Tag Archives: hide

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Busy clinic

Clinic has been hopping. I have been at the present site now for six weeks, so I am starting to know a few of the patients. That is, the ones that are sick and I am worrying about. It is best if your doctor’s pupils don’t dilate when they hear your name.

I have been getting helpful calls back from specialists. I have a person who has high liver tests where hepatitis and overweight and alcohol don’t seem to be the cause, so I needed an updated list of what labs to send for some of the less common liver problems. Thyroid disease, hemochromatosis, alpha one antitrypsin deficiency, smooth muscle antibodies, various other antibody disorders. The list is quite a bit longer than in the past. I warn my patient that some will come back right away and some may take a week or two. The patient is anxious and wanted to go right to the emergency room, but I ask them to wait: I get a call back from gastroenterology within 24 hours to set up the current laboratory order list.

For liver tests, we ask about alcohol intake first. Then look at weight: a high body mass index can cause fatty liver disease. Unfortunately, that can lead to cirrhosis and liver failure, so it is not trivial. We check for hepatitis A, B and C. Then we start looking for the less common causes. My person is relatively young, but that is with me taking care of age 18 and up. I tell my person not to take any supplements, I look at any prescribed medicines. No alcohol for now.

The list of tests changes quickly. If I have not worked this up recently, it’s good to check in with the specialist. The gastroenterologist may not be up to date on ankle sprains, but they are tracking the changes in their specialty. My specialty is everything, so sometimes I need a current update. Most of the specialists are just fine with this phone call.

Occasionally I do this by message. I have a new diabetic who has a cardiologist already. Diabetics are usually put on either an ace inhibitor or an angiotensin receptor blocker to protect kidney function. I message the cardiologist and get a fast answer. Start an angiotensin receptor blocker and the suggested dose. Also very helpful.

A patient tells me on the phone that I get an “A” for the day. I called them to check on them two days after changing a medicine dose and to say that the other specialist wants even MORE laboratory tests. The patient says she has not gotten a call from a doctor before. The “A” made me laugh, but it did feel good.

I am learning the local medical pathways and how to get things done in this particular medical system. The functional bits, the dysfunctional bits, and how to work around them.

For the Ragtag Daily Prompt: functional.

Sol Duc really likes staying in her pillow fort. Sometimes I want to hide in a pillow fort too. So much for being “grown up”.

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Free agent

The Agency contacted me yesterday.

“Yes?” I say.

“Are you free?” Dispatch always sounds so disinterested.

“Yes, I’m free.” I try not to sound annoyed. I am too good at my job. I’ve given up on dating. This frees me up for the Agency.

“Room two.”

Room two has a woman who looks frozen. I introduce myself, a stranger, her previous person left.

“Are you sleeping?”

“No. Well, I fall asleep but then I wake up. Nightmares and my heart beats so fast. Then I can’t go back to sleep.”

“Did something happen?”

Her face tightens all over. She wants to tell me but not let the emotions out. “A scam!” Now the dam is cracking and falling apart. The story comes out bit by bit. “They opened an account in my name! Took out a loan! I am so scared. And ashamed. We could lose the house.” Not many tears. She won’t let them.

“Ok, I think this is a PTSD reaction. The not sleeping is really common. Can you talk to your husband?”

“I’ve snapped at him! We never fight! Forty two years!”

The monsters are visible now. Clinging to her, but some are coming to cling to me. Fear, shame, grief, anxiety, fatigue. They aren’t really that big, because she has been a careful person, a wise person. But this has cracked her open because she never expected it.

“Have you contacted the authorities?” We talk about what she has done, the practical bits. She has already made wise moves. It’s the feelings that are upsetting her.

We pick something for sleep, a low dose, not one of the newer addictive ones. An antidepressant that will hopefully make her sleepy. Close follow up is even more important, to be sure that she is starting to comfort the monsters. Many of the monsters are crying for her. I think they will be ok.

She is more comfortable before she leaves. She brought the feelings out and I was not horrified and I did not shame her. They weren’t so bad after all, when she brought them out in the light of day. It’s when they are fighting to be felt and heard that they feel so dark and dangerous and frightening.

I leave the room. She will be back in a week, sooner if she needs to. One of her monsters smiles at me tremulously as it clings to her. I smile back and nod. I think they will be ok.

For the Ragtag Daily Prompt: agency.

I write this and then start humming. Yes, this is the right song.


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Comfort?

