Tag Archives: writing

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Love gently

Honey is older, nearly thirty years since that first feeling of being bitten by ants. She is back in corporate medicine, as a temp. Temporary, short term, maybe that will work better.

It is a joy to go in a room and be alone with a person and their monsters. Theirs and hers. Sometimes the younger ones haven’t experienced it, they are terrified if one of their monsters becomes a little bit visible, they hate seeing them. Honey tries to be gentle. If they only want to talk about the sore shoulder and not the stress and violence, well, she leaves the door open a crack. Sometimes the monsters cry.

Older people may be stiff to start with, but when they realize their monsters are seen, acknowledged, this isn’t another robot doctor in to say increase your diabetes medicine, lower your diabetes medicine, tell them a plan without ever connecting, the older ones lean back, sigh, and relax. The monsters play on the floor, Honey’s monsters playing with theirs, happy, engaged.

The hard part is the clinic staff. Honey is with them daily. The medical assistants are young. They kick their monsters aside as they walk down the hall. It is terribly hard and heartbreaking to work at her desk, with the medical assistants’ monsters cowering under their desks, kicked, abused, silent tears and holding bruises. Honey’s monsters mind. They climb into her lap and hide their faces in her shirt, under her jacket, peer over her shoulder. They don’t understand! Why can’t she be nice to THESE monsters?

Honey whispers to her monsters when the medical assistants are rooming patients. “I am so sorry, loves. If I acknowledge these, the monsters of the women working, I become a demon. It is very hard to share an office, no wonder I worked in a clinic alone for eleven years.” Honey has been through that. It is still inconceivable that some people don’t see the monsters at all. Is it learned blindness? Or just not developed unless someone had to learn it? Unless someone grows up in terror and seeing the monsters is the only way to survive.

Honey thinks some people learn to see them as adults, at least their own monsters. Hard enough to do that, without seeing the monsters clinging to other people.

Honey is tired of her monsters crying in sympathy with the staff’s monsters. She thinks maybe there are small crumbs that she can leave for these demons. Little gifts. Her monsters can creep under the desk when she is the only one in the room and leave something. A flower. A dust bunny. A crumb of a crisp. A small rock. A little gift to let them know they are seen and loved. A poem. A prayer. Just a tiny bit of love.

_____________________________

For the Ragtag Daily Prompt: crisp.

The photograph is me all dressed up for the 1940s ball.

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Tea bear

My friend C. is a bear.

People don’t know she is a bear. She carries a bear, a teddy bear. It is named S Bear, after her husband. He died of cancer a while ago. So she carries a bear named after him. The first time I met the bear, I asked if it needed a teacup too. Because people make clothes for it and I don’t know how far it all goes. No, the teddy bear did not need a teacup.

My friend C. is a bear. She writes horror stories under the name lostcauser. The writer is from Tennessee and so is C. The stories are horrid. Lostcauser is an anagram. Rearrange the letters and you get closet ursa. Closet bear. Hidden bear.

She is not my only friend who is a bear. She is aware of her bearness, her ferocity, the beast inside. Bears like honey and blueberries, too, they aren’t just monsters. My other friend dreams of a one room shack in the woods. His dead brother is at the door shouting for help. His brother is being attacked by a bear. A huge terrifying bear.

“Did you invite it in?” I ask.

“It’s a BEAR.” says my friend.

“It’s a Dream Bear.” I say, “I would ask what it wants.”

“You don’t understand bears,” says my friend.

“I understand a lot about dreams. Some think that everyone you see in a dream is a part of yourself. It can be a part that you don’t accept.”

“Bears attack. You can’t invite them in.”

“I would ask the bear in. I would ask the bear if it would like some tea.”

I tell another friend about one of my dreams. There are monsters screaming. I go towards them.

“TOWARDS them?” says my friend. “Why would you go TOWARDS them?”

I have to think about it. “Well, they are screaming. They might be hurt. They might need medical care. I have to go help them.”

My friend shakes his head. “Only you,” he says, “would go towards the screaming.”

One time in my neighborhood, I hear horrible screaming. I get up. It is 1 am. I go out and try to find the screamer. I don’t find anyone. A few days later, I read that someone nearly severed their arm somehow, in my neighborhood. A policeman saves his life with a tourniquet. It was three blocks from my house, at the grade school. The grade school is where I went. I think the person was knifed, but I don’t know. My neighborhood does not get a lot of that sort of thing, at least, not a lot of screaming that wakes me up.

I wonder about my friend that is attacked by a dream bear. A bear that is much bigger than his dream self and his dream brother self. There must be a lot of darkness in that bear. It is angry about being ignored.

