On Inspiration

Aviva at Sick Momma is hosting the next edition of Patients For a Moment. In her prompt, she asks,

“So what do you do to get yourself out of the doldrums when you fall into a funk? What (or who) inspires you and gives you hope? Where have you found inspiration when you weren’t even looking for it? How do you keep on keeping on when your pain is high and your fatigue is even higher?”

When I try to think of the big picture concepts here, I get a little bogged down. There are so many things I could say, and I end up staring at a blank screen, precious moments of time slipping away. More just write, already and less perseverating, shall we?

Honestly, I’m just not in the right zone to write specifically about illness right now. I’m in a tunnel of baby-deadlines-more deadlines-caffeine and focused on getting through the day, and getting enough done that I can get to sleep. Like it or not, good for me or not, there isn’t a lot of mental space left to think about or process anything related to illness, even when its immediacy and urgency wakes me up at 3am.

So, I thought about the stories and thoughts that have inspired me this week, the things that make me stop and pause as a writer, a professor, a mother, a citizen, and, yes, a patient, too. I’m not in the doldrums of illness, but I am definitely in a place where a few good reminders about perspective, trust, curiosity, and discovery are nourishing.

–Have you read the eulogy for Steve Jobs written by his sister? It’s a rich, personable portrait of a man whose vision is a force in many our lives, and it’s also a beautiful look at love, creativity, and passion. His last words were, “Oh wow. Oh wow. Oh wow.” Pretty powerful.

–As the owner of two rescue dogs with sad pasts, I am always moved by stories of redemption and hope. I cam across this emotional article about abuse, trauma, trust, and resiliency for both a dog and her owner. While the animal’s abuse haunts me, the way both have been able to re-build their lives and trust unconditionally are truly inspirational to me. Living in the moment and letting go of pain, frustration, anger, and doubt are never easy, but this really brings to light what is possible when we do.

–I have always felt pretty fortunate to teach the classes I do (writing in the health sciences). My students have been and are passionate about their future careers as health care providers, are they are intellectually curious and engaged, and as a professor and a patient, they me feel just that much more hopeful about the future. Patients would be lucky to have some of these students as their doctors, nurses, pharmacists, and PTs. Every semester, reading their research papers and seeing the inspired issues they delve into makes me appreciate this more.

–Watching this little girl of mine grow from a baby into a walking-talking-signing-laughing-teasing-bike-riding toddler is, quite simply, amazing. No matter what else is going on in my day, in my body, in the world in general, watching her develop, experience new things, and approach life with an independent, open spirit is the essence of inspiring. Every day is a new opportunity to learn, to grow, and to build on what was already there, and that’s a lesson that helps everyone, I think.

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On Priorities

So I’m now a year into this whole balancing motherhood-working-illness thing. I originally planned to write this post, the first in a two-part series, three weeks ago, and yet here I am. There’s a lesson there for anyone tempted enough to write about balance:

It doesn’t really exist.

Reflecting on the whole baby/book/job/illnesses/family illness/new business scenario—and while my particular brand of hectic may differ from yours, the point is, we’re all managing a lot of moving parts—I think it’s more accurate to say that striving to prioritize is much more useful than striving for balance. Something will always have to give, and the real lesson is learning how to be okay with that.

My daughter, my family unit, come first. Whatever else I have going on immediately fall into place behind her needs and what is best for her and by extension, what is best for our family. That priority is at the heart of the
constant negotiations
that come with a non-traditional full-time work situation (part on campus, part from home). The amount of time I spend with her every day and the flexibility I have to do things with her make up for the challenges involved in squeezing a lot of that work in late at night, early in the morning, and on weekends—without hesitation.

It is worth it, it is indescribably worth it; it is just not easy.

But it’s not supposed to be.

It is easy to prioritize when things operate as we assume they will, when we can plan out our schedule and depend on our productivity. Parenting and chronic illness do not subscribe to predictability.

