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Adverse Childhood Experiences 2: Out on a Limb

We are approaching a seismic shift in psychiatry. I am now going out of a limb to predict the direction we will go in.

The allopathic medical community will resist, including many psychiatrists. But it is the neurobiologists and brain imaging and psychiatrists who will prevail. If the creek don’t rise and we aren’t hit by a giant asteroid, nuclear winter, devolve into fighting over the remaining arable land as the world heats up….

I have been thinking about this all through my career, but especially since the lecture on adverse childhood experiences, which I heard in Washington, DC about ten years ago. I wrote about that lecture on January 6, 2015. The lecturer was a woman. She said that it appeared that the brain formed differently in response to childhood adverse experiences. She said that we don’t yet know what to do with this information.

Staggering understatement. I went from that lecture to one about ADHD. The lecturer was male. He said, “Children diagnosed with ADHD have brains that are different from normal children on PET scans and functional MRIs. We don’t understand this.” He sounded puzzled. I thought, he didn’t go to the previous lecture….

Childhood adverse experiences are scored zero to seven. I score a five. I am at high risk for addiction. I assumed this when I realized at age 19 that my father was an alcoholic and my mother was enabling. I was very very careful about alcohol. I tried pot twice and didn’t like it. I refused to try anything else, and refused benzodiazepines when I was depressed: they are addictive. With an ACE score of five, I am also at higher risk than a person with a score of zero for ALL mental health diagnosis: ADHD, depression, bipolar disorder, obsessive compulsive disorder, etc. People with a score of five had a 60% chance of being diagnosed with depression compared with a 10% chance in people with a score of zero over the life of the study. In the last fourteen years I’ve only been diagnosed with a “grief reaction” which is a temporary reaction to grief. It is also called an adjustment disorder. High adverse childhood experience scores are also at higher risk for morbidity and mortality from heart disease, emphysema, arthritis, basically everything and tend to die younger.

What this means, I think, is that our brains are plastic in utero and in childhood: the wiring is put down in response to the environment. This is adaptation. I have crisis wiring: my mother had tuberculosis when I was conceived and born. Really, from an evolutionary standpoint I AM weird: babies whose mothers had tuberculosis died. Quickly. I was saved because my mother coughed blood one month before I was due. A lot of blood. She thought she had lung cancer and would die. The fetus is bathed in those stress hormones, grief, fear….

I was removed from my mother at birth to save my life. I then was removed from people at 4 months and at 9 months. I grew up trying to be independent and highly suspicious of adults.

I predict that we are going to revamp all of our ideas about mental health. The brain wiring is set up depending on the environment, physical and emotional, that the child grows up in. My friend Johanna was outraged in college when we learned that the fetus and placenta basically take over the hormones of the woman for 9 months. “I’m not letting some baby grow in me and do that!” Johanna said. “I am going to figure out how to implant the pregnancy in a cow. You take good care of the cow and you can drink beer through the whole pregnancy! The cow won’t even notice when the baby falls out!” She has three children, an MD and a PhD in genetics. She did not use a cow.

The brain wiring is an adaptation to the environment. If there is war or domestic violence or addiction or mental health problems, the child’s brain kicks in emergency wiring. This is to help the child survive this childhood. As an adult they are then more at risk for mental health disorders, addiction and physical health disorders.

In the end, the sins of the parents, or the terrible circumstances of the parents, are visited upon the children. We have to take care of the children from the start in order to be healthy.

And people who have low adverse childhood experience scores don’t understand. They grew up with nice people and in a nice environment. They wonder why people can’t just be nice. The fear and grief and suspicion and emotional responses that appear maladaptive in adults, that is what helped people survive their childhoods. That is what I remember each time I see an addict in clinic, or someone who is on multiple psychiatric medicines, or someone who is acting out.

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Sleep

Our sleep doctor, a pulmonologist, gave us a wonderful update talk on sleep in early 2009.

He said, “First of all, I hate that blue butterfly.” For those who do not watch tv or read magazines in the United States, the blue butterfly was in advertisements for a sleep medicine.

“The blue butterfly lies,” he said. “Eight hours sleep is NOT normal and NOT average.”

He said the average amount of sleep for an adult is 7.5 hours. Some people need more, some people need less. I need 6 to 6.5 except on the first day of menses, when my body prefers 10-11 hours. Too much information?

“Catching up is a myth.” He said that we don’t catch up on sleep after the first night. I get people all the time in clinic who say that they haven’t slept for a month and “need to catch up.” The first night with a sleep medicine, people catch up some but that is it. After that, their body returns to their average.

