BC HEALTH
Saved by @Mollyycolllinss

The events of the week have shaken us all. Murray Bowen described 'societal regression.' Anxiety is contagious in any group and a society is one giant interconnected group, so over time, societies become more and more anxious unless the anxiety is displaced.

1/

 Displacement requires calm, non reactive leadership at every level and we have lacked that at a federal level, hence the massive escalation of anxiety on the 'system' of our society.

2/
Bowen predicted that as we regress we would no longer be able to listen to each other, we'd become highly reactive, continuing the vicious cycle of catching each others' anxiety and reactivity.

We are there.

3/
But we are not doomed. Especially knowing we have a God who cares.

But it requires calm, aware leadership at every level.

4/
Systems theory often measures anxiety and action through the lens of responsibility and control.

I frame it through the notion of spaces

1. The space inside me

2. The space between us

3. The space between me and God.

5/
We often get stuck in an anxiety spiral because we put too much energy into the forth space:

4. The space inside them.

Systems Theory reminds us that spending time and energy on that space is not only futile, it is destructive.

6/
But the first 3 spaces? To coin an old Seinfeld reference, 'That's gold, Jerry. Gold.'

What is mine to carry, what is theirs, what is God's?

7/
Ed Friedman reminds us that working on the nature of our own anxiety, noticing recurring patterns and reactivity in ourselves, is what gives the most potential for change.

8/
The world needs leaders who practice calm presence. Leaders who listen to learn rather than listening to defend or fix. Leaders who can stay connected while strongly disagreeing, who can maintain their own values while connecting to people who violate their values.

9/
Fortunately we have Jesus of Nazareth as an example of calm, aware presence in the face of hostility and values violations.

10/
So connection and lowering reactivity starts with hyper awareness of the 3 spaces.

1. The Space inside me.

It may sound silly or weird, but maintaining connection with yourself is essential.

11/
A simple example: I have a set of values for my social media behavior because I don't trust myself in the moment as I read people's posts. I get reactive, then I get self righteous, then I fall into the lie, 'one corrective comment from me will help.'

It never does.

12/
I have already established behavior values, so I don't succumb to reactivity. I can live out of my pre chosen values.

That is a simple ex. of being connected to myself. Clarifying my posture, values, behavior BEFORE I get anxious so they can guide me WHEN I am anxious.

13.
The space between me and God is as key because anxiety and reactivity fill that space and infect my awareness of God.

One of the simplest, but most difficult ways to know you are anxious: you forget that God is with you. It is because anxiety has blocked your view.

14/
'We love because He first loved.' All our action is action reaction to The Actor. But anxiety tells me I must initiate, I must act.

I, I, I.

But God invites me into response.

15/
This is no cop out to sit in life's lazy hot tub while God acts. Some of the finest justice advocates I know are the most connected to God. But their activism is a RE-action to the Active God.

16/
So attending to the space inside me, the space between me and God....

Generally, that helps sort out space #2 at the top of this thread and keeps me from falling into the daily temptation to focus on space 4 which is OFF LIMITS!

Peace of Christ be upon you today.

17/17

More from Steve Cuss

Steve Cuss
Steve Cuss
@stevecusswords
Anxiety resides in 4 spaces:

1. The space inside you
2. The space between you and another
3. The space between others
4. The space inside another.

A powerful de escalation tools is to first locate the anxiety. Where is it?

Often the answer is 'all 4.' Yikes!

1/

Anxiety is contagious, we spread it and escalate it unless we know how to manage it.

This was perhaps my biggest lesson as a trauma chaplain - the very hard work of not catching someone's anxiety.

2/

When I caught it, I was no good to them. I no longer saw what was going on, I was now 'infected' by my own triggers, assumptions, the story I tell myself. I was all wrapped up in myself.

But when I managed my anxiety, I was able to be calm, aware and fully present to them.

3/

Even in the very worst moment of their lives, even if they had me by the shoulders screaming, 'how could God allow this to happen?'

4/

Incidentally, early in chaplaincy, I thought this was an actual question. Because I was anxious, I was more infected by my need to answer than I was to simply be calm and present with them in their pain.

