quit

I’ve quit

again
stop start

stop
quit

I don’t think I’ll go back
it wastes the days
makes me so sick
takes so little for me to overdo

I resent lost time
and suffering

my body doesn’t want it
and tells me so
ferociously

alcohol you say?

that too

but I was talking about men

 

The photograph is my mother’s father’s mother. I have one of the originals. The back is stamped: Battle Creek, Michigan. So she was having a “rest cure” at Dr. Kellogg’s famous health retreat.

Advice to young people

My biggest piece of advice to young singles and young couples is: put half of each take home salary away. Married or not married, and I don’t care how committed you are.

I know people who lose their house when one half of a couple is sick, and the other can’t pay all the bills on one salary. We don’t want to think about illness or cancer, but it happens. Young parents, with one very ill and the other with a job, children and a sick spouse. Having a reserve is way more important than keeping up with the Joneses, unless you happen to inherit like Mr. Trump.

If you each put half of your take home salary away, then when life throws surprises at you, you will have a reserve. A big reserve if the surprises hold off for a while. Divide that half into retirement and half into money that you have access to in emergencies.

I listed the top ten causes of death in the US in 2012 here, but lets look by age: http://www.cdc.gov/injury/wisqars/pdf/leading_causes_of_death_by_age_group_2012-a.pdf.

From age 1 to 44 the top cause of death is accidents, unintentional injuries.

Suicide is second from age 15 to 44.

Cancer takes over as number one, malignant neoplasms, at age 45 to 65.

After 65, the number one cause of death is the heart, and that is where the biggest numbers are. But if a younger cause of death affects your family, it feels unfair, wrong, as if we all expect to like to age 78 or beyond.

Untintentional injury, that is, accidents, are broken down here: http://www.cdc.gov/injury. When I do physicals on teens, I ask them what the number one cause of death is for teens. They all know the answer, even if they have to think for a moment: motor vehicle accidents.

But lets look at accidents in the age 25-65 age group: poisonings. What? Poisoning? And NOT intentional…. what is going on there? It is drugs, legal and illegal, but more legal. Sedating drugs in combination are effective at sedating people enough to stop breathing and die. Alcohol with benzodiazepines (valium, ativan, etc.), opiates and opioids, sleep medicines such as ambien and sonata, withdrawal from methamphetamines, cocaine, crack….people die. And supplements may be contributing as well.

75 years of US mortality data: http://www.cdc.gov/nchs/data/databriefs/db88.pdf#x2013;2010%20

At birth now in the US the life expectancy averages 78, but not everyone reaches that….some people still die younger and some live longer.

The age of death is rising, world wide. In the US, many of us have a world envied standard of living and yet we have a significant number of people who are anxious and depressed and way too high a rate of substance abuse, alcohol, opiates and opioids, benzodiazepines and yes, marijuana is addictive. How do I reconcile this? How do you reconcile this?

Keep your reserve, young singles and young couples…..

http://www.worldlifeexpectancy.com/usa-cause-of-death-by-age-and-gender
As of the day I am writing this on 5/2/16:

POPULATION
318,857,056

Numbers to be corrected, first set was wrong, wrong, wrong.

I took the photograph yesterday evening: there were the most amazing Maxfield Parish clouds…. life and death are a mystery.

Wean yourself

SoFarSoStu has tagged me for the three days, three quotations and tag three other people. This is day three, only I am a day late.

The rules are to post 3 quotes over 3 days and nominate 3 bloggers each time to carry on with the challenge.

Today I choose Rumi’s phrase “Wean yourself” and post his poem. This is one of my two favorite Rumi poems.

Wean yourself
Little by little, wean yourself.
This is the gist of what I have to say.
From an embryo, whose nourishment comes in the blood,
move to an infant drinking milk,
to a child on solid food,
to a searcher after wisdom,
to a hunter of more invisible game.

Think how it is to have a conversation with an embryo.
You might say ‘The world outside is vast and intricate.
There are wheatfields and mountain passes,
and orchards in bloom.

At night there are millions of galaxies, and in sunlight
the beauty of friends dancing at a wedding.’

