Category Archives: kindness

A Letter To My Children-On Saying No

This is one of a set of letters to my children.  These letters will not be in series; instead, I will write them as I am moved to do so.

Dear Kids

I was raised to show respect to adults and to submit to their wishes.  I never liked conflict, and this combined with my childhood training resulted in me subjugating my needs and wants for those of others. I came to understand that when people ask me for something, they were telling me to do something.  “Can you do this for me,” was really, “Do this for me.” If someone asked me to do something for them, I did it, even if I didn’t want to, or didn’t have the time. Helping people when I didn’t want to made me feel like a martyr instead of a hero. 

I recognized this problem, and I tried to actively change my behavior in high school. When I started refusing requests, people were not very happy with me; they were used to getting their way.  

When someone asked me to do something that I didn’t want to do, I would say that I was sorry that I couldn’t help them, and then followed that statement with a reason or reasons why.  This often resulted in the individual picking holes in my excuse as they tried to convince me that I could still do the task at hand. That wasn’t difficult because many of my reasons were quickly fabricated to “Let the other person down gently.” At times my, “No,” would stand, at other times I would give in.

Requests could range from something as simple as someone wanting to hang out, to more complex tasks that could require days or even weeks to accomplish. My refusal skills were moving in the right direction, but I had a long way to go.

An event happened when I was a 1st-year medical student that changed how I approached this issue.  I had been attending Northwestern for a few months and was invited to go to a meeting. At that meeting, many committees were looking for people to sit on them.  A 4th-year med student saw me and approached me. She seemed very excited and happy to see me, but I had a strong impression that she was playing me. With great enthusiasm, she told me about a committee that she was on.  I listened to her, and it became clear that she was looking for someone to take over her position so she could get out of it. The committee held no interest for me. Worse, it met almost weekly and involved a lot of work outside of its scheduled meetings.  If I agreed to join, I would be committing my time for the next four years. 

Finally, she popped the question and excitedly “invited” me to join the group.  I knew that I didn’t want to do it, and my mind started to race to come up with some reason why I couldn’t.  I could not come up with a reason, and on some level, I knew that any reason would quickly be countered by the 4th-year as her goal was to get rid of her responsibility.

I paused for a moment and then looked her straight in the eye. “No, I am not interested,” I said.  “Why not, this is a great honor,” she replied. I continued to look at her and made an effort to smile, “No,” was what I repeated and walked away.

I have to say that I felt enormous guilt and anxiety after my refusal.  My heart was racing, and I was concerned about what this 4th-year could or would do to me as her position of power (in my mind) was exponentially more significant than mine.  She represented an adult, and I was once again a child. It was physically and emotionally painful to walk away, but that discomfort started to dissipate by the next morning. By the end of the week, it was gone entirely.

That simple, “No,” saved me from years of pointless work.  It also taught me that I didn’t always have to give someone a reason why I didn’t want to comply with their wishes.  

Kids, over the years, I have made an effort to continue to do many things for other people, but I now do those things as a choice rather than out of some false sense of obligation.  There are times when I will do something mutually beneficial to both parties; I relish these win/win situations. There are other times when I don’t benefit, but what is asked from me is small, and it has little impact on my life.  Still, there are other times when I may not want to do something that also requires a lot of work, and I do it anyway. When I help someone by choice, it is a beautiful feeling. I know that my intentions are sincere, and this knowledge gives my efforts meaning, and value.  When I refuse a request, it is also done with thought. Yes, I may upset someone, but they can likely find someone else to do their bidding. I understand that I can’t solve the problems of the world. 

Refusal skills are essential in all areas of life.  Friends that want you to do something that goes against your values.  Job expectations that are unreasonable. Relationship demands beyond your comfort zone. If you have a stable connection with someone refusing to do something will not hamper that connection.  If your relationship is based on a house of cards, it is better to know that too.

I want you to be generous and giving adults, but I would never want you to abandon your values or sense of self because of outside demands. Always be true to yourself and your values.

Love,

Your Dad

Dr. Mike Buys A New Cooker

I grew up in a 1920s style bungalow before living in such a house was chic. My parents moved into our Chicago home on Francisco Avenue in 1951 and did a minimal amount of redecorating at that time. Interestingly, most of that work actually destroyed some of the house’s natural charm. For instance, the living room fireplace and its two companion stained glass windows were removed to make that room more modern.

The kitchen had undergone the most basic of renovations then and remained the same until we moved to the suburbs almost 25 years later. The floor was redone in red and green tiles that were arranged in a checkerboard fashion, and one wall received “tile work” from its baseboard to its midpoint. The “tiles” were, in fact, a single sheet of linoleum that was molded into a yellow square tile pattern. An example of remodeling on a minimal budget.

My memories of the kitchen are from the 1960s, and at that point, the prior effort to update it just added to its hodgepodge appearance. By then the floor tiles were dull and broken, and the linoleum wall was aged and worn. Against that wall was a 1950s style chrome kitchen table with matching tube chairs. Its grey Formica top had the look of one from an old diner booth, with parts of the surface rubbed off after thousands of breakfasts, lunches, and dinners. Above the table was a small cheap wall lamp, which was secured by a single screw 2 feet above the faux tiles. The room was illuminated by a bare circular fluorescent ceiling light that gave the space a cold bluish tinge. Directly across from the table was a white freestanding cabinet, its surface enameled steel. On top of the cabinet was an old Sunbeam Mixmaster that my mother used every day to bake the family a variety of treats. To the right of the table was a farm style sink with a built in drainboard. It was mounted to the wall and supported by two cylindrical porcelain legs. The old vessel had a worn down finish. Across from the sink was our single door Coldspot fridge and our Crown gas range, both purchased when my parents moved into the home in 1951.

The Crown range was a point of displeasure for my mother, who was a skilled cook and baker. My father purchased it without her approval, and it was apparently the lines “base” model. It was a 36” wide appliance finished in basic white. Its enamel backsplash featured a small clock in its center that had long ago lost the ability to keep time. The front of the range was split in half, but instead of featuring two side-by-side ovens, it only had one. The other side was for pot storage.

The top four burners were lit by two pilot lights, perpetually burning gas during a time when natural resources were cheap and endless. Its surface scratched by a past run-in with a steel wool pad.

Lighting the oven was not for the faint of heart as the operator had to turn on the gas, light a match, and insert the match into a little hole on the oven’s floor. Being late for even a second would cause a giant whoosh of flames and heat.

The over-temperature was always off by 25 degrees on the Crown, and we all knew to make the correct adjustment. Being the base model, its walls were not adequately insulated causing it to bake unevenly, which was my mother’s chief complaint, the other being the oven’s small size.

The stove had significant imperfections, but it worked. It was the heart of our kitchen, and the kitchen was the heart of our home. There was always a supply of fresh percolator coffee on the stovetop and some sort of freshly baked treat from the oven. Family, relatives, and friends gathered in the kitchen to sit on the old chrome chairs and sip, eat, and talk.

I bought my Naperville home in 1989, and I was fortunate that the prior owner left a stove and fridge. There was nothing wrong with these appliances, but I wanted something more modern, and after a few years I moved them to the basement to be replaced with expensive stainless steel ones.

The cheap appliances from my parents home never failed and never needed repair. Such was not the case of my shiny new appliances. The fridge received many service calls, and the gas stove’s burners lost their ability to be adjusted. After about 8 years both had to be replaced, which prompted a trip to the appliance department at Sears.

I had been playing around with a tabletop induction burner, and I was dazzled by its utility. I knew that I wanted that technology in my new stove. The salesman at Sears pointed me in the right direction, and after an hour of exploration I pulled out my charge card and made my purchases. A Samsung fridge with French doors and a Kenmore Elite range that had both an induction cooktop and a convection oven.

