Category Archives: hike

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Agatize

A long time ago, at least by a child’s time, he starts turning. He blocks things out. He locks his heart. He decides to be happy and do what he wants. His heart slowly turns to stone.

The blood roars through, pushed by each beat, how can a stone heart beat? Not normally, that is for sure. His brain controls it, cold, logical, no emotion, except happiness, that is what he says. He says it over and over, I am happy all the time, until he thinks he believes it. And then he believes it and his heart is stone.

But the blood flows and the body feels and emotions come anyhow. He refuse them, all but happiness, and blood lays down a wall of emotion inside his heart. Chalcedony, lining the chambers, coating the valves, coating the arteries that feed the heart. The heart doesn’t need the arteries open because it is not beating. It is stone. His brain is beating. Beating the emotions away, away, away, refusing the body and the heart.

The heart is hollow. Slowly it is lined with clear agate. At last his heart is full: no more chamber. Agatized, all the way through. When he is cracked open, far in the future, a chalcedony nodule will show the perfect interior of a stone heart.

And where does the blood go now? we wonder. Laying down the lining of agate, clear, colored lines of emotions rejected, all the colors of the rainbow, what he thinks of as impurities. That is how he thinks of his emotions: impurities, to be rejected.

What will be agatized next? His liver? His lungs? He says strokes are the end for his family. He calls it then, his brain is agatized. The part that controls the pumping, overriding his heart over and over, when that part turns to agate, he will be correct. A stroke. How long will it take, we wonder? One year, five years, ten? He says he won’t go past 80. That will be 13 years. How apropos.

Can nothing stop this? Chalcedony is hard, not hard as diamonds, but very very hard. Agates are common and we search for the clear ones, the lit ones on the beach. Almost nothing can wear them down: high pressure would kill him, high heat would kill him, what is left? Water. Water wears down rock.

Enter the sea. The sea of love, the sea of dreams, the sea of the unconscious. Seek help, before you turn yourself to full stone. Agatized and dead.

Maybe there are other treatments, I don’t know.

A stone shaped heart is rare, I hope. See how it catches the light. Beautiful and sad.

August 30, 2022

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abstract

This is a cell phone snap from a few days. It reminds me of Jackson Pollock’s paintings, all the complex colors and layers.

The tide was way way way out and it’s a snap of the green layer on the beach. Gorgeous. The beaches here are an endless wonder.

For the Ragtag Daily Prompt: wonder.

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Exercise mets

Mets could be metastases, a terrible word in cancer. But this is exercise mets. I am half way through my pulmonary rehabilitation for pneumonia and getting stronger. So what is a met? “One MET is approximately 3.5 milliliters of oxygen consumed per kilogram (kg) of body weight per minute.” (from https://www.healthline.com/health/what-are-mets#definition).

Ok, that doesn’t seem very useful. I find this way more useful, a chart of how many mets are used for certain activities:

https://www.healthline.com/health/what-are-mets#examples

The treadmill I am using at pulmonary rehab tells me how many mets I am using. However, last time I turned it on and didn’t enter my weight. It uses 155 pounds, which is more than I weigh. I think that then the mets are wrong. It isn’t exact anyhow. The important thing is that I am improving and off oxygen! I am now up to 5.3 mets, going at 3.3 mph, on a 4% grade, for 40 minutes. Pulmonary rehab is twelve weeks, twice a week, with a respiratory therapist and a physical therapist.

My respiratory therapist asks my goals. To bicycle distance, hike across the Olympics, and to ski again, off oxygen. That means altitude. Once we are above 5500 feet, the body really starts noticing the thinner air. I am not there yet but I am so pleased to be improving.

On the chart, I am in the moderate exercise range. To bicycle, I would have to be able to sustain 8 mets. Not yet, not yet.

