Tag Archives: memory

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nebulous

For the Daily Prompt: mnemonic.

I know lots of mnemonics. The first that I learned is “Every Good Boy Does Fine”, for the lines of the staff of the G clef, for playing my flute. Medicine is full of mnemonics. An out of date one: Shock, shock, shock, everybody shock, big shock, little shock, shock, shock, shock. This used to be the order of shocks and the medicines for cardiac arrest. It has changed…

…but I would rather look at the photograph than think about mnemonics. It is not a nebula, but that is a star. I took this with my cell phone when it was almost too dark, so the nebula like shapes are the tops of trees, a block from my house.

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flooded

I wrote this after the tsunami in Japan. I was thinking about PTSD and triggers and being overwhelmed. And the flooding now in Texas….

Flooded

I cry because
the laundry overflowed
the sewer blocked again
we might have to pull up the floor
and lay it down a third time
I hate the laundromat
water runs across the floor
as fast as the tsunami
crossing the fields
crushing the houses
catching the trucks
in Japan

I cry because
I have to ask for help again
Help comes
but the memories of asking
when it didn’t
help didn’t come
and I was abandoned or humiliated
rise up and overwhelm me
I am flooded
I am helpless
someone help those people
The shaking earth is bad enough
But the ocean rolling inland
Over all
Breaking all
Beams to toothpicks
Those are the memories that rise up
And flood me
I think of the soldiers
and victims of wars and disasters
and PTSD
tsunami
of memory

 

previously published on everything2.com

For the Daily Prompt: memorize. In PTSD, the memories are not what people want to memorize.

music  Randy Newman Louisiana 1927

 

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cabin door

Another door, this taken by my daughter,  of me and a door. We stayed in a cousin’s cabin because our most functional and least ghost occupied cabin was set for a new roof. My cousin kindly let me use their cabin.

My parents helped my aunt and uncle build this cabin. My father talked about it. I have been going to the lake since I was a baby. Now I go about every other year: too far for yearly.

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shellfishie

This is a beach but not the ocean. We were on Chesapeake Bay, the Western shore, three days ago.

For Memorial Day, this takes me back to my paternal grandparents’ house, on Topsail Island in North Carolina. The two small black items are fossilized shark’s teeth. As the water erodes the shore, the fossils wash up. My grandparents walked the beach every day and as kids we learned to hunt and spot the shark’s teeth. The white tooth has been replaced by black stone. They are shiny and that curved pointed shape stands out with practice.

My skills returned on the Bay beach. We found other fossils: a fossil dolphin tooth, fossil coral, fossilized bone and wood. The sand and sky and foliage and shells are so different from my Pacific Northwest beaches.

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Happy feet

This is for photrablogger’s Mundane Monday #111.

Though it isn’t a mundane Monday, is it? I always miss my mother on Memorial Day because her birthday is May 31. The end of May makes me a little sad. She died of cancer in 2000. But…. my feet look like hers.

It’s a selfie with shells and a beach, near fish… A shellfishie….

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Break your own rules

If I say “Food fight.” you may think of Animal House.

I think of my mother.

I am in high school in Alexandria, Virginia. My sister is three years younger. We are in the kitchen, it is hot. 99 degrees F and 98 percent humidity and the back door is open. We do not have air conditioning. We are eating watermelon. The old kind: with seeds.

My mother holds up a seed, pinched between her fingers, looking wicked.

My eyes narrow. “If you shoot that, you started it.” …. not in the house, is the unspoken rule that echoes.

She shoots it at me.

We all three start pinching the slick black watermelon pits at each other, laughing like hyenas. In a large kitchen with open shelves and dishes placed on all the shelves, often nested. It devolves into small chunks of watermelon, hurled at each other. No rinds, because of the open shelves. At last we all run out of pits and watermelon and stopped

There is silence while we survey the very impressive mess. There are watermelon seeds everywhere. And the floor is pretty wet.

Watermelon is STICKY.

We laugh more and start cleaning up. I leave for work or school or something.

Later my mother says, “I washed the floor three times before it stopped feeling sticky. And I kept finding watermelon seeds in the dishes on the shelves for the next two years.”

And: “It was worth it.”

The photograph is of my mother in high school.

