hold me

poem: hold me

hold me, Beloved

hold me
I long for you
to be reunited with you, Beloved

to return to you

it is the children who hold me

here

the children
my children, grown
the hope of grandchildren
the damaged children
the new and young children
the old children in adults
who are so sad

it is the children who hold me

here

sometimes I am so sad, Beloved
I long for you

I do and I don’t
long for you
to call me home
and hold me

I know
that you hold me, Beloved
every moment

even when I cannot feel your touch

I know, Beloved
you will call me home

and hold me
now and forever
in your infinite embrace

Wings

I try out
for a solo
singing

my director
is pleased
I am growing

she says
I am beautiful

she says
I look like a different person

she knows
a little of what I have weathered


my patient
is 86

and her husband died
in December

she misses him so

as she comes into the room
one day

she says
you look as if you have wings
and are ready to take off

and I freeze
for a moment

in surprise

that she can see
my wings.

the problem with angels

the problem with angels
is that they aren’t grey

nor do they have color

they are black
or white

sort of boring, really

pick one side
good or evil
night or day
male or female

I would rather be fluid

I want to be able to transform

liquid to solid
solid to gas
gas to solid
gas to liquid

flow around things

seep into the earth

always always
return to the sea

keep your wings

project black or white
as you choose
on me

while I flick water at you
and go for a swim

_____________________

written 2014

release

poem: release

I can’t do it, Beloved

or no
I don’t know how, Beloved

release old grief, I am told

I am to have the intention daily
to release old grief

it sits in my throat
aching lump, knot, old
I don’t know how old
is it from before birth
I haven’t looked up whether antibodies
to tuberculosis
cross the placenta
attacking

Kell kills
that is one of the antibodies
that can kill a fetus

I have the grief
a tiger by the tail

at first I was afraid
that releasing it would lose
some core part of myself
that the me I have built
is the nacre, a pearl
wrapped around a core of grief

but Beloved
I try to listen
I try so hard to listen
to have faith
why pay for help
without attempting to follow
the ideas
unless they are so clearly wrong

conversation
with myself
the past the woman the girl the child the fetus
let the grief go
gently

Beloved
maybe I am not gentle enough
full speed ahead
maybe I need to cradle the grief more
rock it, comfort it, thank it
grief, you protected me so much
from the patterns in the family

Beloved
maybe I need to thank the grief
before I let it go

9/21/17

Falling II

poem: Falling II

I can’t fall
until I let go

my cousin says that people learn
to stay away from angry people

I am hurt and then let that go
and think, yes, she is right
my cousins say over and over
that I am too angry when I’m not angry
until it makes me angry

my cousin gives good advice
I let go and stay away
it’s not my anger

I thought allopathic medicine
was where we listened to the patient
I let go of that too, disillusioned

a family member wants to be free
I let go

I let go of you slowly
I let go of coffee
I let go of sitting next to you
I let go of seeing you daily
I let go of asking
I let go of driving by

I let go of hope

I have not let go of longing

I think that I can fall
without letting go of longing

it is only a thread
like a spider’s web
thrown into the universe

I don’t think it will stop me
from falling

Falling

Poem: Falling

I was asked to write a poem from the perspective of the angels in my dream. I have posted this once before, but not with all the other Falling Angels poems. It is a sequence of poems responding to a dream.

Falling

We are stars
We are born
We are made to burn
We flame
We explode or burn out
We are made to die

We are angels
We are made to fall
We all fall
We are white falling in black space
Or black falling in white space
If you prefer
It doesn’t matter
It is the contrast that is important
There is no light without dark

We are angels
We are made to fall
We all fall

Do you fear
your fear?
your anger?
Your grief?
falling?
death?

We fall for you

If you reject
your fear
your anger
your grief
falling
death

We will fall for you
We accept falling

All must fall

If you accept
your fear
your anger
your grief
falling
death

We will fall with you

You will fall with us

Admitting diagnosis: old guy, don’t know

I wrote this in 2010, after I worked for three months at Madigan Army Hospital. I really enjoyed working there. It was the first time since residency that I had worked in a big hospital — 450 beds — and in a not rural setting. I kept asking to work with residents and eventually the Captain and I worked it out to both our satisfactions.

______________________________________

During my three months temp job at a nearby Army Hospital, I am asked to help the Family Medicine Inpatient Team (FMIT) whenever a faculty member is sick or out or deployed, which turns out to be fairly often. I enjoy this because I want to work with residents, Family Practice doctors in training. It is very interesting to be at a training program, watch the other faculty and work at a 400 bed hospital instead of my usual 25 bed one.

Two patients need to be admitted at the same time on our call day, so the second year resident takes one and I take the other. The report on mine is an 82 year old male veteran, coughing for three weeks, emergency room diagnosis is pneumonia.

The resident soon catches up with me because her person is too sick and gets diverted to the ICU. Mr. T, our gentleman, is a vague historian. He says that he has always coughed since he quit smoking 15 years ago and he can’t really describe his problem. He’d gotten up at 4:30 to walk around the assisted living; that is normal for him because he still does some o the maintenance. He had either felt bad then or after going back to sleep in a chair and waking at 10. “I didn’t feel good. I knew I shouldn’t drive.”

He’s had a heart attack in the past and heart bypass surgery. Records are vague. The radiologist reads the chest xrays essentially as, “Looks just like the one 3 months ago but we can’t guarantee that there isn’t a pneumonia or something in there.” He has a slightly elevated white blood cell count, no fever, and by then I do a Mini-mental status exam. He scores 22 out of 30. That could mean right on the edge of moderate dementia, or it could be delirium. I get his permission to call his wife.

“Oh, his memory has been bad since he spent a year in a chair telling them not to amputate his toes. And he was on antibiotics the whole time. He wasn’t the same after that. This morning he just said he didn’t feel right and that he shouldn’t drive.” So his wife called an ambulance.

The third year chief resident comes by and wants to know the admitting diagnosis. “Old guy, don’t know.” is my reply. “Either pneumonia or a urinary tract infection or a heart attack maybe with delirium or dementia or both.

The second year is helping me put in the computer orders, because I am terrible at it still. She could put them in upside down and asleep. “Why are we admitting him, anyhow? We can’t really find anything wrong, why not just send him home?”

“We can’t send him home because he can’t tell us what’s wrong. He might have an infection but he might not, and he has a really bad heart. If we send him home and he has a heart attack tonight, we would feel really bad. And he might die.”

I was getting a cold. I had planned to ask to work a half day but half the team was out sick so I just worked. But by morning I had no voice and felt awful. I call in sick.

At noon the phone rings. It is the second year. “You know Mr. T, who we admitted last night?”

“Yes,” I say.

“He had that heart attack during the night. Got taken to the cath lab. You made me look really good.” We had worked on the assumption that it could be early in a heart attack though the first labs and the ECG were negative. I had insisted on cardiac monitoring and repeating the enzymes. The resident had finished the note after I left and the night team had gotten the second and abnormal set of enzymes.

82 year olds are tricky. With some memory loss he couldn’t tell us much except that “I don’t feel right.” He was right not to drive and we were right to keep him in the hospital. And if it had all been normal in the morning, I still would not have felt bad about it. The residents are looking for a definitive diagnosis, but sometimes it’s “Old guy, don’t know,” until you do know.