Thursday, October 31, 2013

What Makes Up Your Lentil Stew? [תולדות / Genesis 25:19-28:9]



B”H

This week, we recount the story of the birth of Esau and Jacob and a bit of their childhood in Parshat Toldot. The main tale narrates how Isaac, stricken with blindness and near his death, wishes to pass his blessing onto Esau, his eldest and preferred son. Rebecca, who loves Jacob more than Esau, dresses Jacob in wooly clothing to “feel” like his hairier older brother. Consequently, Esau blesses the “wrong child.” Throughout my life, I’ve heard amazing commentary about this story. Was it morally just to steal Esau’s blessing? Should parents play favorites with their kids? How does a just and merciful G-D choose a child who will prevail over another one?

For this week, my focus shifted to the somewhat minor story in the portion: Esau is hungry after a long hunt, and Esau, in agonizing hunger, asks Jacob for some of his red pottage (typically considered to be akin to a lentil stew). Jacob agrees, but only if Esau, the first-born male, would surrender his birthright to him. Esau, recognizing his hunger would probably be lethal, agrees and trades his inheritance for stew.

The saying goes that “hindsight is always 20/20.” Esau got swindled. Tricked. Bamboozled. By his own brother nonetheless! It’s a double-edged sword in one’s interpretation of the actions of these brothers…it’s not so clear cut good versus evil as seen with Cain and Abel. A twenty-first century reading might applaud Jacob for his shrewdness in business negotiations and his determination to achieve great success despite the deeply-rooted social construct of the time: preference of the eldest male child. Others would question Jacob’s morality in abusing his brother’s terrible situation for personal gain. Others still turn away from the imperfection of man and turn directly to a supposedly just G-D and ask how G-D “favored” the child with cunning (or trickery, depending on your interpretation).

And I think all of these views have great merit. My curiosity is the analysis of Esau’s weakness (here, it is his hunger) and his actions in a time of weakness, and what our society can learn from Esau’s judgment call.

Firstly, I say this statement somewhat cheekily, but eating is important. In order to function at our best, our human needs (eating, sleeping, basic hygiene) must be met. So, Esau first and foremost reminds us that we have corporeal demands, and ignoring them will result in failure. In my perfect hindsight, I can see that I can and have learned from Esau in this regard. After a mini panic-attack of sorts and reevaluation of my schedule with the student services center, I realized that part of my abnormal performance in my studies is my sacrifice of a good diet and sleep. This week, I have enjoyed the luxury of BETTER food and sleep, and my studies have greatly improved (and I feel so much happier).

More in line with a larger message of Esau’s judgment is the recognition of succumbing to weakness. For Esau, his path to failure came in the form of lentil stew (nazeed adashim). Perhaps lentils aren’t your thing. But throughout our life’s journey, despite our best intentions, we stumble across potential avenues to failure. A catalyst or event in our lives allows us to continue down this path. It might be because it’s easier to follow this road…or perhaps we don’t recognize our shortcomings. Perhaps some of these situations are familiar?

Food: a moment of chocolate-chip induced weakness and that tray of cookies magically disappears…after all, it’s always “just one cookie,” right?

Romance: keeping a former lover’s number praying that he or she MIGHT call you back…after all, if s/he called me back, I’d say yes, and I don’t want to pass up that opportunity, right?

Self-Confidence: promotion of a façade to save face with your social circle…after all, will anyone appreciate (or even understand) my weird and quirky traits, right?

Self-Preservation: agreeing with the majority because you feel that your needs are not worth it…after all, if the majority wants something, I must not understand something vital, right?

Family or Friend Relationships: not communicating with someone dear because of an argument…after all, talking with him/her isn’t going to solve anything, right?

Education/Work: neglecting social interactions so to achieve high(er) success in school or a promotion/raise at work…after all, if they’re my friends, they’d understand my dedication, right?

Wrong.

If you identified with any of these examples (by the way, I include myself in several of these), we have unwillingly USED our situation to sacrifice what’s MORE important: realizing the necessity of good health, appreciation of one’s independence, embracing the diversity of people, coming to terms with differing opinions in understanding others, addressing conflict directly and openly, and maintenance of one’s social circles. Fear consumed our judgment.