Alcohol is bad for sleep. Yes, I know, it makes you fall asleep faster. However, it is not normal sleep and you will wake when it wears off, in 3-5 hours. And you may be a bit jittery and anxious, especially if you have more than 2 drinks a night routinely. Hello, I said that is the alcohol wearing off. Are you partly addicted? Tell me you can’t fall asleep at all without it? Want a pill instead?

Sleep pills are really alcohol in pill form. Really, really, really. We use benzodiazepines — that is, valium, ativan, librium, etc. for alcohol withdrawal because it has the same mechanism of action. In other words, we are substituting the benzo for the alcohol and then withdrawing you more slowly. Withdrawing from heroin or narcotics makes the pain receptors go completely gonzo, but it doesn’t kill you. It just makes you writhe with pain and wish you were dead. Withdrawing from alcohol can cause the blood pressure to go too high and can cause a stroke or seizures and kill you. So how enthusiastic am I about adding that lovely blue butterfly sleep pill to the 3-5 alcoholic drinks that someone has at night? NOT. Gosh, if we get the dose high enough, mix of alcohol and benzodiazepines the person could throw up and drown in their own vomit or just become sedated enough to stop breathing entirely and die, or just enough for brain damage. That’s fun.

And we don’t know if sleep pills are safe long term. Read the fine print. Ambien is tested and approved for use for two weeks. Right. Not 10 years. We don’t know what the hell they do to your brain if you use them for 10 years. One sleep pill has been tested for longer term use: that is, six whole weeks. Sonata. So I am stingy when it comes to sleep pills. I give people 8. Yes, 8, and tell them not to use them more often than once every three days because I am NOT going to give them 30 a month. I am going to give them 8 a month and that with reluctance. That is a conservative approach to long term use. And if they drink anything over 1-2 drinks a night, they have to cut that down first.

“But doctor, I wake up in the night!” And you are between 40 and 60 years old? That would be normal. Yes, I said normal. NORMAL NORMAL NORMAL. Ok, here’s the story. Little babies wake 4-5 times a night, right? Really. Ask any new mom or dad. Eventually they “sleep through the night”. No, actually they don’t really. They still wake 4-5 times a night but they fall back asleep really quickly and without howling. They keep doing this as children, teens, young adults, adults…..and then sometime in the 40-60 year old range the wake up periods get a little longer. And we remember them. It is normal. It is ok. Do not drug it.

“But I can’t go back to sleep.” Ok, here are the sleep hygiene rules. No violent tv or any screen time (yes, that includes computers, you addicts) for the last hour before bed. No caffeine after noon. Bed is for sleeping and sex only. If you want to read, get out of bed. A cushy armchair by the bed is fine, but get out of bed. Sorry, but you asked. Music is ok before bed and so is radio. The visual light in any screen activates weird parts of the brain, so that’s why no screen. Don’t listen to music or radio that sends your blood pressure through the roof. Exercise is best at least 4 hours before you are trying to drop off. A cool bedroom turns out to be better for sleep than a really warm one: turn down the heat and save money. Warm milk actually works.

“But doctor…” Ok, I know, you CAN’T do some part of the above. Do what you can.

“My teenager falls asleep in classes all the time.” Ah, teens are interesting. The brain essentially melts when puberty hits, at around 12, and is done with major hormonal rewiring by age 25. Teens need MORE sleep than kids or adults. 10-12 hours. They are working hard on puberty. Our sleep doctor said that the time the teen wakes up on the weekend indicates their real circadian rhythm. So, if a teen wakes at 1 pm on Saturday and Sunday, and is going to bed at two, that is where their circadian rhythm is set. Of course they are groggy as heck when they get up at 7 and trundle off to school and that history teacher is boring and drones in a monotone. How do we reset the rhythm? It takes time. The teen has to set an alarm on the weekend and get up progressively earlier. And they STILL need 10-11 hours so guess what? If the goal is 7 am, they should be going to bed by 9 pm. “HA, HA, HA, HA!” laughs the parent. Most teens are not getting enough sleep and are not catching up on the weekend. Parents can have influence. The sleep needs start to decrease as teens are entering their 20s.

Also, no screens in kids’ bedrooms. No tv, no computer, and the cell phone stays in another room. Start this with small children. Why? Kids are up texting at 2 am. Or surfing the net. Or watching whatever. It is a good sleep habit to get out of bed if you can’t sleep and go read something or listen to music. Out of bed, not in bed. Set a good example for your kids and get your television out of the bedroom….ok, now you hate our sleep doctor, not me.

