This story is part of a series about a Balint group for angels. Balint groups are groups for physicians to get together and talk about cases that bother them. This often means facing their own biases and discriminatory feelings. I wrote this in January 2022. The current estimate of Long Covid is 10 to 30% of non hospitalized people. Which is huge and terrifying.
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“And really, it looks like at least half the population will get Omicron. The question,” says Qia, “is how much Long Haul it causes. If it causes 30-50%, like Delta, we are in serious trouble.”
The angels are silent.
“Do you think it will?”
“I am hoping for under 10%.” says Qia. “But of course I do not know.”
Silence again.
“Why do you go to WORST CASE?” snaps Algernon. His wings rustle.
Qia blinks at him slowly.
She thinks about it. “It is the safest place to start.”
Algernon frowns at her. Another angel slowly nods.
“If I start in the worst case scenario, I can face it. I have to think about it, work through it, plan for it. Then I can back off and hope for one of the less horrific scenarios.”
“You are WEIRD.” says Algernon.
Qia is annoyed. Her wings go bat and blood red.
“Word.” whispers a very young angel.
“WHY?” snaps Qia, “WHY NOT face the worst?”
“Most people never do,” says the moderator.
“What?” says Qia.
“Most people never face the worst. They don’t want to. They are terrified. They are scared. They do things to avoid thinking about it. They skip that step and just go straight to hope.”
Qia glares at her. The moderator smiles and her wings go black as pitch.
“We aren’t PEOPLE. We are ANGELS.” says Qia, nearly snarling.
Algernon laughs. “Yeah, well, some of us do not want to think about the worst either. That is Gawd(esses) job.”
Qia is doubly pissed off to be crying. “No, we have to think too.”
“Qia, I agree, but it is hard.” says the moderator. “That is why you have the job you have. Because you are willing to go straight to the dark.”
Qia has her face in her hands.
The angels surround her, soothing, and start to sing.
We can work it out, the song says. But no, maybe not, not always.
Trauma bunnies together. Walking. Why would you walk with me, I am so down? Oh, you are a trauma bunny too. Walking on the beach, slowing down, looking at rocks. The walks get longer and longer. You bring FOOD and tell me I have food insecurity. I laugh. But it is true.
Comparing notes about childhood. You say yours was worse. Yours was terrifying. You ran away over and over and over, but came home. Small children need food and shelter. You get older. A neighbor says if you run away now, you will never stop running. You do not run away permanently. But you still run.
My childhood has no bruises to the skin. But the bruises to the heart are a nightmare. You finally say that I win, my childhood was worse. But I was not trying to win, I want to say. I was just telling you as you’ve told me.
We have both survived damage and coped. I have the resource of a grandmother with money who paid for medical school. I apply without telling my parents, after my mother says, “You don’t want to be a doctor. It’s too much work.” I am a poet, a writer, being a doctor so I can study people and have children and be certain there is food. Job security. And food security, true. With a husband or without.
You fight school all the way, but when you are told that you will be a failure or in jail, you decide that you will prove them wrong. You are still proving it. You won’t tell how you make your money, not to the locals, but the new car every two years tells them you have money. And it’s the wrong kind of car: a liberal car for a professed conservative. It stands out.
We start playing trauma bunnies after six months. You want me to come to dinner and I turn New Yorker and direct: is this a date? You are surprised. I set the boundaries and you think about it. And say yes.
But trauma bunnies is not as much fun as the beach. We get close and intimate and then you run. When you run, I run too: the other way. I don’t chase you. You haven’t experienced that before. You keep coming back. Why aren’t I chasing you? Because I too am a trauma bunny, remember?
Back and forth: close and far, together and apart. All holidays become times when you run, so that I will not be part of the family. I announce that I am now your mistress and you can’t be with my family either. Back and forth. Closer and then you refuse to come to my son’s wedding. Far again.
You say the summer will be very busy. You say your focus is music. You say we can go to one beach. One beach? For the whole summer? I run to europe and you are surprised. I ask, are you too busy to have me around? No, you say. But when I return, you have a friend staying with you. Intimacy disappears.
I am tired of it. My daughter is here.
At last I bring up sex: are we done with that?
No, you say. We have visitors.
Wouldn’t stop me, I say.
You say, sex is still on the table. Then you hem and haw. You say sex is not important, you can take or leave it. The friendship is more important. Well, the friendship is most important, but sex IS important to me and hello, it’s damn insulting of you to say you can take or leave it. Leave. This is all triggered by your yearly family get together. You need me at a distance so you won’t be tempted to invite me. You don’t want me there so I am distanced again.
And I am done, done, done. I dream of a small child, a wild woman, a woman doctor and someone new: a quiet woman. I think about the quiet woman and I ask the other three. Yes, they say.
The quiet woman is the adult. Not the mask of the professional, not the wild defense fighter, not the small child. The small child has healed. She is the connection to the Beloved, to the source of the poems. She blesses the others. The quiet woman takes over.
The quiet woman takes over. She says goodbye, farewell, Beloved keep you and bless you, you may contact me any time.
You are in your cave alone and do not answer.
You may end up there, alone, alone, alone. You want freedom most of all, you say. Another song: freedom is another word.
Yes it is. People can change and grow. But some want to and some don’t and sometimes we don’t grow at the same time.