The really rough patches, the weeks where nothing goes according to plan and illness throws everything out of whack, have been the most illuminating. Times when I am sick and Baby Girl is sick and she needs to go the doctor and I need to go to the doctor and students papers are piling up as quickly as the laundry is and the book revisions are haunting me, when I am worried about her and rocking her and cursing my own stupid infections for making me cough just when her little eyes closed and I startle her awake, are when I have the most clarity:

There will always be papers, and they will eventually get graded. The revisions will get done, just like somehow, some way, the draft got done. The extended family obligations and illness obligations will settle out. The laundry and the dishes and the editing and the phone calls will all get done. The most important thing I can do, that I will ever do, is be there in this moment, physically and mentally. I kiss her damp forehead and whisper in her ear that there is nowhere else I’d rather be.

I have dropped a lot of balls this year. I have missed deadlines (and quite epically, too), I have canceled plans and forgotten tasks. I’ve made promises I haven’t always been able to keep, I’ve disappointed people who have wanted more from me than I physically give. I’ve climbed the stairs at 11pm with coffee in hand, ready to pull a long night in front of the computer, and I’ve put hot coffee in the refrigerator and creamer in the microwave. At points I’ve moved so far from any sort of balance that it is laughable.

But I’ve learned to be okay with that, because I think that my current lack of balance means I am prioritizing as I should. Right now, what matters most (baby and husband, family, students, book, my health) depends on me knowing when to pull back from everything else: when to say no, when to put up boundaries, and when to say all I can do is my best and really believe that is good enough.

A long time ago I saw this quote on Penelope Trunk’s blog: One thing at a time. Most important thing first. Start now. I may have even blogged about that line before. Honestly, I repeat it to myself often, and I find that it’s knowing how to judge what are the most important things and letting go of the white noise that is the key.

While a lot has slipped through the cracks, what I’ve gotten in exchange is incomparable.

(And because I want this writing to be more of a priority again, I am holding myself accountable: next up, the second piece in this series about all the pragmatic stuff that helps keep life in motion. A happy baby who sleeps great, an extremely hands-on husband, and a whole group of people who love this child, support this book, and care about my family? That helps!)

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On Priorities (and balance)

So I’m now a year into this whole balancing motherhood-working-illness thing. I originally planned to write this post, the first in a two-part series, three weeks ago, and yet here I am. There’s a lesson there for anyone tempted enough to write about balance:

It doesn’t really exist.

Reflecting on the whole baby/book/job/illnesses/family illness/new business scenario—and while my particular brand of hectic may differ from yours, the point is, we’re all managing a lot of moving parts—I think it’s more accurate to say that striving to prioritize is much more useful than striving for balance. Something will always have to give, and the real lesson is learning how to be okay with that.

My daughter, my family unit, come first. Whatever else I have going on immediately fall into place behind her needs and what is best for her and by extension, what is best for our family. That priority is at the heart of the
constant negotiations
that come a non-traditional full-time work situation (part on campus, part from home). The amount of time I spend with her every day and the flexibility I have to do things with her make up for the challenges involved in squeezing a lot of that work in late at night, early in the morning, and on weekends—without hesitation.

It is worth it, it is indescribably worth it; it is just not easy. But it’s not supposed to be, and I had no expectation that it would be.

It is easy to prioritize when things operate as we assume they will, when we can plan out our schedule and depend on our productivity. Parenting and illness do not subscribe to predictability. The really rough patches, the weeks where nothing goes according to plan and illness throws everything out of whack, have been the most illuminating. Times I am sick and Baby Girl is sick and she needs to go the doctor and I need to go to the doctor and students papers are piling up as quickly as the laundry is and the book revisions are haunting me, when I am worried about her and rocking her and cursing my own stupid infections for making me cough just when her little eyes closed and I startle her awake, are when I have the most clarity:

There will always be papers, and they will eventually get graded. The revisions will get done, just like somehow, some way, the draft got done. The family obligations and illness obligations will settle out. The laundry and the dishes and the editing and the phone calls will all get done. The most important thing I can do, that I will ever do, is be there in this moment, physically and mentally. I kiss her damp forehead and whisper in her ear that there is nowhere else I’d rather be.

