Latest / White Coat Black Sheep / Moving Forward, Not Moving On: Jesus Gonzalez on Suicide Loss and Healing
Transcript
- 0:05Welcome to White Coat, Black Sheep. Thank you so much for joining me in the studio.
- 0:09I have Jesus Gonzalez. It is an honor to have you spend a little time with me here.
- 0:14Thank you, Valerie. I'm really excited to be here with you.
- 0:16I'm such a fan of the podcast, and I know we've known each other for, gosh, more
- 0:21than-
- 0:21How long?
- 0:22... four years now.
- 0:23Yeah.
- 0:24I was in Bakersfield a little over 10 years, which is kind of crazy-
- 0:28Wow
- 0:29... to think about.
- 0:30Yeah. I've been here since 2015.
- 0:32Yeah. And I feel like we both have similar stories. We've moved on.
- 0:37We're doing-
- 0:38Yeah
- 0:38... lots of really cool things, and-
- 0:40Yes
- 0:40... so super proud of you.
- 0:42Super proud of you, too. We're not losers.
- 0:45No.
- 0:45That's good.
- 0:49Far from it.
- 0:50Yeah. We're just out there trying really hard, guys.
- 0:54I'm trying to make an impact and teach people and teach myself and grow,
- 0:59evolve.
- 1:01And we're doing it.
- 1:02Yeah.
- 1:02I think that the older I get, the more open I become, and I think that
- 1:08we go through so much in life, so much trauma, so much sadness, and our joy, too.
- 1:14Yes. I love that.
- 1:14And I think that sometimes we just talk about the good things, and it's important
- 1:18to talk about the trials and tribulations because that, I think, is what makes us
- 1:24human and what makes us connect.
- 1:26Yes.
- 1:26We all go through these ranges of emotions.
- 1:30Yes.
- 1:30So I'm really happy to be here to talk to you today about grief, suicide, and-
- 1:35Yep
- 1:35... all of that-
- 1:36Yes
- 1:36... really hard stuff that I don't think we talk enough about.
- 1:39I love that you lead with a joy and readiness to share that-
- 1:45Yeah
- 1:45... because it would seem like such a bleak, dark space, and I'm sure it was.
- 1:50Yeah.
- 1:51But you had to process it, and just-
- 1:53Yeah
- 1:53... the fact that you do sort of light up with
- 1:57just such a freshness about it, I can't wait to hear how you were
- 2:03able to find good in that trauma.
- 2:06Yeah. And I think we're such social beings. I'm a very social person.
- 2:10I think a part of therapy for me has been able to talk about what I went through,
- 2:14to talk about the things that I've learned, to talk about how my perception has
- 2:20changed since I experienced suicide with my partner, Derek.
- 2:23And I want to share that because I think oftentimes, I wish I would've known so
- 2:27much before. I think it maybe wouldn't have changed the outcome necessarily-
- 2:32Yeah
- 2:32... but perhaps it would've changed how I was able to make that person feel or the
- 2:38people around me supported.
- 2:39Yeah.
- 2:40And I think that's really what this is about, is just contributing to
- 2:44people being more enlightened and being-
- 2:47Yeah
- 2:47... better versions of themselves-
- 2:48Absolutely
- 2:49... at the end of the day because we're all humans. We all make mistakes.
- 2:51Definitely. And a
- 2:55major takeaway that we would be able to achieve today would be preventing
- 3:01that for somebody-
- 3:02Mm-hmm
- 3:02... or maybe if there was something in retrospect that was a sign.
- 3:07I know that's like a-
- 3:08Yeah
- 3:08... it's always a-
- 3:10It's hard. I think that-
- 3:12... difficult question
- 3:12... I've thought about that a lot with my own experience. Were there signs?
- 3:16And I'm sure that there were,
- 3:21and I think that I lead--
- 3:23What am I trying to say here? I think that not all suicide is preventable.
- 3:27Yeah.
- 3:28I think that in my situation, I think that it may have happened anyway, but I
- 3:32think-
- 3:32Yeah
- 3:33... for some people not, and I think it's, for me, more about talking about it, so
- 3:38that if
- 3:39you have a loved one in your life who maybe you don't know how to talk to them,
- 3:42maybe you're afraid of asking that uncomfortable question, those follow-up
- 3:46questions, knowing that it's okay to do that.
- 3:50And sometimes people don't necessarily need a fix.
- 3:53Yeah.
- 3:53They just need a loved one to sit there with them in whatever it is that they're
- 3:58going through, and-
- 3:59Yeah
- 3:59... have someone there to kind of love. I know I'm a fixer by nature.
- 4:03I'm a fixer.
- 4:03I'm a Capricorn, and I'm always like, when someone comes to me, if they're sad, I
- 4:07want to do something about it. I want to make them feel happy.
- 4:09Of course. Yeah.
- 4:10And sometimes that's just not what they need.
- 4:11People don't always-- I know. I've realized I learned that about myself, and I
- 4:17guess even through talking to my mom, because in a way she does trigger me.
- 4:22But I kind of have evolved-
- 4:25Yes
- 4:25... to recognize that I think the trigger is just that there is something similar
- 4:30there, and there's a need to fix it.
- 4:33Mm-hmm.
- 4:33But there's a lot of times where I'm like, "Shh."
- 4:38"I just want you to just be a sounding board."
- 4:40Yeah. And sometimes it's uncomfortable to sit in that silence or that--
- 4:45Yeah.
- 4:45But I think the more practice that you have doing it-
- 4:47Yeah
- 4:47...
- 4:49I don't want to use the word easy, but maybe the more comfortable you start to
- 4:52feel.
- 4:53Oh, it's a skill-
- 4:54Yeah
- 4:54... to sit in somebody else's silence, even though you know that they're hurting-
- 4:58Yeah
- 4:58... but they don't want you to try to fix or give a solution because-
- 5:03Yeah
- 5:03... you can't solve it.
- 5:04You can't solve everything, yeah.
- 5:05Yeah.
- 5:06And I think I was really excited to have this conversation with you, too.
- 5:09You're a physician. You're in the healthcare field, too.
- 5:12I'm a chief operating officer for primary care. Derek was a PA.
