hunger

It is hard to write about hunger

I am always hungry
I am always afraid
I always long for love

How can I always be hungry?
The hunger is partly for food
and partly for love

They are tied together
“You have food insecurity,”
A friend says

I want to argue and do
but I also know that he is right
I am always worried about food

My daughter has it too
she admits that even as she finishes a meal
she wants to know that there is food for the next meal

A friend tell me about running out of food
hiking in Alaska. He is ok with it.
My daughter and I agree we will never camp with him.

My mother says that pregnant
she is hungry the entire time
fantasizes about a banana split and chocolate syrup

After the baby is born
“I did not want the banana split!”
she says and laughs

Maybe it is the baby who is hungry
inside the womb, the fetus that is hungry
“The doctor yells if I gain any weight.” laughs my mother.

Hunger and love intertwined.
I don’t see my mother for nine months after birth
because she is ill.

I curl around my daughter ferociously
I want to protect her from any harm
I eat when I am hungry and feed her food and love

____________________

The photograph is me and my mother. She is getting over tuberculosis and is still very thin. I think that my grandparents took the photograph. I took the photograph of the photograph.

For the Ragtag Daily Prompt: hunger.

rural doctoring

I read Grampa’s Solo Visits this am and it makes me laugh.

Since I have been a family doctor in my town of 9000 for 22 years, the grocery store and coffee shops can be interesting. When I moved here, my daughter was two and my son was seven. We have three grocery stores. I usually go to the one 7 blocks from my house. I would see patients. My diabetics would sometimes look guilty and scurry away when they saw me. Another patient comes to peer in my cart.

“I want to know if YOU are eating healthy food.” he says.

I laugh.

“I don’t see any vegetables.” he says.

“I am in a CSA,” I say. “I get a box from the farm once a week.”

He frowns. “Do you get to choose?”

“No,” I say. “But since I hate throwing vegetables out, we eat more vegetables. Also, we eat ones that are unfamiliar. The first time I got celery root, I had to look it up. I didn’t know what it was.”

He nods. “Hmmm. Ok. We want to be sure you practice what you preach.”

I laugh again. “I sneak in to get the ice cream at midnight, ok? And where is YOUR cart?”

“My wife has it,” he says. “You don’t get to see it.”

“Ok, then. Have a great day.”

When we were first in town, occasionally someone would come start talking about their health in a store.

“I can’t discuss your health in front of my children. HIPAA.”

“Oh,” they’d say, “Uh, yeah. I should call the clinic Monday?”

“Yes, please.”

We had a coffee shop that made the best pastries that I’ve had since I was an exchange student in Denmark. I wished they’d make tiny pastries, bite size, for the diabetic folks. Those folks would slide a newspaper over their plate when I walked in with my family. They looked terribly guilty. I might nod, but I wouldn’t say anything. Sometimes they would confess at the next visit.

There are lots of jobs in small towns where people are very much public figures. Not just doctors, but the people who work for the city and the county, the ones who redo the taxes for homes, the realtors, all sorts.

After I was divorced, another doc at the hospital asks, “Dating someone new?”

I frown, “How do you know?”

She grins, “He lives on my street. I saw you.”

Dang it. The rumor mill is very very efficient and can often be fabulously wrong. That time it was correct, though I don’t think she passed it around. Other people live on the street.

A few days ago someone that looked familiar walks by me. “What are you doing with so-and-so?”

I laugh. “Rumors abound.” I say. “You would not believe the rumors!”

I took the photograph of the coyote yesterday, driving home. Stopped dead in my lane, no one else on the road. People will be stopped in the road here, talking to each other in two cars going opposite directions, or talking to a friend on foot.

mother

It is my mother’s birthday today, May 31. She died in May 2000. Helen Burling Ottaway and I miss her daily. Hugs to all the mothers and the fathers and everyone who has lost their mother one way or another.

I took this photograph in the mid 1980s, borrowing a camera from a friend.

Finch Face

YOU thought I said “Fish face.” Fish faces came up at the wedding.

When my son is a baby, he goes with my husband for a well child check. I am in residency and can’t get away. The doctor asks, “Can he play patty cake?”

