Tag Archives: Kathy Visneski

Monday Morning Moment – Celebrating the Life of Deborah Kay Mitchell

[L) to R) – Kathy Visneski, me, Kay Mitchell]

“Blessed be the God and Father of our Lord Jesus Christ, the Father of mercies and God of all comfort, who comforts us in all our affliction, so that we may be able to comfort those who are in any affliction, with the comfort with which we ourselves are comforted by God. For as we share abundantly in Christ’s sufferings, so through Christ we share abundantly in comfort too. If we are afflicted, it is for your comfort and salvation; and if we are comforted, it is for your comfort, which you experience when you patiently endure the same sufferings that we suffer. Our hope for you is unshaken, for we know that as you share in our sufferings, you will also share in our comfort.“ 2 Corinthians 1:1-7

Comfort in suffering. I’ll come back to this.

Deborah Kay Mitchell – June 7, 1951 – September 19, 2026

Although Kay and I share the same first name, I only really knew her by her middle name. We have been friends for 40 years, most of that not in the same town. All of it as wives, mothers, nurses, Christians, and Southern women.

She has been deeply on my heart over the last several days because, as you can tell by the dates above, she is no longer with us…and yet she is. You see Kay was a force of nature. She was not one easily cast aside. In fact, never. She was an impassioned, stubborn, formidable, brilliant, funny, no-nonsense, Godly woman. This world, upon her exit, is a little dimmer, but immeasurably better because of her very existence in it.

Deborah Kay Mitchell – Obituary

I met Kay early in 1986. Right out of grad school, my husband Dave had taken a research chemist job in Kingsport, Tn. I applied also for a job as clinical nursing specialist job in the cancer center at Holston Valley Hospital. Getting the job, I remember the first day with Mrs. Ketron, the director of nursing, touring me around the hospital. She walked me onto the oncology unit, and one of the first nurses I met was Kay. A petite woman, dark hair and dark eyes, completely unimpressed with me. As she should have been.

We were in our 30s, Kay and I, same age, but I was always 6 months older (which she would use against me as it suited). I was brand-new in a very different culture. As young as she was, she carried a posture of unfazed authority. She would take her time sizing me up…but not too long, fortunately.

I was so thankful that we, sooner than later, became friends and fellows-in-arms, caring for patients, families, and staff.

Not long after I became part of the cancer center staff, Kay took the role of nurse manager. Kathy Visneski soon joined our ranks as a nurse researcher/educator. We three worked closely together in those years – dreaming, planning, and executing strategy, support, and training for some of the best nurses we would ever know. As nurse manager, Kay would both work our proposals through the chains of command and weave them into our culture.

Kay was an operational wizard. She didn’t need the spot-light ever. Her goal always seemed to be bringing out the best in others. She was what author Joyce Landorf Heatherley called “Balcony People” – encouragers who stand and cheer us on. Kay had a knack for coming alongside and encouraging folks to be the person for the job, or to do what’s needed whatever it is…to grow into a person of greater capacity.

Kay encouraged me (us) in ways that didn’t pamper or coddle. She was a true leader – instilling support and confidence. She wasn’t shy to say, in love, what someone needed to hear and, spot-on, when they needed to hear it. Not from a distance either. She was right there in the proverbial muck with us.

When we were new in our relationship as both friends and colleagues, she was instrumental in helping me win the confidence of the cancer nursing staff. I leaned on Kay for counsel and kindness. She taught me a whole new understanding of the phrase, “Get over it!” and “Get over yourself!”

It may seem counter-intuitive to be encouraged by such attitude, but underneath was a tough and total love. Not just something I experienced from her but everyone who allowed her to come close to them. Kay wasn’t smarmy or overly sentimental, but she truly and deeply cared about people.

We were nurses together, Christians together, and moms together. Her two kiddos were maybe middle and high school age as I began having our three children. That “get over yourself” advice was so helpful as I questioned my parenting skill. I needed to hear the wisdom that came after, but to hear it, Kay knew I had to get out of my own head. She was so wise and managed to meet the challenges of parenting, as with cancer nursing, with wit and humor.