I have dropped a lot of balls this year. I have missed deadlines (and quite epically, too), I have canceled plans and forgotten tasks. I’ve made promises I haven’t always been able to keep, I’ve disappointed people who have wanted more from me than I physically give. I’ve climbed the stairs at 11pm with coffee in hand, ready to pull a long night in front of the computer, and I’ve put hot coffee in the refrigerator and creamer in the microwave. At points I’ve moved so far from any sort of balance that it is laughable.

But I’ve learned to be okay with that, because I think that my current lack of balance means I am prioritizing as I should. Right now, what matters most (baby and husband, family, students, book, and oh yeah, my health) depends on me knowing when to pull back from everything else: when to say no, when to put up boundaries, and when to say all I can do is my best and really believe that is good enough.

A long time ago I saw this quote on Penelope Trunk’s blog: One thing at a time. Most important thing first. Start now.I may have even blogged about that line here before. Honestly, I repeat it to myself often, and I find that it’s knowing how to judge what are the most important things and letting go of the white noise that is the key.

While a lot has slipped through the cracks, what I’ve gotten in exchange is incomparable.

(Because I want this space to be more of a priority again, I am holding myself accountable: next up, the second piece in this series about all the pragmatic stuff that helps keep life in motion. A happy baby who sleeps great, an extremely hands-on husband, and a whole group of people who love this child, support this book, and care about my family? That helps!)

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Baby Talk

I joke that our daughter needs an intervention. Really, the child is obsessed with Baby Signing Time.

Haven’t heard of these DVDs of the oh-so-grating musical score? I hadn’t either, until a few mothers whose blogs I read started raving about them. I know some parents in real life who taught their babies sign language, and I’d read a few articles that talked about its benefits for babies, but I didn’t take really take the plunge with Baby Signing Time until Baby Girl was about 10 months old.

Now, we have a baby who will point at the TV and sign “please,” and if we don’t put it on, she points to the remote as if to say, “Listen, all you need to do turn it on. I’ll take it from here.” Sometimes, I swear she hardly blinks she is so intent on watching. It’s hilarious, but also? It’s a bit much, and from what I’ve read on other blogs, the obsession is fairly universal among the baby set.

To backtrack a bit, we did teach her a couple of the most basic signs at about 6 months—“more,” “all done,” and “cup,” and she caught on pretty quickly. Her sitter knows a ton of signs, and has been great about reinforcing them. But then she started saying a word or two, and then a few more, and our rudimentary signing slipped to the wayside because we were so caught up in hearing her words. And we got a bit lazy about it.

At around 8 months, it really hit me how much of the world she was absorbing, how much babies in general absorb, and just how much was going on in that little mind of hers—she recognized colors, could find hidden toys when asked, etc. Though she was saying a handful of words, I really wanted to find the right way to tap into what else she understood.

“We just need to ask her the right questions,” I said to my pediatrician, marveling at how amazing the experience of watching a little human emerge really is. Perhaps signing was one way for us to do that?

I hesitated at first, not because I wasn’t sure about signing but because I wasn’t wild about the thought of her watching a DVD (yes, we’ve read the American Academy of Pediatrics’ guidelines on infants and television, and we don’t disagree.) But the DVDs are short, and one of us sits and watches and signs along with her, so it’s an interactive thing. (And this explains why I currently have “One shoe, two shoes,” on repeat in my head right now.)

Between what we’ve learned from signing along with her and all the signs her sitter knows and uses, in the past month or so she has really become versatile with her signing. We didn’t realize how much of it translated until she moved past signing things on request. Last week, we said our dogs’ names in passing and she signed “dog.” She will now sign “please” and then indicate what she’s asking for, instead of needing us to ask her to say please after she’s pointed at something. It’s so neat to see her use signs in the appropriate context.

