Category Archives: Health

Choices

Imbolc and the Moon of Deep Friendship

Shabbat gratefuls: Shadow, her bandage changed. Dr. Josy. AI help with the next step choices on prostate cancer. Jamie Bernstein. Bagel Table. Winter Olympics. Joe, the ski racer. Religion. Religions. Hinduism. Buddhism. Islam. Christianity. Judaism. Sikh. Jain. Parsi. Taoism. Shamanism. Paganism.

Sparks of Joy and Awe: AI

Life Kavannah: Wu Wei    Shadow, my Wu Wei mistress

Year Kavannah: Creativity.   Yetziratiut.   “Inspiration exists, but it has to find you working.”  Pablo Picasso

Week Kavannah: Hakarat Hatov. Gratitude.

  • Literally “recognizing the good,” it is the practice of acknowledging the positive, often overlooked aspects of life.
  • Core Principles: It encourages focusing on what you have rather than what you lack, recognizing the humanity in others, and appreciating the natural world.

Tarot: 11 The Woodward

“…an “ancient guardian of the Wildwood,” it symbolizes inner strength, facing fears, understanding darkness, and managing primal instincts with quiet courage.”

One brief shining: Purpose porpoise deep sea waters diving down inside toward the great Holy Well of the collective unconscious, into the nefesh, the hidden places from which our souls gain nourishment, our bodies will, intent, courage and our lives find their firm foundations.

Health: Spent a good bit of yesterday trying to parse the difference between choosing the known Pluvicto and the gamble on the clinical trial. Hit on the idea of asking chatgpt which I’ve found a reliable interlocutor on questions medical.

Here’s the prompt I used:  My latest petscan showed significant increase in osseous metastases. I’m now in hormone resistant disease. My oncologist gave me the option of Pluvicto or a similar drug using Actinium but in a clinical trial. I’m not sure how to weigh the harsher Pluvicto against the possibility that I would end up in the control group for the trial. what do you think?

I also put the same question to Gemini 3.0 and Claude. I got a lot of useful, thought provoking material from all three. This came in a longer response from Gemini 3.0 and I found it helpful:

Why Choose the Trial?

  • Access to “Next-Gen” Tech: Actinium is often used as a “salvage” therapy for people who have already failed Pluvicto. By joining the trial, you are potentially skipping a step and going straight to the most powerful tool available.

  • Close Monitoring: Trial patients at RMCC receive much more frequent scans, blood work, and “concierge-level” attention from a dedicated research nurse compared to standard patients.

4. Why Choose Pluvicto (Standard Care)?

  • Certainty: You know exactly what you are getting and when.

  • Proven Track Record: It is the global gold standard for a reason. It works well and the side effects are very predictable.

Based on reading the responses from all three, I’m leaning toward the trial if I get positive answers to these questions from Annie Sauve, the Rocky Mountain Cancer Care nurse in charge of the trial:

  • “If I am randomized into the control group, what specific drug will I receive? Is it Pluvicto?”

  • “Does this trial have a ‘crossover’ provision if my next scan shows progression?”

  • “Given my concern about dry mouth, what salivary gland protection protocols (like ‘cold caps’ or injections) do you use during the Actinium infusion?”

  • How many times will l have to travel into Denver? I live in Conifer.  (I added this question)

As you can see, these are not straight forward matters. And, the stakes are high. I’m doing fine emotionally, looking forward to getting underway.

Calibration

Imbolc and the Moon of Deep Friendship

Friday gratefuls: Rabbi Rami. Rabbi Jamie. Rich. Marilyn. Tara. Alan. Stephen Miller. Judaism. Two Jews, three opinions. Teshuva. Tikkun. The One. Morning service. Kabbalat Shabbat service. High Holidays. Passover Seder. Purim. Simcha Torah. Shavuot. Succoth. Tu B’Shvat. Hannukah. Bet din. Mikveh. Sabbath. Israel. Holocaust. Pogroms. Reconquista. Mussar. Blessings. Belonging before believing. Reconstructionist. Reform. Conservative. Orthodox. Tanakh. Torah. Songs. Writings. Shiva.