Our oldest child remembers Kay. When our Christie was just 4 y/o, she went for several days with an undiagnosed ruptured appendix. It wasn’t for lack of trying for a diagnosis. We were in the pediatrician’s office daily until on the 5th day, they finally determined that our stoic little girl had a belly full of infection. Kay (and friend Kathy) were right there with us through the two weeks of hospitalization post-appendectomy. In fact, Christie still has a pillowcase Kay gave her while in-hospital. It was a Sandra Boynton cartoon image entitled “Keep Smiling”.

So Kay.

She always treated little people like big people. How blessed her own three grandchildren are to have such a grandmother.

At some later date, our little Christie even got a celebratory ride in Kay’s convertible.

Christie with driver Kay

[Kay even made it to Christie’s wedding many years later]

[Kay, Ann, Jennifer, & me]

In 1994, just 8 years after becoming friends, our family moved away and then overseas. The majority of our years as friends were from a distance. It didn’t matter. Every visit. Every phone call. Completely life-giving and full of laughter. We shared the sadnesses as well. Deaths, illnesses and hardships of people we loved…changes. In recent years, after some mini-strokes, Kay developed dementia. In our phone calls, she would always start, “You know I have dementia now.” It did not at all dampen her indomitable spirit. Most of our shared memories were of years past and she was still able to recall those. Nor did the dementia dim her faith. We both loved Jesus and our families and the lives God had given us…with all the bumps in the road.

A couple of years ago, Kay and I had one of our catch-up phone calls. She told me a story. A few months earlier she had a knee replacement surgery. Years of nursing, like with many professions, are hard on our knees. As she was “ambulated” – being walked in the hall shortly after surgery, she was in the company of nursing friends who’d come to see her. Friends from the era we shared. Like Kay, they had gotten older (it is odd how we get older but still, with each other, feel the full vigor of life shared in the workplace). It must have been a sight, this nurse “patient” and her friends filling the hall, walking slowly together, in conversation and encouragement. A physical therapist observing them captured the scene with the word, “Hall-of-Famers”. These women who were known and, as it should be, revered.

Kay was at the core of that hall of fame.

[A W-3 Cancer Nursing Huddle – many years ago]

[Kay & Rhonda – close nursing friends for many many years]

How many nurses’ lives she influenced. How many patients rallied and families took heart in her care. How many moms and their children in her church benefited from Kay’s love and pointing them ever to Jesus. You knew you had been seen and known when Kay was in the room.

So how do people become “hall-of-famers”? Remembered with tremendous fondness and honor. I know one thing about Kay – she was a servant leader. She never asked of anyone else what she wasn’t willing to do herself…and more than not, right there with you doing whatever it was.

A leader like Kay, as described by Collins and Collins, is “‘compelled by an unshakeable desire to serve’. Servants generally don’t have a choice, but a servant leader, through humility, chooses to put others first…When we see someone step up in a difficult situation and commit themselves wholly because it is the right thing to do, we are more likely to join with them for the long journey. The unconditional nature of serving may be the most defining quality”. These authors could have been writing about Kay.

Steadfast. Hard-working. Funny. Resilient. Intelligent. Caring. Persevering. Ever hopeful. Constant in faith. Full of life and love.

[Kay & Joe – husband and friend – 55 years married]
[and…Kay & Joe, still]

Less than two weeks ago, Kay got very ill. Within hours, she was in ICU and with all the best treatment, she would not improve. As in her amazing life, she made the call – she seemed to know it was time and she expressed as much. She left this world quietly to enter Eternity – whole and mentally healed – her full self – even more beautiful than she was here.

Comfort in suffering. Kay never shied away from the hard. She faced things head-on and gave courage to all of us around her to do the same. She trusted a good God. I saw Jesus in her…always.

She shouldered her own suffering because she knew she wasn’t alone. God was present. Those who loved her were there for her. She was comforted…and she passed that comfort onto others. Always.

She would probably hate all this attention…that’s why it took me some days to put it out here. She’s now in a better place, and it’s up to us to live as she lived – to do what we can to make this a better place, to extend ourselves to others, to see the humor and irony in this life, and to watch God cut through the silly smallness in life to display the grandness just there in the distance…we can see it if we take our eyes off ourselves…and look. It’s closer than we think.

Thank you, Kay. Thank God for you.

