Thinking about this and that

I am thinking about thinking. What do people think about most of the time?

This partly comes from my ex. He thinks out loud a lot, an external processor. My daughter and I wanted to know what he thinks about. My son asked. “Dad, what do you think about?”

“Golf.”

“Golf?”

“Yes.”

“Anything else?” says my son.

“No.” says my ex.

I have no idea if this is true or not. Sounds hella boring to me, honestly, but he seems entirely happy with it. De gustibus non est desputandem.

I had lovely winter holidays, celebrating EVERYTHING. I went to my son and daughter-in-law’s out east. My daughter and her significant other came out and we did presents on December 27th. Then we went to see my two aunts and uncle for a couple days. They are in their 80s and delightful! Back to my son’s and we saw my kids’ remaining grandparent, my ex-husband’s father’s significant other. Got that? And one of my kids’ paternal cousins with her significant other. I stayed with old friends for the last three days, which was also delightful. We went to the Smithsonian American History Museum and read every single thing. But only in two exhibits because that place is huge.

Now I am back to my current home and hello, cat! Back at work as well. More about that next time. The sands are shifting and I may be in another clinic. Monday a patient asked if I am their new doctor or am I a floater? I said I prefer “Temp” to “Floater”. She laughed.

For the Ragtag Daily Prompt: think.

Climbing the walls

When my father died, he left me a will written more than 40 years earlier. He and my mother and my maternal grandparents were all pack rats. It was a house and two barns and ten years worth of some mail. A mess.

After working on it for a year, I felt like I was in knots and couldn’t relax. I was quite sick of counseling and wanted to do body work instead. I found a massage person and worked with him for over a year.

On the first visit he talked to me and then had me stand and walk around. “You are head forward and your toes are gripping the floor.” “I am not!” I said, lifting my toes. He was right, though. I had to relearn how to walk for two weeks, lifting my toes up.

I went to see him once last spring, knotted up again. I thought I was much better at unknotting during the work. I asked, “So am I pretty relaxed?”

He laughed. “You’re NEVER relaxed. Your baseline is 7/10 but you notice that you are tight when you get up to a 9 or 10.” He said that relaxed was 1-3.

I was hurt and annoyed. All that work and he’d never said that and never given me tools. I tried to contact him by email but he either didn’t remember what he said or just wouldn’t deal with it.

I was grumpy.

Meanwhile in clinic, I was teaching the breathing technique to try to relax, to go from sympathetic fight or flight, to parasympathetic. Breath in for a slow count of 4 seconds, then out for a slow count of 4 seconds. I thought, well, I should do it more too. I decide that when I wake up, I will do the breathing technique.

It promptly put me back to sleep. I have used slowing my breathing to go to sleep. I also had three years in college and after where I did daily zen meditation, facing the wall, on a zafu, for forty minutes. Add my flute playing and singing in chorus for the last 24 years and I can do the count way past four. My mind, however, is a very busy place, and meditation often felt like letting a cage full of crazy monkeys out. They all wanted attention. My understanding of zen is that I am supposed to let the monkeys show up but not hold on to them, converse with them, or let them hold the floor. Return to the breath.

When we wake up, we have a cortisol burst in the morning. It gets us going. I am pretty sure that I have some adrenaline too. The slowed breathing calms that right down. According to the pain clinics, twenty minutes of slowed breathing calms almost everyone down into the parasympathetic state. I don’t think that the high Adverse Childhood Experience people are used to parasympathetic. Honestly, looking at the movies and television and video games, I think our culture is not used to it either.

The breathing in the morning is working. My neck and shoulder muscles are more relaxed (in spite of computer use). Maybe I am down to a 5/10! That would be huge progress, right?

And my muscles love the climbing walls, too. Not that I am that good at it, but my muscles really like the intensity and focus. It is so different from clinic, where everything is focused on listening to the patient, typing as they talk, watching, sensing, trying to get a handle on what is happening with them. The wall is like clinic in focus, but my whole body is involved and there is lots of reaching and stretching out of that contained focus.

Sol Duc seems to be good at slow breathing. Cats go from 1/10 to 10/10 in just a heartbeat, or that’s my impression.

There is no alabaster in this house. Not a bit. Perhaps I will meditate on that.