What medicines do I use to help people sleep? I don’t like the benzodiazepine related drugs, which is most of the advertised New Fancy Expensive sleep medicines. I do use old medicines: antidepressants in low doses, very low. Trazodone, amitriptyline and nortriptyline. They are cheap and we are actually using the side effect; that is, they make people drowsy. I prescribe at doses way below the theraputic dose for depression.

Geriatrics. Well, it’s a difficult group. It’s not good to make someone drowsy who needs to get up at night twice to urinate and is a bit shaky on their pins and who won’t turn on the light for fear of disturbing someone. If I make them drowsy they trip and then we have a hip fracture. Mostly it is education: yes, they are waking up, maybe more than once and it’s normal. I have had people really cheer up once we’ve had this discussion. Oh, they say, I’m normal. They’ve been confused by that damn blue butterfly.

Sleep well.Moderate your alcohol, caffeine, television, computer, and cell phone; exercise, eat right, drink enough water and put your doctor right out of business. And the blue butterfly too.

revised. previously published on everything2 November 2009

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Please allow me to introduce myself

I have joined blogging 101 and missed yesterday’s assignment: to introduce myself.

Hello. I curtsy, but have to look up the spelling, because I spell it curtsey initially. So: I am not a great speller.

Hello. I am a mom, divorced, with two children, one over 21 and in college and one in 11th grade.

I am a rural family doctor.

I had strep A in my lungs and muscles in June and am just now getting permission to return to work part time. I had more time to blog.

I have been writing on everything2 since 2007. My sister started there in 2001 and became an editor. She married a Brit that she met on line. He was a “god” on the site. She was diagnosed with breast cancer between when they were engaged and when they were married. She died in 2012. I only had one sibling.

I write poetry, fiction and non-fiction, the latter mostly about medicine.

I am a madashell doctor, and traveled across the US in 2009 with the Oregon madashell doctors, giving talks about single payer health care, medicare for all. The United States health system is a terrible mess, geared for profit not people. It is amazingly awful and unfair. My sister had all the care in the world because she worked for Cal-trans, so was part of the largest Union on the planet, the California state government union. But she could have worked elsewhere, lost her job, lost her health insurance and died much sooner.

I have a cat and a fish.

I am very interested in the sufis and the zen buddhist teachings and some of my poems reference the Beloved.

Thank you.

http://madashelldoctors.com/

http://everything2.com/

<a href=”http://Blogging U.” title=”Blogging 101: Introduce yourself”>

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Adverse Childhood Experiences

I went to a sparsely attended lecture about the Adverse Childhood Experiences Study, or ACE Study, in 2005 and it blew my mind. I think that it has the most far reaching implications of any medical study that I’ve read. It makes me feel hopeful, helpless and angry at God.

The lecture was at the American Academy of Family Practice Scientific Assembly. That year, it was in Washington, DC. There are 94,000 plus Family Practice doctors and residents and students in the US, the conference hall had 10,000 seats and the exhibition hall was massive. At the most recent assembly, there were more than 2600 exhibitors.

I try to attend the lectures numbered one through ten, because they are the chosen as the information that will change our practices, studies that change what we understand about medicine.

The ACE Study talk was among the top ten. Yet when I walked in, the attendees numbered in the hundreds, looking tiny in three joined conference rooms that could seat 10,000. The speaker was nervous, her image projected onto a giant screen behind her. My experience has been that doctors don’t like to ask about child abuse and domestic violence: I thought, they don’t want to go to lectures about it either.

The initial part of the study was done at Kaiser Permanante, from 1995-1997, with physicals of 17,000 adults. The adults were given a confidential survey about childhood maltreatment and family dysfunction. A simpler questionnaire is at http://www.acestudy.org/files/ACE_Score_Calculator.pdf, but it is not the one used in the study. Over 9000 adults completed the survey and were given a score of 0-7, their ACE score. This was a score for childhood psychological, physical or sexual abuse, domestic violence, or living in a household with an adult who was a substance abuser, mentally ill or suicidal, or ever imprisoned.

Half of the adults reported a score over 2 and one fourth over 4. The scores were compared with the risk factors for “the leading causes of death in adult life”. They found a graded relationship between the scores and each of the adult risk factors studied. That is, an increase in addiction: tobacco, alcohol and drugs. An increase in the likelihood of depression and suicide attempt. And an increase in heart disease, cancer, chronic lung disease, fractures and liver disease. The risk of alcoholism, drug addiction and depression was increased four to twelve times for a score of four or more.

