12 Myths About Suicide

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Dear Blog,

I know I have been neglectful of you, and even somewhat insensitive of your needs, but I have a great reason, I promise you will be so proud of me! I am nearly done with my second book, and my days and nights have been consumed with trying to put the final touches with editing and such, you know how it is…:)

Today, I would like to share a piece of the book with you!

So, first off, the book is called A Teen’s Life. It looks at the lives of 10 different teenagers from across the globe. They are sharing their stories and struggles with me in a Dear Dr. Lulu format. I respond to their letters as best I can, and then I discuss their situations. It is statistics-heavy, it is sad and deep, but it is real. The stories are all real, but fictitious at the same time. It is essentially about youth suicide in a sense, but it is also about life, teen life. I am hoping that it serves as an eye-opener to the struggles of these youth, and hoping its readers (teens, parents, caregivers, the government, everyone) will come away with a better sense of understanding of the plight of teens and some simple but not necessarily easy solutions to tackle them.

Here is an excerpt from it. This is the portion that deals with myths about suicide. I am really proud of this…enjoy!

Before we embark on what we can all do to prevent suicide in our teens and youth, I think it is only proper to discuss some of the myths about suicide that are floating around. Debunking them will help increase awareness of their falsehood and help fill in some critical knowledge gaps.

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  • Suicide is not a real problem; As we all know, suicide is a real problem in our world today, it is now the second leading cause of death in our youth.
  • Asking or talking to your teen about suicide causes suicidal behavior; Talking about suicide not only increases awareness and puts an end to the shame and stigma, but it also helps teens explore other options and keeps open communication lines.
  • The person/family needs more prayers and more Jesus; while having a sense of belonging to a community or spiritual group is always encouraged and actually protective of suicide it does not in of itself prevent suicide. However many suicidal persons have been known to say that when they reached out for help, they were told they were being dramatic and selfish and needed to pray more.
  • Religious persons do not die by suicide; just this past summer we heard about the young American pastor who was active in the mental health arena, who actually lost his life to suicide, there have been many others including a Nigerian pastor as well.
  • Denial: It does not happen to our ethnicity or family (Blacks, Asians); this thought process as we know is erroneous, and Black kids were recently documented as attempting and dying by suicide at a higher rate than other races.
  • Only a professional can identify a child at risk for suicide; one of the reasons for this book and my work in the suicide arena is to increase awareness by educating everyone about the signs so we are all more empowered.
  • Once someone is suicidal, they will always be suicidal; for the most part, suicidal thoughts and behavior are situational and temporary. Most suicidal persons need to know that their feelings can and do pass once they are equipped with the right tools to deal with their thoughts, and have the necessary support they need.
  • Only people with mental illness are suicidal; When I was going through my suicidal stage, I had never been diagnosed with mental illness, I did, however, experience a lot of life challenges which shook my core and caused me to consider myself a failure and not worthy of life. During the financial crisis of 2008, there was a sharp rise in suicides as a result of the enormous financial losses these people had experienced.
  • Most suicides happen suddenly and without warning; we know that 4 out of 5 teens who attempt suicide leave a sign. The decision to suicide is hardly ever a one-off thing, it is usually a culmination of events over time leading to “overwhelmedness”, an inability to cope, and a perceived or real lack of support.
  • Someone who is suicidal wants to die; in all honesty, most suicidal people do not want to die. They simply want their pain, suffering and despair to end. They often feel like they have exhausted all their options and they also have the means to end their lives at that moment.
  • Someone who is threatening suicide is not going to carry it out; I like to say “do not underestimate the power of determination”. We can never be too sure that someone will not carry out their threat. We must, therefore, take every suicide threat seriously. Part of the reason suicide is on the rise is because these people don’t feel they have any support, they feel all alone.
  • People who die by suicide are selfish and taking the easy way out; because these people have been suffering for a while, majority of them actually feel like suicide not only puts an end to their suffering, it also frees them from being a burden. Many suicide attempt survivors say they feel their lives are a burden to those around them.

All in all, suicide is a complex issue, but suicide prevention must be front and center in everyone’s minds in today’s world. To find out more, you will have to wait a couple more weeks for the actual book!

TTYS

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Dear Doctor, Do U DPC?

Dear Doctor,

I am sitting in my home office on a sunny Thursday afternoon, as I write this letter to you.

In the past year since I quit my full-time job as a pediatrician to start speaking on child, teen and young adult depression and suicide, (read about it here and here). I have discovered a different side of me. The side that loves to write, and speak. The side that is an activist for a cause. The side that was lying dormant until the passion to actively save the lives of children and teens through creating awareness was ignited when my then 7-year-old patient attempted to hang himself in May of 2018.

I have always known that medicine, pediatrics, in particular, is my life, and public speaking is second nature, so it was sort of a natural progression for me. I have never had any trouble speaking in public to air my opinion, so when this opportunity to practice medicine in the most preventative way picked me, I had no hesitation to say, a resounding…yes! As the good book says, “many are called, but only a few are chosen”.

Though I don’t know when it will get published, I couldn’t think of a better day to write this letter than today, the 12th day of September, two days after September 10, which is recognized as World Suicide Prevention Day. This week marks National Suicide Prevention Week 9/8 to 9/14. A week which eerily includes September 11, a day suicide bombers set our country on a never to be forgotten path, a day that will forever go down in infamy, in the month of September, suicide awareness and prevention month.