For the Ragtag Daily Prompt: meditate and alabaster.

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.

______________________

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

Dance

Sometimes I am an extrovert
sometimes an introvert
we are all a mix
we all have preferences
which can change with time
and situations

I would go to parties
check the exits
and spend time studying the bookshelves
when I was tired of people
greeting familiar friends on the shelves
and knowing a little more
about my host

I start dancing
meet my spouse
we took dance classes
dance with lots of people
and invented moves
and taught each other

Dance takes balance
paying attention to a partner
sometimes we dance with someone new

Sometimes I am an extrovert
sometimes I am an introvert
and I almost always love to dance

___________________________________

I took the photograph yesterday through my front window. A bird dance!

For the Ragtag Daily Prompt: extrovert.

We love to dance to this rather naughty song. It’s pretty extroverted!

The Extroverted Feeler’s haircut

My son was an Extroverted Feeler when he was little. Let’s call him EF.

We move in the middle of his first grade. From Colorado to the Olympic Peninsula, arriving on December 31, 1999. Y2K. The computers do not stop the next day and the world does not implode. My mother has recurrent cancer.

He starts school. He is in a three year class in public school with two teachers. It is a first, second, third grade mixed class. There are fifty kids and he is starting in January.

His mother is bananas because she is trying to learn a whole new set of patients, phone numbers, specialists and local medical slang. His father hates moving and lies on the couch. His grandmother is not doing well. He doesn’t have any friends yet. He misses his Colorado friends and his teacher. He is gloomy.

His father takes him to get his hair cut.

They return and I nearly swallow my tongue. The EF has a triple mohawk. A central spike of hair, shaved on both sides, and then another spike on each side. He and his dad thought it up. I tell myself: it’s just hair, it’s just hair, it will grow back! Horrors.

Two weeks later the EF is cheering up a bit and has a friend. Why? Apparently the haircut garnered attention. Within a week, not only does every kid in his class know his name, but most of the parents do too. “Who is that kid with the triple mohawk?” The EF is very pleased.

He gets a triple mohawk once more. By now I am ok with it.

After that he gets normal haircuts. His grandmother dies, but he has some friends now. His mother is less bananas over time and his father knows the name of every checker at the grocery store and all the coffee shops and the golf pros.

There was a cartoon where a mother is telling her son not to stare at a person with a mohawk. “But mom, don’t they get mohawks so that people will stare?” Uh, good point!

____________________

For the Ragtag Daily Prompt: mohawk.

Disorientation

Oooo, I put orientation up as the Ragtag Daily Prompt today. Then I wondered if disorientation is a word and it is! A mouthful!

This is a series of poems or meditations or arguments I had with myself last week. I was thinking about love and how to handle people that I love that have stopped behaving in a loving way or have actually been cruel or cut me off. Do I stop loving them and hate them? Do I love them anyhow? What would that love open me to? Abuse? It is disorienting to think about. Here is the series.

___________________________

The Fall

I am small. The adults love me and give me away. I grieve each time. It doesn’t matter if I behave well or not: they leave me. I decide that the adults are confused. They do not know how to love. Why don’t they know? I want to understand! Babies should be loved! We are innocent!

All babies should be loved and protected. I do, with my sister. The adults continue their mysterious crazy doings. I recognize that alcohol does not help, nor other choices.

All babies should be loved and protected. All adults were babies once. Sometimes they were not loved and protected and they are damaged. I train and then I doctor them. Healing is slow.

All babies should be loved and protected. All adults were babies once. All adults hold a baby that should be loved and protected: themselves. I try for a long time.

All babies should be loved and protected. All adults were babies once. Each adult makes their own choices, to heal or not. To grow or not. To love themselves and the Beloved or not.

All babies should be loved and protected. All adults make choices. The Beloved loves them all.

I am not the Beloved. Nor an angel. I dream of falling.

I am not the Beloved. I let go. I fall.

I do not love them all.

Rise

Yesterday I fell. I let myself dislike four people that I loved.

But no, I choose not. Angels fall and rise again. I choose love. If that means distance, then I choose distance. For now I will love the cruel ones from a distance. No contact.

