In 2011, I began volunteering at UCLA Mattel Children's Hospital. In my (almost) full year of time there, the experiences I had and people I met helped me grow and learn tremendously. This is one story of my time with a little girl that I will never forget. 




     I started off like most other day’s at the hospital. I had my list of rooms to visit in my pocket. I was given the PICU (Pediatric Intensive Care Unit) patients. The PICU is not the most friendly-looking of places. Though most of the children’s hospital is decorated in bright colors and painted walls, the PICU’s walls are white and vacant. Its blank canvas stretches throughout the unit floor desperate for adornment. The rooms are transparent with glass doors and walls. Again, this is unlike the rest of the children's hospital. 
     I entered— let’s call her— "Anabell’s" room. Aside from Anabell on her hospital bed, the room is empty of people. No doctors, family, or friends in sight. 

“Hi Anabell, My name is Mandy and I’m a volunteer from the Chase Child Life Center. Is it ok if I hang out with you today?”

     No answer.
    Of course she was not going to answer. Tubes are coming out of every part of her body. Every tube laces up to a beeping machine. I wouldn’t respond to me either. I'm forgetting, she is also only two years old. 
     Her nurse walks in.

“She can’t respond to you but if you ask her questions she will squeeze your hand to say yes.” 

     I held her hand. Her entire hand spread open was smaller than the size of my palm. Keep it together Mandy.
    I didn’t know what her condition was, they didn’t always disclose that information. I grabbed the coloring book and crayons by the side of her bed. 

“Which color should I use for the bear? Yellow?”

     No squeeze

“Blue?”

     No squeeze. Maybe she’s confused on the squeezing thing.

“Red?”

     Gentle squeeze… so gentle, I almost missed it. Ah, we have a winner. 
    I colored for her, talked to her, told her how much I loved the clipped bow in her hair. I noticed hand squeezing was exhausting her, so I put on a disney movie for us to watch together. 
  My eyes keep noticing a clear plastic contraption sitting on top of her chest, partially hidden underneath the covers. It is moving up and down and connected to a bunch of tubes with her blood flowing through it. Dialysis? Maybe it cleans out her blood? I thought to myself. The nurse walks in. I ask her about it.

“That’s her heart. Anabell had a bad heart so we removed it. This machine is keeping her alive until she gets a donor.” 

     My face turned pale. Keep it together Mandy. 
    

__________________________________________


 There are a lot of patients I have connected to in my time as a volunteer, be she was one of the hardest to leave at the end of the day. A two year old girl, in critical condition, is by herself in a hospital waiting to see if she gets to have another day of life. Her tearless, concentrated, eyes displayed a courage that didn't require words to show. Earlier that day, I was thinking about how unhappy I was with my bank account, how annoyed I was at traffic, how it was time to update my closet, and the list of endless things I needed to do that never seem to get done. By the end of that day, I was reminded by a toddler how incredibly self-absorbed, materialistic, and selfish I was being. I thought to myself, if I was in her position, not a single one of those things would have the faintest significance to me. In fact, sitting in traffic would feel like a privilege. 
     A few months later, I was in the playroom with another patient. From a distance, sitting at a table coloring on her own, I saw Anabell. It felt like time stopped for that one moment. I stared at her, my eyes glossy and swelling. 

She got a donor. She made it. 

     I wanted to go over and hug her but she was still frail from recovery. Also, she had no idea who I was. In fact, she will go through her entire life not knowing I exist. She will never know that she made my heart grow bigger with love that day we met. Or that my memory with her is one that I reflect upon often. The short time of our encounter became an eternal message I carry daily with me. Yet, she will grow up never knowing that at two years old, she taught the lesson of a lifetime.




    

     Karoshi means “death from overwork” in Japanese. It’s a real thing. It’s characterized by sudden death with no previous signs of illness occurring, very often, in young adults. People are literally working themselves to death, so much so, that it is a big issue in Japan. The Karoshi Hotline and multiple self-help books already exist in an attempt to alleviate the problem. Some victims were found to have worked long hours without a single day off in weeks. The Washington Post reported 60+ hours of work per week was not uncommon. One man was mentioned putting in 114 hours of overtime each month. The drive to work hard and be successful is literally killing people. 
On the other side of the spectrum exist some of the happiest people in the world who’s lifespan is the longest per capita. The people of this magical land rarely have conditions of coronary heart disease, various cancers, and issues with cholesterol. Their daily lives are rich with farming, community gatherings, and a sense of camaraderie with everyone they meet. Ironically, this magical place also happens to be in Japan-- on the island of Okinawa.
Okinawa has so many people living over the age of 100 that The Okinawa Centenarian Study was developed in 1975 to investigate the reasons behind this. Unfortunately, there is no evidence, so far, of a secret fountain of youth hiding on the island. What seems to exist, however, is community. A lot of it. These 100+ year olds are not sitting around loathing in their old age and expecting to be taken care of. They play as active a role in caring for others as they are cared for. They continue to participate in social gatherings with people of all ages. In the documentary “Happy”, one elderly Okinawan woman stated “If some tragedy happens to a family, everybody in the village comes out.” They describe a common word in the culture “ichariba-chode,” which means “when you meet somebody you are already brother and sister, even if it’s the first time.” Try walking into a bar in NYC and telling that to a New Yorker. Then, make sure you duck. 
In addition to a strong community, diet— the usual suspect, is highly correlated to their longevity. Pesticide-free farming is common amongst most Okinawans. Farming provides nutrition to their own family as well as their neighbors. Giving out their produce as gifts is a typical practice. Their cultural eating habits is known as “hara hachi bu” (eating until you are 80% full). In America, this is known as appetizers. Most of the food Okinawans eat is naturally low-calorie and low-glycemic. As a result, they consistently spend their entire lives being healthy and slim.
      From karoshi to centenarians, the country of Japan has a population living in very extreme ways. Where along this large spectrum would you find yourself fitting if you were living there? The push for success drives the “american dream” but maybe the “american dream” defined success too narrowly to begin with. What if being successful meant going shopping for your neighbor that you noticed needed a new coat instead buying yourself a third one in a different color. Or, instead of owning x-amount of cars you give x-amount of kids a rich education by supporting local schools that need help. If one individual changes their idea of success and acts accordingly, it doesn’t mean that the whole world is going to change. But, if no one makes a change, the world is guaranteed to stay exactly the same.

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