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Photograph taken by yours truly in eastern Washington state at sunrise, 2004

Monday, September 10, 2012

The Grammar Police

I could certainly be accused of being on the payroll for the grammar police, but I wish I could get the salary to go with it.  Responsibilities of a grammar police officer include appearing as a snobbish know-it-all while pointing out others' errors of spelling, punctuation, grammar, and improper word usage.  I do that well.

You could place a document in front of me with 500 words, and if there was only one error in it, my eyes would likely focus in on that mistake in less than five seconds.  That's not a joke!  It is an odd heightened sense of awareness that I wish could provide me some personal benefit.  Sometimes I laugh about this kind of scenario because it seems so surreal, but the person responsible for the document rarely finds it amusing.  "What a jerk," he/she/ze says.  I can't help but feel a little uppity about this talent.  It's familiar to me, and for a man who sometimes needs a lesson in being able to exude confidence, it's a rare strength I don't mind openly embracing.

I break the rules of grammar sometimes.  No one is flawless.  I generally don't mind being corrected because it's the only way I'll know how to properly do my job.  Also, my jurisdiction is limited to the modern English language in an American context.  British English is notably different than American English, and rules that apply in England sometimes do not apply in the U.S. (and vice versa).  Old and Middle English and other languages are completely out my reach, so I leave other skilled folks to monitor those areas.  I also try to take into consideration how different dialects might affect the spoken word.

As I have accrued my years of service, there have been several common violations that pass my eyes and ears, and I offer as a public courtesy and with a touch of sarcasm a short list of mistakes that grieve me:

"Smelled" versus "Smelt:" I smelt something terrible with an odor that made me want to vomit.  Unless you have practiced the art of metallurgy, you probably were smelting something improperly and should stick to an area in which you excel. Smelting deals with metal and ore, while smelling deals with your nose.  The other possibility is you're British (it's my understanding British English indicates that smelt is a correct way to use the word "smell" in the past tense).  Oh, and you can thank me for this little Condescending Willy Wonka meme I created on www.quickmeme.com.  He would be a perfect fit on the grammar police squad - just the right amount of snobbishness.  

"Orient" versus "Orientate:" I needed to orientate myself to my new surroundings.  This one is arguably a gray area.  I vehemently argue that orientate is incorrect, at least in the United States.  "Orient" has been around for quite a long time in the English language, while "orientate" only started to be used in the nineteenth century.  Something about that extra syllable gives me shivers.  It takes less time to say or write "orient."  I wonder what folks who are in charge of employee and/or student Orientation processes prefer to say?

"Literally" versus "Figuratively:" I literally died when he made fun of me.  This sentence is only accurate if you predicted you would die because someone laughed at you and you wrote it down before it happened.  If you ever literally die, you won't be around to tell the story.  Perhaps you meant to say you "figuratively" died, as that sounds much more realistic.

"Try and" versus "Try to:"  Just try and stop me.  Okay, first I'll try.  Then I'll stop you.  When you say you'll try and get things done, it implies you're going to make an attempt first and THEN you'll actually get it done.  In most circumstances, it's likely that you intended to say you'll "try to get things done."  The word "and" has a wonderful purpose, and "Try and" typically doesn't include that intended purpose. 

"Lightening" versus "Lightning:" That was a beautiful lightening storm.  Oh, that storm lightened up the night skies until it was day time again?  Amazing.  "Lightening" is a word, but it's not used when describing a thunderstorm.  It is used when you're making something less dark.

"Defiantly" versus "Definitely:" I defiantly want to do that.  I believe this improper word use came about from the wondrous spell-checking features associated with word processing.  Someone types "definately," which isn't a word, so a spell-checker notes that you may have meant to say "defiantly."  If you defiantly want to do something, then why would you do it?  Why be so defiant? 

