Thursday, May 3, 2018

Fear of flying...or how i ended up here

I have a fear of flying. 
Like a really big fear of flying.
You might call it a panic. 

My mom will remember a day years ago when I called her from the airport refusing to get on the plane that was supposed to take me back to school. She unapologetically bought herself a ticket, forced me on the plane, and flew to Lubbock right next to me. 

While I haven’t had another full blown anxiety attack on the jetway since, it never gets easier.

So it’s a little ironic that I write this entry from a tiny economy seat on a flight headed to Mexico. 

So...I thought I would final try to put into words the question I’ve answered a lot recently.

How did I end up here, right now

This wasn’t part of my life plan and it’s certainly not comfortable or easy for me.  

When we arrived back in the US, I was in full take control, project mode. I researched neighborhoods and schools, I gathered information about soccer programs, tennis coaches, and the best Mexican restaurants in our area (I’m still researching that one). Career wise, I updated my resume, reconnected with old colleagues, and interviewed with hospitals.  

I really thought I had it under control...until I admitted I didn’t. 

I’d been in talks with a large prestigious hospital group. I’d met with the hospital ceo, the specialty physicians, and toured my future clinic. On paper, it was exactly the right thing. I would have my private practice with autonomy but support from the hospital for the business side. I’d have a built in referral team, marketing team, and staff. I’d come home with a more than comfortable paycheck. 

So I was surprised and initially dismissive by the growing ache in my heart as I sat down to agree to final terms and sign the paperwork. “I’m just nervous,” I told myself. 

But over the course of an afternoon at the clinic that ache grew into a full blown panic, one that brought back the same feelings of that refused flight. 

Thoughts were hitting me so hard

-what am I doing? 
-why am I here?
-this isn’t right.

I made up a reason to need more time and left. I broke down in tears-partly angry at myself, partly confused, and partly relieved. Over the next week I wrestled with all the feelings. 

The thing that kept repeating was

 “there is something more.”

In the midst of my personal crisis, I attended a conference where I heard speaker after speaker talk about being called by God. They talked about letting go of our plan and following Gods plan, of dreaming Gods dreams, not our own.

My favorite truth (and now daily inner mantra) is the realization that we can’t be brave and safe at the same time

Think about that. 

I don’t necessarily mean physical safety, although it certainly applies there. I mean the feeling of comfort and safety in my life. 

I want to be brave, I think we all do. 
But being brave requires having something to be brave about. 

A knight who is well trained isn’t really brave until he steps out to fight the dragon.
The most talented singer isn’t really brave until she performs on a stage. 
I am not really brave when I accept the easy life even though I know deep down that’s not who I am. 
I must be willing to step out and take risks in order to be brave. 

And so, I said no

I said no to the high paying, move-in ready job that wasn’t me. 
And in total free fall, with no plan, I faced my anxiety.

But God knew. He always knew. 

I am loved and supported by some amazing people who were willing to walk with me as I follow God one step at a time. It’s more than I could have imagined and I honestly have no idea what’s ahead. 

Just in the past few weeks, I have served with a homeless clinic in the city, taught health education at a prostitution center empowering women to make life change, and brainstormed with public health researchers about human trafficking prevention. 

And today, I pushed myself on a plane to encourage and learn from some of our international church family. 

I’ve had a few encounters with some  physicians from my “old life”  where I got the cordial smile “oh that’s interesting” but the eyes that said “she went off the deep end and now she’s one of those crazy Jesus people.” (maybe one person even actually said those words).

I admit it. It’s weird. It’s not normal. I never thought I would here. 

But every day...
I am so grateful I said no. And I am so excited for what God has in store. 

I believe that 
of us have a place in God’s dream. 

Some of us ARE meant to be clinic doctors. Some are meant to teachers, or mentors, or encouragers, or advocates. The hard part isn’t usually figuring out what our gift is. Most of us know that deep inside already. The part that requires being brave is DOING it. 

Getting on the plane when we don’t think we can.
Following the path that isn’t part of our original plan.
Make the decision that’s right and not always easy. 

So, long story longer, that’s how I ended up where I am. 
I haven’t done it all with grace, and I’m sure I have many stumbles ahead. But i know that if I focus on the truth, God will do the rest. 

Live justly.
Love mercy.
Walk humbly. 

