Writing prompts for healthcare workers (and anyone else who needs writing prompts right now)

Experiences of illness and its treatment are emotional and complex in a way isn’t usually accounted for in the rapid pace of healthcare treatment itself–it’s a lot of complexity to hold in. This was the case before the pandemic but the volume of pain and loss which healthcare workers are being exposed to right now seems truly, deeply hellish; the risk of burn-out is severe. Expressive/reflective writing is a therapeutic tool for releasing difficult/trying/impossible/traumatic/galvanizing/ambiguous events, a practice which rests upon the belief that writing is a form of physical processing that can’t just happen in the abstract space of your brain. I know that expressive writing won’t remedy the actual experiences which healthcare workers are going through, the fact that they are putting their lives on the line with insufficient PPE, or their physical exhaustion. It won’t resolve the fact that EMS workers in New York City are being denied hazard pay. But it’s possible that having an outlet to process the miseries of the recent past will release some of the physical burden of those experiences, and provide an opportunity to draw back into yourself. (It’s also okay to not be ready to process and to stay disassociated in order to survive.) If you want a space to do some processing, setting a timer for 10-15 minutes and writing can be a small, low-stakes way to build that. You can also keep writing after that point if you get on a roll. Here are some first aid writing prompts for healthcare workers, essential workers in the line of fire, or anyone who feels like writing about right now:

  1. Write about what you feel in your body right now: what does it feel like in your face, hands, chest, stomach, hips, thighs, calves, ankles, feet, ears, fingers, eyes, forehead, mouth? Describe pressure, motion, weight, touch, smells, sounds, and sensations of all kinds.
  2. What is something you’ve seen/experienced that felt impossible? What image comes into your head? Describe the image (colors, characters, scenes), and if you want, the story of the image.
  3. Write a letter to yourself, from yourself, in third person: “Dear you…” Tell yourself about some things you know but which have been hard to admit to yourself. Give yourself advice about how to make it through this. Be kind.
  4. What questions do you have about right now? What questions can you answer for yourself, and what questions are unanswerable?

It’s going to take a long time to understand, and to unspool, the damages and experiences of the present. Writing for a little while might not expose all that is unknown, but hopefully it will provide some relief.

Grad Student Housing + Pandemic Lifestyle

There have been a lot of low-flying airplanes overhead around here in grad student housing which is really not at all unusual. Living in San Diego is pretty sci-fi, especially in this “neighborhood,” adjacent as we are to the hospital and various very tall buildings in suburban labyrinths with reflective fly-eye glass. But I’ve been interpreting every military plane or every ambulance siren I hear in relation to the virus. There are all of the usual emergencies from beforehand, and while the virus doesn’t change everything it does change the way I see what used to seem ordinary, which now seems remarkable in its continuity. Or the ways that it’s the same, but different. The HDH maintenance carts still rip through the maze-sidewalks, but now the workers wear masks. A man in scrubs biking towards the hospital at 6:30am. A flank of morning power-walkers peppily propelling themselves forward, squeezing other pedestrians to the sidelines, dangerously close to them. Chatting with the cashier at the grocery store, her face hidden behind a mask which slipped down her nose. The person bagging said she almost took the class I’m TA’ing for. “I would’ve been your TA!” I said. We drove back home in Ethan’s van, with the grocery bags sliding around in the back. There was the usual assortment of wrappers at the passenger-side footwell. Stroopwaffles and Honey-Stingers, mostly. And last night a child played pretend with their mother at the edge of the brand-new student housing complex, the one being repurposed to house students sick with COVID-19. “How much strawberry ice cream?” Pantomiming work at an ice cream parlor, hovering hands in the shape of invisible creams.

Ethan has been baking cakes: lightening cake, apple cake, lemon cake. He eats all the cake and the cake make him fart. He farts while we walk across the rainbow bridge and through Mesa Nueva, where electric signs display strangely buoyant PSA’s: “Difficult Journeys Lead to Beautiful Destinations” or hipster clip art about sneezing into your sleeve. There is caution tape stretched around gathering places, like around the ping-pong table and the playgrounds. But people still gather around picnic tables, or cluster in the grass. One evening there were people working out at the very edge of the caution tape stretched around the Mesa Nueva gym: a couple, doing core exercises where they held each others’ feet on that 2-foot perimeter. It seemed comical. On the walks things seem mostly normal. Yesterday when we walked across the rainbow bridge Ethan and I joked about ways he could continue working for REI, but remotely, taking customer service calls from his bedroom with his very fancy microphones, or posting promotional videos about REI products to YouTube. He has to attend a 1pm conference call today to find out the future of his employment there, after a month of receiving emergency pay. He expects to learn he’s being officially furloughed.

