{"id":44787,"date":"2019-06-07T11:01:29","date_gmt":"2019-06-07T10:01:29","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=44787"},"modified":"2019-06-18T11:20:28","modified_gmt":"2019-06-18T10:20:28","slug":"matt-morgan-and-peter-brindley-the-car-seat-of-life","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2019\/06\/07\/matt-morgan-and-peter-brindley-the-car-seat-of-life\/","title":{"rendered":"Matt Morgan and Peter Brindley: The car seat of life"},"content":{"rendered":"<p><span style=\"font-weight: 400\">While stuck in an angry snarl of traffic during another grey morning commute, I had time to contemplate the view from the car\u2019s rear-view mirror. If this was the \u201cfamily car\u201d then the back seat would be decorated with children\u2019s toys and crayons. It might be messy, but would reflect adventure and discovery and excitement. Instead, my commuter vehicle had two neglected child seats. In contrast, on the front passenger seat there was a horror show of adult mess and misgivings. I couldn\u2019t help but think the universe was trying to tell me something. Welcome to lessons from the car seat of life. <\/span><\/p>\n<p><span style=\"font-weight: 400\">I had ricocheted through a busy run of clinical shifts. The faces of the many patients I had cared for still occupying my mind. Over the past week I felt I had done my bit for humanity. However, while you can largely leave the patients at the hospital, it is the \u201ccurse of extra tasks\u201d that follows you home. We want to help the greater mission and therefore we volunteer left and right. However, every \u201csorry to bother you but\u2026\u201d and \u201ccan you just help out for a sec\u201d adds up and takes away. So I covered a locum shift here, attended a meeting there, tried to co-write a paper, delivered extra teaching, and squeezed in a conference call or two, or three. The resulting early arrivals and late departures could be tallied in the lines under my eyes. We might recognize the toll of overwork in our morning mirror, but this time it was writ large in the passenger seat to my right. <\/span><\/p>\n<p><span style=\"font-weight: 400\">Instead of a lovely conversant human sitting next to me on my drive, let me describe the detritus of my week and the self-recrimination that followed:<\/span><\/p>\n<p><span style=\"font-weight: 400\">&#8211;<\/span><span style=\"font-weight: 400\"> \u00a0\u00a0\u00a0\u00a0\u00a0<\/span><span style=\"font-weight: 400\">Fast food wrappers: one for every meal and beverage shoved or guzzled. Was I reduced to such low-grade fuel just to keep my engine going? \u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">&#8211;<\/span><span style=\"font-weight: 400\"> \u00a0\u00a0\u00a0\u00a0\u00a0<\/span><span style=\"font-weight: 400\">A mobile phone charger and cable: my lifeline to the world which I scrambled to recharge after my phone died. How long had I lived with the spectre of being called back at all hours and never really getting away.<\/span><\/p>\n<p><span style=\"font-weight: 400\">&#8211;<\/span><span style=\"font-weight: 400\"> \u00a0\u00a0\u00a0\u00a0\u00a0<\/span><span style=\"font-weight: 400\">A mouldy apple core: a vain attempt to reach my five-a-month let alone five-a-day. What does it say when you don\u2019t eat right and don\u2019t clean up compost? <\/span><\/p>\n<p><span style=\"font-weight: 400\">&#8211;<\/span><span style=\"font-weight: 400\"> \u00a0\u00a0\u00a0\u00a0\u00a0<\/span><span style=\"font-weight: 400\">A chocolate bar wrapper: a &#8220;pick me up&#8221; because of missed meals and lousy sleep. Can you really make up for lost sleep and time?<\/span><\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2019\/06\/car_seat.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-44788\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2019\/06\/car_seat-225x300.png\" alt=\"\" width=\"225\" height=\"300\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2019\/06\/car_seat-225x300.png 225w, https:\/\/blogs.bmj.com\/bmj\/files\/2019\/06\/car_seat-640x852.png 640w, https:\/\/blogs.bmj.com\/bmj\/files\/2019\/06\/car_seat.png 750w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a><\/p>\n<p><span style=\"font-weight: 400\">Some of your car seats may look like this all the time\u2014and perhaps that is fine. I am not here to moralize only to reflect. The point is that mine is normally empty and clean and as uncluttered as my mind. This state of affairs was not normal. It could just as easily have been a blinking light on the dash. I really shouldn\u2019t ignore this, but who has the time? Perhaps it is more accurate to admit that I had temporarily forgotten my priorities.