Bananafish

As I say in the Ragtag Daily Prompt yesterday, I go for a float on the New River near Floyd, Virginia, with my cousin Steve and his wife Dyane. Steve says, “Let’s go for a float on Saturday.” I am picturing myself in an inner tube with a beer, very very relaxed.

On the day of the float, Steve says, “Do you want to fish?”

“Sure”,” I say. He is a pro fishing guide and I was not trying to angle a guided fishing trip. Also, I have not fished for years and have only attempted a fly rod once. And I was informed that I was terrible at it.

On the way to the New River, with Steve driving like a banshee and the boat trailer howling behind us, Steve says, “You have to get a fishing license. Go on line.”

Why do I need a fishing license? I won’t catch anything. I don’t know what I am doing. I struggle with my phone as the truck whips down the two lane roads and I get a three day fishing license for the State of Virginia.

We go to the New River and unload the boat. “This is the second oldest river in the world. The oldest is the Nile. They both flow North.” I am wondering how you “age” a river, but we are unloading the boat and fly fishing gear. No beer, sigh. I can’t drink it anyhow unless it is gluten free.

Steve’s son ferries the truck and trailer to the take out, and we are off in the boat. It’s a beautiful little boat, with a fishing seat in the front and a seat in the back and Steve is in the middle, rowing just enough to keep us 30 feet from the bank. Exactly.

“You remember how to cast, right.” says Steve, handing me a fishing pole. A fly fishing pole. The fly is about three inches long, has deadly looking hooks, and bubbles when you reel it in. “It drives the fish insane, so they hit it,” says Steve.

“Well, um. I pull on the line, right, and there is something you flip to let it loose?”

“Didn’t grandpa teach you to cast?”

“No, never.” My father and paternal grandfather did not get along and we didn’t visit much. I thought that Grandpa just was not interested in teaching girls to fish, but my aunt says, no, he was afraid of my father. They never made up.

Steve gives me a minute of instruction and I start casting. I am in the back of the boat, thank goodness. I am more worried about catching myself or my cousins or the boat or a tree, and can’t imagine catching a fish. The lure is a Whopper Plopper which bubbles pleasantly as I reel it in. I am quite terrible but don’t hook myself. Steve and Dyane take turns rowing and they are really really good. Steve is using a cork bug, a handmade and painted “popper”. He lands it on the water as light as a bit of dandelion fluff.

I am instructed to pull if I get a hit. Much to my surprise I get a hit and I pull, mostly because it startles and scares me. That fish gets off. The second fish hits Dyane’s line and she reels it in. I want a picture of a fish. Steve holds up the little smallmouth bass. Might not want that photograph for advertising, cuz. Back into the water it goes. Dyane catches another. I catch a fairly good sized one and here is the picture. I am just as surprised as I look, surprised that I caught a fish.

Now Dyane rows for a while. Steve fishes off the front, waving his pole and dropping the fly one foot from the bank. He is telling Dyane, “Watch the current and the wind, you want to anticipate so the boat is neither too close nor too far from shore.” I had asked if there were any rapids. No, says Steve. I have my big camera, because we are not going to tip over.

Storm clouds are building up. There is some thunder. It isn’t raining yet.

No fish for a bit. We come to a small side stream. Steve is rowing. He says, “Hey, this is where someone caught a Muskie last time we were out. I’m just going to drop a line in.” I have stopped fishing for the moment because I am tired and getting clumsy and I want to snack and take photographs. Steve picks up the pole with the Whopper Plopper and drops the lure in to the mouth of the stream and WHAM, a fish hits immediately. It is BIG.

“Row into the stream where it’s cooler, Dyane!” yells Steve. I grab the net. “No,” says Steve, “That net is too small.” I put it down and plop back on my seat, Steve is fighting the fish and Dyane climbs into the rowing seat and moves us towards the stream.

