This blog is my resignation from a job I’ve held my whole life.
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It’s a big world with a lot of people in it, all living their lives, thinking their thoughts, trying to find a place to stand, trying to survive, trying to get loved. I’m just like that. I’m not rich or famous, especially intelligent or beautiful or talented. I don’t do social media. I’m not a special success or failure.
I’ve done all the average things most every American does. Grew up, got a decent education, worked, got married, had a couple of kids, got divorced, moved, got older, watched the kids grow up and fly away, worried about money, tried to do my best, made a lot of mistakes.
But all that was incidental to my real job.
My real job has been to please people.
I wonder how many of you read that last line and felt sick. I know I’m not alone. I know you’re out there, as invisible and tired as I am.
I now intend to Fail to Please Others.
That’s not to say I refuse to ever please anyone again. No. That would only be another kind of jail. What I mean is now my choices are not based on what he/she wants me to do, say or be. Now my choices are based on The Right Thing To Do — for me.
I nearly always know what people want from me. I nearly always can identify The Right Thing To Do for myself. The problem is they’re rarely the same choice and I always, infallibly, reliably, boringly, sickeningly choose to please.
Why do I do this? Oh, that’s easy.
I believe I won’t be loved if I don’t do it.
Now think about that. Think about a life empty of people who love you. No one. No parent, no family member, no child, friend, lover. Think about believing, all the way to the soles of your feet, that if you Fail to Please, people around you will withdraw or withhold their love and/or leave. Forever. As in permanently.
I assure you I understand, as all People Pleasers do, that pleasing others to get loved doesn’t really work. Oh, in the moment you might get rewarded for it, but it never ends, the pleasing. Once isn’t enough. 100,000 times isn’t enough. Also, some people are impossible to please. Someone like that probably taught us this dreadful belief in the first place.
Well, life has just given me exactly what I needed to finally decide to make a change. Something happened, and I said no.
I never say no — at least not when I know the answer wanted is yes.
The answer wanted this time was yes, and I said no, because that was the true answer, the honest answer, the Right-Thing-To-Do-for-myself answer. I said it repeatedly to the two people whom I love best in all the world. There was upset, and outrage, and fury. There was a scene, not a violent smash-the-dishes-scene but a verbal scene, the kind I’ve spent my whole life trying desperately to avoid, the kind of scene that makes me want to run out the door and throw up under a bush. The word “betrayal” was used. But something about the whole situation woke up a deep streak of stubbornness in my nature and I just kept saying no.
I laid awake all night crying, telling myself now I was truly alone, as these two who heard “no” from me are the center of my heart.
But the next day I asked one of them if he still loved me, even though I said no.
And he said yes.
Now, bear with me while I explain what all this has to do with this blog.
I’m a writer. I’ve got a finished manuscript, another started, and am exploring the hair-raising process of getting published. I’ve always been a writer, since I was a child, but I’ve always tried to stifle it, hide it, ignore it and otherwise amputate the desire to do it from my life.
Because I find I can’t write anything but the truth.
My truth is unacceptable.
It Fails To Please.
The digital age has swept over us and people blog. I read lots of blogs. I’ve wanted to blog myself for a long time.
But I haven’t.
Because everything I want to blog about will Fail To Please — someone.
This is my first post. I’m still building the site. Feel free to explore and watch for new additions. Check back for weekly posts. Please leave a comment. Let’s have a conversation. If you’re hateful or disrespectful or a spammer I will block you without apology.
Please accept my resignation from the role of People Pleaser, effective immediately.
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except where otherwise noted
Last Friday I resigned from my medical transcription job. Shortly after emailing my letter of resignation to my supervisor, she called me, wanting to know why.
I told her the truth. I don’t feel as though my contribution matters. I don’t like the company culture of perfectionism and high stress. I don’t feel valued as an employee, and my skills and talents are worth more than I’m receiving.
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We parted in a friendly manner. She assured me I was eligible for re-hire any time and wished me well. I wished her and the rest of the team well. Cyber handshakes and smiles all around.
I’m in the middle of selling a property back in Colorado. I currently have wonderful renters in the house. They’ve been honest, cooperative, open and have done every single thing they’ve said they would do. They’ve become friends. I’m faxing paperwork, including the lease with these tenants, to Colorado and working with my Colorado real estate agent long distance. The agent expressed surprise that our rental agreement didn’t contain language about punitive consequences if the tenants suddenly decided to break the lease and leave.