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This letter is, however, not about suicide days and suicide bombers. It is about a path that has led me, a Nigerian-born mother of three, a board-certified pediatrician, to become a speaker, bestselling author, and activist on youth suicide. It is about how finding a new way to practice medicine is allowing me further my cause. Every time I tell people what I speak about, it never fails, they look up, and suddenly get interested, no matter what they were doing before I started speaking. Some look at me with concern, some look at me with disbelief, and yet some look at me with sorrow, especially when I tell them my story, my why, which you can read here. Usually, by the time I am done, a majority of my audience wants to know where they can find me, where I practice.

For the past year, my response to that line of questioning has been a combination of the following…” nowhere in particular”, “I don’t have a practice”, or “I quit medicine to speak publicly”. To which even more eyes look at me with a mix of wonder, pride, gratitude and amazement… and then after a brief thought, pretty much everyone says a combination of “that’s such an important topic” or “that’s so needed” or “wow, thank you for the work you are doing”, etc.

As I have continued to speak locally, around the country and internationally, and as the questions have continued to come in, I have had to finally admit to myself that I have missed practicing medicine. I have missed clinical practice, but most of all, I have missed having physical contact with my patients. Those who know me, know my patients are my “anti-kryptonite” (if that is a word). That been said, I have known in my heart that I did not want to go back to traditional medicine (what I call “assembly line” medicine). The kind that is run by CEOs with little or no knowledge of what it’s like to have boots on the ground. The kind that has enslaved us doctors and caused burnout to now become a household phrase. The kind that puts profit and the bottom line before patients and providers. The kind that you, me, we, did not sign up for. The kind we did not dream about in our days in medical school. The kind that has unfortunately driven too many of us (400 per year at last check) to early deaths through suicide. 

I knew that kind of medical practice was definitely no longer for me. So, I tried out Locums, but with my son still being in grade school, I am unable to travel out of town as much as most locum gigs would require, plus, I am only licensed in Texas so that limits me as well. I know the hospitalist route is not for me. So, while I was still pondering my next move, I happened upon a facebook group called DPC Docs. A two-thousand strong community of doctors practicing medicine on their own terms. I had actually heard of DPC about 2 years ago. Direct Primary Care. Three words that are turning out to be life-changing for those of us who care to look closer, look further and farther, think outside the box, and dare to be bold enough to say “enough already” to the big bosses and take back our lives.img_2524

I happily jumped in with two feet. You see, Direct Primary Care is exactly what Dr. Universe ordered for me. A spin-off of Concierge Medicine, DPC seeks to allow doctors to practice medicine the way it was meant to be. I had heard about it through a podcast that featured one of the true pioneers in DPC practice Dr. Josh Umbehr of Atlas MD in Wichita, Kansas. I remember excitedly running to find my spouse to tell her all about it that evening. I was so intrigued by the model, I was immediately hooked. And even though I knew the traditional medicine model I was in as an employee at that time was toxic for me, it still took me nearly 2 years to act on it. Not because the process is hard, but because I needed the right mindset and star alignment to get over the voice in my head telling me to stay put.

As soon as I decided to start back clinical practice, I knew it had to be on my own terms. My first order of business was to call the Texas Medical Board and enquire about my idea to only attend to at-risk youth aged 8 years to 18 years who are the exact population that I speak and write about. When the lady on the telephone told me I could, that was one of the happiest days of my life! Her words were something like “ma’am, as long as you are licensed to practice in this state, you can see only those born on the 5th of May if you like”. That essentially spun off my dream to open my own youth health center that would cater to the children that had picked me those many moons ago!

Do you know that it took me less than 6 weeks and cost me less than $10,000 to set up?     I have a micro DPC practice model, that means I have no front or back office, no fancy equipment, no staff, and an expected patient panel of less than 300, compared to nearly 2000 which I had at my last place of employment. The way my practice is set up, I shall see only 6-8 patients a day for up to 1hour or more per visit, three days a week, compared to 35-45 patients at my last multigroup practice employment. My monthly overhead is far less than I had when I owned a traditional practice, my EHR is user-friendly and convenient, my stress level is low, my patients are happy, and so am I 🙂

While this might not work for many, it works for me and others with a small niche. My friend, Dr. Amber Price of Willow Pediatrics up in Chicago, Illinois’s niche is only newborns. She incorporates home visits as part of her practice. Yet another friend, Dr. Sara Sultz of the DOC group up in College Station, Texas does home visits as well as telemedicine as part of her pediatric DPC practice. She even gives vaccines and IVF right there in the patient’s home! Such is the new way to practice medicine, and I am proud to be a part of it, and to announce that I am the first and only pediatrician in Texas and the US with my specific niche in this particular model.

So, what exactly is DPC? And why is #yourstruly so elated about it? Ironically, many of the doctors that I speak with have never heard about it. A few have heard about concierge medicine, but not many, much like I was a few short years ago.

In the Direct Primary Care practice model, the emphasis is on affordable care. In its purest form, no insurance or third-party payer is accepted. That right there puts the first nail in the burnout coffin! I was like “whaaat?” No insurance means; I. Get. To. See. My. Patients. For. As. Long. As. I. Want. To! Yassss!! We do encourage patients to keep their health insurance, and some practices will even generate invoices that might be reimbursed by the patient’s insurance after each visit. The model is based on a flat monthly fee in exchange for services, longer times spent with the patient, more intimate doctor-patient relationship, overall lower healthcare costs, direct access to patients both virtually and in person, improved work-life balance for physicians; thus drastically reducing burnout,  reduced patient load, and reduced administrative costs and overhead burdens. The increased intimacy with patients is a huge win for me, especially with the niche I see. Like any business, the fees vary depending on location and market competition.