My friend C. is a bear. She knows she is a bear. Reading her stories, I do not think she likes being a bear.

I don’t mind if she is a bear. I wonder if we will have tea again some day.

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For the Ragtag Daily Prompt: fan. Why? Maybe I am a fan of bears. Or maybe fans make me think of hats and gloves and tea parties. And bears.

This is based on speculation and some true events.

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Sisyphus

Sometimes clinic feels a bit like Sisyphus must feel. Rolling the stone of illness up the hill but it is eternally rolling back down. I can’t stop it. People age and people die and otherwise there would be no room for young ones.

The last two weeks of clinic has worn me out a bit. A friend says that I take too much of it home, worrying about people. How to let go of this?

I make connections in clinic. Not all the time. Sometimes I fail. I made a connection with more than one person with diabetes this week, but one was funny. The connection is that he mentioned that he is an elk hunter. Oh, and flies to California to fish and has a very lot of fish. I said that I’ve had elk and like it. That was when the connection engaged: he was very pleased that I am not horrified by hunting. Hunting elk is not at all easy or cheap and cleaning the animal and carrying it out, well. He is coming back about his diabetes and left cheerful.

If I go home trailing those connections and spend my time worrying about this people, I’ll wear out. I don’t want pneumonia number five. So how do I connect but let it go when I go home?

I will think of the connection as much smaller than the boulder that Sisyphus deals will. Not a boulder. A small piece of the rock. I can suggest how the person can lighten the load a little. Then I must stand aside and let them go. They have to decide what to do about their health. It is between them and the Beloved, they can try what I say or not.

Now it is not a boulder that I am trying to keep from rolling down a mountain. Each person has their own mountain to climb in their life, their own habits and histories, good or bad, trailing them like Marley’s Ghost in A Christmas Carol. I can suggest a tool to loosen a link of diabetes, or a slightly different trail up the mountain. Then it is up to them. I can’t carry them and should not carry them. Maybe they are approaching a patch of scree and I can suggest an easier or safer path. And then stand aside, stand down, let the people go.

Now I am not pushing a huge rock. I am standing on my own mountain, quiet, and looking at the path behind. I am resting a little and on my own path. I don’t know what will be around the next bend in the path. But I love the mountain and the forests and the birds and the ocean. All of it.

Thank you, oh Best Beloved.

For the Ragtag Daily Prompt: olympics!

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Volcanic fire

A friend and I travel to Hawaii in March 2018. The lava in the caldera had dropped on the volcano and the road around it was closed because of the gases. The changing eruption happened over the next few months. We found a place to wait for nightfall to take photographs. It is way more dramatic in the night, isn’t it? We could see fire rising up in the day too, but at night the smoke is lit up as well by the lava below. A scene on fire, beautiful and terrifying.

The smoke from forest fires has dissipated in Grand Junction. I stayed mostly inside for a few days, which is not hard on work days. The clothes I wear are backwards from the ones I wear on the Olympic Peninsula in Washington. There I have a windbreaker and layers for outside and I think my heat pump has had the air conditioning on once ever. Here I need the warmer clothes for the air conditioned inside. I get cold at work by lunch time and go outside to warm up! Very strange.

For the Ragtag Daily Prompt: fire.

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Talk

Today I will interview people in clinic, but yesterday I hiked alone. Well, no, not really alone. I spot movement and freeze. A silent interview of this rabbit, with the help of my zoom camera. There was a very young bunny further on, about 6 inches long, who hid behind a bush a year from me. I did not want to scare her, so did not get a photograph.

Lizards and crows, too. Chipmunks and a squirrel who was noisy until she realizes that I have spotted her in the small tree, barely taller than me.

I climbed the Serpent’s Trail which is an old road. It goes up and up but is never terribly steep. At the top, I can see the haze: smoke from forest fires in the Pacific Northwest and Canada is coming down. When I got home I closed up the house to keep the air cleaner. It is smokey today with lots of small particulates, not good. We will see more asthma, allergies, eye problems, emphysema and the smoke makes people headachey and irritable. I hope it doesn’t sit in the Grand Valley for a long time.

Meanwhile, the bunnies and the crows and the lizards and the squirrels, can’t go inside, can they?

For the Ragtag Daily Prompt: interview.

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Frail

I wrote this poem about my father at least a year before he died. He was on oxygen, on steroids, terrible emphysema from 55 years of unfiltered Camel cigarettes. He would not accept much help and became more and more of a hermit. He did continue with the Rainshadow Chorale and because of it he quit smoking three years before he died.

Frail

We are going sailing
My partner says to me
β€œInvite him if you want.”

