Category Archives: story

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Clinic comedy

Yesterday was my second day in the third clinic in this system and the day went a bit sideways. I am in seeing a person with their spouse. We are all masked because this is a sick visit. I try to wear a mask for all the visits but occasionally take it off if someone really can’t hear me. I go to wash my hands. The sink is small and turns on by a motion sensor. It is supposed to turn itself off. It goes on but then will not turn off and is loud. I send a quick message to the clinic director after flailing at it a bit. Why a message? The cabinet under the sink is locked, so I can’t turn the water off. With my patient slightly deaf and masks and loud water, I finish the visit trying to yell things. Ridiculous and embarrassing but funny. The patient and spouse are older and know that things break. They are not upset. The clinic director arrives, has her try at flailing at the sensor, unlocks the cabinet and turns the water off.

I shake hands with my patient and they and their spouse leave. We are in room three. I go in room 4 to wash my hands, since my patient was blowing their nose, and guess what? Yes, the water turns on and won’t turn off. I get the clinic manager. “I broke the second sink. How about I go home now?”

She laughs. “I will put in a ticket for maintenance.” She unlocks the room 4 sink and turns it off. Now we have two rooms out of commission!

I am covering for Dr. X. “See, this just shows that I wash my hands and Dr. X didn’t.” Not really. Dr. X has been out for a month already.

“Maybe it’s because they haven’t been used in a month,” says the medical assistant. We shut down those two rooms and I go into room 2 with some trepidation. The sink does not break.

Maintenance show up early afternoon and replaces the sink sensor batteries in room 3 and 4. They work just fine after that. It turns out that there are two other sinks not working, but there are patient visits going on, so maintenance will come back. The alcohol hand sanitizer makes my hands itch, so I prefer soap and water.

Isn’t technology great? Except when it breaks. I felt silly and helpless, since I was in a brand new place and the cabinets were locked!

I admonish all the doctors, do wash your hands! Even if the sink batteries need to be replaced more often.

For the Ragtag Daily Prompt: admonish.

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If I were your child

Living in a town of 9000, now 10,000, I did not feel that my children needed cell phones. They could walk home from school. It is reasonably safe, though I knew too much about local use of heroin and methamphetamines to believe that anywhere is completely safe.

I spoke to a friend from high school in the early 2000s. He asked me to text him my address.

“I’ve never texted.” I said.

“NEVER?” he said.

“Nope.”

“Haven’t your kids taught you how?”

“My kids don’t have cell phones.”

Long silence. Then: “If I were your child, I would run away.”

I laughed. My son got a cell phone when he headed for college and my daughter got a track phone, ten dollars a month, in high school. Calls and no texting. My son ran away the same way I did, as an exchange student. He went to Thailand at age 16 and was on the Maylay Peninsula, two years after the tsunami hit. His first comment calling home was, “Mom, the world is a really scary place.” Going off to be an exchange student is a fabulous way to run away, because you learn tons and come home.

My daughter had one friend who she would go to sleep over in her teens.

“I don’t want to sleep over any more.” she said after one night.

“Why?” I asked.

“She is up texting and by midnight she and friends are having arguments by phone and she cries. I want to sleep.”

Don’t leave the phone in the kids’ rooms, parents. And don’t have the phone in your bedroom either!!!

For the Ragtag Daily Prompt: texting. With music: https://youtu.be/hkmZGh9DQZ4.

The photograph is Studt’s Pumpkin Patch and Corn Maze again.

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Letters

I went to the post office Monday. I am in a rental house, and get packages every so often for the previous renter. This time I realized at the post office that one was misdelivered and was to the house next door. Ooops. But the post office said they would redeliver it.

I love snail mail letters. I have colored pens and stickers and stamps. The whole thing makes my inner child very happy. Once I got a letter from my mother-in-law saying that my letters are national treasures! I kept that letter.

I haven’t written myself a letter, but maybe I should. What would I write?

I sent the envelope above out, but it came back. I will be driving home soon and wrote to a friend on the way, but I must have the wrong address. I bought the stamps here. The stamp pads were expensive, though, so I only got two!

For the Ragtag Daily Prompt: post office.

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Honey and the ants again

The next two times Honey feels the ants biting from the inside feeling are also on obstetrics.

Both times it is a VBAC. Vaginal birth after cesarean. The woman has has a cesarean section in the past and is trying for a vaginal birth.

