Remission and Recovery

A few weeks ago,Vermont Governor Peter Shumlin dedicated his State of the State address to addiction.

In every corner of our state, heroin and opiate drug addiction threatens us. It threatens the safety that has always blessed our state. It is a crisis bubbling just beneath the surface that may be invisible to many, but is already highly visible to law enforcement, medical personnel, social service and addiction treatment providers, and too many Vermont families. It requires all of us to take action before the quality of life that we cherish so much is compromised.

At work we talk about treating people struggling with addiction. We have some great programs to help and part of my job is to spread the word about these programs.

The nature of the addiction problem came to light recently in a communications meeting. We were tracking various news stories and saw one about Philip Seymour Hoffman. One of the guests cited some report which claimed that two out of three Americans are affected by addictions amongst their friends or family. I looked around the room. Everyone is the room had someone close to them that was struggling with addiction. That two in three number may be a bit low.

Today, a friend shared the article, Russell Brand: my life without drugs. Please, go out and read it.

At CHC, we provide telemedicine services to help providers around the country provide better services for those struggling with addiction. Project ECHO - Buprenorphine helps primary care providers treat patients struggling with opioid addiction. It brings together experts in several fields to provide both experiential and didactic education in treating addiction.

Our outreach teams work on a related issue, health stigmas. How do we reduce the stigmas around various health conditions, like suffering from addiction or being HIV positive? How do we make it easier for people to get the treatment they need?

We celebrate when our friends are in remission from cancer, knowing in the back of our minds that it could come back at any moment. Why don’t we have similar celebrations for friends in recovery from addiction? Yes, there may be some celebrations at a narcotics anonymous meeting or something like that, but we are a long way from standing with people fighting health problems the way we should.

The Public Creative Empathetic Sphere

This morning, my Chromebook was acting weird, sluggish. It wouldn’t save what I was writing. In the end, I lost a draft of a blog post which I had put a lot of work in. It’s just one more thing in what is been a frustrating few days. Yesterday, one of the dishes from my mother’s house, from my childhood, broke. Things have been very stressful at work. Blah.

Anyway, I had started my blog post reflecting on Groundhog’s Day. It may be that Punxsutawney will see six more weeks of winter, or perhaps those in the media spotlight will continue to experience cold slippery conditions, but any woodchuck here in Woodbridge would have difficulty seeing much beyond the end of his burrow, let alone his shadow.

The top news story of the day that Google News select for me was about Gov. Christie’s letter to his supporters. The whole thing reads like he is helping write the libretto for Christie and the GWB, an opera on the scale of Einstein on the Beach,Nixon in China, or perhaps Brokeback Mountain.

The next story was about the Super Bowl. I wonder how many people will be talking about Gov. Christie as they drive across the George Washington Bridge on their way to the big game. I expect traffic will be pretty bad.

Buried much deeper in the news was reports that the death toll has now risen to 16 in the volcano in Indonesia.

Yesterday, Dan Kennedy posted a status on Facebook, talking about the State Department report on the XL Pipeline. It has now received fifty six comments, most of them very insightful well thought out about climate change, transportation, cost benefit analysis, stakeholder analysis and so on.

It provided an interesting data point with which to think about Howard Rheingold’s video, Why the history of the public sphere matters in the Internet age. This is a video that was posted back in 2009 and recent reappeared in my social media feed. It has lots of interesting ideas to explore, and I’d love to hear thoughts about it five years later.

Was the discussion around Dan’s post a good example of the public sphere online? Was it an anomaly? What can we learn from it? I was planning to write more on this after I took a break to go to the dump. On the way, I listened to David Sedaris on NPR reading his New Yorker article, Now We Are Five.

It was a moving recounting of issues in his family and it made me stop and think. Is it the public sphere that we need to be thinking about, or is there something bigger, something more important? What about an empathetic sphere? What about a creative sphere? How do these spheres relate to one another? Do the overlap? Does one encompass another? They they part of some giant three dimensional Venn Diagram?

What does this public creative empathetic sphere look like and how does it behave? It’s still foggy outside, and I’m not really sure. So, I’ll get ready and head off to church for Candlemas.

Promoting Empowered Wellness Through Spreading the Contagion of Creativity.

Rabbit, Rabbit, Rabbit. I”m glad January is over. Let’s hope February will be better. I’ve been incredibly busy with issues at work and have had little time for writing or exploring new ideas. I did get a chance to visit my daughter Miranda up in Boston last week, and as we talked about my work in health care and hers in arts education, a phrase came to my mind, The Creativity Contagion.

One of the really important movements in health care right now is the empowered patient, or ePatient. Often this empowerment is tied to being online; finding information about diseases and connecting with others to address the disease. It seems to work well for privileged patients, who have gone to college, had good careers and made enough money to be comfortable, but what about other patients, those struggling to get by day to day, those who are not empowered in their daily lives. How do we empower these patients?

My ideas started crystallizing around a 3D printer we got at work. There is something empowering about having an idea, learning how to take the idea and make something of it, and, in the case of a 3D printer, see the idea actually take shape as an object in front of you.

