On Not Becoming Jaded

One night a coworker in the emergency department, who also aspires to be a doctor, asked me if I was worried about becoming jaded as I worked in health care. I answered confidently that I wasn’t worried about becoming jaded, my hope for humanity waning, or burning out like so many medical professionals do. He was skeptical, but I am certain of only that one aspect of my future.

Defining Jaded

Especially late at night when most patients are tired and grumpy, the drunks roll in after exhausting the bars, and the patients held for mental health evaluations decide to spend the early morning hours holding yelling matches that involve nonsensical accusations against staff, it’s easy to see how one can grow tired of working in a hospital (and specifically the emergency department). In medicine, we take care of everyone, even if they’re jerks to us, because the fundamental principle of health care is that we serve all people.

Not so long ago I was greeting patients in the waiting room at the emergency department. We had around 20 folks waiting for rooms, the rooms weren’t changing over, and the wait times for many were over 2 hours. That’s a recipe for an unpleasant experience as a greeter, and the recipe was rich that night. I had a parent repeatedly insult the staff, including me, and ask why we hadn’t brought her child to a room yet. That was annoying, but manageable. What got to me was when she stormed up and demanded to know why we brought back “a drug addict” (her words, not mine) before her child. Her argument was that her child had a bright future while that person was a lost cause. Of course, I couldn’t tell the hysterical mother just how awful it is to watch a person go through withdrawal shakes and then seizure. That’s something you can only understand once you see it. I couldn’t tell her about the alcoholic who came to us one night shaking so badly he couldn’t drink water from a cup. I couldn’t tell her how he had looked me in the eye and told me he wasn’t human anymore. That mother was choosing to believe him, but I knew that that patient was human even if he didn’t feel like he was. That angry mother in the waiting room clearly had never seen a person beat an addiction—winning the daily fight to not give in to a drug or alcohol for years. I have.

It’s not the job of medical professionals to pass moral judgment. Sometimes we are weak and tired, and we do judge our patients’ life choices. But if we were to slip into a world where we used our personal morals to decide who should receive care, we would betray the heart of medicine. Medicine was never meant for only a select few.

In my view jaded is another way to describe losing empathy. There are many presentations—impatience, anger, and hating work to name a few. These feelings come when we are too tired and too worn out to see patients as humans. They come when we no longer find joy in the small things about the job that are awesome. And jaded becomes the norm when we give too much. It’s easy to work hours no one else would dream of working when you’re in health care. Each hour is rewarding because we help someone feel better, but the hours take a toll on the giver.

Considering all the above, how am I so certain I won’t become jaded?

  1. My empathy comes from selfish sources, so I don’t expect that it will fizzle. The first source is curiosity and the second is a love for stories and puzzles. Each human has a story. Each sick person is a puzzle. The curious mind can’t help but wonder about the story plot and the answer to the puzzle. These two factors are some of the main reasons I veered down the medical path in the first place.
  2. I know that I’m brave enough to step away and recharge as well as to shake things up when caring for patients under specific conditions becomes wearisome.

How do I know I am brave enough? Paraguay. While living in the land of Guarani, I cultivated an ability for self-reflection and the bravery to face fears because they were required to survive the Peace Corps. Paraguayans also showed me the value of letting yourself be still. In America, we are so determined to be productive we schedule every moment. I think running around all the times makes everyone miserable no matter what their profession. I also think those who become jaded forget to reflect and change. They fail to see that their job is draining them until it’s too late and, then, they lack the courage to change their work so it’s fresh again. It comes down to the best professional advice I was ever given. When I asked a presenter in one of my undergraduate classes how she knew when it was time to leave a job (she had an awe-inspiring, lengthy job history) she said, “You’ll know. You know when it’s time to leave.”

She was right. We do know when it’s time to mix things up. The hard part is taking the steps to act upon what we know. But, if we do take those steps, then jadedness can never catch us. The moment she gave me that advice, years ago now, I promised myself I’d be strong enough to change my course whenever I “knew” it was time. That strength sent me to Paraguay and brought me back to Vermont. So, no, I’m not worried about becoming jaded. I’m just excited to see where my adventures in medicine bring me.

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In Arlington Cemetery

This summer we held a memorial for my grandfather in Arlington Cemetery. His name will be on one of the niches in the columbarium. He was in the Navy and served in the Korean War. The service was short and concise. I think its precision and simplicity was well suited to my grandfather who was a high school and college math professor and liked things to be just right but not conspicuous. The chaplain was empathetic and caring and the soldiers who performed the flag ceremony were on point. As we said our formal goodbyes a trumpet’s song floated in the air above us.