The key here is; it is a membership model, much like Netflix or your gym membership. My patients have access to my cell phone number to call, text, email or facetime me whenever they need to, and they can be seen, as many times as they like to, each month! My question to you is; when was the last time you had that kind of access to your doctor? Let’s take for instance a 14 year old who is experiencing a depressive crisis at 2pm in the afternoon while at school, they would have the ability to call or text me right away, and not have to wait until they get home, inform their parent, who calls the next day only to get an appointment for the next week, take time off from work and school to arrive at the appointment, only to wait for one hour in the waiting room, and the doctor spends all of 10 minutes seeing them. Then wait another 2-3 months to get an appointment with the psychiatrist who may or may not accept their insurance, or is very likely to charge them 2 or 3 times my monthly fee for only one visit! Get it? #aintnobodygottimefordat!Placeholder Image

Some DPC doctors are set up like traditional practices with office staff,  laboratories, X-ray equipment, EKGs, and whatever else they need. Depending on state laws some also dispense medication in their practices, (Texas aint one of them…:) all for the same flat monthly fee. It’s just like a gym membership or Netflix for your doctor! In my case, for less than a cup of coffee at #Starbuxx my patients can see me everyday. Oh, and they don’t need to live in San Antonio Texas, I also have telemedicine included in the practice, so I can consult with patients virtually. Other services I am so proud we offer are a teen-2-teen support group (because teens speak teen, they don’t speak adult) and parent coaching, both of which I facilitate.

For now, I am loving DPC. It affords me time in my week to “mother” my children the way I want, be an awesome spouse to my Beloved, make time in the week to blog, work on my speaking gigs, record and edit my podcast; Suicide Pages with Dr. Lulu, The Podcast, you can subscribe, download and listen to it here and everywhere you listen to podcasts. I am finishing up my second book, a chronicle about Teen Life (my first book; a Parenting Guide, can be bought here). I have many more tricks up my sleeves in the coming weeks, so #staytuned.

In conclusion, I believe I have found my happy place in medicine again. While DPC might not be for everyone, it is for me, and it might be for you too, think about it. You never know. Here’s what you do, first start by conquering, silencing or banishing that voice telling you you can’t do it, the rest will fall in place. Ultimately, Happy Patient: Happy Doctor is what we all seek, right? Keeping it simple is what our mom’s taught us, yes?

So, I ask this time, dear doctor, will you DPC?

Me, Red Dress

“We can’t be afraid of change. You may feel very secure in the pond that you are in, but if you never venture out of it, you will never know that there is such a thing as the sea, or an ocean. Holding onto something that is good for you now, may be the very reason why you don’t have something that is better.”
― C. JoyBell C.

BB

#Becoming

The month of September is the halfway mark for the 50th anniversary of my birth.

Today, I am reminded that I am #Becoming a new me, a more fulfilled me, a more conscientious, mindful, freer and more productive me.

As I look back at the past 6months, I see a lot of change, a lot of progress and a lot of challenges that have been on my path, and I see myself as a woman conquering.

As I look into the future, I see my dreams on the verge of fulfillment, it is going to be a mix of uncomfortable, inconvenient, uncertainty, pain, and who knows what more.

My ever-constant companions, fear, and doubt, still rear their ugly heads from time to time. Tugging at me, distracting me, taunting me…all the way.

Have I accomplished everything I set out to do this year? No.

Do I still believe the future I dreamed for myself is attainable? Hell Yeah!’

Am I going to go forth, afraid? I wouldn’t have it any other way.

Isn’t that the definition of courage? Going forth…albeit afraid?

One kid is a senior in college; the other, a sophomore in college; the baby in high school. A blog, a bestseller, a parent and teen workshop, speaking engagements, a podcast  (another in the making), two brand new side gigs and a brand new private practice, all in the space of one year, ain’t too shabby if I might say so myself.

For once, I refused to listen to the bully inside my head. The one that goes about telling me lies, telling me I am not good enough, not girl enough, not woman enough, not man enough, not Black enough, not White enough, not… simply put, I am just not enough.

I also refused to listen to those that said I couldn’t do any of these things successfully, what more doing them all!

I quickly realized this past year that friends and family are sometimes worse than strangers and foes, and strangers are sometimes better than friends and family.

Many still think me a fool for helping others along the way…for free. Many think I have the formula wrong because I am not charging $$ for “every small thing”.

To them I say, was it not given to me freely? Is money really the heart of everything? When do you then use your heart to help? Only when you get paid? Ha!

Neither one of us can take that money with us. None of us can add one single day to our lives with all the money we (shall) acquire.

So, what’s the fuss?Me, Red Dress

I shall go forth, loving myself more, caring for myself more, even daring to praise myself more. I am, and should (after all) always be my own self’s best cheerleader.

It has been a long hard road to that realization…so…

Never again will I critique myself negatively. Constructively? Yes.

Never again will I allow my inner bully to convince me I am not enough. I might not be good enough at somethings, but I am darned great at many things.

Never again will I allow others to dictate my direction for me. Guide me? Maybe.

Henceforth, I will allow myself to fail as often as is needed because failure, to me, is now nothing but fuel for success.

It is a chance to say to myself “maybe things weren’t supposed to end that way”, “maybe we should regroup and retry”, “maybe just maybe”. After all, none of us can see the future.

We are all work in progress, but we must get out of our own way.

In the end, I have realized that… I was good enough yesterday, I am good enough today, and I shall be good enough tomorrow, as long as I continue to believe in my process of #Becoming.

“If you want to go somewhere you have never gone before, you must be prepared to do something you have never done before” ~ Lisa Nichols

BB

 

10 Commandments of Intentional Parenting

Dear Blog,

Yea, I know, it’s been a while, and you are probably thinking “What’s up with the Black Butterfly?” “She ain’t flown around here for a while now”. Trust me, I have a good reason, I have been neck-deep in all kinds of work/play/stress thangz, and my overall situation has been in major overdrive. But, I am maintaining… the struggle is so real… I am pregnant with all sorts of ideas, and I can’t wait to throw down. How have you been?