- 5:16Yeah.
- 5:16And so I think that the conversation I kind of wanted to have with you was around
- 5:20access to mental health resources.
- 5:22Oof, so good.
- 5:24I think that
- 5:26in Derek's situation, he tried to access resources, and it was so difficult for
- 5:30him.
- 5:31Yeah.
- 5:31And I think a lot about now how we have our providers who are trained to identify
- 5:37depression, and they do the PHQ-9 screeners.
- 5:40Yeah.
- 5:40They're supposed to identify these things and connect their patients to resources,
- 5:44yet-
- 5:44Yeah
- 5:44... they're not able to access those resources themselves.
- 5:47Yeah.
- 5:48And I was actually, in preparation for this, I was reading about different studies,
- 5:51and it was really shocking to me to read that
- 5:55a large majority of people in the profession feel scared to ask for help.
- 5:59They're scared what that's going to mean for their career, for their licenses.
- 6:03Yes.
- 6:03And that's a conversation, and I
- 6:06haven't heard that conversation at all, and I think it's a really important one.
- 6:09Yes.
- 6:09Just how can we
- 6:12ask people to help others, yet not create cultures or spaces for them to seek help
- 6:18themselves?
- 6:19Yeah.
- 6:19Being in healthcare is very heavy, the things-
- 6:21Yes
- 6:21... that we have to talk about with our patients that we hear.
- 6:25Yeah.
- 6:26It's so much more than writing a prescription, really.
- 6:29Yeah.
- 6:30It's holistic, and I know you talk about that-
- 6:32Yes
- 6:32... a lot. So yeah, so I'll get off my soapbox.
- 6:36No, it's a great one. And just to add to that, you're absolutely right.
- 6:42As a doctor,
- 6:45we're licensed. We're held accountable for the people who we give the treatment to.
- 6:51And when you are a doctor or an NP, PA, you seek help,
- 6:57you're now also entered into the database where your colleagues can look you up-
- 7:02Mm-hmm
- 7:03... and they will use that against you.
- 7:05Mm-hmm.
- 7:05It has been used against me.
- 7:07Mm-hmm.
- 7:07I'll tell you an example. I've never shared this before.
- 7:10Mm.
- 7:10A few people in my personal world do know it, but I think it is a great time to
- 7:16just highlight it.
- 7:16Yeah.
- 7:16So, long history of ADHD. It helps me more than it hurts me.
- 7:21Okay, really good at my job, but when you are locked into the program and the
- 7:27system, and you have to show up and do all these extensive tests and be just on
- 7:32point every single day,
- 7:36you're not sleeping. You're eating garbage. It's very demanding.
- 7:42Mm-hmm.
- 7:43So in trying to get yourself treated, right, so that your performance remains high
- 7:48and consistent, myself, and
- 7:52I would say a lot of different colleagues, they also have had to, at some point,
- 7:56take an ADHD medication.
- 7:58Mm-hmm.
- 7:58So
- 8:00it was interesting-
- 8:02Mm-hmm
- 8:02... because you just have very limited access, just like the rest of the world,
- 8:07right? No one's going to help you at all.
- 8:10God forbid, you are asking for a refill, or you miss an appointment because
- 8:16you're stuck at the hospital. Nobody cares.
- 8:18Mm-mm.
- 8:19Nobody cares.
- 8:21And so you're a normal patient in the system, okay?
- 8:25You try to push through it. There's a lot of barriers.
- 8:28There's prior authorizations. It costs a lot of money.
- 8:31There's the pharmacy's not your friend.
- 8:36No, and let alone with the stigma of all of that, right?
- 8:39The stigma.
- 8:40The stigma.
- 8:40Stigma.
- 8:40What are people going to think of me?
- 8:42What are-
- 8:43They do judge.
- 8:44Yeah.
- 8:44Heavily judge. Yes.
- 8:46It's a really interesting topic to talk about.
- 8:51After I lost Derrick, I had just got my first executive job in San Francisco.
- 8:55I was working for a federally qualified health center. I'm still there.
- 9:00And I had never been in a space where my mental health was supported.
- 9:05Mm-hmm.
- 9:06I'd just gone through the hardest thing of my life.
- 9:08Horrific.
- 9:08And the way that my organization showed up for me was unlike anything I've ever
- 9:13experienced.
- 9:14Wow.
- 9:14I worked at very corporate, big hospital systems here in Bakersfield, and it's
- 9:19very you show up, you hit your numbers-
- 9:23Right
- 9:23... you don't complain.
- 9:25Right.
- 9:26And here, they allowed me to be human.
- 9:30So you shared it?
- 9:31I shared it with everyone.
- 9:32Wow.
- 9:33There were moments where I'd cry at work.
- 9:35Good for you.
- 9:35I still cry at work sometimes.
- 9:36Mm-hmm.
- 9:36I'm a very empathetic person.
- 9:38Yeah. Which is a beautiful thing to always have.
- 9:42Yeah.
- 9:42And to get rid of that is not an option.
- 9:45And I work for primarily Latino organizations.
- 9:47I do think culturally it's very different than some of these larger organizations.
- 9:52Yeah.
- 9:53But I love this kind of, I'm seeing this transition,
- 9:58transitionary kind of way of thinking about medicine where it isn't so
- 10:04Western and clinical. There are cultural-
- 10:06Yeah
- 10:06... components to these things.
- 10:09Ugh, yes.
- 10:10And I think creating space for that and allowing these more traditional ways of
- 10:15approaching, and traditional more in the cultural aspect, right?
- 10:18Mm-hmm.
- 10:19In the Latino world, we getting together and honoring the deceased and-
- 10:24Yes
- 10:24... doing things that maybe you wouldn't normally do or traditionally do in the
- 10:28clinic.
- 10:29Yeah.
- 10:29I think it's important.
- 10:31Yeah.
- 10:32And it makes people feel part of a community, and you can show up in a different,
- 10:36more positive way. Know that, hey, it's okay to show the pain that I'm going
- 10:40through.
- 10:40Yeah.
- 10:40It's okay to know that I'm not at 100%.
- 10:43Yeah.