To further our success, we must contemplate what in life is our lentil soup…those things that we abuse or misuse at the sacrifice of our overall goals. Esau would probably not have surrendered his birthright if given a second chance, and we should not allow our lentil stew, whatever and however many stews we have, to take us away from success. It all starts with recognition.

In the biomedical and healthcare circles, the act of seeking out potential issues in medicine and designing ways to avoid their effects on our health is termed prevention. Preventative medicine is becoming more and more recognized as instrumental to the future of healthcare. I am a huge fan of continued investment in the amazing research efforts to advance the frontiers of medicine, don’t get me wrong, but if we can prevent disease from starting, we have not just stabilized the health of an individual, but in the long term, we have indeed won the battle against disease. Whether it’s encouraging an individual with familial hypertension who presents with high blood pressure to eat a low sodium diet, or fetal or neonatal testing for serious but curable / treatable / manageable genetic disorders, preventative medicine promotes better health for the individual, and, in concert with public health efforts, entire populations and countries! Had Esau properly eaten before his hunt, he would not have been hungry and in a state of poor judgment, and as medical personnel, we must continue to educate our patients about their risk factors, the impacts of their (good and bad) lifestyle choices, and how to decrease their chances of succumbing to disease. As Benjamin Franklin said, “An ounce of prevention is worth a pound of cure.”

Saturday, October 26, 2013

Who Run the World? Girls. [חיי שרה / Genesis 23:1–25:18]



B”H

I must start with an apology. I had way too many thoughts for this week that I just couldn’t make Friday’s deadline. That said, I am happy with this week’s reflections of Torah.

“The Life of Sarah” (Chayei Sarah / חיי שרה) is the literal translation of the title of this week’s parshah. On the surface, it seems to be a misnomer as Sarah dies in the first section of the parshah, and then Abraham is off to find a wife for Isaac. If anything, Sarah is the least mentioned character in this week’s section of Torah. Abraham, Eliezer, Isaac, Rebecca, and Keturah all seem to have more important roles than Sarah this week. It’s really about the lives of everyone else BUT Sarah.

So, why this title? 
 -- Because the life of Sarah DOES continue. 

Sarah’s essence, faith, and actions carry through in her various roles and actions: she was a mother to Isaac who raised him, cared for him, and nurtured him. She was a husband to Abraham and loved him. She was a woman of strength and courage in her own right (more on this in a bit). Thus, perhaps Chayei Sarah is a fitting title, as the continuation of life after her death should remind us that one does not completely die in death. The memories of the people that touch our lives burn eternally in the lives of the people they impact. It is Abraham, Eliezer, Isaac, Rebecca, and (yes, even Keturah—Abraham’s new wife) who remember Sarah. In a way, Sarah only physically dies in this parshah, but as the title clearly states, she still “lives” through the memory of her friends, family, and today in the text of the Torah. May we all be so blessed to impact others in ways in which after death, we will be fondly remembered.

While perhaps not explicated in the words of the Torah She is perhaps, in fact, the first powerful female character in the Bible without true subservience to a man…who stood up for herself and her feelings…a true woman of valor (Eishet Chayil/אשת חיל). In fact, a hymn Jews recite, Eishet Chayil, has been traditionally linked in scholarly texts as Abraham’s eulogy to Sarah in praise of a woman who is full of vigor, righteousness in character, and capable in her own right. To my Jewish brethren, may we be reminded of the blessing that we have descended from such a powerful and amazing woman of valor. 

But, I think Sarah serves a more universal character of the strong female presence that is a part of every person’s life—not just for Jews. Perhaps it’s a mother, aunt, grandmother, girlfriend (romantic or platonic), a female co-worker, or a female role model … some woman (probably several) in your personal life have made an everlasting impact on the way you conduct yourself and treat others. These women in our lives remind that women have the unbreakable right to stand up and be heard and that women deserve the same treatment as men. They disprove sex-attributed stereotypes, defy antiquated social mores of established standards of femininity, and should serve as reminders par excellence of the need to continue to fight for continued equality between sexes. (I am reminded every Thursday Zumba dance session (thank you Beyoncé) that girls indeed run the world; between their independent achievements, their impacts on others, and personally assessing who has impacted my world, I must agree with perhaps one of the strongest women in current popular culture).