Then I am busy for a while

I think of calling, then forget

He was not at chorus on Monday

At last I say,
β€œI haven’t called. We’ll just sail.
Just us today.”

I haven’t called
because he was not at chorus on Monday

He is frail
55 years of camels
two packs a day
as if each cigarette
destroyed one alveolus
in his lungs
one tiny air/blood interface
built to exchange oxygen
and carbon dioxide
the loss is cumulative


He is frail
he is proud that the choral director
says, β€œI need you.”
He can’t sustain
but his entrances and time
are the best
among the basses.
They need him.

Chorus
is our winter link
two introverts
we hug at the start of chorus
sing for two hours
and talk for a few minutes at the end

Occasionally we go for a beer
I invite him for dinner
but he comes less and less
he often does not feel well at night

He looks smaller at chorus
this season
this is normal in emphysema
the body sheds weight
too much tissue to oxygenate
too hard for the lungs
and the heart, working overtime
to make up the difference
he is blessed with low blood pressure
genetic, from his father,
tough English stock,
otherwise I think he’d be dead

I didn’t call
before we went sailing
because I am afraid

I’ve driven out before
when he has not answered the phone
for a day or two
wondering if I would find him dead

I didn’t call
before we went sailing
because he was not at chorus on Monday
because if he didn’t answer today
I would not go

______________________

For the Ragtag Daily Prompt: frail.

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Coping or manipulation?

I see someone in clinic with a difficult boss.

This brought up work stories. Now, are these coping skills or manipulation or a bit of both? You decide.

Long ago I work in a lab at the National Institutes of Health. We are super busy and doing a lot of overtime and have some media pressure as well. Our boss gets us together and gives us hell, about making mistakes. I am annoyed, because I’ve been really careful. I stew. I write a letter, what I think he should have said, which is telling us all great job, you’ve worked super hard, we are under pressure and also we need to not make mistakes. I circulate it to the four other lab techs, who enjoy it. The lab cheers up a bit. Eventually I get brave and give it to the boss. He likes it and reads it to everyone, who try not to laugh. A year after I leave the lab, I visit, and he has that letter up on his bulletin board.

Long ago I am made chief of staff at a hospital. My goal is to finish the monthly meeting in an hour. I have two senior doctors who always blow up about something in the meeting. I decide to be proactive and go to each one before the meeting and prime them. I pick a topic, say I am worrying about it, and what do they think? They each then blow up in the meeting, but now they have no opposition so there is no brawl. I prime them about something that is not really controversial. I do get the meetings done in an hour.

One year I go to the lake with my family. My children are small. My father has been drinking heavily. I call ahead and say, “Will you treat our tent site like my house and not come there if you are drinking?” “You don’t own the lake land,” says my father. “We don’t have to come.” I reply. He agrees not to drink at our tent site.

He is angry, though, and pretty much won’t speak to me. I ask if he would come to a family sing at my site. He says no. I think about it for a while and ask my cousin to hold a sing at her cabin. My father agrees to that, not knowing that I am the instigator. He is happy at it because he’s said no to me and yes to her, and I am happy too, because I love to sing and sing with him.

My father was one of eight people to start Rainshadow Chorale in 1997. I sang with him in the chorale from 2000 until the year he died.

Where is the line between manipulation and coping with a difficult person?

I think this is a time travelogue, so let it be my Ragtag Daily Prompt for today.

The photograph is of my father in 2012. He died in 2013.

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wait

I am waiting for approval or refusal from an official body regarding a job. The job was supposed to start on April 15, but the official body did not meet until April 17. (I am picturing a group of body parts getting together, arm, arm, leg, leg, head. Where is the pelvis? Probably out fooling around.) They initially said they would let me know by April 19 and then changed it to by May 1. So, any time between yesterday and May 1. This makes planning a bit difficult.

And weight. I drop ten pounds with pneumonia. I did not gain it back for a year. Then I went past my “normal”, about ten pounds. Now I have come down six pounds. I am not taking one of the weight loss drugs. I am just reducing sweets and also letting my self be just a little hungry and walking. I am not losing weight fast. My goal is about 2 pounds per month.

The last three days my appetite has dropped, which is a stress sign for me. I am taking my friend to get radiation and it took four hours on Thursday and three yesterday. I have to back off if my appetite goes. The combination of waiting and taking care of her is a bit too much. Partly because there are multiple snafus, in both arenas. (Now I am picturing the body parts gathering in a football arena. Wordplay.)

Today I do not have things on the schedule. I may just putter and write and think, feed the cats, do laundry. Nothing much.

How about some music? The first one is a psychedelic band album: new to me. The second is a song sung by Rotarians in the 1960s. Maybe now too, though not by our club.