- 10:43But what matters is that I showed up today, what matters is that-
- 10:47You showed up
- 10:47... I'm moving forward.
- 10:48Yes.
- 10:48And I think that's what we need more of.
- 10:50Yeah. I love that. Showing up is really, I've said this a lot.
- 10:55That's funny you said it.
- 10:56Mm-hmm.
- 10:56A lot of people can't just show up.
- 10:58It's hard.
- 10:58They can't even show up.
- 10:59It's hard.
- 11:00It's a huge step just to do that. So if you feel not okay and you're borderline
- 11:06or you're like, "I just want to bed rot today."
- 11:10Yeah.
- 11:10Sometimes it's not the best for you.
- 11:12You just need to put on your clothes, walk through the motion-
- 11:15Oh, my gosh
- 11:15... be a robot for a minute because that is still better for you than the other you
- 11:20that's just back there.
- 11:22Oh, my gosh. 1,000%. And that kind of brings me to this next thing I wanted to talk
- 11:26about-
- 11:26Yes
- 11:27... which is the impact of grief on your body.
- 11:31Ugh, yes.
- 11:32I remember the first few years after losing Derrick, my memory was totally shot.
- 11:37I couldn't remember anything, and I remember getting so frustrated with myself.
- 11:40Yeah.
- 11:41I felt so stupid. I couldn't remember-
- 11:43Foggy.
- 11:43Yeah. I couldn't remember anything.
- 11:44Yes.
- 11:44Couldn't remember people's names I would meet.
- 11:47I couldn't-
- 11:47You felt like Dory the fish.
- 11:49Yeah, it was every five minutes. It was insane.
- 11:53I was like, "Oh, my gosh, I don't even want to think about what my coworkers think
- 11:58of me."
- 11:58That's-
- 11:58I'm walking around with my little tablet writing everything down.
- 12:02Okay, that's good.
- 12:03But-
- 12:04That's a good-
- 12:05Yeah
- 12:05... I know the fact that you were aware of it, and then you, to fix it, you were
- 12:10writing things down, or now we have AI, right?
- 12:12There's things you could do to-
- 12:13Yeah, please
- 12:14... get yourself through it.
- 12:15But I thought, "Oh, my gosh, what's wrong with me?" And I hadn't really seen,
- 12:19really had spoken to a healthcare professional about it.
- 12:22Yeah.
- 12:22And it wasn't until I was reading more online and hearing from other survivors'
- 12:26experiences that, oh, my gosh-
- 12:28Yeah
- 12:28... this is a thing. Your body has a literal response to this trauma that you went
- 12:33through.
- 12:33Yeah.
- 12:34And I think, I wish that there'd be more resources out there for people who have
- 12:39lost loved ones to suicide. Because there's all these things that I think knowing
- 12:44there's a
- 12:46kind of a shared experience-
- 12:47Mm-hmm
- 12:47... you can kind of say, "Oh, okay, maybe there's not something wrong with me.
- 12:51This is just part of that-"
- 12:52Part of the journey
- 12:53... "healing and that process."
- 12:54Yes. I love that. There is hope on the other side of it.
- 12:58You just have to push through it.
- 13:00Yeah.
- 13:01Gosh, I haven't gone through that. I mean, that's horrific.
- 13:06The closest thing that I can really relate to as far as the deepest grief-
- 13:11Mm-hmm
- 13:11... I've experienced that affected my memory-
- 13:14Yeah
- 13:15... there was a period of time, and it took, I feel like it was six months for me.
- 13:19Mm-hmm.
- 13:19And I was studying, I was pre-med, and I even had a tutor, and I was so
- 13:25embarrassed, and I told her, "I know I'm not 100% right now.
- 13:30I'm probably like 25%."
- 13:32Mm-hmm.
- 13:32"And I'm going through a lot in my personal life, but the future me needs to, I
- 13:37can't quit, I can't pause." Because the logistics of life, some things
- 13:43you feel like you can't just quit your job. You still have to pay bills.
- 13:45Yeah.
- 13:46You still have to show up to things.
- 13:47Yeah.
- 13:48So yeah, you just, in your case, you were writing things down.
- 13:51You had awareness, and people were also aware, and you just, it's okay.
- 13:56It's not embarrassing.
- 13:57No, and I think that's the takeaway, right?
- 13:59Yeah.
- 14:00It's okay to ask for help. I think in our society, we're made to be so productive,
- 14:05and it's shameful.
- 14:07Yes, where does it come from?
- 14:08I don't know, but I hate it.
- 14:10God, I hate it. I hate it.
- 14:10We can have both.
- 14:11I know.
- 14:11We can be productive, and we can also be human. We're not robots.
- 14:14It doesn't make you weak or pathetic.
- 14:15No. I think if anything, it makes you stronger and like-
- 14:18Impressive.
- 14:20Thank you. I mean, I-
- 14:21Because you're not just in bed sitting there.
- 14:23Yeah.
- 14:23Like-
- 14:24And I know that's okay sometimes, too, but it's like-
- 14:26Yeah
- 14:26... it is. There's something about getting out of bed-
- 14:28Yeah
- 14:28... and just moving forward. They say that the best cure for anxiety, right, is
- 14:33movement-
- 14:33Yes
- 14:34... is acting, is doing.
- 14:35It's the hardest thing to do.
- 14:38It is. But it's so important.
- 14:39I want to do what's normal.
- 14:41Right.
- 14:41Bravo. BravoCon. I was like, "I want to be the Lowell Owens version of
- 14:47myself."
- 14:49Instagramming.
- 14:51I've had those moments, too.
- 14:54Yeah.
- 14:54No, but
- 14:56I think it's important to recognize those patterns-
- 15:01Yeah
- 15:01... and to be able to take a step back and say, "All right,
- 15:05how is this impacting my healing journey?"
- 15:07Mm-hmm.
- 15:08And I think being able to, yeah, really take a step back and understand what is
- 15:13best for you in that moment.
- 15:15Yeah. If you can't decide that, if you can't even assess
- 15:21yourself, because you do disconnect from your body in many ways.
- 15:26Mm-hmm.
- 15:26It's almost like you're hovering above looking at yourself.
- 15:29Oh, yeah.