The Buddhas laugh at the needy ones, the angry ones, the ones who press. Some will be enlightened, some wait for the next life. The Buddhas laugh because they do not control it. It may be the quiet one who says nothing who rises, while one who wants and wants and wants may have to want for longer. Why, Beloved? Isn’t wanting you enough? Isn’t longing enough? How much must one want? How deeply must one long?

I choose love.

Prayer to Kwan Yin

Kwan Yin, I am sorry. I cannot be a Bodhisattva. I am tired. I grieve. I want to love everyone. They hate it. If I love the small child within they are reminded of the hidden hurts and they lash out. I am tired. I don’t want to be the target of that. Kwan Yin, how to do you return and return again, loving these? I am not strong enough. I give up. I throw myself on your mercy, I bow to your infinite love and strength, I abase myself. Forgive me, I am not strong enough. I give up. I do not have enough love in my heart and I am so tired.

Beloved, I am sorry. I tried.

Every Being (Sonnet 9)

Keep the cruel ones at a distance far.
Hold your enemies close in love’s embrace.
None to hate, yet cruelty glints like stars.
I hide quiet with cats in this home space.
My heart opens like the universe.
Projections batter me from head to toe.
Why tear at me with their deep hurts?
They project their pain: inside they know.
They know, don’t know, choose not to learn.
Dark rooms and texts and staring at the screen.
My skin scalded, heart black with new burns.
I think they’d like me too to turn out mean.
I will hide here with Beloved’s dove.
Each tear I cry sends every being love.

In spite of want

Sol set in my heart and rises again. I can love whoever I want. There are no boundaries to love. But I will not be abused or used, I will love quietly and silently and without letting my love know. And I will love who I want. No, I will love in spite of want, though I do not want to, though it is not deserved. But I honor my stubborn heart that does not let go of love.

Blessings, Beloved.

In the box

Wednesday was interesting and frustrating and part was beautiful.

The beautiful part was arriving at the Kingston, Washington ferry dock early. I took photographs of the quite gorgeous light display while I waited for the 6:25 ferry.

On the other side, I drove to Swedish Hospital, Cherry Hill. There I had another set of pulmonary function tests. The technician was very good. She said that since I have a normal forced vital capacity it does not look like asthma. However, a ratio was at 64% of normal, which is related to small airways.

“Have you had allergy testing?” she asks, “And a methacholine challenge?”

“Yes,” I say. “Both. In 2014. No allergies at all and the methacholine was negative.”

“Hmmmm.” she says.

Afterwards we call pulmonary. I have an appointment on this next Wednesday but we call and ask if there is a cancellation and I can get seen today, since I am two hours from home already.

Yes, there is, but I have to hurry to Issaquah, Washington.

There is an accident on the I90 bridge, so I do not think I will make it. But I am there by ten and the pulmonologist will see me. I check in, fill out paperwork, wait, go in the room, a medical assistant asks questions.

The pulmonologist comes in. He is nice and is able to pull up the chest CT from 2012, two of them since the first one “couldn’t rule out cancer”. Since I am referred for hypoxia without a clear cause, he questions me about my heart. Echocardiogram, zio patch (2), bubble study, yeah, it has all been normal. I describe getting sick and tachycardic and hypoxic and coughing.

“Do you cough anything up?”

“No.”

“Do you cough now?”

“Yes, if I exercise or get tired.”

He is like many physician specialists that I have seen. He has a number of pulmonary diagnoses, or boxes. Emphysema, COPD, lung cancer, bronchiectasis, chronic bronchitis, the progressive muscular disorders. All of those are ruled out in the past. So he puts me in the asthma box.

“I thought asthma was ruled out with the methacholine.” I say.

“Well, you have SOMETHING going on in the lower airways, and it was present in the 2021 and the 2012 pulmonary function tests. Maybe an asthma medicine will help.”

I mention ME-CFS and my muscles not working right, but he only deals with lungs. He won’t say a word about those disorders.

Sigh. I do not get the improvement with albuterol that diagnoses asthma on the pfts and never have. The formal reading of the pfts is that I do not meet criteria for asthma but there is something in the lower airways.

Monsters, maybe? I’ll try the inhaler, though with skepticism. Antibodies seem like a better guess, but antibodies are outside this pulmonologist’s set of boxes.

