Calling All Moms

Calling All Moms for Urban FaithWhether you’re a teen mom, a divorced mom, a stepmom, a stay-at-home mom, a foster mother, a mother of a special-needs child, a mom who has lost a child, a mom who is struggling with addiction, or a perfectionist mom who’s realizing she’s not perfect, here’s the most important thing you can do to be a good mother …

This Sunday is Mother’s Day. If we’re not careful, this commemoration can go the way of other annual observances — like Earth Day, Columbus Day, and Presidents Day, to name a few — and become nothing more than a perfunctory nod dictated by the calendar. Moreover, with all the intense concern about teenage pregnancy, abortion, foster children, child abuse and neglect, and single parenting, the significance, honor, and privilege of motherhood can get lost in the mire. I’d like to make a concerted effort to not let that happen by sharing some thoughts and giving some shout-outs on motherhood.

Being a mother is a biological fact. Being a good mother is extremely challenging, especially in the face of so many competing priorities, societal pressures and cultural shifts. Everything from the price of diapers to how much water we drink can impact our effectiveness. And I’ll be honest, there are times when I’d rather not be a mom.

I have a reputation as a serious, self-sufficient girl and that often clashes mightily with the goofy antics of a teenager and the occasional depression of a chronically ill young adult. Right now my biggest private joke is what a motley crew my sons and I are: a prematurely menopausal woman, a hormonal teenager, and a twenty-something with a brain injury. Sometimes I count my blessings just to get everyone where they’re supposed to be, and that I haven’t given my oldest son my estrogen pills instead of his own medication. Did I mention I also have a teenager? Hmm … where was I??

Anyway, all of the pressure and responsibility sometimes weighs on me and distorts my view of what it really means to be a successful mom. I get caught up measuring myself against the typical litmus tests: attractive, winsome kids who are good students and active in many extracurricular pursuits, and who don’t smoke, drink, curse, or have sex, who are respectful of authority, and who love church and youth group; a family that follows an orderly but appropriately busy schedule; a great looking house that shows little to no evidence of children even being present … on and on it goes.

When I feel myself sinking under that load, I remember an internal conversation I had with the Lord when my oldest son was still in high school. Long story short, God reminded me that He’s looking for faithfulness, not perfection. For someone who profiles as a perfectionist on just about every personality assessment known to man, that’s a hard message to internalize. But I believe it, and I encourage other moms to believe and internalize it, too.

That leads me to my shout-outs.

To all the teenage or premature moms: It doesn’t matter so much how your journey of motherhood began, but it matters tremendously how you navigate through it, and how it ends up. Whether you’re 15, 17, or 22, be faithful. Love yourself and your children one day at a time, or one minute at a time if necessary.

To all the moms struggling against addictions and other life issues: Whether your bondage involves drugs, tobacco, sex, alcohol, partying, self-pity, shopping, depression, rejection and abandonment issues, dangerous relationships, or some combination of these, be faithful. Dig deep and change your focus from feeling better, to being better. Give your undivided attention to recovery so that your mothering can improve. And don’t be afraid to tell your kids your story.

To all the moms in difficult marriages: Having a bad husband or an unfulfilling relationship doesn’t mean you can forego your responsibilities to your children. Be faithful. If you have to read bedtime stories, review math homework, or braid hair with tears in your eyes, do it. The tears and your kids’ childhood will pass sooner than you think.

To all the stepmoms, play moms, foster moms, godmoms, and adoptive moms: Thanks for not letting the absence of a biological tie keep you from being faithful. You’re a wonderful example for us all.

To all the church mothers: Thanks for faithfully showing us the way to God like any good mother should.

To all the moms who have lost a child: Whether it was a miscarriage, an abortion, a stray bullet, friendly fire, an accident or something else that took your child from you, be faithful to remember that progeny and to thank God for the privilege of being the mother of that child.

To all the single moms: Even though you can’t be mother and father, be faithful. Pray hard, because their lives — and yours — depends on it. I’m a witness that God really is a father to the fatherless.

To the moms of special-needs children: You may not be able to cure their disease, raise their IQ, or prolong their life, but you can be faithful. Give them the best physical and emotional care you can, and you’ll have the peace of a job well done.

To all moms out there: Celebrate yourself this Mother’s Day. If you haven’t been as faithful as you should be, it’s not too late.

Happy Mother’s Day, Ladies!