Both times, Honey gets the biting ant feeling. There doesn’t seem to be anything wrong with the woman in labor, the nurse is relaxed, the fetal heart monitor looks ok.

With the first one it is the younger male obstetrician who is on call. He is a big man. He sits and peruses the monitor strip outside the room, taking his time. “There were some decelerations back here, but the heart rate looks fine now. Do you really want me to consult?”

Honey can’t stand still, the ants feel so bad. She tries to sound professional and calm. “Yes, this is a VBAC. I would like you to go in and meet her.” She is trying not to shoo him towards the room. He shrugs and gets up, not quite slouching towards the room, Honey trying not to jump up and down in impatience behind him.

In the room, he introduces himself. Again, Honey has not told her patient. The obstetrician says, “Dr. B. asked me to stop by since you have previously had a cesarean section, but everything looks fine.” Two minutes later she and the nurse and the obstetrician all alert as the the fetal heart rate monitor chirp slows, dropping from the 120s down to 60. THERE IT IS! thinks Honey. It stays down, they have the mother roll on her side and pop oxygen on her. It comes back up, but that is that. Off to the operating room. Again, they don’t have to do a crash cesarean. This time it is not clear what was wrong, but everything comes out well.

On the third round, it is the older male obstetrician. He looks at the strip and is calm and goes right into the room. He introduces himself and everything looks fine. Honey is wanting to dance from foot to foot from the ants. Again the fetal heart rate drops, right as the obstetrician gets up to leave the room. The nurse has the woman roll to her side and adds oxygen. The calm obstetrician gives Honey a look and has the nurse get the surgical consent. The heart rate is back up and off they go.

Honey wonders. Ants? Little voices? She knows that we all pick up information from body language and information that is not conscious. That could be a scientific explanation. Information that is not quite conscious. Honey decides that she really does not care what the ants are. When those voices speak, she listens. Who cares what it is, as long as it works.

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What is the word? “Fictionalized”, from fallible, friable memory.

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Honey and the ants

Honey is in her second year working. She escapes clinic because she has a labor patient. In the daytime! Not on a weekend or at 2 am! Hooray!

She has to hang out, because this is baby number five, so it could come really really fast. Everything is cool. The mom has more experience than she does, nearly. Well, Honey has done more deliveries, but has only had one baby.

Honey starts to feel itchy. Agitated. It’s not skin at all. Something is bugging her. She goes in and out of the room. The nurse seems totally unperturbed, but Honey feels like ants are attacking her, from the inside. She goes out the room and studies the rhythm strip, the baby’s heartbeat. There is a printer feeding out in the central nurses station.

Screw it, thinks Honey. I make look stupid, but I don’t care. She calls the obstetrician. It’s the woman who is on. Honey is a Family Medicine physician. They are in rival clinics. “Hi,” says Honey, identifying herself, “I need a consult on this woman.” She reels off the medical details, Gravida 5, Para 4, all vaginal deliveries, no complications. “I just feel like there is something wrong. There isn’t anything really bad on the strip. But I need you to come.”

The woman obstetrician comes. She sits and studies the heartbeat strip. Honey still feels like ants are biting from inside. The OB puts the strip down. “There is nothing on this that would get you in trouble. But you’re right: something is wrong. Come on.”

Honey has not told the patient that she’s calling the obstetrician. The patient might be annoyed. They go in the room. The obstetrician introduces herself. “Dr. B called me to consult. We have a bad feeling. We want to do a cesarean section.” Honey is sure the patient will say no. She is wrong.

“Me too,” says the patient. “Do it.”

They do the paperwork and move quickly to the operating room. Not a crash cesarean, not an emergency, so spinal anesthesia, not general. Honey assists.

They are in. There it is. The umbilical cord is wrapped four times around the infant’s neck. It has not tightened down. Honey has goosebumps as they gently unwrap the cord and do the delivery. The baby is fine, no problems, apgars of 9 and 9. They complete the surgery, mom is doing fine too. Honey still feels rattled but the ants have gone away.

The mother is relieved when she wakes, glad they did it, glad to hold her fifth child. The obstetrician is in charge of post operative and Honey is managing the baby. They don’t really talk about it, everyone acts as if it’s all routine. If the cord had tightened down, everything still could have been ok, but it would be a crash cesarean section, general anesthesia, more risky for everyone. It could also have not been ok.

Honey is relieved to go home, adrenaline draining away and leaving her very very tired.

