Tag Archives: Beloved

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Authenticity and masks

The Ragtag Daily Prompt today is identity. Yesterday I went to work an hour early so I could attend the Friday morning Continuing Medical Education. It was about adult ADHD and the positives and negatives.

I do not have a diagnosis of ADHD. I have one friend who insists that I have it, but I don’t much care. However, the speaker started talking about masks and authenticity. She said that we are told to be authentic at work, but that people with ADHD often find that their authentic self is not welcomed and they learn to mask.

I asked, doesn’t everyone mask somewhat at work? She said, “Good point, and yes, people do.” It got me thinking about identity and masks. I pretty much clammed up in Kindergarten because I was too much of an outlier and culturally wrong. We did not have a television and television was pretty much what the other children talked about. I knew songs and poems but these did not interest my peers. I was interested in science, too, but that was also not popular. I think I was a geek before it was named and as soon as I learned to read, I became a bookworm. I am not sure if having a television would have made any difference, either.

Fast forward to after high school. I went to Denmark as an exchange student my senior year and then needed to make up credits to graduate. Another high school student was in my Community College classes. After a bit, she said, “I thought you were shy in high school.” I said, “No, I just didn’t talk.”

Currently I am more authentic in the room with patients than with the rest of the staff. Corporations are very weird hierarchical places. My authentic self always questions authority but I am trying not to do it all the time. At least, not out loud. The patients seem to be fine with it. I had a very difficult conversation with an elderly couple this week about memory and planning, now, before they can’t. I got hugs at the end of the visit even though we’d gone into frightening and difficult territory. They did very well. Yesterday was my last day at that clinic and next week I am in another one. Even after just four months in this clinic, I will miss many of the patients and hope they do well.

Yesterday I really did Urgent Care. My schedule only had a few people and then six more sick ones were added on. We had to call an ambulance for one, the first time I’ve had to do that here.

What is authenticity and what is our identity? Is the work mask less real than the self in our minds?

I took the photograph at a small hot springs resort. A friend that I’ve known since high school and I met there. I love the bookworm rabbit. I think she represents the happy bookworm part of me. I read about 7 novels a month, haunting the library here. Maybe I will get to know some more people over the next 6 months.

For the Ragtag Daily Prompt: identity.

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Bolster my courage

I am having nightmares. About clinic. Yesterday I bolstered my courage and sat down to write my dream out. What are my dreams trying to tell me? Should I extend my contract or not?

I dream that in clinic I have a male patient with his wife in the room. He is very dramatic, saying, “I am so ill, help me, help me.” He says, “I am on quercetin. You have to help me.”

He won’t tell me what his symptoms are, so I respond to what he says: “Who prescribed quercetin? What is your diagnosis?”

“Oh, you don’t want to help me,” he says. His wife just watches.

“Do you have pain somewhere? Any chest pain? Any abdominal pain? Any pain anywhere?”

“No, no, you don’t understand!” he says, “You aren’t listening!”

“I am trying to help you,” I say. “Can we reschedule you for a longer visit?” This is one of the impossible 20 minute ones. Honestly, he doesn’t look like he’s in pain. I do a quick listen to heart and lungs and feel his abdomen.

“No, I need to be in the hospital, I can’t go home!”

“I can’t put you in the hospital without a diagnosis, but we can move you to the emergency room.” Of course, the ER won’t be happy about this.

I leave the room and call the ER. The ER doctor is understandably grumpy, since I have no idea what this is about and am suspecting a psychiatric cause. “Urine drug screen,” I say. “He doesn’t smell drunk. I do not think it’s meth withdrawal.” “Make sure you do a note,” snarls the ER doctor. Good luck, since he won’t answer any questions. “How behind am I?” I ask the nurse. She just rolls her eyes. I probably have at least four or five more on the schedule. I come back to the room. Now two preteens are in the room, looking in the drawers and taking things out. Their parents do nothing to stop them.