To all of my readers, may you find happiness and joy in the women of valor in your life. If you still have the distinct honor of having these women still alive in your life, consider calling them or writing to them and thanking them for making you so special. These women are among the greatest gifts we have been given in our life.

Friday, October 18, 2013

Got a Plan for Success? [וירא /Genesis 18:1-22:24]

B”H

This week, we read Parshat Vayeira (וירא) … basically, a huge amalgamation of tests bestowed unto Abraham. After all of Abraham’s good deeds in the previous parshah, you’d think G-D would have trusted this guy by now. But noooooo….

Begin rant:

After having his entire family put in danger in some way or another in the previous week’s reading, now Abraham has to help out three random people who show up at his dwelling, act as a defense attorney for the city of Sodom which has been destined for ruin (hello, G-D, what happened to not obliterating things because of imperfection...so much for Your apology in the story of Noah), fear for his life because Sarah is taken to King Abimelech’s palace, and…oh yeah…is told directly from G-D to kill the son for whom he and Sarah prayed so desperately despite Sarah’s inability to conceive.

And this man—Abraham—just does it all without any hesitation.

Um…WHAT?!?!?!?! HOW?!?!?!?! How does a man have such unrestrained trust and faith to do all of this (ESPECIALLY TO POTENTIALLY KILL HIS OWN FLESH AND BLOOD?)

EDIT: (I forgot to warn my readers that the Binding of Isaac in this section is worthy of its own blogpost in terms of my struggle to understand this story religiously, spiritually, morally, and philosophically…back to this week’s post).

What impresses me is Abraham’s determination to be a servant to G-D. And I think that this fact needs a bit of teasing out to fully understand why his actions are admirable, even in today’s society.

We all have goals, and we all seek to obtain them—educational, recreational, career, life…our personal worlds are based upon the dreams we have for our life. The previous parshah encouraged us to find our way down a path of our choosing (and perhaps stumble and question ourselves along the way). But how much we really invest in our goals determines our level of success.

For Abraham, following the word of G-D was his modus operandi to seek favor in G-D. He had a goal, found a way to achieve it, and succeeded.

Now, take a second to think about your goals. What are they? Can you concretely say them or are they kinda vague? Do you have a plan to achieve them? If so, have you started or are you procrastinating? Are your efforts towards achieving those goals effective and/or meaningful? Are your goals…really yours? Are they really what you want to see in your life?

Heavy questions, I know. As I hold few secrets about myself (behind the computer screen or in person), I must say I was faced with these questions this week. After countless hours of studying my brains out for anatomy, the results of my exams were not-so-stellar. I was hurt, confused, angry, frustrated, disappointed, self-loathing, introverted, and scared. Why did I even seek to enter medicine in the first place if I cannot remember the basics of innervations, muscle movements, and other things in my anatomy course? Did I choose the right school? Am I cut out for medicine? Did I choose my life’s ambitions incorrectly?

The answer is that I chose my life correctly…but, I need to dedicate myself MORE to my career if this occupation is something I truly wish to enter. Quantity of hours does not translate into quality (a lesson well learned these past few weeks). All I've been doing is spinning my wheels...the drive and motivation to seek is definitely present, but I'm getting nowhere fast. My next step is to figure out how to make the hours that I have work for me most effectively…and make a concrete scheduling to which  I will stick. And reaching out to the amazing community at my medical school…I am truly fortunate to be in a class of such amazing people ready to help out one another.

Abraham serves as an ideal for attaining goals that perhaps no human will ever achieve. Through detailed goalsetting, scheduling, and seeking help from others, I know that I’ll pass anatomy, succeed in all my coursework, and find my way through the craziness of medical school. Parshat Vayeira has given me the courage to combat next week’s material with determination…and a plan this time. 

Friday, October 11, 2013

Where Shall I Go? [לך־לך/Genesis 12:1–17:27]



B”H 

This week’s Torah portion is Lekh L’kha (לך־לך), in which G-D instruct Abram to leave his familial dwelling to a new land. He travels with his wife Sarai and his nephew Lot, endures a terrible famine, and has to rescue Lot. Meanwhile, the barren Sarai is jealous of Hagar, Abram’s handmaid, in her conception of Abram’s seed. Hagar is mistreated by an enraged Sarai and flees temporarily. Oh, and Abram casually circumcises himself and the males of his family.  