My grandmother used to comment how they enjoyed when I visited because I’d sit all day and laugh as my grandfather told stories. He was a particularly gift storyteller with the dry wit that ignites my science-loving and logic-focused brain. He told stories of the Navy (usually when he and his comrades were causing trouble), his struggles as a student (he went for a doctorate in math but didn’t finish his thesis because of a disagreement with faculty), or his adventures as a teacher (he had many years of teaching from which to draw).

In EMT lingo, my grandfather had an “extensive cardiac history.” When I called my grandmother after hearing of my grandfather’s passing she told me, “The EMTs who responded to my call were wonderful. You do good work.” She said that even though they couldn’t get him back. His heart had stopped and he had no cat-lives left. When my grandfather died, I’d been volunteering as an EMT for several months.

I’m still and EMT and I also work in an emergency department. An interesting thing about providing emergency medical care is that your mission is to lessen pain and ward off death, but you end up seeing a lot of both. You end up being there when medicine meets it limits and the time of death is pronounced. I sometimes wonder what the EMTs at my grandfather’s death thought. I wonder how they ran their emergency call. What did they do to make my grandmother feel like they’d done the right thing? I hope the families of my patients have the same impression when we determine it’s time to stop CPR.

I used to visit Arlington National Cemetery periodically when I lived in DC. I like cemeteries because I enjoy walking the tombs and imagining the histories of the people they memorialize. Now when I visit Arlington, I won’t have to invent my grandfather’s story because I know it. I’m a product of it. I think of him often, partly because I wish he’d send me some of his math-genius as I continue my medical studies. Mostly, I think of him because he is one of the few people I know who successfully and completely built a life he loved. His only unfinished business is the family he left, especially his wife, but we’ll join him again one day if afterlife exists. Until then, we’ll keep making stories worth telling just as he always encouraged us to do.

Photo Credit: Mary Lou (family friend)

Determination: 2 Girls, 1 Hill, 1 Tree, and 1 Ladder

As children, my friends and I spent hours wandering the woods. We lived in rural Vermont in the middle of hills covered with sugar maples. One of my best friend’s families made maple syrup as part of their living—they collected their sap using draft horses. And it is with that friend that this adventure took place.

Far up on one of the hills behind her house, maybe a 40-minute hike across a river and bushwhacking through the sugar bush, was a monstrous tree. It was a Pippi Longstocking tree, a tree of wonder and stories. It was the most perfect tree for a tree fort you can imagine…and the branches didn’t start until 20 feet above the ground.

Those high branches spread out in such a way as to almost make a floor. My friend and I thought that if only we could reach those branches it would be the best thing in the world. We dreamed of hanging a hammock from those taunting limbs and eating a picnic up in the canopy. We thought about our future tree fortress on many occasions, staring up from the ground, until one day we contrived a plan.

Her father had a very tall ladder—one of those aluminum ones that has two sliding parts so it can get even longer than it appears at first.

We started in the morning. She took one end of the ladder and I the other. Those ladders, though hollow, are not light. We discovered this not long after crossing the river and starting up the hill. We also realized that zigzagging through trees was a lot harder when you are attached to another person by an 8-foot, stiff ladder.

We stopped occasionally. We argued about the best way to go through the trees. We sweated and got scratched by brayers.

And, after what seemed eons, we reached the tree. We lay the ladder against it, expanding it to its full length. We observed the ladder. We were scared. It was so tall and the ground wasn’t even. Surely, we’d fall if we climbed it. Surely, if we fell we’d die. We talked about climbing the ladder. About falling. About how amazing it probably was up there. “Fine, hold the ladder,” I said. And I put my foot on the first rung. I was shaky. It was high. My heart pounded. I got about 6 feet above the ground. I paused. The ladder felt wobbly. I wasn’t sure if I should keep going.

Slowly, carefully I reached the top rung. The branches were still overhead. I’d have to grab them and then swing my legs up and hang sloth-style to get up in the tree. I stood at the top of the ladder a long time. My friend first shouted up that if I wasn’t going to do it I should come down so she could. Then she suggested that we not do it at all.

I grabbed the branch and I swung up. “This is awesome!” I said, sitting and staring down at her on the ground. She joined me, with the greatest care because the ladder was unsteady, especially without someone holding it.

