Tag Archives: stream

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Masks and selfs

I call a friend yesterday and sing, “Happy Day Before Your Birthday to You”. It sounds silly. She has just gotten Covid and this cheers her up.

She is telling me about her summer and about a class at a camp. Some for adults and some for children, but one where people really dropped their masks and just got to be themselves.

What identity is your deepest self? She is talking about her nine year old self. I think mine is more like four and rebellious and skeptical of adults, adulthood and all of their rules. I don’t think I am ever out of touch with this identity, though I don’t let it talk out loud in clinic. Mostly. A rebellious four year old informed by medical school and years of experience is a pretty frightening thought, isn’t it? Or the basis for a great cartoon.

That part of me is very observant and quite smart. It does not care what we are supposed to see or the cues people give. Growing up in an alcohol household, it looks for what people do not say. This can be terribly helpful in clinic and also a bit weird. It is body language and tone of voice and what questions a person shies away from answering and the puzzle pieces that do not fit.

Last week I see a small child with her parents for vomiting and coughing and fever. I am interviewing the child and asking if things hurt. “Do your ears hurt?” I ask. She shakes her head no. I point to my throat next and she nods. Yes, that part hurts. Her toes do not. I include toes or something silly to find out if the child is saying yes to all of it. I tell the parents that we will do a strep test, that mostly people don’t cough with strep except when they do. The strep is positive. My medical assistant grumbles, “They didn’t tell me that,” but I think the parents were more worried about the vomiting and she may not have complained about her throat.

Are the masks we wear always bad? I don’t think so. I think it is frustrating if we believe our mask or never ever get to drop it. There is some formality to my role in clinic and I tend to get more formal when I am worried about someone. That has been interpreted as anger or brusqueness, but it isn’t. I am wearing a real mask with all patients because we are seeing at least one person with Covid every week. The literal mask does not help me connect with people, but sometimes I can anyhow. I have to take it off for the 90 year olds because most of them are hard of hearing and lip reading helps.

For the Ragtag Daily Prompt: identity.

I hiked the Beaver Brook Trail this weekend with my daughter.

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Andrews creek

Andrews Creek flows from up in the Olympic Mountains in Washington State. It empties into Crocker Lake. Andrews Creek exits Crocker Lake, empties in Snow Creek and Snow Creek empties into Discovery Bay.

I took the pictures and video yesterday.

For the Ragtag Daily Prompt: bubbles.

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broken three

I drop the fragment of rock with the seam a second time. Now I have three pieces. I stop there. When I climb back up the bank, I have an oxygen tank, a camera and rocks. It involves quite a bit of swearing and stopping to rest while I try to get enough oxygen.

Hopefully I will get better. I don’t know when or even if. My friend B says he wants to know what the pneumonia was, that triggered this round of pseudoautoimmune misery. I shrug. “We know some things it isn’t.” I say. “It isn’t covid-19, it isn’t influenza A or B, it isn’t respiratory syncytial virus, it probably is not strep A though I still haven’t had the second blood test. It isn’t pneumococcal pneumonia. It could have been mycoplasma pneumonia or pertussis or a very long list of viruses. Doctors are practical scientists, at least, I am. If the patient is getting better, don’t chase an answer that won’t add anything. I caught something, probably in the clinics where people kept taking off their masks when they were ‘alone’ in the room. They didn’t realize that they were breathing out viruses or bacteria that could take me out.” We aren’t exactly sure if the combined penicillin and clindamycin, high dose, helped or not. I think it did, but stress makes this worse too and it was a very very stressful time. Mean people, you know, and mean family. I just don’t understand what they are thinking.

I really think that post covid-19, we should wear a mask if we go out in public when we are sick. Because you don’t know which people are the vulnerable ones. I normally have lots of energy and I don’t think people would guess that I have had chronic fatigue and that I am terribly vulnerable to infection. In the clinic I owned, after I was sick in 2014, I asked any patient who was sniffling or coughing to wear a mask. “I get pneumonia easily,” I would explain. They had the right to refuse and then I would not see them. After I closed my clinic and went to work as a temp doc, I could not protect myself. I asked the nurses to ask people to PLEASE keep their masks on, but people are people. They didn’t. I had a bit of a PTSD reaction every time I walked into a patient room and they had masks off. I wanted to run out of the room screaming but I was more restrained and just said, “Please, please, PLEASE put your mask back on, other people have been in the room.” I didn’t add “And you might kill me.” because I only had 20 minutes for the visit…..

The pieces of rock are beautiful, aren’t they?

Here is a great song. Got it from this blog: https://reflectionsofanuntidymind.blog/2021/05/07/icky/

This is all for the Ragtag Daily Prompt: workshop. I like working with rocks. I have to decide what work to do next, since it’s no longer safe for me to do family medicine. It SUCKS. I really miss my peeps.

I have to get well first. If I do, what next?

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broken 1

I was playing along a stream on Tuesday. It was darn hard to climb down to with my oxygen tank and camera. It made me very short of breath. But I love water and running water is joyous.

I was picking up rocks and looking at rocks. This rock really interested me. Look at all the cracks. When the river is higher it would wear the rock down. In the winter the cracks might freeze. I thought this rock might be ready to break. What is inside?

This is for the Ragtag Daily Prompt: workshop.