I thought that for the month of August, since school starts back in a few, I’d write a lil’ “shometing-shometing” for the parents, ya know? I have been busy all summer, honing in on my parent coaching skills, and with the new practice, the podcast, speaking engagements, my book making it into the Texas Indie library, and everything in between, your girl is surely going to end this year with a BANG!!

So here goes.

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As a parent, your primary role is to raise a well rounded, productive, mentally stable child who will become an adult that will contribute to, and make a difference in the lives around him/her/them, and the world at large. Whatever you do, don’t be a helicopter parent, and don’t be a militant parent either (a la Captain Von Trapp), you must find the sweet center; give a little and take a little.

Let me ask you this, what is the number one complaint that teens have about their parents? and what is the number one complaint parents have about their teens? If you guessed “my parents don’t listen to me, or I don’t understand my teens” you are RIGHT! Now parents, of the two players in the game, whom can you change? If you guessed yourself, then you are RIGHT again! #bethechange

In order to attain that status of “Intentional Parent”, here are my 10 commandments to help you along. These, of course, are by no means the only ways, just my suggestions.

1/ Remember thou art the parent, so live your life like you are the mirror or window through which your children look at life. This point is pretty much self-explanatory. Your life is the most important way your children experience life. You are their first teacher and the most influential adult in their lives. Forget that they all want to be some famous Hollywood star when they grow up, secretly, you are their numero uno hero(ine) and that is a darn good place to be. Never forget this. Be as intentional as possible when you are around them. They watch, they see, they mimic. It’s simply what kids do.

2/ Thou shalt not do for thy child, that which they can do for themselves. Hmmm, this is a no brainer, if only we will disallow ourselves from enabling our children so much. Many of my patient’s parents tell me they do it “just to avoid conflict” or because they are “tired of trying” to get their kids to do it, or because it is “simply easier than trying to get the kids to do the right thing”. Something as simple as laundry, or cleaning up their rooms… Bottom line, start early to teach them to be responsible and learn to do their own tasks that are assigned to them. This way, when they get to college, they will know what to do, and how to be independent young adults. Independence is a point I discussed in detail in my book.

3/ Thou must love thy self first, and to the fullest, then love thy child as thine self. See, you cannot give to your child or to anyone for that matter, from a place of emptiness. I have had a personal experience with this as a child, so I know that it is of utmost importance that a parent gives to their child from a place of abundance. This might sound like it is self-explanatory, but, the majority of parents tell me stuff that makes me believe that they are going about their loving backwards. They sometimes tell me that they love their kids more than they love themselves, that shouldn’t be so. This is the reason behind the airlines, for instance, requiring parents to put on their masks first before putting them on their child, simple.

4/ Thou shalt not overreact or allow thyself to lose control. When it comes to communicating with your kids or teens, it is often very easy to lose your patience and your self-control (guilty as charged :). Teens are not the best communicators, they would rather text, shrug, grunt, or say nothing than speak sometimes. As the parent, you must stay in control, have rules of engagement, and allow yourself to understand their point of view, and give them the benefit of the doubt, even when you either think otherwise or believe otherwise. Trust me, if you jump to the wrong conclusion or overreact inappropriately, the result is you apologizing with your tail between your legs and that is not cool. This is one of the principles I discuss in my Dr. Lulu’s Parenting Your Teen Program, found here.Dr Lulu's PYT SA family-1

5/ Thou must give thy teens their due respect. I know that when we think about your child, most of us are not thinking about respect coming from your end. Well, I have news for you “respect begets respect”. It is thus imperative that you not earn their respect, you should also teach them to earn theirs and keep it. Whether you are dealing with your 4y old, your 14y old or a 40y old, you must show respect, so it is reciprocated. I recommend you start by softening your thoughts, then your eyes, then your body and then your tone will follow, when communicating to your teen. It helps a lot with connecting and encouraging a good relationship with them.

6/ Thou must allow thy kids to learn life lessons if and when life chooses to teach them. Sometimes these are hard lessons, but they are often good lessons in the end. As a parent, you know you cannot protect them from everything anyway, and this is true. They must have bruises and scars in order to get stronger. This is what happens with our muscles when we exercise, they shred, and then heal to give that beautiful slim toned body 🙂 You can’t protect them from the falls off the bike, nor the falls off the monkey bars, nor the not-so-perfect-grades in school, nor the heartbreaks as they get older. What you can do though is be there for them, kiss the boo-boos and tend to the broken heart if and when it happens, and support them as much as possible.

7/ Thou must use the three Hs; your Head, your Heart, and your Hands when dealing with thy children.

Head: Thinking before you act, before you make any important decisions, like ownership and use of cellphones and social media by your children. Ensuring there are rules of engagements that every family member understands. Remember your teen years and all the struggles you had, especially when it came to interaction with your parents. If you keep that in mind, first, you will be fine.

Heart: To love them unconditionally, to always act from a place of love and understanding where your child is concerned. Even if you don’t like or approve of what they are doing, or decisions they are making, you should remember if the same thing had happened to you when you were a teen, and how much your parents’ approval of you and your life’s decisions would have meant to you. Then love on them 🙂

Hands: To touch, feel, hug, build, repair, and mold them.

