I wrote this in 2016, when at least nine people died of overdoses in Vancouver, BC at Christmas, from fentanyl. I knew fentanyl was hitting my corner of the Washington State too. Warning, this contains a lot of swearing (edited so this does not become a “mature” site). I was in a very bad mood when I wrote it. It is meant to be black humor, to help me deal with grief.
See, heroin is rather labor intensive to produce, being from the opium poppy and all that. (When people say “I only take natural supplements.” I want to say, “You mean like opium and heroin? You know, plant based.”) Also, Afganistan, those fungkers shoot you as soon as look at you. It turns out that fentanyl is cheaper to make and you can source the ingredients from China.
And then, you can make fake oxycodone tabs and fake hydrocondone pills and sell them for bitcoin on the silk road. But you know, ya gotta mix the sheet right. If you mix it wrong and a buncha people overdose and die, there are complaints. Ya might get some scared clients, like, junkie friends of junkies. And then there are also those chronic pain people who aren’t junkies but been forced onto the streets to treat they habit, I mean, pain. We got a good thing going, the pill thing, because the junkies think that pills is safer than heroin. You might scare the fungkers and then how the fungk will I be able to buy that island with my bitcoin?
So dealers, ya’ll fungkheads, ya messing it up if you don’t get the goddarn mix right. See, fentanyl is not routinely tested for on the blood and urine drug screens. So the person gets labelled as an oxycodone overdose and no one knows that it’s fake pills. But when there are too many deaths, the goddarn feds and doctors get suspicious and start testing the pills.
Same with heroin. Cheapens things to cut it with fentenyl. But you gotta calculate right, because if you kill a whole bunch of clients at once, 1. you cut into profits 2. you make the cops and docs suspicious. You gonna ruin it for everyone, you goddarn morons.
And now I hear we got a new mix. Carfentanil, an elephant tranquilizer. Read the recipes carefully, morons, it’s 10,000 times as strong as morphine, you gotta dilute the sheet 10,000 times. Don’t you know math? Take a goddarn chemistry course.
Don’t fungk things up for the responsible drug dealers. A live client keeps on paying.
Wait, another? We don’t go through the stages of grief once. We go around and around, like a spiral. Some days we want to lie down in the driveway and just not move. Others it seems like the there might be a tiny bit of sun in the world after all. A mourning handout from the American Academy of Family Practice writes about a culture where one is considered “legitimately crazy” for a year after the death of someone loved. The person is allowed to be emotional, complain, wear their bathrobe all day and call people at 3 am.
Maybe we are all in that stage right now.
Stages of Grief Playlist 2
Denial
The Offspring: Pretty Fly for a White Guy
Bargaining
Kate and Anna McGarrigle: Hard Times Come Again No More
My sister had breast cancer for 7 years. She said that the five stages of grief missed two. She adds “Acting Out” and “Revenge”. I am planning a series of stages of grief playlists, because we are coming up on one million US citizens dead of Covid-19 and we are at six million world wide and counting. We need help grieving. I have other stuff going on to, so my go to is music.
My theme for the April AtoZ blog challenge this year is art. I think it will mostly be my mother’s art. She died in 2000 of ovarian cancer. My only sibling died in 2012 of breast cancer and my father in 2013 of emphysema. And I have the art: my parents were both packrats and trying to deal with the house and an out of date will took about three years. Moving stuff around, getting rid of stuff. The art initially went in to a storage unit and then into my house. My mother Helen Burling Ottaway was prolific! And she kept every single piece of art and her diaries back to high school! I found a suitcase with my grandfather’s poetry as well: that will be for another day.
This painting is of my sister. My mother started oils later in her career and Michael Platt, a DC artist, said something like, “Quit doing tiny things. Do something big.” My mother started doing life size and larger than life portraits in chalk pastel and in oils. This painting captures my sister when she was twenty: emotions. I like it but I also think that it is frightening.
Christine Robbins Ottaway age 20, by Helen Burling Ottaway, oil, 1984
I am taking a writing class and our next book is on cultural appropriation.
This interests me. I tend to be a little gender blind and race blind when I meet people. I am using my super skill instead. My skill is developed from a really scary childhood: I read the stuffed emotions. The stuff people are hiding.
No way, you say. Oh, yes, I say.
My sister described coming home from high school and stopping when she walked into the house. She was trying to sense what was going on. Were our parents fighting? Was our father drunk? Yes, he was drunk, but which stage?
We talked about the stages and which we hated most.
Stage goofy/silly was annoying but not toxic. We said we had homework.
Stage asleep in a fetal ball in the upstairs hallway. My sister said she would step over him to get to her room.
Stage maudlin. We both agreed this was the worst. He would cry and say, “You can tell me anything.” Once he caught me in that stage and I was in tears by the time my mother got home. I left the room. The next morning mother said, “He said you two were discussing the cat’s disappearance.” I didn’t answer. We never said a word about the cat. I didn’t know if he was lying or was too drunk to remember it the next day, so made it up. Don’t care. Avoid.