________________________

The photograph is from Swedish, Cherry Hill, bird’s eye view from the balcony.

Methacholine test.

The extroverted feeler and “bad strangers”

My son is an extroverted feeler. I’m an introverted thinker. He’s a bit of an alien, but then we all are, really.

When he was four we flew to New Orleans. We were waiting in our herd. It was when you were assigned to herd A, B or C to load on the plane.

My son started talking to people. He went up to a stranger and held out his hand. The stranger shook it, slightly bemused.

“Hi,” said my son, “I’m (name). I live at (address). My phone number is (number). What’s your name? Where do you live? Would you like to come visit?”

The stranger answered in a rather bemused way and my son moved on to the next person and repeated the conversation. He worked his way through most of the herd by the time the plane loaded.

Even though I thought it was hilarious, I also thought we should have a talk about “bad strangers”. I waited until we were at the hotel in New Orleans. I said that it wasn’t always a good idea to tell strangers one’s name and address because some of them might be bad. He was quite enthralled by the idea that there might actually be a “bad stranger” that he might actually meet.

That night we ate dinner in a section of New Orleans that the hotel concierge sort of warned us about going in to after dark. Afterwards my husband went to meet a friend and listen to music.

My son had recently acquired a plastic bow and suction tip arrows. He had taken it seriously and had already gotten quite good at shooting them. He did not have them with him loading on to the plane, but of course brought them to dinner in New Orleans. Our understanding, I hoped, was that shooting them at people would result in immediate loss of bow and arrow privileges and result in confiscation.

So after dinner my husband had left and I was walking back to the hotel, a five foot two, 130 lb female, with a four year old who was holding a suction cup bow and arrow. Loaded and ready. I would describe my mood as alert, especially when my son started talking quite loudly. He was on the alert too.

“I hope we meet a bad stranger. I’m ready for them. I’ll shoot them with my arrow. I’m ready. No bad stranger will bother us.” He continued in this vein all the way back to the hotel.

As we walked through the fairly dark streets back to the hotel, I hoped that the “bad strangers” were too busy laughing in the alleys to bother us. No one did bother us.

And that’s how my extroverted feeler son learned about “bad strangers”.

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First published in 2009 on another website. For the Ragtag Daily Prompt: stranger. I took the photograph quite a few years ago.

Practicing Conflict

An essay from my church talks about the writer avoiding conflict, fearing conflict and disliking conflict. This interests me, because I do not avoid conflict, I don’t fear conflict and actually, I like it. Our emeritus minister once did a sermon in which he said that when you are thinking about two conflicting things at once, that is grace. I have thought about his words many times, especially when I am not in agreement about something.

Does this interest in conflict mean I fight all the time? Well, sort of, but not in the way you think. I don’t fight with other people much. I fight myself.

What? No, really. Most topics have multiple sides. Not one, not two, but many. Like a dodecahedron or a cut gem. Hold it up to the light, twelve sides, each different. I argue the different sides with myself.

I learned this from my parents. My parents would disagree about something, they would discuss or argue about it, and then they would bet. Sometimes they bet a penny, sometimes a quarter, sometimes one million dollars. Then one of them would get up and get the Oxford English Dictionary, or the World Atlas, or some other reference and look it up. This was pre-internet, ok? 1970s and 1980s.

Sometimes my parents would even pay each other. The penny or quarter. My father spoke terrible French and my mother had lived in Paris for a year after high school, so he could get her going by insisting that his French was correct. It wasn’t. Ever.

There were other arguments in the middle of the night that were not friendly and involved yelling, but the daytime disagreements were funny and they would both laugh.

Once my sister is visiting after my mother has died. My father is present. My father, sister and I get in a three way disagreement about physics. I’m a physician, my sister was a Landscape Architect and my father was a mathematician/engineer, so we are all three talking through our hats. However, we happily argue our positions. Afterwards, my gentleman friend says, β€œThat was weird.” β€œWhat?” I ask. β€œThat was competitive and you were all arguing.” β€œIt was a discussion and we disagreed.” β€œI won’t compete.” β€œWe let my dad win, because it makes him happy.” β€œThat was weird.” β€œOk, whatever.”