- 15:30There's shame, there's disappointment, there's the things I know that I should be
- 15:35doing but I'm not doing.
- 15:37It's all that pressure of society or family or, and I think learning to let go of
- 15:42all of that has really helped me. Because I think I was that person before Derrick
- 15:46passed away. I was like, "I need to have this title. I need to achieve this.
- 15:52I need to have-
- 15:52Yes
- 15:53... a house, and it needs to look like this."
- 15:55A checklist.
- 15:56Yeah, all of these. I need to look a certain way.
- 15:58I need to-
- 15:58Yeah
- 15:59... but like-
- 15:59You nailed it, in my opinion.
- 16:03Thank you, Mallory. You're so sweet.
- 16:05No, but-
- 16:05Well, I'm educated.
- 16:07It's like letting that go. I still want to achieve-
- 16:10Yeah
- 16:10... those things, but I do them, I guess, for me, because I want to, not because
- 16:14it's this expectation of how people-
- 16:17Perceive
- 16:18... perceive you or think that you should be.
- 16:20Ugh.
- 16:20But I know that's really hard.
- 16:21I know.
- 16:21I know that's extremely hard, and it's been really hard for me.
- 16:25Derrick was someone who really struggled with self-acceptance.
- 16:28He worried so much about what other people thought of him, and I try to live my
- 16:33life in a way that would hopefully make him proud.
- 16:37Yeah.
- 16:38And it's been really scary to open up on the internet.
- 16:42I talk about this a lot on my Instagram, and I'm always like, "Oh, my gosh, am I
- 16:46being too much? Am I being too this or that?" You know?
- 16:48I love it. It looks like such joy, and just arrival of
- 16:54self and acceptance of self.
- 16:56Yeah.
- 16:56And my takeaway is that you feel settled and at peace.
- 17:02Yeah, at peace.
- 17:03Yeah.
- 17:04At peace. Knowing that he will always be with me.
- 17:07Yeah.
- 17:07I think when you first lose, and this I don't think applies just to losing someone
- 17:12from suicide. I think losing anyone, that grief is so overwhelming.
- 17:17Yeah.
- 17:17And there's still moments sometimes, like I was driving around downtown today just
- 17:20going to all of our old spots, and I have moments where I cry and like-
- 17:23Oh, was it good or bad or both?
- 17:25It was good. It wasn't bad. It was good.
- 17:26It was like a release of maybe some feelings I'd been harboring but-
- 17:31Yeah
- 17:32... was a little scared to confront.
- 17:34Yeah.
- 17:35But I think it's taking time and allowing yourself to slowly get there when you're
- 17:39ready and not, because if I'm being honest, I felt That healing
- 17:45for me, when I first lost him, I had this timeline of, all right, after six months,
- 17:50I'm going to be totally healed. I'm not going to be sad about it.
- 17:52I imagine I would give myself six months.
- 17:54Because I process things very quickly. But it wasn't like that.
- 17:57You're such an overachiever.
- 17:58It wasn't like that.
- 17:59Try to put it on a planner. Okay.
- 18:01I'm a Capricorn.
- 18:05It wasn't this.
- 18:05Great, done at this time. Check. Cruise plans.
- 18:09I wish it worked like that. But no, it's like this-
- 18:11Yeah
- 18:11... and then just talking about it openly, and you learn
- 18:16things from different people and their experiences, and just being open to what the
- 18:20universe and the world is offering to you in that moment.
- 18:23Yeah.
- 18:24And taking those little bits and pieces and putting them in your box for later when
- 18:27you're feeling sad or when you're feeling like, "Oh my gosh, I don't think I can
- 18:30get through this." But then, "Oh, I remember I have this little piece of advice
- 18:34that this person gave me that I'm going to be able to use now."
- 18:38Yeah.
- 18:38Or just this tool that I learned from somebody.
- 18:41I love it. Your eyes and ears are open to receive anything that would be helpful.
- 18:47Yeah. So, I think that it's
- 18:52hard. And the other piece, too, of going through this grief journey is the way that
- 18:58our system is set up. You only get three days of bereavement. That's crazy.
- 19:02I was so lucky to have a-
- 19:04Oh, my gosh
- 19:04... really supportive organization that worked with me.
- 19:07Yeah.
- 19:08But that's not the case everyone. That was such a privilege for me.
- 19:10Yeah.
- 19:11I can't imagine losing Derrick and then having to come back after three days.
- 19:15That is, to me,
- 19:17just insane.
- 19:19Yeah.
- 19:19Especially in the healthcare field.
- 19:21When we know the traumatic-
- 19:24We're the least healthy.
- 19:24It's-
- 19:24We're the least healthy, and I've said it before, I really feel a level of
- 19:29inspiration and mission to help my own kind because we don't show up.
- 19:34I ghosted on my dental appointment this morning, and I'm so mad at myself.
- 19:40I was like, "Just charge my fee. I'm sorry." And it's like I knew that I had it,
- 19:46and I did block my schedule, but I allowed the patient visit to go over
- 19:52because I felt like it was the right thing to do.
- 19:55But in retrospect, I need to just draw a boundary and just make that space.
- 20:00This is when you do self-care.
- 20:02Yeah.
- 20:03It's so hard.
- 20:04We almost need a total redesign of the system.
- 20:07I know.
- 20:08And I think right now we're really talking about the provider experiences, but it's
- 20:12so much larger than that.
- 20:13It is. It's cancer.
- 20:14The way that we're reimbursed, the whole thing.
- 20:18It's gross.
- 20:18We need to just blow it up and start from scratch.
- 20:24I agree. Control Alt Delete because it's so bad.
- 20:27Yeah.
- 20:27And there's, I don't know. I know that abuse of any fraud is always an option, but
- 20:33it's not well done. It's not working.
- 20:36No.
- 20:36It's not working.
- 20:37And I know I think a lot of us get into healthcare because we want to help people.
- 20:41Yes.
- 20:41Both my parents are immigrants. I remember going to FQHC when I was little-
- 20:46Mm-hmm
- 20:46... and I want to give back to my community, and I see-
- 20:49Yeah
- 20:49... how hard it is for them to access care sometimes.
- 20:52Yes.