The fish is calmer in the cold, I guess. Or tired. Steve climbs out of the boat, picks up the Muskie and gently takes the hooks out. It looks like an alligator without legs. The head is all mouth and teeth and the whole fish is a yard long. (There is more lightning and thunder and closer. I am thinking the F word.) Steve puts it back in the water as soon as I snap pictures. “Gotta make sure it’s ok,” says Steve, watching the legless alligator sit on the stream bed. It looks grumpy. There are two more in the water by the boat.

BLAM! LIGHTNING HITS THE FIELD BEHIND STEVE SIMULTANEOUS WITH THUNDER AND HE JUMPS. “OH!” he says, “I FELT that. I just got hit by lightning!”

“Are you ok?” then I look in the water. “Are the fish floating belly up?” No, they are not. Steve is not burned, just a shock traveling through the earth and the water. “CAN WE GO NOW?” I say, “ROW!” There is now a shit ton of lightning all around us with thunder at the same time and the rain starts. I’ve got my camera in plastic right away, but I am eyeing the metal in the boat. “Is that conductive?” I say, as Steve starts rowing with the current.

“Hell, yeah,” says Steve. I am trying not to touch any of the metal in the boat, holy crap, ROW, get me OUT of here. Shore is no safer and now it’s pouring. Warm, but the LIGHTNING.

Steve is still pretty amazed, “I was hit by lightning!” Dyane and I just mutter “row”. The lightning moves further away with the edge of the storm and now it’s just raining a soaker rain.

The rain starts to let up a little. “Anyone wanna fish again?” says Steve.

“NO! There might be lightning at the back edge of the storm. ROW, please.”

Steve gets a phone call about the guiding the next day. I reach forward and try to keep rowing with one oar (I am DONE with this float) and he gets off the phone reasonably soon and rows again.

We arrive at the take out, with the tail edge of the storm passing over us (the back?) and one of his partner guides is loading their boat back onto the trailer. “Hey!” says Steve, “I got hit by lightning!” He tells them about it and then gets the truck and trailer. We pull the gear out of the boat. BAM! There is another big lightning strike right across the river, but none of us are in the water. Phew. I get in the truck. I’m not cold but very wet. I do have a change of clothes and a towel. We had planned to swim, but the lightning dissuaded Dyane and me.

We drove the truck back to the house and both Dyane and I had a small glass of wine. A friend has been motorcycling around the country and he told me about five different people killed by lightening in a thunderstorm up around Chicago. He had gotten off the bike and gone for shelter. Good decision!

Next morning we are all up making coffee and discussing breakfast, when Steve looks at Dyane. “It was the BANANAS!” he says.

“What?” I say.

“BANANAS!” says Steve.

“Oh!” says Dyane. “I forgot1”

“What?” I say again.

Steve explains. “Bananas are bad luck on boats. It’s a really old superstition. Dyane packed two bananas and you ate one and she ate one. You can’t take bananas on fishing boats.” I look it up. Here: https://www.aquamarinepower.com/bananas-on-a-boat/ . It dates to the 1700s. No bananas on fishing boats.

And that is my bananafish story.

________________

The photograph is my cousin Steve as he casts right before the Muskie hits, with Dyane and with the storm clouds piling up down river.

Here is his fly fishing site: https://newriverflyfish.com/

A day late, but for the Ragtag Daily Prompt: fishing. You will see the Muskie on the RDP site from yesterday. But today’s post also fits today’s prompt: cloudy!