For the Ragtag Daily Prompt: wait.

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You can have some of the things some of the time

My father’s name is Malcolm Kenyon Ottaway. He went by Mac. He died in 2013. I miss him and I still follow Mac’s Rule.

Mac’s Rule is simple: You can get one third of the things that you think you can get done in a day.

I played with this on my days off for quite a while. I would write a list of all the things I wanted or needed to get done. Once I write the full list, it looks silly. Soon it is clear that he is correct.

When I am working full time in Family Medicine and have a five year old and a new baby, I think about getting something done on the weekend. Clear my desk, organize photographs, that sort of thing. After a while I realize that the weekend was more like this: Meals. Get kids clean and dressed. Laundry for the next week. Clean the house a bit. Do some fun family things! Read to kids and put them to bed! My list changed and instead of the ambitious “organize photographs”, I would think of something very small. Perhaps take one roll of developed photographs, pick some of the duplicates, send them to the grandparents. That was it for the entire weekend.

If I apply Mac’s Rule to my life and list all the things I want to do, which third will I pick? For years I write lists for a day off and then pick the top third that I want to get done. If something is added to the list, a friend calls to go to coffee, I take something else off. I make sure that the list always has something that I need to do on it (and often don’t want to: start taxes, pay bills, clean a bathroom, whatever). And something fun.

I don’t try to do it all. It’s very satisfying to get that 1/3 done on the list. And I feel like superwoman if I get an extra thing done! I get to choose which third to do and think about it. And the stuff that I don’t want to do slowly gets done over time. It isn’t that awful to do one of those duty jobs, thank you letters, tax information, dental appointment, mammogram, every day and then it gets DONE.

I am working with someone who puts RUSH at the start of every single email subject line. I have to say that it makes me want to dig my feet in and not even read the email. What kind of rash haste are they working under and why would I pay any attention to the RUSH by the ninth email? It is annoying and ludicrous. I move those emails to the next day list and don’t read them on the day of arrival. No pressure, so there.

Blessings on my father, for Mac’s Rule.

For the Ragtag Daily Prompt: rash.

The photograph had to be taken before May 2000, because my mother died on May 15 and she is on the boat. I don’t know who took it, another group sailing. Both my kids are there, my father with the tiller, and I am tucked behind the friend facing the camera. Why haven’t we pulled the motor up? This is Sun Tui, the boat currently in my driveway on a trailer.

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Tenacity

Two skills needed in primary care are tenacity and listening. That is a combination that can make a diagnosis. Here is an example.

In residency, many years ago, I have a patient with developmental delay. He lives in a group home. He can’t talk though makes some noises. The group home staff bring him to me. His head is misshapen because his mother had measles in her pregnancy.

The staff says, “We think his head hurts. He just isn’t behaving right.”

“Did he fall?”

“We don’t think so.”

“Fever? Nasal congestion? Cough?”

“No.”

“How long?”

“Over the last week.”

I do an exam. I really can’t see his tympanic membranes because of his skull shape.

“Maybe he has an ear infection. I can’t see. We’ll try antibiotics, but if he is not improving, bring him back. In five days.”

They bring him back. “He’s no better.”

I get on the phone. I need a CT scan of his head and the group home say he won’t stay still. I need anesthesia to sedate him for the CT scan. It takes two tries and quite a bit of phone explaining with both the anesthesia department and the radiology department. Persistence. I am looking for a subdural bleed in his head from a fall, or a sinus infection, or something.

It is done and I get a call. Not from radiology or anesthesia but from the ear, nose and throat surgical resident. He is very excited. “Your patient!”

“Yes,” I say.

“He has a pseudocyst! In his sinuses! He has abnormally large sinuses and this is the biggest pseudocyst anyone here has ever seen!”

“Um, ok.” Honestly, I’ve never heard of a pseudocyst. It turns out to be packed nasal drainage in the sinus. Bad ones can erode through bone into the brain. Certainly that seems like the cause of the headache!

“We are taking him to surgery!”

Residency can be pretty weird, when someone gets really excited about a rare disease or interesting trauma case or whatever. I found that I was entirely happy just doing health maintenance exams and encouraging people to quit smoking and exercise and drink less. However, I was also good at finding weird things.

The ear, nose and throat surgeons in training were very happy about the surgery. The group home staff were happy too. “He’s back to his old self. Thank you!”

It took tenacity to set up the head CT. It’s important to listen to the families and caregivers too, because they know the person better than I do. They were right: his head hurt. And we found out why and were able to treat it.

For the Ragtag Daily Prompt: tenacity.

Water is tenacious too, wearing down stone and wood and glass.