- 20:52Or when we have to refer them out to a specialist. It's so complicated.
- 20:56It's crazy.
- 20:57And I'm glad that you have this platform, and you're using it to have conversations
- 21:02like this-
- 21:03Yes
- 21:03... and hopefully others will listen in.
- 21:05Yes.
- 21:05It'll make them think about how can we do things differently.
- 21:08Right.
- 21:08I really want to be a CEO one day. That's my goal.
- 21:10And through all of this experience and losing Derrick and-
- 21:14Yeah
- 21:15... kind of seeing how he had to navigate his insurance benefits through work and
- 21:19how horrible that was.
- 21:21And he worked for a good place.
- 21:23He did.
- 21:25And I think that just goes to show, just because you are in healthcare, you
- 21:34experience the same thing as your patient would.
- 21:36Yes.
- 21:36Which is crazy.
- 21:37We are, yes, and that was exactly part of what I experienced with controls.
- 21:43Whenever I did choose to do the medicated option for ADHD
- 21:49control, which now, I've learned other modalities to do that.
- 21:55But it's like the world requires a certain output, and they require a certain
- 22:01level of performance.
- 22:02Yeah.
- 22:03And if you're not it, then somebody else is going to be put into your place, or
- 22:06you'll lose your job.
- 22:07Yeah.
- 22:08That's it.
- 22:08And it shouldn't be that way.
- 22:10It shouldn't. It's pretty wretched.
- 22:11Yeah, it shouldn't be that way. And I think hopefully people listening-- oh my
- 22:16gosh, I can't say the word listening.
- 22:18I heard it. I'm from the South. We just merge them together.
- 22:22It'll plant a little seed of like, okay, how can we change this?
- 22:27Yeah.
- 22:27But I think it's going to take that younger generation of thinking things
- 22:31differently, and I-
- 22:31Yes
- 22:31... really admire Gen Z because they're really about taking a step back and
- 22:37doing things that are going to promote wellness-
- 22:41Yeah
- 22:41... but really promote wellness.
- 22:43They're not into how we're doing it right now.
- 22:45No.
- 22:45They are not into it. They're like, "No, thanks.
- 22:47I'll be poor." "I don't actually really want to shop for the job.
- 22:51It ruins my sleep score and-"
- 22:54Good for you for being healthy.
- 22:56I'm like, "I'm not mad at it."
- 22:59No. I wish I was more into it.
- 23:02Boundary.
- 23:02Yeah. What's a boundary?
- 23:05You need me to come in on the weekend? Sure.
- 23:07Stay toxic. Be like us.
- 23:10Die earlier. I'm just saying. They're going to definitely live to 100.
- 23:14Oh my gosh.
- 23:15They're going to hit 20.
- 23:16They're going to solve all of our problems.
- 23:20Oh my gosh. Yeah.
- 23:24There's just so much beauty in life and that ability to feel joy and to feel free-
- 23:29Yeah
- 23:29... and to really have a feeling and not even just be numb.
- 23:34Yeah. And allowing yourself to do that, I think, is really important.
- 23:36I remember feeling so guilty when I would have a happy day, or there would be
- 23:41something that I would do that would bring me joy, and I would think, "Oh my gosh,
- 23:44I wish Derrick was here to experience that." And then I would feel so guilty like,
- 23:48"Oh my gosh, why are you happy? You lost the love of your life.
- 23:51You lost-
- 23:51Yeah
- 23:52... the most important person to you, and you're smiling.
- 23:54Like, what?"
- 23:55Yes.
- 23:56I think being able to move through that, and then also the guilt of what is
- 24:00everyone around me thinking? I'm on this healing journey.
- 24:05I'm doing whatever it is that I need to just even get through the day to be able to
- 24:08breathe and go to sleep at night. I would wonder a lot about that.
- 24:12What does his family think of me? What do his friends think of me?
- 24:16Yeah.
- 24:17Of how I'm living my life. What does Derrick think of all of this?
- 24:20You're such a caretaker.
- 24:22And I had to learn to let that go. I had to learn to let that go.
- 24:24Because you were not even thinking about you at all.
- 24:27No.
- 24:27You weren't on your own list.
- 24:29I wasn't, and that's the crazy part.
- 24:31And I think that through this journey, and for anyone listening, I want you to know
- 24:35that it's okay. Your grief journey is your own. Your life is your own.
- 24:40And the sooner that you can let go of caring what other people think, it will set
- 24:46you free in such a way that I can't even put into words.
- 24:50And I think when I talk about it, people tell me there's such a lightness of you
- 24:54that I've never seen before. And I think it's just that.
- 24:57It's because I've-
- 24:57Yeah
- 24:57... been able to let that go-
- 24:59Yeah
- 24:59... and not care what people are going to think of me at the end of the day
- 25:02because-
- 25:02That's it
- 25:03... life is so short. We only get one life on this earth.
- 25:06Yeah.
- 25:07Spend it doing the things that you enjoy and that you love.
- 25:11Yes.
- 25:11At the end of the day, if you're not hurting anyone or yourself, do it.
- 25:16Yeah.
- 25:16Do it.
- 25:16Yeah. Joy is just, that's living.
- 25:19That is-
- 25:20Finding that joy
- 25:20... that's freedom.
- 25:21Yeah.
- 25:21Joy is freedom.
- 25:22Yeah, definitely.
- 25:24Joy is freedom.
- 25:25Oh, do you think you went through a space of numbness?
- 25:31Oh my gosh.
- 25:31Did you let yourself just like you-- I think it's like a survival mechanism.
- 25:37It's like a disassociation.
- 25:39Yeah.
- 25:39I was talking to my friend about this the other day.
- 25:41I was like, I feel like I'm clear now where I can think about-- I wasn't doing the
- 25:46healthiest things. The last year and a half-
- 25:50Mm-hmm
- 25:51... of losing Derrick, I was doing a lot of things to dissociate from having to
- 25:55feel the pain of missing him-
- 25:58Yeah
- 25:58... of wanting to pick up the phone to talk to him. Our work is really stressful.
- 26:04Yeah.
- 26:04We deal with so much, and Derrick was kind of my rock. He was in healthcare.