Rong again


Oogenesis: When do eggs form in humans?
https://www.britannica.com/science/oogenesis

Spermatogenesis: When do sperm form in humans
https://www.verywellhealth.com/how-long-does-sperm-live-8735193


Rong again


The sperm form all through a man's life
and die after what, ten weeks?
if they do not fertilize the egg

The egg

now that is a different story
the egg contains nutrition
to tide the new being over
until the placenta is implanted

and it has
the mitochondria
"the power house of the cell"

the sperm
have no mitochondria

the mitochondria
are maternal only

when do the eggs form?

the eggs form
in the fetal girl
eight to twenty weeks after fertilization
by the time she is born
she has all the eggs
that she will have

some will mature
some will not
most will die

the most common abortions
are "spontaneous" abortions
performed by God

we grieve anyway

except when we don't
and when we are relieved

So when did I form?

not when the sperm
met the egg
sometime in June
1960

my mother
is born in May
1938

she is forming me
as she develops
in my grandmother's womb

I am started sometime
in 1937

do not tell me
that life starts
in humans
when the sperm meets the egg

because that is wrong
rong again

that is the male view
isn't it?
years ago
they think that the man
contributs the entire homunculus
to the womb of the woman
and she is
merely
the vessel

also rong

and if
each baby girl
holds eggs
and lives
that are already started

you would think

that we would treat women better

it isn't penis envy that kills
women

rong again

I think that it is envy
of the women
and the mitochondria

maybe if we understand
the eggs
the mitochondria
that women carry
from before birth

maybe

we will treat women
and girls
better

___________________

I can't credit the photographer because I am the little girl in the canoe. The photographer is family, no doubt, and dead. Except for their genes, and some of them live on.

Longing

When I am little
I long to be old

I adore my grandmother
she is wise

when I come to her
at four months

I am angry
and turn my head from the spoon

my mother tells the story
I do not remember

my grandmother studies me
and says, "Yes,

you may feed yourself."
My mother laughs and tells

"You lived on cheerios
and chunks of banana

and would not let anyone
put anything in your mouth."

There might be a darkness there
that I don't want to think about.

And the finger thumb skill
does not appear

until nine months.
Before that it is a sweep of the hand

to pick things up.
Difficult with cheerios.

I held the bottle too.
I am returned to my parents

at nine months
the grandmother gone

1000 miles away.
I do not like my mother

or my father
nor do I trust them

at first. But one must live
and I do

At two I play falldown
tackling my father

like the people on the television
and he falls down

and I laugh
It is only later that I realize

that only men play falldown.
I think to myself

nothing will stop me
if I want to do something

being a girl
will not stop me

if I want to play falldown
or anything anything else.

My grandmother gives me
the gift of anger

the gift of independence
permission to refuse

the spoon. Permission
to feed myself

and feel my feelings.
And I never ever stop.

I learn to hide some feelings
from my parents

because they cannot allow them.
Sorrow, fear and humiliation

three monsters that I must hide
or refuse to feel.

On a boat my father says
to my young daughter

"Don't be scared
or go below."

I say, "No.
What are you scared of?"

"I am scared that we are stuck
aground

we can't get to shore."
I say, "Look.

We are very close to shore.
I can swim there.

We could wait for the tide
to come back in

and float us free.
But we have two strong mothers

who are trying to winch
us off to float free."

My daughter is satisfied.
Soon another sailor sends a rowboat

taking the four children
to play on shore

while my friend and I
continue to use all our muscle

to winch the boat off
the stubborn earth.

I think it is the tide
coming in

that finally frees us
and we are too tired to sail

by then
and return to the slip.

We have entertained
every live aboard

and they tease us
mercilessly

and we do not care.
But my father's words

"Don't be scared
or go below."

resonate. I chose
to go below

as a child
to hold my feelings sacred

and refuse to entirely
stuff them.

As an adult
a friend says

"You feel things too strongly."
I clam up

immediately.
I feel things too strongly

for HER
but not for me.

My feelings are
MINE and sacred.

My feelings are
prayers to the Beloved.

Your feelings are
prayers to the Beloved.

My best work
as a physician

is when I open the door
to someone's feelings

and they let them out
terrifying

to them.
But not to me.

And when they are done
I say

"It seems to me
your feelings

are perfectly reasonable.
I would feel that way too."