Sunday, December 17, 2017

Malaysia, truly Asia

Moving is never easy. It doesn't seem to matter how many times we've done this, it's always hard. Prolonged goodbyes wrapped in emotions topped with an endless to-do list makes for sleepless nights and big anxiety.
Now that we are here in the homestretch, the logistics are taken care of. The container has been sent off, immigration clearance is done, school is finished, even the doggy passport is stamped and ready to go. 
But arrangements aside, it's the nostalgia that is taking over. This move is so bittersweet for us. In all honesty, for the first while living here, I could never imagine missing anything about Malaysia. My, how times have changed. The life we've made here is a happy one. While I am very excited to be going back to Texas, I am just as sad to leave.  
So, in full list making mode, here's what is heavy on my heart today

1. I will miss all of our travels. We've gotten to see parts of world I couldn't have pointed out on a map before. The places, cultures, foods, and people we've gotten to experience have forever changed us. 

2. I will not miss immigration and border crossings. 4 passports later, the excitement of passport stamps has faded to the point that I get frustrated when an officer turns to a new page instead of squeezing a stamp in somewhere else. I look forward to going to soccer practice without having to clear customs. 

3. I will miss living on the equator. Every day is beach weather in Malaysia full of sun and warmth. After living in Norway, it was a nice change to switch to sandals and shorts every day.  

4. But I will not miss being hot ALL the flipping time. Watching the boys sports? Trying to avoid heat stroke. Morning run? Only if it's still dark. Just out of the shower? Already sweating. Beach weather is the beach. I can't wait to get back to seasons. 

5. I will obviously most definitely miss Batu Batu, our perfect little island paradise. Only 2 hours from home, full of staff who became friends, and a perfect place for adventurous boys to wander and play, it will forever be my favorite place on earth. 

6. I will not miss Legoland. I know, I know, how could I say that?? But if I never ride the dragon roller coaster or eat another terrible hamburger again, I won't be missing out. It just goes to show you can get too much of a good thing. 

7. I will miss my medical students so very much. Not only did I have a job working with some great friends, but I got to get to know some really amazing doctors-to-be. I never expected to learn so much from them, laugh so much with them, and care so much about them. 

8. I will not miss the food. I know many will disagree with me on this one because Malaysia is known as the food capital of the world. Every single conversation will come back to food at some point. But century eggs, durian, fish head curry, and anchovies for breakfast just aren't my thing. 

9. I will miss our bubble. Our house is less than 5 minutes from my work, the boys school and Micah's work. Most of the boys friends all live in our same neighborhood. Every time we go to eat at the same restaurants, they know our order and we will chat with at least several friends who've come to the same place. 

10. I will not miss the driving. Malaysian driving is terrifying. There technically are rules, but the standard is not to follow them. Motorbikes driving the wrong way on the highway, cars completely ignoring stop signs, big trucks parking wherever they see's frustrating at minimum and death defying at most. 

11. I will miss our friends. In creating our life here, we've made more than just friends but an extended family. People that love your children, people to  cry to when you're homesick, people to walk through life with. Maybe it's the circumstances or maybe it's the type of people who end up in an expat world, but we've found some keepers for sure. It doesn't matter where we move to or where our paths lead, real friends we've made here are here forever.

So while it's great to be headed back to our roots, it doesn't make it any easierto leave. God has blessed us with an adventure of a lifetime and I know the plans He has ahead for us are good. 

Thank you, Malaysia. You surprised me. I tried really hard to hate you, but you didn't let me do it. I am truly grateful for that. ❤️

Sunday, July 2, 2017

Fear of home

Day two of jet lag is the worst part. You might not think so, but trust me on this one. 

Day one, you've got excitement and adrenaline to fuel you until you finally decide to sleep and all the exhaustion just crashes down, pulling you into eight plus hours of easy rest. But then by night two, you've settled in a bit and although you've felt like you absolutely cannot hold you eyes open for one more second at some points, when you lay down to sleep during what your body thinks is midday, you lie awake despite your best intentions and worries of tomorrow's fatigue.

This is when the big thoughts hit me. 
Until this point, thoughts about summer holidays at home tend to be milestones to countdown to, romanticized ideas of relaxing and family and...Mexican food. The most worrisome thoughts I have come from a logistic front. What to pack? baggage allowance? Flight times? Necessary details but not overly concerning. 