Being off oxygen (except night, flute, sustained singing and heavy exercise) is GREAT! The intrinsic problem has not been fixed, thought. Fully twenty specialists since 2012 have not figured out why I get pneumonia easily and how to protect me, other than masking and not working in Family Medicine or anything people intensive. It’s annoying, my career has been blown up. I don’t have much hope of an overarching diagnosis at this point, but I’m willing to keep trying. We don’t know everything in medicine and really, I do not think we ever will. It’s endlessly complex and fascinating.

I think the mets chart should be shared with patients. I had one couple who insisted that the woman had PMS even though she was postmenopausal. I scratch my head and continue to watch her. After months something made me suspicious and I order an echocardiogram. She had congestive heart failure, seriously reduced heart output. I promptly called the cardiologist and said, “This is new, she is on NO MEDICINES.” He saw her within a week. Sometimes things do not present in a straight forward manner. She felt much better once we got her heart functioning better. If a person is losing their ability to perform moderate intensity mets, they should see their doctor. It could be spending too many hours in front of a screen (turn it off, get up, go outside, walk daily!) but it could also be something else. Heart is the number one killer still.

Stay healthy and keep those mets up!

Ha. I did use the word certain, didn’t I? And one of my favorite exercises is dancing. Listening to this right now:

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Healing

I realized I had pneumonia for the fourth time on March 20, 2021. It has been a year and five months now. I do not have an “overarching diagnosis” for why I am so vulnerable to pneumonia, though not for lack of trying. I have seen twenty specialists since 2012, including four pulmonologists.

Most specialists dismiss me as soon as their tests don’t fit me into one of their boxes.

I have one now who is not dismissing me. He referred me to the Mayo Clinic. They did not call back when I did a self referral three months ago nor when my primary care physician referred me. However, they called within a week of his referral.

Mayo Clinic called yesterday. I may need a prior authorization or something, I have a number to call today.

I am healing. I still am on oxygen for singing, flute, night and heavy exercise, but pulmonary rehabilitation is working. I have built up steadily on the treadmill for 6 weeks. I have 5-6 more. Many of the pulmonary rehabilitation people are on oxygen and will not get off oxygen, so I am an outlier here too.

I feel better than I have in seven years, since the 2014 pneumonia. I had strep A pneumonia in 2012 and 2014 and really did not fully heal after 2014. I was tired all the time. I think I went back to work too soon and just did what I could. Not returning to work is helping immensely. I can’t return anyhow, unless the Mayo Clinic or someone figures out my “overarching diagnosis” and how to make me less vulnerable to pneumonia. Seems unlikely after 19 years. My first round was influenza in 2003. Maybe choosing a different career than primary care would have made a difference, though maybe I would not have survived a pneumonia without being a primary care doctor. We aren’t supposed to treat ourselves, but if no one believes us, well, there is not much choice, is there?

The photograph is from a beach hike in November 2021.

For the Ragtag Daily Prompt: heal.

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pigeon guillemots

These are called sea pigeons locally.

We were trying to figure out who lives in the sand cliff holes on Marrowstone Island.

We see something fly out but weren’t quite sure who it is.

And then, aha! We see an owner.

https://www.allaboutbirds.org/guide/Pigeon_Guillemot/id

They look like ducks except the beak is not duck like. From the Cornell All About Birds Site: “Ornithologists recognize five subspecies that differ mostly in size: eureka in Oregon and California; adianta from Washington to the central Aleutians; kaiurka in the west-central Aleutians and the Commander Islands; columba from the Bering Strait to the Kamchatka Peninsula of Russia. The subspecies of Pigeon Guillemot that inhabits the Kuril Islands of Japan, snowi, has little to no white in the upperwing, unlike other subspecies.” They are in the family with auks and murres and puffins, rather than ducks. How aukward, heh, heh. I am informed that they “are not good eating”. Too fishy.

For the Ragtag Daily Prompt: float. They are very good at floating and diving, and make a whirring sound as they fly. They have a high piping song.

The range map is cool: https://www.allaboutbirds.org/guide/Pigeon_Guillemot/maps-range.