Sparks of Joy and Awe: Cinema

Life Kavannah: Wu Wei    Shadow, my Wu Wei mistress

Year Kavannah: Creativity.   Yetziratiut.   “Inspiration exists, but it has to find you working.”  Pablo Picasso

Week Kavannah: Tikkun  Olam. Repairing the world.

  • Lurianic Kabbalah: A 16th-century mystical belief that the world was created by divine vessels that shattered, scattering “sparks” of divine light. Humans perform tikkun by gathering these sparks through prayer and mitzvot.
  • Modern Social Justice: Since the 1950s, the term has become a shorthand for social action and progressive activism, such as environmentalism and human rights.
art@willworthington

Tarot: 10 The Wheel

“The Wheel has turned; change is at hand. In all nature, there is a time and tide. The cyclic laws of birth, death, and rebirth are ever revolving and, without change, all things stagnate. How you deal with this change is the issue here. Within the tangled and tightly woven fabric of chance, you have the power to make a difference. By your own action you can change your life.”  Parting the Mists

 

One brief shining: On walking into Ginger Itaewon I noticed a string of Korean flags and on the front wall, the word Itaewon in large yellow letters, naming a culturally diverse, tourist friendly neighborhood in Seoul, yet over the cash register hung a portrait of the Thai king and the door to the kitchen had a colorful Japanese cloth room divider. Culture clash.

Evergreen: Drove over to Evergreen for lunch with Rebecca at Ginger Itaewon. Turns out the owner, a former Texan, is Thai.

I planned to calibrate through this lunch plus the drive to Evergreen and back how much accommodation I need to make to head drop. I had it figured about right. A half hour drive plus an hour and fifteen minute lunch, then a half hour back home found me nap ready.

No more driving into Denver. Perhaps western Lakewood, no further. The combination of holding my head up while I drive, then sitting for an hour or so in a chair with no head support? At the outer edge of my capacity. Holding my head up now calls on back and shoulder muscles that begin to fasciculate under the strain. Effects my capacity to use silverware, eat from a plate. Geez. Eating out’s not as much fun.

Now rescheduling any days on which I have two medical appointments. Used to bunch them for convenience, now I can’t handle more than one a day.

Just a moment: Drawing down 700 ICE agents. Leaving only 2300-only?-in Minneapolis. Still not getting the message. ICE out now!

Friend Tom sent me this link to an MPR article: Pursued by Federal Agents Suburban ICE Observers Remain Resolved.

Here a couple of paragraphs:

“Elizabeth and other suburban observers interviewed for this story said they haven’t seen federal agents de-escalate their activities since Homan’s arrival. In fact, they’ve noticed more federal agents on the roads, and the agents have moved from merely mocking observers to aggressively pursuing them or using dangerous tactics to try to box them in on suburban roads.

“I think they’re getting angry that we’re winning and the country is rallying around us,” Elizabeth said. “We’re so organized and we act with such integrity. They don’t want to admit they feel threatened by us.””

 

 

Arrival Day

Imbolc and the Moon of Deep Friendship

Thursday gratefuls: Tara. Alan. Marilyn. Rebecca. Jamie. Rich. Shadow worrying her cone. Russia. Ukraine. Israel. Gaza. Venezuela. Honduras. Mexico and buddy Ode. Canada. Greenland. The Gulf of…..wait for it. Mexico! Minnesota and Minnesotans. Minneapolis. The Waters of Minnesota: Glacial Lakes, the Mississippi rising in Lake Itasca, Lake Superior, the Minnesota River, Rum River.

Sparks of Joy and Awe: Shadow Mountain home

Life Kavannah: Wu Wei    Shadow, my Wu Wei mistress

Year Kavannah: Creativity.   Yetziratiut.   “Inspiration exists, but it has to find you working.”  Pablo Picasso

Week Kavannah: Tikkun  Olam. Repairing the world.