Psychiatrist Stays Close To Home And True To Her Childhood Promise

Psychiatrist Stays Close To Home And True To Her Childhood Promise

Dr. Yamanda Edwards meets with patient Gail Carter at the Martin Luther King, Jr. Community Hospital outpatient clinic in March 2018. (

 

Dr. Yamanda Edwards, the daughter of a truck driver and a stay-at-home mom, grew up just a few miles from Martin Luther King/Drew Medical Center, at the time an iconic yet troubled hospital in South Los Angeles.

As a child in the 1990s, she knew little of its history — how it rose from the ashes of the Watts riots. And she knew no one in the medical profession.

Still, she wanted to become a doctor. “I didn’t know how I was going to get there, but I wanted to get there,” she said. “I was determined.”

Now 32, she is the only psychiatrist at the new Martin Luther King, Jr. Community Hospital, on the grounds of the old county-run King/Drew and steps away from where she attended high school.

In her lifetime, the community where she grew up has changed dramatically. The population is mostly Latino now, no longer predominantly African-American. King/Drew closed in 2007 amid allegations of malpractice and malfeasance. The new hospital, a private, nonprofit that opened in 2015, is smaller but vibrant, with brand-new facilities, staff and an outpatient medical clinic. It’s part of a broader campus that includes outpatient and public health centers run by Los Angeles County.

What hasn’t changed in the area is the need for doctors like Edwards.

Edwards’ patients have conditions ranging from anxiety and depression to psychosis. Many have never seen a psychiatrist — or any mental health professional, for that matter. Yet the pressures in their lives contribute to poor physical and mental health.

“There are a lot of stressors coming from living in an environment with health care disparities, a lot of access to drugs, poverty, immigration issues,” Edwards said.

The neighborhood surrounding the hospital has higher rates of psychological distress and a greater need for mental health care than the statewide average, according to 2014 data from UCLA. Residents also are more likely to be poor and out of work, though average levels of educational achievement and income have risen somewhat in recent decades.

Edwards teaches her patients about their conditions — what it means to have clinical depression, how it feels to have a panic attack. Many show appreciation for having someone they can turn to. “They’ve tried to do it on their own, but now it’s time to see someone,” Edwards said.

Gail Carter, 62, of Compton, Calif., suffers from chronic pain and depression but said she has been sleeping and feeling better since starting sessions with Edwards. “I didn’t know how to figure it out by myself,” she said. “Dr. Edwards helped me. She gets me to think. And she reminds me to breathe.”

Dreaming Of Being A Doctor

Edwards said she feels some nostalgia for her neighborhood, along with sadness. She escaped some of the worst aspects — violence, drugs and gangs — protected by her family and its high aspirations for her and her siblings. “Higher education was just sort of expected of us,” she said. “I do believe I was somewhat insulated.”

Her curiosity about medicine started in middle school. She attended the King/Drew Magnet High School of Medicine and Science, which allowed her to shadow doctors at the old King/Drew hospital and help with cancer research. “It was almost like we were medical interns, but we were in high school,” she recalled.

Despite the support, she faced setbacks. When she was 15, her father died of colon cancer, four days after he was diagnosed. For some time after that, she didn’t want to set foot in a hospital. “I thought, ‘How am I going to become a doctor when I hate hospitals?’”

Then she reflected on how her dad had encouraged her to pursue medicine, knowing it was her dream, and “that motivated me.”

Edwards remembers wondering, when the old King/Drew hospital closed, where patients in the neighborhood would go for care — and if the high school students would still find hospital internships.

After graduating from UCLA, Edwards attended medical school at Charles Drew/UCLA — next to her old high school — through a program designed for students who wanted to practice in underserved areas. During a student rotation at Kedren Acute Psychiatric Hospital in Los Angeles, Edwards saw bipolar disorder, psychosis and major depression up close, and she was struck by the need for care among minorities, especially African-Americans and Latinos. “This is something that doesn’t really get talked about in either of those communities,” she said.

That propelled her toward a career in psychiatry. She completed her residency in psychiatry at UCLA in June 2017 and started her job at MLK two months later. “It just felt right,” she said.

In addition to working at the hospital, Edwards also belongs to a new outpatient medical group the hospital started last year to expand specialty care for its patients. Hospital CEO Elaine Batchlor said Edwards is exactly the kind of doctor they wanted to attract. “She understands the people who live in our community,” she said. “And she has a deep commitment to them.”