The Samsung fridge turned out to be a nightmare, it was so over-engineered that it constantly broke down. I replaced it with a similar model from Whirlpool last year. The ranged faired better and sealed my love for induction cooking. However, its oven was less reliable, and the unit had a catastrophic failure last month. The stove cost over $2500 when I purchased it 9 years earlier, and now it was heading for a landfill.

My shopping habits have changed in the last decade and with Julie’s OK I bought the new stove online from Costco, based only on pictures and reviews. Being so cavalier with such a significant purchase would have been unimaginable in the past.

On Monday a delivery man took away the Kenmore and installed our new GE stove. It is similar to the Kenmore, but it has few features added, and a few others were taken away. Its backsplash is filled with computerized controls; I now look at such functions as future repairs rather than modern marvels.

My kitchen’s appearance is very different from the one that I grew up in. Modern and efficient, it has every cooking convenience that a chief could want. Instead of a percolator, we have both a Bunn drip pot and a Keurig single serve unit. Instead of a Formica and chrome table, we have one made of real wood. Granite countertops and cherry wood cabinets sit in for my parents’ old enamel one. A deep under-the-counter stainless steel sink takes the place of my parent’s worn farmhouse unit. The recessed lights in the ceiling number 12, and give off a warm and welcoming glow. The floor consists of oak planks instead of worn and broken asbestos tiles. A fancy light fixture from Pottery Barn defines the dining space in place of the dimestore wall lamp that my parents used.

My kitchen is different from the one that I grew up with, but it also very similar. Despite 60 years of separation it still has to serve the same function as the one that my mother cooked in. It also serves the same social functions that my parent’s kitchen did. It is a gathering place for my family, relatives, and friends. There we eat, we talk, we plan, we play games, we entertain. I could comfortably live without our living room, but I would be lost without our kitchen.

Shiny and modern, my kitchen should be advanced in every way from my childhood one, but it is not. Although my parents had imperfect appliances, they worked for decades. Their oven may have been off by 25 degrees, but it never faltered beyond that value. The freezer compartment in their fridge may have been small and frosty, but we never worried that our ice cream would be melted.

My complex new appliances promise fancy advances, most of which I will never use. The new stove is more computer than a cooker. I had to read the manual twice just to understand how to set its digital clock. Yes, my fridge and stove are more energy efficient, but what does that really mean to me and to the environment when I have to replace a costly unit every 7 to 10 years. Planned obsolescence is good for manufacturing companies but bad for everyone else.

I live in 2019, not in 1950 and I have to accept the reality of early appliance demise. However, I can also celebrate advances that range from practical convection cooking to silly wifi connectivity. Our new stove has both, and to initiate it to our kitchen my daughter, and I baked 6 loaves of 100% whole wheat bread. We were both pleased with how the new oven worked. However, you may want to check back with me 7 or 8 years from now as it is likely that I will once again be in the market for a new one. That is if it lasts that long.

Stop over sometime for a cup of coffee and some homemade bread with jam. The coffee pot is always on, and the conversation is always flowing. Some things never change.

A stove similar to the one that I grew up with.

My new stove is more computer than cooker.

Six warm loaves, right out of the oven.

Camping On New Year’s Eve In A Winter Storm-Crazy!

“Do you want to do it?” I thought for a minute and said, “Yeah, I think so. You only live once, right?”

My campervan was mostly complete, and I had already had taken it to Colorado and Missouri on separate trips, but those trips were during warmer weather.

Tom’s son wanted to go camping sometime in January, and Tom was inviting me along. This would be more of an experience than an actual trip, and we would be spending only one night in the cold. The destination, Devil’s Lake, Wisconsin. Tom has a fondness for Devil’s Lake, it is a beautiful park; its centerpiece being the lake which is surrounded by high bluffs.

After Christmas Tom told me that he decided to go up on New Year’s Eve. I had a concern about this date as I thought that many services could be closed, but it sounded exciting and fun. Besides, we had unseasonably mild weather, so how bad could it be?

The other concern was my homefront. I knew that Julie wouldn’t mind me going on a camping trip, but on this one, I would be away from her on holiday. With that said, I’m usually in bed by 11 PM on New Year’s Eve. I’m hardly a party animal. I asked for her thoughts she said she didn’t mind it if I went.

My friend Tom had to work the morning of the trip, and he suggested that I go up early to secure a campsite. Tom imagined a party like atmosphere with the campground filled to the brim with happy campers excited to bring in the new year, and he wanted to make sure that we had a spot. Only one of the park’s multiple campgrounds is open year round, and that one didn’t take reservations.

Traveling the 3 hours to Baraboo WI solo was not an option for me. In the summer of 2017, we traveled separately to the same campground. I got turned around and wound up at a different site at the opposite end of the park. T-mobile cellular service at Devil’s Lake was almost non-existent, and it was nearly impossible for me to reach Tom. He had arrived hours earlier with both his son and my son. Eventually, we connected which is when I found out that all of the campgrounds were full. Exhausted from a full day of work and a drive to Wisconsin, I loaded William into my car and drove 3 hours home. It was not a warm and fuzzy memory.

I still have some finishing touches to do on my campervan, but it is functional. However, I had removed most of its storage boxes, as we were in the process of building out a large container that would reside under the camper’s platform bed. I debated if I wanted to return the contents to the camper. After all, I was only going for a day. At the last minute, I tossed the bins into the van. “Better safe than sorry,” I thought.

We left together, me in my campervan and Tom and his son in his 4×4 Dodge Ram dually. It was around 35 F, and it was lightly raining. We started our drive north, and the rain got progressively worse. I kept looking at the outside temperature readings on my Promaster’s dash. Thirty-five degrees, then 34F, then 33F, then the dreaded 32F. Thirty-two degrees, the point where rain turns to sleet. Thirty-two degrees, when the wet pavement turns to black ice. Initially, the van seemed to handle the change in conditions, and I breathed a sigh of relief.

We turned off the Interstate and onto a county road. Google maps said we had about 26 miles to go until we reached the park. By that time the sleet had turned to snow, and it was coming down hard. We were on a 4 lane road (two lanes per direction) that was winding up a hill. I could see that Tom was having a bit of trouble as the back of his truck was wiggling. I could feel that my traction was also slipping. There was no option, so we moved on.

As we turned a curve, the traffic suddenly slowed down to a near stop. In the middle of the right lane was a sedan with its flashers on. I thought that the owner was having car trouble, but I wondered why he had foolishly stopped directly in the middle of the right lane. I drove a little further and saw another car in the right lane, its flashers blinking. Then another, and another. The higher I drove up the hill, the more cars I saw parked in the right lane. I could see Tom’s truck ahead. He was moving forward, but his Ram has 6 tires of traction. The sedan in front of me was lurching forward, sometimes sliding sideways, sometimes almost stalling. I could feel my traction failing, and I started to panic as I imagined having to spend the night in my van as it sat directly in the line of traffic. By some miracle, I made it up the hill, and I breathed a sigh of relief.

The road narrowed to a single lane, and the snow continued to fall. It became impossible to determine if I was in the correct lane. I made a conscious effort to stay in the tire tracks that Tom’s truck made, using his four rear tires as my personal snow plow. I was in the middle of nowhere, it was getting dark, my van was struggling, I was feeling sick to my stomach. My doctor’s training has made me good at handling crises, but I was still feeling the stress. I willed myself to move forward.

Tom pulled into the broad entrance to Devil’s Lake State Park, and I followed. The road past the entrance went down at a steep angle and instinct told me that I should stay put. I told Tom that I was not going down. He felt that his 4 wheel drive could do the job and said that he would make the loop drive to explore the park and then come back to pick me up. He gave me an alternative route to the campground, just in case. Time ticked on, and I thought about the possibility of staying put at the entrance for the night. That option would certainly be better than getting stuck in the middle of a road.