It never entered my head to limit my tenants’ choice to leave if they were unhappy. Obviously, at least one property professional feels this is inappropriate business practice, but why would I want to force two people whom I respect and like to stay in a situation that wasn’t working for them?
Answer: I wouldn’t want to, I didn’t want to and I don’t want to.
Last evening I had a long conversation with one of my sons, and among the things we talked about was the idea of noticing how things are within ourselves and the choices we make about our own unhappiness and discomfort.
This morning, as I fried bacon and sausage and worked in the kitchen, I was thinking about this week’s post, trying to come up with something I wanted to write about from my current experience, and suddenly all these interactions lined up in my head (Clunk! Clunk! Clunk!) and I thought, well, there it is. I want to write about quitting.
What do you think of when you think of quitting?
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I think of the word “should,” as in should quit smoking, should quit drinking, should quit eating so much sugar, should quit fill-in-the-blank. These are the kind of circumstances under which quitting is supported and validated, but the “should” is an instrument of shame, guilt and fear, as well as a thoroughly ineffective motivator.
I was taught being a quitter or a dropper outer is a desperately mortifying thing. Quitting is associated with betrayal, abandonment, failure, letting others down and weakness.
Quitting is often an act of aggression. It’s what we do when we’ve hung on by our fingernails until they’ve torn out, one by one, and we have to let go or die. It’s hitting bottom. It’s burnout, breakdown and nothing left to lose, often accompanied by scenes, meltdowns and an exchange of insults.
Quitting is selfish and irresponsible. Choosing to be happy is an embarrassing thing to admit. We’re told If everyone did what made them happy, everything would unravel. Nobody would work. Important things wouldn’t get done. The economy would collapse.
There are cultural consequences for quitting. The label “quitter” impairs our ability to get hired, find stable relationships or make financial choices. A quitter is unreliable and untrustworthy at best. Someone who quits their marriage, family or children is so despicable as to be unforgiveable in some cases.
The word quit, according to a quick search, means to leave a place, resign from a job or stop or discontinue an activity. In short, it’s a word that defines a choice. Interestingly, one of its origins is Middle English, in which it means “set free.”
Set free sounds a lot more positive than quitting, doesn’t it?
It occurs to me that the whole idea of quitting is rooted in power. To quit is to stop. How is it that the culture is so unfriendly and unsupportive, for the most part, of making a choice to stop? Why are we so consistently and pervasively discouraged from saying no, from quitting, from changing?
I’ve written before about the yes and the no. To be in our full power, both consent and dissent have to be available to us. We have to be able to make a real choice. The inability to freely choose points to a power-over situation, and it doesn’t matter if it’s work related, relationship related, addiction related or some internal limitation like fear. Something or someone is interfering with our power to freely choose if we can’t make a choice to quit.
Said a different way, the problem is not so much the addictive substance, the miserable job, the narcissistic family member or the abusive romantic relationship. The problem is we’ve been systematically amputated from our full power to choose.
Sadly, this is a consequence, at least in part, of our current educational system in the United States. It doesn’t work for a lot of kids. It didn’t work for me. It didn’t work for my kids. I told my sons the same thing I was taught when they complained. Education is important. Everyone has to go to school. It’s the law. We all have to do things we don’t want to. Being happy doesn’t matter.
Ugh. I wish I hadn’t believed that. I wish I hadn’t said it, and more than anything I wish I’d listened to their distress and taught them to respond to it appropriately by responding to it appropriately myself. At the time, all I had was what I’d been taught, and I’m absolutely certain my own mother taught me the only thing she knew as well.
Photo by Gemma Evans on Unsplash
The point is few of us learn how to respond to our discomfort or unhappiness, either by expressing it appropriately or taking action to help ourselves. Public education certainly doesn’t teach it. The way we work in this country doesn’t support it. Patriarchy in general doesn’t validate self-reflection, honest communication, or simply saying, “No more. This isn’t working for me. I’m stopping. I’m quitting.”
On the other hand, we’re great at demanding and commanding, as in “You should … You will … You must … You have to …” However, living in a cage of internalized and externalized shoulds is more power-over. When the shoulds have our power, we’re not free to choose. I know, because that’s how I’ve lived most of my life.
One of the hallmarks of power-over is its resistance to change. Change threatens the status quo. Traditional marriage vows are forever, no matter what. Many jobs reward length of service. We’re encouraged to grow up, settle down, get a stable life. Loyalty, dependability, reliability and predictability are all rooted in not changing.