"Honestly" versus "...silence...:"  Honestly, I just don't know what I'm going to do.  Honestly, this is more about overuse of the word "honestly."  It has become a habit for people to use the word "honestly" at the beginning of many sentences.  When I hear someone say the word "honestly," I immediately wonder if every other time they speak they're spewing lies.  Although if that was the case, then I guess I must praise them for letting me know when they're being honest and when they're not. 

I could write an entire book about grammar police duties.  There are so many mistakes that get under my skin (figuratively, not literally) such as "their, they're, and there," "effect and affect," "judgment and judgement," "too and to," and a willing disregard of the Oxford comma.  Several people have already written books on these topics, however.  They were all members of the grammar police.  A few of them got pulled over for reckless writing, though.  Who knows?  Maybe I'll even be given a citation for something wrong in this blog post.  Correct me if I'm wrong.  

Saturday, September 8, 2012

One Year Closer to Being Debt-Free...

I never would have imagined that I would be able to go for a full year without using a credit card.  This month marks the first year complete since I enrolled in a debt management plan.  I have a way to go until I'm totally debt-free, but with budgeting and fiscal responsibility, I've now paid down 18% of my debt over the last twelve months. 

Since September 2011, each month I've been paying just under half of my monthly salary to a debt management company (I'm more than happy to share the name of the company if anyone needs a recommendation).  They reduced all of my interest rates significantly.  The plan stipulates that I cannot apply for new credit cards or loans, and all but one of my previous credit cards were cancelled (the remaining one helps maintain my credit history).  It means that I'm forced to spend only within my means.  I won't deny that it's been a hardship as I have had very limited funds for hobbies and a social life.  As a single guy, that's been an especially hard pill to swallow - and I am working out plans to increase my discretionary spending.  Additionally, my budget was stretched thin during the summer when I didn't have the benefit of a "free" meal plan where I work.  It forced me to cook - I mean actually cook, which is something I've avoided in the past as much as possible.  Now that the academic year is underway again, I am incredibly thankful to have that meal plan again.  I've also benefited in having a reliable car since January.  I am consistently grateful for my gas- and money-saving Prius.

This fall semester I'll be taking a three-credit undergraduate course (free as a university employee) in accounting, which I imagine will help me understand and utilize better financial practices.  If I enjoy that course, I'll likely continue in the graduate level certificate program in accounting - for a personal benefit and potentially a career benefit as well.  

It makes me feel good whenever I look at a chart of my net worth on my financial software.  To tangibly see that worth go up, up, up causes me to feel that my "personal" worth improves, too.  In just over three years and probably sooner, I will not owe any money to credit card companies.  When that day arrives and that final payment goes through, it will likely rank among the happiest moments in my life so far.  


Saturday, July 21, 2012

I Think I Just Caught the Antiques Bug...

There is something about the past that pulls me in.  When I started doing genealogy research in 2006, I was enthralled by the fascinating intersections between family and history.  Now at 32 years of age, I decided to stop by an antiques shop on my own for the first time ever.  Funny enough, the show "Pawn Stars" recently caught my attention in terms of the cool artifacts that people brought in.  Driving back from Providence, R.I. today, I saw the Rhode Island Antiques Mall conveniently off of Interstate 95, and I thought, "Why not stop in?"

When I entered the store, the first thing I noticed was a 1950's style stove-oven boldly colored turquoise and in near-pristine condition.  My narrowed focus on this piece of domestic history then expanded to my peripheral views in the rest of the antiques mall.  Good golly, thousands or perhaps more than a million nick-knacks and pieces of jewelry, furniture, electronics, containers, daguerreotypes and other old photographs, trading cards and sports memorabilia, and even my personal favorite collectible - walking sticks.

It all evoked this feeling that I can best describe as that childhood sense of awe and wonder when coming across a brand new experience - like walking into Disney World, or perhaps in my case, running through the woods as a young kid behind my house in Chesterfield, Virginia and discovering dilapidated Civil War era mounds and remains of old buildings.  They became a sort of playground.  I believe I've found my new playground in antique stores.