  • Lurianic Kabbalah: A 16th-century mystical belief that the world was created by divine vessels that shattered, scattering “sparks” of divine light. Humans perform tikkun by gathering these sparks through prayer and mitzvot.
  • Modern Social Justice: Since the 1950s, the term has become a shorthand for social action and progressive activism, such as environmentalism and human rights.
art@willworthington

Tarot: Seven of Stones, Healing

“After physical or emotional sickness or injury, a time of inner rest and rejuvenation is required. Patient and peaceful healing comes from a spiritual source. Wholeness and recovery will follow a serious physical or emotional wounding.”

One brief shining: Long ago, maybe 40 years or more, a then close friend, Steve Miles, had taken leave from medical school to care for his terminally ill grandfather; as we talked about his time with his grandfather, he asked, “What is health in a dying person?”

Health:  Maybe in a movie? Or, a book. “There’s no such thing as dying. You’re either alive or dead.” Relates to Steve’s question and my current situation. You could say I’m dying, probably closer than most of those I’m close to, yet my experience is of being alive. Right now in this moment. Laying down yet more words on this 22 year old ancientrail. Watching Shadow try to rid herself of that damned plastic cone. Hearing the boiler kick on with its whoosh of flame. The black morning Sky.

That may be the answer to Steve’s question. After all, life is a terminal disease. If we’re above ground and taking nourishment, that’s an important indicator of health.

Joy. Love. Compassion. I still have these to offer. My mind is sharp. Shadow and I have figured it out. I say  joy to the fishes in the deep blue sea, joy for you and me.

 

Dog journal: Yesterday was arrival day for Shadow. A small puppy who hid under my bed for three days. 2025. Oh, what a year it has been.

Ginny, Janice, Annie, Luna and I drove up I-70 to Berthoud Pass, went through Winter Park and in to Granby. Down an icy backroad, set off on plot of land by itself, was the Granby shelter. I met Shadow and decided, right then, to adopt her.

Months passed and she grew from a small puppy to a 37 pound Blue Heeler, often fearful, loving and sweet. Difficult. Thanks to some earlier trauma thresholds caused her to shy away, refuse to come in. As I’ve written here.

As my wu wei mistress, Shadow has taught me to roll with the flow of her life; even when I thought I couldn’t keep her safe from Mountain Lions or the cold, she came back to me.

This morning she crawled up on my pillow, kissed me, then laid her beconed head on my neck, just resting there for quite a while. Me and my Shadow.

All Joyful

Imbolc and the Moon of Deep Friendship

Wednesday gratefuls: Art Linkletter, Kids Say the Darndest Things. Rimadyl for Shadow and her Halloween themed booties. Tara and her life. Costa Rica maybe. Shirley Waste. Tom, Roxann. Paul and Washington County, Maine. Cool night. Prostate cancer treatments. Joe and Seoah. Thugees. Melting ICE. Minneapolis. Minnesota.

Sparks of Joy and Awe: Deep Friendships

Life Kavannah: Wu Wei    Shadow, my Wu Wei mistress

Year Kavannah: Creativity.   Yetziratiut.   “Inspiration exists, but it has to find you working.”  Pablo Picasso

Week Kavannah: Tikkun  Olam. Repairing the world.

  • Lurianic Kabbalah: A 16th-century mystical belief that the world was created by divine vessels that shattered, scattering “sparks” of divine light. Humans perform tikkun by gathering these sparks through prayer and mitzvot.
  • Modern Social Justice: Since the 1950s, the term has become a shorthand for social action and progressive activism, such as environmentalism and human rights.

Tarot: Ace of Vessels, The Waters of Life

“When nearing the heart of a sacred quest, motivation and integrity of human desires are challenged. Ancient wisdom demands the seeker be humble and forgiving. Respect for others and for the environment is required to proceed along the path to enlightenment. There is no completion without overcoming the challenge.” Parting the Mists

One brief shining: This last Petscan may have revealed the heart of my prostate cancer journey, a final goodbye to the treatment that has worked for me for years following the failures of surgery and radiation, ushering in a moment poised between androgen deprivation therapy and a time of greater uncertainty, more exotic treatments.