The speaker said that the implications were that the brain was much more malleable in childhood than anyone realized. She said that much of the addictive behaviors and poor health behaviors of adults could be self-medication and self-care attempts as a result of the way the brain tried to learn to cope with this childhood damage.

I left the lecture stunned. How do I help heal an adult who is smoking if part of it is related to childhood events? From there I went to a lecture about ADHD, where the speaker said that MRIs and PET scans were showing that children with ADHD had brains that looked different from children without ADHD. I thought that speaker should have come to the other lecture. And I did not much like my ACE score, though it does explain some things.

I feel hopeful because we can’t address a problem until we recognize it.

I feel helpless because I still do not know what to do. The World Health Organization has used the ACE Study in their Preventing Child Maltreatment monograph from 2006. But it is not very cheerful either: “There is thus an increased awareness of the problem of child maltreatment and growing pressure on governments to take preventive action. At the same time, the paucity of evidence for the effectiveness of interventions raises concerns that scarce resources may be wasted through investment in well-intentioned but unsystematic prevention efforts whose effectiveness is unproven and which may never be proven.”

Do I do ACE scores on my patients? With the new Washington State opiate law, we do a survey called the Opiate Risk Tool. It includes parental addiction in scoring the person’s risk of opiate addiction. But not the rest of the ACE test. At this time, I don’t do ACE scores on my adult patients. I don’t like to do tests where I don’t know what to do with the results. “Wow, you have a high score, you will probably die early,” does not seem very helpful. But I remain hopeful that knowledge can lead to change. And it makes me more gentle with my smoking patients, my addicted patients, the depressed, the heart patient who will not exercise.

I am angry at God, because it seems as if the sins of the fathers ARE visited upon the children. It is the most vulnerable suffering children who are most damaged. That does not seem fair. It makes me cry. I would rather go to hell then to the heaven of a God who organized this. I stand with the Bodhisattva, who will not leave until every sufferer is healed.

1. ACE study   http://www.cdc.gov/ace/about.htm

2. American Academy of Family Practice   http://www.aafp.org/events/assembly.html

3. ACE questionaire   http://www.cdc.gov/ace/questionnaires.htm

4. Score correlation with health in adults   http://www.ajpmonline.org/article/PIIS0749379798000178/abstract

5. WHO preventing child mistreatment   http://whqlibdoc.who.int/publications/2006/9241594365_eng.pdf

6. Washington State Opiate Law   http://www.agencymeddirectors.wa.gov/

7. Opiate Risk Tool   http://www.partnersagainstpain.com/printouts/Opioid_Risk_Tool.pdf

First published on everything2 November 2011.

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Influenza alert!

My small clinic has only been open again with our wonderful Megan Bailey, PAC, for a month, but we’ve already seen two people with influenza. And that is seeing less then ten people daily.

Please get your influenza shot. Yes, it doesn’t cover all of the strains, but most years it covers 80%. And initially Washington was seeing influenza B but now it’s influenza A and that has better coverage.

Remember that the vaccine takes up to two weeks to provide immunity. Consider wearing a mask if you have to go on an airplane — our second patient with influenza had gotten off an airplane that day. If you get a cold within one or weeks of getting the influenza vaccine, that is not caused by the vaccine. You are still at risk for influenza as well, especially the first two weeks.

If you have influenza, stay home and try not to expose other people. If you have frail or elderly or sick family, or very young children in the family, make sure that you get to the doctor early and see if prophylactic treatment is needed for household members who are exposed. If you are in the doctor’s office with any upper respiratory symptoms, put on a mask. That way you will not infect and potentially kill other patients.

Here is the CDC weekly influenza surveillance map: http://www.cdc.gov/flu/weekly/usmap.htm

You can watch it change color as the influenza crosses the country from east to west.

Please take care and Happy New Year!

The picture is the Solstice sunrise outside my house…

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A Dose of Reality

gpicone's avataripledgeafallegiance

This just in! According to the Center for Disease Control and Prevention Influenza levels in the U.S. have hit β€œepidemic” levels and are continuing to rise! So much for the Ebola frenzy and media scare from earlier this year even though Fox News still has their Ebola map and timeline updating live on their website with 19,570 cases worldwide. However, They even have an influenza outbreak map up now for the United States…it’s basically just a map of the U.S. colored completely red…because the flu, unlike Ebola, is everywhere! And can affect anywhere from 5 to 20% of the total U.S. population…annually!

