portrait

Sol Duc loves the neighbor’s back steps. I have permission to walk her in their yard. Walking cats is quite different from walking a dog. It’s more following the cat around. Elwha is quite scared of being outside in the day, partly because we live on a busy street and there are all those NOISES. Sol Duc is braver, but tends to stay away from the roads in the daytime. Cats like edges and shadow, except when sunning.

When I walk them in the early dark, they are both much braver. Sol Duc has gone around the whole block. She is annoyed when I won’t let her go under a house or way into a yard where I do not have permission. And she has seen birds and deer and another cat and dogs and other humans! Whew!

soft foot and arms too

Tenderfoot reminds me of my sister and our family’s summer visits to Lake Matinenda. We lived in tents. My grandparents and aunts and uncles and cousins were all in cabins.

We were always the last to head home. We usually mislaid our flipflops, towels, t-shirts and flashlights, so we head down the path in the dark. When I was little I have cuts every summer in the arch of my foot. I learn to walk in the dark on the path with the foot curled and lightly, so that if there is something sharp I can change weight to the other foot. If there are two sharps in a row, usually rocks, I get cut anyhow, but less often. I still love to take my shoes off on the paths there.

I would go this summer except for the oxygen. We did not bring in electricity. I do not quite feel up to acquiring a solar panel/battery combination that is adequate this year. It’s also the heavy lifting. We drink the lake water and bring it up in buckets. We do filter it, but carrying the buckets. It just does not seem like a brilliant idea alone with my lungs still challenged.

Anyhow, here is another soft footed and soft armed creature. This is taken at the Baltimore Aquarium a few years ago.

For the Ragtag Daily Prompt: tenderfoot.

Juneteenth and Father’s Day

Juneteenth and Father’s Day, I am celebrating and thinking of both, and missing my father and my grandfathers. Yesterday was a delayed memorial for my ex mother-in-law. I loved her and we stayed in touch and I continued to visit her and also loved her second husband. He was another grandfather to my children. We had six grandparents, with my ex’s parents divorcing a year after he and I married. Now we have one living. My paternal aunts and uncle have stepped in as the parents and grandparents that are missing for me and my children.

The pressman is my paternal grandfather Kenyon Charles Ottaway. Or Charles Kenyon? Now I need to ask my Aunts. I do not know what year that was taken. He was head pressman in Knoxville Tennessee in the early 1960s. He went by Ken. My Aunt Pat adds that he was nicknamed “Inky” and that the above photograph was taken in Bridgeport, CT. On the back it says ’45, so our guess is 1945.

My father, me, and my sister Chris.

The second photograph is my father, Malcolm Kenyon Ottaway, and me and my sister. My father went by Mac.

Jubilee for freedom and for both father’s day and Juneteenth. I miss my parents and my grandparents, love to all of them. Hooray for Sweet Honey in the Rock, too.

Sending love and peace.

For the Ragtag Daily Prompt: jubilee.

wild game

My maternal family played a wild game every summer when I was growing up. Wild in that we were in cabins, on a lake, no electricity, no television, living in tents and cabins. My grandparents had two cabins, my Uncles each had one and we were in tents. I loved our tents, though. I still have the tent that my sister and I used. It is over 50 years old now and doesn’t leak. We had very strict rules about tent care. And canoe care. And we could use all the tools but had to PUT THEM BACK. We had aladdin lamps and candles and drank the lake water. We filter it now, and the cabins are still there.

For the Ragtag Daily Prompt: game.

website ethics and mine

Two days ago I wrote to the owner of the website that “separated” me for “not explicitly breaking the rules”.

I have not gotten an answer.

Doesn’t matter, you say. I disagree. I think our ethics matters and it matters on line. Isn’t that part of what we are fighting about?

Let’s drill down. The editors stated on this obscure not to be named site that they were tightening rules and removing write-ups that should be logs or are just not high enough quality, and letting the writers repost them as logs. So far they have removed over 250 of my writeups. Ironically, I was one of the two most prolific writers in the last year. Let’s kill the golden goose because she’s annoying, won’t we? The other writer has not been “separated”.

I note that they have removed my write up called “birth of ——–“. Now, this interests me. This was a well received write up, had up votes, and was the start of a category. The category was people explaining how they chose their on line name.

So: the editors are liars and abusing their power. They have removed a well received and well liked write up because they have personal animosity towards me. I have protested the removal of 250+ writeups and asked that they be reposted as logs. No answer.

The other writeups in the how I chose my name category are still there. So this is PERSONAL and the editors of the site are unethical.

Therefore, I hope the site dies. Or gets rid of those editors. I think I want it to die, even though it has writing by my sister. This does matter. As a species, we will either learn to be fair and human on line as well as off line, or we will end in conflagration. The site will certainly not be there if we start lobbing nuclear bombs at each other. The owner works for the US government. Why is he/she not paying attention to this obscure website that he/she owns?

Whether or not the world burns this month, if the editors are manifestly unfair on the site, the site will die and deserves to die. I wish that I could have my sister’s drafts before it shuts down.

I ended my email that is not answered with this: Good luck. I hope that ethics matters to both of us.

Thank you.

on line site name

_______________________

I will not name the site here or anywhere again, until and unless those editors are shut down and the site becomes ethical.