On the right is a sweet looking eight-track stereo that just boggled my mind.  These stereos became a thing of the past in the early 1980's when I just a toddler.  But I remember one of our neighbors who used to babysit me had an eight-track stereo in their son's car.  It was an electronic marvel that was rapidly becoming obsolete during the dawn of the cassette tape.  This particular model that I saw at the antiques store was in great shape, though I don't know who would buy it since it didn't come with any eight-track tapes.  Though it looked pretty damn cool and perhaps that's enough for someone to purchase it.

The Rhode Island Antiques Mall has TWO expansive floors, and I was so overwhelmed by the number of items on all of the shelves and in display cases.  I spent a little over an hour in the store.  I usually detest window shopping, but I never felt the need to purchase anything at this place.  I was content to mosey around and simply appreciate all the little pieces of history.  I wanted to know the story behind them - who owned them and what were their lives like?

I left empty-handed.  But I came away with something intangible: a new-found fascination.  I definitely plan on stopping by more antique shops in the future.  I do believe I've caught the antiques bug!  

Wednesday, July 4, 2012

The Power of Introverts


Shared in this blog post is a sort of book review along with some of my personal thoughts and experiences about introverts.  This post is a particularly lengthy one, but I hope you can stick with me on it!  I believe it'll be worth your time.

Since high school, I have considered the intricacies of personality differences a personal passion.  I tend to identify myself as an introvert for at least ninety percent of statements on the Myers-Briggs and similar personality indicators.  As a student of Jungian psychology, I've enjoyed teaching others in various presentations over the years about the eight main personality characteristics.  Much of my awareness of this topic was self-taught through reading relevant books as an adolescent, but I also had the pleasure of taking a graduate level course that greatly expanded my knowledge about the Myers-Briggs Type Indicator.

I thought I knew the "ins and outs" of introversion pretty well, so when I heard about the book "Quiet: The Power of Introverts in a World That Can't Stop Talking," I was intrigued but figured there wouldn't be much new to learn.  I was pleasantly surprised that I was wrong.

Book Details:

Cain, Susan
Quiet: The Power of Introverts in a World That Can't Stop Talking
New York: Crown Publishers, 2012.
352 pp. $26.00
978-0-307-35214-9





An introvert herself, author Susan Cain tackles the subject of introversion in her book by sharing the years of research she's done.  She discusses the implications of numerous fascinating scientific studies about human personalities and brain functions.  Cain offers suggestions for how to encourage an introvert child in their development - and how introverts can ensure their voices are heard.  But most importantly, Cain offers introverts the mantra that they have more power than they realize in "a world that can't stop talking."

Are we born with our personalities, or are they learned?  Research suggests both are responsible but to various degrees for each individual.  One longitudinal study by Jerome Kagan finds that we potentially inherit what's called low- and high-reactive sensitivity to our environments.  As babies, those who have a low-reactivity to new stimuli tend to be extraverts in later life, while those babies who have a high-reactivity to new stimuli tend to be introverts.  In other words, if as a baby, you're exposed to something new and it upsets you, you are highly reactive and are likely to avoid or at least carefully navigate new stimuli later in life - essentially, an introverted trait.  There's not a perfect correlation between reactivity and personality, but it is significant.  This initially sounds like introversion isn't healthy; not true - there's a reason why high-reactivity can be a good thing, which I'll explain later.

Cain briefly mentions in her book that many individuals with significant health issues tend to become introverts, because their thoughts and feelings are directed inward.  As a child, I dealt with a lot of social anxiety due to health issues.  Because of intestinal issues (which you can read about in other posts of mine), I was often focused on how my stomach felt and how quickly I could get to a bathroom [funny enough, Cain notes that many introverts seek out bathrooms to get away from the world for a moment - makes sense the more I think about it!].  It makes me wonder - had I not experienced those health issues as a child, would I be more extraverted today?