Already this year the proportion of deaths reported in 122 American cities from flu and pneumonia so far has surpassed the typical level for late December at 6.8 percent which is the β€œepidemic threshold” set by the federal health agency. That means that 6.8% of all those who…

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Weathering emotions

Just before Christmas, I was describing the present I had gotten for a friend’s son.

“Wait,” she said, “I’m not sure he’ll like that. I want him to be happy.”

……

Oh, I thought. I reassured her, “I think that he will like this a lot.”Β and he did.

But… I don’t want my children to be happy.

WHAT! HORRIBLE MOM!

No, wait. Let’s play with the idea.

Say that your goal is for your child to be happy. You want them to be happy, as much of the time as possible.

Your child will pick up on what you want. Your child wants to interact. Your child loves you. So your child will try to make you happy. Even when they aren’t happy. Then you are in a vicious circle, with you wanting your child to be happy and your child valiantly attempting to be happy or at least act happy whenever you are around until finally they hit the teen years (or possibly age 3) and scream at you, “Go away and leave me alone!” Then they will be sullen and guarded and only show up when they want food, transportation and money.

My goal is NOT for my children to be happy.

Are adults happy all the time? Well, don’t be silly. Of course not.

So why do we want children to be happy all the time?

I want my children to be able to handle the full spectrum of emotions. Happy, sad, grumpy, confused, brave, scared, apathetic, all of them. I want them to be able to name each one and tolerate it. Because my children will be adults and they have to be able to handle all of those emotions. I strongly suspect that they will encounter each and every one….

How do I model this? I tell them how I am feeling AND they don’t have to fix me. My sister died in 2012. I was very sad. I cried a LOT. Sometimes I would be sitting in the kitchen crying and my daughter would wander through the room and stop and hug me. She is not a natural hugger but she knows that I am and that I find it very comforting. She wouldn’t cry with me. She had her own emotions.

I came home from work once and said that I was furious and hurt. Ok, more than once. But once I described a meeting which turned out to have me on the agenda. The other five people knew that and I didn’t. I felt jumped and attacked. It hurt.

My son said, “Five against one?”

“Yes,” I said.

“Then they didn’t have enough people, did they?” He grinned at me and I felt much better. Still mad and hurt, but he was so funny. We went out for pizza because I didn’t want to cook.

Our US Constitution includes the pursuit of happiness. We are free to pursue it all we want. But I don’t ever think we will catch it. We will and we should still have times when we are sad or afraid or feel confused or hurt. I would go to work and tell my nurse, “I am in a really bad mood because something in my family is a mess. My mood is not about anything at work.” She would nod and then through the day I would cheer up, because I had to think about work.

Emotions are like the weather. We don’t control them. My mother died fourteen years ago. I see an ornament on the tree that reminds me of her and I feel sad and miss her. Next morning I change from writing Christmas cards to writing Valentines and I am using a stamp set and stickers and it reminds me of her and I think it’s funny. I am happy then remembering her. Let the emotions come in like the weather: name them, acknowledge them, don’t try to control them, let other people know you are in a storm, accept help, and let them pass. And let your children have their full range of emotions as well.

The photo is me and my younger sister, in 1965.

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Voice lesson

The picture is my father in 2009. We went sailing on his friend Paul’s boat. My father loved to sail and loved to sing. He taught me to sing from when I was tiny….

I had five voice lessons in the spring. The teacher is a woman who comes into town to see her mother, from New York. When she comes, she teaches many of the best soloists in town, including people I’ve taken lessons from. One of our soprano soloists gave her my name.

She started by asking my singing history. I explained that my family had sung folk songs since I was tiny and that I’d been in a chorus for the last 14 years. That my father had been in the chorus and that he had recently died. We are working on the Faure Requiem and the Rutter Requiem. Our director asked me to work on the Pie Jesu in the latter and I was having trouble with the high notes. She asked about my father’s voice. I said that he was a very fine bass, who had died from cigarretes. In the last few years he couldn’t sustain, but his entrances kept the bass section on track.

She took me through the lesson. There were five things that she had me work on. It was hard to keep them all in my head at once, since they were all a change.

1. To breathe in so that the back of my throat felt cold, like the feeling you get in icy air. This opens it.

2. To think of the breath as circling along my jaw when I sustained a note or phrase. This made the notes feel alive and stay alive. Richer.

3. As I went into the passagio, to think of the sound going out the top of my head and then directly out through the back of my skull.