Separating The Old From The New

Patients come in at all hours of the day and night needing mental health care, said Ameer Moussa, a physician who practices at the hospital. “A psychiatrist is something we knew we needed from day one,” he said.

Moussa said Edwards’ calm personality and patience enables her to communicate effectively with her patients. “Trust is a really important thing, and she gains their trust and gains it quickly,” he said.

That helps, especially with patients who recall the difficult history of the old King/Drew, which came to be known in some circles as “Killer King.”

Edwards’ childhood memories of the area help her connect with patients. When they are distressed about their challenges in life, she will often tell them, “I understand. I grew up here too.”

Edwards, who now lives in Cypress, Calif., with her husband and 19-month-old son, spends most of her workweek helping to triage mental health patients in the ER and visiting those who are admitted to the hospital.

MLK’s emergency room has seen twice as many patients as it originally expected when it opened, and many suffer from mental illness.

On a recent afternoon, Edwards saw a woman who was 30 weeks pregnant and threatening to harm herself. Combative and possibly psychotic, she was convinced her baby was an alien. “Let me go,” she screamed as staffers tried to restrain her. “Get off of me!”

Edwards ordered medication to help calm her down. She also placed her on a 72-hour psychiatric hold and started searching for an inpatient bed for her.

Edwards knew that wouldn’t be easy, given the severe psych bed shortage and the woman’s condition. “Psychiatric hospitals can sort of pick and choose who they want to take,” Edwards said. “Pregnant patients are a little more risky to take on.”

Edwards spends much of her time at the hospital dashing in and out of patients’ rooms, attempting — often in fleeting conversations — to assess them and their risk of hurting themselves or others. Many of her patients are homeless, alcoholic or addicted to drugs.

Once a week, Edwards heads to an outpatient clinic run by MLK a few miles away. Some of her patients take a while to warm up to her. She spends a lot of time with them before even raising the idea of medication.

“Coming from a community where there is a lot of stigma about mental health … the acceptance of medication is another barrier,” she said.

Edwards said she does everything she can to help her patients — both outside and inside the hospital. But in the end, Martin Luther King, Jr. is an acute care hospital, not a psychiatric one. Edwards isn’t there round-the-clock, and the hospital can keep certain psychiatric patients for only up to three days. One of the hardest parts of her job, she said, is wondering what will happen to patients when they leave.

“You want to know the end result of what happened, if you did the right thing, if they’re safe.”

KHN’s coverage in California is supported in part by Blue Shield of California Foundation.

A brief history of slavery reparation promises

A brief history of slavery reparation promises

File 20190409 2914 1nhdlw9.jpg?ixlib=rb 1.1
Several 2020 presidential candidates have called for reparations for slavery in the U.S. AP Photo/Douglas Healey

Does the United States owe descendants of slaves reparations?

It’s a question being asked more frequently of Democrats running for the 2020 presidential nomination. Many have expressed varying degrees of support for reparations, giving the idea the greatest prominence it’s ever had among leading politicians.

Although the notion of compensating freed slaves has been around since at least the Civil War, providing reparations for their descendants has never really gained much traction in the United States, as I learned while researching my book “Making Whole What Has Been Smashed.”

Is anything different now?

Reparations are rare

Historically, the term “reparations” dealt primarily with the indemnification of states ravaged by war, such as those required of the Germans by the Versailles Treaty after World War I.

In the aftermath of World War II, however, the term began to acquire a broader meaning, extending to compensation for those injured by the actions of a state.

Still, such compensation has happened only rarely.

Germany paid Holocaust survivors US$927 million – or $8.84 billion today – in compensation as part of the 1952 Luxembourg Agreement, most of it going to the newly created state of Israel to defray the costs of resettlement.

Later, the U.S. offered “redress” to some 82,000 Japanese Americans who were incarcerated as “enemy aliens” during World War II. The 1988 Civil Liberties Act granted a presidential apology and $20,000 to each living person who had been detained based on the recommendations of a commission created by Congress in 1980 to examine the causes of the “internment.”

But this payback was intended to be very limited. During the debate, then-Sen. Ernest Hollings worried, “Where do we draw the line against reparations to the countless other groups of Americans who have suffered because of actions of the U.S. government?”

And the law explicitly says compensation would only be provided to victims still alive in order to preclude reparations claims by the descendants of black slaves and others.