Tom returned and said that my van would not have made it down and back. We took the alternate route to the campground. We traveled another quarter mile and took a right turn on an unplowed road with a slight incline. I could see that Tom traction was struggling again and I could feel my van straining. The only way I was able to move forward was by running my engine at 30 miles per hour. This constant acceleration moved the van at a jerking 5 miles per hour. I prayed that I wouldn’t have to stop as I knew that I would not be able to move forward again.

Although we only traveled a few blocks on that road, it seemed like miles. I’m glad that Tom was so familiar with the park, as I would never have seen the entrance to the campground. He pulled in, and I followed. The campground was completely empty, and its roads were unplowed and deep in snow. I thought, “Find a spot close to the entrance,” but he continued to drive as if he was looking for the perfect campsite. He eventually stopped, and so did I. When I tried to move forward again it was clear that I was stuck. Stuck in the middle of the road in an empty campground, and it was definitely getting darker.

I signaled Tom, and he said that he would loop around the campground and come up on my rear. I wasn’t sure what his plan was, but I was grateful that I wasn’t alone. He got back into his pickup and drove out-of-sight. My mind moved into solution mode, and various ideas and contingency plans flooded me in multiple data stream. I wondered if I could rock myself back then forward. I tried to back up, and surprisingly I was able to do this. However, I could not move an inch forward, as the road ahead was on an incline.

I got out of the van and scanned my surroundings. Despite the heavy snow, I could see the boundaries of level places, which were intended for the camper’s cars. I made some quick calculations and came up with a crazy plan to back up my van several hundred yards in reverse and then turn into one of the almost invisible parking slots. If successful I could take that move into a three-point-turn and point my van in the opposite (and downward) direction towards the campground’s entrance. I felt that I had nothing to lose.

I could feel my tires slipping as I started the backup, but I continued. I made another mental calculation and decided that I should be close to a flat spot and quickly turned my wheel to the right as I wanted to keep my momentum. The van tracked into a parking spot, and I had a sigh of relief. After a 10 second pause to catch my anxious breath I shifted the gear selector into drive and gently pressed on the accelerator. The van moved forward!

I was now going downhill and towards the entrance to the park. Tom was nowhere in sight. I could finally see the entrance, and then I saw Tom. He had been delayed because he got stuck and almost slid into a tree.

We were committed to camp, and frankly, we had no other options. Tom pulled into a spot, and I asked him if he would park my van next to his truck. I was exhausted and didn’t need any more challenges.

Tom had brought a wheelbarrow of firewood in the bed of his pickup, and he set about the task of starting a fire with a Bernzomatic torch. While he was doing this, I spotted the sites power pole and wondered aloud if the juice was still on. “They use GFI outlets, why don’t you check,” Tom said. I walked over and lifted the heavy metal shroud that covered the outlets. A tiny green LED blinked back at me. Being a good Eastern European type I had brought enough food for at least two days, now we also had power. I was jubilant. I opened the back of the Promaster and started to search the storage boxes that I had tossed in as an afterthought. Yes, here was the 30 Amp power cord, and there was the 30 Amp extension cord. In another box, I found the $18 little black electric heater that I bought at Walmart months earlier. I called Tom’s son to be my gopher, and in about 5 minutes I had AC power in my camper. I plugged in the little heater and turned it on. The temperature was quickly dropping outside, and I wanted to capture every BTU that I could.

Tom was busy setting up a tripod stand to hold the cast iron Dutch oven that he brought. In it, he had chunks of steak, onions, carrots, potatoes, and cabbage. The fire was now blazing, and he was adjusting a chain that was supporting the Dutch oven. Lower into the flame for hotter, higher away from the flame for colder.

We had food, electricity, some heat, and a fire. I was content and my panic from earlier in the day had washed away. I was now in my 12-year-old boy mode and was feeling like a great explorer in an unknown wilderness. I asked Tom’s son if he wanted to go on an adventure walk with me. He did, our main discovery was that the pit toilets were unlocked! Now we could definitely weather the storm. I had a down coat from Cabela’s, my rubberized Bog boots, and a new pair of fancy Gordini gloves that Julie had given me for Christmas. On my head sat a red stocking cap. Over the hat was my jacket’s hood. The fire plus my outfit kept me surprisingly warm.

The three of us stood, then sat around the fire talking. Despite being an introvert, I have no problem talking to Tom for hours. With that said, I can’t honestly remember much of what we were talking about. That’s the way it sometimes goes with best friends, the contact is more important than the context. At one point Tom decided that he was going to pick up a bottle of wine to help me relax after my harrowing drive. Although I initially protested his plan, I eventually gave in. I am not much of a drinker, and Tom doesn’t drink at all, but he got into his dually and drove to a local gas station that had liquor service. I had seen a plow go down the street in front of the campground and I was anxious to get a road report. If anyone could navigate in the snow, Tom could with his 6 wheels of traction.

Tom return, and I opened the bottle with my Dollar Store corkscrew. I bought it for a $6 camper supply “buying frenzy” several months earlier. I poured some wine into a stainless steel camping mug and took a sip. We continued to talk. Eventually, it was deemed that Tom’s stew was done and he pulled the Dutch oven off the fire. I contributed some paper plates, bread, salt, and a black garbage bag. Not much of a contribution, but at least I felt the I was doing something.

There is nothing quite as delicious as hot food when you are standing out in the cold for hours. I felt like I was dining at a 4-star restaurant. I ask for and received seconds.

Tom’s son was starting to fade and wanted to go to bed. Tom set up a bed in the back seat of his truck’s cab and off he went. Tom and I continued to talk for several more hours as even a single glass of wine can turn me into a philosopher. At some point, I started to talk about the existence of God. Eventually, we both felt the need to call it a night. Tom set up a place in his truck for him, and I fluffed the blankets in my camper van for me. My Walmart heater was definitely warming the van, and I was grateful, as I knew that it was going to drop to 19F during the night. Bedtime, 10:30 PM on New Year’s Eve.

I can’t say that I slept perfectly, but I did sleep reasonably well. The morning came, and I could hear Tom’s diesel running. He started his truck at 2 AM, as the cold was beginning to make his feet numb. It was time to break camp. The firewood had done its job, and all of it had been consumed. Without the fire, we would have never have been able to spend hours the night before standing in the freezing cold

“Breakfast?” Tom said. “Of course,” I replied. It was now the moment of truth. Would the Promaster be able to navigate the snow and drive out of the campground? Tom backed it out, and then I climbed into the driver’s seat and shifted the gear selector into drive. I lightly, but purposefully, pressed the accelerator and the van moved forward. Down the snowy path I went. Soon we were back on the road that had been so treacherous the night before. However, it was now plowed and sanded. Off to Baraboo.

There is a little breakfast joint in Baraboo that resides in an old diner. The diner building was once located somewhere in New England. Apparently, it was disassembled and stored for decades in a warehouse in Ohio. It was discovered there and reassembled in Baraboo, piece by piece. The inside of the restaurant is in a classic diner style, replete with green vinyl upholstered booths and an abundance of chrome. We have eaten there in the past, and I knew that they served a hearty breakfast.

We pulled up to the diner, and I was happy to see that it was open on New Year’s Day. Inside we found an open booth, which was easy as only one other table was occupied as was one chair at the counter. Tom and his son went to wash their hands as the waitress came over. She reminded me of Flo, from those Progressive Insurance commercials. The back of her T-shirt proudly proclaimed, “Body By Bacon.” I knew I was in the right place. Tom and his son returned, and we placed our orders. Both of them ordered omelets. I went for eggs over easy and sausage links. By the time our order arrived, I was well into coffee, but I had to consciously control my consumption as I would soon be on the road. I didn’t want to have to stop every 30 minutes. We confidently noted that we were the very first people to use a campsite at Devil’s Lake State Park in 2019. We did this with the vibrato of Lewis and Clark explorers.