But now, tonight, ten hours before the last leg of our journey, I think about what it means to be going "home"....and the fear starts to creep in. 

Here's the thing, we've been living abroad for nearly five years now and a lot has happened in that time. 

When we left, Owen was 3 years old. Still a baby really, not yet with a true identity of his own. He relied on us as his world, and while he still does of course, now he is nearly 8 with friends and opinions and his own personality. 

When we left, Tyler and Barrett were little boys...who have now grown into full blown tweets/teens and our relationship with each of them has evolved. I can talk (and argue) with Barrett like he is an adult sometimes. It's kind of a twilight zone feeling sometimes.

When we left, Micah and I were stable and predictable and supportive. While all those things are still true, our commitment and encouragement for each other has reached a new level. It has had to. Many a time, we have been the only lifeline for each other. My love and admiration for him has skyrocketed with each episode of homesickness, or expat frustration, or breakdown due to fear of the unknown. 

When we left, I was worried about my career. I am a doctor. It's who I am. What will I be without that?!? The answer is, I am  still figuring that out but I am truly loving the journey. God has placed opportunities and paths in front of me I would have never ever even considered (I mean, me? Teach? Seriously?) I have discovered a self confidence I never had before. I have found a new shift of priorities I never had before. Is my house 90% furnished from ikea? Yep. Do I care? Okay, honestly some days I do, but most of time I can remember that those things i spent a lot of time thinking about before are not so important in the big picture. I am not the same fearful girl leaving for a long vacation that I was a few short years ago. I long for travel and meeting new people and cultures and working to make a difference. 

And to add to the complication, the thing we call home hasn't stood still either. People have lived their lives. Our house isn't the same. Some old friends have drifted away. Time hasn't stopped because we left, and sometimes, I know that sounds really strange, that's a hard concept to grasp. Especially for the older boys, they hope/expect things to be exactly as they remember them. It's hard to watch them go through the grief of realizing it has changed. Normal life events tend to take on an accelerated pace in these summer visits. It can be difficult. 

So here I lay, wide awake when I should be sleeping, scared of what comes tomorrow. There will be happy moments of reuniting, comfort, and love. But there will also be moments of tears, disappointment, and missing "home" when we are home. 
This life we live right now can be wonderful and thrilling but it can also be lonely and scary. I wouldn't change it for anything, but i will hold my breath a bit to see what's in store for us this summer. 

I am fearful. 

Of what we've missed. Of accepting what has changed. Of what's to come. 

But that's not a bad thing. 

Although it definitely doesn't always feel that way, fear is not a bad thing. We talk about it like it is, but fear is simply anticipation of the unknown. It's our response to that anticipation that can become the problem. If we try to embrace the opportunity and trust in God, the outcome can be great. We don't have to suppress fear. We only have to have hope and faith bigger than our fear. As my mentor has taught me, you can "feel the fear and do it anyway." Growth and change can be (and dare say, usually are) good things. 

There is much ahead, this summer and in life, and I look forward to fearing it all. 

Thursday, February 9, 2017


That's all.
I'm not even sure how to actually describe it but here it goes...

Sometimes life throws days at you that you don't expect....And sometimes the lessons you learn from crisis are beautiful. 

This morning i had just dropped the boys at school and was headed to work...thinking to myself that I needed more coffee and was not super excited about the day. All the usual grumpy thoughts are flowing "Micah's traveling", "I'm always running late", "I wish I had been able to sleep better last night." 

And then I came to an accident. My training instinct kicked in as grumpy thoughts gave way to adrenaline. Long story short, I worked for 30 minutes to revive a worker who had been hit trying to cross the highway. 

I failed. 

I was shaken, sweaty, dirty, covered in tiny glass shards and feeling helpless and exhausted.

While I've been in these situations before as a physician, there's something different and surreal about doing it outside of the hospital, kneeling on gravel to do chest compressions and praying the ambulance arrives. Groups of people are staring and whispering all while I am robotically doing the only thing I can without success. It's horrible. 

As the day has moved on, those moments continue to replay in my head over and over. While sadness (and fatigue) persist, I've realized something else. 