But we do change. Our bodies change. Our needs and desires change. We learn new information. The things that captivate and delight us change. The best of us learn, grow, question, seek new experience, dance elegantly with challenge and tension, and develop a healthy relationship with being wrong. The best of us spend a lifetime making friends with our changing selves, investigating our motivations, our patterns, our behaviors and beliefs, our weaknesses and strengths, and doing battle with our fears and demons.
A relationship, job, priority or place may be a perfect fit at some point in our lives, and then be outgrown. A coping mechanism or response may work very well, even save our lives at one time, and cripple us at another. Life is always changing. The ability to flow with change, to welcome it and play with it, responding with free choice after free choice, defines a well-lived, powerful, elegant life
Quitting, like boredom, has a bad reputation. I suspect this is mostly due to a cultural smear campaign. My son is in his 20s, and as he shared parts of his experience with me, I realized we’ve arrived at the same place, he’s just 30 years ahead of his late-blooming mother. He’s reclaiming his power to respond to his own discomfort and distress and choose what to do, based on prior choices and how they worked out. He’s not waiting until he can no longer bear his unhappiness. He’s not quitting in a blaze of hand grenades and gunfire. He’s not self-destructing. He’s allowing himself to stop, to change, to leave. He’s setting himself free of what doesn’t work for him, and he’s doing it without guilt or shame or the need for outside validation.
Quitting is an art. I can be done with respect, gratitude and dignity. It can be a gift of love and authenticity to self and others. The right person for a job, place or activity is not someone who hates the job, place or activity. The right job, place or activity for us is not the one that makes us unhappy. Commitment, responsibility and keeping our word are all important things, but not unto death. Not unto madness and broken-down health. We are allowed to set ourselves free. We are allowed to change. We are allowed to learn. We are allowed to try and fail and move on.
I began this project of blogging with a letter of resignation. This week I sent another letter of resignation. In both cases, I hung on long after I knew I was miserable because I was afraid to make a change. I have more work to do in building trust with myself, but I’ve made a start.
I quit. My daily crime.
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Regular readers will know I struggle with money. The first time I wrote about it was here. About three months ago, I came across a creative prompt suggesting inviting Money to dinner and seeing what happened. I wanted to engage with it. I didn’t want to engage with it. I didn’t delete the article. It’s been sitting in the bottom of my Inbox sneering at me all these weeks. Finally, I decided to play with it …
I’ve unwillingly invited Money to lunch. She suggested it three months ago because she wants to see my new house. I’ve avoided it, tried not to think about it, even forgotten about it for days at a time, allowing the layers of my life to gently cover it, but then it shows up again, a small piece of grit in my psyche.
Finally I’ve reached a point where I’m ready to get it over with. She’s not going to get tired of waiting for me. She wants to see my new home, and she wants to have lunch. I can’t deal with the silent demand and the weight of her expectations any longer.
After all, it’s only a lunch, right? Two hours at the most.
Having made up my mind, I decide what will work best for me. I feel resentful, railroaded into doing something I don’t want to do. Why can’t I just say no and feel okay about it? Why do I feel I have to do this? I hate the feeling of being pushed, being badgered, being emotionally manipulated. Most of all, I hate how much I care about what she thinks. I hate my fear of her judgement.
Photo by Gemma Evans on Unsplash
I don’t want to do this. I really, really don’t want to do this.
But I feel I have to. I can’t possibly tell the truth. It’s lunch, for God’s sake. Why do I make such a big drama out of everything? What’s with the dread? Why can’t I just be a normal person, get it over with?
I eat alone, so my round, glass-topped table is small and there’s only one chair. I’ll bring another chair in. Which would be most comfortable for Money? She’s a small person. The second chair is an antique, but it’s not as sturdy or large as the one I always sit in. Would it be a subtle compliment to give her that chair, or is it too old-fashioned to be comfortable and welcoming?
I can’t put flowers on the table because the cats will destroy them.
I have cloth napkins that match the tablecloth I’m using; that’s good. That looks nice.
My kitchen, where the table is, needs work. We haven’t been in this house long. The kitchen is outdated and battered, the formica countertops stained and pitted. The stainless steel sink has old drips of paint in it I can’t scrub away and haven’t taken the time to tackle more resolutely. The refrigerator is too big and partially blocks the pocket door into the bathroom. The litterboxes are tucked under a bench along one wall near the door leading to the entry; I don’t yet have a good place to set up the cats. Their food and water are on a boot tray on the floor in the kitchen. The floor is lovely old pine with wide boards, scratched, scarred, stained.