Creativity may be the key to empowerment that I’ve been looking for. Too much health care is defensive. We get our shots and change our diets to avoid getting sick. When we do get sick, we go to the doctor’s office to get better. Wellness gets bandied about but not pursued as much as it should be, especially when we are dealing with chronically ill patients.

We try to avoid getting sick. What we should really be doing is trying to become creative, with all the hope and empowerment that comes with it.

Perhaps that captures what I hope to do with a 3D printer at a health center, Promote Empowered Wellness Through Spreading the Contagion of Creativity.

Monday's March

It is dark when I awake. The bed is warm, but the furnace is running and it must be cold outside. The cat is on the end of the bed. Running through my mind is a song from church yesterday, “Oh, Lord hear my prayer, Oh Lord hear my prayer. Answer me, when I call.”

I was in the middle of a dream about a trip up to Boston. I was on the train with some friends heading off to a meeting. Yet the details of my trip were not yet fully resolved. I do need to nail down plans for my upcoming trip to Boston. I hope it won’t get messed up by weather or technology issues at work.

My thoughts shift to these technology issues. I need to get up and get going. Monday’s are always busy for me at work, and today will most likely be even worse with some unresolved issues from last week.

I make my oatmeal, sit down to see what my friends have been up to online, write a little, and then hop in the shower and get on the road.

I don’t know how long a day it will be today, but the forecast is calling for light snow on top of it.

Yet through all of this, a different song from church yesterday comes to mind, “We are marching in the light of God. We are marching in the light of God.” It is a song of struggle, but also a song of victory. Perhaps it will carry me through the day.

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Thinking About Gun Violence

Yesterday, in response to the mall shooting in Maryland, a friend on Facebook talked about her experiences working in mall security in North Carolina. In the comments, people discussed the role of guns in American society, but she replied,

I just don't think this is about guns.
Something ELSE is wrong...
there is something new wrong with us.
And we need to figure out what it is.

I would like to suggest that there are, perhaps, several things happening in our world today that have come together to create this deadly climate.

The first issue, I think, is economic uncertainty. Here in the United States, and around the world, we’ve seen difficult economic circumstances. The meltdown of American financial institutions and the great recession. Financial difficulties in Europe and austerity budgets. When people think about the Arab Spring, they too often overlook the self-immolation of an impoverished worker in Tunisia which acted as a catalyst for the major changes there. Today, economic disparities appear to be getting worse and worse, and everyone is fighting to hold on to what they have.

Yet this is nothing new. The Weimar Republic was known for its economic difficulties as well. Let’s hope we don’t go down that road again.

Changes in our world, like the globalization of trade and climate change throw additional monkey wrenches into economic stability.

People who have studied Marx may feel inclined to link some of what is going on the Marx’s theory of alienation.

Alienation (Entfremdung) is the systemic result of living in a socially stratified society, because being a mechanistic part of a social class alienates a person from his and her humanity. The theoretic basis of alienation within the capitalist mode of production is that the worker invariably loses the ability to determine his or her life and destiny...

Although the worker is an autonomous, self-realised human being, as an economic entity, he or she is directed to goals and diverted to activities that are dictated by the bourgeoisie, who own the means of production, in order to extract from the worker the maximal amount of surplus value, in the course of business competition among industrialists.

It is not surprising to see people lash out against a loss of ability to determine their destiny in violence.

This is further complicated by the increased role of money in politics. As economic disparity increases, the voice of all but the richest few get drowned out, and the richest use their money to have laws and policies instituted that protect or even expand their wealth. This in turn leads to greater alienation and greater probability of violence.

Related to this is how poverty fuels racism and homophobia. As poor undereducated people suffer from the economic disparities and alienation, they look for someone to lash out against. In the Weimar Republic, it was the Jews who were the primary victims of this out lash, although homosexuals and trade unionists were also lashed out against.

Here in twenty first century America, with homosexuals finally gaining equal rights to marry and with a mixed race President, people of color and homosexuals are a frequent target of these outlashes.

Yet there is one more factor, that is very important, and that is the changing media landscape. Again, we see the effect of money in politics as it relates to the political landscape. Large media corporations benefit from the money in politics and they seek to shape politics through their programming to protect their economic interests.

At the same time, we have Internet communications becoming more prevalent. Ten years ago, the media went after Gov. Howard Dean in his Presidential campaign by the now infamous misrepresentation of the ‘Dean Scream’. They took one of Dean’s campaign slogans, “You have the power” and appropriated it to themselves, asserting that the Washington Press Corps is really who has the power.

Now, as you look at discussions online, they are becoming more and more stratified and confrontational. We are living in filter bubbles’, where we don’t interact with people with other beliefs, except to yell at them.

Anyone who has read the anonymous comments on a newspaper website or watch Sunday morning cable news shows shouldn’t be surprised at the increase of violence in our country.

As the world gets smaller, the growing economic disparities become more apparent, and we see more violence.

The question is, how much worse will it get before we see a turning of the tide and a decrease in violence? What will it take to refocus from the culture wars to the effect that class wars are having on our society?

I don’t know, but I’m heading off to a church that is focused on feeding and housing the poor, and not on passing judgment on people because of the color or sexual orientation.

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