The man who died today was a foreign worker in Malaysia. For those who may not understand what that means, it means long, hard work for very little pay all of which gets sent home to their families. It means sleeping in a makeshift kampung, metal containers set up as villages. It means immigration hassles and no legal rights. Don't think of it like foreign workers in the US-that would be luxury for many of these people. 

In the part of Malaysia where we live, money is being poured into new construction all around. We see these foreign workers very regularly but it's very much two different worlds that don't mix.  Our typically experience to see these workers daily piling onto buses or very often running in this exact spot (and many others) across the highway. I've probably grumbled at them myself for making me slow down as I drive by. Today could be any day, every day in Malaysia.

But when it happened, something changed, and it wasn't just me. 

A friend, with no medical background, immediately followed and was by my side. Another ran down the road to direct oncoming traffic out of our way. Others took over cpr when my fatigue caught up. Another started calling ambulances (it's not such a simple process as 911) and working to find an AED. Others took my teaching at work and made sure I had time to recover. Others drove my car back to school and made sure we were cleaned up and okay. Another waited at the roadside for a forensics team to arrive. Many others have offered support, prayers, and condolences throughout the day. 

What I saw today is that people cared. In the end, it doesn't matter. We are all the same. It didn't matter that we came from different worlds. It didn't matter that we didn't know who he was. It didn't matter how it happened or who was at fault. It didn't matter that we might be putting ourselves in harms way. We saw someone in need and we tried to help.  

It would have been easy to keep driving. In all honesty, I thought about it. But when I looked at his friends who were scared and had no idea what to do, I knew I had to stop. He is someone's family-maybe husband, maybe father. He is working to provide a better life for someone he loves. 

Just like I would. We are all the same. We may have been placed in different circumstances and places in the world, but at the core, we are all the same.

Much of what is happening in the world right now is very difficult for me to accept.I've been struggling. I am pained by the discrimination, the indifference to people in need, and especially the justification that can follow. It seems to be everywhere. 

But today was different. 
Today I saw tragedy but I also saw hope. I saw good people. 

Sometimes the loud voices of the world focus so much on the bad, it's easy to lose sight of the good. We see all the hate and anger and fear, but underneath all of that the quiet voices of love and goodness are constant. It's there. 

So today. 
Today, I grieve for the family and friends of the deceased.
But today I am also thankful for the opportunity to see hope. 

Hope can and will grow. 

Hope is exactly what I needed today. 

Thursday, September 15, 2016


I've always been a planner.

As a teenager I used to meticulously write down goals and deadlines for myself. My first year in college I planned all four years of my courses in the first week. In medical school I kept a constant countdown to milestones like exams and breaks. If something happened differently from my plan I would breakdown. It was devastating. 

Here's the part where I would like to say I've changed...but that need for control in knowing what comes next is still very much alive.  

My life has turned out nothing like I could have ever even imagined. My plans were very typical-have a family, be a doctor, live my happy live behind a white picket fence. 

Today, I am sitting on a unspoiled beach on a tiny island in Malaysia, that doesn't even show up on a map. Our arrival was full of hugs and gifts from friends and sweet "welcome home!" messages. Micah and the big boys are off scuba diving and Owen is playing at the bar with his best friend-a twenty something year old Indonesian guy. We drove to the port yesterday, passing monkeys and motorbikes on the way after leaving our rented, modern, (leaking!) house and spending the day teaching epidemiology to medical students. 

Never. If you would have made this life a multiple choice answer, I would have missed the question every time. Never did I think I would end up here. Never did I think my boys would have the travel experiences and "norms" that a part of our day. Never did I think I would meet the people that have taught me so much about the world. Never.
It's amazing. It's better than anything I could have imagined. 

And so, while the planner in me is still there, what has changed is my reaction. I've learned to roll with the punches and look forward to life's surprises. When things don't go according to plan, I have learned to take a deep breath and steer another way. 

It's not always great. It's sometimes lonely and hard. But it's always worth it. Letting go has allowed me so very much. 

The boys love to talk about their futures. Barrett in particular is a lot like me in making plans and goals. My advice for them has evolved through this journey. I tell them not to figure it all out now. Don't get set on anything. See it all. Do it all. Find your passion. Because that's where you'll find God's plan. 

What it's easy to forget is that it's never really our plan to make. We can try to control it, but it's not ours to control. It's ours to live and make the most of. Happiness, for me, is in listening to God. He speaks to me through my emotions, through my opportunities, through the people I love. When I stop fighting and dwelling and relax into following God's path, life is good. 