Honey decides that she will listen to those ants, that feeling, any time it shows up.

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Based on a true story, at least, on memories, that are unreliable. Aren’t they?

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Visit

It is time to visit. It has been long enough and it is time.

He is in a dungeon. I have to go down flight after flight of stairs. It gets colder and damper and there is mold growing on the walls and puddles. Light comes with me.

I can hear him one flight above finding him. He’s having a tantrum and hitting something.

I find the door in the dungeon. It is thick and moldy damp wood with bars in the window and a huge lock. It is also open. My friend is screaming at the ceiling and hitting the ceiling and walls with a yard long heavy pipe. It clangs and I feel a tremor when he hits metal. There is no window, we are too far underground.

I lean on the doorway. “If you go deeper in to the earth, it will be warm and dry.”

He turns with the pipe held like a bat. He is huge and muscular and dressed in rags and very threatening. The room is mostly dark. He sheds a faint light. He glares at me and then lowers the pipe. He shrinks to his child self, like me. About age three.

“You are awfully cute at three.” I say.

He drops the pipe and lets me come hug him. The cell smells truly awful. There is a drain in the floor that appears to be working, sort of. There is a visible liquid level below the drain.

He is still while I hug him and then relaxes. “Ok,” he says. Silence for a minute. “I didn’t really think you’d come back.”

“Friends forever, right? That’s what you said.”

“Yeah, but,” he hesitates. “You were mad.”

My turn to shrug. “Yes. I got over it.”

“Took you long enough.”

My eyebrows go up. “You could have made the first move.” Now he shrugs.

“How about a picnic?” I say. “This is icky. Let’s get out of here.”

He looks at the ceiling. The stone is scratched and chipped. “Yeah. No progress here. Might as well.”

We leave the cell and go up. “Damn stairs.” I say.

“Your lungs are good.” he says.

“Most people’s lungs are pretty good at three.” I say.

“You are pretty cute at three too.”

“Thanks.” I get tired of the stairs and transport us to a meadow in my garden. It is summer and full of wildflowers. It is on a sloped hill with an enormous willow tree. “This is from when I was 7, really.” I say.

“Nice.” he says.

I have a picnic basket and get food out. We don’t really need to eat but it’s fun anyhow. We can taste food, a bit. His keeps turning black on his plate.

“Cut that out.”

A shrug again. “I like bugs now.”

“Did you at three?”

“Naw, but I ate them if I was hungry. Ants are not good. Grasshoppers are better.”

“Are you making any progress at all?”

He leans back on the hill, about as relaxed as he gets. Still hyper alert to everything around us. “No, and I don’t think I will. He’s 69 now. Getting older.”

“Well, he’s expecting to die of a stroke at 80.”

“Yeah, it’s pretty much too late. There is too much to process. And wine and pot do not help.”

“Using more?”

“Yeah.”

“Let’s talk about something more fun. Politics or taxes or something.”

He laughs.

We talk about cabbages and kings. Why the sea is boiling hot and whether pigs have wings. The sun moves like the real sun.

He is starting to fidget.

“Time?” I say.

“Yeah. You know, it’s not fair that they need us even if they won’t listen.”

“Seems like it.”

He glances at me and away. “Yours listens.”

“You’ve seen the results of that.”

He looks down. “Is she happy?”

“Sometimes. Sometimes sad, sometimes lonely, sometimes impatient. You know, all of it.”

He nods. We start packing up and we trek back to the dungeon and the endless stairs. We have gone down two flights when the landscape shifts. A forest, dark and huge trees and overcast. Damp and cool. He is morphing. “Oh!” he says, “Asleep again! And it’s 4 pm. Must be tv. And wine.” There is a small clearing in sight with a shack. It looks run down, no vehicles. My friend has morphed and split. He is a huge bear with red eyes. And an older man who smells of alcohol and reaches into his shirt for a handgun.

“Really?” I say to the man with the gun.

“They are his memories,” growls the bear. “I have to go.”

“Well, the bear isn’t. Goodbye and good luck.” I say, patting a furry leg. “I will come back.” But he is not paying attention any more, he is focused on the shack.

I go home and he goes to try again. Wake up, my friend, wake up.

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For the Ragtag Daily Prompt: confusion.