Based on my experience and education, I know that introversion is not a "bad thing," but our cultural upbringing in the West tends to convince us that introversion is a less revered trait than extraversion.  Cain's research shows that this cultural phenomenon didn't fully form in the United States until the beginning of the industrial revolution.  Before the industrial revolution when Americans generally lived in small communities and knew each other well, Americans greatly valued Character (moral values).  One could be quiet but be considered valued community members because of their quiet strength.  But as industry grew,  large-scale urban employment created the perception that people needed to be concerned more with how they were socially perceived by others.  Mass advertising then began to take off, suggesting that people should do whatever they could to create an agreeable and charismatic social appearance (physically and emotionally) in order to get good jobs and make lots of acquaintances.  With this transition, introversion began to be associated, unfairly, with social anxiety and shyness.  There is of course a major difference between social anxiety and introversion; while some introverts experience social anxiety, there are also many extraverts who experience social anxiety but do their best to hide it - resulting in panic attacks and other negative experiences.

Growing up as an introvert, I tended to think there was something wrong with me.  This line of thinking didn't begin until I attended school and left the comforts of home.  I would wonder why other kids socialized so easily and I didn't.  School is a major turning point for introverts, because it's when socializing becomes so important.  Group learning in schools is becoming more prevalent compared to when I was a child, and therefore introverts are being confronted with situations that potentially reinforce the feeling they are inferior to their extraverted classmates.  Cain points out an example of what happens when introverted children are forced to participate in a group brainstorming session that addresses a problem.  An introvert tends to reflect on a problem and won't speak up in a group unless they are confident in their thoughts or are invited by the group without judgment to speak their mind.  The result is that introverts either don't speak up in a group or if they do speak up, they may do so too tentatively, and their ideas are neglected because they're not confident enough.  As you can imagine, this can have a cumulative negative effect on an introvert's self-confidence as they grow older.  Cain notes that many teachers do a great job ensuring that introverted children get the individual attention they need, but the educational system as a whole isn't doing a favor for our introverts.

Self-confidence is, of course, a positive trait, right?  Well, usually.  Introverts are more likely to be cautious - and possibly less confident - than their extraverted colleagues.  But caution can be an important survival technique that our Extraverted culture unfortunately frowns upon.  Extraverts tend to act quickly without much reflection but with great confidence.  In an action-oriented society, if you are tentative in your approach, you might be labeled as lacking in confidence.  And it's possible you could use some help building confidence.  But it's crucial to separate caution from lack of confidence. 

Here's my personal view on caution and risk.  Consider the following common sayings:

"Better to ask for forgiveness than ask for permission."
"The second mouse gets the cheese."    

I would argue that the first quote was created by an extravert.  It promotes risk-taking and decisiveness.  Get the job done yourself, and if it turns out it was the wrong decision, you can always ask for forgiveness later.  What's wrong with this situation?  I'd say you better expect to be held accountable and learn from your mistake.  But research shows that introverts are more likely than extraverts to learn from their mistakes.  Why?  Because an introvert might feel a certain feeling of concern based on their mistake, thus they will reflect on their decision in greater depth.  What did they do wrong, and what could they do better?  Extraverts are more likely to be overconfident and dismiss their mistake easily.  A consistent praise my supervisors have given me is that I never make the same mistake twice.  I've always taken pride in that - and now I know introversion has played a role in that strength.

You probably get the idea now that I would argue the second saying above was created by an introvert.  The first mouse sees cheese in a trap - they see a reward and are willing to act quickly to get it.  Unfortunately, they might not live to get the reward when the trap ensnares them.  The second mouse, watching the first mouse all this time, demonstrates caution, a trait inherently tied to the exercise of reflection.  The second mouse analyzes the situation thoughtfully - and either gets the cheese by determining a solution through persistence, or decides the reward isn't worth the risk and leaves the cheese alone.  Cain describes the concept of reward-sensitivity and how extraverts' brains are actually geared to be more excited/stimulated by rewards, while introverts' brains are geared to get less excitement from rewards.  The upside for extraverts is that they act quickly and potentially win the prize.  The upside for introverts is they reflect on whether the prize is worth the risks, and if so, how they can best get the prize.

