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Generational insight towards healing

Ons Mustafa & Sondos Al Sad

“It’s a poor sort of memory that only works backwards,’ says the White Queen to Alice.”

 Lewis Carroll

While I work diligently on identifying healing tools and introducing them to communities I work with, I am fully aware of my own journey towards it as a wounded healer.

My precious one shared her well-crafted poem “My mother’s daughter”. Her words have an empowering insight towards generational heritage of pains and gains. I hope that sharing it with you brings awareness to what healthcare workers and community advocates may be going through. To all wounded healers out there, your families are dealing with it:

I am my mother’s daughter, bound by blood,

A complex tale of love and strife

I look up to her, her strength and her grace,

But as we grow, our paths diverge, a separate space.

In my eyes, she’s a towering figure of might,

I yearn to emulate her, to shine in her light,

I want to make her proud, to walk in her shoes,

But within our similarities, conflict brews.

We clash and argue, like fire against ice,

Our differences mounting, we pay the price,

Her expectations weigh heavy on my soul,

While I long to break free, to forge my own role.

In her presence, I feel both warmth and disdain,

A mingling of love and lingering pain,

For the traits we share, both beauty and strife,

Remind me of a past that cuts like a knife.

I am my mother’s daughter, I can’t deny,

But as I grow, our paths seem to imply,

That the pain she caused, I must now transcend,

To find my own truth, to truly comprehend.

The mirror reflects her face, etched in my own,

A constant reminder of the seeds she’s sown,

I’m disgusted with myself, for the pain we’ve endured,

Yet I can’t escape the love, so deep, so obscured.

In this hectic dance, a bond remains,

A love-hate relationship, forever ingrained,

I strive for understanding, a bridge to mend,

The fragments of a bond that may never fully blend.

I am my mother’s daughter, a bittersweet truth,

A tale of contradictions, an unyielding booth,

And though our journey may be wrought with strife,

I’ll embrace my own path, navigate this life.

For deep within, beneath the layers of pain,

A seed of love persists, a flickering flame,

I’ll learn from her triumphs, her mistakes I’ll unroll,

As I grow into myself, a story yet told.

I am my mother’s daughter, this fact won’t sway,

With wounds and lessons, we’ll continue to grow,

A tapestry of love and hate, intertwined, and so,

I am my mother’s daughter, forever entwined,

A complex bond, with both heartache and kind,

In our differences and similarities, I’ll find my way,

For I am my mother’s daughter, come what may.

Reclaiming Women’s Power: Empathy!

Sondos Al Sad

Thanks to the “mutant” common cold virus that has challenged our resilience and exposed our flaws like nothing else. We have witnessed “the taboos” getting liberated into our public court; everyone now is talking about religion, politics, and sex. 

The pandemic was an invitation to reclaim ownership of our minds and admit that there is no mindfulness when our perspectives are hostages of unilateral narratives! We were equally unprepared, yet the impact showed enormous disparities. 

As a mother, I got exhausted fighting for a space in my career when I have gracefully earned my degrees! Unsurprisingly working mothers carried the heavy lift of the inequities in the healthcare exchange, yet disappointing, and astonishing how we let such oblivious transgression become an occupational norm?!

Moreover, when we fall at any intersection of the demographics, it further complicates our burdens. Our experiences were often ridiculed and invalidated. We had to challenge this concrete thinking of “our way or no way” with a persevering growth mindset.

Our resurrection is strongly tied to how much compassion we earn towards those who suffered our complacency for long, the largest of whom are women! Radical empathy has to be a main ingredient in our healing potion, we lost more people to our habitual apathy than we had to COVID-19 .

Fellow sisters, stand up for each other.

Do not shy away from sharing your content, and lead by unlearning old habits yourself. Beware that the preconceived cynicism has served many egos and wickedly consolidated the procrastination to educate ourselves about “the others” potential.