“No,” says my husband, “but he can make a fish face.” My husband has a long narrow face. He pulls both ears out and purses his lips. He wiggles his ears.

My son promptly makes a fish face.

“Good enough,” says the doctor.

My son has a small godson. They have mostly said hi on zoom. My son has taught his godson to make a fish face. When they visit in person, he makes the fish face and his godson’s face lights up. Oh, this is THAT person and they are REAL, not just on a screen!

The godson is the ring bearer at the wedding last Sunday. I tell him I am his godfather’s mother and make a fish face. Then I call my ex over. He makes a fish face and the godson is delighted. All of these talented people at the wedding! Who know about fish faces!

For the Ragtag Daily Prompt: faces. Very Happy Mother’s Day to everyone, who is a mother, has a mother, is a grandmother, has a grandmother. I could go on.

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.

Z is for Zarasthustra

Last day of April A to Z, blogging about Women Artists and particularly Helen Burling Ottaway, my mother. Can you name five women artists now?

This etching is from 1975. I was fourteen years old. I remember my parents discussing titles of etchings. My father, Malcolm Kenyon Ottaway, would often help title them. This etching is titled “Thus spoke Zarasthustra”. I wish that my parents were alive so that I could ask about this etching. Why Friedrich Nietzsche? When I am fourteen, my father receives his MA in mathematics and leaves SUNY Binghampton for a job at General Electric in Alexandria, Virginia. We move from New York State to Virginia and I start high school that year. I think that Alexandria was a much better place for my mother, all the art and artists, than for my father.

I hope that you have had a wonderful month in April: and I hold those in my heart in the war zones or who are lost and suffering.

ATOZBLOGGINGCHALLENGE2022 #art #Women artists #Helen Burling Ottaway #ATOZCHALLENGE #APRILATOZ

For more information about the #AtoZChallenge, check out this link.

X is for X-Acto knife

I am blogging A to Z about artists, particularly women artists and mostly about my mother, Helen Burling Ottaway.

My mother disliked cutting mats more than almost anything except vacuuming and cutting glass. In the late 1980s and early 1990s my grandmother lived two doors down in Alexandria, Virginia. My mother took over part of the basement for matting, glass cutting and framing. Times right before shows included complaints about cutting mats and glass, her saying that she didn’t have enough things framed (though she always did) and at least one piece of glass broke. The X-Acto knife was the tool for mat cutting at that time. My mother usually cut herself at least once for each show. She was particularly annoyed if she bled on the freshly cut mat or the painting or etching.

Hanging the show involves a lot of time out words as well, but she would get excited once it was hung. Then it was time for dress up. Shows were a command performance: my sister and I were to go as well. We dressed up and talked to people politely and ate the strawberries when my mother was not looking. The opening of the show would include food and usually wine. In small glasses. And no, we weren’t allowed to have any. We had to look at the art and be polite to adults.

The photograph today is another of my poems with my mother’s etching. And look, she has avoided cutting a mat. She bought special frames, with two slots. One holds the glass. The second holds the mat with the mounted etching. If the glass rests on the etching, it can ruin it. She mounted all of our ten prints and poems this way. Clever artist and they look wonderful.

ATOZBLOGGINGCHALLENGE2022 #art #Women artists #Helen Burling Ottaway #ATOZCHALLENGE #Christine Robbins Ottaway #APRILATOZ

For more information about the #AtoZChallenge, check out this link.

W is for Window

There are two Kitchen Window pen and ink drawings, then reproduced in a limited edition: this is Kitchen Window II.

My mother Helen Burling Ottaway always had a wonderfully chaotic garden inside and outside. Kitchen Window is a pen and ink drawing that she then did a limited edition of copies, numbered and signed. She had many dual drawings and etchings. One would be realistic and the second…. maybe the second is what she saw.

ATOZBLOGGINGCHALLENGE2022 #art #Women artists #Helen Burling Ottaway #ATOZCHALLENGE #Christine Robbins Ottaway #APRILATOZ

For more information about the #AtoZChallenge, check out this link.