Western society puts high value on people who exude lots of confidence, ambition, and decisiveness.  But Cain finds through interviews with some experts about the 2008 financial crisis that the American recession was partially created by the Extraverted Ideal.  That might sound unfair at first, but consider that the financial fall-out was created in an environment inundated with excess risk.  Reward-seeking corporate leaders and overconfident hedge fund traders took risks that may have caused the crisis.  That overconfidence did great harm, and there were in fact many more cautious mid-level financial folks who were wary of too much risk.  Those more cautious introverted folks, such as Vincent Kaminski who was the managing director of research for the now-infamous company Enron, saw the excess risk the company was involved in.  Vincent pointed those excess risks out to leaders of the company, but he was ultimately removed from his responsibilities because the leaders saw their risks as worth the rewards.  We all know now if Enron followed Vincent's advice, things would have turned out much better.

You may be starting to think that Susan Cain's book bashes extraverts.  That's not the case.  Instead, her book focuses strongly on the often overlooked advantages of introversion.  In western culture, extraverts have become the likely candidates for power positions.  And unfortunately, introverts often get pushed aside.  Her book is a beacon of strength for introverts - and a calling for extraverts to pay attention.

Personally, I do need to build more healthy self-confidence for myself.  And I have to say that Susan's book gives me hope and strength in the fact that there is nothing wrong with being an introvert.  Sure, I already know that intuitively based on my own personality research - but my experiences throughout life have negatively caused me to believe that something was wrong.

I am fortunate to work in the field of student affairs in higher education where many people are easily accepted. Tolerance and open-mindedness are trademark aspects of higher education.  On the other hand, student affairs is also an extravert-dominant field.  And despite all the best intentions, even extraverts in student affairs don't fully understand introverts.  We in our field place great importance on students (and colleagues) "coming out of their shells" and feeling more confident to take risks.  The irony here is that "shells" have a survival function - turtles need them, right?  While it is arguably essential to build social skills and come out of one's shell to an extent, it is also important to take care in encouraging introverts by letting them know their shells have extraordinary intrinsic value.  Harness those strengths.

I've been able to harness some of my strengths effectively as an introvert.  For example, I've developed a finely tuned skill with communicating the written word.  Whenever my department reviews and/or expands upon our written operating procedures, web pages, and publications, they seek out my advice for wording issues in terms of communication, grammar, and punctuation.  They know to utilize my skills because I've been an advocate for this area - and they've witnessed the benefits of that.

When I was in college, I was painfully nervous in public settings but I wanted to be a student leader.  I was lucky to have leaders around me who saw my abilities as a web site developer as useful to student organizations.  They encouraged me to be a web developer for our residence hall council and later the campus-wide residence hall association.  Through that experience, I built some needed self-confidence and decided I wanted to be more of a leader.  To do so, I practiced public speaking in our weekly campus organization meetings. I became more comfortable expressing myself publicly, as long as I meticulously prepared.  Introverts can be effective public speakers when they prepare.  Other introverts, who are inherently good at "self-monitoring" can become good public speakers, too.  Self-monitoring is the ability to adapt to social situations by observing social cues.  After taking the Self-Monitoring Scale test on-line, I learned I was an intermediate self monitor.  In some ways, I love the idea of acting.  Sometimes I enjoy making a fool of myself in front of groups, such as when there are planned skits or performances.  Self monitoring is a means of acting, essentially; as long as an high monitoring introvert doesn't exhaust themselves, they can be quite effective in public speaking and performances.  For me, I have a low tolerance for public speaking - I can't do it very often, but when I have the desire, it can be a lot of fun.    

