Category Archives: death

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Advice to young people

My biggest piece of advice to young singles and young couples is: put half of each take home salary away. Married or not married, and I don’t care how committed you are.

I know people who lose their house when one half of a couple is sick, and the other can’t pay all the bills on one salary. We don’t want to think about illness or cancer, but it happens. Young parents, with one very ill and the other with a job, children and a sick spouse. Having a reserve is way more important than keeping up with the Joneses, unless you happen to inherit like Mr. Trump.

If you each put half of your take home salary away, then when life throws surprises at you, you will have a reserve. A big reserve if the surprises hold off for a while. Divide that half into retirement and half into money that you have access to in emergencies.

I listed the top ten causes of death in the US in 2012 here, but lets look by age: http://www.cdc.gov/injury/wisqars/pdf/leading_causes_of_death_by_age_group_2012-a.pdf.

From age 1 to 44 the top cause of death is accidents, unintentional injuries.

Suicide is second from age 15 to 44.

Cancer takes over as number one, malignant neoplasms, at age 45 to 65.

After 65, the number one cause of death is the heart, and that is where the biggest numbers are. But if a younger cause of death affects your family, it feels unfair, wrong, as if we all expect to like to age 78 or beyond.

Untintentional injury, that is, accidents, are broken down here: http://www.cdc.gov/injury. When I do physicals on teens, I ask them what the number one cause of death is for teens. They all know the answer, even if they have to think for a moment: motor vehicle accidents.

But lets look at accidents in the age 25-65 age group: poisonings. What? Poisoning? And NOT intentional…. what is going on there? It is drugs, legal and illegal, but more legal. Sedating drugs in combination are effective at sedating people enough to stop breathing and die. Alcohol with benzodiazepines (valium, ativan, etc.), opiates and opioids, sleep medicines such as ambien and sonata, withdrawal from methamphetamines, cocaine, crack….people die. And supplements may be contributing as well.

75 years of US mortality data: http://www.cdc.gov/nchs/data/databriefs/db88.pdf#x2013;2010%20

At birth now in the US the life expectancy averages 78, but not everyone reaches that….some people still die younger and some live longer.

The age of death is rising, world wide. In the US, many of us have a world envied standard of living and yet we have a significant number of people who are anxious and depressed and way too high a rate of substance abuse, alcohol, opiates and opioids, benzodiazepines and yes, marijuana is addictive. How do I reconcile this? How do you reconcile this?

Keep your reserve, young singles and young couples…..

http://www.worldlifeexpectancy.com/usa-cause-of-death-by-age-and-gender
As of the day I am writing this on 5/2/16:

POPULATION
318,857,056

Numbers to be corrected, first set was wrong, wrong, wrong.

I took the photograph yesterday evening: there were the most amazing Maxfield Parish clouds…. life and death are a mystery.

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W is for wrath

W is for wrath, the seventh sin.

From Webster 1913:

Wrath

1. Violent anger; vehement exasperation; indignation; rage; fury; ire.
Wrath is a fire, and jealousy a weed. Spenser.
When the wrath of king Ahasuerus was appeased. Esther ii. 1.
Now smoking and frothing Its tumult and wrath in. Southey.

2. The effects of anger or indignation; the just punishment of an offense or a crime.
“A revenger to execute wrath upon him that doeth evil.” Rom. xiii. 4.
Syn. — Anger; fury; rage; ire; vengeance; indignation; resentment; passion. See Anger.

 

Wrath is a sin, yet is it ever justified?

I am wrathful about this: http://www.npr.org/sections/health-shots/2016/03/23/471595323/drug-company-jacks-up-cost-of-aid-in-dying-medication

In my state a terminally ill patient may choose Death with Dignity: http://www.doh.wa.gov/YouandYourFamily/IllnessandDisease/DeathwithDignityAct

The person must be terminally ill, must not be suicidal and must go through a process. But one of the tablets prescribed, which only the person may administer to themselves, has had a price increase from $200.00 to over $3000.00.

I heard this from another physician, who has a patient who is going through the process.

