The idea of normal is a crock of shit.
Speaker AWe're gonna pull that out of our vocabulary and talk about why.
Speaker AAll right, here we go.
Speaker AI'm gonna pretend I'm pushing record.
Speaker ACause that feels right.
Speaker AOkay, I'm pressing record.
Speaker ABoop.
Speaker AHi, everybody.
Speaker AI'm Lauren Howard.
Speaker AI go by L2.
Speaker AYes, you can call me L2.
Speaker AEverybody does.
Speaker AIt's a long story.
Speaker AIt's actually not that long a story, but we'll save it for another time.
Speaker AWelcome to Different, Not Broken, which is our podcast on exactly that.
Speaker AThat there are a lot of people in this world feeling broken.
Speaker AAnd the reality is you're just different, and that's fine.
Speaker ASo, quick rundown of the rules.
Speaker AWe talk about this every time.
Speaker AIf you want to know more about them, pop back to our first episode.
Speaker AFirst, I'm going to curse a lot if bad language is a problem.
Speaker ASorry.
Speaker ASecond, I'm going to tell a lot of stories, even on things that don't sound like they have stories.
Speaker AThird, I'm going to tell a bunch of dead dad jokes.
Speaker AIt's just par for the course around here.
Speaker AAnd fourth, anything that comes out of your face is appropriate here, so you do not have to worry about filtering any part of you to join us in this space.
Speaker AI never felt like I fit in.
Speaker AI thought I was broken.
Speaker AI knew I wasn't normal.
Speaker AOkay?
Speaker ASo if you've stuck around for any length of time, you know that a large portion of what we do at LB Health is testing for Autism Spectrum Disorder and other related diagnoses.
Speaker AAnd so one of the things we hear from our patients literally daily is how they never felt like they fit in or they never felt normal.
Speaker ANormal, normal.
Speaker ANormal.
Speaker ANormal is bullshit.
Speaker ANormal, normal, quote, unquote, normal, normal, normal, normal, normal.
Speaker AAnd there's this.
Speaker AThis intensity we see from a lot of our patients to feel, quote, unquote, normal.
Speaker AAnd I get it.
Speaker AI understand it.
Speaker AIt's like this standard that is set when we're growing up that in order to fit in, you have to be, quote, unquote, normal, quote, unquote normal, unquote normal, unqu.
Speaker ANormal.
Speaker AExcept it's also crap because, like, what is normal?
Speaker ALike, is there actually a thing that is normal?
Speaker ABecause to me, like, if the standard for things is happiness or being fulfilled or consistently like you have a purpose, that's gonna look different from person to person.
Speaker ALike, vastly different from person to person.
Speaker AI think when we were talking about young people especially, or normal children, which, again, I don't like that word, but that's Kind, you know, the way it gets phrased.
Speaker AWe're talking about kids who have tons of friends and they're engaged in activities and they get good grades in school and they sleep through the night and they eat all the foods.
Speaker ALike all of that is, you know, that's your perfect ideal child, right?
Speaker AExcept it's not at all.
Speaker ABecause you could have a kid who maybe is not super social and doesn't test limits and doesn't violate the house rules, but also gets good grades and feels happy and has friends.
Speaker AIs that not normal?
Speaker ANormal?
Speaker ANormal.
Speaker ANormal is bullshit.
Speaker ANormal, normal, quote unquote normal, normal, normal, normal, normal.
Speaker ABecause they're not doing what we consider to be like traditional teenage or childhood rebellion.
Speaker AIf you have a kid who's really happy and well adjusted and kind to all their friends and has a small core group of friends, but they struggle in school, is that not normal, normal, normal, or is that just different?
Speaker ADo they just process things differently?
Speaker AAnd I use kids as the baseline here only because most of the people that we see say that autism starts in childhood.
Speaker AYou don't get autism as an adult.
Speaker AYou weren't diagnosed as a child.
Speaker AAnd so they use their childhood as the baseline for when these things started because that's what it is.
Speaker AAnd how, you know, they felt othered or different or incomplete as a child because they weren't quote, unquote normal.
Speaker AWhat is normal?
Speaker ANormal is bullshit.
Speaker ATo be very clear.
Speaker AThrow that out there.
Speaker AThe idea of normal is total bullshit.
Speaker AThere is no normal path for any two human beings.
Speaker AAnd I mean, if you take two totally separate people who are living life completely differently, engaging with people, other people completely differently, working in different fields, doing everything, completely different in every way.
Speaker AThey can both be, quote unquote normal, quote unquote normal, quote unquote normal.
Speaker AThere is nothing that says that one of those people just by nature of diverging from what the other person is doing is in some way doing something wrong.
Speaker ASo every time we have somebody who says that and it kind of comes up in conversation or it comes up as part of something that people are trying to achieve, we do our best to really, even as part of the diagnostic process, like pull that out of their vocabulary.