In other ways, Quiet has shown me some strengths that I've harnessed without fully realizing it before.  In supervisory positions, introverts naturally do better with smaller teams because it allows for one-on-one and more intimate ways to communicate - this I knew; but I didn't know that research shows that introverts are better supervisors than extraverts when they oversee employees who are pro-active and independent.  This is because introverts are inclined to allow those employees to shine without being micromanaged.  An introverted leader tends to listen to their employees carefully and hear out their ideas; introverted leaders also aren't interested in "dominating social situations" as Cain puts it, so they can allow their employees to take credit.  Extraverts on the other hand tend to want to take credit for successes.  They're less likely to hear out their employees ideas closely.  Studies show that pro-active employees therefore are more productive and effective in their work under introverted leaders. (In contrast, extraverted leaders are better supervisors with employees who are more passive, because extraverts are good at inspiring and confidently moving passive folks to work effectively.)  I now realize my best student staffs I have supervised were those with strong personalities and/or creative individualists; since I have a major role in the hiring process for the staff members who work for me, perhaps I've always intuitively realized who would be the best fit on my team.

Susan Cain poses the challenge that introverts can not sit idly by in western society.  She discusses strategies for how introverts can be better advocates for their positions in an extraverted world.  Because let's be honest - not all extraverts will read her book and buy into it (though, some will of course).  When introverts and extraverts work together to bridge the gaps in their styles, we all stand to benefit.

I'll provide an example of how those gaps can be bridged.  One of my supervisors and I initially had great difficulty working together.  She is a strong extravert, while of course I'm a strong introvert.  We clashed for a long while.  But over time, we learned about each other's strengths and weaknesses.  It was a two-way road, and we both adapted our styles within our working relationship.  She learned that when giving me responsibility for a significant decision, she would give me a fair amount of time to process and reflect upon the decision.  This allowed me to be comfortable in making a decision that I felt was fundamentally sound.  I also learned to be more forth-coming about my ideas and opinions with her.  Because of our mutual efforts, we have a much stronger working relationship!

If you're an introvert feeling impaired by all of the Extraversion surrounding you, I believe this book will affirm your strengths.  It is a sort of groundswell of support that reinforces the fact that introverts have power.  If you're an extravert who has a close relationship with an introvert, and you want to develop a better understanding and be an empowering partner, this book will also provide you with great insight.

Ultimately, extraverts and introverts balance out each other's strengths and weaknesses.  Western society is currently off-balance, though.  The game is rigged for extraverts to succeed, but thankfully cultures can change.  Society is gradually progressing, politically, to create a world of equality for all people of all kinds.  I would argue that Personality deserves a spotlight for equality, too.

Sunday, June 17, 2012

A New Poem: Silhouette

Last night when my iTunes library played the song "Mary Jane" by Alanis Morissette, I was suddenly overcome by a memory of a woman I used to be with a few summers ago.  I would call her my first love, and that song had become quite significant to me.  It was one I played for her on a road trip that she came to appreciate.  Now it's one of those songs that resonates deeply with me and will always be associated with her.  It is such an experience of awe when a sound, smell, sight, taste, or touch brings us back markedly to a certain time and place.

I haven't written a poem in several years - I used to write them nearly every day, but over time, the mood didn't strike me anymore to do so.  I was quite glad to finally feel that strong desire to put words down on paper again last night.  It's a simple poem, but I hope it is the Muse that sparks that creative fire again.

