Friday, May 13, 2011

Fatal flaw, redeemed


A week or so ago, I was telling a friend I had identified one of my social fatal flaws: the inability to tell a white lie. I call this a fatal flaw half in jest, half with gravity.

Since when is honesty bad? An overwhelming majority of our interactions with people are made up of white lies, to make ourselves, our friends and our family feel a little better, or less worse, about themselves or a situation, to soften a proverbial blow, to keep hope alive and postpone disappointment.

What does this have to do with anything? This is not a complete non sequitur.

Last Wednesday, I attended a Peds/Neuro co-sponsored talk on learning/developmental disabilities. The speakers were two mothers. The first was not a doctor, and her daughter was born with and/or developed: central brain damage, cerebral palsy, seizures, scoliosis, osteoporosis. The second was a neonatologist, and her son had regressive autism, meaning his development was normal until he hit two years old, when he stopped speaking and responding.

The mothers were amazingly strong, self-aware, and human, admitting their weaknesses, yet not letting those weaknesses rule their actions. They spoke about their kids, the difficulties they have faced in getting the support they need, the communication issues between the kids and their parents -- how their receptive language far exceeds their expressive language, making it difficult to interpret their needs. Theirs were heartbreaking stories -- yet they came asking for awareness and advocacy, not sympathy, as mothers protecting their children and the hundreds of thousands other children whose voices are not heard.

Someone asked the mothers a question toward the end, one that stuck with me, and probably everyone who heard their stories - when you see someone in a wheelchair at the grocery store, a person with cognitive disabilities standing ahead of you in line at the cashier, what do you do? I confess that my curiosity flares up; I want to ask questions, but it's inappropriate, so I hold my tongue. But because of that, I feel awkward - should I look? Will they see my questions mirrored on my face and resent it? Should I say hello? Is it welcome? Should I look away? Isn't it rude?

Someone asked, and the mothers said: Be honest, but remember that they are there, and acknowledge them. And then added, we have kids with special needs, and we still feel awkward. It doesn't go away.

It's human.

I remember my frustration whenever someone was over at our house, and would inevitably approach my grandfather and say, "Do you remember who I am?" Once. Twice. Then, "Remember me? I'm XYZ, your son's friend." To which my grandfather would reply, "Ohh, yes, yes, I remember you, XYZ." They took it at face value -- the more sentimental would turn and say, "See? He remembers!" and the more pragmatic would nod and carry on. Eventually, my grandfather learned to game the conversation before it really began. "Do you remember who I am?" "Of course, beta [son], how could I forget?" He used the ambiguous pronoun to his full advantage.

He may have been losing his memory, and many of his higher cognitive functions, but he was still sharp, which combined with frustration was a powerful weapon. He refused to be treated as the vocal equivalent of a mime. Eventually he lost his self-defense mechanisms -- given Alzheimer's progression, it was inevitable. But the visitors' questions persisted, even though it was clear as day he had little awareness of his surroundings. It was easy for me to defend him, and to some degree denigrate the questioners. Why torture an already tortured elderly man?

But last week, I was forced to face my confusion on interacting with people who have special needs. And I realized, when faced with my grandfather, those visitors were struck with the same uncertainties and an odd mixture of concern and curiosity. Wasn't this the least offensive way to express that they care?

Curiosity can be empowering, because curiosity begets knowledge, which boasts a certain heft, shape, specificity. My mother would claim I was cursed with too many questions. I would argue I was blessed with a billion feline lives. The confounding variable in these interactions wasn't curiosity, but fear - of judgment, of perception, of hoof-in-mouth disease.

I bore witness to my grandfather's regression for four years, and the frustrating interactions he put up with throughout. But now, I can finally try to pinpoint where we go wrong. Perhaps curiosity not completely unwelcome, but only when accompanied by honest empathy. Empty words are empty. False assurances are false. Glossy conversation tries to pull a curtain over reality.