- 26:08He understood what I went through.
- 26:12Yeah.
- 26:12And I didn't have that person to pick up the phone.
- 26:14I would cry myself to sleep a lot.
- 26:16Oh my gosh.
- 26:16And it was just terrible to not have your person.
- 26:19Yeah.
- 26:19And
- 26:21so I share that because I actually forgot your question.
- 26:28I lost my train of thought. See, there goes the grief brain.
- 26:29No, it's okay, because it's so real-
- 26:33Yeah
- 26:33... and you had to walk through it. So whenever your nervous system just shuts down
- 26:37out of survival because it's almost like it's so painful-
- 26:40Yeah
- 26:41... the brain stops to register it.
- 26:43It stops, and I think that's where all the forgetting came in and all of the-
- 26:46Absolutely
- 26:47... all of that. But I think- ... slowly kind of doing the work.
- 26:52Yes.
- 26:53Doing the work, showing up-
- 26:54Yes
- 26:55... and continuing to move forward and allowing yourself to move forward.
- 26:57I heard this quote the other day, because I would always say, "I don't want to move
- 27:01on. I don't want to leave him behind."
- 27:04Oh, yeah.
- 27:04And I recognize that I never have to do that because I'm not moving on.
- 27:09I'll never be able-
- 27:10Yeah
- 27:10... to move on from that.
- 27:11Yeah.
- 27:11But I can move forward. I can put one foot in front of the other.
- 27:15Yeah.
- 27:15And that kind of changed my whole perception around that, and especially wanting to
- 27:20find love again.
- 27:21Yes.
- 27:22That is a whole another can of worms, of being able to carry that love with me.
- 27:26That's a conversation.
- 27:27And-
- 27:28Yep
- 27:28... I thought about that a lot. It's like, okay, I don't have to leave the love
- 27:32that I had with him behind. If anything, it makes me a stronger partner-
- 27:36Gives you-
- 27:36... for the next person I'm with.
- 27:37Yeah, absolutely. Yeah.
- 27:38And it-
- 27:39I think it's beautiful
- 27:40... thank you. And I think it'll allow me to show up in a different way-
- 27:43Yeah
- 27:43... in a better way than I could have before.
- 27:46It seems so evolved, like grown up.
- 27:50And it sucks because you didn't choose it, okay?
- 27:52No.
- 27:52It was like such, but there's joy and then there's death, and it's like, I don't
- 27:57know. It's a whole thing you don't even need to put words to.
- 28:02Yeah. No, I appreciate that. And,
- 28:06I hope that there's... Yeah. And we'll see what the world, the universe, has in
- 28:12store for me.
- 28:13Yeah. Oh, gosh. I am excited for whatever that is.
- 28:17If we could know, would we want to know?
- 28:20No.
- 28:20I don't, right?
- 28:20I kind of want the surprise.
- 28:22I know.
- 28:23I kind of want the surprise. But it's changed the way I live my life, too.
- 28:27Yeah.
- 28:28I used to be the person that would wait for the perfect moment or would wait to do
- 28:33something, and now I don't even think twice.
- 28:35Like if I want to do something, I'm going to do it.
- 28:37We don't know how much life we have left on this earth.
- 28:39Yes.
- 28:40It's a gift, and I-
- 28:43It really is
- 28:43... treat every day like a gift. I wake up every morning, and I try to find one
- 28:47thing that I'm grateful for, and that has really helped me move through those
- 28:52complicated feelings of anger that he's gone or sadness that he's gone.
- 28:57Yeah.
- 28:57Because there's so much to be grateful for in this life.
- 29:00Did you find yourself asking why or feeling any level of like, "This is not fair?"
- 29:06Yeah, a lot. I remember-
- 29:07It seems like I would
- 29:08... I haven't told anyone this story, but the morning I found out, I was walking
- 29:14into work, and I just remember dropping to the floor crying, and every-
- 29:19So you didn't walk in on the scene. You found out-
- 29:22I was-
- 29:23... by phone?
- 29:23... I was at work, yeah. And I had to go through the airport.
- 29:27Everything had turned white. I was crying in there.
- 29:29I couldn't even like-
- 29:30You had to travel home?
- 29:31I had to travel to Bakersfield.
- 29:32Oh.
- 29:32That was in San Francisco. And I bought a ticket for the wrong weekend because I
- 29:37was just so frantic.
- 29:39That'd be me.
- 29:39The lady at the United Airlines-
- 29:41Yeah
- 29:41... was so sweet. She helped me. I went through the gate, and I'm just sitting
- 29:45there crying, and this girl walks up to me.
- 29:48And I get that you're talking about this because I'm a very spiritual person.
- 29:52I believe in signs.
- 29:52Yeah.
- 29:53This girl walks up to me, and she's like, "Hey, Suz." And I'm just like, "What?"
- 29:58San Francisco is a huge airport. I had barely moved there. I didn't know anybody.
- 30:03Yeah.
- 30:03She ended up being my neighbor's girlfriend and was flying from Washington to see
- 30:08her, and she just sat with me, and she held me. She sat next to me on the plane.
- 30:13I will never forget that act of kindness.
- 30:17And I don't know what I would've done.
- 30:19I think that was there making sure that I didn't have to go there and face this
- 30:24alone. But yeah, I wondered a lot like, why?
- 30:28And I know that I'll never know.
- 30:31Yeah.
- 30:32But I've come to terms that it is like a disease of the mind-
- 30:37Yeah
- 30:37... and it affects people differently.
- 30:38Yeah.
- 30:39I heard someone explain it the other day, like you wouldn't ask someone with a
- 30:42severed spinal cord to go for a walk kind of thing.
- 30:46Yeah.
- 30:46It is this invisible disease that we don't understand.
- 30:49Yeah.
- 30:50And some people just are going to succumb to it one day.
- 30:53Yeah.
- 30:54So it's a very complicated thing to talk about. Very complicated.
- 30:58Yeah.
- 31:00And I know everyone has such a unique experience losing someone that way to
- 31:05suicide. And everyone's, I think, experience is valid, and I want to say that.
- 31:11I'm just talking from my personal experience.
- 31:13Oh, yeah. Oh, my gosh.
