Wednesday, March 22, 2023

Calf Injury

It felt like someone had shot something into my calf.

I looked around and yelped a “What?”

The others on the basketball court looked at me confused. There was no one there, and nothing had hit me.

The pain was so intense that I was close to passing out a few minutes later, sweating to take small and painfully slow steps.

Turns out that I tore my calf muscle. First time on crutches in my life.

My good friend and sports medicine guru Dr. Chris McGrew, given that I was not jumping or moving when it happened, diagnosed it as “spontaneous combustion.”



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But this piece is not about the injury.

No, that kind of piece belongs in a medical school lecture but not here.

What I have felt most intensely over the last hours since the “spontaneous combustion” is the overwhelming support.

Starting with the guys on the court who went out of their way to take care of me. Thanks to the “Noontime Legends” as we call our group.

As I limped badly to the exit of the gym, a wonderful UNMer went to look for crutches. (I made sure to promote our upcoming Running Medicine season in return. Hey, he was wearing a track and field jacket.)

Within minutes of the injury, Dr. McGrew was on the phone with me, thinking through the next steps.

My family dropped everything and made their way to campus.

And as I limped to across campus Tracy and Tim, two of our long-time members of the Running Medicine community, offered to give me a ride. (I think the exact quote was “I saw you 20 minutes ago and you were about 15 feet from where you are now. Not your normal speed, Anthony.”)

My own clinic, the 1209 Clinic at UNM went out of their way to make room for me to be seen. One of my former students now serving as my provider.

I even noticed the way that passer-bys on UNM’s campus looked on with concern and empathy. They didn’t know what to say or do, but expressed their concern.

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I invest in my life in others.

I feel good about this investment. (A piece on that subject from January)

Today, the investment “matured” and showered me with amazing returns.

I also noticed today that it is hard for me to accept the role of “receiver” and “patient”. I need to work on this. 

So, as I limp to bed, here is an update:

My calf hurts.

My heart is filled.

I am grateful.

I wish each of you an amazing Thursday.

Wednesday, March 15, 2023

Act Accordingly

Act accordingly.

In the last week, I have been chased and haunted by these words.

In my last piece, the last line – “act accordingly” did not sit well with me.

Addressing and naming privilege is the easy part. But how do we “act accordingly”?

So, here I will tackle that two-word imperative. I am grateful for the people who have shared their thoughts. I am grateful for a few conversations this has created amongst myself and other overly privileged folks on the subject.

Thoughts for those of us who carry excessive un-earned privilege on how we can begin to “act accordingly”:


Internal work

* Humility has to replace guilt; humility will move us to action/healing whereas guilt usually makes us feel bad without prompting action/healing.

* Naming privilege and developing an awareness of such privilege as you walk through each day. (A piece from early on in the blogwhere I used the wind as a metaphor for privilege)

* Thinking back to your first experiences when you were taught that race matters, to the first time you were exposed to anti-LGBTQ or anti-immigrant rhetoric. How were you taught to “other” people that didn’t look and sound like you? And how do you “other” people in your current existence. What would it look like to see those “othered” people as your brothers and sisters, aunties and uncles, sons and daughters?

* Then a deeper question rises within our internal work – do these set of biases fit with who we feel we are at our core being? Do these biases fit with what we believe about the worthiness of those around us. How do these biases affect how we see and treat others? If we believe that all human beings are equal, how do we deal with a set of biases that divide humans up on a privilege hierarchy?

 

Interpersonal work

* Once we have begun to do internal work, we are ready to find ways to be courageous in how we relate to others.

* We can try being more intentional in speaking about privilege, for example. In a doctor-patient conversation where I am worried that my un-earned privilege is inhibiting my patient from sharing, I can be courageous. “I recognize that right now you may not feel safe in sharing, and I wonder how my un-earned privilege is contributing to that.” In such a statement, the room is transformed. The 800-pound gorilla has been named. And, most important for this person’s care, they may feel comfortable sharing.

* We can find ways to open the door to the room for those not invited. We can find ways to amplify others’ voices in the room while we silence our own.

 

System-level work for equity

* In your workplace, in your sphere, what are systems-level policies and structures that allow un-earned privilege to determine who gets hired, who is promoted, and who is served by your organization? How have these systems benefited you directly? What changes would it take to make them equitable? Find your voice to change them.

* Speak up for equity. This will often mean speaking out against current policies and ways of doing business. This will mean speaking out against systems that have led to inequities. In this work, ask those lacking un-earned privilege for their input and talk openly about whether or not it is safe for them to be a part of the action/activism. (The old model put all of this on people of color and other marginalized groups, often under the guise of a “diversity committee”, asking them to suggest needed changes. This old model ignores the reality that this group that lacks un-earned privilege may not feel comfortable saying what needs to be said, while also allowing those with un-earned privilege to stay silent/safe/comfortable.)

 

Now, I can say the two words that have chased me.

Act accordingly.

It is going to be hard, and there won’t always be a clear best/right answer.

Act accordingly.

It will make you uncomfortable and put you in situations where you don’t feel safe or supported.

Act accordingly.

Feel the pain of brothers and sisters not given opportunities that you are afforded, simply because they don’t carry un-earned privilege.

Act accordingly.







Friday, March 3, 2023

Privilege

My privilege often opens the door to allow me into the room.

My privilege allows me to dress funny, casual, or the way I want – I don’t have to worry about impressing anyone or about stereotypes placed upon me.

 

Once in the room,

My privilege allows me to speak

My privilege stifles others’ voices

 

White privilege

Male privilege

Doctor privilege

Faculty privilege

Economic/wealth privilege

English-language privilege

High quality education privilege

Parents paying for that education privilege

Heterosexual privilege

Married privilege

Husband privilege

Assumed to be Christian privilege (see White Privilege above)

U.S. Citizen privilege

Living in the U.S. privilege

Able-bodied privilege

Being able to hear and see well privilege

Not having mental illness privilege

BMI < 30 privilege

Height privilege (taller folks are affored power/authority)

Middle-age privilege (not too old or too young to be discounted)

 

And those are only the ones that I can name. Surely, there are others.

 

How do I name and claim this privilege in the room?

How can I better amplify, not silence, others’ voices?

Should I even be in the room at all?

Maybe my best contribution would be to hold the door open, including for people who might not have been on the “invite list”.

I give thanks to the community that continues to teach me how I can be a better custodian of privilege. A group of people who guides me as to whether I should be in the room or not, a group that gives me “privilege pointers” about how to be once in the room.

I give thanks for you – Shannon, Tonya, Anita, Freeman, Val, JP, Karen, Enrique, Jennifer, Danielle, Loni, Marlene, Kee, Christy, Doreen, Moneka, Tanya, Lawrence, Mallery, Angel, Miriam, Sanda, Surya, Vivette, Miriam, Nadia, Hakim, Michael, Chilan, Dustin, Kara, the NHI community and so many more – for the ways that you guide me in this realm with patience and love.

 

Take a few moments today to name your privilege.

Sit with that privilege.

What questions naturally arise for you?

Sit with those questions.

Repeat daily.

Act accordingly.