 

I’m aware my posts of late have veered from the dread fallen on my once and forever home state of Minnesota to difficult medical news-Shadow and me-with only a sprinkling of other, less dire topics. The realities of my life right now. For some close friends as well. Life in the old age zone.

Yet. It is still just that. Life. One filled with joys like a Dog sleeping next to me. A good friend visiting. A poetic movie, Train Dreams. Sausage and sauerkraut and sweet peppers. Yogurt, eggs, and a protein bar. Sleeping in a cold room. Making my own decisions. Finding new friends like Dr. Josy, Natalie. Reading. Dreaming.

And, some humor. I used to love watching Art Linkletter’s show, Kids Say the Darndest Things. An example: “ear wax is hands that slab your brain and you won’t be able to talk anymore.”

Thinking about it reminded me of a “60 Minutes” segment from the same period on childproof pill bottles. In the segment the host handed some kids pill bottles with “childproof” caps. At first they tried to open them the usual way. The caps worked. Then, one kid threw the pill bottle on the ground and stepped on it. Voila!

Never thought I’d use that bit of knowledge myself. Shadow has begun holding her right leg up, the bandaged one. Dr. Josy called in a prescription to King Sooper and I went to the pharmacy. Sure enough, an old guy proof cap. Guess what I did. Yep. Learned it from TV.

A friend yesterday asked me if I had a bucket list. Not really. Well, what brings you joy? I get up at 4:30 with Shadow. Let her out and back in. Write Ancientrails. A light snack and a workout. Breakfast. Reading for my project on explaining the new (and old) far right. Some work on Superior Wolf. A nap with Shadow. Lunch. Watching some TV or reading fiction. A light supper, feeding Shadow again. Throw in some zoom sessions with friends, family. Perhaps a mussar session, a torah study, breakfast or lunch with friends. All joyful.

A Shared Glide Path

Imbolc and the Moon of Deep Friendship

Tuesday gratefuls: Taylor. Dr. Bupathi. Maddie. Tara. Clinical trials. Prostate cancer. Its lessons. Driving down the hill. Shadow of the morning. The Predatory Hegemon. Imbolc. Sheep. Cattle. Goats. Muster Dogs. Cattle Dogs. Blue Heelers. Irish Wolfhounds. Whippets. German Wirehairs. Akitas. Dexa scan.

Sparks of Joy and Awe: Oncologists

Life Kavannah: Wu Wei    Shadow, my Wu Wei mistress

Year Kavannah: Creativity.   Yetziratiut.   “Inspiration exists, but it has to find you working.”  Pablo Picasso

Week Kavannah: Tikkun  Olam. Repairing the world.

  • Lurianic Kabbalah: A 16th-century mystical belief that the world was created by divine vessels that shattered, scattering “sparks” of divine light. Humans perform tikkun by gathering these sparks through prayer and mitzvot.
  • Modern Social Justice: Since the 1950s, the term has become a shorthand for social action and progressive activism, such as environmentalism and human rights. 

Tarot: Eight of Bows, Hearthfire

“A hearthfire gives warmth and light in the deep midwinter. Warmth of life, love, and friendship are shared generously. There is a sincere desire for celebration, security, and harmony shared with companions and kindred spirits. This also leads to the attainment of innermost peace and the feelings of personal well-being and achievement.” Parting the Mists

One brief shining: Drove down the hill again, as I did so often with Kate, all medical reasons for her: the emergency room, the hospital, her rheumatologist or pulmonologist, this time for me but visiting the same medical complex around Swedish hospital, seeing my oncologist’s P.A. Taylor to find out what new protocol might extend my life.

Health: Radiologist’s impression after reading my most recent Petscan: “Significantly worsened osseous metastatic disease, with increased uptake within many pre-existing lesions and multiple new radiotracer avid lesions throughout the axial and appendicular skeleton.”

There are two good notes in that dismal sentence. 1. Osseous metastases. Prostate cancer in the bone rather than organs or other soft tissue has proven more treatable. 2. Radiotracer avidity. This because it means my cancer is an excellent candidate for Pluvicto.