Mother says we are at a Comfort Inn, but I don’t think so. I am NOT comfortable! Mother packed things for days and took them out to a car. Not the usual one! We don’t like it when she leaves, but this time she kept taking OUR things out. Our privy! Toys! The playtube! Our crate! We wondered if she was giving them to Other Cats, horrors. But then she put our harnesses on and put us in the carrier and in the new weird smelling car. The car went with us trapped inside! And it went and went and went.

We objected. Mother had a net between the front and back, but we both outwitted that easily. Sol Duc went under the seats. I sat on Mother’s lap. She stopped and explained that this was not safe. I knew that! Cars aren’t safe! She put us back in the carrier and moved things around and then we rode in our crate. We had food and water and our privy. We could see Mother and the horrible terrible trucks around us. We complained some but at least we were in the crate. We slept sometimes.

At last Mother stopped and put us in the carrier again. It smells very strange outside and we are NOT at home. She took us in to the Comfort Place. I refused to leave the carrier. She took the top off, but I can hide under the top.

We really do not know what will happen today. Mother can be very crafty. We outwit nets, but the car is more difficult. We do want to stay with Mother.

Last night we used the harnesses to make new art. We are crafty too.

For the Ragtag Daily Prompt: craft.

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quiet woman 2

mirror mirror

I am culpable as the mirror
hiding hiding hiding
curious about you
what is it you want to see?

I am always surprised
when a man lays his fantasy over me

I have hidden and studied people
for many years
now realize that that is why
the fantasy gets overlaid

I did not know
I was hiding behind a mirror

I think about four men
serial monogamy
over fifteen years
a year break after each

a mirror reflects
a man’s own anima: his ideal woman

all four so different
yet there is a thread that binds
trauma like my trauma
and closer and closer to an opposite

I do not want to be a mirror
any more

the connection of the damaged child
I tried so very hard not to trigger
until the mirror broke
I hold pieces up in my bleeding hands

they leave when the mirror breaks
now I understand

this time was hardest and least hard
at the same time
I could almost see what was happening
almost

and now I can see
and break the pattern with the mirror

my friend says
why don’t you let them see
who you really are?
they would never have let me work

I had to wear the doctor mask
even with other doctors

the nurses and the staff saw through it
right away
they’d call me for patient needs
and knew I’d answer

did I have to wear the doctor mask
or did I wear it to feel safe?

water over the dam
but it’s time to take down the dam
and be myself
and not a mirror

I didn’t know this quiet woman is me

_________________________

For the Ragtag Daily Prompt: ART!

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I have seen the frogs

I have seen the frogs
in the northwest

all you have to do is be quiet
near the puddles
or a pond

walk there very very quietly

in the spring they are singing
to each other
calling
a symphony of longing and joy
and they don’t hear me
when I walk very quietly
at the end of the world

as a child my father teaches me
to catch frogs

very quietly
approach the pond
or puddle

if the frog hears you
it will duck under water
you will only see a ripple
spreading out

or it will hop
into the woods
and hide

my father
would occasionally use frogs
as bait
to catch northern pike
a live frog on a hook
frogs scream
when you stick a hook through their back

I hope they go into shock then
and don’t feel much

one we’d seen this
my cousins and my sister and I
when my father got his fishing rod
we’d run through the woods
yelling “Hide the frogs, hide the frogs!”
and we would catch any frog
that was dumb enough not to hide
and quickly set it in the woods
to hide it from my father

we would check the puddles, too
feeling in the brownish muck
to make sure no frog was hidden
in the shallow puddle
come out, you must go in the woods
to survive

to catch the smart ones
normally
we would tiptoe to the puddle
hoping a frog was facing the other way
if they saw us, they were gone

slowly bend down, hand out
behind the frog
reach gently
grab just above the back legs
not too hard, don’t squish it

I was under ten
on a canoe trip
when I run to my father
“A frog! A frog! The biggest frog I’ve seen!
Papa, come help!”
My father comes.
An enormous frog is beside the canoe.
“Catch it.” says my father.
“Please! You catch it!” I beg.
My father creeps up on the frog.
His hand moves out slowly.
He grabs the frog, who tries to jump
and croaks, a bass, huge mouth.
“It’s a young bullfrog,” says my father.
“It will get even bigger.”
He hands it to me.
I take it carefully, shaking a little.
“We could eat it’s legs.”
“NO!” I say. I just want to hold it for a minute.
I turn it over and gently stroke it’s throat.
The frog goes limp, mesmerized.
I set it down gently, right side up,
near the water.
I squat by the frog and wait.
I am waiting for it to wake up.
The frog is so beautiful.
I wait until it wakes up
and returns home.