4. On the very high notes, to press down more with my lower ribs in my back. This increases support.

5. To open my mouth dropping my jaw, but keeping it narrow. This changes the quality of the vowels tremendously.

The lesson was so helpful that I scheduled a second one two days later and had the sense to tape it. I can practice it with my tape. She will come back within a year and I hope that I’ve improved in all five.

first published on everything2 April 2014

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Painting Angels II

Painting Angels II

After my mother died, I wrote a poem called Painting Angels. It was about my kids’ comments about her death, but also about her being an artist. I wondered whether she was painting the sky or sunsets or clouds. She loved watercolors.

I was driving to the Boiler Room yesterday and came to the hill going down to Water Street and the sunrise was glorious. The leading edge of the front caught fire and there were yellow and orange and pink streaks up into the clouds.

I think my mother and my sister helped paint that sky. I stopped and took photos with my phone until I got too cold and the sun was up.

Thank you, mom. It was a beautiful show in the sky. I lost my mother in 2000, my only sister in 2012 and my father in 2013. I feel that the show has been blessed, and that getting my mother’s artwork out of storage fourteen years after her death and showing it is the right thing to do.

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The Mother Daughter Show II

Over the last two days, I hung the Mother Daughter Show II, at the Boiler Room in Port Townsend, Washington. It will be up for the month of December.

This time it is the joint work my mother and I did in the 1980s. She did etchings to go with nine of my poems. The tenth poem was written for an etching she had already done. I asked my mother if she would do this project with me and she replied, “Only if the poems rhyme. None of that free verse stuff.”

I worked on the poems, I think with my mother’s etching style in mind. She used a zinc plate, with a tar solution on it. She would do a drawing in the tar, usually with a dental tool. The plate was placed in acid, which would etch where the tar had been scraped away. She would etch the plate multiple times, which gave different depths to the etched lines.

When the plate was finished, she would remove the tar and run an artist’s proof. She would heat the plate on a metal hot plate. She would ink it and then gently wipe the ink off until there was a very thin layer on the unetched parts of the plate. This had to be done delicately, so that the ink was not wiped out of the etching lines. She would place the plate on the press, place a piece of wet paper gently over the plate, lower the thick pile of wool pads over the paper and run the press. After the plate had gone through, the paper was peeled up and there was an etching, with the edges of the plate pressed into the paper.

Sometimes she was not satisfied and would return to the tar and change the etching. Sometimes she ran multiple proofs until she had the color right. Then she would run an edition. The print and poems are editions of fifty. Each etching is signed and numbered: 1/50, 2/50, 3/50, and so forth. We had the poems printed first, on a lead type press, and then my mother ran the etchings. We had a show in the late 1980s in Alexandria, Virginia.

My mother died in 2000. My father died in 2013. My mother was a prolific artist, so trying to deal with the estate felt insane. I put the art in a storage unit. When I had The Mother Daughter Show in July, it felt like a remembrance of my mother. And anyhow, I have to do something with the art in that storage unit, don’t I?

I find the etchings easier to show and sell then the watercolors. I want to clutch each watercolor, but eventually I will start to let go of them. I have the etching plates, too, because my mother said she was terrible at finishing editions. I have the box of poems printed on the lead press and the guides for running the edition. I do not have the press. My sister took it to California and it disappeared. That is ok, because there are presses in Port Townsend. There is a big art community, which is part of why my parents moved to this area in 1996. Art, music, gardens and boats.

My mother did many small fantasy etchings, flying elephants, fairies, a mermaid, a merman. The poems I sent her were almost all about animals. I wrote Eating Water Hyacinths and my mother did a charming etching of two manatees. She looked in various books to see what manatees looked like and then drew them. I wrote a blue crab poem and we bought a live crab. I photographed her drawing the crab, which was skittering around unhappily on the dining room floor. I enjoyed the constraint of rhymes. It made it easier to write the poems, though I am not sure why.

I have six of the series hanging in the show. I don’t currently have the other four framed. The Gallery Walk is this Saturday. I hope that people will come and perhaps we will sell one. We are also going to show the Panda Minimum, outside. The Panda Minimum is a mountain bike camping trailer, a bit like a teardrop trailer, designed and built by a local friend. We will have it outside the Boiler Room. I’ve already told the friend that I think the Panda will steal all the thunder and the art on the wall will be ignored, but ah, well. I have a third show scheduled, for June and July, at another venue. It is easier to do shows of my mother’s artwork than my own, because I think she was so good.

Also published on everything2 today.

The Boiler Room: http://www.ptbr.org/

Donate to the Boiler Room! Or come to the auction, also tomorrow!