The economy is ridiculous though. It’s ridiculous all the things people do for money. It’s not exactly that the economy seems fragile per se to me, but that it is misguided. Real-life emergencies turn its misguidedness into its own emergency. So maybe that means the economy is fragile? Two winters ago, before I found out that I’d gotten into grad school, I got laid off from my job and spent a few weeks furiously applying to jobs and then trying to do everything else less furiously. I felt like a freight train I was reigning in, not because of unemployment per se but because of being constantly restless in general. But there was nothing I could do to make things go faster. The collapse of structure in my daily life tightened the pre-existing tautness but instead of heeding it I rented videos from Rainy Day records and watched them while I sewed a pastel button-up shirt in my tiny white apartment that looked over downtown Olympia. I wanted life to feel pastel. I watched the Tanya Harding movie and the documentary about Hedy Lamarr. So I know my own version of the panic feeling about not being able to make money, how it skews everything you see and collapses one’s patience for the efforts you can or should undertake to improve your situation. It’s hard when the only thing you can do is wait. But I do not know that feeling when so many other people are experiencing it too, so I imagine the impatience is exponential. Or maybe there is a comfort in the togetherness?

Last night I listened to the George Saunders interview with Cheryl Strayed, the one that’s making the rounds. I found it comforting and felt there was truth in this idea that we don’t even really know what this whole thing is yet, and we probably won’t know til later. How trying it is (especially on writers) to cede to that not-knowingness. There are the unknowns of what is happening in places I don’t have any access to: how bad is it inside of prisons, inside of hospitals, or to be homeless right now? What is that experience like? And then even to understand those places which I’m continuing to inhabit, though they are cinched by a partial tourniquet. What the loss of blood flow shows. That’s what people are saying, Rebecca Solnit too, about how crises are opportunities for seeing what’s already been happening. What Eirik was talking about in the Crisis Times about the molecular structure of the corona, the microscope, the eclipse: things that only become visible under specific circumstances. And I think it will take a long time to absorb and understand that, and there will be a question about how—even without understanding it all—something might change, or we might hold ourselves open to its possibility even under the duress of urgency.

Corona Virus, Precarity, + Embodied Labor: Week One

Monday

Monday morning, March 9th, an overheard conversation between two undergraduate students in a cafe: 

“Tonight is the deadline for the University to decide if they are going to do all classes online next quarter, because of the virus stuff.”

“Do you think they’ll do it?” 

“Nah, I don’t think so.”

Monday night, I got the email: All UC San Diego classes to be held remotely in spring quarter. Though drastic, the maneuver felt more precautionary than prescient or urgent. Friends speculated the move to remote instruction was a response to the wildcat graduate student strikes spreading through the UC system.

Tuesday

On Tuesday, the seed of disruption had been sown as the significance of next quarter’s solitude settled in. I went to the store with Ethan and we bought vegetables, peanut butter, and bags of plantain chips and lentil pasta. I imagined every surface as covered with deadly invisibilia, but later sat at a table within five inches of friends, unafraid of their breathing. I started to feel the frenetic hum and inner heat produced by thoughts moving so quickly they were made illegible. That night, before falling asleep, I wrote about the virus against Susan Sontag’s Illness as Metaphor:

Whatever symbolic or poetic meaning projected upon the reality of the disease, or which the reality of this disease is wrapped up in, is as much about the world it exists within and travels through as it is about the illness itself. Talking about the virus is talking about a globalized world which moves at the rate of its high-tech apparatuses but cannot actually account for the physical bodies which it is populated with: our vulnerabilities and our reliance upon the material world even when the normative processes of production stall or are hampered. Talking about the virus is talking about overproduction of things suddenly made useless by a microscopic contagion.

Wednesday

By Wednesday, the poetry reading was canceled; class was canceled. While at home that afternoon I tried to remember what “Community Immunity” means and revisited an essay by Ed Cohen. So many unfilled needs exposed by the virus — that’s what I wanted to write about. 

Cohen’s essay is about the AIDS pandemic in South Africa and the problematic individuation (depoliticized, decontextualized) which biomedicine entails. Cohen contrasts this isolated approach with the collective permeability which something like a virus highlights. Because its problem is its transmissibility, the virus requires a social response. It requires tending to the social and material elements of being and staying well, which — for all their biological sophistication—the institutions of medicine aren’t positioned to contend with.

I imagined opening my essay about the virus by talking about how we experience the pandemic a mainly a problem of individual exposure when its peril exposes the deficit in the community’s immune system: its ability to mobilize defenses and response mechanisms. But isn’t that what everyone’s already talking about? And what immune system is prepared to deal with a novel exposure, beyond (perhaps) its familiarity with the form of a pandemic: the ability of an invisible new iteration of an ancient organism to wipe out its host?

So maybe our vulnerability to this particular corona virus is not the fault of industrial capitalism per se, or a paradigm which emphasizes the eradication of contagions rather than the cultivation of a healthy, resilient biosphere. But there are additional vulnerabilities industrial capitalism compounds because what is good for stopping the virus is bad for the economy. What is necessary for treating the virus and caring for the bodies (infected and otherwise) who continue to exist despite the economic slow-down requires a nimble response in the structures of medical care as well as material production and distribution. How do we decide, or who decides, what is important? What is essential? 