I feel wrath and anger and hurt and rage that a corporation is choosing to make an enormous profit from terminally ill patients.

And so wrath may be a sin, but it is also an appropriate feeling at times.

In a sermon about forgiveness, hate is also discussed:

“Let me also say a word here about hatred, since I am speaking of forgiveness as being the release of hatred. Many  of us,  I suppose, like myself, have been taught not to hate.  We have been taught that hatred is always a bad thing and there is no place for it.  Thus, we feel uncomfortable in the face of this intense emotion and attitude.  Many times I have stumbled on the line from the biblical book of Ecclesiastes which reads, “There’s a time to love and a time to hate.”

Can there be  a time to hate?  Ironically, when  reflecting on the subject of forgiveness, I see that there is a place for hatred.
 
First,  your  hatred  lets  you  know  that  you  are  feeling  diminished  and  perhaps  being stepped on and treated as no human being ought to be treated.

Secondly,  your  hatred  lets  you  know  that  you’re  fighting  back  and  that  you  have something  to  fight  back  with.    It  lets  you  know  that  the  situation  is  intolerable  and  you will not put up with it.

And  so  hatred  can  be  a  natural  and  even  necessary  response  to  situations  that  threaten human dignity.  Says one author, “Not to feel resentment when resentment is called for is a sign of servility,… a lack of self-respect.”  (Forgiveness, Haber)”

From: November 15, 2009, here: http://www.quuf.org/index.php?page=2009—2010-sermons

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http://www.quuf.org/uploads/Sermons/Is%20Forgiveness%20Always%20Called%20For%20Part%20II%20Nov%2015%2009%20print.pdf

I took the picture in 2007. No wrath here, but three different expressions, and all complex….

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U is for ursine

U is for ursine. Have you ever felt ursine?

Ur”sine (?), a. [L. ursinus, from ursus a bear. See Ursa.]

Of or pertaining to a bear; resembling a bear.

Ursine baboon. Zool. See Chacma. — Ursine dasyure Zool., the Tasmanian devil. — Ursine howler Zool., the araguato. See Illust. under Howler. — Ursine seal. Zool. See Sea bear, and the Note under 1st Seal.

I am thinking of my sister again. My mother called me tiger and her bear. “Chris bear” was one of her names. Have you felt tigerish or ursine? We talk about a temper like a bear or hibernating when we aren’t feeling very social and then there are teddy bears and care bears and last night I saw the new Jungle Book movie.

I know the book well and loved it. I spent much less time with television. The movie is a mix of the book and the Disney version and I am considering the deviations. Sher Khan did not kill the wolf leader in the book, though he did influence some pack members. And the ending is changed and an interesting change at a time when we are afraid of the disconnect that many of us feel from nature. We are afraid that too many people and that sin of greed are destroying species and destroying the world.

And so I do feel ursine. Sometimes it feels unbearable. Sometimes I want to rear up like a grizzly bear and tear down the veneer of civilization. Sometimes I just want to sleep as deeply as a bear and dream…. dream of playing with my sister.

In my photograph, two cars have crashed in the Octoblast and one has been ejected forcibly: that is my sister bending over it…..

 

 

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R is for ridiculous

Ridiculous. Silly. I can’t do S for silly because another of the 7 sins starts with S.

My sister and I could be so silly together. I bought the ridiculous Dr. Suess Christmas hat one year. On Christmas morning my sister wore it and then played with a Sesame Street style puppet. A monster puppet, where you could put different arms and eyebrows and eyes on for different moods. She and the puppet had a discussion about which arms the puppet would wear! And then she put all the velcro monster parts on her cashmere sweater! Ridiculous!

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malene's photo chris and silly hat chris - Copy (2)

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The last photograph is my sister with her daughter, being goofy and ridiculous. My sister died in 2012 of cancer…. I hope she gets to continue to be goofy sometimes on the next plane of existence and I miss being ridiculous with her!

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M is for mourn

M is for mourn. We mourn for losses. Mourning is part of being human and we have to give grief room and space. How can we love and feel intimacy without also feeling grief and mourning?