My gentleman friend is also shocked when my teen son challenges me at dinner. My son says, β€œI am researching marijuana and driving for school and there isn’t much evidence that it impairs driving.”  I reply, β€œWell, there is not as easy a test as an alcohol test and it was illegal, so it has not been studied.” We were off and having a discussion.

Afterwards my gentleman friend says, β€œI am amazed by your son bringing that up. We weren’t allowed to discuss anything like that at dinner.” I say, β€œWe pretty much discuss anything at dinner and both my kids are allowed to try to change my mind. About going to a party or whatever.” He shakes his head. β€œThat is really different.” β€œOk,” I say.

This habit of challenging authority, including adults, did not go over well when my son was an exchange student to Thailand. It did not occur to me to talk to him about it. He figured it out pretty quickly.

Back to my internal arguments. If I take a position, I almost immediately challenge it. I think of it as the old cartoons, with the angel on one shoulder and the devil on the other. The devil will make fun of things and suggest revenges and generally behave really badly. The angel will rouse and say, β€œHey, you aren’t being nice.” Then they fight. The internal battle very quickly becomes comic with the two of them trading insults and bringing up past fights and fighting unfairly. When it makes me laugh inside, I can also be over the driver who cut me off, or someone who spoke nastily, or whatever. My devil is very very creative about suggested revenges. When the angel says, β€œYou are meaner than the person who cut you off!” I am over it.

When I was little and disagreeing with my family, my sister could tell. β€œYou have your stone face on!” That meant I was attempting to hide a feeling, especially fear or anger or grief. Siblings and family are the most difficult because they can read us and see through us like glass. My physician training also teaches control of feelings. I have sometimes wanted to grab a patient and scream β€œWhy are you doing this to yourself?” but that really is not part of the doctor persona. I am doing it inside, but I can put it aside until later. Then the devil goes to town! And the angel tries to calm the devil down.

Maybe we all need more of this skill. Pick a mildly controversial topic. Argue one side of it. Then switch positions and argue the other side. Go back and forth until it gets ridiculous. Let each side get unreasonable and inflammatory and annoying. This can play in your head and not on your face. Once you can do a mild topic, move on to something a bit more difficult. If you only know the arguments on your side, read. You can find the other side, the internet is huge. Start gently.

A friend says, β€œYou always argue about things.” I say, β€œI prefer to think of it as a discussion.” β€œYou always take the other side.” β€œWell, it interests me. And if there is no one to discuss something with, I discuss it with myself!” β€œWeirdo,” says the friend. I think he’s jealous, really I do. Don’t you?

Stages of PEACE

We have stages of grief. Now if we are going to make peace, we need to break it down into the stages that we need to go through. I think this incorporates and embodies the stages of grief. We need to plan peace. We need a map to get there, and it is not a simple road. We can’t just say I am peaceful. We must do the work. Here are the stages I can think of and I have certainly gotten stuck in some of these stages. What about you? No…or are you in denial? And if not you, I would bet money that you can name someone who you think or feel is stuck in one of these. Takes one to know one though, right? No, maybe that’s wrong. Stop confusing me!

And maybe we don’t all go through all of these stages. Or go through them in the same order. When I watch families grieve after a death, they often fight. They fight about how to grieve. The family members may be in very different stages, or the family may have stages or roles assigned to certain people, who may or may not accept the assigned role. My maternal family has anger assigned to me. I don’t really care any more. Since I am not angry, presumably they can’t handle anger and need to outsource it. I got tired of saying “I am not angry” and being told that yes, you are angry until I would get angry… you see the problem, right? It got ridiculous. My sense of the absurd kicked in and then I would try to really enjoy being angry. You are supposed to give things your best effort, right? Snort.

Message me if you think of some stages that I’ve missed! Then we can all get to work, on working through these. MAKE PEACE, PEACE OUT, PEACE ME, PEACE YOU, PEACE THE WORLD! Might take a while. Get on it, get to work.

Twisting words

Confusion

Denial

Bargaining

Anger

Bitterness

Revenge

Acting Out

Oppositional Defiance

Acceptance

Forgiveness

Healing

Hope

Reconciliation

Peace

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What does the helmet have to do with this? Nothing… I just like the helmet. I keep thinking that it could be a breastplate instead of a helmet. And it is a clue to my May blogging… where am I? Where is this helmet?