We sat up in the tree until we got hungry. The only reason we ever left the woods was because we were starved.

Some people will tell you your dreams are impossible. Don’t bother with them. Someone else will help you carry a ladder.

Optimism

I zoomed around running errands for work. My return-borrowed-items frenzy brought me to the opposite corners of the network of towns that make up this part of the state and forced me down some of the most congested (and my least favorite) roads in Vermont.

I was tired. I’d been studying and working extra to finish everything on my plate. It was another sunny, gorgeous fall day…another one I was missing as I toiled.

I crested the hill just past where the road was lined by strip malls—probably once farms. I felt like I’d climbed the hill myself (rather than my little car). At the edge of my vision, the largest smile caught my attention.

There in the beautiful golden sun under a tree that wore canary yellow leaves, its autumn coat, sat an elderly woman. She was laughing. Her face creased where laughs had wrinkled her face for decades. She bent forward slightly. I looked again, trying not to swerve or slow too suddenly as I drove in traffic.

Beside the woman was an elderly man. Both of their mouths were wide with joy. The fall breeze made their tufts of white hair flutter.

What were they laughing about? My face relaxed and the corners of my mouth rose, breaking line formation for the first time that day. The day wasn’t so bad—I’d just needed to look past my personal storm cloud.

Defining Friendship

On my EMT shift the day before my birthday, the dangerous topic of religion came up for some reason while we were reviewing the ambulance (something we do at the beginning of every shift) to make sure we had all the right supplies. Like most careful Americans, we ended the religion conversation before we needed to say much about our personal beliefs. It was amusing to contrast the politically correct nature of the conversation with my experience in Paraguay. In Paraguay, religion is not a topic that’s avoided and people have no problem asking you if you’re catholic (the dominate religion there). I went to Paraguay with almost no religious experiences (and most that I had had were very negative)…but Paraguay brought me up to speed on their version of being catholic. And they changed my view of religion forever (though they didn’t convert me).

As I wrote when I was in Paraguay, the Paraguay I know is Catholic. That means that to my Paraguay friends the entire world is seen through the lens of Mary, Jesus, and the saints. A lot of what Mary and Jesus and the saints talk about is how you’re supposed to treat other people. Paraguayans put people, especially family, first.

A little after 9pm on my birthday I got a video message from one of my families in Paraguay. When I say family, I mean I spent every weekend with them. I went to church, out shopping, and to soccer games with them (in Paraguay, soccer is the equivalent of all sports in the US combined). I went dancing all night with the daughters, studied English and history for hours with the son, ate many dinners and lunches with them a week. I showered at their house when my water was out. I was in both daughters’ weddings…

My whole family was there in the video message. First they sang “Happy Birthday” in Guarani…then it was “Happy birthday Jett. May you have a blessed birthday and many blessed years ahead. I hope you’re having a wonderful time. Send us a video, Jett, so we can see you…We miss you Jett. When are you coming back Jett?”

It’s so nice when you realize that the people you think about all the time also think about you. And as my family’s familiar voices and happy words sunk in I thought about friendship. Even friendship is defined using a religious metaphor in Paraguay. And, with the topics of religion and friendship on my mind, it seemed fitting to share (again) one of my favorite stories about both:

Overheard in Paraguay: Friendship
Repost from October 19, 2015

We sat in a half circle around the grill. The men were cooking large slabs of meat, ribs and some unidentifiable cut, for the mother of the family’s birthday dinner. The husband of one of the birthday mother’s daughters sat by the grill passing one can of beer among the men there. A nephew walked up to the daughter’s husband. The husband was around 30 and the nephew was about 11.

The husband hugged his nephew first with one arm and then the other, squeezing him. The nephew squirmed, and they both smiled. The husband held the nephew at arm’s length and put on an almost serious expression. “Will we always be friends?” the husband asked.

“Yes,” the nephew said.

“Even when I am old and you are my age?” the husband asked.

“Yes, even when you are old and I have kids,” the nephew said.

The husband smiled and pulled the nephew into another hug. The nephew pulled away again and they looked at each other, the husband still squeezed the nephew’s shoulder with one hand.

“Even when you are in Heaven and I am old we will still be friends,” the nephew said earnestly.

The husband laughed. “And I will look after you from Heaven.” They hugged again. “And, when you come to Heaven, we will be friends in Heaven. We will be friends forever.”

The boy nodded and ran off to find his playmates.

Birthday Eve!