To women who shouldered it all, life is too short to live it at a discounted rate, so please be kind to yourself and unconditionally practice intellectual solidarity with EVERYONE! We own our characters, and everything else is rental. To the women who reclaimed their power in a system that was not designed to
gracefully embrace their womanhood, I am so proud of you!

 

Thoughts for Food

Sondos Al Sad

Dec, 2022

“No fellow fills a container worse than a stomach. A few morsels that keep the back upright are sufficient. If we have to, then we should keep one-third for food, one-third for drink and one-third for breathing.”

Our relationship with food has become more dysfunctional than ever. We link it to emotions, occasions, convenience, cultures and memories. 

Producers capitalize on such links for profit and our food consumption is heedless to processes and consequences!

Reminder: “Food is a fuel to grow and thrive”

Our eating behavior must be attached to an ethical code. Separating food production and consumption from morality challenges thriving and intoxicates our fuel. 

To benefit from our dietary intake, our ingredients have to be treated with dignity

“Disclaimer: We are not at the top of the environmental chain”

If your experience with food is connected to an ailment (fatigue, heartburn, altered bowel movement, bloating, weight fluctuation): check your nutritional habits: 

What is the purpose of our intake? 

What defines enough intake?

What resources do we use to check dietary ingredients?

Is our food linked to memories and feelings?

Do we know how to handle food if ready-made resources (including farming crops) are not available?

If we do not have clear answers to the questions above, then our relationship with dietary intake has to be reformatted and transformed. Our diet has to follow a moral compass.  

Action item: Consider discussing the questions above with your loved ones 🤓

About memorable dishes: to eat the same food our ancestors ate as is and as much does NOT make sense, because we have a completely different lifestyle. 

Until a public health revolution comes to stop the rabid mass production of consumable merchandise, our individualized efforts shall grow to make informed and purposeful choices. 

To help myself and my family, I am currently reading this book and using some recipes from here. 

Where will you start? 

Bootstrapping 

Sondos Al Sad

Dec, 2022

The best way to find yourself is to lose yourself in the service of others.” 

– Mahatma Gandhi

It was 2005 when I designed the first women’s health education workshop, I had only taken a couple epidemiology courses and one community medicine course. 

I had no funding, mentorship or knowledge to implement the program. I literally ripped unused papers out of my medical school notebooks, designed a survey of 10 different questions, handwritten them on these papers and sought help from my wonderful friends to help me write 180 surveys using ragged papers! 

People had all kinds of reactions, from cynical to awe! Meanwhile, I had a purposeful action. We randomly placed those humble paper surveys on car windshields and store doors. We waited for women in a small city north of Jordan to fill them and hand them back. 

That research project aimed to learn about women’s health preferences and questions. Book stores, graphic designers, and women’s health clinicians participated and supported the research project as it evolved, free of charge! 

No proposal needed, no academic filters, no concern for credit or legacy and no personal gain beyond community service. The project grew into a year-round educational program across Jordanian main cities. It seeded my approach to community participatory research before it even existed as a methodology! 

Back then, I strapped my boots with a team of community advocates, and we gracefully sought people’s input. Today, I walk with many shoulders next to me on that path around the globe, overcoming academic restraints and geopolitical filters to steer the wheel from any temporary profit to longitudinal and purposeful wellness. 

I strongly believe that research from people to people may reduce the lag between evidence and practice.

What journey did you strap your boots for lately? 

Lemony Snicket’s or Hippocratic Oath

Sondos Al Sad

Oct, 2022

Followers of Islam are misunderstood, misinterpreted, and often feared due in part to prevailing derogatory media influences prior to and since 9/11” *

Whether there is published data to prove it or not, Muslim patients are often getting the short end of the stick. Our biases are ticking bombs, they can do harm even in the -presumably- safest settings. Do you have an implicit bias towards Muslim patients or even those who may look like them to you?

Let’s start with you, will you consider taking the implicit bias test: Select a Test (harvard.edu)? One of the enlisted tests is to check your bias toward “Arab-Muslims”. Of note, Arabs are less than a 5th of all Muslims.