I try and fail to see my home, my kitchen, my kitchen table, through another’s eyes. It so clearly needs work, but, to my shame, I don’t have the money to get the work done. I may never have the money to get the work done. Yet I’m grateful to have a roof over my head, and this lovely old house as a refuge from the world. I love it. I don’t want to have to defend it or feel ashamed I can’t give it the care it needs right now. It’s clean, at least.
New Home, May 2022
Since this invitation was not my idea, and Money is not a friend, I don’t feel I must make a meal. I basically eat meat and high-quality animal fat. I don’t have the time, skill, or money to make an elaborate meal. I’m afraid to make something simple, like a big beef stew. Whatever I do, I’ll feel it’s not good enough. We agree, Money and I, to get a to-go order from a local restaurant. That way, if she’s disappointed, it’s got nothing to do with me. I make sure to insist I pay for my own order. I don’t want any favors from her.
I know the cats are going to be on the kitchen counter, in the sink, walking across the stovetop. It’s what they do. There’s no way to keep them off the counters. Believe me, I’ve tried it all. One of them will probably choose the time we’re sitting a few feet away to have a big, stinky BM in one of the litter boxes with lots of noisy scraping and covering while we’re eating. Then they’ll jump out, scattering litter across the floor, come into the living room adjacent to the kitchen, and scoot their dirty bottom across the carpet and try to cover that. I’m mortified, just thinking about it. Do I pretend it’s not happening, like when you’re talking to a cute guy and your leashed dog squats to take a dump? Do I get up from the meal, scoop out the litter box, spray the scoot mark with stain remover and sponge it away while it’s still fresh and visible? I can keep them off the table, at least, while we’re sitting there eating. But there might be cat hairs.
Who am I kidding? There will definitely be cat hairs.
What will we talk about? That one is not so hard. I’m good at drawing people out. Most people love talking about themselves. A few good questions can get the ball rolling and I can stay safely concealed.
When Money arrives, I greet her at the door, hoping she doesn’t notice the rotted sill and threshold, the damaged door frame, and the fact that the outside door has gaps underneath it large enough to admit a squirrel in search of winter housing. I take her through the lovely, shabby, wood-lined sun porch, another door that has clearly been kicked in at some point, and into a narrow little hallway leading to the kitchen door. Everything is clean, swept, mopped, scrubbed. I give Money the tour of my living space. The cats come to investigate. (Does Money even like cats? I don’t know. I don’t want to know in case the answer is no. If she doesn’t like cats, one is sure to jump in her lap.)
Izzy & Ozzy; Fall, 2020
Money has picked up our order. I gather cutlery, plates, glasses. We sit down to eat. I am nervous, tense. The last thing I want to do is eat, but I do. I ask a couple of questions to get her talking and we chat in between bites. I wait for the curled lip, the sneer hidden within polite words, the fleeting contemptuous expression on Money’s face I know will be coming.
Money’s fingernails are unpainted. She’s wearing plain gold hoops in her ears. She’s dressed in unmatched leggings and a sweater. No makeup. I realize I expected something quite different …
And then my flow dried up and I came to a sudden stop, realizing I expected, in fact, my late maternal grandmother, who was always made up, bejeweled, well-coiffed, and wore little designer or custom-tailored (in Hong Kong) skirts and jackets and high heels. I expected her gold watch, expensive perfume, perfect manicure, and big, heavy rings. I expected her vivacious social cocktail chatter (gold monogrammed cocktail napkins). I expected her small brown eyes to turn mean, to tell me to act like a lady, to use my napkin, to keep my knees together. I expected the Jekyll-and-Hyde experience of watching her flirt, even when well into her 80s, and smile, and bat her nearly denuded eyelashes, still thick with mascara, with every male in the room and then the sharp little knife buried in a smiling comment or an aside about my looks, my conversation, my choices, and my behavior.
