threshold Archives - Danny van Leeuwen Health Hats


By | Advocate, ePatient, Family man, Leader | 4 Comments

“Home is a notion that only nations of the homeless fully appreciate and only the uprooted comprehend.” ― Wallace StegnerAngle of Repose

“I rest in ease, knowing there are others out there, whispering themselves to sleep, just like me.” ― Charlotte Eriksson

I am the son of Holocaust survivors.   My mother was a German Jew, a refugee in Netherlands spending her teen years in hiding, then a refugee in the United States. Her family had means and connections.  My father’s father was a survivor of the Bergen-Belsen concentration camp and a refugee in Switzerland, then the United States. He had means and connections.  They were both welcomed into this country. Read More

Stranger in a Strange Land

By | Advocate, ePatient, Leader, Musician | No Comments

OMGdpdrmultiface, where’s my wife? I need to be rescued. I can’t do this. I can’t be here. My pounding heart, my rapid, shallow breathing. I can’t be here. Where’s my Ativan?! Have I gotten bad news, a diagnosis, felt a lump? Am I bleeding? Have I fallen? Am I a stranger in the strange land of the medical industrial complex?

No, I’m on a Blues Cruise. I want to play the blues with other amateurs. They are the amateurs that are not headliners. They have blues bands of their own and play regular gigs wherever they live.  I am an old, baby amateur. I’m the only horn player at this session. I don’t know the tunes. I don’t know what key they’re playing in. I am SO way over my head. It could just as well be a gaggle of 8-year old’s trading Pokémon cards. Read More

The Minute Before and the Minute After

By | Family man | No Comments


calla-brandonI officiated at my 26th wedding yesterday – a young lady I’ve known since she was born. So honored to be asked. Now I’m in DC to meet the few week-old son of a couple who’s wedding I performed  several years ago.  After the 10th marriage I’ve done, I say to every couple, there’s a minute before which you aren’t married and the next minute you are.  What’s the difference? Five of the first ten are still married. All of the rest are still married.  Correlation? Who knows?

Life is a series of thresholds. The minute before and the minute after. We transform during thresholds. I relish participating as a minister, a nurse, or as a human in transforming thresholds. Thresholds are intimate and beautiful. It’s love.  So whether it’s a wedding, at the clinic’s registration desk, hearing good or bad news, or simply witnessing a life moment, how we engage people over thresholds profoundly affects the experience for us and for them. Be present, appreciate, wonder, make a difference. Thanks.

Another threshold

By | Caregiver, Clinician, ePatient, Family man | 6 Comments

My long-time friend, Glen, died last week. The first thing Glen and I  did together in Detroit, 1969 was to go into elevators and face the back to freak people out and then we got stoned. Glen helped my wife and I set the poles (trees) in the house  we built in West Virginia.  He and his wife had wanted us to move to Maine and live with them, but it was too cold for us. Glen died of brain cancer. His children took care of him for the last six weeks of his life in his home. Not a nurse among them. Read More

Habits – Health’s ingredients

By | Advocate, Caregiver, Clinician, Consumer, ePatient, Family man, Leader | 2 Comments

Habits are the ingredients of health. My chiropractor tells me that my exercise habits should be sustainable. I need to keep them up no matter my life pace. Now I alternate days of 45 minutes of balance and core strengthening exercises  with 60 minutes of recumbent bike riding.  I could do that when working full-time and when not. Smiling and greeting you at a threshold is a habit. A habit for my mental health and yours. My newest habit is to stop putting food in my mouth every day at 7:08p.  Why 7:08?  No reason. This blog is a habit: one idea germ a week, 20-60 minutes of writing every Sunday for 3 years. Helps me keep my disorganized mind in order.

Nothing so needs reforming as other people’s habits ~ Mark Twain.

Not being alone together

By | Caregiver, Clinician, Family man | One Comment
I’ve officiated at about 20 weddings over the past 35 years – the most recent – last weekend.  Being a minister is like being a nurse. It’s a gift to have  moments of intimacy with people at crucial moments in their lives – glimpses of the fiber of relationships between loved ones and with their family members. The fiber can be tough and sinewy, new and delicate, or anything in between. As a student of relationships I often reflect on this x-ray of human connections.  Can I read anything about durability or the capacity to face inevitable uncertainty or tragedy? I look for respect, listening, appreciation, learning, humor, affection. I so appreciate people who speak well of their partners. They are not alone together.  My 39th anniversary just passed. Phew.  We knew so little, we were so young. Who could have predicted we could make it 39 years? We certainly needed and sought help. 

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Belonging to your health team

By | Advocate, Caregiver, Clinician, Consumer, ePatient | One Comment
Belonging to your health team. Seems oxymoronic. Of course you belong to your health team. There is no health team without you. Yet sometimes people feel out of control, not accepted by their team. Maybe it’s because it’s not their team. Professionals and caregivers sometimes act as if or really feel that they are the team, separate from the people they serve. Today I received an e-mail report from a friend describing the meetings of the team caring for her husband with ALS (Lou Gehrig’s disease). The hope, the optimism, the details of how to manage, the welcoming, warmed my heart. The key is the welcoming across a threshold. Before the professionals weren’t part of their team. After they were. Just like that. Same day, I received an email describing the separation, frustration, lack of communication, of a friend caring for her husband who had surgery. Although the outcome was good – successful surgery – she seemed glad to be away from those professionals. They were never part of the team. How do we as ePatients welcome professionals onto our team?  How do professionals acknowledge that they have joined ePatients’ teams?

Peace with Aloneness

By | Caregiver, Clinician, Consumer, ePatient, Family man | No Comments
All humans have at least two things in common, they experience tragedy and aloneness. Aloneness features prominently in the health journey. We fortunate ones have supportive, often present health teams. Still it’s our journey to travel – often alone – as an ePatient, caregiver, or professional.  What is aloneness? This past week  I’ve asked many.  Some refer to loneliness, some to being alone. Loneliness is being apart, excluded or by choice. Loneliness feels like less – less than wanted or expected or experienced – the down next to the up. Less fun, less love, less power, less inclusion, less function, less help, less future, less control. Aloneness is not with others. People mostly speak of aloneness as a respite – relief from humdrum, pressure, worry, relationships, routine.

Sensitivity by other members of the health team to loneliness or aloneness challenges. How do we listen for loneliness or aloneness in others? Either its worn on the sleeve or its buried. If we’re empathetic enough to see it, how do we react? Respect it, pull or push, silent presence, distract, hug? The hardest challenge as a member of health teams – distinguishing between aloneness and loneliness and responding. For myself, I appreciate those who notice something’s off, are present, open a door, stand at the threshold, and don’t expect me to walk through it. I relish my aloneness from time to time. Peace with loneliness and aloneness is a magic lever of health.

Crossing Thresholds

By | Caregiver, Consumer, ePatient | One Comment
We cross many thresholds in our health journeys: before the diagnosis / after the diagnosis; outside the office / inside the office; before the pain / after the pain; having enough money / having too little money; before being cared by xxx / being cared by xxx; in control / less control; before taking the drug / taking the drug; before surgery / after surgery; walking fine / problem walking; living here / living there, etc. etc. Thresholds of sensations, function, location, relationships, power, information. Disorienting and bewildering – at least unsettling, sometimes devastating. And that ‘s just for us e-patients. What about our family, caregivers, and the professionals in  and associated with our team? A veritable ripple of thresholds. Read More