Sometimes I ask
would they still want

the antidepressant?
A counselor?

A follow up visit?
They look surprised.

A weight lifted
for now.

"No.
I will see how I am doing.

I will call if I need
to come in."

"That's fine."
I say.

Somehow I don't
think the AI

can really do this
as I do.

I may be wrong.

When I am very small
I want to be old

and wise
as my grandmother

who saves my heart
and lets me feel.

Now I am middle aged.
I don't want to be old

and wise
for a while yet

but it isn't my choice now,
is it?

Bring it on
Beloved.

Bring it on.

For the Ragtag Daily Prompt: partner.

I think the Beloved is my partner in joy, in sorrow, in wicked humor. Thank you, Beloved.

Predicting medicine again: autoimmune disease

Once again here I go out on a limb. Here is my prediction for the next Really Big Thing in medicine, which is already happening. It is slowly rising from the murky swampy depths of our unconscious.

Here are clues: https://my.clevelandclinic.org/health/diseases/autoimmune-encephalitis

https://www.mayoclinic.org/diseases-conditions/autoimmune-encephalitis/symptoms-causes/syc-20576380

Autoimmune encephalitis? Or encephalopathy? What a mouthful. And what the hell?

Well, we have always said that we do not know the causes of depression, mania, schizophrenia, psychosis and all the other psychiatric diagnoses.

And now I think we know, though we don’t have them all sorted yet.

The cause is the immune system. And what’s more, it’s adaptive.

“NO!” (you run screaming from the room). “Not MY immune system! NO!”

Yes, I say, your immune system, my immune system, everybody’s immune system.

WHY? Well, my version shuts me down. I get tachycardia (a fast heart rate), short of breath, accusations that I am manic, my fast twitch muscles don’t work and I get pneumonia. And it lasts longer each time. Two months. Two months. Six months. A year and a half on oxygen and then off but really it took four years before my muscles started working right again. It shuts down my fast twitch muscles but not my slow twitch muscles.

So how is shutting me down adaptive?

Think. If there is a pandemic, or huge danger, or someone is trying to harm me, it isolates me. People think I am very very weird when it is happening. So I isolate, to protect myself. Isolate and voila — protection from pandemic. If I have resources, and luckily I do have resources, I can hole up. Food, drink and a broadband connection.

The book Brain on Fire and movie are about an encephalopathy: antibodies to NMDR that made the author psychotic until it was recognized and treated. I went to a virtual continuing medical education on encephalopathy in 2022, I think. In the US alone, there were already 555 patients identified with NMDR antibodies.

Now there is a whole list of antibody encephalopathies, many associated with cancers. Not all.

Here: https://autoimmune-encephalitis.org/wp-content/uploads/2022/10/PNK-The-Known-types-and-categories-of-AE-as-of-2022.pdf

I like the addendum “as of 2022”.

and here: https://www.nature.com/articles/s41572-025-00650-1

A physician friend calls me a few years ago. “Have you heard of NMDR antibody disorder?”

“Yes,” I say

“I have a patient with it,” she says. We are a county of 32,000 people. Rural. She is looking it up. I tell her what I know.

In January I see a patient who turns out to have Anti-Caspr2. I have to look it up. Now I see the list of encephalopathies that is rapidly becoming longer and longer.

I think that chronic fatigue, fibromyalgia and long Covid fall into immune system disorders too. Just because we haven’t figured out the mechanism: well, we may. If we don’t destroy the planet first.

I also have reservations about treatment. We are using more and more immune suppressants. I read about one that stops B cells from working. Specifically, the B cells that produce antibodies. Well, that would work for my disorder, except, I already get pneumonia really easily. And destroying the B cells lowers immunity and increases the risk of infection.

I see a patient in clinic who has a skin infection and a fever and an autoimmune disease. They are on an immunosurpressant that I don’t know much about. “Have you called your rheumatologist?”

“No, why?”