“Please sit down now!” I say. “Put that down!”

The teens sullenly comply. The father is moaning. He has the prescriber on his cell phone. He hands it to me. I introduce myself. “What is your diagnosis?” I say. “Why is he on quercetin?” The person at the other end mumbles. “Excuse me, what did you say?” He’s gone. I say to the mother, “Please take the children to the waiting room. Sir, are you requesting that we call 911?” It would be a call saying man moaning, no idea what he’s on about. Vitals are normal, he denies chest pressure or pain, he doesn’t have an acute abdomen, his oxygen level is fine, no fast heart rate, no fever. Drama.

I wake up, thinking that I may have to call 911 to get the wife and kids out and I have to have someone monitor him while I see other patients and we just don’t have enough staff and I am ready to just cancel the rest of the afternoon. If I were in a hospital, I could call security, but we are a satellite small clinic.

So… what the heck is THIS dream about? And do we really get patients like this? Yes, but not often and I haven’t had any like this here. I think it’s funny that this dream has so much detail, down to the supplement that the man is taking as well as the clinic room. I usually work in room 1 and 2, but this was in room 5.

To be continued.

For the Ragtag Daily Prompt: bolster.



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A gas

I don’t think the bird is aghast. Me either, walking on the beach. There is so much to see.

What is this cloud bank behind the ship? And the ships are so big close up and so small on the water. Gast and ghast are both words, but don’t mean the opposite of aghast. The opposite is unfrightened, unfazed, relaxed.

The water is never what I would call warm, yet surfers and divers and swimmers are out there, with their extra skins.

There is always something to see.

For the Ragtag Daily Prompt: aghast.

In Rainshadow Chorale we are learning the Rachmaninoff Vespers, All-Night Vigil. It is gorgeous. This makes me think of angels.

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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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Slick

Careful, careful! That seaweed can be slick as snot and hiding a squelching tide pool. Not so deep that you fall in, but you may fall down and ouch! The rocks and barnacles are not soft.

Along North Beach, on the Olympic Peninsula.

For the Ragtag Daily Prompt: squelch.

Early morning light on the water.

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Touch

Think of the things the thumb and fingers have built
Hunt and home and hearth and healing and hearts
The eyes to look, the brain to decide, down the body tilts
This is the stone I choose to pick up, and toss, or collecting starts.

For the Ragtag Daily Prompt: thumb.

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Naughty

The naughtiest postcard I ever sent was to my friend B, when he was living the romantic life of a government tax economist in New Zealand. He had been working for the US government, but went off to work for New Zealand’s government for two years. I felt rather jealous. Uprooting as a physician with a husband and two children to go work in a foreign country seemed a bit insurmountable. There was an awful lot of difficult family drama and illness going on, so that is the real reason that I did not do it.

Anyhow, naughty postcards. I sent B a postcard from Georgetown. It is black and white, a man lying prone looking up. A sheep is standing over him, so that no naughty bits can be seen, but one certainly suspects that the man is nude. He and the sheep are looking at each other. The caption is “No more sheepless nights.” Eeeeee. I bought two of that one, because it made me laugh.

B sent a letter back, along the lines of, “Cut it out, you are getting me in trouble with the postman.” I desisted. I did not have any more postcards like that one.

I have bought and kept blank cards and postcards over the years. Good thing, too, now that cards are a whopping $4.00 to $7.00 each. People must buy them, right? I have picked up blanks at garage sales too, once in a while. And the ones I don’t like can go out in the Little Free Library for other people.

I plan to make a calendar and maybe some postcards of Elwha’s cat art. He did it more than Sol Duc does. The photograph is one of the designs, from February 2023. I did see both of them adding to it. Perhaps there was some sibling rivalry going on, I don’t know. This installation is quite complex, with two toy mice, the earbuds, one of those glittery balls tucked under a mouse and the toy made of pipe cleaners.

For the Ragtag Daily Prompt: postcard.

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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.