Thanks

And no thanks do I get
for thirty years in medicine
for thirty years of rural work
for working alone without a net
not a whisper from officials

The thanks I get are on the street
in the shops, at live music
at Gallery Walk, at thrift stores
walking through town, from friends
from patients or spouses or mothers or fathers
who thank me and update me

Thank you, Beloved, for my odd career
for leading me rural, leading me to primary care
endless learning daily and people
they are all interesting, all different
all have depths that none would guess
all of your beautiful people, Beloved

Thank you for all of it

For the Ragtag Daily Prompt: tiara.

This is one of those poems where I started grumpy and did not know where it was going until it went there. The light at the end of the tunnel photograph is on the Metro in Washington, DC last week.

Tiaras probably quality as stuff.

We change

In clinic, a very common complaint was, “My body has changed!” This was often with shock or annoyance or betrayal. Weight up, a knee hurting, headaches, menses behaving badly as menopause approached, gentlemen with their own problems.

My muscles are getting stronger but are really grumpy. I am starting to rebuild muscle and endurance but my muscles and joint complain. I think that pain is the pain of wisdom. I am clearly very very wise, if that pain is wisdom pain. It feels better to frame it as wisdom than as “Oh, I am old.” Also it’s fun to watch people when I say, “My wisdom is really acting up today.” They get a funny look on their faces.

Medicine changes all the time too. Isn’t that a little unsettling? Science changes, ideas change, frames change. A treatment that I used 15 years ago would not be done for the same problem now. And we can treat hepatitis B and C! Hepatitis C was still named “Non A, non B hepatitis” back when I was in residency in the early 1990s. Hoorah for some things getting better.

It’s been interesting watching the changing ideas about Long Covid. Over the last year they’ve said, “Better in nine months.” “Mostly better by a year.” “Better by two years, mostly.” Also the estimates of people affected in the US have ranged from 3% to 7.4%. There is not even agreement about the definition, with the CDC talking about symptoms staying present after four weeks. Meanwhile the World Health Organization says, “It is defined as the continuation or development of new symptoms 3 months after the initial SARS-CoV-2 infection, with these symptoms lasting for at least 2 months with no other explanation.” Here: https://www.who.int/europe/news-room/fact-sheets/item/post-covid-19-condition. CDC here: https://www.cdc.gov/coronavirus/2019-ncov/long-term-effects/index.html.

I hope that we vote grown ups into office. I hope we aren’t tempted by the childish want to be dictators who say, “I can fix anything, I can do what I want, I am so great. I can make YOU great too.” I think the pandemic was very frightening and the temptation is to try to hide in an imaginary past or freeze the future or think that if we make everyone behave a certain way, no further pandemics will come. I do not think that will work, people. Vote for adults.

The photograph is from the US Botanic Gardens. Here is the model, inside:

The sculpture faces are over each arch. Here is a close up.

I think the carved face will last the longest, then probably me, then the one on the model. The model looks like it would be delicious for various smaller creatures.

For the Ragtag Daily Prompt: change.

Knit one pearl two

“Make new friends but keep the old, one is silver but the other gold.” My parents taught me that round. We sang lots of rounds growing up.

What does the picture have to do with knitting? I knit the hat! I got to hike with old friends from the 1980s last week. They are old friends, not old! Well, we might be getting a little grey.

For the Ragtag Daily Prompt: knit.

Feeling our way

It’s nice to handle emotions with fantasy. “No it’s not,” you shout, “that’s horrid! We should think nice thoughts and feel nice feels!”

I do not agree. I think that we feel what we feel. Emotions are a rainbow and a sunny day and a huge storm and a tornado. Let them all through. However, we do not have to share them or inflict them on others or act them out in person. We can satisfy that anger, that grief, that hurt, that wound, with fantasy. And let the hurt heal through fantasy by acknowledging it.

There is tons of stuff on the internets/books/magazines about how we have to think nice thoughts, we are what we think, and on and on and on. But now wait a minute. Our Creator thinks up some really really horrible things which play out, right? The world has the full range of emotions from really really dark to beautiful and kind. I am like the world, like the ocean, like the Creator. I have the full range too. It is not the feeling that is evil. It is the acting it out in the world. If it’s acted out in fantasy, does that truly harm others?

Perhaps if it’s PTSD, there is harm. But PTSD is not acting out a fantasy, it’s being unable to deal with something terrible, terrible events, horror, war and violence. Those feelings must be dealt with too and it is no shame to need help, to need a listener, to need a safe place. The same with depression and anxiety: sometimes feelings are overwhelming and we are afraid, afraid, afraid. There is help.

I think that Jalāl ad-DΔ«n Muhammad RΕ«mΔ«’s Guesthouse poem gives a path.

The Guesthouse

This being human is a guest house.
Every morning a new arrival.

A joy, a depression, a meanness,
some momentary awareness comes
as an unexpected visitor.

Welcome and entertain them all!
Even if they’re a crowd of sorrows,
who violently sweep your house
empty of its furniture,
still, treat each guest honorably.
He may be clearing you out
for some new delight.

The dark thought, the shame, the malice,
meet them at the door laughing,
and invite them in.

Be grateful for whoever comes,
because each has been sent
as a guide from beyond.

translation by Coleman Barks

_____________________________

I read this poem as being about our feelings. A meanness, a dark thought, malice. I think that there is a translation that says that we want each guest to take a good report back to the Beloved, so we must treat each with kindness and hospitality. When a friend dreams of a bear attacking his brother, I ask, “Did you invite the bear in?” “No,” he says, “It’s a bear! They are dangerous!” “But it’s a dream bear,” I say, “I would invite the bear in and listen to it.” “You don’t understand bears,” he says. “It is a dream bear, not a real bear. I always invite the dream monsters to talk to me.” Don’t you? There is a story about a dreamer who dreams about being chased by a monster, a horrible monster, over and over. He runs and runs. Finally he is sick of it and stops. “What do you want!” he shouts at the monster. “Oh, I am so glad you stopped. I was so scared and hoped that you would help me,” says the monster. And the man wakes up.

The giant fruit bat is part of the outdoor pollinator exhibit this holiday season at the US Botanical Gardens.

Growth

I am with eklastic: the Ragtag Daily Prompt has been an island of peace and friendship and joy over the last year.

The trunk is from the US Botanic Gardens: wisteria, I think. This is an example of complicated growth. Are we closer to peace and helping each other and is ChatGPT aiding world peace and harmony? Hmmm.

A creative use for a fence:

My parents had Lovin’ Spoonful albums. I had glasses by fourth grade and loved this song. I thought it was funny.

For the Ragtag Daily Prompt: looking back.