Speaker ABecause we're not striving to make anybody, quote, normal.
Speaker AWhat is normal?
Speaker ANormal?
Speaker ABecause that's not a thing that exists.
Speaker AIt's not there.
Speaker AThat's not something to strive for.
Speaker AIt's not something you're ever going to achieve.
Speaker AThere is no normal.
Speaker AEverybody is weird and quirky and different in some way.
Speaker ASome people Hide it better than others.
Speaker AAnd in general, the people who hide it tend to be very unhappy.
Speaker AThe people who hide it most tend to be unhappy.
Speaker AI take that back.
Speaker AI'm sure there are people who hide their weird.
Speaker AWho are perfectly fulfilled in their lives somewhere.
Speaker AI've never met them, but they probably exist anyway.
Speaker ASo as we're trying to kind of undo those things and untrain those things, and this is not even something we use from a clinical perspective.
Speaker AWe talk about it in our groups which are non clinical.
Speaker AI talk about it with people I run into all the time.
Speaker AAnd it's that normal doesn't exist.
Speaker AAnd even if we're talking about it from a clinical sense or a medical sense, how we describe normal in a healthcare setting, the word normal is used, but it is not used as a single data point.
Speaker AIt's used as falling on a range of normal.
Speaker ASo if you go to the doctor and you get labs drawn, if your glucose is.
Speaker AAnd I'm just, again, I'm not a clinician, I'm just pulling all of this out of thin air.
Speaker AI've looked at thousands of lab reports in my career, but I am not qualified to interpret them.
Speaker ABut I am able to look at a lab report and say, okay, the reference range is X to Y.
Speaker AAnd as long as we're between X and Y, this is something that the clinician is not going to need to review necessarily or not a red flag thing that they need to review.
Speaker AThere might be reasons to review it in specific diagnoses and things like that.
Speaker ABut like this is not a red flag alert that I need to get in front of a clinician really quickly.
Speaker AYou go to the doctor and you get your labs drawn and your glucose is 99.
Speaker AOr you go to the doctor and you get your labs drawn and your glucose is 80.
Speaker AWell, in some cases, 20 sounds like a big range, right?
Speaker ALike 20 different things that could be different between two people.
Speaker AMedicine has a concept of not normal, but within normal limits, which means as long as you fall between X and Y, we consider you working properly, your body is working properly.
Speaker ASo as long as your thyroid is not under this or over this, you're healthy.
Speaker AAs long as your liver studies are not under this or over this, we don't worry about them.
Speaker AAnd then the other more expanded side of that is if you fall a little bit outside of range, so let's say 100 is the minimum number that it's supposed to be and you're 98, the first thing you do is not panic.
Speaker AIt's Run the labs again.
Speaker AIt could have been lab error.
Speaker AIt could be you just ate too late the night before.
Speaker AAnd that's a number I pulled out of thin air.
Speaker AI don't mean it as an indicator of any certain thing, but you ate too late the night before, you didn't follow the fasting directions, the blood sample got contaminated in some way, the machine was working incorrectly.
Speaker AWho knows?
Speaker AIt could be so many different things.
Speaker ASo when you get a range that sometimes that's wildly out of parameters, and sometimes it's just a little bit out of parameters, you go, run the labs again.
Speaker ASometimes when you're just a little bit out of range, they go, eh, that's not a big deal.
Speaker ALet's just watch it.
Speaker AWe're not going to intervene.
Speaker ASometimes for certain things, a little bit out of range does matter because it means that, you know, because it's not a range that has a lot of variance in it and a little bit actually matters, or you have something about your body where that little bit actually matters and so it needs to be intervened.
Speaker ABut often if things are just a tiny bit one way or the other, even if they're not specifically on the range, they'll just go, well, we'll watch it.
Speaker AWe'll look again in three months, we'll look again in six months.
Speaker ABecause there is this wide range of things that are, yes, things that are good, things that are okay.
Speaker AAnd as long as you're on that range, you're good.
Speaker AYou don't strive for quote, unquote normal in medicine.
Speaker AYou strive for healthy.
Speaker AYou strive for functioning correctly.
Speaker AAnd that looks different in different bodies, in different situations, in different environments, in different ethnicities, in different backgrounds, in different medical histories.
Speaker AIt looks different.
Speaker AAnd you can look completely different and still be normal.
Speaker ASo when we talk about, quote, unquote normal, quote unquote normal, normal, throw that in the trash.
Speaker AYou have to figure out what your range for normal is.
Speaker AIt's not going to be one data point.
Speaker AIt's going to be a ton of data points.
Speaker AIt's going to be a ton of variances and changes and things that might be okay for you that are not okay for other people.
Speaker AI could go two weeks without leaving the house and not notice there is a situation.
Speaker AI've probably talked about this before, but I have like a pair of shoes I wear out of the house.
