the first afternoon I realized it was a relic, a road map from the past. I expected to translate material with which I was familiar, but without warning we quickly we veered off into new territory. Huang has revised his thinking since the last time I was in Nanjing. It is a new ballgame.

Many of us like to have a sense of what is coming. This sense of predictability pervades our lives and naturally extends to the sphere of education. I did not notice that Huang had other cards up his sleeve, nor did he tip his hand. There is always a riptide of frustration when things do not go as I thought they should, and like the tide the only way to stay afloat is to swim with it. Following a skilled and talented doctor is a challenge and privilege. Not unlike acquiring the ability to ride a spirited horse with a loose hand full of intent. Being able to follow the footsteps of his experience and have it awaken insight and a sharper clinical eye is the reason for this journey.

These next two weeks are going to be very interesting indeed!

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22 air hours to China

hk-airport2

Something felt odd, not unlike that feeling of thinking you have not packed something important, even though the list has been gone over three times. Something seemed out of place as I collected my boarding passes from the automatic check-in machine and handled my single bag over to the one of the two clerks, each of whom is now doing the work of what would have been six people in the days before downsizing. Later the discrepancy shows itself. My bag had only been checked as far as the long haul drop off point; Los Angeles. The travel gods smiled on my folly by pre-arranging a 2.5 hour layover. Enough time to grab my bag and tour the check in at LA’s international terminal.

The Asian wing has an oddly third world flavor, low squat concrete bunker construction and a checkerboard of intense halogen and misplaced pools of darkness. There are mountains of bags, jigsawed around gigantic futuristic X-ray machines, awaiting their turn to be imaged as safe. One of which is choking on some obscenely oversized bundle wrapped in an electric pink king-sized sheet. Blue-gloved safety technicians cheer the “big-guy” colleague who is theatrically attempting to kick and shove the constipated bundle through. The ID checkers work in a twilight gray, for some reason there are no lights in this section, but at least a dozen video cameras. I take off my shoes, the modern prayer of travel safety, and then board the midnight express to back to Asia.

Deplaning into the Hong Kong International airport with its sail-like construction and walls of glass I realize how embarrassed I feel about foreigners arriving into my country and being greeted with the likes of LAX. I always love the Hong Kong airport’s tapestry of skin color and language; the living collage of culture, dress and movement.
It is good to be back in Asia.

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Shift of Season

roadtrip2

In Seattle it is easy to ignore the lingering slide of summer as it diminishes into an ever-increasing grey with crying skies. In the Pacific Northwest we lack the telltale explosions of deciduous color and menopausal like fluctuations of heat and chill. There are two seasons, wet and dry.

Fall in Taiwan is a delight of cool that drifts for months after the scorch of summer with its typhoons, relentless ever-present heat and invisible fog of humidity. It is not until January that it crashes into a bone chilling soup of cold and damp. By March there are already signs that the furnace of summer is already on the approach. All places have their seasons, their turn of the year that demarks this time from that one.

Here in the American Midwest we live a cycle of four. Four clearly distinct seasons. We see it reflected in the landscape, as it changes its texture and color. We hear it in the buzz or quiet of insect cacophony, the spongy wet or desiccant dry of the air, the song or lack of birds. We see it in the winter coats of our pets, the leaves that blow into doorways, or snow drifted into the corners of fences. Here we have a clear reminder that life moves through phases, it has a rhythm and flow.

We live not apart from these changes, our bodies and spirit are as shaped by them as summer’s invitation to the insects to sing or winter’s cold induces a slumber that will fuel the next cycle of growth. Changes of season always bring some kind of celebration. Reminders that calls us to remember the shifts that are part of life as it moves through the great tides of ebb and flow. It is easy in our electronic cocoon of media and the central air/heat of modern life to forget these ancient tides. But, our bodies cannot ignore them.

The ancient Chinese speak of helping the body to shift into a new season. It is done with habit and diet. Changes in patterns of sleep, a proper change of clothes and different assortment of herbs that inform the soups and cooking all are used to help the body adapt to the reality of the new season.

Whatever the method, so long as we can put down what is not longer appropriate and open to that which now provides proper nourishment, the season will give to us its unique gift.

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