8/ Thou must pick thy fights wisely: Every battle must not be won, there is a saying that goes, “do not win the battle and lose the war”. This saying is so important. It is imperative that we as parents remember this. Not every disagreement must end in an argument, not every argument must end in a fight, and not every fight must be won by parents. (I probably need this advice more myself, it is extremely hard for me to not want to have the last word when I argue) However, consider the fact that you can walk away from any argument, and maybe even sleep on it, and see if the morning brings clarity. Trust me, there will be those arguments that you will have the last say in, and those will be the ones that are worth winning.

9/ Thou must be thy child’s cheerleader and advocate: Your child must see your actions reflecting the fact that you have their backs at all times, believe me, they usually come back and thank you, I know this. My favorite memory of this was when my then 12y old first son was being bullied on the school bus and his glasses were broken by the bully. I immediately went to the bully’s home and had a chit-chat with his mom. My son ended up with the most expensive replacement glasses we could find, and a few weeks later the bully got expelled for bringing a BB gun to school. My son is now 21y and he recently thanked me while giving a talk at my most recent Dr. Lulu’s Parenting Your Teen Workshop.

10/ Thou must allow thy kids and especially the teens some independence: Captain Von Trapp, you are not. Helicopter or bulldozer parent you are not either. Raising your children with intention is the plan here. So, allowing them as much independence as needed is critical. My take on it is to ensure that the independence is controlled, and allowed within reason. Now that my boys are older (2 in college, one in high school), my rules are; I must know about the trip/outing ahead of time, then we discuss the rules before they leave; we agree on a return time, and discuss all the details of the outing, like where they are going, with whom. I must have contact numbers. They also have to check in with me at agreed times during their outings. If for whatever reason they will be home late, I get a call or a text. This way, if they break the rules, they are held responsible. This works almost perfectly for my family.

I wish you the very best in your parenting journey. Remember, parenting is the hardest thing you have ever done, but it is also the very best thing you will ever do… so go ahead and be the parent best that you can be.

BB

“No other work transcends that of righteous intentional parenting” ~Russel M. Wilson

Dr. Lulu's PYT SA Family-2

7 Things Your Teens Can Do This Summer (To stay busy and out of trouble)

Dear Blog,

“What time is it? The time of our lives. Anticipation. What time is it?” Summertime. School’s out, scream and SHOUT!” A familiar tune from High School Musical-2.

Yes, it is summer time, and time for our children to come home for a break, as they ascend to the next phase of school. If you are a parent of sons like me, you are dreading the incipient refrigerator raids and perpetually empty pantry as a result of their constant snacking and eating. And just like me, you are also reminded that there is a 2-3 month break between now and next school year, and you are filled with dread about what to do, and how to fill in that time with meaningful activities for them.

Well, worry no more! Here are my tried and tested, no-fail ideas for activities for your teens. I have used these tricks for nearly 10yrs as my sons have transitioned from middle to high school, and now to college. However, my sons are very different, so some of the ideas had to be modified for each child, but for the most part, they worked.

Relax

Since they are often just returning from a stressful school semester or year (whether you are home-schooling or they are in traditional schools) I often allow them to take the first week or two off to de-stress, rest and relax from the drama of school work. This short period of downtime comprises of sleep, eating, more sleep, their assigned housework and whatever else they like to do to entertain themselves. As you can guess, it’s mostly video games to their cell phones, listening to music and back to video games…ugh! Because two of my boys play musical instruments, they are often also rehearsing their various musical instruments.

man sitting on red suede sofa holding black android smartphone
Photo by Oladimeji Ajegbile on Pexels.com

We often have dinner together as a family, and just talk. We talk about school, what they learned during the entire year, and simply catch up on each other. No electronics are allowed during this “sacred time”. This is usually the most fun time for me, in particular. I do miss them a lot when they are gone, and even the youngest who is still at home is mostly “gone” during the school year because of his homework obligations, extracurricular activities and an early bedtime. So, we try to enjoy each other this first week.

This is also the time we call grandparents and extended family members to catch up on them.

Self Care

This is something very important to me. As a pediatrician, I always ensure my patients schedule their annual physicals during the summertime when school is out, to avoid missing out on school. The appointments can also be made earlier in lieu of school closing if you like. In addition, the doctor’s offices are not often as busy because most folks are out of town on vacation. This is when you want to schedule them for their vision, their dental, general well-child exams, and get updates on their vaccines and other minor issues that might have come up while they were in school.

Since I have sons, this is also the time to get their own personal hygiene taken care of. They get a nice hair cut for the summer, refill on their allergy medications or any meds at all, and get new clothes if needed for those who have had a growth spurt during the school year. I do realize some parents wait until the end of summer to do the back to school shopping, and that is also fine.

Read a book or two

As an avid reader, this is one activity I don’t compromise on. Luckily, most middle and high schools often have summer reading assigned to the students, and that is a bonus for my children. I require as a rule that my sons read for 2 hrs daily, for every 2 hrs of video games they play! They absolutely hate this, but they still do it. What I often do is, take them along with me to the library or make them go to the library for 2hrs daily. It ends up being fun for them, but not before they have complained a lot. Reading in the summer also helps keep their academic skills going. This way they don’t forget some of the stuff they were taught during the school year.  Summer reading is somewhat more fun because the teens have the freedom to pick whichever book they like to read and read at their own pace. We often block 10am-12noon for reading, that way, we all read together, and it becomes a bonding activity at the same time.

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Finally, they have to do a book report on the books they have read, and we have a day or two set aside to discuss the books them. Once in a while, they want to re-read their old favorites, and I allow them, as long as they read.