- 31:17May I ask, so there was-
- 31:19Yeah
- 31:19... no closure or a letter or anything that explained?
- 31:24No.
- 31:24So just an open-
- 31:26Yeah, I really wish I would've gotten a letter.
- 31:28I don't know which is worse.
- 31:30I know the-
- 31:30Maybe if he wrote it, you'd be p****d.
- 31:32I don't know. I would think about that a lot, like why, why?
- 31:38But I think in that, I felt selfish asking that.
- 31:42I let that go because-
- 31:42Oh, that's a good point
- 31:43... I think at the-
- 31:44You're right. That's nosy, and that's like... You know what I mean?
- 31:47Yeah, I just thought, okay,
- 31:50how much pain was he in to
- 31:54where this kind of had happened-
- 31:56Yeah
- 31:56... and you ask yourself all of those questions.
- 31:58Yeah.
- 31:59But I hope that one day that there will be more research on depression and the mind
- 32:04and what that does, because there's not a lot out there.
- 32:07I remember researching a lot about this, and everyone's experience is so unique and
- 32:12different.
- 32:13Yeah.
- 32:13It affects everyone in a very different way.
- 32:15Yeah.
- 32:17But it is hard-
- 32:20It's complicated
- 32:20... to not understand ever the reason.
- 32:23Yeah.
- 32:23And sometimes there isn't. Sometimes there just isn't.
- 32:26And I think that is the most uncomfortable thing to accept and to sit with.
- 32:30Mm-hmm.
- 32:32We had a lot of conversations, actually, about euthanasia and suicide, and
- 32:38so I feel...
- 32:42What am I trying to say? I guess I want to say this in a really sensitive way
- 32:45because I know that is such a sensitive topic-
- 32:47Yeah
- 32:48...
- 32:49in our society. But I think if someone is in so much pain-
- 32:54Yeah
- 32:54... ethically, what does that mean to keep-
- 32:57Yeah
- 32:58... them here and in their pain?
- 33:00Yeah.
- 33:00What is the most humane thing to do?
- 33:03We would have debates about that a lot.
- 33:06I have those debates a lot, too, and I sometimes I'll touch on it here, but
- 33:12people don't like to hear it.
- 33:15No, no. And-
- 33:16But it's a fact of life.
- 33:18It's a fact of life. And I almost think like, could I have had closure or could I
- 33:24have had a different experience had that been an option for us?
- 33:28And instead of this really traumatic way that affected
- 33:34not only me or our friends, his family, my family, just in a really,
- 33:40really traumatic way, where we were left wondering, and we're left to pick up the
- 33:43pieces, and had we been able to have a more direct and open
- 33:49conversation beforehand, and had that been an option? Ugh. Yeah, who knows?
- 33:54That would not-
- 33:54Who knows?
- 33:54Oh my gosh.
- 33:55And, so I've thought a lot about that, and I want to
- 34:00be... I know that's available in other countries.
- 34:03I know to a certain extent it is here, but-
- 34:05But like you said-
- 34:05... I think that's the question we're not asking.
- 34:07Yeah
- 34:07... if you're somebody who's just like, "I don't feel like myself.
- 34:11I don't feel good," I can't imagine anybody-
- 34:14No.
- 34:14I mean, we wish...
- 34:16No.
- 34:17It's like-
- 34:17You'd be hospitalized
- 34:18... if you have cancer-
- 34:20Yeah
- 34:20... and it's your choice whether to go on chemo or not.
- 34:23And just like that, I think it should be someone's choice whether or not to remain
- 34:28in that pain.
- 34:29Yeah.
- 34:31But I think that is the ultimate question in healthcare, the ultimate debate in so
- 34:36many things.
- 34:37Yeah.
- 34:37In so many things.
- 34:40And I guess, I don't know. I know that's a really hard thing to talk about.
- 34:45Yeah, it is.
- 34:46I wasn't planning on talking about that, but it just kind of came to me.
- 34:49I think it's good to just keep the conversation spiking because
- 34:56the places that don't feel good is really what we, that's what we deal with.
- 35:00Yeah.
- 35:00That is our job.
- 35:02Yeah.
- 35:02And so,
- 35:04yeah. So I mean, you can't just walk it off.
- 35:07Yeah.
- 35:08And then you also don't want to turn to just drinking it off or like-
- 35:12Yeah.
- 35:12But it is, as a healthcare industry, I mean, it's our
- 35:18daily.
- 35:19It's what we live.
- 35:20Yeah.
- 35:20We see it with our patients.
- 35:22Yeah.
- 35:22Um.
- 35:23Suffering is, I always say suffering is unethical.
- 35:28Yeah.
- 35:28And because the question of narcotics comes up a lot, especially with
- 35:34elderly patients.
- 35:36Mm-hmm.
- 35:36They're hurting. They're just bedridden.
- 35:39A lot of them say they are enrolled in hospice that are six months or less to live,
- 35:45estimated. It's like, how much is too much? Well, you treat the pain.
- 35:50Yeah. Yeah, and everyone's so different, right?
- 35:52Yeah.
- 35:52Not everyone reacts the same way-
- 35:54Yes
- 35:54... to the same, and that's, I think, the difficult piece.
- 35:57There's this like-
- 36:00There's this, we have to treat everyone the same way.
- 36:03There's like-
- 36:03Protocol
- 36:04... protocol. This-
- 36:05Yes
- 36:06... standardization that needs to apply to everybody, but there has to be,
- 36:11what am I trying to say? Like-
- 36:12Intelligence, judgment.
- 36:13Judgment
- 36:13Clinical judgment to override.
- 36:15Yeah. There has to be-
- 36:17Yes
- 36:17... a level of being able to go outside of the guardrails-
- 36:20Yes
- 36:20... when necessary, when needed
- 36:22Without calling that cavalier.
- 36:23Yes.
- 36:24Or rogue.
- 36:26Yes.
- 36:27I will not use that terminology with clinical judgment calls that are...
- 36:32There's a certain range.
- 36:33Yeah.
- 36:33If you're outside of that, there's first, second-degree-
- 36:36Yeah
- 36:37... thinking, but then if you're way over here, okay, fine, then you went-
- 36:40Yeah
- 36:40... awry.