Someone asked me if I was worried signing would stunt her vocabulary development, which is a reasonable question. I’m not, since she says a lot, and since she hears the terms for so many things over and over when she learns the signs for them. In fact, from what I’ve read, signing can enhance vocabulary.

But from a purely day to day perspective, it makes communicating so much easier. She has a way to express the things she can’t yet say, and it’s a blast having meaningful interaction with her where we know she knows what we’re asking. It wasn’t something I set out to do when she was born, but I am happy we stumbled into it. If nothing else, it’s made me really stop and appreciate just how cool it is to witness a baby growing up and learning about his or her world.

Have any of you out there tried signing with your kids? Do you have any insights for those who may have heard about teaching babies to sign but aren’t sure it’s for them?

(And yes, I know this is a chronic illness blog. Stay tuned for some posts of that persuasion soon!)

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On Students, Teachers, and Chronic Illness

My semester started recently. For weeks prior, while I fretted about not finalizing my syllabi and gulped copious amounts of late-night coffee to finish writing my book draft, Erin Breedlove’s post on the five things professors should know about students with disabilities rattled around in my brain. (As did this response to her post from the perspective of a professor who works with students with disabilities.)

Finally, with my new fall routine taking shape, a certain little person’s first birthday under our belts (!), and yes, lots of coffee, I have the mental space to piece together my own thoughts on the topic.

I have a somewhat unique perspective on students, teachers, and chronic illness. As a lifelong patient, my entire career as a student has taken place within the context of chronic and often serious illness. As a full-time faculty member with seven years of college instruction behind me, I’ve seen a lot from the other side of the desk, too. I wrote in detail about navigating college with chronic illness in Life Disrupted but here are some brief thoughts for students:

Communicate with your instructors. It is your choice as to how, when, and if you disclose illness and/or disability to your professors, but what I tell students who do fill me in is that I can only help them as much as I am informed. If I know there is a medical situation, or a hospitalization or other event, I can help formulate a plan that minimizes stress and allows students to focus on the most important thing first: their health. I am happy and willing to oblige, but it is much easier to do that if I am aware of at least the basics, rather than finding out after weeks and weeks of missed classes/work that a medical problem exists.

When I was an undergrad and grad student, I usually had a brief chat at the end of the first class where I succinctly described my situation in the context of how it might impact my attendance—for example, infections worsen quickly so I might end up in the hospital unexpectedly. I usually ended by saying while I hoped there would be no complications that semester if there were, I would communicate them as promptly as possible.

Document as much as you can if you know you will need accommodations. With documentation from disability services, medical/health professionals, etc (whatever the particular institution requires), instructors can do a lot to help students with illness succeed in the classroom. Without them, our hands are somewhat tied.

Be proactive.This has a lot of applications. When planning course loads, consider time of day. Some students struggle with early classes, while others know their fatigue or pain is much worse later in the day and earlier classes make more sense. If your conditions are worse in the winter, see if you can spread out classes over the summer session so the load is a little lighter during known trouble times.

If you can, try to be proactive when you feel a flare coming on, or experience a decline in health status and fall behind in work. Even a simple e-mail can do a lot to decrease the stress that goes along with being overwhelmed when you know you are falling behind. Though a bit of an extreme of an example, when I was in the ICU right before exam period in college, I was able to send some brief e-mails just to let my instructors know I was an inpatient and that I would be in touch to make up all missed work as soon as possible. I never experienced anything other than concern and cooperation from my instructors in situations like this.

