My intention is to post a Thoughtful Thursday column each week and share some of the insights I have learned in the past week. Here are some of the things I’ve learned this week:

We tend to overcommit to things out of obligation, guilt, boredom, or an overall lack of boundaries. You can control what you commit to, and you can and should say no to protect your time, boundaries, and self-care. “You deserve to feel like you’re putting your heart into everything you do. That’s a real possibility in your life. And the only way you get there is by raising your standards.”

So the next time you’re making a decision to do something or not, ask yourself “Do I really want to do this?” If your answer is “Heck Ya” then follow the pull of it. If it’s anything else, politely say “No Thank You.”

Brian Ford

Doctors are often rushing from patient to patient, and many times patients feel unheard. Here are some tips to get the medical care you deserve:

Prepare for your appointment with a chronological written history of your issue/story. This helps because if you feel/look fine at your appointment, you can still get your doctor’s attention with a written chronology of information and also save the doctor time. Also, come prepared with questions. Often doctors are rushed, so having your story written down and organized helps!

• Try to get your doctor to listen to you. Some sample statements are “I want to really explain to you how this illness has affected my life.” For a chronic health issue, state “These symptoms are different than what I had been experiencing.” Emphasize what you have tried already for treatment. Ask your doctor what diagnosis the doctor thinks this is. It also helps to have a family member or spouse with you to get the doctor’s attention.
• Have your primary care doctor or referring provider provide the specialist with a note of your symptoms, progress, what has been tried, etc.
• Try to get to know your provider before an urgent issue comes up to build trust.

Doctors have more focus during telemedicine visits. There are fewer distractions, as they are only seeing one patient at a time, they aren’t dealing with others knocking on their door, etc. Virtual appointments present a greater opportunity to share your story.

I have learned that you really need to be your own advocate in the healthcare system. Throughout most of my life, I had various symptoms and was (mis)diagnosed with various conditions, and sometimes I was told that it’s “normal” or that it’s “in my head.” Other times, my symptoms worsened and I felt unheard because providers tried to tell me that it’s normal to have those symptoms with my diagnosis. After several doctor visits with different providers, many medications, and worsening symptoms, I decided to be my own advocate and write a chronological history of my symptoms, what medications I’ve tried, etc. and requested to be seen at the notorious Mayo Clinic in Rochester, MN. I am grateful that I was accepted for a second opinion. With my personal written chronological history and a list of questions, I finally left my appointment feeling heard and understood, and I was eventually properly diagnosed and presented with treatments and resources that had not been considered by other providers. Be your own advocate!

Friendship does not happen organically in adulthood. It is based on effort. In childhood, repeated unplanned interactions and shared vulnerabilities created friendship, which were easy in the school setting. These factors require more effort in adulthood.

Marisa G. Franco

• Overcome covert avoidance, which is seeing people physically but checking out mentally. Show up and engage with people.
• For friendship to happen, someone has to be brave and initiate conversation.
• Having outside friendships is necessary for a healthy marriage and makes you more resilient through the difficulties of marriage.
• Be vulnerable and assume people like you. For long-distance friendships and breaks in communication, assume people still want to connect but may be busy.
• In-person connections tend to be stronger than virtual connections.
• Find a group that meets around a hobby (hiking, meditation, book club, football, etc.). We tend to like people who are familiar to us. Ask members if they want to meet up before or after the group meets.

Our personalities are fundamentally a reflection of our experiences of connection or disconnection (coping mechanisms, friendly, open, cynical, aggressive, violent). How we have connected impacts who we are, and who we are impacts how we connect.

Marisa G. Franco

The average funeral cost in the United States is over $11,000.

The rising cost of funerals leads to 88,000 bodies going unclaimed every year so that families won’t be on the hook for paying a bill.

funerals.org has helpful resources of your rights, ways to cut costs when planning a funeral, and funeral/burial requirements.

Some ways people cut costs:

• Half of Americans choose to cremate to cut costs. Others proceed with immediate burial to eliminate the embalming process.
• Shop around.
• Purchase a casket online. Mortuaries are required to accept a casket from an outside vendor.
• Plan a memorial service, where there is no need for embalming, refrigeration, a grave site, or a fancy casket.
• Consider donating your body to a medical school for research.
• Eliminate the vault. A vault made of concrete, steel, or lightweight fiberglass-type materials completely encloses the casket in the grave, while a less expensive concrete grave liner covers only the top and sides. No state or federal law requires the use of a burial vault, but most cemeteries do. The vault prevents the grave from sinking in after decomposition of the body and casket, making it easier to mow with heavy equipment.

Interesting facts:

• There is no federal law mandating embalming. Some states require it. Most funeral homes have a policy that they won’t allow a viewing unless you embalm.
• 4.3 million gallons of embalming fluid are used in the United States each year.

The strangest idea from this podcast was the concept of green burials: no embalming fluids, no concrete vaults, only biodegradable burial containers (a small box that disintegrates into the earth within 3-6 months/after 12 months, there is no evidence of your burial), hand dug graves, and no polished monuments.

When I first heard this, it gave me serial killer vibes! However, the podcast host mentioned that green burials result in you being part of the earth just like every animal who died throughout history.

I look forward to reading, learning, and sharing more with you soon!