Speaker AThey're cute, I like them, they're comfy.
Speaker AMy feet don't hurt if I walk around in them.
Speaker AA plus.
Speaker AI've repurchased these shoes like probably seven or eight times.
Speaker ABecause while they are absolutely very comfortable shoes and they're sandals and they're sparkly and they're cute and I like them, they also apparently are very delicious to dogs because I've had three different dogs eat a pair of these shoes.
Speaker ASo not only do I have multiple pairs of these shoes, but I have an uneven number.
Speaker AI have an odd number of these shoes.
Speaker AI don't know if I have two lefts or two rights, but sometimes I always end up with two of one shoe and then I have to go find the other shoe because they ended up in the wrong place.
Speaker AAnd I don't know why I just haven't thrown out the second shoe that is a duplicate.
Speaker AProbably because I expect one of my dogs to eat the remaining pair and I want to make sure we have a full set, even though I will probably just end up with three lefts at that point, because that's definitely my luck here.
Speaker ABut anyway, so I have these shoes and I love them.
Speaker AI've been wearing them basically exclusively for many, many years because I'm an old lady.
Speaker AThe dog ate one of them and so I was down to one shoe.
Speaker AAnd you can't leave the house with only one shoe on.
Speaker AI mean, you can, but I don't think that would fall within normal limits.
Speaker AWhat is normal?
Speaker ANormal?
Speaker AI think that would actually be pushing the boundaries of our whole premise here.
Speaker ASo I ordered a new pair.
Speaker AFor some reason it was going to take a couple days to get there.
Speaker AThey got delayed even further.
Speaker AThey finally got there.
Speaker ALike, I don't know, almost a week later.
Speaker AI want to remind you, this is like the only pair of shoes I wear out of the house.
Speaker AI did not notice they were late because I did not need to leave the house in that time or certainly didn't even attempt.
Speaker AThat's how often I think about leaving the house.
Speaker ALike, can it come to me?
Speaker ACool, let's do that.
Speaker AMy husband, on the other hand, as much as he's very much a homebody like I am, he has to get out.
Speaker ALike, he will start climbing the walls.
Speaker AIt's not about peopling for him, but he just likes to go and see things and do things and drive.
Speaker AHe loves to drive.
Speaker AHe likes to drive places, he likes to go find ideas.
Speaker AHe likes to go walk around Lowe's for hours, which I didn't realize.
Speaker ALike, is that a man thing?
Speaker ADo they just go to Lowe's and grunt?
Speaker AI don't know.
Speaker ABut he will find reasons to go to Lowe's all of it, like, but he's gotta get out.
Speaker AWe are both very introverted people who have all.
Speaker AAlmost no desire to people with other people.
Speaker ABut if he stays in the house, the way that I don't mind doing this is not an exaggeration.
Speaker AI will literally find him on the roof.
Speaker AHe's done it before.
Speaker AWe owned.
Speaker AHis record for time between owning a house and getting on the roof is seven hours.
Speaker AI time it anytime we bought three houses since we've been married, I think.
Speaker AAnd the shortest time is three hours.
Speaker AI think the longest time was like 19 hours.
Speaker ABut like, it's like a thing.
Speaker ABoth of those things are normal.
Speaker ANormal, normal, normal.
Speaker ANormal is bullshit.
Speaker ASome people might say that me not leaving the house for two weeks is not normal.
Speaker AI say to those people, I do my job, I take care of my kids, everybody's fed, all the bills are paid.
Speaker AMy dogs are very, very happy.
Speaker AWe have a successful life.
Speaker AI run four businesses, I record a podcast, nobody's hungry.
Speaker AI just don't find a lot of reasons to put shoes on.
Speaker AMy husband finds so many reasons to put shoes on that he has 100 pairs of shoes in our closet.
Speaker AThe point of all of this is don't strive for something that doesn't exist.
Speaker AAre you happy?
Speaker AAre you fulfilled?
Speaker AAre you doing what you need to do to live a productive life?
Speaker ABy whatever you define as productive, are the people around you taken care of in the ways that you are responsible to take care of them?
Speaker AAnd if the answer is I'm not happy, then you figure out where that's coming from.
Speaker AYou don't try to change something about yourself as if that's the problem.
Speaker AThere are lots of things that could lead to you being unhappy.
Speaker AYou could have a shitty job, you could be feeling clinically depressed.
Speaker AYou could be living in a democracy that is crumbling around you at the hands of giant toddlers who should never have been permitted to get anywhere near our government and in response, have tried and basically succeeded to turn us into full fascism so that they don't ever have to acknowledge the fact that they were not supposed to be in government to begin with.
Speaker AAll of those are great reasons to not feel happy.
Speaker AAlso normal reasons to not feel happy.
Speaker ANot being happy is an appropriate response to those kinds of stressors.