We are fighting this fight as a species, as humanity. We have to learn to be as ethical on line as we are in person. Well, you say, some people AREN’T ethical. Yes, that is true. As a rural physician, my goal is to take care of ANYONE WHO COMES IN. The emergency room physician cares for the family of four hit by the drunk and the drunk too, even if there is a dead child in the family of four. We set our judgement aside and do the best for each and every patient, regardless of the story. At least, that is the goal. It is the highest goal I know of.

Blessings and be your ethical self on line. As my children said to me when I threw their father out of the house once, “We don’t care what he does. We want you to be polite to dad no matter what.” And they were RIGHT! We answer to ourselves and to the Beloved and to our children.

Blessings.

The photo is me and my sister, dancing before my wedding in 1989. She died of cancer in 2012.

April A to Z reflection

April was a very interesting month! I went to Europe for the first time since 1988 and got covid, so had to stay an extra 8 days. The version I got was a mild cold and my lungs did not get worse. Traveling on oxygen is really challenging. I was anxious to get home because my son and daughter-in-law got married after postponing in 2020 and 2021, so they married on April 30th! It was a wonderful wedding!

So, I had to do some planning for the A to Z, writing about women artists, mostly Helen Burling Ottaway, my mother. I took a number of my mother’s etchings to give to friends in Europe and used those because they were what I had. In typing up her resume, I learned more about her! She was a prolific artist and I want to get more of her art out there. I had originally planned to set up an on line shop of her work, but the Europe trip, covid and the wedding derailed that idea! I still want to do that, but I am a bit slow about it. I need to catalog and photograph her work, after I recover from the wedding extravaganza.

When I got home from my trip on April 12, I started doing two posts a day. I did the present letter and then worked from the end of the alphabet, setting up Z for Zarathustra to go live on April 30th. By the last week of April, I had it all set to go live day by day. This is good, because there was no way I would have posted from the last Wednesday on!

I did not get to surf other writers blogs as much as I had planned. Too busy in Europe and too busy with wedding. This week I mostly want to do not very much. I am sorting wedding photographs, the ones I took, and sending them to the new bride and groom.

The picture is of my two aunts at the music rehearsal. I was cantor and led the two hymns. Both of my father’s sisters are church organists. They played four hands for the processional and the recessional and were wonderful! With both my parents gone I was very very grateful to have them present.

what would YOU choose?

Here is a story of a choice about an abortion, a theraputic abortion, where a mother has to make a difficult choice. I have seen Family Medicine patients since 1991, so this will not identify a particular person. No HIPAA problem.

I see a new patient in clinic, a woman, who already has children. She has back pain. All is routine until she says, “Sometimes my leg goes numb from the knee down.” I stop. This is NOT normal. “Completely numb?” I say. “Not patchy?” “Yes.” “How often?” I ask. She shrugs. “Not very.” “If it happens again, call me and I want to see you right away.”

Why? This is unusual because most numbness follows dermatomes if it is from back pain. The dermatomes on the skin wrap from the back down the leg all the way to the toes. When someone describes numbness or the pain of shingles in that distribution, we know which nerve is affected. Numbness from the knee down can come from diabetes and other causes, but it is not on one side and it doesn’t come and go. So the unusual stands out for me.

“Anything else weird?”

“I had vision problems in my last pregnancy. They sent me to specialists, even a neuro opthamologist. He couldn’t find anything.”

“Ok.” I shrug. We move on.

She calls two days later. “Both legs are numb from the knee down.”

“Come in today,” I say.

Both legs ARE numb from the knee down. She also can’t lift her feet. The muscles from the knees down are weak. I get neurology on the phone. “MRI her from the top of her head to the base of her spine.” I call the hospital and set it up. That day.

She has seven brain lesions suspicious for multiple sclerosis. She did have an MRI in the previous pregnancy, which was negative. I do not remember how old the child was, 2-4 years or more when I saw mother.

I call her back in for results, we talk about specialists, and I call a neurologist in the nearest big city, three hours by car from where she lives. We start medications and my patient is scheduled.

She has multiple sclerosis. The flare improves. The visual symptoms were MS in the previous pregnancy, but it was not yet visible on brain MRI.

Then she gets pregnant again. Her symptoms immediately flare. She comes to me and I call the neurologist.

The symptoms are not a little worse. Much worse. “I suggest she terminate the pregnancy.”

My patient is horrified. Until the neurologist’s next words. “She needs to terminate if she wants to be able to walk for the children she has.”

My patient chooses an abortion, to terminate the pregnancy. Because she has a bad version of MS*, she remembers the symptoms in the last pregnancy, she is young, she is clearly progressing and she wants to take care of the children she already has.

What would YOU choose? For yourself, for your sister, for your wife. If you are male, do you have any right to make that choice? Now picture yourself pregnant with that choice. And thank you for reading this.

*Addendum: present evidence says that multiple sclerosis does NOT worsen with pregnancy. However, another illness, NMO (neuromyelitis optica) instead tends to become more active in pregnancy. It previously was lumped in with MS until the antibodies (anti-NMO) were identified and it was realized it’s a different subtype of demyelination disease, with its own treatment options. Medicine changes over time and the woman, the neurologist and I were working with the information available at that time.