With our bellies once again full it was time to start the journey home, and after a few directional missteps, we were on the newly plowed and salted Interstate heading south. Tom called me and noted that he was going to exit as his son wanted to explore the sporting options at Cascade Mountain. I wished him well and drove on.

I made a call to Julie to let her know that I was safe and heading home. I traveled the rest of the trip in silence and entertained myself with memories of the last 24 hours. I was grateful that I brought the right clothes, enough food, and the right van equipment to weather the storm. I was thankful that I had traveled with my friend, Tom. He thought to bring some things, I remembered others. Together, we had enough.

The nausea of the drive in had long passed, and the pleasure of the trip was present in my mind. I don’t think I would have gone if I knew that I would have had to travel in a snowstorm, but that was behind me, and I was left with the sweet memory of a crazy camping trip where only three people filled a huge campground with their adventurous spirit. It was a great way to start the New Year and to kick off my impending retirement.

Happy New Year, dear readers.

Me, in the snow.

Tom building the fire.

Dinner cooking!

Winter Camping!

We had the campground completely to ourselves.

Peaceful.

The next morning, eggs, sausage and toast for breakfast…and of course coffee.

Thanksgiving Day

I started doing it 25 years ago, as a request from my wife. I initially took on the job out of brash self-confidence, but it now has become an annual tradition. The job? Roasting the Thanksgiving turkey.

I woke up at 6 AM on Thanksgiving Day. A late morning for me as I’m usually up by 4 AM. I went to bed the night before at my usual time, but I was quickly joined by my wife, and minutes later three of my kids appeared at my bedside. Two of them had been away at college, and there was still a need to connect and catch up. Even Mercury, the cat, made her way to our bedroom. The conversation delayed my sleep, which in turn stalled my wake time.

I took my walk downtown but didn’t stop for coffee as I had things to do. Back home I plugged in our 25-year-old Nesco electric roaster and preheated it to 400 degrees F (205 C). I went out to the garage, which was serving as a temporary refrigerator on this frigid morning. We had brined our 18-pound turkey overnight in a slurry of herbs, salt, and water. I now had the task of draining off the water without spilling it all over the floor. Drained, rinsed, patted dry, it was now time for the turkey to get a butter bath in preparation for its roasting.

The remainder of the morning consisted of a familiar pattern of cooking, directing helpers, and cleaning up one task before starting the next one. Daughter Kathryn, Grandma Nelson, and Aunt Kathy peeled a mountain of potatoes, Julie ran back and forth serving many roles, Will and Grace helped set the tables, Aunt Amy did finishing touches. Together we were a team with a clear goal to get dinner on the table by 2 PM. There was no sitting down for me from the start of cooking to the saying of grace.

We have made the same dishes for Thanksgiving every year for the over 25 years that we have been preparing this dinner for Julie’s side the family. It is a celebration of starchy, high-fat foods, punctuated by sugary desserts.

Turkey, dressing, whipped potatoes, sweet potato casserole, corn casserole, green bean casserole, gravy, cranberries, herring, jello salad, rolls/butter, pumpkin pie, pecan pie, apple pie… and I am likely forgetting something. Thanksgiving dinner is not for the faint of heart, it is a calorie bomb designed to put any eater into a prolonged food coma.

This year our dinner was smaller, with only 15 attendees. Our nephew was in Rome. Two nieces and their spouses, my brother-in-law, and sister-in-law were elsewhere. At grace, we acknowledged and prayed for all of them.

We have long used a buffet style of serving the meal, always starting the food line with my wife’s parents and ending with Julie and me. Our wedding china makes its yearly appearance, as does various other serving dishes, some are antique depression glass, others simple 9 x 13 Pyrex dishes.

It is almost a requirement to try each food. Many of them are doused with a coating of gravy, and the resulting meal resembles a stew rather than a variety of separate dishes. Diving into all those carbs can be heavenly, but after the plate’s half-way point, the food becomes a potent sedative. Despite meal participant’s acknowledgment that they are bursting at the seams, most opt for dessert.

Conversation is lively during dinner, we catch up on each other’s lives. I have noticed a lack of political discourse over the last few years. A wise move as guest’s beliefs range from conservative to liberal. As far as I’m aware, no one has ever changed their political view during Thanksgiving dinner.

Every year we go around the table stating what we are thankful for. A beautiful affirmation of the blessing that we all are given. One thing that I’m grateful for is that some of the guests usually pitch in during cleanup duty. Despite my efforts to “clean as I go” there are still mounds of items after feeding so many people. The serving dishes alone fill the dishwasher.

Dinner tasks completed, exhaustion sets in. This year I gave myself 30 minutes to lie down to rest and digest my food. Post nap, Julie and I elected to go on a walk, and we were joined by family and guests as we meandered on the Riverwalk to downtown. The holiday lights were lit making our journey Christmas festive.

The rest of the evening was filled with TV sports, conversation, and games. At the end of the day, I asked Julie, “Do you think the food was good?” She replied, “It was great!” For some reason this affirmation of my cooking allowed me to relax and fall asleep.

Many of our guests are from out of town. They arrive on Wednesday and leave on Saturday. However, those additional meals are easy in comparison to Thanksgiving dinner.

Friday and Saturday fly by and before I know it our last guest has left. Another Thanksgiving concluded.

Why is it that Thanksgiving is my favorite holiday? Despite the looming specter of Black Friday, Thanksgiving has remained a non-commercialized event. It centers on spending time with people you care about and sharing a meal with them. I cherish each aspect of the day, from the morning conversation to the after-dinner walk, to the post-meal activities. Thanksgiving is a celebration of connection and a time to reflect on those things that we are grateful for.

We live in a society of want. We feel deprived because we have last year’s computer, or that we are wearing last season’s color. As I write this, I’m sitting in a warm house, and I’m sipping on a nice cup of tea. In the next room, I can hear Julie talking to a friend from New York on the phone. Son, William, is playing a video game. Both of my college-age daughters have texted me that they have safely returned to their respective schools. My oldest daughter and her family are back at their home in central Illinois. Life is good.

I always feel happy at Thanksgiving. I know that this is due, in part, to the fact that I am focused on gratitude rather than dissatisfaction. I don’t need to eat a starch laden turkey dinner every day, but I do want to be thankful daily. I want to celebrate my life, and I want to focus on my “haves” rather than my “have-nots.” Dear reader, please join me and celebrate your daily thanks.

Carving the turkey.

Family help in setting the table.

Time to catch up!

A walk downtown.

Simple, Complex Dr. Mike

At 6:20 PM I exited the house and pulled myself up and into my freezing Ram Promaster campervan. I switched on the ignition and started my drive to Panera Bread on the other side of town. It took me about 15 minutes, and the van was still cold when I arrived. Once inside I used the restaurant’s kiosk to order a diet coke and a bowl of squash soup. The restaurant was busier than usual, and my favorite booth was already in use. I sat at a corner table instead. My sister Nancy arrived, and we sat, talked, and ate. This was our weekly creativity night. A time to catch up on each other’s lives and to focus on our writing.

The meeting concluded, and it was time to come up with a writing topic for the next week. I was dry of ideas. Nancy thought of a few for me, but none of them rang true. We Googled “interesting writing topics,” but the suggestions seemed trite, and not very interesting.

With a shortage of ideas, I decided to fall back on me, and the odd way that I approach life. I’ll call this piece “Simple, Complex Mike.”

I’m one of those obsessive people, who really enjoys his obsessiveness. I tend to become interested in something which then starts a sequence of events of learning, experimenting, and doing. This sequence can vary depending on the circumstance, but it is consistent enough to identify it as a pattern.