Gram, as we called her, had money. A lot of it. She was widowed young, inheriting considerable wealth from my grandfather. When her daughter, my mother, was divorced with two young children, Gram financed the family. By which I mean she demanded invoices, receipts, and bills, and gave Mom just enough to cover things and no more. No allowance. No lump sum. Mom had to ask specifically for every penny. Gram made her grovel. It was an exercise in humiliation. When Gram came to visit she hounded Mom about her marriage (Gram hated my father), her divorce, her stupidity and bad judgement. Mom went back to school to get a degree in order to get a job and support her children. We became latch key kids. I was assigned to care for my younger brother; we both were assigned to care for the animals, though the horses were sold during the divorce, taking the core of Mom’s happiness with them and leaving only bitterness and grief behind.
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Every night, after I went to bed, I listened to Mom cry while she sat at her desk in her bedroom down the hall and dealt with the bills and finances or did coursework. I was often hungry because I felt guilty about eating food Mom would have to ask Gram to help pay for. I was 11 years old. Yet Mom remained loyal, thanking Gram for her grudging support, telling everyone how lucky we were to have her mother, who loved us, to help out. I don’t think she dared do anything else. Mom cared for her mother until the end of her life, when she died in a nursing home in her 90s.
Only one time did Mom break down in front me. “I’ve never pleased that woman one single day in my life,” she sobbed. It was true. She didn’t. And she tried every single damn day. I never pleased Gram a day in my life, either, but I didn’t try. I did not love my grandmother.
That moment of truth was never referred to again. By either of us. I’m sure, had I tried to talk about it later, Mom would have denied saying it. The world, especially her male relatives, saw Gram as charming, entertaining, gregarious, and generous. She could be all those things. But could also be abusive, toxic, selfish, and manipulative. She became (I discover), in my mind, the face and personification of Money. Money weaponized. Money withheld. Money rather than love or true connection. Money as a tool for power, control, and shame.
Every dollar of “help” Gram gave us was, as far as I was concerned, soaked in Mom’s blood and tears.
So, I’ve had a difficult relationship with money. Surprise, surprise. This exercise revealed to me the roots of my self-sabotage and conflicted feelings about “success,” which in my family meant plenty of money. In many ways I feel very successful, but I’ve always struggled financially. The work I’ve done and loved (being a librarian (yes, I have a degree); working with animals, children, the elderly; teaching swimming; lifeguarding; working in the public school system; working in hospitals; storytelling; and medical transcription) are not high-paying jobs in terms of money. The work of my heart, writing, has so far not earned me a single penny. All this contribution, all this creativity, all this love and care for animals and people and books, doesn’t count and is a matter of shame because I haven’t made much money. How sad and messed up is that?
My car is falling to pieces. My house needs work. I buy clothes at thrift stores. I’m a minimalist. I could use more money. I hate to admit it, but it’s true. It would help. A lot. But it wouldn’t fix everything I struggle with in life. I’m clear about that, too. And money is not love or success. Money is a tool, one I’ve mostly refused to consider learning to use. So I haven’t. What’s the point? I don’t have any! I’ll never have any. I don’t want Money to come to lunch because it’s wrong to need it and I do. I’m certain I don’t deserve it, because I’ve failed the family expectations, but I need it. Convoluted. Tricky. My personification of money in this exercise exposes a lifetime of shame about needing money, or any other sort of support or resource, to be honest. Which is ridiculous. Because the less money I have, the more I need it. And the more ashamed I feel. And so on.
At the same time, I’m proud of my contributions to the world. I’ve loved all the jobs I’ve had. I like to work. I like to volunteer. I have no plans to retire. I’ve been richly rewarded for my service in far more important and meaningful ways than monetarily. I’m proud of my self-sufficiency.
But those things won’t pay down the equity loan or fix the car. They won’t pay my bills.
Maybe I’ve never clearly seen Money at all, because I can’t look past my grandmother. Maybe Money doesn’t wear her face, but another I’ve never glimpsed. Maybe it’s time to grow up and out of that old anger and rejection of anything Gram stood for …
So this is the story of when Money came to lunch.
- If you imagine an issue or feeling you struggle with as a person, what would that look like? What issue or feeling would you start with?
- What feelings are attached to your experience of money?
- How do you define success?
- What contribution are you most proud of? Is it the one that made the most money?
Leave a comment below!
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Courtney Carver from Be More With Less suggests the feeling we call guilt may in fact be discomfort.
What an interesting distinction. I was immediately intrigued.
Guilt is defined as feeling responsible or regretful for a real or perceived offense.
A real or perceived offense.