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The cover of a book

“The cover of a book is only skin deep.” -Malcolm Kenyon Ottaway

My father came up with that one. It sounds like it makes sense until you think about it a bit. He and my mother did tons of wordplay and they would conflate adages. That’s “Don’t judge a book by its’ cover.” and “Beauty is only skin deep.” (I don’t agree with the second. The complex interiors of people have their own beauty. We just don’t have pageants for small intestines and hearts and brains.)

Don’t burn all your bridges, look before you leap and we’ll cross that bridge when we come to it. We morphed those into Don’t burn your bridges before you cross them. Another I’ve heard is this:

The older we get, the more we learn
which bridges to cross, which to burn

Honestly, I am terrible at burning bridges. I think it comes from being passed around as an infant and feeling abandoned or a sense of loss and grief. I am practically incapable of really burning a bridge. At most I can put up a guardhouse with a tollbooth. Not that anyone ever tries, really. People mystify me and apparently that is not going away ever.

I love this old adage, too:

Make new friends, but keep the old
One is silver and the other gold

For the Ragtag Daily Prompt: adage.

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Take off

Our family of four is visiting the Hoh Rain Forest. I think my husband is a relatively normal person and that he and my daughter are just being silly.

Suddenly they morph into dinosaurs! Pterodactyls! Ferocious long toothed beaks and weird speckled feathers! My son looks at me and gives me a hug. “Thanks, mom.” He morphs too and they are in flight, off in to the rain forest!

They weren’t being silly. They were practicing and apparently my daughter has now learned to fly.

I still miss them terribly and hope that they are well. Be careful, and do not marry a pterodactyl.

For the Ragtag Daily Prompt: fiction.

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the pale reflections of our bitter selves

they are neglected, you know, by most
the worse self, the worst self, the dark
the impulse to yank the moon from the sky
when she slides down the stair, to see who’s there

there are few poems written to the dark
impulses, the demons, the underside of our hopes
and dreams, the nastiness, the grief, the anger
we are kept in the dungeons below the basement

below the belt we band together huddle
in a pile of claws and unfeathered wings and teeth
wishing for a blanket, to be held, rocked
loved, wishing for the mothers who left us

the fathers who denied us, pushed us away
so that we knew and know what to hide
what to deny, what part of ourselves to kill
we try and try but few do

and then they are mourned, people say
they don’t understand but ask the demons below
and oh, they do, they do! maybe the next plane
will be kinder and love the demons

the bitter self, the dark self,
that longs so badly to be loved
that longs forever to be loved
that is not loved this round

this round

written 11/24/2023

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Coping or manipulation?

I see someone in clinic with a difficult boss.

This brought up work stories. Now, are these coping skills or manipulation or a bit of both? You decide.

Long ago I work in a lab at the National Institutes of Health. We are super busy and doing a lot of overtime and have some media pressure as well. Our boss gets us together and gives us hell, about making mistakes. I am annoyed, because I’ve been really careful. I stew. I write a letter, what I think he should have said, which is telling us all great job, you’ve worked super hard, we are under pressure and also we need to not make mistakes. I circulate it to the four other lab techs, who enjoy it. The lab cheers up a bit. Eventually I get brave and give it to the boss. He likes it and reads it to everyone, who try not to laugh. A year after I leave the lab, I visit, and he has that letter up on his bulletin board.

Long ago I am made chief of staff at a hospital. My goal is to finish the monthly meeting in an hour. I have two senior doctors who always blow up about something in the meeting. I decide to be proactive and go to each one before the meeting and prime them. I pick a topic, say I am worrying about it, and what do they think? They each then blow up in the meeting, but now they have no opposition so there is no brawl. I prime them about something that is not really controversial. I do get the meetings done in an hour.

One year I go to the lake with my family. My children are small. My father has been drinking heavily. I call ahead and say, “Will you treat our tent site like my house and not come there if you are drinking?” “You don’t own the lake land,” says my father. “We don’t have to come.” I reply. He agrees not to drink at our tent site.

He is angry, though, and pretty much won’t speak to me. I ask if he would come to a family sing at my site. He says no. I think about it for a while and ask my cousin to hold a sing at her cabin. My father agrees to that, not knowing that I am the instigator. He is happy at it because he’s said no to me and yes to her, and I am happy too, because I love to sing and sing with him.

My father was one of eight people to start Rainshadow Chorale in 1997. I sang with him in the chorale from 2000 until the year he died.

Where is the line between manipulation and coping with a difficult person?

I think this is a time travelogue, so let it be my Ragtag Daily Prompt for today.

The photograph is of my father in 2012. He died in 2013.