<\/span><\/p>\n<p><span style=\"font-weight: 400\">There may be other areas of your own life screaming out a warning. My polite suggestion is that you dedicate time and space to listen. For example, does your refrigerator routinely contain food well past its sell by date? Are you wardrobe hangers empty because your clothes are conducting a protest on the bedroom floor? Do you climb over unopened mail by your front door? Do you routinely forward yourself emails because you can\u2019t bring yourself to deal with them now. This is not piety, and I am not suggesting that cleanliness is next to godliness. Instead the issue is that modern life may leave you feeling that you no longer have time for general maintenance or self-care. When you get so distracted that you fail to do what is now known as \u201cadulting\u201d. These routine chores used to be the cornerstone of everyday life. Clean your shoes, brush your hair, and tidy your room. Get the little things right and the rest will follow. <\/span><\/p>\n<p><span style=\"font-weight: 400\">The following week, I tidied up my car seat of shame. I also tried to hit reroute. I cancelled a meeting, I turned down a locum shift, I excused myself from a conference call, and I got a half decent sleep. Small steps but at least I felt a little more in control. My car seat was clean and my life was a little manageable. I then borrowed the family car and threw the kids in the back seats. We headed out for a quick adventure that coincided with the route that I cover on my morning commute. The kids made a shocking mess of the back of the car. In contrast to feeling distress, it felt like a clean start and a fresh perspective. I have a way to go but am getting better at enjoying the journey. \u00a0\u00a0<\/span><\/p>\n<p><i><span style=\"font-weight: 400\"><strong>Matt Morgan<\/strong>, Honorary Senior Research Fellow at Cardiff University, Consultant in Intensive Care Medicine and Research and Development lead in Critical Care at University Hospital of Wales, and an editor of BMJ OnExamination. He is on twitter: <a href=\"https:\/\/twitter.com\/dr_mattmorgan?lang=en\">@dr_mattmorgan<\/a>.\u00a0<\/span><\/i><span style=\"font-weight: 400\">Matt\u2019s first book, Critical\u2014science and stories from the brink of life is a<\/span><span style=\"font-weight: 400\">vailable to order now <\/span><a href=\"http:\/\/www.drmattmorgan.com\/\"><span style=\"font-weight: 400\">www.drmattmorgan.com<\/span><\/a><span style=\"font-weight: 400\">.<\/span><\/p>\n<p><i><span style=\"font-weight: 400\"><strong>Peter Brindley<\/strong>, Professor of Critical Care Medicine, Medical Ethics, Anesthesiology at University of Alberta, Canada. He is on twitter <a href=\"https:\/\/twitter.com\/@docpgb\">@docpgb<\/a><\/span><\/i><\/p>\n<p><i><span style=\"font-weight: 400\">Disclosures\/conflicts: none. This work is original<\/span><\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>While stuck in an angry snarl of traffic during another grey morning commute, I had time to contemplate the view from the car\u2019s rear-view mirror. If this was the \u201cfamily [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2019\/06\/07\/matt-morgan-and-peter-brindley-the-car-seat-of-life\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":43883,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18885,18895],"tags":[],"class_list":["post-44787","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-matt-morgan","category-peter-brindley"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Matt Morgan and Peter Brindley: The car seat of life - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2019\/06\/07\/matt-morgan-and-peter-brindley-the-car-seat-of-life\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Matt Morgan and Peter Brindley: The car seat of life - The BMJ\" \/>\n<meta property=\"og:description\" content=\"While stuck in an angry snarl of traffic during another grey morning commute, I had time to contemplate the view from the car\u2019s rear-view mirror. 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