Since I’ve had many students with physical and mental health conditions in my classes, I know most instructors do, too. I think the Chronic Illness Initiative at DePaul University (where I’ve had the good fortune to teach a course on chronic illness) is a wonderful because it helps serve as a liaison between students with illness and their instructors, but certainly most of us teach without this type of resource. For those in academia who want to help their students, here are some considerations:

Understand the challenging nature of chronic illness. Many of your students who have disclosed illness will not “look” sick and their conditions may flare and worsen unpredictably. The student who was raising her hand in Monday’s class could be incapacitated by Wednesday. We’re more familiar with visible physical disabilities and there are more clear-cut guidelines and accommodations for physical disabilities—chronic illness is a comparatively grayer space.

Be as flexible as you can while still maintaining the classroom’s integrity. If you know there is a verified medical situation, work with your students to prioritize deadlines and assignments so they can catch up without putting their health in jeopardy to do so. Of course you need to be fair to the rest of the class and need to ensure the student in question completes the work required to pass the course, but helping students focus on the most important assignments and being flexible with deadlines can do a lot to keep students from slipping too far.

Hold your students with illness accountable. This is a tough one, but so important. If you’ve worked out a viable plan to catch up on work that all parties have agreed to, then barring further complications or health crises, the student should come through with the work. I can say this without compunction because I’ve been on the other side, and I’ve made those agreements and taken those extensions and kept my word. Students with illness warrant accommodation and flexibility, but being accountable is a critical life skill for them, too.

And of course, above all, respect for both sides goes a long, long way.

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On Books and Babies, Part 1 (Or, Where I’ve Been)

So, here’s a funny story.

My second book and my first baby were due on the same day.

The short version?

The former came a little bit early (but oh how she hung in there) and the latter was inevitably delayed, but in the end, they both came when they were ready.

The longer version? Stay tuned.

Because I think I might actually be able to resurface now.

Thanks for waiting for me.

(And let’s not mention the major revisions in store, m’kay?)

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Take a Deep Breath

The world is a decidedly less funny now. Yesterday, an incredibly wise, insightful, humorous, and courageous man succumbed to his lifelong struggle with cystic fibrosis. If you’ve read Life Disrupted, then you remember how sage Brian’s thoughts on life, love, and chronic illness were.

It was a privilege to know Brian and to share a part of his story. The past couple of years were particularly tough for him in terms of disease progression, and he made the decision to join the lung transplant list recently in light of that. In fact, he was called in for a possible lung match when things took a turn with an overwhelming infection. I cannot imagine the emotional roller coaster and devastation of that scenario, especially for the many, many people who loved Brian and supported him every step of the way and were hopeful for new lungs.

Today is a gorgeous sunny day, with low humidity and plenty of blue sky. It is the perfect day for all of us, especially those of us with respiratory problems, to take a deep breath. To inhale and exhale, and appreciate the simple gift that motion is.

It should never be as hard as it is for some.

I can’t think of a better time or a better reason to remind you about the life-saving gift that is organ donation, not just for people with cystic fibrosis or PCD, but for patients of all ages and diagnoses who are waiting—waiting for a cure, or waiting for a chance to extend their lives…simply waiting.

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Our Children, Our Stories

So, apparently July happened.

Seriously, how it is that July happened?

But it did, and here we are. And yes, I am still here, despite my unplanned hiatus. And no, there is no major calamity or crisis to report, just life being life and being all kinds of busy and stressful and wonderful and challenging.

At some point in the past couple weeks I read this essay on parenting and writing in the New York Times and between the footnotes, interviews, and word counts and the music classes, swim diapers, and clapping and waving, it stuck.

While a lot of the essay was about the author not wanting her son to hear a reading of her memoir detailing a more colorful time in her life, the part of the essay that resonated with me was the author’s acknowledgment that the people in our lives didn’t necessarily sign up for living with a writer or having their stories out there. That’s something I think about a lot as a nonfiction writer and as a blogger. In fact, I think the more I write, the more tightly I hold their stories against my chest. It is not an easy line to walk—providing enough detail and humanity so the reader is invested without betraying someone else’s privacy.