If you are an Arab or a Muslim, consider taking the test even more. Internalized oppression and inferiority complex are real and with globalization, this bias is not confined to geography.

Acknowledging the bias is a good start, it will leverage consciousness, help you be a better version of yourself, and fulfill your medical oath:

“I swear to fulfill, to the best of my ability and judgment, this covenant:

I will respect the hard-won scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow.

I will apply, for the benefit of the sick, all measures [that] are required, avoiding those twin traps of overtreatment and therapeutic nihilism.

I will remember that there is an art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon’s knife or the chemist’s drug.

I will not be ashamed to say “I know not,” nor will I fail to call in my colleagues when the skills of another are needed for a patient’s recovery.

I will respect the privacy of my patients, for their problems are not disclosed to me that the world may know.

Most especially must I tread with care in matters of life and death. If it is given me to save a life, all thanks. But it may also be within my power to take a life; this awesome responsibility must be faced with great humbleness and awareness of my own frailty.

Above all, I must not play at God.

I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being, whose illness may affect the person’s family and economic stability. My responsibility includes these related problems, if I am to care adequately for the sick.

I will prevent disease whenever I can, for prevention is preferable to cure.

I will remember that I remain a member of society, with special obligations to all my fellow human beings, those sound of mind and body as well as the infirm.

If I do not violate this oath, may I enjoy life and art, respected while I live and remembered with affection thereafter.

May I always act so as to preserve the finest traditions of my calling and may I long experience the joy of healing those who seek my help.”*Martin, M. B. (2015). Perceived discrimination of Muslims in health care. Journal of Muslim Mental Health, 9(2).

Women’s health = Public health

Sondos Al Sad

Nov, 2022

Women should not shoulder the most burden with the least resources, even if they can.” 

Population health is the discipline caring for health outcomes and their distribution within a particular community. Public health is the umbrella that enforces changes to ensure all populations are in optimal health conditions. 

Women’s health IS a population health. It matters because terms and definitions determine funding and resources, got it? 😉 

As women, we share similar stories, and they define our wellness journey in infinite ways.

Oh wait! Let me make sure:

Are you the one making most healthcare decisions on behalf of your family members?

Were you the one who got hit the most with juggling tasks for family members and your own during the COVID-19 pandemic?

Are you the one involved in school PTOs, neighborhood boards and action alerts to protect your loved ones?

Do you struggle getting a break from home chores or employed work when you are not feeling well?

While it is likely a yes to all or most of the above, you shouldered it gracefully and became a victor to change rather than a victim, right?

Our circumstances impact our overall health, epigenetics and generations to come. Managing these issues in 30-minutes clinic encounters is unrealistic. Community awareness and recognition of these contributors are keys to promote wellness and prevent diseases.

For that and more, I choose to focus on women’s health from a public health perspective and shift the conversation from “I know” to “We know, too”. 

Enjoin wellness

Sondos Al Sad

Nov, 2022

“It has too much sugar in it, are you sure you want that?”.

I had to raise my head off the phone to see who quoted my forever motherly statement! Excitedly, the barista at the nearby hospital cafe offered a healthy reminder to the overwhelmed employee in the scrubs. 

Was I not ecstatic?!

Community health and wellness is much more than healthcare technology and insurance. It is enjoining what we know to be well and healthy with each other wherever we cross paths.

It took me back to another distant October when a researcher presented a collaborative project with waxing services in Brazil. They provided health education to aestheticians about signs of pelvic infections and vulvar lesions so they can encourage their clients to seek a timely medical help!

Our shared advice may not always fall on receptive ears, but it has its ripple effect. We were 3 in line for coffee, we all took it without sugar ✊🏻

I couldn’t hold my grin when thanking the barista for the generous input (and for agreeing to take the photo).

Our healthcare delivery models should think beyond insurance suggestions and embrace community members input as crude as it can be.

What is your “low sugar” advice for your community’s wellness?