M

I wrote a poem the day my sister died. I had flown home four days before, after seeing her in hospice, 7 years of cancer. I flew home the day before her birthday. My birthday is three days after hers. She died the day after my birthday. It has now been four years.

An apology, a love note and a remembrance

I step outside into a fine mist rain.

I am enfolded in cloud.

The dog still wants to be walked.
The cats want their treats.
The bunny rattles her cage.
The fish will want feeding at the usual time.

My heart lies stunned in my chest.
The dog does not pull.
I walk measured.
He waits.

The rain comes harder.

I hope that where you are, is joy.

The crows harsh caws comfort me.
I answer.
They watch from the tree tops as we circle.

I am enshrouded in cloud.

We are back to the house.

I try to remember.
I have the birds.
I have the trees.

We go in.

first published on everything2.com with other poems for her here: http://everything2.com/title/An+apology%252C+a+love+note+and+a+remembrance

I don’t know who took the photograph. Probably my grandparents.

 

 

 

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Dear Mr. Donald Trump

Two weeks ago I sent this letter to Mr. Trump and all of the presidential candidates. To date I have gotten a form letter from Mrs. Hilary Clinton.

Dear Mr. Donald Trump and all Presidential candidates:

Mr. Trump, I am a rural family practice physician, a woman, who owns and runs my own medical clinic. I take care of patients from age zero to 104. Currently my oldest is 98. I take medicare and most insurances, but not medicaid.

I am running into legal immorality across the board from health insurance corporations that are maximizing profits at the expense of my health care dollar, our taxes and my patients. I would like your advice.

For example, the Veterans Hospital contacted me in May of 2015 and asked me to accept Veterans Choice patients, veterans who live more than 40 miles from the nearest VA Hospital. I accepted. I have 6 veteran patients, who are very complicated. To date I have not been paid for one visit. Now, before you say this is the fault of our government, it isn’t. It is the private for profit government contractor Triwest who is not paying me. They have my notes and we have followed their instructions on how to submit bills. Would you advise me to drop these patients?

For example, my father died in 2014. I called the oxygen company to pick up 6 tanks of oxygen. Then I found 8 more. I gently inquired why he had 14 tanks. The company said that his medical orders said that he should wear it continuously, so they delivered it. “Medicare paid for it.” they said. Ah. Well, I kept the other 8 tanks, because it is my and my father’s oxygen in those tanks: the company can have the tanks back when they are empty.

For example, the head of the sleep apnea supply company came to see me. He said, “You are getting in the way of your patients getting needed equipment.” I said, “Really? How?” “You only allowed a refill of one of the 8 necessary pieces of CPAP tubing instead of signing off on the whole group so we can fill as needed.” “Ah.” I said, “Actually my patients are tired of you mailing them 8 pieces of plastic that are filling up their closets and they don’t want extra plastic crap.” He mails it at the interval allowed by medicare, never mind whether the patient wants or needs it.

For example, I called a patient’s insurance to get a prior authorization last week for a limited sinus CT. They no longer do prior authorizations. They will decide whether to cover the CT scan once they read my notes. I asked if there was ANY way to see if it would be approved. They offered to let me send a letter to a PO Box in Wisconsin. My patient was sick, Mr. Trump. What do you suggest the patient and I do?

This is all legal. But it is not moral. So, Mr. Trump, where do you stand? Is our country’s highest value free enterprise and profit at any cost, no matter how many of our seniors are legally ripped off? Or do we have morals that health care and our elderly are important and need to be protected from legal but predatory businesses.

Please let me know, Mr. Trump. I would rather stick with my small clinic in the United States. At this point I would be financially and emotionally better off working as a temporary doctor internationally. I am sure that there is immorality internationally, but I will be less ashamed when it is not MY country.

Thank you.

 

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Costume 8

This is the last in this costume series and now it’s revealed. My sister was not wearing a costume but she contributed to the festivities by showing off her ballet skills. Her daughter was more interested in dinner than ballet at that particular moment, even though they performed together. My sister loved to dance and loved the costumes there too.

Taken in 2009, Lake Matinenda, Ontario, Canada. My sister died of breast cancer in 2012.