This is for the Daily Prompt: Fish. I took the series of photographs at my Uncle Theodore Gurniak’s memorial. We were waiting to enter the church and here is the series of photos leading up to this one….





This is for the Daily Prompt: Fish. I took the series of photographs at my Uncle Theodore Gurniak’s memorial. We were waiting to enter the church and here is the series of photos leading up to this one….





I took a long walk yesterday and tried to walk very slowly. I was trying to do an outdoor version of walking meditation. Once I slowed down enough, feelings caught up with me. Mostly grief. I wanted to hurry and walk fast again, but then I thought, no, I can go slowly and let these feelings rise. Overwhelming, like grief risen to engulf me.
I wonder if that is why our culture is so hurried and so full of angst and so worried about performing and being the best.
And yet there is beauty, even in grief.
When my mother was dying of cancer, she did not want us to cry.
So we didn’t. We had her at home in hospice for nearly six weeks and we did not cry. Almost.
My sister called me. “I started crying today, at the kitchen table.” My mother was in another room in the hospital bed. “Everyone left. No one stayed with me. Everyone left.”
I didn’t cry but when people called to say how were things, I couldn’t speak. I sat there with the phone, silent. Because what I wanted to say was my truth and I knew very well that that was not what they were calling to hear. So I did not speak.
After my mother died, time passed. I felt…. many things, but the strongest one was “I wish my mother had let me cry.” We did what she wanted. But I wanted to cry.
My sister got cancer and fought it ferociously. She refused hospice until the last week. I flew down three times in the last two months.
Six days before she died, her friend and I were helping her. “I’m sad!” said my sister.
“Don’t be sad.” said the friend.
“It’s ok to be sad.” I said. “What are you sad about?”
My sister started crying: “I won’t be at my daughter’s high school graduation! I won’t see her get ready for prom! I don’t want to leave her!”
“You won’t leave her.” I said. “You will be there. Not in this form.” I meant it absolutely.
“I want to stay!” she said.
“I know.” I said. “I am so sorry.”
With my sister, I did not do what she wanted. I thought of my mother and that I wished she had let me cry. With my sister, I tried to listen to what she wanted and listen to what I wanted. I tried to be honest with her. She even got mad!
But… I watched her go in the cancer bubble. Where fewer and fewer people were being honest. They were afraid. They did what she wanted. They wanted her to be happy. And she tried so hard….
When I had arrived for the last visit with my sister, she was sitting with my cousin. I hugged her. She was not speaking much. I asked if she would like me to sing something and she nodded. I started singing “I gave my love a cherry”, a sweet lullaby. My sister shook her head, angry and fierce. I studied her. “How about Samuel Hall?” I said. My sister smiled and nodded. I started singing “My name is Samuel Hall.” It is about a man who is going to the gallows for killing someone and he is entirely unrepentant and angry. My cousin looked at me, startled. “I haven’t thought of that song in years,” he said. We both sang it to my sister. “To the gallows I must go, with my friends all down below, damn your eyes, damn your eyes.” That was the right song, angry, resisting, raging. “Hope to see you all in hell, hope to hell you sizzle well, damn your eyes, damn your eyes.”
I flew back to work three days before my sister died. I am told that she was scared when she died. “I said, don’t be scared.” said a friend.
Why not? I thought. Why can’t the dying be scared, be anxious, be angry? Why are we afraid to let them? I would have said, Why are you scared? And I would have said, I am scared too. And sad. And angry.
I told my counselor once that my husband was on the couch, angry, and I had to leave the room.
“Why?” she said.
“I am afraid.” I said.
“Why?” she said.
“I am afraid he’s angry at me.” I said.
“So what?” she said.
I thought, so what? “I want to fix him. I want him to not be angry.” Even if it isn’t at me.
“Why can’t you stay in the room?” she said.
I practiced. I stayed in the room. He was angry, grumpy, acting out. It’s not my anger. I don’t have to fix it. It may be just or unjust. Does it really matter? It is his anger not mine. I can stay present.
A friend said that his friend was dying leaving small children. “He was so angry that almost all his friends stopped visiting.”
A man and his sister are not speaking four years after their father died because they disagreed so strongly about how his lung cancer should be treated.
An elderly woman in the hospital agrees to go home for care with her son when he is present and with her daughter when she is present. When neither is present she will not make a decision.
A woman says to me that she is angry that hospice didn’t tell her which drug to give at the end to keep her friend from being anxious.
I hope that we learn to stay present for the dying and for the living. For all of the “negative” emotions. I see most of my hospice patients want LESS medicine rather than more. As their kidneys fail, the medicines last longer. They do not want to be asleep. They may cry. They may be angry. They may be unreasonable. Why should they be reasonable or nice or peaceful?
We want most to be loved entirely. Even when we are sad or whiney or angry or anxious. Who wants to be left alone when they are afraid? I hope we all learn to stay present.
And when we were alone, in that last three days, my sister said “I’m bad!” I said, “You are not bad. You’ve done some really bad things.” She said, “I’m sorry.” I said, “I love you anyway.” And she lit up like a buddhist monk, like an angel. And we both cried and I am so glad I was there.
Mordechai visited the boatyard with me… she did not walk around or comment much… She has been sitting in the clinic waiting room all month, greeting everyone who comes in in her very quiet way.
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.
I am submitting this to the Daily Prompt: Careful.
I talked to a young woman recently who left the college that my daughter is going to.
And then I gave my daughter advice.
“If you are attacked or assaulted, sexually or otherwise, do not go to the campus police. Go to the city police. Or better yet, a State Trooper.”