We drove along in the old truck over the sine wave troughs and crests of a typical Vermont road that make your stomach drop. (The effect was exaggerated because my dad always sped up just before the peak). Then, our humming came to a crawl as we found ourselves behind a car with some white hair just sticking up above the driver’s seat headrest. I said something about them driving slow.

“Time is moving so fast for them they don’t even know they’re driving slow. As you get older each second becomes a smaller fraction of your life,” my dad said before passing the elderly driver.

Tomorrow I turn 28! I’ve almost lived a year for every minute in a half hour. I guess I’m not too old yet, though, because I think plenty of people ooze along with the viscosity of molasses.

I looked back at last time I wrote here about my birthday. I gave a robust list of accomplishments and goals. Don’t worry, I’m not doing that this year. These days my guiding principles are my 5 favs of Paraguayan culture—humor, gratefulness, details, relationships, curiosity— and everything else falls into place about them. For example, I smile at strangers…because smiles are contagious. But also, more importantly, it’s fun to catch passersby off-guard and watch the awkward expressions that flicker across their faces as they work to smile back.

I’m stoked about 28. This is the first birthday I’ve had (since adulthood anyway) where I don’t have any major changes I want to make. I have a lot of hard, exciting things on my radar for the year. Those wonderful things could dramatically change my life—like applying to medical school. But the only way to find out if the future is boring or exciting, is to keep putting one foot in front of the other.

Time does go fast at this age. It seems like I just started the semester and already I have a few exams behind me. I can’t imagine what studying will be like in my 30s, perhaps a jet race, but I’ll find out soon.

Are you lonely?

“Are you lonely?” is America’s version of the boyfriend question. I thought the coupling obsession was a Paraguayan thing. But, now that I’m back in the US, I realize I was mistaken. It’s also an American thing. Maybe it’s a human thing. Regardless, I’ve gotten a lot of practice justifying why I’m single. So, let me tell you…

…there is no reason why I’m single. I just am.

I know it’s hard to believe that a person can be happy just being. But, try to imagine it. Consider, for example, that I can go hiking on the fly and not wait for a soul. I could move anywhere and would only need to bargain with my future landlord and maybe the visa office. I can (and do) eat when, what, and where I want and don’t feel even a hint of obligation to coordinate with anyone.

Perhaps you’re thinking something like, “Fine, Jett, you’re busy and independent…but really you’re just waiting for the right guy. You’re lonely, but you forge on propelled by the dream of the prince who will sweep you off your feet one day.”

If something like that is on your mind, I must ask: Doesn’t that argument seem archaic? By now we should all know that princes only live in fairytales. They aren’t real, but metaphors for love and good fortune. I don’t need the metaphor. I’m not looking for someone to fend off the dragons. I do that just fine on my own.

Don’t despair, you’re partly right. I’m busy and I have great friends. But that’s the whole point. If I lived my whole life as I am—doing good work, engaging in hobbies, and enjoying friends—then I would have an awesome life. You see, my life’s not on hold. I’m not working toward finding that perfect man. I’m just living…and I also happen to be single. I’m not worried about love. Why should I? It’s spontaneous and stubborn. It will do whatever the heck it wants. Just like me.

I might one day stumble upon someone to be my partner in crime. I might uncover a person who makes me happier than I already am. If I do, I’ll marry him. I also might not find such a human. Either way, the trajectory is grand. I realize that many believe that singletons need to be saved. But let’s remember that when we, you and I, were taught about the American dream it was never said that it could only be dreamt by two.

Thanks for your concern about my emotional well-being. But, the better question is “What do you do?” I assure you the answer is interesting. I have a lot to say about me and my doings. And don’t worry, I’ll let you know if me becomes we.

On Growing Old

The best excuse for why I’ve been silent since spring is that the sun came back to Vermont and I’ve done everything I can to enjoy it. In Vermont, you spend eight months of the year waiting for summer to return.

Many Vermont summer days seem too perfect for an imperfect human like me to be part of them. They make me feel like a hideaway who, if discovered, will be kicked out. Tossed back to a land where the sun doesn’t flicker through the trees and the birds don’t chirp so musically. When I walk on these pristine days I let my mind meander.

On one such walk, I pondered growing old. I have a very vivid memory from elementary school. I was looking at the high schoolers and I thought, “I will never live to be as old as they are.” Yet, I did grow as old as they were. Not only that, I lived through college. And now I’m just a few years from 30 and I’m still living happily.