“…in Him it is always Yes. For all the promises of God find their Yes in him. That is why it is through him that we utter our Amen to God for his glory. And it is God who establishes us with you in Christ, and has anointed us, and who has also put his seal on us and given us his Spirit in our hearts as a guarantee.” – 2 Corinthians 1:19c-22

Monday Morning Moment – Hall-of-Famers and What Makes Them So – Deb Mills

Balcony People – The Encouragers in Our Lives – You Know Who You Are – and We’re Grateful – Deb Mills

Monday Morning Moment – Principles of Execution – and Teams That Get It Done

Photo Credit: USAFA

Two workplace scenarios. The first is when either the manager or the team is super excited about a goal, and action items are determined and given to just the right team member and calendared for quick turnaround. Photo Credit: JSC

The second scenario is when either the manager or the team is super excited about a goal, then one or the other digs in their heels. The meeting ends with no clear shared responsibilities, no movement forward, no hope of change.Photo Credit: GangplankHQ, Flickr

Sigh…all the most excellent strategic planning can take place inside a conference room…and without execution. Essentially, nothing happened there.

I’ve had both kinds of team experiences and want to focus on the former one above. Talk about high employee morale when a group of colleagues operate as a finely tuned machine and the yield is high-quality productivity.

FranklinCovey is a leadership consulting firm. I discovered this firm through the book The 4 Disciplines of Execution authored by leaders in the firm.

The 4 Disciplines of Execution: Achieving Your Wildly Important Goals is written by Sean Covey, Chris McChesney, and Jim Huling.

When you go to the website, you actually are able to immediately grow in your understanding of how to influence execution in your company. The video below is an incredible teaching tool – 17 minutes of powerful content on execution:

In brief, their 4 disciplines of execution are:

  1. Focus on the wildly important goals (WIGs). The day-to-day operations always stand against those game-changer goals. Determine to be unyielding on the highest-priority goals (1-3 maximum).
  2. Act on the Lead Measure. [New terminology for me.] The lag measure is the goal itself. The lead measure is what you can influence to accomplish the lag measure. Lead measures are the leverage used to get to the lag measure (goal). Lead measures are “predictive and influenceable“.
  3. Create a compelling scoreboard. I appreciate the wisdom of this (Chris McChesney describes it so well in video above). The scoreboard is not for the manager. It’s all about the players at this juncture, and it should feel like a game. [Actually an element of fun and energy incorporated. What a concept!] The scoreboard would be simple, highly visible and the players (employees) should be able to tell right away from the scoreboard whether they are winning or losing toward meeting the goal.
  4. Create a cadence of accountability. Everybody is going to love this! 20-minute meetings are calendared every week, at the same time. All the people in the room have “skin in the game”.  This meeting is sharply focused on 3 things (related to the lead measures only): each person reports on the week before; reviews/updates the scoreboard; makes commitments for coming week. That’s it! How streamlined and forward-moving, is that?!

[ 4 points taken from the video above: 4 Disciplines of Execution]

Many years ago, I was on a work team that was given the responsibility and liberty to determine what else was needed in the formation of a comprehensive cancer center. We had many places already in place – excellent medical and nursing care, an engaged community, and a charitable foundation to provide extra resources for taking us to a state-of-the-art cancer center.

3 nurses – Kay, Kathy, and I – had the question to answer of “Why Else?” What else did we need? We worked together on the planning and execution of comprehensive support services and education. Each of us brought our own giftings – I had vision and ideas, Kay was an influential nurse manager, and Kathy was detail-oriented and had a gift for taking a project to completion. Some of the services that came out of those problem-solving sessions are still embedded deeply into the DNA of that cancer center today.

Ray Dalio, founder of Bridgewater Associates, presented some of his business principles in a TED Talk entitled “How to Build a Company Where the Best Ideas Win”.

Start at 6:17 minutes in (if you don’t want story and context), and you will hear his wisdom about the importance of radical truthfulness and radical transparency.

“One of the greatest tragedies of mankind: People arrogantly, naively holding opinions in their minds that are wrong…and acting on them, and not putting them out there to stress-test them, and that’s a tragedy.” – Ray Dalio

“Collective decision-making is so much better than individual decision-making if it’s done well.” – Ray Dalio

Kathy, Kay, and I had that sort of team relationship – radical truthfulness and radical transparency.

Whether you are part of a team, or an independent entrepreneur, there are excellent principles here.