Silhouette 

The memory enchants my mind

In the early morning hours
Of a warm summer night
Her nude silhouette
Stands before a portable piano
Her delicate fingers play
To the tune of Mary Jane

It became our song
And now it inspires
The image of her body
The beautiful soulful notes
It marinates within me
And settles in for the long haul

Wondrous how a song captures
A moment so vividly
That it brings tears to the eyes
And a wistful desire to revisit
That bittersweet moving portrait
That ghost of the past

The memory enchants my mind

Saturday, May 19, 2012

Gut Feelings: Monologues of a Pediatric Surgeon

On the page of a Facebook friend, I noticed a reference to an autobiographical book recently written by Dr. Alberto Peña, a pediatric surgeon who revolutionized the way surgery is performed to correct anorectal malformations in babies in 1982. Considering I was born with such an issue in 1979, I was very curious to hear about Dr. Peña's life and the impact he made on his patients and their families. It only took me six days to read his book, and while it provided me insight into pediatric surgery, it also corrected a misconception I had about my own surgery in 1980.

For my third "Gut Feelings" post, I feel it's important to share my thoughts on his book and also revisit my own past a bit more. I'll start with the essential bibliographical information; take note that presently his book is only available through BookMasters/AtlasBooks.

Book Details:
Peña, Alberto
Monologues of a Pediatric Surgeon
n.p.: n.p., June 2011
360 pp. $25.00
0-9846432-0-6






Chances are that you have met someone who was born with an anorectal malformation, but you likely didn't know it. About one in 5,000 children are born with such an issue. Although Dr. Peña is a pediatric surgeon in the larger sense, the work he has done with anorectal and urogenital defects has been his primary legacy.  Dr. Peña is the founding director of the Colorectal Center at Cincinnati Children's Hospital.  He has impacted many parents and their children with his surgical techniques but also with his heart.  Although I've never met the man, his book provides an extensive background behind his life's work.

Dr. Peña's book, Monologues of a Pediatric Surgeon, is roughly divided into four sections: his personal autobiography, his specific surgical contributions, stories of parents and children he has known, and his observations and personal/professional advice in medicine.  While most books have a specific target audience, Dr. Peña instead reaches out to several audiences: parents, aspiring and expert surgeons, and the general population.  It's a strategy that risks losing his audiences at certain points of his book, but overall I found his book to be enlightening and entertaining.

As Dr. Peña notes himself, his native language is not English which made it a challenge for him to write this book.  It's noticeable when reading, but it does not take away from his stories.  There is also extensive medical terminology throughout, but he helpfully defines those terms with footnotes on each page.

Dr. Peña's beginnings in pediatric surgery were profoundly affected by a family tragedy, the loss of his young son to a congenital malformation, which later provided him purpose in caring for other children and relating to the parents of his patients.  He holds faithfully to the belief that doctors should listen and empathize with patients and their families, a values system that seems to be in danger in the changing medical field that emphasizes accountability and inhibits meaningful, caring doctor-patient relationships.

I found it striking that there are still many "facts" in the medical field that are based on theory, as Dr. Peña points out.  There is allegedly a structure located within every human body called the "puborectalis sling," a term coined by Dr. Douglas Stephens, an Australian doctor who was the first to do specific work with anorectal malformations in cadavers in the 1950's.  Dr. Stephens' research emphasized the importance of maintaining the integrity of the puborectalis sling when performing surgery.  However, Dr. Peña's research indicated such a structure doesn't exist.  Intriguingly, many doctors still believe it does exist - if one searches for the term on Google, it's all over the internet.  Since I'm certainly no doctor, I don't know who is right in this matter; but it's unnerving to know that the anatomy of the human being is still not fully understood.

Dr. Peña's research into anorectal malformations led him to create a surgical procedure in 1980, now called the Peña pull through procedure.  It was a drastically different approach partly because it involved a larger incision than was standard practice.  Prior to the Peña procedure, surgery to correct anorectal malformations was done blindly; one can imagine the array of complications that could occur when the site of surgery isn't even visible!  Today, thankfully, his procedure is the standard practice.

In all likelihood, my own surgery was done blindly.  Dr. Peña's procedure was not introduced publicly until 1982, two years after my surgery.  I am lucky, however, in that there were no significant complications, as far as I am aware.