You may think that this “scientific” approach to life was developed when I was a microbiologist (Ed note: I was a scientist before I became a medical doctor), but it has been with me since birth. My wife, being a conservative Swede, didn’t understand this aspect of my personality and for many years and it was a source of endless frustration for her. I become obsessively interested in a topic, and part of that interest involves comparing things to understand their similarities and differences. I have multiple cameras because I like to explore their pros and cons. I know many ways to make a pie crust. I am comfortable using a variety of computer operating systems. The list goes on.

In most cases, I discover that similarities exceed differences in any given area of interest. A fact that I also find interesting. I have a small room in my basement full of various objects because of this comparison obsession. Julie has gone from complaining about my “junk” to merely shaking her head. This is one of the great things about knowing someone for decades, you start to accept the person for who they are instead of trying to change them into something that you think that they should be.

I see these same behaviors in my siblings, although they are expressed differently. We are all just a little bit crazy but in a harmless way. It must be a genetic thing.

My recent obsessive “energy” has been spent on my van to campervan conversion; its actual construction almost complete. One of the final stages is to convert the open space under the platform bed into a more usable storage area. I had some ideas about this, and I asked my friend, Tom, for his construction expertise. Tom, being a creative guy and general contractor, developed a grander and more comprehensive vision, and my garage is now filled with plywood slabs that are waiting for the next phase of construction. He is currently working 7 days a week, to completes a major project, and I am especially grateful for any bit of time that he can find to help me. However, since he is often busy I now have time to think about other things. I always have a “Plan B” at the ready. In this case, my brain has switched from storage construction to van kitchen completion.

I have been camping all of my life and have owned travel trailers. Based on this it should be easy for me to come up with a simple cooking system for the van. However, that is not how my brain works. In my mind, this is an opportunity to learn more about cooking systems and methods. I’m sure that some of you are shaking your heads and muttering, “Dr. Mike you have too much free time on your hands.” This may be the case, but I have always approached life this way, even when I was working 80 hours per week.

The question at hand: Can I use free solar energy to cook my food? This question has pushed me to learn about solar panels, batteries, charge controllers, amp hours, efficient appliances, and so on. You may be thinking, “Just get a camp stove and be done with it!.” That is a good suggestion, and it may be my eventual decision. However, my brain exercise is as much about learning as it is about implementation. It is exciting for me to acquire new knowledge and to pass on that knowledge on. In this case, I’ll probably produce a video to help other new campervan builders.

You would be right in surmising that many simple issues turn into complex problems for me because of this. That is true and OK by me, as solving problems is one of my favorite activities. You may also be confused by the fact that I’m building out a very simple campervan. A place of simplicity that is spare when it comes to material objects. Welcome to Dr. Mike’s bipolar world. I have these two very different sides. One pole creates complexity when it isn’t necessary. The other pole pushes for simplicity and eschews complexity. You may think that these converse positions pull me apart, but in reality, I’m quite comfortable with this duality.

Simplicity is the counterpoint of my self-imposed complexity. An emotional island to travel to for some mental R and R.

My van is simple, its contents are spare. The interior of my Promaster is considerably smaller than the square footage of my master bathroom. I have 2 pots, and I pan. One sleeping bag and an extra blanket. A few basic tools. Yet, it is enough. It is enough because my needs change when I’m vandwelling. My life becomes simple, and make do with what I have. When I camp I never feel deprived, instead I feel blessed. My behavior calms. I slow down. I savor simple meals and simple pleasures. Nature gives me peace.

As humans, we tend to categorize the people around us quickly. It is so easy to judge someone by their appearance, demeanor, or vocabulary. We put individuals in slots that determine not only what we think of them, but also how we treat them. Have you ever given someone you initially rejected a “second look” only to find a remarkable and faithful friend? Conversely, have you been dazzled by someone only to discover that they were empty, self-centered, and self-serving?

We are all complex and simple at the same time. The way that we express these poles vary from individual to individual. However, if you insist on judging a book by its cover, you will likely deprive yourself of many wonderful relational adventures.

I am fortunate to have the title of doctor. Those six letters instantly give me a level of status and acceptance. This is in contrast to young Michael, the kid with one pair of pants who had to sleep on the back porch. However, Doctor Mike and little Michael are the same. My drive to learn is the same. My caring for others is the same. My quirky personality is the same. How is it then that people treat me so differently just because of a title?

I believe that we need to not only accept others for who they are, but we also need to love them for who they are. Does someone have a different political belief than you? Are they a different race? Do they have a different sexual orientation? Are you judging them because of these things? If so, you are depriving yourself. You are demonstrating your limitations, rather than theirs.

I spend my time comparing and contrasting things, and in the end, I almost always discover that those things that I compare are more similar than different. Similarities are necessary for continuity, but in differences, I find new ideas and more creative ways to think. Similarities may make me comfortable, but differences make me grow.

Let’s celebrate our similarities and differences. I ask you to love me based on who I am. In turn, I will do the same to you.

Peace

My campervan’s very simple interior.

Best friend, Tom and a garage full of plywood.

The initial box that will eventually be partitioned into useable storage space.

Experiment: Can I successfully cook chicken using a 12-volt battery?

Experiment conclusion: Yes!

Experiment: Can I make a complex meal using a simple rice cooker?

Answer: Yes!

 

How Doctors Should Talk To Patients About Obesity, An Open Letter To Doctors

Last week I had surgery, a long surgery that required over an hour of operating room time, but the operation was not my greatest fear as I approached this process.

What concerned me the most? I feared having to get a pre-op clearance from my internist; a simple visit that would require less than 10 minutes of contact time. You may be thinking that my primary care physician is mean, rude, and evil. Of course, this is not the case. He appears to be a nice man and a good doctor. If I felt otherwise, I would not work with him.

So Dr. Mike, what is the problem? First a little more background information.

As a person who has battled obesity all of my life, I have become acutely aware of the stigma that comes with weighing excess pounds. Few human attributes can be ridiculed and condemned in the millennial “microaggression” culture of 2018. Imagine criticizing or mocking someone because of their race, sex, religion, sexual preference, gender identity, physical stature, or a multitude of other differentiating human characteristics.

Making fun of “fat people,” is an acceptable national sport, even though the CDC reports that over 70% of adults in the US are now overweight. Of course, as the overweight population explosion redefines the concept of what is normal weight, there will always be those outliers who exist beyond a standard deviation from that norm. There will always be a group to abuse with fat jokes, both overt and covert criticism, and outright disdain. If you are obese, it appears that it is OK for others to assume that you are lazy, dirty, and stupid.

We would never make such assumptions for other medical epidemics. Imagine someone undervaluing you because of your high blood pressure, or your fasting blood sugar? Just like obesity, these illness are caused by multiple factors: genetic, environmental, and lifestyle. Unlike obesity, there are good medical treatments for these ailments, making them easier to treat. The majority of folks with high blood pressure can significantly reduce health risks with medication management alone. However, the majority of obese people will continue to be fat despite diet plans, medications, exercise, and shaming television shows.

I lost over 100 pounds about 3 years ago. I did this after failing many traditional techniques of weight loss. I feel that my weight loss was indeed a miracle that was fueled by common sense, rather than modern medicine.

We are humans, not machines. We are motivated and influenced by a multitude of factors. This variability can be considered a weakness, but it should also be acknowledged as one of our greatest strengths. We are complicated, and as such simple blanket solutions have marginal utility.

Over the three years since I lost weight, I have regained a small percentage of my weight. Most people have told me that I look better with a few extra pounds. They say I look less gaunt, and more vital with this increase. Additionally, I have long shifted from judging myself based on a number on a scale. My lifestyle changes have been just that, they are not strategies to lose weight and thereby achieve some sort of false utopia. “My life will be good if I am not fat.”

