For Cee’s Flower of the Day.
Lush pink rose
For Cee’s Flower of the Day.
I look up the CDC website to see how many people are disabled. The CDC says that 27% of adults in the US have a disability. Yes, that is one in four. https://www.cdc.gov/ncbddd/disabilityandhealth/infographic-disability-impacts-all.html.
I find being disabled to be a ton of work.
I think the view of disability in the US is often people who sit at home and have money thrown at them from the government.
This is not so, not so, no, no, no.
In clinic a patient needs a new socket for his artificial leg, having had a cancer amputation. He is an expert still working in disability exams, so we do a visit where he dictates much of my note, because in order to get a new socket, medicare requires very specific information in the clinic note. We also have notes from physical therapy and his occupational therapist and the company that makes the sockets. Why does he need a new one? He has lost weight and the old one doesn’t fit any more so he can’t walk securely.
Even so, I think it took six months and we kept redoing versions of the paperwork.
Another patient needs a new electric wheelchair. That one takes a year of repeating insistence and paperwork.
After my March 2021 pneumonia, I am disabled, which pisses me off. I like my work. It’s unclear how long I will be on oxygen and since we’ve been working on a diagnosis besides “gets pneumonia super easily” since 2003, it’s hard to predict the trajectory. I don’t know if I will be on oxygen permanently. It is exhausting to drag myself to physician visits, in four different hospital systems. Oh, and a patient can apply for patient assistance with the finances, but then all four have different paperwork. I am sick as snot and have to try to keep track of the bills from four systems and four sets of on line passwords and where is the stupid appointment? Edmonds? Seattle? Bremerton? Augh. The fatigue that accompanies the pneumonia makes it hard to cook, hard to clean, hard to comprehend bills, exhausting to make phone calls. Anyone want to trade? I’ll work and you can be disabled?
My disability company requires paperwork too, lots of it, and my taxes, and there is a long list of rules that I reread periodically. I needed an attorney to sort out the rules, since the disability company won’t answer my questions.
Now I am off oxygen and better, though still dogged by fatigue. I think that is probably permanent, but then I sometimes hope it’s just that I am finally rebuilding muscle, since the fast twitch muscles didn’t work for two years. They are a bit recalcitrant now.
And I am not in a wheelchair, have not had an amputation, am not in a rehab. If you have to take buses in your wheelchair everywhere, need two people and a crane to get you out of bed into the wheelchair, have to use a computer to talk for you, imagine. Anyone who thinks disability is easy money is insane.
It’s not clear if I can return to work. I might get pneumonia number five, which would probably take me out. No one knows how to lessen my risk. And I don’t have the energy and do not know if I will.
All the unknowns and unclears and we don’t knows. No one is disabled for easy money because it’s a job trying to get well or trying to survive it. And yet, I am happy to be alive and even to be able to dance some! Dance on!

This is a photograph from as exhibit of women photographers, taken January 2022 at the National Gallery. How glamorous and they are fabulous dancers! It was a wonderful exhibit.
For the Ragtag Daily Prompt: glamour.
From the Port Townsend Brewery. They have a lovely garden with a stage for bands. I took these when there was no one in the garden.
For Cee’s Flower of the Day.
Elwha is starting his modeling portfolio. At least, that gleam in his eyes means modeling, doesn’t it?
For the Ragtag Daily Prompt: scintilla.
Taken at the Port Townsend Brewery.
For Cee’s Flower of the Day.
Once someone has cancer, do they have it forever?
I think that is a complex question. But one example comes to mind.
An older woman, in her early eighties, is seeing me. She wants to go back on hormone replacement.
“But you have a history of breast cancer.” I say.
“That was six years ago. And I took that horrible tamoxifen for 5 years and I still am having hot flushes after a year off it and I am sick of it. Give me hormones.”
“Hmmm.” I say. “Let me do some research.”
I call the oncology group south of us. This is over ten years ago when we had no oncologists in our county.
“How old is she?” Her oncologist is digging up her records. “Ok, got her. Hmmm. Well, she had a stage one cancer and a lumpectomy and five years of tamoxifen. THAT cancer is gone, for sure. If she wants hormone replacement, it puts her at a bit more risk for a new breast cancer, but the old one is gone. As long as she understands the risk.”
My patient is back and we negotiate. “Ok, the oncologist says your previous cancer is truly gone, but hormones put you at risk for a new breast cancer. At least, raise your risk a little.” Age is the biggest risk in women, if they do not have the abnormal BRCA I or II genes. “Also, if we have you on hormones, you have to do your mammogram, because I’d want to catch any cancer early. That’s the deal.”
“Fine, I want the hormones.” She signs a consent that I’ve prepared and we put her back on her hormone replacement.
“I want to hear from you, ok? Whether it works?”
She calls in a week, delighted. “No more hot flushes! I feel great!”
__________
I took the photograph at Mats Mats Bay last week. There is a sign about osprey nests. I look up and think, oh, yes! Pretty obvious if you look up!
__________
I don’t remember her exact age and I don’t remember if the five years was tamoxifen or one of the other hormone blockers. She could have been in her seventies. At first I thought, no way back on hormones! Then I thought, quality of life is important. Maybe I choose this photograph because the nest is out on a limb.
Some cancers ARE currently forever, especially those that are stage III or IV and metastatic. Maybe they won’t always be forever.
Pink elephant in a green field with flowers, rollicking and happy.
For the Ragtag Daily Prompt: cartoon.
Along the street, my second lot is just a wall of roses.
For Cee’s Flower of the Day.
Is she enthralled by the tree, or does the tree have a very young spirit?
For the Ragtag Daily Prompt: enthralled.
Taken at Fort Worden in 2018.
BLIND WILDERNESS
in front of the garden gate - JezzieG
Discover and re-discover Mexicoβs cuisine, culture and history through the recipes, backyard stories and other interesting findings of an expatriate in Canada
Or not, depending on my mood
All those moments will be lost in time, like tears in rain!
An onion has many layers. So have I!
Exploring the great outdoors one step at a time
Some of the creative paths that escaped from my brain!
Books, reading and more ... with an Australian focus ... written on Ngunnawal Country
Engaging in some lyrical athletics whilst painting pictures with words and pounding the pavement. I run; blog; write poetry; chase after my kids & drink coffee.
Coast-to-coast US bike tour
Generative AI
Climbing, Outdoors, Life!
imperfect pictures
Refugees welcome - FlΓΌchtlinge willkommen I am teaching German to refugees. Ich unterrichte geflΓΌchtete Menschen in der deutschen Sprache. I am writing this blog in English and German because my friends speak English and German. Ich schreibe auf Deutsch und Englisch, weil meine Freunde Deutsch und Englisch sprechen.
En fotoblogg
Books by author Diana Coombes
NEW FLOWERY JOURNEYS
in search of a better us
Personal Blog
Art from the Earth
π πππππΎπ πΆπππ½π―ππΎππ.πΌππ ππππΎ.
Taking the camera for a walk!!!
From the Existential to the Mundane - From Poetry to Prose
1 Man and His Bloody Dog
Homepage Engaging the World, Hearing the World and speaking for the World.
Anne M Bray's art blog, and then some.
My Personal Rants, Ravings, & Ruminations
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