‘40 acres and a mule’

Efforts to avoid establishing a precedent for reparations arose in part because former slaves and their descendants have long sought some sort of compensation for their suffering under slavery and segregation. These efforts have achieved little.

W. E. B. Du Bois called for reparations. Addison N. Scurlock, CC BY

Perhaps the best-known measure intended to get blacks on their feet after the Civil War was General William Sherman’s promise of land and loaned mules to work it.

Yet after taking office in 1865, President Andrew Johnson rescinded efforts to distribute land to those who were freed. Scholar-activist W. E. B. Du Bois thus observed that “the vision of ‘forty acres and a mule’ … was destined in most cases to bitter disappointment.”

‘Freedom is not enough’

A century after the Civil War, however, President Lyndon Johnson hinted at the need for reparations when he pushed through civil rights legislation intended to make blacks full citizens.

During a speech at Howard University in 1965, he declared: “Freedom is not enough. … It is not enough just to open the gates of opportunity.”

Although Johnson didn’t call explicitly for reparations, he urged something more than just equal rights for blacks – something that would rectify the economic disadvantage blacks faced. The speech has often been seen as a harbinger of affirmative action.

Two years later, in the aftermath of urban riots in Newark, Detroit and elsewhere, Johnson created the Kerner Commission to investigate the causes and recommend remedies. The commission found that “white racism” was the basic cause of the racial unrest and proposed massive investment in black communities.

Although the report was a best-seller, Johnson found the conclusions politically distasteful and distanced himself from the commission.

Martin Luther King Jr. agreed with these critical assessments of black deprivation, but generally couched his appeals for addressing poverty in interracial terms. King did once indicate that he was coming to Washington “for a check,” but this was a rare aside.

The heart of King’s “Poor People’s Campaign,” his main focus toward the end of his life, was a universal basic income, not reparations.

But others would pick up the reparations baton. Black radical James Forman, for example, stormed Manhattan’s famously progressive Riverside Church in May 1969 to demand $500 million from “the white Christian churches and Jewish synagogues that are part and parcel of the capitalist system.” This and other demands formed the basis of the Black National Economic Conference’s “Black Manifesto.”

Calls for a commission

Little came of these efforts until decades later when then-Congressman John Conyers introduced the first bill on the issue in 1989.

It proposed a commission to “study and consider a national apology and proposal for reparations for the institution of slavery, its subsequent de jure and de facto racial and economic discrimination against African Americans, and the impact of these forces on living African Americans, [and] to make recommendations to the Congress on appropriate remedies.”

The Commission to Study Reparation Proposals for African Americans Act has been proposed in every legislature since and never garnered much support. Even during President Barack Obama’s tenure in the Oval Office, little changed, despite the appearance of author Ta-Nehisi Coates’ much-discussed 2014 plea for reparations.

Indeed, shortly before he left office, Obama told Coates that, as a political matter, reparations for black people was far less likely than a “progressive program for lifting up all people.”

Activists have called for reparations for slavery for years. AP Photo/Hillery Smith Garrison

Different this time?

Heading into 2020, some believe that the time for reparations may have come.

A driving force behind the persistence of reparations is just how stark the racial differences remain. Relative to whites, blacks tend to have lower educational attainment, rates of home ownership and life expectancy but higher rates of poverty, incarceration, unemployment and life-threatening diseases. The wealth gap between whites and blacks is very large, and wage inequality is likely making it worse.

But are all these disparities rooted in slavery and segregation? This is where a congressional inquiry, which may finally be politically palatable thanks to the growing embrace of the idea among prominent Democrats, would come in.

Success, which will require legislation, will depend on building bipartisan support for the inquiry. Accordingly, I believe it’s best to avoid talk of “reparations.” After all, most Americans oppose them and always have.

First, get the commission and let it determine the causes of racial inequalities and the form that remedies should take. As poverty is not an affliction of blacks alone, the U.S. must also address the poverty that affects many others as well.

If the commission is given the opportunity to explore the causes of and remedies for racial inequality, however, perhaps Americans can finally move toward rectifying the inequities that beset blacks as a result of their country’s history of slavery, segregation and discrimination.The Conversation

John Torpey, Presidential Professor of Sociology and History, Graduate Center, City University of New York

This article is republished from The Conversation under a Creative Commons license. Read the original article.