Every day

Every day
I am thankful for clean water
water to drink
water to wash
I am blessed
by clean water

Every day
I am thankful for food
Good food
to cook
to eat
to share
I am blessed
by good food

Every day
I am thankful that I can stand
that I can walk
that I can carry things
up and down stairs
I am blessed
that I can stand

Every day
I am thankful that I can hear
voices of friends
voices of my family
all the music
my cat and birds
I am blessed
that I can hear

Every day
I am thankful that I can see
all the faces
all the smiles
the trees, the ocean, the birds
the ever changing sky
I am blessed
that I can see

Every day
I am thankful that I can touch
my cat purring
a vegetable for lunch
clothes and doors
friends to hug
I am blessed
that I can touch

Every day
I think of those
who cannot touch
who cannot see
who cannot hear
who cannot walk
who do not have food
who have no clean water
and some of them
are children

Every day
I am thankful
and grieving
at the same time

And I try to do a little
it’s not enough
yet

Some day I will be gone
or we will all have done enough

And every day I am still

thankful

________________

For the Ragtag Daily Prompt: warning.

Thinking about this and that

I am thinking about thinking. What do people think about most of the time?

This partly comes from my ex. He thinks out loud a lot, an external processor. My daughter and I wanted to know what he thinks about. My son asked. “Dad, what do you think about?”

“Golf.”

“Golf?”

“Yes.”

“Anything else?” says my son.

“No.” says my ex.

I have no idea if this is true or not. Sounds hella boring to me, honestly, but he seems entirely happy with it. De gustibus non est desputandem.

I had lovely winter holidays, celebrating EVERYTHING. I went to my son and daughter-in-law’s out east. My daughter and her significant other came out and we did presents on December 27th. Then we went to see my two aunts and uncle for a couple days. They are in their 80s and delightful! Back to my son’s and we saw my kids’ remaining grandparent, my ex-husband’s father’s significant other. Got that? And one of my kids’ paternal cousins with her significant other. I stayed with old friends for the last three days, which was also delightful. We went to the Smithsonian American History Museum and read every single thing. But only in two exhibits because that place is huge.

Now I am back to my current home and hello, cat! Back at work as well. More about that next time. The sands are shifting and I may be in another clinic. Monday a patient asked if I am their new doctor or am I a floater? I said I prefer “Temp” to “Floater”. She laughed.

For the Ragtag Daily Prompt: think.

Austere choice

What could be more austere than rock?

Taken in Echo Canyon in the Colorado National Monument, Thanksgiving, 2024.

Austere choice

Why do I still feel sad when I think
that I am best off with my cat
and that I should eschew dating.
Why do I feel like I am rejecting love?
I don’t have that sort of love.
It’s not like I am rejecting anything.
I am rejecting looking for it.
I am rejecting active interest in a partner
other than my cat.
What is wrong with that?

I do not ever want to reject hope.
I am not trying to reject wanting.
Hope and want are the deep and terrible ache
for the Beloved. I do not reject that.
I am still open, Beloved, to what you send,
though getting more particular in middle age.
A writer says that he uses a pencil and a pad,
because no better tool has been invented.
I take the same approach to wanting love.
If the relationship is more work than my cat,
for less love, why bother? It seems silly
and until I go home to the Beloved,
so far, I am best off with my cat.

____________________________________________

The first thing Sol Duc does when we go out for a walk, is roll on the sun warmed dusty sidewalk. The house faces south.

For the Ragtag Daily Prompt: austere.

Vision

What will peace look like? People
will still disagree often
but like my parents they will appreciate
evidence and science. They will listen
to each other with interest, with respect.
They will bet a penny or a quarter or a million
imaginary dollars and one will go to look up
the correct capital of Azerbaijan, while
the other argues that they MEANT back in 1478,
really, so they do not owe one million imaginary
dollars and they both start laughing again.

_______________________________

The photograph is of the ice in Echo Canyon, two days ago. Or maybe it is angels, waiting.

Low fog

I took this on New Year’s Eve on a walk with my kids and old friends in Maryland. We fooled around in a park. I like the low fog hanging in the trees, always further away when we walked to it.

Seesaw, Margery Daw, Jackie shall have a new master
He shall have but a penny a day, because he can’t work any faster.

That is the version of an old nursery rhyme that I learned from my mother. There is more about it here.

I am going through and starting to delete old blog posts and photographs to make room for the new ones. Not one of my stronger talents!

For the Ragtag Daily Prompt: seesaw.

Incomparable courage

I’ve chosen incomparable for today’s Ragtag Daily Prompt. Yesterday I posted one version of the song Waterbound. Rhiannon Giddens does the traditional version, but then I come across this song. Wow. And yes, such courage in people enslaved and there is still slavery in the world.