Photo by Cristian Newman on Unsplash
If you’re someone like me, you feel almost everything you do and say is some kind of a breach of conduct, especially things like saying no, meeting your own needs, and setting boundaries. This feeling is based on past unhappy/critical/invalidating reactions of others to my actions. If I’ve Failed To Please, I feel guilty. I feel guilty even when I know I’ve done the right thing for myself.
So what if that feeling isn’t guilt at all? What if it’s discomfort?
Changing habits is uncomfortable, no doubt about that. Habits are effortless, especially mental and emotional habits. They feel like our friends. They’ve been with us a long time. We’re attached to them because they’re easy and familiar. Whether or not they’re effective or useful is not the point. How they affect others is of no interest.
They’re easy, and they’re ours.
The thing is, our habits don’t belong to us so much as we belong to them. We can stop them any time, we tell ourselves and everyone else. If we wanted to. But we don’t want to.
Breaking habits takes intention, focus, and determination. Support helps, but sometimes it’s unavailable.
So, do we feel guilty because we’re making different choices than our habits dictate, or do we feel uncomfortable because we’re making different choices? Making different choices affects those around us, and when things start changing, people get uncomfortable, especially if the change wasn’t their idea. Most people are sure to tell us when we “make” them uncomfortable.
Then the guilt starts.
Maybe discomfort, theirs and/or ours, is a good sign, a sign we’re truly doing the work of change. Maybe the guiltier/more uncomfortable we feel, the more successful we are.
Maybe we shelve the guilt and welcome the discomfort.
Sometimes we all do something we know is wrong and guilt helps us learn and make amends for our choices. Sometimes. Not every day, all day.
Being alive, taking up space, growing, learning, and reclaiming our power and health are not worthy of guilt. Uncomfortable work, yes. An offense, a breach of conduct, a crime, no.
When I feel that old familiar guilt come knocking, I’m going to look at it more closely. Maybe it’s not guilt at all. Maybe it’s just discomfort.
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I’m doing it again. Dissenting. Doubting. Questioning the status quo. Looking for new or buried information.
Thinking critically, in other words.
I know unthinking conformity is convenient, but I’ve always been an inconvenient sort of person.
This time it’s about diet, and fat, and cholesterol.
I’ve written several posts on this subject before. Here’s the first one.
Photo by Lukas Budimaier on Unsplash
I know it’s all wrong to eat meat and animal fat and stay away from plant-based food of any kind, but it solved my health problems.
I’ve had a lot of bad experience with doctors. For much of my life, I’ve been completely intimidated by doctors or anyone else in authority, especially men. I’m not afraid of blood draws and exams, but unable to speak up for myself, ask questions, or dare to fail to please in any way. Which means in and out of the office as fast as possible, making no fuss, not speaking except to answer questions succinctly, never disagreeing, and thanking the doctor extravagantly for their time and trouble, even if (especially if) I felt completely unseen, unheard and unsupported.
(Oh, and desperately minimizing any problems I do have so as not to be a whiner or come across as drug- or attention-seeking. Because it’s bad to need help.)
In short, fawning from the beginning of the appointment to the end.
This experience has meant I avoid health care, aside from well-woman exams and an occasional emergency visit for antibiotics or an injury.
When I have been to the doctor for things like chronic pain, insomnia, depression, and anxiety, I’ve been offered medication rather than information. I don’t want to take long-term medication. I want someone to help me understand what the underlying problem is, not slap a band-aid on it. That means I want to exchange information, which takes time, and ask questions. I want to be given resources and options.
Here in Maine I’ve found a health care provider I like and respect. She’s intelligent, personable, and doesn’t make me feel as though I’m nothing but a nuisance. With her help, I’ve caught up on all appropriate scans, screens, and tests. It’s nice to feel empowered to take care of my own health.
However, part of screenings and tests for women my age have to do with identifying risks for cardiovascular disease, and according to current standards of care I am at risk, solely because of my diet and cholesterol panel.
Current guidelines and standards are built on the longstanding lipid hypothesis, which states diets high in animal fats lead to atherosclerosis, which leads to heart disease. Other, equally longstanding evidence-based data from around the world over a span of decades suggests the opposite, not only that cholesterol is not an indicator of heart disease, but it’s actually protective against it, especially for women. Many doctors, Ph.Ds, and biochemists believe the lipid hypothesis is false and based on a severely flawed original study, which means all the current guidelines (diet and nutrition recommendations and pharmacology to reduce cholesterol) and standards of care built upon it are ineffective, at best. This is validated by staggering and rising rates of obesity, diabetes, heart disease, and other health problems in the American public since the lipid hypothesis began to change diet and nutrition guidelines, food production, and medical care in the 1950s.