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Katy B’s Fruit Torte

Katherine White Burling was my maternal grandmother, and this recipe is attributed to her. I still have the small three ring binder that my mother gave me when I was in high school, explaining that my sister and I had to do some of the cooking. We told her what we wanted to make and she would write the recipe in our book and help us. I wrote this recipe out in the 1970s.

preheat the oven to 350 F

cream: 1 C sugar
1/2 C butter

while the butter is softening enough to cream, cut up fruit: apples, pears, peaches, rhubarb, or use berries…

Add: 1 C flour
1 tsp baking powder
salt
2 eggs

Spread in in a buttered, floured pan. Cover with chopped fruit: apples, pears, peaches. Today I am using rhubarb and a peach. I particularly like the tartness of rhubarb.

Sprinkle with sugar and lemon juice
Dot with butter on top.
Bake for 30-40 minutes, depending on your oven.
Cook until browned a little in the part that rises around the fruit, and when a toothpick comes out clean.

mmmmmm

For a while I lived at 7500 feet and had to alter recipes:
subtract 3 tablespoons sugar
use 3/4 tsp baking powder

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Admitting diagnosis: Old guy, don’t know

During my three months temp job in 2010 at a nearby Army Hospital, I was asked to help the Family Medicine Inpatient Team (FMIT) whenever a faculty member was sick or out, which turned out to be fairly often. I enjoyed this because I wanted to work with residents, Family Practice doctors in training. It was very interesting to be at a training program, watch the other faculty and work at a 400 bed hospital instead of my usual 25 bed one.

Two patients needed to be admitted at the same time on our call day, so the second year resident took one and I took the other. The report on mine was an 82 year old male veteran, coughing for three weeks, emergency room diagnosis was pneumonia.

The resident soon caught up with me because her person was too sick and got diverted to the ICU. Mr. T, our gentleman, was a vague historian. He said that he always coughed since he quit smoking 15 years ago and he couldn’t really describe the problem. He’d gotten up at 4:30 to walk around the assisted living; that was normal for him because he used to do the maintenence. He had either felt bad then or after going back to sleep in a chair and waking at 10. “I didn’t feel good. I knew I shouldn’t drive.”

He’d had a heart attack in the past and heart bypass surgery. Records were vague. The radiologist read the chest xrays essentially as, “Looks just like the one 3 months ago but we can’t guarentee that there isn’t a pneumonia or something in there.” He had a slightly elevated white blood cell count, no fever, and by then I did a Mini-mental status exam. He scored 22 out of 30. That could mean right on the edge of moderate dementia, or it could be delerium. I got his permission to call his wife.

“Oh, his memory has been bad since he spent a year in a chair telling them not to amputate his toes. And he was on antibiotics the whole time. He wasn’t the same after that. He just said he didn’t feel right and that he shouldn’t drive.” So his wife called an ambulance.

The third year chief resident came by and wanted to know the admitting diagnosis. “Old guy, don’t know.” was my reply. “Either pneumonia or a urinary tract infection or a heart attack maybe with delerium or dementia or both.”

The second year was helping me put in the computer orders, because I was terrible at it still. She could put them in upside down and asleep. “Why are we admitting him, anyhow? We can’t really find anything wrong, why not just send him home?”

“We can’t send him home because he can’t tell us what’s wrong. He might have an infection but he might not, and he has a really bad heart. If we send him home and he has a heart attack tonight, we would feel really bad. And he might die.”

I was getting a cold. I had planned to ask to work a half day but half the team was out sick so I just worked. But by morning I had no voice and felt awful. I called in sick.

At noon the phone rang. It was the second year. “You know Mr. T, who we admitted last night?”

“Yes,” I said.

“He had that heart attack during the night. Got taken to the cath lab. You made me look really good.” We had worked on the assumption that it could be early in a heart attack though the first labs and the ECG were negative. I had insisted on cardiac monitoring and repeating the enzymes. The resident had finished the note after I left and the night team had gotten the second and abnormal set of enzymes.

82 year olds are tricky. With some memory loss he couldn’t tell us much except that “I don’t feel right.” He was right not to drive and we were right to keep him in the hospital. And if it had all been normal in the morning, I still would not have felt bad about it. The residents are looking for a definitive diagnosis, but sometimes it’s “Old guy, don’t know,” until you do know.

 

Previously posted on everything2.com in April 2010. I am not sure if this branch was dead or not, but the moss grows on it here in the wet winter anyhow.

I took the photograph in the woods last weekend.