Volunteer

For those of you who know me, you know that I am very big on volunteering. It is one of my most enjoyable past times. Teens could volunteer at home, or in a more structure set up like the regional hospital. Helping others, not only builds empathy, but it also builds compassion, mindfulness and a healthy dose of kindness and gratitude, and helps your teens learn the value of giving back to the community. These are a few of the guiding principles I discuss in my brand new Amazon bestseller, “How to Raise Well Rounded Children” available on Amazon or on my website.

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Photo by bruce mars on Pexels.com

I believe that volunteering not only builds character, it also opens one’s mind up to experiences well beyond their personal imagination, and will ultimately help create a much better world for you and me. If you have not tried volunteering yet, do try it. Register your age-appropriate teens for various volunteering opportunities. Check this list for ideas of places you could all volunteer this summer. Remember, these experiences could also last into their adult years, so go for it.

Get that summer job

Beginning around the age of 13yr in most states in the US, most teens can start working. It could be around the home as babysitters, dogsitters, mowing the lawn, or other odd jobs to get paid by their parents. As they get older, the type and complexity of the jobs change and before you know it, they are older teens working in the corporate world.

I love the idea of teens working for pay, be it minimum wage or more organized pay because it is often their first taste of adulthood. It is also the best way to teach them responsibility, time management, money management, and independence. It is the ideal introduction into their employee or entrepreneurial future. While my eldest son just qualified to drive uber 3days ago when he turned 21yr, he has been holding down 2 jobs at Stanford since his early days as a freshman. Though reluctantly, he worked at Pizza Hut as a young teen, and that helped encourage his immediate younger brother to also seek employment at Pizza Hut in his high school days. Both sons are well versed in money and time management today, thanks to an early work habit. Not to be left out, my 14yr old youngest son was actually employed at his middle school this past school year as a football referee.

The money earned from work can be used for their own personal needs or saved in the bank, invested or used to help out their parents. One thing I made sure I did for each of my sons as soon as they turned 18yr was to open up an investment account for them. The accounts are funded by their own employment earnings. If you are not doing this yet, I strongly suggest you consider it. In all, working as a teen has much more benefits, than not.

Travel

Whether it’s learning a new language by immersion, learning how to save and budget money,  drawing up a functional itinerary, becoming independent and responsible for oneself, or learning about and experiencing different cultures, (foreign) travel is the ultimate way to spend a summer. It could be a study abroad program as part of a college or grade school curriculum, or a family vacation, or simply traveling together with friends. Either way, teens can learn a lot about the world at large by actually experiencing it. They develop critical thinking skills, tolerance for others, communication in foreign languages, and an open-minded world view.

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Photo by favachofotos on Pexels.com

As a teen, I studied French in high school and got a rare opportunity to travel to Togo, and Benin Republic, two neighboring countries to Nigeria where French is the Lingua Franca. I also got traveled to Germany, the United Kingdom, and Greece as a young adult. All these countries shaped my life and my personality today. More recently, my children and I have visited Canada, The Bahamas, and Mexico. My eldest son toured Europe with the Stanford Orchestra last summer and came back a changed man. He sang praises about Europe and can’t wait to go back when he is older. His brother will sign up for a study abroad program with his Architecture class from Texas Tech next academic year. All three children have visited Nigeria numerous times.

I cannot overemphasize the power of travel to the developing mind. I am almost inclined to declare that “the traveler lives his or her life twice as much; first as themselves, then through the people, they meet in the course of their travels”.

Hang out with their friends

Summertime is a time for reconnection with (old) friends. Your teen should be allowed to travel with or simply hang out with their friends (vetted or not). Good friends balance you out as much as bad friends do, and teens can actually learn a lot about themselves through their friends.

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Photo by kat wilcox on Pexels.com

Case in point: My middle son is already home from college. He asked to go hang out with his friends a few days ago. I let him take the car. He returned within an hour. Puzzled, I enquired about his early return home. He explained that his friends had decided to hang out at the pool and drink alcohol at 5pm in the afternoon! Since he does not drink alcohol, he opted to return home. I was filled with so much pride and admiration for him. He made the right call. The safe call, all on his own. He chose to not hang out with his friends that afternoon because he “knew they were going to eventually get drunk and he did not want to be around them”.

Having friends and feeling connected to a group gives teenagers a sense of belonging and being valued, which helps develop self-esteem and confidence. Friendships also help teenagers learn important social and emotional skills, like being sensitive to other people’s thoughts, feelings, and wellbeing. A teen’s friends can be a powerful influence, positive or negative, and the teen must know when to say no to the negative influences of such friends.

In all, allow your teens to live their lives out loud this summer. You have done most of the hard work, the rest is on them. Remember to listen to words said and unsaid, and in all things, live your best life as a parent, so they can emulate you, their first and most important teacher.

Toodles 🙂

“You become the choices that you make, so choose wisely” ~ Dr. Lulu

The Making of My MD/MBA

Dear Blog,

 “Adult Ed is a Mother, but it’s also a Keeper!”… Dr. Lulu

Last Friday as I found myself finishing up the last day of the last week of my 27-month journey into the land of a Masters in Business Administration at UTSA, my heart was a mixture of all sorts of emotions, the strongest of which was joy! Since I couldn’t keep it to myself, I did an impromptu FB Live and literarily broke into song and dance on screen! I no longer have to stay up late studying and doing homework EVERY NIGHT. I can now stop using “school” as my excuse for everything (I really don’t want to do). I get to add those coveted three letters to the other two after my name. I can now get much-needed rest (umm, say what?) Let me rephrase that, I shall try going to bed at 11pm every night (yeah right!) I finally, realize my dream of walking on an American stage wearing the black gown and black “crown”, and as an added treat, I get to wear VA cords!