Three years into this process:

I still can wear my same wardrobe.
I still exercise every day, walking from 3.5 to 8 miles.
I still avoid all forms of concentrated sugar.
I still practice healthy eating.
I still make an effort to eat more natural foods.
I still assess and correct hidden forms of weight gain, like emotional eating.

When I determine my current status I would say that my efforts continue to be successful, but what about the matter of my small weight gain, does this one objective parameter signify failure? I would say, “No.”

************

I sit in a chair opposite from my primary care doctor who is staring at a computer screen.

“You have gained weight.” My doctor says. My initial impulse is to apologize for my failing. I resist. My second impulse is to defend my position. I resist and remain silent. “Are you exercising?” I reply that I am and had already walked four miles before our appointment. “But what about cardiovascular exercise?” He retorts. And so it went. Three minutes of questioning that felt like three hours of interrogation. Pain always feels worse when inflicted on an open wound.

***********

Dear readers, I’m am a resilient person. Besides, I am good at using the counterbalance of logic when dealing with my emotional exaggerations. However, there is more to this story than just a detailed account of me stepping on the scale and my emotional response to that event.

Being a physician, I understand the power that doctors have over their patients. Patients come to us in an extremely vulnerable state looking for help. Studies have shown that a statement like, “You need to quit smoking,” will convert some active smokers into former smokers. Unfortunately, in medicine one size does not fit all. It is easy for physicians to generalize the above truth and think that simple pronouncements can be used to motivate all lifestyle change. However, a doctor’s command is a partial solution at best, and should only be used when wielded within a broader understanding of what causes people to change.

Many of the illnesses that physicians treat on a daily basis have a strong lifestyle component. My weight loss eliminated my need for blood pressure tablets, high cholesterol medication, and a CPAP machine. So why is it that physicals don’t learn and employ simple motivational techniques so they can move their patients towards health? I don’t ascribe to know all of the answers to this questions. However, I do know some of them.

Physicians in the US work in a production model. We get paid by the volume of the work that we do. See fewer patients, make less money. As medical practices get bought up by business investors the push for physicians to do more continues to increase. A good business model consists of finding ways to spend less and make more. This fact is contrasted by a simple truth; we are caregivers, and most of us want to provide care.

Our contact with patients is reduced by the use of physician extenders. Someone else takes our patient’s blood pressure and obtains their chief complaint. We employ electronic medical records (EMRs), which provide a clear notation of our treatment plan, but does so at the cost of patient interaction. Patients now have the “privilege” of answering our questions as our eyes are focused on a computer screen instead of them. Patients want care from us, and we want to meet their needs. There is a pill for everything, and today’s EMR makes prescribing absurdly easy. Is writing prescriptions the same as providing care? I believe that it is only a part of our job, and it should not define us in total.

When I retired from private practice, I was fortunate to have patients write goodbye letters to me. Almost universally they said that they valued their time with me because I listened to them, didn’t judge them, and guided rather than controlled them. To do these things I needed to spend time with them. I would have made more money if I saw 6 people in an hour, rather than the two that I scheduled. However, I would not have known my patients as well, and more importantly, they would not have known me as well. Trust is a function of integrity multiplied by time. Trust by itself offers a positive corollary to patient satisfaction and well-being. Besides, a career that includes connecting with others is eminently more satisfying to we providers than one that does not. A win/win.

One factor needed to motivate change is time. Unfortunately, extending the length of appointments may not be possible in today’s corporate medicine climate. There are indeed a variety of stop-gap strategies that doctors can do to build a connection, such as deliberately spending a few minutes directly with the patient before turning to a computer screen. Such simple changes can make a patient feel more connected, but they still don’t address the elephant in the room.

How should doctors interact with patients to create change? Fat people know that they are overweight, and should lose weight. Alcoholics know that they drink too much, and should stop. Diabetics realize the importance of blood sugar control, and that they shouldn’t eat that extra donut. We live in a culture that shames, and it is likely that some will avoid being humiliated by their physician by avoiding seeking necessary medical care. I admit that I have been an avoider in the past.

Big problems become smaller when shared with someone. I am willing to tackle projects that I would not usually attempt when I have someone at my side. This phenomenon is even more evident if that “someone” has expertise that I lack. If you have been reading my prior post, you know that I have been converting a cargo van into a camper. I dare to significantly modify my van because I am doing the project with a friend who has expertise far beyond mine in such manners. We, physicians, have expertise far beyond our patients in such manners as health. Most reasonable patients accept this, despite the advent of the Internet. A colleague of mine has a cup in his office that reads, “Please don’t confuse my medical degree with your Google search.” However, most patient’s intrinsically understand our expertise, which is why they are seeing us.

Doctors need to connect with their patients as human being to human being, and they need to do this on a level that patients can relate to. We need to become trusted knowledgeable friends rather than overbearing, critical parents.

We need to understand where our patients are coming from, and how willing they are to make change. We need to problem solve with them. Imagine if my doctor asked me, “Are there any barriers that prevent you from seeking medical attention?” Or, “Are there any ways that I can help you with your lifestyle change?” Those simple questions would instantly change my relationship with my care provider. I would want to meet with him, and I would look at setbacks as problems to be solved, rather than justifications for criticism.

Once a patient’s cards are on the table, all things are possible. Is the doctor’s goal the same as the patient’s? What are the barriers to achieving the desired goal? What steps should be tried? How will progress be measured? How is a reversal of progress addressed? Empathy joins, criticism divides.

A meaningful connection with a patient doesn’t happen all at once. Relationships develop over time. However, imagine helping your patients make a significant and real change. Imagine the satisfaction of having a substantial connection with them. What would it be like to work with real people instead of being a reviewer of lab data? What would it be like to end your workday with the knowledge that you truly connected with someone in a meaningful and significant way that changed their life? What would it be like to move from treating diseases to treating people?

We blame our patients for their failings, while we steadfastly hold on to methods and techniques that simply do not work. Imagine if our relationships with our patients were more as a knowledgeable and caring peer rather than a stern and critical parent? Imagine yourself as the patient. You are aware that you have a problem and you need help. Who are you going to ask? Someone who tells you what you already know, makes you feel bad, and offers no real help? Probably not.

Patient Mike

Facing Mr. Kustom-The Secret To Success

Facing Mr. Kustom

Seven AM and I’m back from my morning walk. One-third cup quick cook oatmeal, two-thirds cup water, microwave for two minutes. Some mixed nuts, a few dried cranberries stirred in; I’m eating breakfast, and I’m feeling anxious.

I’m not usually an anxious person, but I do have a distaste for the unknown. I also have a dislike for the over-stimulation that driving to Chicago during a Monday rush hour brings.

Seven thirty and it is time to get into my Promaster. Gigantic and white, my wife refers to him as the “White Whale.” I have named him Albus, as a nod to the imaginary headmaster of Hogwarts who transformed the lives of others through magic.

I’m not suggesting that my work van is magical, but with some effort, it will be transformed from a bare truck into a camper-van that is capable of taking me to magical places. However, for this magic to happen, I will first need to stretch my personal comfort level.

To be honest, I still not used to driving Albus. He is enormous, and a master of blind spots. His two large mirrors help, but I’m still getting used to them. The thought of facing road construction traffic as I steer him is the source of my anxiety.

I pull myself up into his cabin, and I strap on my seatbelt. I dial in Google maps, paste in Mr. Kustom’s address, hit “start.” Soon I’m on I-88, then I-294, then I-90. I cling to the right lane as I drive. My sweet Google Assistant’s voice guides me but doesn’t lower my anxiety. I glance at the clock on the dashboard, and it is now 8:25. My appointment is at 9 AM. Despite padding my travel time with an extra 30 minutes, it looks like I may be late. “You can’t change traffic Mike, you need to accept where you are and let go,” I tell myself. Traffic chugs along, and soon I’m on Irving Park Road. I find a spot on the street, and wait for the store to open. I have 5 minutes to spare.

