In the Mirror

Until this week if you would have asked me what the hardest part of medical school was I would have said changing the parts of me that needed honing to succeed in medical school. It has ground me ruthlessly down via a relentless daily scouring until I shed the bad habits and unnecessary clutter that I've carried like suitcases for years.

I've learned I can't always be there for everyone, goodness knows I can't even be there for people I love many times. I've learned the world goes on anyway and the people I love and who love me do their best to understand.

I've learned to draw lines around myself emotionally and protect what little vital energy is flowing in my soul and not waste it on things that aren't important.

I've learned how much time I've wasted in my life and what's possible to accomplish in 30 minutes.

I've learned that I need help, desperately.

And in spite of what the American/Protestant way has woven into every fiber of my soul. I've learned that motivation and self-control should be regulated.

I've learned when motivation and self-control are given free reign they cause my heart to die and my body to become ill. That there is a point where you can have too much self-control and too much motivation. Imagine that.

I've learned, "They're the expert... Why not try it?" Isn't always the best sentence to live by. That experts don't know all of what is best for the individual.

I've learned that it is only healthy to change so much at one time.

I've learned that there are things that are my essence and I shouldn't change them or they break my soul.

I thought the list above was the sum of what I needed to learn...

Then I went for a climb, my first trad multi-pitch 480 ft climb, and my perspective changed; my heart beat again. I was ready to learn the real lesson.

Today I should be studying, and I will. But instead I've sat for awhile, looked out the window and cried. I had a long text with my mom. I ran across a Ted Talks that spoke to my heart...

http://www.ted.com/talks/brene_brown_listening_to_shame.html

And I realized the personal change hasn't been the hard part.

The hard part is trusting myself, accepting I am smart enough, wise enough and have what it takes to survive. Not just for medical school but the future that sits before me.

The hard part is being ok, that I failed a class and being ok with the shame of not being perfect. Facing the critic inside that will never be satisfied and with a smile saying, "I am satisfied".

The hard part is learning to look in the mirror and loving what looks back, even if I'm messed up.

The fight isn't medical school, the fight isn't changing habits, the fight is with myself.

Medical school isn't special. We all face the potential shame of failure or the shame of past failure. Almost all of us have to make the decision to start the fight again or give into the inner critic every single day.

It takes courage to get back on your horse and go into hand to hand combat.

And so I am trying again to be kinder to those around me, be gentle and encouraging. Less judgmental...

I'm trying to say more often, "Take heart, you're not alone. And no matter how many times you've fallen, I'm proud you have the courage to stand up, face the possible shame of failure and try again. I know what that feels like."

"It is not the critic who counts: not the man who points out how the strong man stumbles or where the doer of deeds could have done better. The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood, who strives valiantly, who errs and comes up short again and again, because there is no effort without error or shortcoming, but who knows the great enthusiasms, the great devotions, who spends himself for a worthy cause; who, at the best, knows, in the end, the triumph of high achievement, and who, at the worst, if he fails, at least he fails while daring greatly, so that his place shall never be with those cold and timid souls who knew neither victory nor defeat."