So what's next for me? Well, today I plan to go paddle boarding and finish a good book while the boys play football on the beach and jump off the jeti. I'm happy with that plan for now. What comes next will be. 

Many are the plans in the mind of a man, but it is the purpose of the Lord that will stand. Proverbs 19:21

Thursday, June 16, 2016

13 things I want you to know at age 13. (Otherwise known as how I make sense of life)

It’s been a crazy week in our home – lots going on at work, deadlines in my master’s program, end of the year busyness for the boys, and world events as they’ve occurred have left me physically and emotionally exhausted. On top of it all, my first baby became a teenager and tomorrow heads off for a week on his school trip to trek, white water raft, and volunteer at an elephant sanctuary in Thailand. Today, feeling a bit overwhelmed and emotional, I’ve been taking some time in the middle of it all to try to process. Time is flying by and especially in weeks like these I sometimes feel like I’m just trying to keep my head above water and don’t take time to enjoy the moment, my kids, my life.

Parenting is hard. There’s no way around that. Parenting a teen will probably get even harder.  Barrett and I swing from extremes of laughing together to wanting to strangle each other…sometimes all within a few minute period. I don’t have it all figured out by any means, but I try my best to instil in him the things that matter. Today as I’ve been thinking, it dawned on me that these worries and struggles are the same things I want to teach him.

So I’ve complied them into a list for him of things I hope he will think about, focus on, add to, question. I can’t wait to see where God leads him in this life.

Barrett: 13 things I want you to know at age 13. (Otherwise known as how I make sense of life)

1. Think for yourself. There will always be persuasive friends and people with loud opinions.  Listen to them, but then educate yourself and make your own decisions. There’s no right way for everybody. Find your path and do what you know is right.
2. God’s plans are not the same as your plans. I think you know this one already. We are really good at making plans only to have them redirected. Be flexible, expect the unexpected, and listen to God. His timing is always best.
3. Trust is earned, but kindness and respect are not. Sometimes in today’s world, those things get confused. We don’t trust someone so they become an adversary. We don’t have to agree with someone or even know them to be respectful and kind. Every person deserves that.
4. Fall down, and get back up. We all fail. We all make mistakes. God’s mercy is new every day. You will be stronger for the obstacles you meet along the way, you just have to be willing to try again.
5. Don’t give up what you want most for what you want now. This is a hard one. Sometimes whether it’s how we spend money or time or friendships, we want something in front of us so much that we forget our real goals. Hang in there. Make sure your decisions are the same ones you’ll make tomorrow.
6. You always have to flush the toilet. Every time. Maybe this shouldn’t be a rule for teenage years, but for some reason it continues to be necessary to say on almost a daily basis.
7.  Laugh at yourself sometimes. You create your own happiness – it’s a choice. Don’t get caught up in seriousness all the time. Have some fun.
8.  Lead with the truth. Even when it’s not good news.
9. You can only be brave when you have something to be brave about. It’s easy to get comfortable but that comfort leads to complacency and closed mindedness. You have to try new things, go new places, meet new people, think new things. It’s scary, but it’s worth it. Just go.
10. Be a gentleman. Hold the door. Be polite. Say please and thank you.  
11. Clean clothes after a shower are a requirement. Clothes that pass the “smell” test don’t count. If you have to smell it or cover it with cologne, it’s time to wash it. While we’re at it, remember the shower itself is also a requirement.
12. There are good people in the world. And they aren’t good based labels like religion or nationality or skin color. Judge people for who they are not their labels. We are all the same and we’ve experienced the love and kindness of so many different people around the world. Spread that same love wherever you go.
13. I love you. Always. No matter what. Bad days, bad grades, mistakes and all. It will never matter. I love you. I am so proud of your huge heart and whoever you will become. Whether it's Norway or Texas or Nicaragua or Paris, we are always your home.

Come to think of it, this list kind of works no matter the age. I continue to be a work in progress and you will as well. Continue to make the effort…despite the chaos, despite the negativity, despite the sadness, despite the changes, despite the anxiety. I am so grateful for the child you are, the man you are becoming, and the person you are making me. Happy birthday.