Now inside the store, my anxiety lessened, I find a spot among the three waiting chairs which seem out-of-place as they are awkwardly planted in the main showroom; I sit, knowing that the job will take 9 or more hours.

———————-

I have already finished a graphic novel on Joel Kupperman, of Quiz Kid’s fame, lent to me by Julie, I found it both a fun and interesting read. I now write, more to fill time than anything else. Albus is getting windows put in, two on his rear doors, and one on his sliding door. The salesman suggested adding an additional window on the driver’s side panel, but I’m already at my financial limit. The windows will make Albus more drivable, and add light to his interior when he becomes a camper. The windows are necessary, which is why I drove to Chicago, and why I’m patiently sitting as I listen to reggae music blaring over the store’s music system. Today is the beginning of his transformation. Tomorrow, he will have a hitch installed. In about two weeks I’ll drive to Colorado by myself to have Wayfarer vans install a modular camper interior that will include a floor, walls, ceiling, bed, and a kitchen. I’m looking at the Colorado trip as an adventure, but I’m only allowing myself a few days to get there and back, which adds time-stress to the mix.

After the Colorado trip, he will become a useable camper, but there is still more to do. A roof fan, though the wall power port, swivel seats, the list goes on. I’ll tackle these jobs with the help of my friend, Tom. Having a knowledgeable person to brainstorm with definitely helps me feel more comfortable and less anxious.

The goal is to make Albus a good camper by the end of August, but he won’t be completed until fall. There are many steps ahead.

Anything and everything can be a learning lesson. Today’s lesson is that sometimes you have to go through unpleasant steps to achieve the desired goal. I know that the windows will be put in and by tomorrow I’ll be on to my next project. The discomfort that I am experiencing today will soon be forgotten.

In my life, I have had many “no pain, no gain” experience. One of the reasons that I believe that I have been successful is that I have an excellent ability to do a cost analysis when it comes to the task at hand. I’m willing to expend substantial effort and to experience significant discomfort if I feel that the outcome is worth it. Conversely, I am unwilling to put out small effort and slight discomfort if I think that the desired result is unlikely. I’m also persistent, and very consistent. I used to think that everyone felt and functioned as I do, but I know now that this is not the case.

Most people want a good life, but they don’t want to expend the effort or experience the discomfort necessary to achieve that outcome. Do you want financial security? Spend less, and put more money in the bank. Feel that you are working beneath your intelligence level? Go back to school, retrain, or look for a better opportunity. Miserable because you are dealing with something that is out of your control? Accept it, or leave the person/situation.

I understand that some of you may be muttering, “Easy for him to talk, he’s a doctor.” Yes, that is true, but the way that I became a physician was by following the above principles. I come from a blue-collar background and didn’t have the opportunities that others had. However, I can be as tenacious as a bulldog when I need to be. We can’t always have everything that we want. In fact, sometimes we have to give up things that we do want to obtain something that we want more. That is life.

As an aside, I believe that you can accomplish goals while still being kind and generous to others. I find no joy in hurting or putting down someone.

Dear reader, It is easy to blame life, others, or God for not having what you think you deserve. The “Secret to Success” is that there is no secret. The sourness of a distasteful task is quickly remedied by the sweetness of a goal achieved.

Before Before New side window New windows.

On Father’s Day

Yesterday was Father’s Day, and I am a father of 4. If you are not a dad, you may consider the holiday a “Hallmark holiday.” An event designed by businesses to get you to buy things. If you are a dad, you probably understand that it is more than that.

Established over a 100 years ago it was an attempt by a daughter to honor her dad, who raised six children on his own. Her initial success was moderate at best, and after many years, she abandoned the concept as her life moved on. She eventually returned to the idea in the 1930s and started to promote it anew. This time retailers were on board as they saw the advantage of a day that could mean additional gift purchases. In 1972 President Richard Nixon officially declared it a national holiday. Although used by the business world to hawk products, it also can be an excellent way to celebrate the father or father figure in your life. Father’s Day celebrations don’t have to include expensive gifts and commercial greeting cards!

For many years my wife traveled with my kids to Minnesota on Father’s Day to spend time with her family. Unfortunately, I had to work and was home alone. I don’t believe in letting other people control my happiness. It was important to my wife to be in Minnesota, and so she was. However, I could still make the day significant for me. I started to go on “great adventures” with my sister Carol. We would get into my car and drive in a random direction. We would stop anywhere that looked interesting, to explore. We would culminate our exploration by discovering a random local restaurant. Some were great, some less so. Either way, it was wonderful fun. I have delightful memories from those “Father’s Day” celebrations, as does my sister. In the last few years, Julie has not traveled on Father’s Day weekend, and I have shifted to a more traditional celebratory day.

I have become older and more sentimental so Father’s Day has become ever more significant to me. My family has risen to the occasions and Father’s Day gets the same treatment as any other significant family day from birthdays to Mother’s Day.

For these special days, the celebrant is typically honored with a meal of their choice. Frequently of the homemade variety, sometimes of the restaurant kind. My tastes run pretty basic, and I asked for chicken, mashed potatoes, and a salad. I also asked for a sugar-free dessert, as I gave up eating large quantities of sugar some years ago.

Last Father’s Day I was promised a new BBQ grill, as our current one is over 27 years old. The old grill now has two speeds, burn and not hot enough. I have replaced many of its innards over the years, but it is just too worn out to repair further. Cooking on it is like solving an advanced math problem. You need to calculate relative hot and cold spots on the grill and then move your food around to make sure one piece isn’t chard while another is raw. Life happens, and the grill never came. However, this year my wife informed me that a new one was ordered and was coming in the next two weeks. Yay!

My daughter Grace searched the internet and found a recipe for a sugar-free apple pie. My son William wrapped some gifts. Both Grace and William made me cards with the most beautiful sentiments inside. My wife made me dinner. My daughter, Anne, called in her greetings. My daughter Kathryn, who is studying abroad in Moscow, texted hers.

For me, it was a perfect day of celebrations. Yes, I was delighted to get the grill, but that was a minor part of my happiness. The majority of my good feelings came from the fact that people were willing to recognize me and expend effort to make me feel special. Some words written on a card, a phone call, a dinner, time together. Efforts that said that I was important enough to them for them to take time out for me. This is what mattered and this is what made the day awesome.

It takes so little to make someone feel special. In fact, I think it takes more energy to do the opposite. What does it take to wish someone a good day? What does it take to write a sentence or two in a celebratory greeting? What does it take to recognize someone for a job well done? Very little. So many times people will say that they are too busy to do these simple things. Too busy? Really? Likely not.

A gift of your time or goodwill is typically reciprocated by the receiver. Yes, there are “users” out there, but they can be quickly sniffed out. The Golden Rule has been around for over 2000 years. “Do unto others as you would have them do unto you.” Pretty simple, pretty straightforward. Why is it then that we see the Golden Rule ignored everywhere from our personal lives to our government? Practice it today; play it forward.

On Old Friendships

Weeks ago we set up the dinner date with Ralph and Anne, and our get together was finally upon us. Julie picked a new fusion restaurant in the River District that she thought didn’t take reservations. Since it was an easy walk from our house, we decided to hike to it early and secure a table for dinner. We would meet Ralph and Anne there. All went as planned with two major exceptions. The place did take reservations, and we didn’t have any.

The trendy hostess said it would be over  90 minutes to seat us at a table. Frankly, an hour and a half is just too long for this old doctor to wait for the privilege to eat a taco pretending to be something more exotic than what it is. We left the fusion joint and traveled down the street to the Rosebud, an Italian restaurant.