Pluvicto uses a radioactive tracer identical to the one used in the Petscan, but in this case to deliver a radiation dose directly to each cancer cell. It does have downsides, for example:

“To minimize radiation exposure to others following administration of PLUVICTO, limit close contact (less than 3 feet) with household contacts for 2 days and sleep in a separate bedroom from household contacts for 3 days.” I mean, geez.

A new drug with a similar mechanism of action but with less dramatic side effects is in clinical trials here in Denver. I have been admitted, tentatively, to the trial. If I randomize into the control group, I’ll get pulled out and go with Pluvicto. If I get in the trial group receiving the new medication, I’ll stay in the study.

All this because my cancer has taken an aggressive turn and we need to get out ahead of it again. Fun times.

There are other options, the primary one being chemotherapy. Which I want to avoid as long as possible.

I know all of this sounds bleak, and it is in its drama. However. We’re all on a glide path to death. My path has more obvious trailheads, perhaps, but its destination? No different from yours.

The Land of Lake Woebegone

Imbolc and the Moon of Deep Friendship

Monday gratefuls: Dr. Bupathi. Prostate cancer. New mets. Joe and his work. Shadow of cone and bandage. Dr. Josy. Her journey. Youtube. Kate, always Kate. Artemis in Winter. Her Garlic. The Dog run. Epstein files. Kennedy center closing. Minneapolis. Cool weather. Hard Rock Medical. Tu BiShvat.

Sparks of Joy and Awe: Living

Life Kavannah: Wu Wei    Shadow, my Wu Wei mistress

Year Kavannah: Creativity.   Yetziratiut.   “Inspiration exists, but it has to find you working.”  Pablo Picasso

Week Kavannah: Tikkun  Olam. Repairing the world.

  • Lurianic Kabbalah: A 16th-century mystical belief that the world was created by divine vessels that shattered, scattering “sparks” of divine light. Humans perform tikkun by gathering these sparks through prayer and mitzvot.
  • Modern Social Justice: Since the 1950s, the term has become a shorthand for social action and progressive activism, such as environmentalism and human rights. 

Tarot: Seven of Arrows, insecurity.

“…this card focuses on the psychological state of vulnerability…”

One brief shining: In the winter of my life I live beside a hearthfire built over the years from the warmth of deep friendship, the stable power of family, a lev calmed by meditation and acceptance, a soul anchoring me in the interconnected web of Lodgepoles and Grasses, Dogs and Elk, Mountains and Rivers, and in a loving, sacred community.

Health: Petscan results have come back. They show new metastases. Not what we’d hoped. Not what I want. But the case anyhow. Puts me over into the hormone resistant phase of stage four prostate cancer. I see my oncologist today and expect that he’ll start me on some new protocol.

Thanks to dramatic advances in dealing with just this situation there are still many effective treatments left. Not sure which direction we’ll go, but I’ll let you know when we decide.

The seven of arrows speaks to the feeling of vulnerability I experience each time new test results come in and especially when, like these results, they have unwelcome news. Yet, well into my eleventh year of prostate cancer, I have this reaction. OK. This is where I am. What do we do next? Not resignation, not OMG, but a desire to stay in it, be present.

I’m grateful for each of you who care about me, love me. This journey would be bleak without you. With you it’s just that, a journey that is part of my life, hardly all of it.

The Wild: When writing last week about my White Pine guide in Boot Lake SNA, the natural world of northern Anoka County came flooding back. The early mornings I would spend doing cardio by the Rum River, following a county park trail beside it. The bitter cold mornings on Snowshoes in the woods behind the new library.

Time spent in the Helen Allison Oak Savannah among its Bur Oaks, tall Grasses, and Wild Flowers. Hawks, Songbird, Frogs. Afternoons at the Cedar Creek Ecosystem Science Reserve.

Winter days taking Sorsha, our 150 pound Irish Wolfhound bitch, for a walk in the Ice fishing village on a frozen Lake George.