It sounds very kindergarten, but we sometimes forget the Golden Rule and instead make a spectacle out of a "freak show." But regardless of the exterior, be it glamorous or thorny, inside is someone with feelings and a personality who struggles to express themselves, or sometimes lacks the consciousness to do so. Don't mistake that hurdle for a weakness.

To take a cue from Laurel, sheath any sense of "unquestioned entitlement," and recognize their sense of self is not comprised solely or entirely of their disability. Be curious, do your homework, but don't impose yourself on them.

Let them carry on with their lives, as you carry on with your own. And if the two happen to intersect, address them with dignity, and acknowledge their humanity with your own. Wield your honesty as a gentle tool of awareness instead of a harsh weapon of insensitivity.

Fear is paralyzing. Honesty is inspiring. Initiative is rewarding.

Humanity brings us to our knees.


What though the radiance which was once so bright
Be now for ever taken from my sight,
Though nothing can bring back the hour
Of splendour in the grass, of glory in the flower;
We will grieve not, rather find
Strength in what remains behind;
In the primal sympathy
Which having been must ever be;
In the soothing thoughts that spring
Out of human suffering;
In the faith that looks through death,
In years that bring the philosophic mind.
- William Wordsworth
Excerpt from "Intimations of Immortality from Recollections of Early Childhood"

 Aadaab

Sunday, April 10, 2011

Dukes and Pirates


Signs my caffeine detox worked (AKA, ET on one cup of coffee today):

(Disclaimer: May also be signs of excessive studying and pod-induced claustrophobia. 
Read as: side effects of medical school. 
AMCAS should issue a warning label.)


 - I spontaneously start dancing in my seat like a jitterbug


(Please note, this is NOT me attempting to swing dance in my seat, which would have disastrous results, such as me falling out of my chair and suffering a traumatic brain injury after hitting my head on the corner of my bed, or perhaps more tragically, falling out of my chair and toppling my desk over, killing my cool stereo system in the process).

- I facilitate a rum-war between my Lego Jack Sparrow and my teddy finger puppet pirates

 
- I want to dunk Liz in a pit of green Nickelodeon goo to commemorate her birthday (HAPPY BARFDAY!)


- I work on a ridiculous blog entry instead of studying.

 
Ok, who am I kidding? That happens almost every time.

Tuesday, March 15, 2011

Exam-time Munchies


I know, I know, people get them all the time. But I don't get them barely ever.

Being hungry for a snack is so inconvenient when you don't have any good snacks at hand. Luckily, I remembered just in time that I still had some tortilla chips in my cabinet, and salsa in the fridge. Just in time for what, you ask? Some kind of colossal disaster, I'm sure, but luckily we will never have cause to find out, until the next time I have a salt-craving.

I'm waiting for my ghrelin to calm down and my leptin to kick in so that my stomach stops grumbling at me (and no, those are not monsters hiding in my closet; they are intestinal hormones! I bet whoever named them got a good chuckle out of it). I think if I were to name a hormone, I'd call it "savvy," for a multitude of reasons. Other suggestions?


You know what's awkward? When your stomach starts grumbling at you while you're trying to study in a quiet pod surrounded by other quietly studious people with tamer stomachs. My stomach has no sense of propriety. Granted, it is my stomach after all, but still! Poor excuse!

You know what's brilliant? Always over-estimating either how many chips or how much salsa you need to put on your plate at snack time. You leave yourself the perfect excuse to go back and fetch more of the other to make up the difference. *grin* Sometimes, eating junk food is totally worth it. Now if only I had some sharp cheddar cheese, or samosas, or chaat, or bhel puri…...

Instead, I am settling (not too much) for this, against the lovely backdrop that is the disaster zone otherwise known as my desk:


Isn't caffeine supposed to be an appetite suppressant? I guess it's busy enough keeping me awake and "focused" right now.

I suppose it's a good thing that now I can't stop thinking about renal clearance.