A lot of work seems unessential, and yet without the remuneration it enables, basic existence is periled. As my teacher (a philosopher of medicine and science) said, “It makes it pretty clear that biopower trumps capitalism.”

Also on Wednesday I received a crash-course on living with pandemics (from the internet, from my mom). I learned that my deliberation about whether or not to take a trip to Seattle the following week as planned shouldn’t be a deliberation about whether or not I would be well, but about my role in the perpetuation of this wave. A wave whose calculability I fixated on, watching the numbers rise as if to verify my paranoid response. I was infected with an urge to explain the rationale of social isolation to all my friends. I played this missionary role to my partner, who also slated to take this Seattle trip. Stretched on our bed, he said he wasn’t sure what the point would be in avoiding the airport because he works in retail, just another depot of human contagion.  

Thursday

On Thursday, I went to the grocery store to pick up a few more things and was greeted with the sight of panic-buying: lines trailing into the aisles, shelves ransacked of their packaged goods. The frozen section of Trader Joe’s was nearly cleared out—black basins covered with flecks and crumbs that were visible for the first time. Only a few less popular items remained: frozen kale and cauliflower pizza crust; some sauce-covered microwavable chicken lunch. Suddenly, my hypothetical musings about the corona virus became so much less abstract, about how the precarity brought about by the virus is more than the physical vulnerability of being sick but the existential trial on the structures we are held inside of. Our reliance on them for our safe-keeping, for the maintenance of basic needs, felt clearly incidental to their existence; as if we were hacking them for that purpose. What underpaid, essential labor was being performed by the grocery store clerks and stockers. Not all labor can or should be performed virtually—we need to eat, after all. So what about that?

By Thursday, we have both decided that taking an airplane anywhere is absurd. A trail-running race I’d signed up for in January is canceled. Dominos of duties fall one after another.

Friday

By Friday, exhaustion from thinking too much. I eat tuna salad at a cafe during an in-person meeting, which feels transgressive. (The in-person-ness, not the food.)

Saturday + Sunday

Saturday, Sunday — settling into a new normal. I’m no longer required to leave my house. My partner receives the news that his place of employment will be shut down for two weeks, but he will be paid. Celebration! Fear! This spaciousness is exhilarating and terrifying. I’m trying to structure my time, trying to figure out what of the seemingly infinite domestic tasks I could undertake to fit in alongside my obligations like grading student work. Am I to be idealistic about all the things I could accomplish? Can I embrace monasticism? I picture myself with thread and needle, suddenly gifted with the patience  to embroider wall-hangings. Unfortunately I’ve brought into this seclusion my long-standing sense of inner disorganization; it’s difficult to commit to non-essential projects. As was the case before the pandemic, it’s hard to self-actualize from the space of my house–both too much and too little time; hard to know whether I should be self-optimizing or relinquishing domestic ambitions. But I try to avoid letting the existential questions laid bare by the virus transfer to a similarly existential void around the activities of daily life, these small gestures of creative resilience and willingness to bring something new into the world. 

What does the subtraction of ordinary life expose? Before the corona virus, it seemed implicit that what is necessary for the world right now (ecologically, at least) requires halting over-production. But this necessity has been made impossible or unthinkable by the abstraction of the economy and its unvanquishable requirements for belligerent hyper-productivity. And then something unthinkable makes that pause possible. What will happen after this? is a silly question to ask but impossible not to think about.Will the ordinary ambivalence of the current economic system remain exposed as constructed and contingent in its cruelties? What would it take to center our labor around common needs and desires, something more impressionistically obvious about what kind of world we want to perpetuate? (Or more urgently, what is necessary for survival.)

A collective, social response to the pandemic is unfolding (albeit enacted through wide-spread acts of self-isolation). In this isolation, I feel like I’m a part of something. But I think about how the lesson of the pandemic shouldn’t be that the internet and the socializing it enables will save us, but the undeniable fact of our physical bodies as mutual vulnerabilities is enough to stop the world-as-it-is and its perilous disregard for the ecologies our bodies depend upon, even despite the impossible momentum of capital. (Is that what’s happening?)

Citations:

  • Ed Cohen. “Immune Communities, Common Immunities.” Social Text (2008) 26 (1 (94)): 95–114.
  • Susan Sontag. Illness as Metaphor. New York: Farrar, Straus, and Giroux, 1978.

Resources:

  • Critical responses to the social and political elements assembled here as “Crisis Times” by the creator of A Fiery Flying Roule
  • An herbalist friend Stascha Stahl posted this “hesitant PSA” on Instagram, and my mom posted this blog entry about affordable holistic measures; individuals can take to avoid infection even if exposed to the virus. Another herbalist friend Kelly McCarthy has some resources on her website as well.
  • Therapist Nedra Glover Tawwab has posted some helpful suggestions on her social media
  • While I’m not much of a reddit participant, this thread has some helpful information about the virus and responding to it.
  • State of California online portal to file disability and unemployment claims

This essay was published in The Crisis Times in March 2020 — available here as a PDF:

For more info on The Crisis Times, see https://twitter.com/misroule