For the Ragtag Daily Prompt: incomparable.

Cagey

Traveling from Washington to Colorado, Elwha did not like the car and the unfamiliar places. I took the cat carrier apart in the hotel room and he decided that it was safer inside it than out, even if it was in pieces. Sol Duc did not enjoy the car but is less worried about it all.

And here is Sol Duc in a virtual cage, a shadow cage. She likes the back yard a lot. I have had the house closed up because of the smoke for the last two days, but there is less today.

Do you know the poem by Ogden Nash, The Tale of Custard the Dragon? The chorus is as follows:

Belinda was as brave as a barrel full of bears,
And Ink and Blink chased lions down the stairs,
Mustard was as brave as a tiger in a rage,
But Custard cried for a nice safe cage.

I love that poem! And I love the lines:

Meowch! cried Ink, and Ooh! cried Belinda,
For there was a pirate, climbing in the winda.

Ogden Nash was perfectly happy to bend words to fit the rhyming scheme and to heck with spelling!

The entire poem is here.

I still have not heard about Elwha. I hope that he has moved in with an older couple and spends most of his time on their laps. I can see him crying for a nice safe cage.

I thought there must be a song of it, but so far I like this tenth grade rap version best!

For the Ragtag Daily Prompt: cage.

Adverse Childhood Experiences 15: Guidelines

I wrote Adverse Childhood Experiences 14: Hope quite a while ago.

The American Academy of Pediatrics has a guideline that physicians should introduce and screen for Adverse Childhood Experiences. The American Academy of Family Practice is skeptical, here: https://www.aafp.org/pubs/afp/issues/2014/1215/p822.html. Here are two more writeups: https://www.aafp.org/pubs/afp/issues/2020/0701/p55.html and https://www.aafp.org/pubs/fpm/blogs/inpractice/entry/screen_for_aces.html.

It is difficult to screen for ACE scores for the same reason that it is difficult to screen for domestic violence and to talk about end of life plans. These are difficult topics and everyone may be uncomfortable. Besides, what can we DO about it? If growing up in trauma wires someone’s brain differently, what do we do?

I don’t frame it as the person being “damaged”. Instead, I bring up the ACE score study and say that first I congratulate people for surviving their childhood. Good job! Congratulations! You have reached adulthood! Now what?

With a high ACE score comes increased risk of addictions (all of them), mental health diagnoses (same) and chronic disease. Is this a death sentence? Should we give up? No, I think there is a lot we can do. I frame this as having “survival” brain wiring instead of “Leave it to Beaver” brain wiring. The need to survive difficulties and untrustworthy adults during childhood can set up behavior patterns that extend into adulthood. Are there patterns that we want to change and that are not serving us as adults?

This week a person said that they blow up too easily. Ah, that is one that I had to work on for years. Medical training helps but also learning that anger often covers other feelings: grief, fear, shame. I had to work to uncover those feelings and learn to feel them instead of anger. Anger can function as a boundary in childhood homes where there are not adult role models, or where the adults behave one way when sober and an entirely different way when impaired and under the influence. There may be lip service to behave a certain way but if the adult doesn’t behave, it is pretty confusing. And then the adult may not remember or be in denial or try to blame someone else, including the child, for “causing” them to be impaired.

What if someone had a “normal” childhood but the trauma all hit as a young adult? I think adults can have trauma that changes the brain too. PTSD in non-military is most often caused by motor vehicle accidents. At least, that is what I was told in the last PTSD talk I went to. Now that overdose deaths have overtaken motor vehicle accidents as the top death by accident yearly in the US, I wonder if having a fentenyl death in the family causes PTSD. Certainly it causes trauma and grief and anger and shame.

I agree with the American Academy of Pediatrics that we should screen for Adverse Childhood Experiences. We need training in how to talk about it and how to respond. I have had people tell me that their childhood was fine and then later tell me that one or both parents were alcoholics. The “fine” childhood might not have been quite as fine as reported initially. One of the hallmarks of addiction families is denial: not happening, we don’t talk about it, everything is fine. Maybe it is not fine after all. If we can learn to talk to adults about the effects on children and help people to change even in small ways, I have hope that we will help children. We can’t prevent all trauma to children, but we can mitigate it. All the ACE scores rose during the Covid pandemic and we are still working on how to help each other and ourselves.

Here is another article: https://www.aafp.org/pubs/fpm/issues/2019/0300/p5.html.

Blessings.

For the Ragtag Daily Prompt: open wound.

The photograph is one of Elwha’s cat art installations. He would pile toys on his bowl. Two bowels because I need to keep out the little ants. Sol Duc would do it too but not as often. I fed them in separate rooms. They would pile things on the bowl whether there was food left or not.

Elwha is still missing, sigh. That is a wound. The photographs are from March 2023.