5/
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Steve Cuss
Steve Cuss
@stevecusswords
There are 4 spaces in life, 3 we can do something about. We spend too much time and energy focusing on the one that we cannot and ought not try to manage.

1/

1. Space inside me. What is going on in me? How do I know when I am anxious? We all carry a bubbling collective of pressure, pain, assumptions, inner critic etc that can block our awareness of God and distort reality.

2/

2. Space between people. This can be space between me and you or space between others. Ever walked into a room with people and you felt off? You might be picking up the space between others.

Anxiety is contagious and often the most anxious person has the most power.

3/

3. Space between me and God. It is disturbing how often I forget God With Us.

Chronic anxiety seeps through us like that foam insulation. It finds the nooks and crannies and squeezes out our awareness of God.

But it can be quickly displaced with some tools.

4/

4. The space inside them.

This is the space we spend too much time and energy worrying about. If you've ever thought, 'what were they thinking? Why did they do that, Why wouldn't they _____' you're fixated on the one space you cannot manage.

5/
LIFE
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Steve Cuss
Steve Cuss
@stevecusswords
I've been doing more study on the constant critic(s) that every church leader deals with. Its amazing how a steady group of 2-5 critics can really tax a leader's health and impact them way beyond their numbers. ie, more than 3 feels like 'legion' to a leader.

1/

All vocations face criticism of course.

I wonder if church criticism is unique because:

a) church leaders tend to conflate personal identity and church health more than most.

b) critics falsely think they know about leading a church because they attend a church.

2/

For example, doctors and teachers face criticism. People come into a Doc with diagnosis from Internet etc. But I wonder if attending and serving in a church makes someone more confident that they know when they really don't know.

3/

I've often marveled, and been hurt by how strongly someone has an opinion about something they've had zero training in. They are oblivious to how broad a church is - they think everyone thinks the same.

4/

One reason they think this is because their phantom mob is usually made up of like minded people. A handful of passionate people agreeing, so they say, 'everyone thinks' but actually it is less than 1% of the church.

5/
LIFE
Steve Cuss
Steve Cuss
@stevecusswords
John says 'perfect love casts out fear.'

Perfect love displaces fear. I think fear can displace our awareness and experience of perfect love. It cannot displace God's love, but it sure can displace our awareness of it.

1/

Knowing you're in anxiety's grip is actually not as easy as we think. We tend to bear down and try harder instead of pausing.

One way to notice it: you are no longer aware of God's presence and God's love.

It could be that your anxiety has displaced your awareness.

2/

Warning Signs:

- you start to think it is all on you/all on your shoulders.
- 'if it is to be, it is up to me.' An anxious statement if ever I heard one.
- An impending feeling of doom or hopelessness.
- Rigid thinking, either-or locked in thinking.
- double binding.

3/

Chronic Anxiety has a 'gospel.'

'it is on you, there is not much you can do, you are not ______ enough, YOU are not enough, there are only bad options, try harder, do more of the same.'

Recognizing Chronic Anxiety's message helps you displace it with the actual Gospel.

4/

Even though we have the Gospel, we often don't access it. We spend most of our time living by our false selves, not by the Gospel. I have been doing this work for decades and I still spend more time living for false self, than I do resting in my identity in Christ.

5/
LIFE
Steve Cuss
Steve Cuss
@stevecusswords
The Inner Critic.

Ugh.

Its hard to dislodge the power and influence the IC has over us. Here is a helpful tool:

1. Find at least one other who cares about you and get together.

1/

2. Have your friend write down the messages your IC tells you as you share it.

3. Then ask her/him to write the adjectives of these messages, ex: 'harsh,' 'unrelenting,' 'condemning.' etc.

So now you have the actual messages on one line and descriptors on the other.

2/

4. Now write the descriptors of God's character and God's posture toward you. Patient, loving, kind etc.

5. What if I were at least as ________ to myself as God is.

3/

We tend to get wigged out by talk of Satan and Spiritual Warfare, but the more I work with people on chronic anxiety, the more convinced I am that our self talk, our IC, the story we tell ourselves about how we MUST be and how the world MUST be is keeping us trapped.