Because, you see, the Campus Police work for the school. It is a conflict of interest.
If you are attacked, get a friend. Have them help you get to the City or State Police. Have them record your initial story on their cell phone. Have them photograph any injuries, torn clothes, you crying while you tell them. If you are raped, have your friend get you to the City or State Police and then to an emergency room for a rape kit. This is documentation of your story. Write out what happened the next day. Keep all of it. It is admissible in court. Name names. Tell every word that you can remember that the other person said. Try to figure out if there are any witnesses.
Because too many men lie. Men lie in our culture and the system dismisses what women and girls say, dismisses domestic violence, dismisses assault, dismisses rape. You do not want to be Cosbyed or Trumped. You will not stand for it. None of us should stand for it.
Fight back. Stand up. We will not tolerate this culture and we will make it stop.
Here I am with Mordechai, the plastic skeleton. I brought Mordechai back from Seattle in 2014, all bundled up to carry. However, I walked onto the Seattle-Bainbridge ferry and Mordechai was not in a bag. I have never had as many people talk to me on the ferry. The ticket seller took a picture. Mordechai did not have to pay. A tourist from southeast asia wanted a picture with me and the skeleton and her, and a man started asking me about the hip joint. It was a very fun and funny ride….
Mordechai is in my clinic. During October, she sits in the waiting room. Last October we had a contest to name her. I have an anatomy book in my exam room, to pull out and show people the eustacian tubes or the knee joint or the muscles of the rotator cuff. But sometimes the skeleton is more useful….
It’s ok
I just want you to know
even if I never see you again
even if I never touch your hand
even if I never hug you again
even if you don’t answer
even if you don’t let me in
even if you are deaf to anything I say
even if you forget the moment you stop reading
even
I just want you to know
you are loved you are loved you are loved
always
even if
for my lost ones, living and dead 9/15/16
The photograph is from 2004, in the Hoh Rain Forest.
I am submitting this to the Friday Night Music Prompt #62 : Never too late for love & Keep me in your heart
My End of Life Plan and Wishes are as follows:
1. My plan is that my life should end after a half day of skiing for free at age 125 or 126.
2. My wish is to ski quite brilliantly, smoothly and gracefully, though not as aggressively as at age 110 and below.
3. My plan is that other skiers will ask who that brilliant skier is and that all the lift operators will know.
4. My plan is that I will have a delicious lunch, with a glass of champagne, in a condo overlooking the slopes.
5. I plan to have a hot tub and then a massage from one of the many handsome men who flirt with me.
6. My plan is that I will sit in a comfortable leather armchair with my feet on a foot stool, while three of my male friends vie to be the one to bring me the second glass of champagne.
7. My wish is that I will not need any cosmetic surgery or false eyes or ears or teeth or joints or heart valves and will retain my spleen, teeth, gall bladder, appendix and brain in full operating order.
8. My plan is that I will not be on prescriptions, medicines, vitamins, supplements, medical foods, or nutraceuticals nor under the care of any quacks of any sort.
9. My wish is that my male flirts will all think that I am not a day over 75.
10. My wish is that I will be listening to live music, a woodwind quartet or string quartet, just dropped in to say hello, along with three of my great grandchildren, showing off their olympic ski medals, summa cum laude graduation documents, or Nobel prizes.
11. My plan is that after the quartet leaves, I will fall asleep….
12. ….and not wake up, and that though my attendants are sad, none of them throws themselves off the balcony over the cliff and are all surprised at my true age and at the bountiful gifts I have left to each of them with proof that a long life and compounded interest have excellent results. My children, grandchildren and great grandchildren will live long and prosper as well.
When I was in residency, one of the obstetrics-gynecology faculty asked us, “Women died in childbirth. What did they die of?”
We were silent. Stumped. Infection? Well, when there was no infection control and the male physicians went from room to room with no hand washing, yes… but….
Preeclampsia? No. Not that common. Eclampsia? Ditto.
“What if a woman is in labor and the baby is stuck? What do they die of?”
Ick. “Bleeding?”
“The uterus contracts until it ruptures. It contracts until it is thinner and thinner. If there is fetal malposition or a hand presentation or transverse or certain breech positions, the uterus ruptures and both bleed to death.”
We were all silent.
When I hear people bemoaning caesarean section and too much surgery and too many interventions…. I remember what women died of. All the stepmother stories. In the 1797 diary I am reading, the “lady” dies of a fever. She is 24 years old. There is no surprise, just sorrow. The author writing is the same age and grew up with her and grieves, but goes on.
We would like to think this is in the past, but it isn’t. It still is going on, right now, inΒ poverty stricken areas and war zones where the hospitals have been destroyed, the medical people have left, there are no services…
When I was still delivering babies, I would tell patients: my ideal labor plan is the baby comes out and I hand it to you. And the placenta comes out and the baby nurses and I don’t seem to be doing much. But that is not always what happens. I do not have control nor do you. I will only intervene if I think it is your life or the babies life or both….
http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/1471-2393-14-43
http://www.msf.org/en/article/perils-childbirth-democratic-republic-congo
http://www.who.int/maternal_child_adolescent/documents/childbirth/en/
http://www.who.int/mediacentre/factsheets/fs348/en/
Donate:Β http://www.doctorswithoutborders.org/
The picture is me on my maternal grandfather’s lap. I was one very lucky baby. My mother had tubuculosis through the pregnancy. She coughed blood in her 8th month. If there had not been medical care and a Tuberculosis Sanitorium to be born in, I would not be here.
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