“I think you are supposed to stop the immunosupressant. Please call them today. And let me know what they say. Please!” I start antibiotics.

The patient sends a MyChart message. Yes, stop the immunosupressant while on antibiotics. In the future they will call the rheumatology office as well as seeing the clinic for any infection.

I am not saying we shouldn’t use immunosupressants. Sometimes we have to. Rheumatoid arthritis. Hypothyroidism, the most common autoimmune disease, yes, we should and do give outside thyroid hormone. But there is something else we need to do.

The clues for this lie with chronic fatigue and fibromyalgia. What triggers them? One in ten severe infections, severe stress, or a combination.

So we need to learn as a culture, as a world, as humanity, to lower stress. We can’t be high sympathetic nervous system fight or flight high achieving high spending higher faster crazier all the time.

Here is to the parasympathetic state. That is where we need to go. Go down, slow down, be kind to each other and ourselves, be gentle, laugh, fail, lie in a hammock, watch silly cat videos and fat bear week. Then the immune system might calm down and not attack us to save us. I think the immune system is pretty smart, really. Even as it pisses me off and limits me.

Go down, slow down.

Blessings and peace you.

Unload

I write Watching my sister die
a poem
14 years in the making

as usual
the poem goes off
in a direction I don't anticipate

I never know where my poems
will go

I just sit down
with something nagging at me

write me write me write me
NOW

and I've gotten up at 3 am
because the damn poem
won't let me sleep

that one was about
my future ex
a horse of course

Idaho Gigolo

my sister poem
takes me back
and deep
until I cry

but the ending
is reconciliation
forgiveness
unexpected

that is why I cry

I don't expect reconciliation
from a damn poem
the poems do what they want
I never know
what they will do

maybe they ARE alive

like a child
waiting for a fetus
waiting for the egg and sperm
to join

waiting to be born

wait

this poem is doing it too
damn it

but after the sister poem
I unload a huge burden
anger
and grief

and then to the facilities

and I unload there
too

so there

__________________

For the Ragtag Daily Prompt: waddle.

Do you think the seal rock is poopy? Do seals and sea lions waddle or is there another word?

Old woman

In middle age
I acquire a new skill
along with invisibility
middle age women
are ignored
by almost everyone

and I am gifted with power
to be invisible
and to curse

I could already curse
aloud
but this is something more

a hand gesture
and a rhyme

fingle fangle
what a tangle
dingle dangle
it won't work

for all the Epstein players
and other men
who use
mistreat
rape
abuse
imprison
women

Viagra
has nothing
on me

and all the other
invisible

middle aged

women

_____________________

The photograph is my grandmother, Katherine White Burling. I took this in 1979.

For the Ragtag Daily Prompt: cone. Just add an r in the word.

Old man

Old man
yes, we hear you
every niggling detail
it used to be about X
but now it's about Y
yells
about X
and he doesn't like
the internet
where it has gone
at
the moment
in his car
it used to be
food, shelter
and a broadband connection
but now that doesn't
seem to satisfy
as the tortured veins
repurposed as arteries
moved from the leg
to the heart
slowly close back down

the internet
is not the place
of glory and kindness and free exchange
of ideas
old man asks
hates to ask
for money
and in spite of evil internet
has a wishlist on Amazon
where he directs those
who do not care to donate
through apple pay
he is no longer allowed on
Go Fund Me

soon there will just be

cloud

________________________

For the Ragtag Daily Prompt: magnitude.

The magnitude of trivia on the internet.

Show me

I have been flying under the radar
for a long time
I want to be visible
on screen
maybe
I want to teach
Residents
Medical students


I want them to love rural medicine
as I love it
I am a pterodactyl
wanting to rise
among the AI satellites
and say
Use the telephone to reach other doctors
Listen to your patient
Listen to what they don't say
Listen to the pieces that don't fit
Let the patient teach you
Why are they really here?
It's not always a pill
Sometimes it is just
So that someone will listen
to the feelings
that our culture
denigrates
ignores
vilifies
hates
Listen
You might turn in to a pterodactyl too
Or a cross
between a modern AI manipulator
and a pterodactyl
It is good to have more tools
than a hammer
Let me show you mine
And you
show me yours

________________________

The Ragtag Daily Prompt is timid.