Some people fear getting old. Others complain about it. Others dye their hair and refused to tell you their age, as if time can be stopped through censorship. Recently, old people keep bursting into my thoughts. Many of my friends in Paraguay were more than twice my age. Most of the patients I transport to the hospital (I’m an EMT) were alive during WWII. My grandfather—the one who always made me laugh and was a humble, hidden source of strength—died. He’s still in my heart.

I thought about these elderly people as I walked. A slight breeze brushed away the mosquitoes and it smelled like grass and green things. I thought, “I’ll probably be 90 one day. What the heck will I be doing when I’m 90?”

I tried to envision what it would be like to be one of the white haired, wrinkly, and wise people who are always stoically at the edges of my life. For a moment, the thought made me sad. But, the melancholy passed and I grew calm. I would likely be old one day. And when that time came, I would not be busy like I am now.

It wouldn’t be that bad being old. I’d sit on a porch somewhere watching the sun shine. Perhaps I’d still be flexible enough to lie in a hammock. I’d observe the young people zooming around and they’d wonder how I wasn’t bored sitting and staring at the world all day. I would be so occupied by memories of a lifetime and all the family, friends, and acquaintances whose stories I’d shared that sitting on a porch would be like being at a movie theater watching the best movie ever. The best movie because I was its writer, producer, star, audience, and critic.

Sometimes young people would pause long enough to talk to me. They might be my grandchildren or they might be someone else’s grandchildren. I’d talk about what I’d done, seen, and learned. My words would fall on deaf ears but, sometime later, those young people would remember something I said and it would help them.

As I walked thinking about being ancient I realized that I was content with time passing. I’d make it as far as I was supposed to go. The grandest part of the whole thing, the beauty of aging, was that my weakening state would leave me no option but to reflect. My frail bones would limit the history I could make in my last few years, and that wouldn’t be so terrible. It’s meant to be that way. It’s meant to be that we have some time to enjoy what has been and is without any need to build the future.

Old Haunts

I stared at the metro station that had been my home stop for several years as the train doors binged open and closed. That day I had no reason to get off there. I tried to remember what I had thought about all those times after interning, working, volunteering, and adventuring when I got off on that platform and observed the name written in white on a brown pole, “Cleveland Park.” Too many different thoughts to remember. Feelings arose—that of being too hot or tired from a long day at the office, but those were more sensations than memories.

It had been over three years since I’d visited DC—three years, but a lifetime of learning. The trouble with my recollection wasn’t so much that I didn’t remember all the good and bad things that had happened while I was in our Nation’s capital. The marathon training runs through Rock Creek Park when the sun glistened through the trees as I padded along the winding creek dodging bikers and baby strollers. I remember the roly-poly red pandas who I visited many weekends. The tart and sweet of frozen yogurt and mango. The smell of coffee emanating from my clothes after a shift at Starbucks—you can’t escape that scent, and coffee smells different when it’s associated with work, rich and bitter at the same time. I remembered the night I drank my first energy drink, my only all-nighter of college, so I could walk down to Obama’s first inauguration. I had tickets! I remember the cherry blossoms and the autumn leaves reflecting in the pool at Jefferson’s feet. The flags on the Vietnam memorial stark against the black stone. The quiet white lines of tombs at Arlington—so many lost. The smelly humidity of the metro before a marathon. The chili fries at National’s stadium—Harper, Zimmerman, Gonzales…the presidents racing. The long night walks in the neighborhood when families strolled and the smells of different restaurants wafted across the sidewalk. The Greek deli where I got my college graduation lunch.

The trouble, though hardly that, was that the feelings of weariness and frustration that had laced my time in DC were gone. Completely gone and only the happy memories of my old haunts remained. The Kennedy Center at dusk. The strange winding of the canal through Georgetown. The roses. Roses in almost every garden. The long walks to the grocery store and the strolls past embassies. It was strange to think of embassies now. I’d been an expat. I knew what it was like to visit your country’s stronghold in a strange land. Oddly not comforting considering the comparison between American politics and the warmth of Paraguay.

I watched the people rushing out of the metro. I was sure not to esca-left—unforgiveable. I’d forgotten about all the fancy men’s shoes and checkered shirts, but seeing them I realized how unchanged cloud DC was. Suits of a cut only seen on the Hill and in old boys’ clubs abounded. I smiled. Funny to think those young men, dreaming of great titles and accomplishments, where not as unique as they imagined. As for the women, the boring shirts and sensible skirts. Even below the Mason-Dixon line so many folks lacked the flare that the south brings out if you let it. “Not far enough south,” I guessed. Of course, these folks were more complex than their clothes, but they’d lead you to believe their clothes were an expression of themselves. Hard to say, not knowing them.