I have known Ralph and Anne for over 27 years. About 25 years ago Ralph and I formed a partnership with a couple of other docs and created Genesis Clinical Services, which is a psychiatric and psychotherapy clinic. Together we built the clinic into a successful enterprise. Ralph is more business oriented; I’m more of a creative type. During my tenure as a senior partner, I created the company logo, constructed the first computer network, designed our letterhead, and much more. I even taught myself web-design and built our multi-media website. I was very invested in having the place succeed.

Unfortunately, such efforts come at a price. I was working at the clinic, plus another job. On my “free time” I was immersed in HTML code and Photoshop. What was the actual cost for me? My health. I started to talk to Ralph and another partner (Steve) about my leaving the partnership about 18 months before I did. With that said, I don’t think either of them believed that I would give up all of the benefits of being a partner in a successful medical practice. They were wrong.

Partnerships are like marriages. When you get “divorced” feelings get hurt. Although I thought that I had done everything correctly, the actual separation was very traumatic. I was hurt, felt betrayed, felt angry. I think the same could be said of Ralph. To make matters worse, I had decided to stay with the practice. I went from being a top dog to a lowly contract worker. I did this because I thought it would cause the least amount of trauma for my patients. I felt that I could handle it, this was a miscalculation.

After the dust settled, I was determined to put my angry feelings behind me. I know that Ralph is a good person and I believed that he would not deliberately try to hurt me. The reality was that despite the fact that we had grown to 5 partners, Ralph and I did the majority of the administrative work. My leaving placed a significant burden on him. Early on I intellectually forgave him for his actions. A workable truce was established. Unfortunately, intellect and emotion are two separate things. I was still raw and hurting. The closeness that I felt towards Ralph was replaced by a protective shield. I was in self-preservation mode. He was likely in a similar place.

At times I would cautiously extend a hand of friendship to him, and at other times Ralph would extend one to me. Like most reparative situations our connection trajectory wasn’t linear, it was jagged. Despite our mutual trauma, we both saw the greater picture. We were good people who genuinely cared about each other. We weren’t willing to throw away our friendship based on an isolated disappointment. We started a deliberate plan of walking with each other. A time of talk and reflection.

I can’t say when my emotional forgiveness caught up with my intellectual forgiveness, but it was a while back. Thankfully, we are back to our “pre-trauma” friendship state.

And now back to the Rosebud…

I texted Ralph that we moved our dinner plans to the Rosebud, and in a few minutes, he arrived with Anne. Nods were exchanged, then hellos. We sat down to Italian food and a little red wine. Talk of career, kids, potential vacations. It was just a regular evening with friends. It was beautiful in its lack of uniqueness. As we parted Julie asked me, “Do you think that they had a good time?” I replied, “I think so, I know that I did.”

Dear reader, I am a person who does not need many friends, but I do need some friends. Like any other relationship, sometimes friendships go smoothly, sometimes less smoothly. I am glad Ralph and I saw the bigger picture, and that we were willing to reach out to each other until our connection was fully healed.

At the same time, I understand that this scenario is not always the case. In my 65 years, I have had long-term friendships abruptly end for no apparent reason. I have also had friends distance themselves from me because of a misperceived slight, despite efforts on my part to correct the issue.

I tend to have very long-term friendships, but even here I need to reassess my connections with others. In retrospect, I have friends who only contact me when they need something from me, or when the fancy strikes them. When they have been asked to put out a little bit of effort for me, they have better things to do. Are these real friends? Their actions say no, but I am still uncertain. Do I continue to invest in these friendships? Do I let the connection coast along until time or an event forces the relationship back into the atmosphere of reality; where the relationship will burn up and disappear? Do actively end them? I do not have an answer to such questions at this time, but I am pondering.

I do know that friendships come and go. Some are worth considerable effort to maintain. Some get effort that is hugely undeserved. I have people in my life who appreciate me for who I am, rather than what I can do for them. Of course, I am there for these people. The amazing thing is that they are also there for me. These connection feel true and intrinsically more satisfying than some of the “what have you done for me lately”relationships from my past.

Dear reader, honor your friendships. Tell your friends that you care about them. Be kind to your friends. Don’t waste excessive energy on people who are not willing to do the same for you. You have value and worth that is based on who you are as a person. Fill your life with people who you love, and who love you. Celebrate that you are loved.

NNHS Graduation/The Ugly White American

It was a little before 6 PM, and I received an urgent call from my wife, Julie.  “You got to get here now!” She said. She had driven my daughter to Naperville North High School for her 7 PM commencement ceremony.  “The place is already packed!” Julie exclaimed through my earpiece.

I told her parents that we needed to finish dinner and get moving.  Soon we were in my car driving the 6 minutes to the school. As we arrived, I could already see the parking lot filling.  Luckily, my wife had obtained handicapped parking, as her parents are both near 90.

Her parents were guided to handicap seating, and we made our way to the bleachers.  As usual, guests had secured extra spaces for their friends and relatives by holding spots with coats and blankets.  With that said, there were still swatches of seating, and we quickly found a place for the three of us. We settled in, and I started to fiddle with my camera.

About three rows in front of us was a family of Indian origin.  It looked like a dad, mom, a kid and some relatives. It appeared that they had a good family representation, but they also had blanketed an area in front of them for additional guests.

Around 10 minutes before the ceremony I saw a large white man out of the corner of my eye.  He was wearing the suburban white guy uniform, khaki pants, and a blue shirt. With him was a teenage girl sporting an expensive haircut, and presumably, the guy’s wife who looked like a suburban white mom.  He started to push his way into the bleachers as he headed for the seats reserved by the Indian family. I could hear the small Indian man telling him that he was saving the seats for his family. The big white guy seemed to sneer as he loudly said, “They are not here now, they lose their seats.”  (or something similar to that). The Indian man protested more, but the big white guy moved forward, followed by his family. Speaking of the white guy’s family, they moved in without any sign that they were disturbed by his behavior. I thought, “Talk about entitled.”

The Indian man gave up, but I could see the humiliation on his face.  My wife turned to my son and told him, Don’t you ever act like that man.”  My son replied, “I never would, or will.”

Five minutes later I spotted a younger Indian man coming up the bleachers.  Behind him was an elderly Indian woman. Her very white hair neatly pulled into a bun, her body bent over from age.  The reserved seats were intended for these people. I imagined the younger man picking up his grandmother for this extraordinary day. I pondered that they likely came a little late to avoid the surging crowds, as the lady looked frail.  I thought of the excitement that they must have felt anticipating the graduation.

There was no seat for them.  The white guy saw them but could care less. They uncomfortably squeezed in with their relatives.  I felt as powerless as the small Indian guy. Do I create a scene? That would do nothing. Should I apologize to the Indian man for the other guy’s horrible, entitled, and self-centered behavior?  That would probably embarrass him even more. I said a little prayer.

At the end of the two-hour ceremony, we exited, and God granted me a favor.  As I was coming down the bleachers, I saw the elderly Indian woman trying to exit.  The crowd was pushing forward and would not yield. I drew myself to my biggest white guy size, and I blocked the path behind me making space not only her but her entire clan to exit.  As the small Indian man left the row, he looked up at me, and in his eyes, I could see his appreciation. I showed him the respect that he deserved. I felt a little bit better.

The big white guy had hooted when his son’s name was called to gather his diploma.  I made a mental note as I wanted to see who he was. I thought he had to be someone in power to treat another human being so terribly.  I found the son on Google. He played football for NNHS and had a few minor newspaper articles, but I could not find the dad. His big guy’s ego was more significant than his position. One of the articles that I saw mentioned that the son was a “good guy.”  I thought to myself, “I hope so.”

Dear reader, please love your neighbor, and “Don’t’ you ever act like that man.”

Graduating almost 700 students.