Yes, says the quiet woman. Sometimes we don’t grow at the same time.
Fade to quiet.
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I took the photograph from a canoe at Lake Matinenda in Ontario, Canada.
I did a porch call a bit over a year ago. It’s like a house call except on a porch.
A friend/patient asks me to see a long time friend of his. The friend has multiple chemical sensitivities. We meet, the three of us, on his porch.
My friend has had me as a physician but he has not seen me at work with someone else.
I ask a lot of questions and then launch into an explanation of the immune system and how antibodies work.
My friend states, “He can’t understand that.’
I smile at his friend. “Oh yes he can. And you followed what I said, didn’t you?”
His friend grins back and said, “Yes, I did. Most of it. Or enough.”
All of my patients are smart. One day in clinic I think how blessed I am, that ALL of my patients are smart and fascinating people. Then I think, how could that be? And, how lucky am I?
And then I think: everyone is smart.
They are not all educated in the same way I am. They may not be well read. They may not have my science background or my geeky fiction and poetry and song brain. But they ALL are smart.
Some are brilliant at mechanical things. I have a patient who is an expert in restoring church organs and is working 3000 miles away in New York City. “They are driving me crazy.” he says. “You have to have the approval signed off on over 20 groups, historic preservation, the fire fighters, etc, etc, to remove one board from the church. The organ was covered over by bad repairs over the years. We’re trying to get it back. After this I will put in new organs, but this is my last restoration.”
Veterans, teachers, attorneys, physicians, retired computer engineers, car mechanics, marine engineers, parents, grandparents. They are all smart, men and women.
We finish the porch visit with some options and the friend of my friend says he will think about what I said and try some things.
A few days later my friend calls. “I couldn’t believe he was following your science talk, but he was. He got it. He remembers it and understood it.”
“Of course he did,” I say.
“I am actually impressed,” says my friend. “It was really interesting watching you do that.”
That may be one of my weird skills. To be able to listen to the person thoroughly and then respond in language that they understand and a bit more. An assumption, always, that they can follow a complex and intricate idea.
I do not know if they always follow what I say. But they always respond to the assumption that they are smart and that they can understand and that they are an equal. I am explaining from my expertise, but I know they can understand when I explain it correctly.
And I have not seen this in the physicians that I have seen. Out of 22 physicians since 2012, four were excellent and met me and explained as an equal.
The rest did not. They dismiss me. They talk down or avoid me once they realize that they do not understand why I keep getting pneumonia. They are afraid to say “I don’t know.” Four are not afraid and recognize that it’s something weird and say, “We do not understand this and we don’t know how to fix it.”
Four out of 22 have my respect. And that is a sad number. Medical training needs to change and physicians need time to listen and need to learn how to listen.
Meanwhile, all of my patients are smart. And I am so blessed.
We mature at a different rate
than you humans
I don’t really pass as human
but since I am 5’4″
no one guesses I’m an ogre
I have been an Ogre since
before birth
my mother ill
attacked by antibodies in the womb
luckily the illness does not cross
the barrier of the mixed mother daughter
the placenta
but the antibodies do cross
I am born with my immune system
red hot and ready to fight
my maternal grandmother is an Ogre too she cares for me while my mother heals you are right to refuse help she says you may feed yourself and she lets me I am four months
Two grrl cousins are also stressed from birth
one arrives early and survives
smallest child to live in that city
all they have for premies is a warm box
her parents are warned
she might be slow
the other is born in Bangladesh
mother very ill
mother damaged by illness
she survives too
three Ogres?
No
different mitochondria
from three different mothers
different immune systems
different parents
Ogre, dark angel, and martyr
And the others wonder why we fight
A woman says “I like you when you’re well.”
to me when I am sick
and my partner disappears
he says, “I can’t have a disabled partner.”
I snarl, “I am not disabled.
I am just on oxygen.”
But it is not true
I am disabled
And very annoyed
I avoid the woman for a year
and think about it
I am never “well”
if it’s an antibody disorder
and if I got it in the womb
what would I be like if I did not have it?
no one knows
and I don’t either
So I have done well
in the end
to survive a chronic illness since before birth
Ogres take longer to mature
but once we do
we are hell on wheels
And at last I accept it
I am happy being an Ogre
and I will be the best Ogre I can
For a long time I think I am a werewolf, but I am not controlled by the moon. But I can get angry. And then I remember this poem and think “Not a werewolf. An ogre.”
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Butterfly Girl Comes to Visit
She is so beautiful with her wings multicolored many splendored lights caught and multiplied as she flutters
I freeze I am an ogre Huge and clumsy I know from past past many times Not to touch you My rough fingers have brushed the tiny feathers from your wings You cry in pain and your flight becomes erratic My kiss is just as bad Rough lips If I move the wind of my passing blows you against a window You fall stunned
I hold and crush the box of feelings that can hurt you Sorrow, anger, fear, dismay Even fatigue turns my aura red And scorches your wings
I hate to cause you pain
Fly butterfly girl My baby needs me, my pager rings My ogre husband stirs The effort of holding still plain on his face I canβt hold still much longer
Discover and re-discover Mexicoβs 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 - FlΓΌchtlinge willkommen I am teaching German to refugees. Ich unterrichte geflΓΌchtete 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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