4/

Paul says, 'it is for freedom that Christ has set us free' yet so many are bound by our IC and .the story we tell ourselves.

We give it WAY too much authority, too much real estate in our soul. It has a 'gospel' which is always some form of legalism and condemnation

5/
LIFE

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In medicine, reckoning with racism includes reappraising the very syntax we use every day. Proud to add my voice w/ @J_Ikeme and @RWGrantMD in this @JAMAInternMed pub addressing:

Does race/ethnicity belong in the first line of the patient

Some background: I’ve struggled with this question since early in medical school

Medical syntax is designed to communicate information in a predictable sequence with key elements prioritized to facilitate efficient communication and formation of an assessment and plan

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From preclinical lectures to Qbank questions to clerkship rotations, race/ethnicity was often prioritized in the same sentence as age + gender.

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I wondered how my own care would be impacted or not impacted by my ethnicity (Hispanic) – I have light skin so I’m not sure if my doctors would even identify me as such – but how would my care be different if I was presented as a 30-year-old Hispanic male?

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To start with, atheism is an unnatural self-contradicting doctrine.

Medical terminology proves that human beings are naturally pre-disposed to believe in God. Oxford scientists assert that people are "born believers".

https://t.co/kE0Fi588yn
https://t.co/OqyXcGIMJn


It should be known that atheism could never produce an intelligently-functioning society and neither ever will.

Contrastingly, Islam produced several intellectuals & polymaths, was on the forefront of scientific development, boasting 100% literacy


It is also scientifically proven that atheism led to lesser scientific curiosity and scientific frauds, which is also why atheists incline to pseudo-science.

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APL Apollo conducted their earnings con-call today at 2:00 pm

"Vision of capacity of 4 Million Tone till 2025"

@hiddengemsindia @gvkreddi

Here are the key highlights 😀👇

Business Updates:

• Net Working Capital Remains under 10 days which is best in the building material
• Continue expanding rural region.
• Added 15 new distributors.
• Value added products contributed 50-60% of the topline.

Revenue breakup


• EBIDTA Margin Improvement: This was mainly because of cost structarize and better operational

• Working Capital Cycle as per mgmt should remain sustainable

• Blue Ocean: Company owns 100% subsidiary which contributes nothing but own property where corporate office is there

Improvement in Net Selling Realization:
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• While the prices of steel has gone by by around 35%, due to shortage of steel.

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ADHD, a thread (1)
If you have #ADHD & are struggling please know you’re not alone. This week on @Overview, we're talking about living w/ ADHD & Anxiety during the pandemic & many the stigmas & misconceptions that making things worse.

I was diagnosed w/ ADHD when I was 7. And in so many ways it’s been a blessing. I love my energy, the hyper-focus, the calm I feel in chaos, the ability to & feel emotions so intensely. It’s allowed me to to see the world differently be in a constant state of wonder.(2)

But realizing all that has been a long, difficult journey so figured I’d share some of my own struggles as well as the resources from @HowtoADHD because Jessica's channel has been a game-changer for me.(3)

First off, #ADHD Attention Deficit Hyperactivity Disorder is a dumb description. It implies a deficit in attention & always hyper people. ADHD is a spectrum, & what we all have in common isn’t that we can’t pay attention. It’s that we have trouble controlling our attention.(4)

There are amazing analogies out there, like trying to watch 6 TV’s at once when someone else controls the remote. Or like driving a race car on city streets and spinning out whenever you try to turn.
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While #Tulane school of medicine is rightfully being exposed for its contemporary racism towards faculty, staff, students (and patients) due to the racist firing of Dr. Princess Dennar, it’s important to call out the deeply anti-Black history of this school, specifically... 1/

The way #Tulane became a private institution (originally was a public university) at the end of Reconstruction to avoid having to desegregate. The school charter says it was founded for “white men” only... but there’s more (much more) to this story... 2/

cw: medical racism

Tulane’s school of medicine rose to national prominence for its collection of human “specimens” in their anatomy museum “rivaled only by Harvard”. How did it acquire these “specimens” you might ask?

The collection was “curated” by a Dr. Edward Souchon... 3/

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