He was never physically abusive. He and my mother would scream at each other at 1 or 2 am through most of high school. Reading her diaries, she writes that she drinks too much. I think they were both alcoholics, thought the family story is that he was the bad one. But I can’t imagine yelling with a drunk at 1 or 2 am for an hour. What is the point? They are drunk. So either she was drunk too or needed to fight.
Emotionally abusive, yes, both parents. My mother would take any show of fear or grief and tell it as a very very funny story to every person she ran into. Is it any surprise that I had to go into therapy after she died to learn to feel fear or grief? My sister would say, “She’s got her stone face on,” about me. Um, yeah, I am NOT going to let my family see my emotions…
Anyhow, that is what I read in people when I first meet them. It’s not the suit, the clothes, the make up, the race, the gender. I pretty much ignore those. I was fashion blind in junior high, a girl geek, could not read the code and did not care. I had given up on socializing with my fellow students. I was hopelessly bad at it. I did a lot better with the adults around my parents. I could have actual conversations with them.
I had one patient who was transgender where I couldn’t remember which direction. I didn’t care, either. That was a really angry person. Anger is always covering other emotions, so I avoided pronouns and tried to be as gentle as possible.
I complained to a counselor once that I can’t turn this “off”. And that it’s fine in clinic with patients, but it screws with my relationships with my peer doctors. They do not like it if I “read” them.
It took me years, but I finally realized that I have to use my clinic skills with everyone. I can’t turn off “reading” any more than you turn off your eyes when you meet a new person. But I can be as gentle with everyone as I am in clinic. I realized that as I started on a trip and the trip was amazing, everyone was so nice.
This reading is a product of a high ACE Score: Adverse Childhood Experiences. I score about a 5. One of my patients set off my ACE alarms on the first visit. I asked if he had had a rough childhood and gave a very short explanation of ACE scores. “Oh, I am a ten out of ten,” he said. He was, too. Ran away from home at age 6 or 8.
The ACE scores of all the children are rising from the last two years. The war will raise them even more, worse for the children there and the kids trying not to starve in Afganistan and Syria and world wide.
It will be interesting to read about cultural appropriation. But I don’t care much: I don’t “see” those things when I meet someone.
Hugs and blessings.
The photograph is me and my sister Chris in 1987, before my wedding. We were dancing before the wedding. She died in 2012 after 7 years of breast cancer.
Doctors and nurses and hospital staff are the last caregivers for the elderly alcoholics and addicts who are alone, whose families have finally cut them off. I think this song illustrates their pain. We try to take care of them.
Some days this beach is mostly sand. Yesterday it is rocks and more rocks, pebbles, stones, sand, beautiful. We are having lots of cliff collapse and new rocks are washing down. I was walking on North Beach last week when I heard bits of cliff fall. I turn and look and a nice one foot by 8 inch boulder falls from the top and rolls towards me, very fast. I stumble backwards and trip over a big boulder in the sand. I don’t hit my head and get knocked out and I don’t get hit by the falling rock.
The black toes are mine, so this is a stealthie.
I start back a little and another section of cliff rains rock. The tide is fairly far out, so I walk near the water until I am back where there is no cliff. Scary. Sometimes large sections collapse all at once. Death occurs by blunt trauma rather than suffocation.
I worry about seeing shoes or feet when I see a newly collapsed section. Happily none so far.
My emotions are like the beach. Some days clear and sun and sand. Other days LOTS of new rocks. Other days stormy and the tide is very high and pulling at the sand and clay cliffs.
I receive a valentine from my daughter. She says she loves me. She says she misses the beach and the water most of all.
I find agates and they are beautiful. Some are clear and some are not and new ones keep arriving.
This agate lights up when the sun is out or a light is behind it.
Let the light shine through, in spite of the weather.
I wrote this poem a long time ago. I was thinking about how being a physician and taking care of other people let me avoid my own feelings. Doctors are trained to hide their feelings. When I was an intern, a patient died on my day off. I came back to find the person gone. No one on the team said anything. I was afraid I’d done something wrong. Was it my fault? Finally I screwed up my courage and spoke the the attending physician. “Oh!” he said, “I meant to talk to you about that patient. They had a lethal pulmonary embolus from the clot in their leg. They were appropriately anticoagulated. You did nothing wrong. This happens.”
I think the war is more of the same. Chaos, to avoid feeling. Let’s not do that. Let us grieve as a world. Let us not melt down in a conflagration. That is my prayer.
Chaos
So familiar
If there’s a mess And chaos Home that’s home Busy busy Run around Fire fire Fix it Crisis Now what Deal with it
No time for feelings
No no
No time
I don’t want chaos Liar liar
Chaos is so safe
Hero hero Put out the fire Catch the baby Confront Not a hero really Scared Hiding
If I stop the chaos I will have to feel
Maybe it’s ok To feel a little
I forgive myself I understand the chaos I can let go of it by degrees
I feel so vulnerable In the quiet clean safe place Take your time sweet self
Discover and re-discover Mexico’s cuisine, culture and history through the recipes, backyard stories and other interesting findings of an expatriate in Canada
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.
Refugees welcome - Flüchtlinge willkommen I am teaching German to refugees. Ich unterrichte geflüchtete 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.
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