Finally, in Gerald Leonard‘s piece on Steve Jobs‘ principles of execution, Leonard listed 9 nuggets of wisdom:

1) Do what you love for a living.

2) Build partnerships that will turn into lifelong friendships.

3) Attend college to get an education not just a degree.

4) Join your local industry associations.

5) Experiencing other cultures will open your eyes to new worlds.

6) Find others who have complementary strengths and recruit them.

7) Don’t be afraid to recruit others that are stronger than you.

8) Practice CANI – Continuous and Never-Ending Improvement.

9) When one door closes, another will open if you look for it.

Principles of Execution 014: Insights from Steve Jobs on Visionary Leadership – Gerald Leonard

If you want to take an honest and critical look at your team or company’s success in operation, you have great helps here – in the FranklinCovey’s counsel, in Ray Dalio’s discoveries and in the philosophies of business leaders like Steve Jobs. I’d also like to add anything on teaming by Patrick Lencioni.

I would love to hear how you get to execution…because until you do, it’s just meetings upon meetings.

Please add in Comments below any other resources that have proved helpful to you in getting to effective execution with the added impact of high morale in getting to goal.

Get Better: 15 Proven Practices to Build Effective Relationships at Work – Todd Davis, FranklinCovey

The 4 Disciplines of Execution: Achieving Your Wildly Important Goals – Chris McChesney, Sean Covey, and Jim Huling

YouTube Video – The 4 Disciplines of Execution in a Nutshell

Patrick Lencioni – 3 Indispensible Virtues that Make Teams Successful – Dan Schwabel

Having a Team Scoreboard – The Table Group

Building a Healthy Work Culture – in a Season of Change, Uncertainty, and Dips in Morale – Deb Mills Writer

Monday Morning Moment – Social Capital – an Invaluable Resource We Can Develop – and a Tool to Help – Deb Mills Writer

Monday Morning Moment – Taking the Social Capital Challenge – 5 Steps Forward – Deb Mills Writer

Monday Morning Moment – True Humility in Leadership – So Not Cliché – Deb Mills Writer

The Five Characteristics of a Highly Functional Team – Dennis Hopper

YouTube Video – 4 Disciplines of Execution – Gwinnett Medical Center – This was personally very satisfying and encouraging for me. My dad was a patient at this medical center during the time when there were banners flying everywhere about it being one of the top medical centers in the country. At the same time, we family members stayed with him around the clock, because nurses did not come when we called, nor were other services offered with any communication that my dad or we mattered to staff. To see that they also came to recognize this was a problem and took effective steps to correct it was exciting.

5 Friday Faves – Recovering from Surgery: Cheerleaders & Caregivers, Glimpses of Beauty, Words Fitly Spoken, Comfort Foods, and Sports Movie Speeches

Blog - Friday Faves

10 days ago was the last time I posted a blog until right now. It was the day of my surgery. My surgeon decided the time had come to lay to rest exactly what was this little nodule – this incidental finding that has persisted now 6 months. He assured me that it is either “nothing or early”.  Hours later I would discover that it wasn’t nothing but it was early. Stage 1 cancer. He did that “gold standard” surgery to remove what was necessary to lead to cure. Now my job is to heal…from the reality of the diagnosis and the protracted recovery time (from days originally to weeks/months now).

This week’s Friday Faves relate to these days of recovery thus far. It’s an open letter of thanks for the great and many graces of God through all those He brings across our paths in times of pain and weakness. I have been much changed by this experience and by the kindnesses given to one unable to give back. Thank God. Thank God for you.

1) Cheerleaders and Caregivers – What would we do without those persons in our lives who step in, extend a hand, share a truth, or just steady our particular rocking boat? My close nurse friend, Kathy Visneski, coached me through this recovery business, from her vacation on the beach. She didn’t have to…that’s just who she is and what she does. Over the last 10 days, I have had so many strangers, friends, colleagues, neighbors, and family members come near in this experience with me. It’s reminded me of Kara Tippetts‘ book Just Show Up. We all bring different giftings, different strengths into this arena. In particular, Dave, this husband of mine, has juggled well his work, his chores and mine at home, and all the many extra demands that recovery has made on both of us. Thank you, Dave. Thanks, Kathy. Thank you all.Dave April 2016