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However, the lipid hypothesis is enormously lucrative for Big Ag, Big Pharma, and food producers, and those entities have frightening wealth and political power, more than enough to successfully stifle any funding for unbiased studies, silence independent scientists researching diet, fat, and cholesterol, and corrupt or bury any data that does not support the lipid hypothesis.
I am not getting my information from Facebook or conspiracy theories. I’ve spent years researching and reading, both in books and online, about diet, fat, and cholesterol. I don’t take the position that current cardiovascular guidelines are wrong, but neither am I convinced they’re right. I don’t know, and I know I don’t know, but the evidence tells me there’s plenty of room for doubt. My experience tells me a high-fat, low-to-no-carb diet is the key to my own health.
I want to have a discussion about it with my healthcare provider. I want to talk about studies. I want to ask questions. I want to be allowed to have doubts and concerns. I want to weigh my overall excellent health and function against numbers that may or may not have much to do with heart disease. I want to share links and be given suggestions for research.
I want to consider the possibility that current standards of care are based on a hypothesis that is incorrect.
I scheduled a phone call to discuss some of my test results. My provider expressed her concern about one particular result and thanked me for an email I had sent her, containing several links and information sources I find useful and interesting.
She was polite. I was polite. But our previously warm and friendly connection had vanished. I don’t believe she read anything I sent. I asked a couple of questions about studies and different ways to assess cholesterol panel results, but she dismissed it all. Flat. Businesslike. Professional.
It was a disappointingly brief conversation. I was clear about what I would and would not do. We came up with a plan. We hung up.
I spent the rest of the day feeling like an extremely anxious, difficult, bad child, waiting for catastrophe because I Failed To Please.
Photo by Ashkan Forouzani on Unsplash
All healthcare workers are under the gun these days. I work in a hospital myself, and come in for my share of politically-motivated bullshit regarding COVID. Healthcare providers are understandably exhausted, burned out, and defensive. I’m probably just one more patient influenced by some crazy ideology on the web, as far as my provider is concerned. She has a standard of care to adhere to that’s clean, clear, and congruent with the organization’s policies and procedures, which are congruent with the American Heart Association and all the other powerful medical organizations’ guidelines. She doesn’t have the time or energy to debate with patients about vaccines, dietary fat and cholesterol, or anything else.
But what if current cardiovascular preventive care is based on bad data? What if the truth has been buried under politics and capitalism for decades? What if I feel in the best health of my life because I am in the best health of my life, and nothing’s wrong, nothing needs fixing?
I don’t want to suffer from heart disease, cancer, or other health problems any more than anyone else does. I value my good health and work hard to eat right and stay fit. I want to learn about my own metabolism and physiology. I don’t want pharmacological fixes for issues that might not even be real problems.
I feel sad and frustrated and very alone. I’m feel as though I’m being punished for being a sceptic, and researching and thinking for myself. I’m back in the familiar pattern of asking questions and having people shut down, or withdraw and withhold.
I suppose at the end of the day we all wind up with ourselves and the best choices we can make with the information and resources we have. I know what the right thing is to do for myself at this point. I might get new information. Things might change. I might make a mistake, or be wrong, and suffer consequences. I’m prepared for all that. Things change. I can change with them.
This time I’m not blaming myself for the way I feel. This time I’m seriously considering the possibility that I’m not broken, but our healthcare system is. I’ll continue to take responsibility for my own health and well-being. I’ll continue to read and research as new data and studies become available for review. I’ll continue to doubt, dissent, question, and seek information.
I cannot blindly follow an organization, a system, or a set of expectations and rules from anyone. Data can be and is misinterpreted. It can be frankly corrupted by politics and capitalism. Much of what I’ve learned in my life I’ve had to unlearn and replace with something more effective. I’ve never been able to understand why we are so resistant to being wrong. How can we ever learn if we can’t be wrong? How can we ever go forward and build on our experience and observations? How can we ever hope to improve anything?
So here I am, skeptical again, and paying the price for it. But I’m going to stay on my side and continue to support my healthcare choices, even if I can’t find professional support. I’m not going to fawn, or let my fear chose for me, or apologize for who I am. I’m going to exercise my power to say yes and no, think critically, and advocate for myself, regardless of the expectations of others.
Photo by Tanja Heffner on Unsplash