Done and undone

I am done with my third Grand Junction travel doctor assignment and packing to go home. I don’t think much of my temp company at the moment. I had to nag them for two weeks regarding the travel plans. I had to call both airlines (one hour 18 minutes and one hour 38 minutes) to be sure that taking Sol Duc on board the plane is arranged (it wasn’t). I called the hotel for the day between planes and they do not take pets. I called the company that takes me from the airport the last two hours home and they DID know about the cat. One out of four. They finally switched the hotel on Friday, the last day of work.

Then at 5:18 pm I am sent an email saying I have to vacate on the 19th. The first plane is on the 21st. It was sent by the rep who is covering me and knew the travel arrangements are for the 21st. I am glad that I pay way more attention to detail as a physician than they do to my travel and housing. They frankly suck. And I am not vacating until Monday. They may charge me at which point I will say they need to pay me for spending more than 5 hours fixing their travel screw ups.

I did say to the rep on Friday, “Well, if it’s not arranged today, I will just call the emergency travel line at 5:01 pm. They will help me.” The emergency travel folks cost them more money. That apparently caused them to do the last arrangements. I am doing the travel in two days because otherwise my cat would be in the carrier for 12 or more hours. That is not reasonable.

I am done except for travel home. Today I finish packing and cleaning.

The photograph is Sol Duc in front of our rental house yesterday. I think she will miss the heat here. She seems to quite enjoy 90+ degrees.

________________________

For the Ragtag Daily Prompt: done.

Purity’s post

The root word for Katherine is pure, so Purity will write today’s post. Purity read about illeism in this BBC article: https://www.bbc.com/worklife/article/20230411-illeism-the-ancient-trick-to-help-you-think-more-wisely. Purity admits that it feels a bit embarrassing to write in the third person here on the blog, very egotistical, but that is not what the article is about. It is about writing that way in one’s journal. Purity has been trying it and it is interesting. It sets events at a distance and quiets and muffles the emotions related to events. How very curious.

Purity does not plan to keep writing this way on the blog nor does she plan to start speaking with a royal we. However, the United States appears to be in a state of chaotic stupidity and it is affecting everyone. Not just in the United States, but the rest of the world as well. Purity thinks of the United States as a teenage country, struggling with hormones, while the old countries stand back, watch and sigh. “At some point he will mature,” they say to each other. “Or destroy himself.” And yes, a male teenage country, stupid and boastful with testosterone. Purity thinks it will take the United States another 200 years to live down President #47 and his minions, if we survive.

At any rate, Purity hopes that the prompt of illeism might be more light hearted and be a new word to some people and tickle their fancies. Apparently our fancies mostly lie in our cats. Cats certainly seem to be experts in illeism. May you each feel as wonderful today as a cat when they own the world.

For the Ragtag Daily Prompt: illiesm.

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.

Sad about the cows

The first photograph is Sol Duc. She is lying on my jacket to object to and obstruct me going to work. She has learned the new schedule, but things are a little different. In the three weeks we were gone, the night time temperatures have dropped into the 20s, so it is frozen outside. Yesterday it warmed to a high of 53 but not for long. It is dark in the morning and dark at night when I get home and we have not been walking with the harness and leash as much. Brrr, cold. We had a long walk yesterday at 10 am because it was my administrative day and I was caught up.

Sol Duc can’t find her pet toad any more. I think the toads have dug in for the winter and there are fewer and fewer insects. I think she is a bit bored. I’ve been building cardboard box puzzles for her, with the cat food ball inside. She has to roll the ball around to get the dry food to fall out. Maybe now she misses Elwha a bit, too. My work days are a bit long, leaving at 7:00 am and sometimes not home until 6:00 pm. Right now I have to drive to the other end of the valley.

The second picture is this morning’s sunrise. Gorgeous, yes? But that is the field across the street from us and that changed while we were gone too. They are building roads, all of the wild plants are gone, and it is staked all over and has large machines. And kitty corner, to the southwest, no more cows! The cows are gone! Are they inside for the winter or really gone? I think that they are really gone, because I see cows in other fields. The hay barn is still in use, but the cows have been moved. The city of Grand Junction is building and encroaching on the farms. We are right on the western edge of Grand Junction. No more early morning roosters, either.

I am not sure how to tie this to the Ragtag Daily Prompt, circular. Sol Duc is pretty circular when she curls up. The earth and the sky are circular. Emotions circle, happy to sad to surprised to worried and back. I am a little sad about the loss of the field and the cows, sigh, but happy Saturday to you.