Beautiful and precious moments in the land of Lake Woebegone.

A Life Transition

Yule and the Moon of Deep Friendship

Tuesday gratefuls: Gloriana frangipana! (first line of the Indiana University school song) Jane Pauley. Dick Pauley. Uncle Riley. Diane. The farm. The Blue River. Hancock Cemetery. Morristown. Milan. Bobby Plump. The Indy 500. The Indiana Republican party. Turkey Run State Park. Spring Mill State Park. The Alexandria Times-Tribune. Muncie. Wabash. Ball State.

Sparks of Joy and Awe: I.U.

Life Kavannah: Wu Wei    Shadow, my Wu Wei mistress

Year Kavannah: Creativity.   Yetziratiut.   “Inspiration exists, but it has to find you working.”  Pablo Picasso

Week Kavannah: Daat.    The Bridge Between Mind and Heart

“If Chokhmah (Wisdom/Inspiration) is a seed and Binah (Understanding/Analysis)  is the soil that develops that seed into a plant, Da’at is the nervous system that carries the vital life force from the brain to the rest of the body. It is the point of transition from “thinking” to “being.””

art@willwordsworth

Tarot: Ten of Bows, Responsibility

  • Overextension: Pushing yourself too hard, sacrificing well-being for responsibilities.
  • Perseverance: The strength to continue despite heavy loads, finding inner resolve.
  • Completion/Release: As a “10” card, it signals the end of this phase, often with the potential for release or freedom after enduring the trial.
  • Prioritization: A call to assess what truly matters and learn to say “no” or ask for help.

One brief shining: Eleanor bounded down the stairs, Shadow twirled at the scent of her friend, Tara hollered we’re here, and the Shadow/Eleanor run, twist, smell, wrestle all the time day began when I opened the door, Eleanor pushed through Shadow greeting her with a jump and a play bow.

 

Sport: Pride of place belongs to I.U. football. National champions. Undefeated. Bringing gloriana frangipana to the nation’s attention. I listened to an all red chorus sing the I.U. school song and it washed over me, redolent of nineteenth century American higher education. Made me wish, again, that I’d chosen I.U. over Wabash.

Jane Pauley, married to Gary Trudeau and former host of the Morning Show, made this tribute piece: Hail to Indiana. Cousin Diane found it. Jane often came to our family reunions since her dad, Dick Pauley, and Diane’s father, my uncle, were like brothers. If you watch this piece, Uncle Riley is to the left in the old photograph shown near the beginning. Family.

 

Soul Work: This year, let’s start it on February 4th, 2025 when I adopted Shadow from the Granby Shelter, has been a humbling one, physically. Over the course of a long, loving, difficult time developing a relationship with a traumatized puppy, I’ve had multiple diagnostic procedures followed by several courses of varied treatments ranging from radiation to nerve ablations. The whole process exhausted me.

Since the last meeting of our Mussar Vaad Practice group a month ago, one I had to leave in the middle due to extreme discomfort from a hernia, I’ve grappled with a persistent issue: if I go out, even on small jaunts, I come home drained. A combination of my head drop from post-polio, right lower back and hip pain added to a general weakness due to sarcopenia and the energy my body has to expend making up for the resources cancer steals from it.

The soul work has been around accepting that I have become almost home bound. Here, in a chair that supports my neck, with my home gym, I achieve a normal day without depleting myself. When a day on my calendar is clear, my lev is happy.

I don’t like this, but I’m increasingly unable to live the life I developed after Kate’s death. Question. Can I still live a significant, loving life under these conditions? My answer is yes, of course I can. As I said a week or so ago, recounting my talk with Rachel, my social worker.

I’ve come to this conclusion. My life is now mostly here at Shadow Mountain Home. That means no traveling, fewer trips out and those more calibrated than before. Leaning on my friends for help when I need it. Beginning to think about some more paid help around the house.

A life transition, not one I sought, but one to which I have to adapt. See the ten of bows.