Naturally I am most cautious when it comes to my daughter. There are so many anecdotes and revelations I think about writing and then wonder if sometime down the road, she will be embarrassed or wish I had refrained, if the line between my story as her mother and her story as her own independent person should be thicker, not more diaphanous. So I write her letters each month and save them in a folder on my desktop, knowing someday I will print them and give them to her and hope I choose my timing well so she doesn’t cringe at the mushiness.

But there are moments that feel appropriate, tiny glimpses of a private life that are meant for public consumption. I can’t believe it has been four months since I wrote a morning snapshot of my sweet girl. I am not one to get too sentimental when one stage ends and another begins because each stage is so much fun and so amazing in its own right, but just like I can’t explain how I blinked and a whole month of the summer has gone by, I don’t know quite how it is that our house doesn’t look as much like a baby lives here anymore.

The bouncy chair she just adored has been stashed away since we were still wearing winter coats. The jumperoo she loved is down the basement because why jump when you can crawl or take teetering, tottering, sideways steps, or swing from one piece of furniture to another? I fear the beloved exersaucer, the scene of so many squeals and pulls and bops! is the next casualty, since the only thing she has used it for since May is something to pull up on and cruise around.

I finally got around to returning the hospital-grade pump, and broke down and cleared out all of the bottles, despite the fact she has used her sippy cup for months. My own little act of denial, I guess. The bottles and the boppy nursing pillow were what gave me pause, and really made me stop and get a little sentimental that she is now 10 months old since they represent such a physical connection to her babyhood. Just tonight as I was weeding through some of her newborn clothes to give to a new baby, a tiny purple Mary Jane sock tumbled out and my breath caught a little at how tiny she once was. (Though so far she has her Mama’s height and can still rock the 6-month clothes…)

It is too good to go this fast.

The baby gates and the sharing entrees with me and the fact that it took twice as long to get through chest PT because she was chasing down the dog, standing next to my therapist trying to pat me, and crawling on my head—all of this points to toddlerhood.

Every stage has been wonderful but even if I could, I would not go back—watching this little person emerge with every wave, every smile, every emphatic shake of her head and every triumphant declaration of “Up!” when she gets up is too good.

(Too good to go this fast.)

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On Anniversaries; or, What is Necessary

Last spring and summer, before things got more complicated, every time I walked by the baby’s room I would stop and enter. I’d walk in and touch something—the side of the crib, a stack of bibs that had been washed and folded, the small pink bunny we bought at the hospital gift shop the day we found out she was a girl. The room gets a ton of sunlight all afternoon, and that’s always how it seemed to me—quiet, peaceful, and full of streaming light.

While an amazing, incredible journey, pregnancy wasn’t always comfortable for me, and I am not talking about all the physical stuff of a high-risk pregnancy. I was awkward in maternity clothing stores, awkward about letting people know I was pregnant (if waiting 16 weeks to tell people beyond the inner sanctum is any indication), awkward even saying the words “I am pregnant.”

It wasn’t because I was waiting for something bad to happen, for that other shoe to drop, or anything like that. It was more that it was hard to believe it was really happening, and if I said it out loud, if it became so very real, I would wake up from the dream. So it was a learning curve, letting go of this safely guarded secret, meshing the real world and all the risks and variables with the dream world.

But her room was different. I know many people, those who have been through infertility and loss and those who haven’t, who wait on decorating and setting up just in case, and I totally get it. I was convinced I’d be that person, too. Instead, there was something comforting about getting it ready early, about the trappings of a baby having a place in our home. (Plus, I had a feeling the third trimester would be…challenging, so I wanted to be prepared).

Her room was my compass, my private act of rebellion and hope. Every time I went in there I smiled, every time I rocked in her glider I felt peace. I needed it to remind me everything would be okay, and to remind me it was not just okay to have hope, it was intrinsic to this whole experience.

Now, I walk into her room and there is a peaceful, sleeping baby or a smiling, wriggling baby read to play. The sunlight streams in just like it did last year and I catch my breath as the two worlds collide, the world of waiting and the world of living, and I exhale.