Conserving energy

I was out of clinic for two years and then very part time for a year and now not quite full time as a temp. I bargained to not quite be full time.

The electronic medical record is having a consequence, along with the pressure to see more people faster. The primary care doctors, at least the younger ones, do not seem to call their peer specialists any more. (Family Medicine is a specialty, just as Internal Medicine and Obstetrics/Gynecology are.) I called a gastroenterologist and left a message last week about a difficult and complex patient. The patient had cried three times during our visit. The gastroenterologist was very pleased I had called, was helpful, agreed with my plan of using the side effects of an antidepressant to try to help our patient, and thanked me three times for calling her. Wow. I am used to calling because during my first decade in Washington State, our rural hospital had Family Practice, General Surgery, a Urologist, Orthopedics and a Neurologist. For anything else, we called. I knew specialists on the phone for a one hundred mile radius and some knew me well enough that they’d say a cheery hi.

Now communication is by electronic medical record and email on the medical record and by (HORRORS) TEXT. Ugh. I think that there is quite a lot of handing the patient off by referring them to the Rheumatologist or Cardiologist or whatever, but the local Rheumatologist is booked out until February for new patients. That leaves the patient in a sort of despair if we don’t keep checking in on the problem. If I am worried, I call the Rheumatologist and say, “What can I do now?” I’ve had two people dropping into kidney failure and both times a call to the Nephrologist was very very helpful. I ordered the next tests that they wanted and got things rolling. One patient just got the renal ultrasound about three months after it was ordered. Sigh.

I have one patient who is booked in February for a specialist. I called that specialist too, they did not want any further tests. I told the patient, “You aren’t that sick so you won’t be seen for a while. It isn’t first come first serve: it is sickest first. We all have to save room for the emergencies and sometimes those are overwhelming.” The specialist agreed and the patient is fine with that and I think pleased to know that we do not think she’s that sick. She feels better. If things get worse, she is to come see me and might get moved up. Neither I nor the specialist think that will happen.

Is this conservation of energy, to communicate by email and text? I don’t think so. I think sometimes a phone call is much more helpful, because the other physician knows exactly what I am worrying about and they can tell me their thoughts swiftly. Sometimes they want me to start or change a medicine. Things can get lost in the overwhelming piles of data and the emails and labs and xrays and specialist notes all flowing in.

My Uncle Jim (known as AHU for Ancient Honorable Uncle Jim) used to sing part of this:

Yeah, that’s just how I call my fellow specialists.

For the Ragtag Daily Prompt: conservation. Don’t cats win at conservation of energy?

So far

I made it to Brigham City last night. That was a long driving day, 503 miles. I tried to stop in Snowville, but the motel would not take cats.

The only weather resembling a deluge so far was from Seattle until I crossed Snoqualmie Pass. It rained and rained, sometimes heavily. Once over the pass, the rain disappeared and we lost the ocean smell again. Dry and more trees and desert and wheat. I counted mountain passes, six so far that listed the top altitude. Some had smaller passes between, three more. The first one yesterday had ice patches so I stayed in the right lane with the trucks. Less ice.

One more day, I hope.

For the Ragtag Daily Prompt: deluge.

Ready

Cats don’t graze, right? Well, they do, though not on grass. Sol Duc likes to have at least two small meals during the day. I portion out her dry food in the morning and give it to her at intervals, two or three.

We are getting ready to head out again soon, back to work. Maybe Sol Duc will realize what a long car ride means. She knows something is up today and has been sticking close to me.

For the Ragtag Daily Prompt: graze.

Seven

This is Helen Burling Ottaway, my mother, in 1945.

The vest was red wool with embroidery. We had it still, when we were kids. We probably wore it out.

I am not pensive today, I am festive! And home! Three days of driving, with Sol Duc the cat objecting quite a bit, and we are home in Washington.

There are a LOT of mountains between Grand Junction, Colorado and Port Townsend Washington. Many passes as we drove northwest, over to Salt Lake City and then up through Idaho, part of Oregon and then Washington. There was snow on the first pass, but not on the road. We stayed in Burley, Idaho and then in Pendleton, Oregon. When I drove over Snoqualmie Pass, we drove into a cloud and rain and suddenly I could smell the sound! Salt and sea! It was raining in Pendleton yesterday morning but there was no ocean smell. Sol Duc continued to complain intermittently and got tired and slept a lot. Just wait, cat, we are going back!

It is fabulous to be home and see friends already! A friend came and made me banh xeo, Vietnamese pancakes, with spinach and salmon filling, and then I crashed to sleep.

For the Ragtag Daily Prompt: pensive.