You ask the embryo why he, or she, stays cooped up
in the dark with eyes closed.

Listen to the answer.

There is no ‘other world’
I only know what I have experienced.
You must be hallucinating.

_____________

I love this poem. To me it’s about our human development and I love that we go from a searcher after wisdom to a hunter of more invisible game. Have you ever had the feeling that you have figured some part of your life out, that aha! moment? Smooth sailing now, you think…. only to find out that new challenges present.

I use this poem in clinic. When I am talking to a new patient I have to find out where they are, what some of their medical beliefs are, what their level of education is, what their prior experience with allopathic medicine is, do they see a naturopath, are they taking ANY pills? Prescription, over the counter, alternative, herbal, homemade? I read Rumi’s poem as a discussion about our levels of development: we come out of the dark to be an embryo. Where do we go from there? I have to understand at least some of my patient’s background in order to communicate with them: I have to meet them halfway. Sometimes I fail. Sometimes my doctors fail…. we experienced that when my mother was in hospice. We were not given instructions for how to take care of her nasogastric tube at home…. and it got blocked. I think that the inpatient nurses made assumptions and the hospice nurses may have too… or just didn’t know.

This poem also relates to how my thoughts about healing and health keep evolving. Currently I keep reading on the internet and hearing from patients that they want a stronger immune system. There are all sorts of “immune system boosters” being sold. I think this is interesting and I think it is a wrong approach. Why?

I have gotten seriously ill four times. Each was triggered by severe stress in my life: mononucleosis at age 19, influenza in 2003, systemic strep A in 2012 and systemic strep A in 2014. So… do I think that my immune system needs boosting? No. When I got symptoms in 2014, my thought was “I am so stupid.” My father had died in 2013. His will confused me, the house was full of his things, my mother’s things, my sister’s things, my grandparent’s things, all dead. I would work in clinic and then go out there and try to get things done and mostly sit and cry. I did deal with the estate, but what is wrong with this picture?

I ignored what I would tell a patient to do…. I did not take time off to rest and to grieve and to take care of myself. Rather than a failing immune system, I pictured my immune system marshaling troops. “She won’t rest. We are going to have to take her down AGAIN. Won’t she ever learn to listen to her body? When will she learn to REST? Let’s see, who do  we have to knock her down…. ah, strep A! Great! Here, the door is open, take her out.”

And boy howdy, did it. I was out for ten months and ten months later am still on half time work. And I could have kicked myself! How stupid I am! If there is a major emotional loss in your life, cut back and rest and take time to let yourself heal!

So when people say, “I need an immune booster,” I wonder. I wonder what is happening in their lives, what their level of stress is, are they taking care of themselves. I worry that our culture thinks that we just need the right combination of supplements and then we can keep going and drive our bodies into the ground, instead of stopping and saying: “Oh. I am really cumulatively tired. I really need to rest, and sit at the beach and stare at the waves, or lie on the couch and read a silly novel, or just have a cup of tea and do nothing.” I don’t really like pills. I think that pills are often a band aid on a deeper wound than we admit. If I had rested, I would not have needed high dose penicillin: though I am deeply grateful to have another try at healing and health.

And three people to tag to do the three days of quotations if they so choose… everyone may be too busy at this busy time of year:

hargunwai

mindlovemisery

ohmyglai

The pink edged cloud looks like a giant paramecium or other bacteria, up in the sky….

Spare the rod

You say you want a partner to join in work or love
It bothers me to hear you say those words
sand inside my clothes

a partner is someone that you respect and listen to
I hear a disconnect between your words and plan
someone to improve upon

You’ve chosen your next target for this thoughtfully
I can see that your plan would work quite well
practical and logical

I do not think that he will bend to your desire
Carved and polished, obedient as wood
sanded to a shine

Earthquakes and fire shake and forge our world
I stand in awe before the forces on us all
that make us grow

There is only one that you should try to change
The stubborn foe that eyes you when you shave
will keep you busy

And God will gild the lily

I took the photo in 2012 from the Kai Tai Lagoon in one of our rare snows. It looks like a magic castle on a hill to me.
I published this on everything.com today too.