Wandering the streets made me feel the freedmen of disengagement. This was not my home and could very well never be my home again. It was an easy thought. Whether the metro ran on time or late mattered little—it was no longer my metro. And besides, I’d waited hours in the hot sun for buses a fraction as nice as the dirtiest DC metro car.

Old haunts. They weren’t haunts at all, really. Just little snapshots into the past. But I no longer saw any of the scenes as I did then. No. They all had a different filter. And this time, the view was bright as the afternoon, January sun in Paraguayan. The vignette lens that had once allowed the shadows to creep in around the edges of my old stomping ground had been replace by a softening and brightening filter. I noticed the sidewalks, their cracks had been filled. The sidewalks were new just like my path. And the corners of my mouth creeped up all on their own. If my positive outlook, adopted from Paraguay, could endure the city where politicians were trying to put our country forty years behind in education, rights, and healthcare, then it was safe to say I’d come to visit just at the right time. The right time to prove that rain and sun are different sides of the same sky. I saw the sun.

Pulling Up the Bootstraps

I’ve been trying to wrap my mind around the anxiety, anger, and sadness I’ve felt since the 45th president of the US took office. It blows my mind how quick he began attacking:

  • Women: protection against discrimination, protection against violence, access to health care, freedom of choice
  • Everyone who needs health care and isn’t floating in money (aka most people): affordable health insurance, access to health care, security for those most in need of care
  • Immigrants: melting pot
  • Native Americans: protection of their land, respect of their culture
  • Americans living abroad: ambassadors, protection of foreign service officers abroad and American expatriates
  • The media: transparency, truth
  • Science: climate change (um, like come on…must we really repeat the “Earth is round” history?)…

…the list grows with each passing hour.

I went to the Women’s March in Montpelier on January 21. It was inspiring to see so many people energized to fight for human rights. But, I wondered, “Are we too late? Where were we between August and November 2016?”

The answer came in a common phrase:

When it is dark enough, you can see the stars.

America has never been perfect. We were founded by people who were fleeing oppression, who in turn stole land from the people already here. We won independence proclaiming high ideals, but enslaved millions of people, conquered others, and fought dirty wars with our southern neighbors and across the globe. We ended up a world power, but we still fell short of our ideals—all people in this country do not have equal access to life, liberty, and the pursuit of happiness.

Imperfect America has always strived to be better. We eliminated slavery, we changed legislation to give all citizens the right to vote, we’ve made net improvements in the rights of all minorities and women in this country, we’ve made progress protecting the rights of the LGBTQIA community; we’ve achieved many other wonderful things. But what we’ve done is not enough.

After much contemplation, I am certain that we are not too late. Perhaps Trump’s election was a necessary evil. It made me fall to dark places. And in the dark, I saw so clearly what had been easy to ignore in the gloom of modern America. In recent times, I and many people like me have been lethargic. We plodded along accepting what is even though it is not good enough.

The 2017 inauguration woke me. I saw the stars. And I’ve joined the struggle to improve this Nation. Regretfully, like a large mass starting from rest, I’m off to a slow start. I’m still not entirely sure what my role is and will be, but I know I have one.

On one hand, I’m already doing good work. I’m forging along on the Doctorhood Quest because my vision of delivering primary care services to underserved populations only becomes more vivid as the days pass. I will not let a man with disregard for the life and wellbeing of others allow millions of people to be cut off from the health care services they need and deserve. Also, in my current professional life, I help ensure that homeless young adults and at risk youth have the resources they need to build their own success. On the other hand, I know that I must do more than just study and work.

I have some ideas for action. Small stepping stones. I do not know where exactly I’ll end up or how my rejuvenated commitment to improving my country will unfold. All I know is that America has never chosen the easy path, but we are brave. I’m brave. It’s time to pull up those bootstraps, not just to elevate myself, but also as many as will come with me.

I’m proud that the momentum of the Women’s March has, thus far, translated into sustained action to fight for human rights. Let us stay together and be strong. Let us not leave anyone behind or push anyone who is part of us down. Let us continue to not only talk, but also do. As Margret Mead put it:

Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it’s the only thing that ever has.

So my question, what are you going to do?