- 36:41Healthcare's such a personal thing.
- 36:43It's personal.
- 36:43It should be between you and your physician.
- 36:46Yes.
- 36:46It is a collaborative relationship.
- 36:49Yes.
- 36:49It is not a relationship between
- 36:52this politician over here or this person over here-
- 36:55Yeah
- 36:55... who thinks very strongly about something.
- 36:58At the end of the day, it's about the patient-
- 36:59Yes
- 37:00... and the provider.
- 37:01Yep.
- 37:01And them agreeing on what the treatment plan is.
- 37:04Yes.
- 37:05Yeah.
- 37:05Yeah. And it's like whenever people bring in the medical-legal aspect, it's like
- 37:10this is a crowd. Okay?
- 37:13Yeah.
- 37:13We have a crowd here. It's no longer just A and B.
- 37:16Yeah.
- 37:16There's all of these other players in the treatment plan.
- 37:19Yeah.
- 37:20Does it help more than it hurt, or does it hurt more than it helps?
- 37:23I-
- 37:24I know.
- 37:25That brings me to the topic of that end-of-life discussion with your family
- 37:31and being able to have those direct conversations about what you want done in the
- 37:37event that you're in a... Derek was a do not resuscitate, DNR, hard on that.
- 37:42Yeah.
- 37:42And he would always make me promise, "If I'm ever...
- 37:45I don't want to be a vegetable. I don't-"
- 37:46Yeah.
- 37:48So I don't know. In a way, I feel lucky that I was able to have those types of
- 37:51conversations with him-
- 37:53Yeah
- 37:53... because I knew how he felt about it.
- 37:55Yeah.
- 37:55And in a way, it was comforting to me.
- 38:00Yeah.
- 38:00But I know not everyone is lucky-
- 38:02Right
- 38:02... enough to be able to do that. So I think if I leave anyone with anything, with
- 38:06a morsel of advice, is have those hard conversations with the people that you love-
- 38:12Yeah
- 38:12... while they're here. Because you may not get closure, and life happens so
- 38:16quickly.
- 38:17Yes.
- 38:18And take care of yourself. Allow yourself to be free and to
- 38:23experience life the way that you want.
- 38:25I love that. Do you feel like your nervous system has swung back the other way or
- 38:31overshot?
- 38:32No. I think I'm coming to this level of calm.
- 38:36I'm able to sit here and talk to you about the hardest thing I went through without
- 38:40crying, and-
- 38:41It's really impressive
- 38:42... and it is emotional-
- 38:44Yeah
- 38:44... but I think I'm feel regulated, and it feels good.
- 38:47It's a level of healing.
- 38:48I never thought I would get here, and yet here I am.
- 38:50Yeah.
- 38:51So thank you for asking that question, Valerie.
- 38:53Yeah. Definitely. If anybody were to want
- 38:59support or would like to connect in any sort of way, how would they reach you?
- 39:03Oh, InstaJesus on Instagram. But if you're looking for
- 39:08resources, the American Society for Suicide
- 39:14Prevention was something that really helped me when I was in San Francisco.
- 39:18They do this annual walk where you can meet other people who've gone through the
- 39:22same thing, and I think that was the biggest thing that helped me, to be able to
- 39:26talk to other people who've lived it, to hear their stories, their experiences,
- 39:30because it is such a lonely thing to go through.
- 39:34Yep.
- 39:35And
- 39:36so they're a really great place to get connected.
- 39:39Trevor Project, I'll always
- 39:42rep them. They're an organization Derek was really passionate about.
- 39:46And yeah, there's a lot of really great resources online tonight.
- 39:49We'll continue to talk about this stuff on my Instagram because I think it's really
- 39:52important.
- 39:53Yeah.
- 39:54So thank you for the opportunity to be here, Valerie-
- 39:55Definitely
- 39:56... and talk about it.
- 39:56Yeah. Thank you for your bravery to share it.
- 39:59And yeah, I think a lot of listeners would also like to
- 40:05know, in your opinion, do you think that talking about it is for everybody, or is
- 40:10it something, like you said, sitting in silence?
- 40:12Mm-hmm.
- 40:12Or maybe, I guess, both.
- 40:14Yeah, I think both. Kind of understanding what that person wants.
- 40:17Yeah.
- 40:18I know I shared earlier, I'm a fixer, and I just tend to go in and want to solve
- 40:22things.
- 40:22Yeah.
- 40:23But I think kind of taking a step back and asking, "What do you need right now?"
- 40:27And maybe people will not be able to verbalize, but sitting there.
- 40:31I know after I lost Derek, I really appreciated the friends that would just come
- 40:36and sit with me.
- 40:37Yeah.
- 40:37I did not want to be alone in that big old house by myself.
- 40:42Yeah.
- 40:42And I remember people would come.
- 40:45They would just come sit with me, and I would just cry, or I would just sit there,
- 40:49and they would, that physical touch, that hug-
- 40:52Yeah
- 40:52... meant so much.
- 40:53Yeah.
- 40:53Meant so, so much. And I think if that, like-
- 40:56So just being present with somebody.
- 40:58Present.
- 40:58Don't need to talk about it. If that person wants to share, then let them.
- 41:03Yeah.
- 41:03And don't try to give advice. Just be a sounding board.
- 41:06Yeah. And say, "That's valid."
- 41:08Yeah.
- 41:08"That's valid. I love you. I'm here for you," means a lot.
- 41:13Super helpful.
- 41:14Yeah. Thank you.
- 41:15Is there anything else that you would like for us to share, or-
- 41:20I think that's it. Just spread love.
- 41:22Yeah. Yes.
- 41:22Be kind to one another, and
- 41:26be your beautiful selves.
- 41:28I love that. Well, you're good at that part, so
- 41:32let's do this again sometime too.
- 41:34I would love that. We need to talk about peptides and working out next.
- 41:39Yes, please.
- 41:39Well, thank you, Valerie, for the opportunity.
- 41:40Love you, and have a beautiful rest of your evening.
- 41:42Same here. So thank you for stopping in the studio, Dr.
- 41:46Salley, White Coat, Black Sheep.