Relevant themes in this parshah are numerous: mistreatment of women, jealously, familial strife, subservience to G-D…but I will try to focus my wandering mind on one goal. Indeed, the need to focus is the “focus” of this week’s dvar: veering astray.

Abram and Sarai must lie to save themselves. Lot leaves Abram and needs rescuing. Sarai, in an (understandable) fit of rage, curses Hagar. Like these characters, we too find ourselves off the straight and narrow path. However, in the end, the pharaoh spares Abram and Sarai, Lot is rescued, and Hagar is blessed with Ishmael, the progenitor of a great people.

Certainly, this week’s cramming for my anatomy practical (and subsequent anatomy didactic…oy vey) made me realize that I did not provide enough attention to my studies throughout the weeks and suffered the wrath of poor study habits. (With some luck, I hope I passed, and thank G-D it’s a pass/fail course). I veered away from ideal habits, and I failed.

But, I veered in other ways too. In the efforts to rectify the situation, I ate poorly, forwent exercise, forgot about sleep schedules, and sacrificed going to services for Friday night Shabbat. In a bit of depression in the ineffective nature of my studying, I found myself questioning why I am in medical school, why I’m even trying to succeed, why G-D is not listening to my cries for help, and even my faith at one particularly low point in the week. This last one really hurt deep and is extremely hard to admit…I’ve never experienced a religious crisis in which I questioned everything I’ve ever known before this week. For my friends of any religion, spirituality or faith who have yet to question their belief, it is perhaps the scariest thing I’ve ever experienced in my life.

What I realize is that veering is not just OK, but commanded…even a veering from faith.

I look to the title of this week’s parshah, a command from G-D to “go forth (לך־לך).” Abram had NO idea where he was destined to go but still went. He went through the motions expected and followed G-D’s orders. Indeed, Abram is the only character without flaw this week (with the argument of Abram’s perhaps not-so-kosher treatment of women openly recognized…however, I view this action as a then-socially-accepted actions, current moral convictions aside; it was common for males to have multiple partners and sleep with servants). It is through Abram (now Abharam as renamed by G-D) that the Jewish people trace their lineage as a reward for one man’s dedication to the straight and narrow path.

The futures of Lot, Sarai (now Sarah as renamed by G-D), and Hagar are all preserved despite their wrongdoings. It stands to reason, then, that it is human nature to wander away, to succumb to our emotions in pursuit of a dead end path. G-D has allowed for this, and even COMMANDS it, as seen (as previously mentioned) in the title of this week’s parshah. I have learned my lessons about how to study anatomy, but more importantly, the importance of good diet/exercise regimens, and especially (for me) the need for the continuance of faith despite hard times and my emotional exertion.

We should strive to the ideal of Abraham, who rescued Lot in his time of misery, who literally begged G-D to bless Sarah with the gift of conception, and who blessed Ishmael (Hagar’s son) despite the obvious tension between Sarah and Hagar. I was blessed this week by innumerable friends who perhaps really had no idea was what really going on inside my head beyond woes of anatomy, but who sought to remind me that my struggles are valid, real, and expected of medical students. These people were my Abrahams this week: my rescuers, my helpers, and my prayers. Through their help and the words of this parshah, I have found myself slowly but surely re-centering myself in a happier state. I know now what I must do to succeed in anatomy (i.e.: don’t put it off until last minute), medicine is the ONLY field I wish to pursue, and someday, I will be an excellent healthcare provider—so long as I continue to maintain my studies, my health, and, importantly, my relationships with friends and G-D.

We all stumble. We all fail. We all veer away from the path we strive to choose to follow in this life. But, our relationships with one another allow us to refocus, re-evaluate, adjust our lives to continue steadily down our own paths, and succeed. May each of us veer from the path from time-to-time to question ourselves and everything we love, so to eventually continue down the path with increased vigor and determination.

In the wise words of Randy Pausch in his famous Last Lecture:

“The brick walls are there for a reason. The brick walls are not there to keep us out. The brick walls are there to give us a chance to show how badly we want something. Because the brick walls are there to stop the people who don’t want it badly enough. They’re there to stop the other people.”