Argh, the formating is wrong. And WordPress has updated enough that I don’t know how to single space the parts I want single spaced! Feedback welcome!

Hmmm, used the poetry block as per Sgeoil — do I put it all in one block?

Eating sunlight

Beloved
I don’t think I can bear this
It’s a good plan
To work five more years
And retire in better financial shape
House paid off
But it hurts so

My tattered bruised and battered heart
Already patched so many times
And to see so many people each day
Hurting

Why, Beloved?
Why don’t we mature?

Maybe I’ll be a tree again
Living wood
That bends and moves with the wind
That eats the sunlight
Drinks the rain
Endures the snow and drinks it as it melts
Until spring comes
And I stir and start to bud
Deciding when it’s time
To uncurl leaves in warm sun

_______________________

For the Ragtag Daily Prompt illusion. Or should it be delusion? Or survival? Or beyond that to peace?

Scree dream

In September, I hike with the three friends in the Ragtag Daily Prompt photograph. I have not really backpacked into back country in years. The last time I carried the pack was in Italy with my daughter, a few years ago. She wanted to plan the trip as we went and stay in hostels. We did.

We hike in the first day, up switchbacks from the parking lot at about 3200 feet, to a pass at 5400 feet, over and down to a campsite. The sites for cooking are separate from the sleeping sites and there are serious big metal bear boxes. We are to put everything in them, including the deet and toothpaste and anything that could possibly interest a bear.

We pack day packs the second day and climb back up to the pass. We peel off there to the trail to Sahalie Glacier. After being on oxygen at sea level for a year and a half, I am beyond delighted that I can actually do this. We go up and up and the trail gets worse and worse, until it is rather nasty scree. Two other people coming down say it is even worse, slippery, unstable, if we go on.

So, like sensible people, we stop for lunch. The slope is very steep and we each find a place to perch. Lunch tastes good. Then the other three want to go on. I don’t. I want a nap. They go on, I find a slab and the view from it is the photograph: down, down, down to the lake far below.

They will get me on the way back down.

And I do go to sleep. It’s all that night time call I’ve taken over years and years. I can sleep practically anywhere, including in a noisy casino in the past. I tuck up against the rock and the sun is almost warm.

I wake up. Two other people have come by. My inner clock thinks my people should have come by. Do I wait? Do I stay? There are more ominous clouds building up and this will be much more slick and dangerous if it starts raining. And we are exposed, for lightening.

Then I see a hat, on a curve of trail below me, moving. I swear it’s one of my party. But how did they go by without seeing me or waking me. THEY ARE DITCHING ME ON THE MOUNTAIN. No, that is ridiculous. Hmm. She is not with either of the guys. I debate for a minute, shout and then grab my things and head down.

I catch her. Once they left me, there really was not a clear trail. There were multiple sort of trails. And it was tricky. They separated a bit. She lost track of the other two and then picked the least difficult way down, which seemed to be a trail. It was NOT the trail that went by me, but she didn’t know that.

We found one of the guys below us, waiting. The last came down a bit later. None of them had come on the “right” trail by me. We headed down and stopped to put on rain gear. It rained lots! We were also above the tree line, but also I would say that we were above the marmot line. We saw eight hoary marmots marmoting around on our way down. They did not seem deterred by rain at all.

So that is how I was left in the scree to dream. I would have returned by the time it started raining anyhow, and the trail was good once we got past the scree. Not all the way to the lake in the photograph, the trail ran along a ridge that is not in the picture and wound down near the lake.

For the Ragtag Daily Prompt: scree.