Wednesday, April 6, 2016


Namaste: My soul honors your soul. I honor the love, light, beauty, truth, and kindness within you because it is also within me. In sharing these things there is no distance and no difference between us. We are the same. We are one.

This is how you say hello and goodbye in Nepali language. With every person you meet, you are saying "I see you as God's child, just like me." I love this so much. I found this to be such a good representation of our Nepal adventure.

The people of Nepal have seen more than their share of hardship. Less than one year ago, the earthquake that hit central Nepal killed more than 8000 people, totally devastating some entire villages. Every person we met had an earthquake story to tell. One told us he was out trekking and had to run to find shelter in a cave. Over the next week as he tried to get back to the city he was without any food. Another told us of the primary school that collapsed. He spent more than a month sending food and water into a crevice to try to feed the children that remained trapped below the rubble. Even now, the damage is obvious. Buildings lay in crumbles, houses have lost walls, some roads are impassable.

Besides the natural disaster they've weathered, even more hardships exist. An electricity shortage in the country leaves most buildings with power for only about 8 hours a day. We became used to sudden power outages and even luxury hotels offered hot water for showers for only specific periods (usually 2 hours/day). An expat from Pakistan we met told us how much more difficult it had been in the winter when no heat was available.

Water itself is an issue. In one town, water flows only once every four days. We visited on a water day and saw women filling huge water jugs to last them for cooking, bathing, and washing.

 A recent petrol crisis has also left a major fuel shortage. Lines for gas were 50+ motorbikes long. Only a ration of fuel is given and when the station runs out for the day, many leave without to try again tomorrow.

Roads are indescribable. There is literally one road east to west in the country which winds through the mountains along a river. The roads are barely one lane wide with huge trucks trying to pass each other into oncoming traffic. Mix in livestock wandering into the road, people riding onto the top luggage racks of buses, gatherers walking carrying huge loads of firewood, and construction that directs you off-road onto dirt and needless to say, we saw multiple wrecks. I am beyond grateful for our driver who safely got us to our destinations.

In the jungle, there are even more concerns that are almost incomprehensible to me. Many small villages exist near the national park where wild animals remain a real problem. 20 tiger attacks occur every year. Just let that sink in. Every year, more than 1 person a month is attacked by a wild tiger. I am speechless. That number is actually a big improvement from the past. We learned that tigers often mistake people gathering wood and vegetables in the jungle for deer or other prey. Crop and livestock fields have towers in the middle where a farmer sleeps at night with a fire underneath to scare away predators.

Despite all these difficulties, the people of Nepal were BY FAR the nicest and most welcoming people I've ever met. They are friendly, loving to share their culture and stories and asking about ours. As male children are quite revered in the culture, I felt like a celebrity at times with people blessing us, hugging Owen especially, and asking to take pictures. I'm pretty sure we are all over Nepali Facebook this week!

The beauty of the country is breathtaking -- how can you not love Everest and the Himalayas-- but it was the people that I absolutely loved. We have such different experiences and perspectives, but we are the same. The more we travel, the more I understand that we are all God's children. The elephant guide, the drum player, the woman carrying water, we are all worthy and deserving of respect. I love that my boys live that. Barrett's life-plan of the week is to live in Nepal leading expeditions. Their horizons are so wide, I can't wait to see where they end up and how they serve God.

 I have a tendency to get caught up in my little world. My problems seem big. I convince myself that my efforts or money or circumstances have earned me something. My selfishness and sense of entitlement shine instead of God's light. How can I be true to my beliefs, to what God has required of me if I don't afford the same mercy and love to others as God has given me?

I have a confession, I am not an adventurous girl. I prefer comfort, safety, a beautiful beach and a fruity drink. But I have three incredibly important boys in my life that want and need more. I want them to become men who see who people are, not what they do or where they
are from. I want them to trust God and turn from fear. I want them to know that we are all the same. Namaste.

"a new command I give you: love one another. As I have loved you, so you must love one another. By this everyone will know that you are my disciples, if you love one another." John 13:34-35

PS I can't highly recommend a visit to Nepal enough. It is safe, friendly, and beautiful. Despite some of the difficulties, Nepal is warmly open for tourists. Putting money into rebuilding their tourist industry is a helping hand to rebuild the country. If you are interested, I am happy to share our hotel and guide recommendations with you.