Climbing the walls

When my father died, he left me a will written more than 40 years earlier. He and my mother and my maternal grandparents were all pack rats. It was a house and two barns and ten years worth of some mail. A mess.

After working on it for a year, I felt like I was in knots and couldn’t relax. I was quite sick of counseling and wanted to do body work instead. I found a massage person and worked with him for over a year.

On the first visit he talked to me and then had me stand and walk around. “You are head forward and your toes are gripping the floor.” “I am not!” I said, lifting my toes. He was right, though. I had to relearn how to walk for two weeks, lifting my toes up.

I went to see him once last spring, knotted up again. I thought I was much better at unknotting during the work. I asked, “So am I pretty relaxed?”

He laughed. “You’re NEVER relaxed. Your baseline is 7/10 but you notice that you are tight when you get up to a 9 or 10.” He said that relaxed was 1-3.

I was hurt and annoyed. All that work and he’d never said that and never given me tools. I tried to contact him by email but he either didn’t remember what he said or just wouldn’t deal with it.

I was grumpy.

Meanwhile in clinic, I was teaching the breathing technique to try to relax, to go from sympathetic fight or flight, to parasympathetic. Breath in for a slow count of 4 seconds, then out for a slow count of 4 seconds. I thought, well, I should do it more too. I decide that when I wake up, I will do the breathing technique.

It promptly put me back to sleep. I have used slowing my breathing to go to sleep. I also had three years in college and after where I did daily zen meditation, facing the wall, on a zafu, for forty minutes. Add my flute playing and singing in chorus for the last 24 years and I can do the count way past four. My mind, however, is a very busy place, and meditation often felt like letting a cage full of crazy monkeys out. They all wanted attention. My understanding of zen is that I am supposed to let the monkeys show up but not hold on to them, converse with them, or let them hold the floor. Return to the breath.

When we wake up, we have a cortisol burst in the morning. It gets us going. I am pretty sure that I have some adrenaline too. The slowed breathing calms that right down. According to the pain clinics, twenty minutes of slowed breathing calms almost everyone down into the parasympathetic state. I don’t think that the high Adverse Childhood Experience people are used to parasympathetic. Honestly, looking at the movies and television and video games, I think our culture is not used to it either.

The breathing in the morning is working. My neck and shoulder muscles are more relaxed (in spite of computer use). Maybe I am down to a 5/10! That would be huge progress, right?

And my muscles love the climbing walls, too. Not that I am that good at it, but my muscles really like the intensity and focus. It is so different from clinic, where everything is focused on listening to the patient, typing as they talk, watching, sensing, trying to get a handle on what is happening with them. The wall is like clinic in focus, but my whole body is involved and there is lots of reaching and stretching out of that contained focus.

Sol Duc seems to be good at slow breathing. Cats go from 1/10 to 10/10 in just a heartbeat, or that’s my impression.

There is no alabaster in this house. Not a bit. Perhaps I will meditate on that.

For the Ragtag Daily Prompt: meditate and alabaster.

Quimper Family Telemedicine

Quimper Family Medicine is open and half or more visits have gone to telemedicine.

People are staying home, and hooray for that, many thanks to everyone who is trying to protect themselves and others. We have seen our patient numbers drop by more than half. We have intensified cleaning and discuss whether a clinic visit needs to be in person or can be via telemedicine. I am using VSee, Zoom and in a pinch, Messenger. At the same time I am still seeing some patients in person. We are extending refills, putting off labs, trying to walk the tricky balance of sharing decisions for each particular person.

Many thanks to everyone who is working with us. I am deeply thankful for all the people who are staying home and also for the people working in the grocery stores, supplies, garbage, electricity and medicine. Thanks to the Health Department and to the University of Washington lab and to Jefferson Healthcare’s Covid-19 testing. Thanks for the stimulus package that just passed and I hope will help everyone.

The photograph is Mount Baker on a hike with my daughter. It’s not in sharp focus, just like what will happen in the next week or two is not in focus.

Be careful out there.

birds, beauty, brains

Three happy things today: Birds!

Not a great photograph, right? I like it, partly because it was such a challenge. Still on the big island of Hawaii, we spot two very small birds building a nest. I am zoomed all the way in and holding the camera up to catch a glimpse when one flies in. They are very quick and there is lots of greenery in the way!

I am happy about brains. No, I am not a zombie, I don’t eat them, I just like that my work engages my mind. I learn new things daily from patients, from specialists, from looking up engaging questions! Medicine is changing continuously and I am grateful to be part of it.Β  (Ok, I am not grateful that insurance companies are increasing prior authorization exponentially.)

I am happy about beauty. Here is another glimpse of our small nest builders and we think we’ve identified them.

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I think that this is a common waxbill, also not a native bird. Either that or a black-rumped waxbill but neither of us got a good shot of the back. Hooray for spring and nests.