2) Glimpses of Beauty Beyond the Pain – I’m not a “cut flower” kind of woman. They seem so extravagant…that is, until the day comes, when pain stabs you through the chest and you don’t want to get out of bed. Then a bouquet of irises, roses, and hydrangea show up from a friend states away. She said, in the card, that she knew the irises would remind me of my mom and would be an added comfort. She was right. Other flower arrangements would follow and would turn our living room into a quiet garden where I would begin healing. Beauty to rest my eyes.Blog - Hospital - Irises

3) Words Fitly Spoken – “A word fitly spoken is like apples of gold in a setting of silver.” – Proverbs 25:11 We sometimes silence ourselves for fear of not saying the right thing or not knowing what to say. My bias is that lots of grace should be given those who try to fill the awkward places between people with whatever words they can find. For me, words haven’t come so easily in these days of dealing with a cancer diagnosis, even caught in the earliest of stages. I’ve had some of the kindest words spoken over me in these days. One friend, visiting shortly after I came home, said something like, “Debbie Mills down?! No way!” It was my sentiment and confusion exactly. I’m fairly tough, resilient. This surgery and aftermath have humbled me in such a way as to remember that “when I am weak, God is strong in me”. We want to be able to say that to others in need…living it is a whole other thing. I’m discovering the faithfulness of God in a way I would never have sought out before.

 Along with all the voiced encouragements, I’ve received some beautiful cards. How kind of people to still go out and search for an appropriate card and either take the time to drop it by or send it in the mail to arrive providentially. The card below came on a hard day when recovery seemed to be going very slowly. It was perfect.

2016 June - Greeting Card - Turtle after surgery - Getting There 0012016 June - Greeting Card - Turtle after surgery - Getting There 002

4) Comfort Foods – A side effect of the pain and weakness seems to be this loss of appetite. Never before have I just not wanted to eat anything… Nothing sounded good. Not even my daily cup of coffee delight in the morning. I’ve lost 8 pounds since surgery. Then one night this week a friend brought over a chicken almond casserole. I ate some in a little bowl, nestled in my “sickbed”, and it was actually very good. Since that night, my appetite has been coming around.

Unforgettable Chicken CasserolePhoto Credit: Mr. Food

Yesterday, something made me think of Biscoff cookies, a crisp spice cookie offered to travelers on Delta Airlines. I told my daughter and she remembered some she had in her cupboard, a gift from her mom-in-law. She brought them over, and this morning, I had my first full cup of coffee with two of these lovely cookies. Returning to normal.
Blog - Comfort food - coffee and Biskoff Cookies

5) Sports Movie Speeches –
My normally short attention span is even worse in these days since surgery. Reading the briefest of passages in the Bible or a book is about all I can handle. Except for TV. It is definitely a medium that can be taken in completely passively (not that I recommend it because of that). In these days of moving from loveseat to sofa to recliner, with my phone and TV remote tucked under my pillow, watching movies has helped me to be occasionally distracted from my situation. This week, I saw the 2004 football film Friday Night Lights. Near the end of the film, Coach Gaines, gives the most inspiring half-time speech to his weary, busted-up team, two quarters away from winning or losing their state championship. See the clip here. Blog - Friday Night Lights - sports movie speech - fanspeakPhoto Credit: FanSpeak

There is another YouTube video of the Top 10 Sports Movie Speeches. Sure these speeches aren’t always full of truth and all are colored by the pop culture of that film setting. Still, when you are down and not sure what it will take to get up again, inspiration is a very good thing. [Honestly the most inspirational, deeply resonate “speeches” were spoken by Jesus to his followers in strange and stretching situations. I am one of those…inspired by Him now.].

Well…that’s my Friday Faves – being posted on a Saturday. The first time I’ve written since before the surgery 10 days ago. I hope to write more about what this surgery and diagnosis are teaching me but all that is in process right now.  If you have any stories, links to inspiring speeches, recipes for comfort foods, or whatever you’re stirred to share, please do so below in the comments. ,Thank you for showing up here…in this time of my life. You encourage me…and one day, maybe I will have the opportunity to encourage you. It is my desire…Blog - Debbie - Home from the Hospital

One day….the beach.

Blog - Ocean, Sky, Sun - Kathryn VisneskiPhoto Credit: Kathryn Visneski