All of this is on my mind a lot as we near the anniversary of the call that changed so much. Of course I know from firsthand experience that such calls do not just happen at 3am; they happen as you are making dinner quite often, they happen as you’re doing errands, they happen as you are about to have lunch, like this one did. We’ve had lots of calls, but this one I remember in visceral detail.

It was this time last year I learned that it is possible to have your heart literally feel like it will stop beating from fear at the same time it wants to explode into a million pieces with happiness. That grief and sadness and joy and gratitude can co-exist—not easily or gracefully, but they can, and we need them to. Becoming a mother will be forever linked with being my mother’s daughter, and there is a lot to be said for that.

Sometimes, it is hard to believe how much has happened in one year, how much life has changed from last summer to this. It is not just good to be hopeful, but it is a necessary part of being.

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On Writing

It occurs to me that I haven’t written about writing in awhile.

Partly, this is because the whole writing-about-writing thing can be a bit too meta unless you’re sitting in a graduate writing workshop surrounded by people who do nothing but write, too.

But mostly, it’s because for awhile now I have been too busy with the writing I do for a living to do much else (except mothering, which comes first, of course). Case in point: it is almost 10 pm on a Friday night and I’m taking a quick break from The Book but expect another hour or two of work before it’s a night. It’s glamorous, the writing life, no?

(And with Le Plague circa May 2011 forging a vengeful comeback, it’s even more glamorous. But I digress…)

It’s been awhile since I’ve been wrapped up this intensely in one project, since I’ve had this much focus. It’s much harder fought than the last time around, or when I was in graduate school, when I wasn’t a full-time lecturer or mother to an infant, so each moment I do carve out for writing is that much more precious.

It’s been good for me to step beyond the role of writing instructor and really dig into the writing process myself in such an all-encompassing way. I’ve re-learned some important things:

1. Know when to walk away: Last summer, when I tried to get as much done as I could before my health imploded and my baby arrived, I was stuck in the “I must write X amount of words per day” rut. This might be good for discipline, but it’s terrible for creativity and for development of ideas. Sometimes, I am really “on” and I can write several thousand words in one chunk of time. Other days, it’s hard going to get more than a few paragraphs. When that happens, when I am forcing each sentence and not saying what I want to say, the best thing to do is step away—sometimes for an early lunch, sometimes for a short walk, sometimes for a few hours. See, ideas need to marinate a little bit, and I need time to figure out what I want to say about what I’ve just written. Usually, it’s when I am walking with the baby or driving the car or making dinner that I solve the problem or make the connection I couldn’t do earlier.

2. Remember the audience: For real, I teach a whole class on writing for different audiences (in the health sciences) and talk about audience so much during the semester I tire of hearing the word. But with a project as big as the one I am working on now, I need to drill that into my brain as much as my students need to hear it. Nowhere is audience more important than in terms of scope—I am doing a ton of research and I always need to stop and ask myself how much context and background I can reasonably expect my audience to have; in class, we call this audience analysis. This dictates how much detail and backstory I fill in, and it is a constant negotiation, probably one of the most difficult parts of writing for me. I have so much information, now how can I organize it? Figuring out what my readers need to know is a huge step.

3. Tell a good story: From novels and short stories to memoirs and serious nonfiction projects, each genre of writing needs to meet this very basic but oh-so-important criterion. The writer needs to engage the readers, to entertain them and make them want to keep reading. This does not change if the subject matter is serious and the research is intense—every writer still needs to make it a good story. I know when I am getting glassy-eyed with what I am writing that it is time to switch gears (or walk away). You can be informative and still be interesting. It is not always an easy thing to balance, but if you’re genuinely interested in the subject matter, that will come through. I always tell my students to think carefully before committing to a research topic—if after a few weeks, they are bored with it and bored with writing it, I will be able to tell that from reading it.

This is an incomplete list, for sure, but it’s a start. Writers and bloggers out there, what can you add?

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