Speaker ASo you can address the things that are making you feel unhappy.
Speaker AYou can address the things that you would like to do to feel more fulfilled.
Speaker ABut none of that goes back to changing you as a person, because odds are, the range of normal is so wide, you're on There somewhere.
Speaker AAnd if you're living your life the way you want to live it, and that is a problem for other people who don't pay your bills, who don't have to be in a relationship with you, who rely on you for things that you absolutely have to provide to them, then it's not their business and you get to be whoever you want to be or whoever you just are.
Speaker ASo we look for within normal limits.
Speaker AWe don't look for normal.
Speaker ANormal's bullshit.
Speaker AWe have a range of normal.
Speaker AIt's vast and sundry and there's all sorts of things involved in it.
Speaker AAnd it is based on things way better than how many friends you have or how many parties you go to or how many loud concerts you can stand at with strangers breathing in your airspace.
Speaker AThere's just better metrics for life.
Speaker AThat's not a knock against concerts.
Speaker AIf you like concerts, totally go to them.
Speaker ABut there's just so many people.
Speaker AFor this week's small talk again, remember, this is something we do every week.
Speaker ASo we were driving home the other day from dinner.
Speaker AIt was like a weird dinner because my mother in law's crown on her tooth fell off.
Speaker AAnd so she was like stressed the whole meal.
Speaker AAnd it was just like a very tense meal, not for a good reason.
Speaker AAlso, like, the server left us without water for a long time and then got really annoyed when I was like, can we please have some more water?
Speaker AAnd I was like, I feel like that's like one of the like baseline free things you get in a restaurant.
Speaker ABut okay.
Speaker AAnyway, so it's just a weird meal and we drop her off at her house and then we're driving home, which is a very short drive.
Speaker AAnd I swear to God, I thought I was having a stroke because my children are making noise.
Speaker AThey are doing something that sounds like talking, but I swear to God these were not words.
Speaker AAnd they are talking back and forth, responding to each other and they're not words.
Speaker AAnd I was like, do I smell toast?
Speaker ALike, is this what is happening?
Speaker AI don't understand.
Speaker AAnd finally I went, are you guys speaking a secret language?
Speaker AAnd they went, yeah.
Speaker AAnd I was like, this is the most destabilizing thing I have experienced in a long time.
Speaker AWhat is happening?
Speaker ASo that was the moment that I knew that them taking over the world forcefully was a foregone conclusion that was absolutely going to happen because now they can communicate without anybody knowing.
Speaker AIt was terrifying.
Speaker AI was like, actually, I actually looked at my husband and I was like, what is happening?
Speaker AWhat day is it?
Speaker AWhat year is it?
Speaker AHelp.
Speaker AThey were, like, making up new words as they went.
Speaker AAnd they would just be like, I think this word is for storn.
Speaker AJock.
Speaker AAnd the other one would be like, yeah, that makes sense.
Speaker AAnd then they would just, like, start using it.
Speaker AAnd I'm like, no, no, no.
Speaker ANone of the reject.
Speaker ANone of this makes sense.
Speaker AAnd then at that same meal, there was, like, this grid of circles that you could color in, and it was like a Connect4 board.
Speaker AI think that's what it was supposed to be used for.
Speaker ABut my youngest was just, like, coloring it in.
Speaker AI took a picture because I didn't tell her why I was taking a picture, but she went through the whole thing.
Speaker AFive of six lines in a perfect pattern.
Speaker ASame every single line, and did the last one different.
Speaker AAnd I was like, oh, God, tell me your child is an anarchist who's going to violently overthrow a government without telling me.
Speaker AThis is borderline serial killer behavior.
Speaker ASo I took a picture of it, and I was like, I'm going to keep this forever because someday somebody's going to show up to my door and be like, when did you know that she was going to be a despot?
Speaker AAnd I'm gonna be like, we were sitting in a bonefish, and I got confirmation.
Speaker ANo, no, nay, nyet.
Speaker AI reject these kids.
Speaker AI just.
Speaker AYou think you're prepared?
Speaker AYou're never prepared.
Speaker AThanks for being here, guys.
Speaker AHave a good day.
Speaker ALove you.
Speaker AMean it.
Speaker AThat's not why he has 100 pairs of shoes.
Speaker AHe swears he collects Nikes.
Speaker AClearly he does, because we have 100 pairs.
Speaker ABut he swears he collects valuable Nikes, and I have not seen that value yet.
Speaker AI have just seen a lot of shoes in my closet.
Speaker AAnd if the value is shoes existing, then yes, we have a lot of value in our closet.
Speaker ABut if the value is making money on the shoes that he was supposed to resell, I think he's been bamboozled.
Speaker ABut supposedly collecting 100 pairs of Nikes is also on the range of normal.
Speaker AWho knew?
Speaker AAnyway, anyway.