There appears a flight of dragons without heads.

The flight appears
the dragons have lost their heads
they flame indiscriminately
but since they have no heads
the flame does not appear here

they loop in the air
in formation
and are beautiful
nearly silent
no heads to scream
just their wings
on the wind

we stand transfixed
and watch them

the flight
the dragons
who have lost their heads

Introducing

Two kittens arrived at my house on Monday. They were named Riffle (the black one) and Paddle (the tiger) so now are named Riffle Sol Duc and Paddle Elwa. They were a bit groggy from the hour drive and cautious at first. That lasted for no more than an hour.

First arrival.
Exploration.
Nap time.

Today is their fourth day and they are now exploring the living room and office. They were blocked off in the kitchen for the first two days.

I missed Boa Black terribly AND have caught five mice in the last two months.

Boa Black was 17 when she died. “Stop playing with the computer and pay attention to me.”

Covid-19: simplified self care

  1. I am a Family Practice Physician for 30 years. I have had pneumonia four times. I last got pneumonia on March 20, 2021 and I am still off work and on oxygen. This is the first time I have been on oxygen. No tobacco, no marijuana, no lung disease found to date but my mother had tuberculosis when I was born and my father smoked unfiltered Camels. With the hospital beds filling up, this is to help keep people out of the emergency room if they don’t need to be there and to help people track how sick they are.
  2. Learn to take your pulse. You need a second hand. Your heart rate is the number of beats in 60 seconds. Take it at rest (which means sitting or lying down). Then try taking it after you walk. It should be regular unless you have known atrial fibrillation. Also, if you are fifty or older, you may skip some beats so that you have early or late ones. That is not worrisome.
  3. Normal is 60-100. If you are very out of shape, you might go up to 120 after you run up the stairs or walk fast.
  4. If your resting pulse is 120 or higher, call your physician. If you are very short of breath with that or your lips are turning blue, call an ambulance right away.
  5. If your resting pulse is normal, say, 70 beats per minute, and your pulse after walking goes up 30 points or over 100, you are sick. If you are very short of breath after walking you may need oxygen. Call your physician and walk… really… slowly. When your lungs are swollen, there is less air space to exchange oxygen and your heart makes up the difference. If your heart is beating at over 100 for long, it is like running a marathon. Don’t stop walking completely because you are at risk for blood clots. But walk really slowly.
  6. If your resting pulse is normal and your walking pulse is ok, try a loaded walk. Carry something that weighs 20 pounds if you can. Then sit down and check a pulse again. If it is over 100 or jumps 30 points, you too have lung swelling, it’s just a little more subtle. You need to rest too.
  7. With practice, you will have a good idea what your pulse is before you do a formal count.
  8. You can use a pulse oximeter but you have to use it accurately. The fingers should be not moving and lying on the person’s knee or table or something. Otherwise it will give inaccurate readings and scare you. With a regular heart rate, look for the light to be picking up regularly before you believe the oxygen level. O2 sats under 87% need oxygen, but also if someone is going below 95% or is a child, call doctor or ambulance.
  9. Take a multivitamin. It is a lot of work for your heart to race fast. Rest, rest, rest. I have had 4 rounds of pneumonia with lung swelling. It took two months, two months, a year and this time I am five months post pneumonia and still on oxygen.
  10. Don’t use quack supplements and don’t take veterinarian ivermectin. Hello, you are not a sheep.
  11. Remember that if someone is hypoxic, they may act goofy, happy and unconcerned or be scared or have memory loss or just be confused. I write really weird rhyming songs when hypoxic and have the poor judgement to sing them to my doctor.
  12. GETTING VACCINATED IS YOUR BEST BET TO NOT DIE OF COVID-19. AND WEARING A MASK ALL THE TIME AROUND OTHER PEOPLE.

Good luck and take care.

kitchen window with cat

In the early morning before dawn
the orchids keep me company
cat and computer as I sit and write

I tried a desk but the sky doesn’t lighten
windows on three sides, the orchids and I
await the sun, cat now on my lap

this table was my grandmother’s
my mother loved flowers
my daughter says “The laptop’s in the way.”

Thank you orchids, cat and table
Thank you laptop, teacup, dawn
Thank you grandmother, mother, daughter

kitchen window blessing