Anorectal and urogenital surgery is not a common topic among the general public.  We as human beings tend to find it unpleasant.  Dr. Peña poignantly states in his book that history has shown, "it is not an elegant subspecialty because it deals with stool, urine and sex - all relatively awkward concepts to talk about socially."  I can plainly identify with this, as shame has been a constant companion when it comes to the personal issues I experience.  When compared to others with similar conditions as my own, my physical symptoms throughout life have been better on the whole.  But it does not take away from the fact that living with "issues of the bowels" can be socially challenging.  I envy those in similar situations who can take their conditions more lightly with humor. 

If you are a parent with a child with an anorectal, urogenital, or any type of congenital malformation, I think you'll find this book to be helpful.  It provides such insight into the thoughts and feelings of a pediatric surgeon who is among the most expert in these areas.  There are some truly heartwarming stories that Dr. Peña relates about the families he has met.  It helps to know you're not alone and that there are doctors who genuinely care. 

I also recommend joining the Pull-Thru Network, an organization that advocates for and supports families who are affected by anorectal malformations and colon diseases.  This group publishes a regular newsletter and holds a national conference every two years.  Dr. Peña is also a medical advisor for the Pull-Thru Network.

Wednesday, April 11, 2012

Memories through Music - A Personal Tradition

Memory can be a fickle thing.  But sometimes a certain smell, taste, or sound stops you in your tracks.  It suddenly brings you back to a specific moment in time.  Perhaps you associated that smell to a positive, vivid memory.  Tonight I watched a wonderful video about an elderly man in a nursing home who seemed so disconnected from the world, but then when someone placed headphones over his ears and played a song from "his era," his face lit up and he'd hum along.  The video, to which I've provided a link at the bottom of this post, reminds me how much music is associated with our memories.  Sometimes those memories are best brought back through the pleasant sounds we love. Music just seems to be inherent in our souls - it's easy to remember the lyrics and melody of a song - much easier than it is to recite words from a textbook.

I suppose I realized how important music was to me during my senior year of college when my best friend Marcus and I decided to put together a two-CD compilation of songs that meant something to us during our college years together.  And just this past October, during our ten-year college reunion, Marcus and I created a new nostalgic mix of songs.  It's a beautiful thing because each of the songs represent a shared memory.

At the tail end of my first year as a graduate assistant resident director from 2001-2002 at Capital University - a university with a respected Conservatory of Music - it seemed appropriate to consider how I could best "scrapbook" all of the memories with my first Resident Assistant staff (the Cotterman Crew, as we called ourselves).  In Residence Life, your staff can feel very much like a family, and I generally have very positive memories of that first staff!

I asked our Cotterman Crew to reflect on two questions: "If you could think of any song that would best describe your personality, what would it be and why?" and "From 2001-2002, what song has really stuck out in your mind and why?"  Their responses (including mine) were written into copies of a small pamphlet, and the song choices were recorded to CDs.  Everyone on the staff got copies. It was a way to take a snapshot of an entire year, and when listening to the music, it brings back the emotional landscapes of that year - good and bad.  I still have connections to a couple of my RAs from that year, for which I'm very grateful (maybe they'll remember the photo on the CD, when we all went out for dinner as a staff... and before I started sporting a beard!).

With the exception of only one year, I've continued this tradition with every staff I've supervised.  Two universities later and in my eleventh (!) year as a resident director, I'm about to do this again.  The memoir books have become more intricate and snazzy, and the reflection questions are occasionally changed, but the music is still recorded to CD (and in all likelihood copied to everyone's iPods).  I've kept every memoir book, and I've saved every song in my iTunes library.  Whenever I want to relive memories of a certain year with a special staff (they're all special), I can easily do so.
  
Music really is an expression of the human soul and memory.

"Old Man in Nursing Home Reacts to Hearing Music From His Era"