Off balance/balance

Plato’s Groove lovely poem from yesterday reminds me of Portia Nelson’s poem “A Poetic Interlude:  Autobiography in Five Short Chapters”. I wrote my own version of this back in 2005, about trying to change. It is hard. I also want to submit this to the Ronovan Writes BeWoW Wednesday, for Be Wonderful Wednesday. @RonovanWrites. I think looking inside and trying to change and changing is wonderful…..

Off balance/balance

Confusion
Makes no sense
React react react
Engage
Argue
Fight
Want to bite kick scream
Argue (control) argue
Icky tone of voice
Ugly
Confusion confusion
Told I am wrong
I am overreacting
I am invalid
Child again
Hide

Confusion
Makes no sense
React
Stop
Don’t react
Stop…..
Wait…..
Feel…..
Confusion ANGER
Let anger go
Confusion: Sad, Hurt
Sad feels lonely
Not engaged
Remember you are loved
Remember you are lovable
Sad is ok
Remember
Roses and violets and lupine
Spring from the path
Where your true self steps
Call true friends
Comforted.

Confusion
Makes no sense
Hurts
No react
Listen
Confusion not mine
Sad
Disengage
Remember
Roses and violets and lupine
True self
Comfort self

Confusion
Not mine
Step away
Comfort self

Comfort
Comfortable
I am loved
I am cherished
I am safe

June 11, 2005

previously published on everything2.com

Linking social media

OOO, today’s assignment for Blogging 101: Plug in to social networks.
I am not ready to attach fully to Facebook, honestly.
I also lurk on Sermo, which is a supposedly “secure” site for physicians, though why anyone would imagine anything on the internet is secure… dunno. I have found advertising aimed at companies that want to reach doctors, saying advertise on Sermo. So I am a bit careful of what I do there. They offer prizes for doing surveys, but I figure that that information goes right to the pharmaceutical companies. I don’t participate in the surveys….I’ve written on everything2 since 2005, well, really didn’t do much until 2007, but anyhow….
Got a Facebook page, go to Linked in occasionally, and have email…. AUGH!! I don’t want to be too wired. Reminds me of when we got our pagers in medical school, third year. We were thrilled. That wore off pretty darn quickly on call. Also, I date back to voice pagers, then numerical pagers and now people can text…. change change change….

I will think about the Facebook connection, but I am not ready yet. Also, my teenage daughter says I share too much on Facebook anyhow. Particularly dance videos. I LOVE TO DANCE. Couples dancing since, well, since I was a 17 year old exchange student to Denmark…. and that’s another story.

Sunrise! A new day! More change!

the problem with angels

the problem with angels

the problem with angels
is that they aren’t grey

nor do they have color

they are black
or white

sort of boring, really

pick one side
good or evil
night or day
male or female

I would rather be fluid

I want to be able to transform

liquid to solid
solid to gas
gas to solid
gas to liquid

flow around things

seep into the earth

always always
return to the sea

keep your wings

project black or white
as you choose
on me

while I flick water at you
and go for a swim

also published on everything2 today

Dream: Get real, Girl

I dream that I am a prisoner and being tortured. The torturers are indistinct and shadows. They cut slices into my flesh and put me back in my cell.

I am out of my cell again and I am seen from the back, naked from the hips up. The torturer cuts slices in my back with a cutlas. The previous slices have healed and scarred. I am done. I turn, grab the cutlas and slice off the torturers hands at mid-forearm. His hands are visible as they fall away, but the rest of him is still a shadow. I will win, I know.

I have a new vase. I take the white china vase out of the base, which has brass wheels and a support like a coach. Like Cindarella’s coach. I use the vase as a template to carve the base of a pumpkin to fit. I carve it into a coach sitting on the base. I find a plastic horse and the “Get real, Girl” in her hiking boots. I photograph it and caption it: “After she smashes the glass slippers, the coachmen and horses revert to mice and rats and run away. She steals a horse from her father, puts on her hiking gear, skips the ball and heads for the hills for good.”

Then I wake up.

As you can see, I haven’t carved the pumpkin yet, nor found the horse. But I will.