In September of 2016, my 4yr term as a Lt Col. in the United States AirForce came to an end. In deciding what to do next, I realized I had multiple options to pick from; join the Air Force Reserves, go back to school and get a Masters Degree, or get a regular job as a pediatrician. I decided to go for the last two options. And no, I had no specific “why”, I simply wanted to use the VA educational funds I was entitled to, it was more like a “why not?”. The decision was met with a combination of gasps, shock, surprise and some reluctant encouragement from friends and family. Never one to waste too much time chewing on a thought, I jumped in with two feet (before I lost my nerve) Coincidentally, my first son was about to go into college at the same time and my spouse had also decided to get her Masters degree as well…so, I was in good, no, great company! (That sh** just about cost us our union, but that’s another day’s blog, LOL)

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Later that month, as I was walking out of my job interview at Communicare Health Centers, I remember wondering to myself how I would manage a full-time work schedule and a full-time school schedule. I had initially wanted to do the combined MPH/MBA program, but FEAR and its close friend DOUBT, proceeded to discourage me and talk me out of it, so I settled for just the MBA. I was as excited as I was anxious! My colleagues, (after getting over the initial disbelief) quickly got on board and started cheering me on. I still had no idea how I was going to “manage” it, but I put my best Naija Igbo Woman foot forward (as per we no de eva carray last) and started the regular MBA at UTSA. Not online, in person, albeit, nearly 30 years post graduation from medical school, owning my own private practice for nearly 15 of those years and doing a brief 4yr stint as a Lt. Col in the US Air Force! I was going about mine backwards.

The first semester went like a breeze (or did it?) I now only remember that I had a hard time getting used to not only going back to school but also going back to school in the tech age! Just like my initial shock when I first came to the USA which I shared here in this earlier blog, going back to school, in America, was FULL of new experiences…!

Crocs store-1.jpgFirst off, I was one of, if not the oldest student in that regular MBA class! I was not happy about that at all. I hated the fact that I was in class with late teens and early twenty-something-year-olds. Their mannerisms were a total lack, they were disrespectful, noisy, lackadaisical, and sometimes rude to the professors(s). What struck me the most was their tendency to not do the work! They were very content with not showing up for class, joining in class discussions or even doing their portion of the school work at all… (I guess I am seriously old school) This bothered me so much that after that first semester, I went back to my student adviser and requested to disenroll. Luckily, she was kind enough to understand my position and suggested I sign up for the Executive MBA program instead. I was really lucky because I literally made the interview on the last day! Reminds me of a similar incident with Howard University Hospital Residency interview, I also talked about here. Thankfully, I got in! Since my paperwork was already in the school of business, all I needed was an intradepartmental transfer. She hit the jackpot with that suggestion because once I understood what an Executive MBA was, I TOTALLY LOVED the idea! However, a couple of my “friends” queried the “executiveness” of it all…”make sure it is not a watered down version of an MBA”, is it an E-MBA as in online/electronic? “are you going to have a real MBA degree when you get done?” and, “why de heck are you even going back to school, aren’t you tired?” Hmmm…how does one respond to all that love?IMG_0818

At the Executive MBA program, my cohort comprised of people closer to my age, adults. managers, business owners, entrepreneurs, vice presidents, CEOs, executives, parents, grandparents, wives, and husbands. A fair number of them were still younger than me, but the age gap was not nearly as much. The youngest in my class was 31 yrs old. They had all seen life and lived it a little. A lot of them were well-traveled. They were much more experienced and for the most part, wanted to do their school work. My kind of people. We were different, yet the same. A few were veterans like me, a few were foreigners like me, a few were mothers of kids in college like me, a few were divorced like me, and one was not only the other one Black person, he is also Nigerian like me! Awon Naija sha! I believe I lucked out!

In spite of all that, the school work was still a huge challenge for me. I had to get used to school the American way. Folks actually call their professors by their first names around here, huh? Not in Nigeria, tufiakwa! I went to medical school in the 80s, graduated in the very early 90s. We had real chalkboards, not smartboards. Our blackboards were not virtual, they were really black and physically present in the classroom. I had no concept of the word office-hours, luckily, my son who was then a freshman at Stanford University explained what that meant to me. I had no idea what it meant to access library books online, and be able to “check them out” virtually? What de? As shocking as these findings were to me, there was more to come.

IMG_0841As the only physician and one of 2 Blacks of the lot, 33 of us to be exact, I had no one else wearing my exact shoes, hmmmm. I had no one to hold on to when Statistics got tough (yea, I know, I did biostatistics in med school, so I recalled sensitivity and specificity, but certainly not Anova or Covariance Analysis) I had no one to hold on to when Accounting reared its ugly head, or when Finance got crazy (my poor mom, a retired accountant, who was visiting at that time, got a daily dose of complaints from me). As a self-proclaimed hater of numbers (except those on my paycheck and bank account) I loathe Excel…still do! First of all, I had never really heard about it, furthermore, I not only had to learn its basics, but I also had to learn to apply it to Accounting, and Finance, WHY!? All of which made for many a tear-filled day at the professors’ office. Every now and again, I did feel lonely and left out in my cohort, but my resilience and adaptability would kick in and I would win the little battles.

IMG_0800Economics was good as long as it was Macro Economics and the professor who worked for the FED was a kindly older gentleman with a thick Texan accent and a friendly smile. Still, I spent too many afternoons in his office at the high-security Federal Building downtown San Antonio. Corporate Restructuring was okay at the start until we got deeper into the mathematical aspects and calculations, then it ceased to be fun. Since I love words, Organizational Behavior was great, Ethics was a bit confusing. Marketing, Negotiations, Business Strategy, and International Business Studies were easy for me because I had no numbers to worry about, furthermore, I LOVE reading and discussions. Looking back now, one of my favorite subjects was Leadership. Not only was our professor really cool and soft-spoken, but the cases were also interesting, intriguing and thought-provoking. I enjoyed learning about exemplary leaders. I learned about myself and my own flavor of leadership. I thoroughly enjoyed the final TEDx talk we each had to give at the end of the class. Oh, my talk was on the power of the word, NO.