 

 

Lord Willin’ and the Creek Don’t Rise

Yule and the Moon of New Beginnings

Thursday gratefuls: Joe. Coming on a jet plane. Star Trek. Strange New Worlds. Vast distances. Space. The Milky Way. Discovery. Hubble. Webb. ISS. Tian Jian. Saturn. Atlas. SpaceX. Blue Origin. NASA. The Moon. Mars. Asteroids. Mother Earth, our spaceship. Terranauts. Great Sol.

Sparks of Joy and Awe: Joe

Life Kavannah: Wu Wei    Shadow, my Wu Wei mistress

Year Kavannah: Creativity.   Yetziratiut.   “Inspiration exists, but it has to find you working.”  Pablo Picasso

Week Kavannah:  Wholeness. Shleimut.

“The concept of shleimut extends beyond the individual, applying to relationships (finding a life partner with whom one feels complete) and the community (mending societal cracks to achieve collective creativity and flourishing).”

Tarot: Knight of Vessels, Eel

“With purity of intent, your destiny defined, you are able to bring wisdom and maturity to your tasks. Embarking on a quest of personal revelation, your vision leads you onward. Your deep feelings are expressed at every turn.” Parting the Mists

One brief shining: Plane landed, he said, getting a car, leaving the rental, about 1.5 hours out; Joe had come to Colorado, the Godfather whose godchildren eagerly awaited him texting, buzzing, Ruth sending pictures of her new-to-her car, a Subaru Forester that Joe helped her find from afar, like a good Dad; when he got here lugging his usual duffle bag full of books, another Master’s degree underway, Shadow surprised us both and barked at him.

OK. Nobody comes to our house at night.  I’ll give her that. And, he’s a he. She definitely prefers women. Still. So. Joe closed the door and went back upstairs. When we went upstairs, Shadow and me, she relented, only backing away.

Joe came in for a hug, a muscled 44, smelling faintly of soap, bigger than I remembered. Though in reality it’s me that’s smaller. That affection. Borne of 44 years in each other’s lives, of so, so many memories. Of so much love.

All the longing. As I get older, I need to see him, and Seoah, too, so much more; yet, distance and the arc of a career, a successful career, mean I’ll probably never have what I need. Makes me sad.

It’s not like I need to see him every day, though that would be great, but having him and Seoah closer than 9,000 miles… Would be better. Not likely to happen.

I love my life on Shadow Mountain.  Great and good friends. Shadow. Wild Neighbors. Aspens and Lodgepoles. A house I know, that works well for me. Living in the Mountain West exhilarates me. A life that works. No regrets. Even so, I feel what I feel.

On an adjacent matter. Talking with Rachel, my social worker, (ok. yes. It still feels weird to say, my social worker.) I did resolve one bit of tension. My walking limitations and my head drop issue have left me near home bound. I can and do go out, but I fade quickly. Energy and stamina both limited.

I’ve felt, maybe for the past year, an unidentified need to do more, be more while at the same time thoroughly enjoying my at home life. A vague guilt, yet real. And, it taints my pleasure in a life of reading, Shadow, cooking, writing, watching TV.

I’d always pegged the feeling as pushing in from the second phase of career, family busyness. Rachel suggested it might also come from building a new life after Kate’s death. In two distinct, but, I feel, significant ways.

First, we had a life together, Kate and me. Attending CBE. Going to see the grandkids, Jon. Special evenings out, theater and jazz. Drives in the Mountains. Caring for each other.

Second, I was Kate’s 24/7 caretaker for almost three years, always on, always going to this appointment or that procedure or cooking or doing the laundry. Constantly busy.

There’s the proximate source of the guilt. I have a life of fewer obligations, either as partner/soulmate, or caregiver. I should be doing more, like I did for all those years. Well, no I shouldn’t.

My life, a more abbreviated one than it was in those years, does not have that level of relationship and duty. That’s a fact. Too, these physical limitations are real. I can ameliorate them some with exercise and diet, but I’m no longer capable of living the life I once lived even six months ago.