One of my favorite experiences during my business school was Executive Coaching. As a matter of fact, I owe my executive coach, my entire career journey today.  She is one cool Chica. She used to work for NASA, so she is equal part brains, beauty, class, and control. I absolutely admire her poise and her presence. She exuded knowledge and she helped me figure out who I am/was, and what I wanted to do with my life after school. Truth be told, I only signed up for the MBA partially because the VA was footing the bill, and partially because I used to counsel my subordinates in the Air Force to take advantage of the GI Bill and Post 911 educational grants and go back to school and further their education. I never even thought I could do it, but I had to heed my own advice.

Singapore 4.jpgI must say the highlight of our entire MBA experience was the 12day international trip to South East Asia! A trip that cost me the attendance of my youngest brother’s wedding in Nigeria, which just happened to have been scheduled for the exact same day. We left San Antonio bright and early that January morning and went through LAX. The 17hour flight both ways was no match for the excitement I felt in finally seeing the world famous Singapore and Vietnam! I grew up in the 70s and 80s and remember listening to the song “Vietnam” by Jimmy Cliff, so, this was a sort of homecoming for me. Singapore, a country born with a golden spoon, is eating its cake and having it too. It is an example of how hard work pays off no matter what. Vietnam, a country that is well on its way back from the ashes of multiple wars, betrayals and “destruction of men in their prime, whose average age was 19” a la Paul Hardcastle in his Jazz Masters hit (one of my faves).  After everything she has been through, her people still wake up every morning, practice Tai Chi, get on their motorcycles and ride!

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I cannot put in words the excitement of Singapore! Its clean streets, ultramodern Singapore 2.jpgarchitecture, eclectic suburbs, fine dining, high-end shopping, educated minds, and multiracial indigenes all living harmoniously in spite of differences in religion, language, customs, cultures, etc. A hard lesson for all African countries to learn (sadly). Singapore welcomed me with open arms. I even got a chance to sing old Karaoke tunes with a local band at a local pub! Vietnam was different. More real, dirtier, noisier, almost “happier” than Singapore. Our class got to visit the Crocs factory, eat with the locals in a traditional Vietnamese home, and take a canoe ride on the river to the coconut village, where my sense of smell was completely mesmerized by the indescribable smells of coconut. Since my wife is part Island girl, and I am the quintessential Tropical Chic, this, was HOME! I was immediately taken back to my childhood, my grandmother’s hut…her smell, her heart, the essence of her being my Nne Akuobu.  As unbelievable as the trip was, I topped it up, by finishing the final edits of my first of many Amazon bestsellers on the plane ride home! BTW, get your copy on Amazon or on my website, it is the best parenting book ever! 😉Singapore 3.jpg

I shall miss school. I have always been studious. I have always had a quest for knowledge. Though old age is setting in and my memory is not quite as good as it used to be. I am proud to say that I completed the MBA and can now print out my new business card with all five letters in their proper order MD/MBA 🙂 I earned it. Considering I got the degree after I have already been in private practice for nearly 30yrs, and considering I have no idea what I am going to do with it…yet, I am still thankful for all the potential doors it will open for me. I admit I had NO WHY, I simply did it because I could, because the funds were available through the VA, and because I might have needed to prove to myself that I still gat it after all these years, or simply because…

In ending, I would like to say; just like that, my 27month program is done. Was it hard? Yeah! Is it doable? Hell yeah! Can you do it? All day! So follow your heart, try something new, push yourself. No one ever died wishing they spent one more day playing a round of golf. This is my legacy, what is yours? What is holding you back from following and fulfilling your dreams? Work? Kids? Family? What are your priorities? Are they in proper order? Remember, life is what happens while you are busy planning…so get off your phone, get off your couch and just do it! If I could do it, with my schedule, you can do it too! Peace still.

My name is Uchenna Umeh, MD/MBA, and I approve this message.

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UU

#neverforget #alwaysremember

 

Dear Blog, as Black History Month comes to an end…

I want to say this to you, to my people, the Black Butterflies, and Black Bees, and Black Hornets out there…

You know who you are, you know yourselves,

stand tall, stand proud, take a knee, take a bow, be strong, but whatever you do…

 

 

#neverforget

#alwaysremember

 

They came from the African coasts

from the Motherland…

from the belly of the seas, the depths of the ocean

My people,

My ancestors,

Aunts and uncles, yours and mine.

 

Look closely,

See the furrowed brows?

Hear their anguished voices?

Listen to the wailing from the depths of their hearts;

the unborn, the children, the youth, the grown, the aged.

 

Their pain, oh, the pain!

I feel it, fresh as it were today.

Our wounds, still hurting from yesteryears,

…and fresh ones today cut deep

Our scars, never healing

Different, yet same.

 

The anguish in her furrowed brows

The cramps in his tired limbs

The cries from babes at the breast

The wailing from youth in pain

The torment that knows no end

Suffering and wondering, where is God?

 

Praying, asking, is this life?

Lives still in limbo

Thoughts still displaced

Hearts still bleeding

Minds still unknowing…questioning,

…wondering and wandering

 

Ashamed, confused, scared, angry, sad, dejected, unhappy but believing…

 

Today like always, we remember, we never forget.

 

Happy BHM

Black history museum pics

BB