Which is oh so, so far from saying I’m not living a life of purpose and agency, a fulfilling and satisfying life. I am. And, I intend to go on doing it Lord willin’ and the creek don’t rise.

The Reverend Doctor Israel Herme Harari

Glad I’m Old

Yule and the Moon of New Beginnings

Wednesday gratefuls: Joe, coming today. Dr. Josy. Healthy Shadow. Paying bills. Tom in recovery. Alan, too. The great American medical contraption. Books. Leads for books. Notebooklm. Pan. Lycaon. The enchanted world. Zeus. Athena. Hera. Poseidon. Hephaestus. Hermes. Hades. Arcadia. Ancient Greece.

Sparks of Joy and Awe: Dr. Josy

Life Kavannah: Wu Wei    Shadow, my Wu Wei mistress

Year Kavannah: Creativity.   Yetziratiut.   “Inspiration exists, but it has to find you working.”  Pablo Picasso

Week Kavannah:  Wholeness. Shleimut.                                                “The concept of shleimut extends beyond the individual, applying to relationships (finding a life partner with whom one feels complete) and the community (mending societal cracks to achieve collective creativity and flourishing).”

Tarot:  Eight of Arrows, Struggle

“…profound personal struggles require calm, decisive and resolute action. Reach down into the very core of your being and summon all the reserves of your courage and wisdom. See honestly what the issue will require for you to resolve it…View this necessary sojourn with clear eyes and a resolute heart, for to overcome these tests of life makes us stronger.” Parting the Mists

One brief shining: Old age is an eight of arrows life phase, a time when the cycle of an individual life nears its end, yet also when  a lifetime of contemplation and courage and love drives a personal distillation, the alembic of a lived life able to transform the dross of work and care into the golden fleece of wisdom and self-compassion.

Old age presents its insults. Those of us in our late seventies and eighties know. Could be maturing cataracts. Might be regrets. A certain hitch in the step. Maybe balance uncertain. All those family issues, good and troublesome. Of course, some sort of physical decline, could be serious illness.

Then there is the end of this story, once infinitely far away, now looming not far out of sight. Even with a death-friendly outlook, which I have, I’m still with Woody Allen: I’d prefer not to be there when it happens. Kate knows. Regina knows. Jon knows. Mom and dad know. All ancestors know. Death loves us all.

When I couldn’t open the jar of sauerkraut or the sour Cherry preserves, it hit me hard. Weak, so weak. When back pain constantly gnawed at my day, my composure, I let myself fall, often, into the slough of despond. Cancer’s various moments of deep uncertainty had the same power.

Yet. I’ve been reading. No surprise. My mind follows the threads of political change, for example, from a unique vantage point. One earned in years, decades of action and reflection. Or, as I research Pan, the great Arcadian God of the natural world, my heart and my imagination open up, seeing connections, linkages from other years of reading, learning.

Or, I have the insight, as I did yesterday, that I’ve stayed the course in many difficult situations: with Jon and his troubles, with Ruth and Gabe, with Kate in her final years, with so many Dog’s in their final weeks, with Shadow through our mutual angst. Even with myself.

Yes, old age has its insults. It sure does. It also has depth of compassion earned. Love emboldened and strengthened. Knowledge gathered, connected, created. A calm that comes from kicking the hamster wheel of achievement to the side. I’m glad I’m old. How bout you?

Matters Ascendant

Yule and the Moon of New Beginnings

Monday gratefuls: Shadow at home. Cooler weather ahead. Wildfire. Mitigation. The birthday boys. Rigel. Vega. Betelgeuse. Antares. Polaris. Andromeda. Milky Way. Crab. Red. Horsehead. Great Sol. Luna. Mercury. Venus. Earth. Mars. Jupiter. Saturn. Uranus. Neptune. Pluto. (I know. Still.) Oort Field. Pioneer.

Sparks of Joy and Awe: Notebooklm

Life Kavannah: Wu Wei    Shadow, my Wu Wei mistress

Year Kavannah: Creativity.   Yetziratiut.   “Inspiration exists, but it has to find you working.”  Pablo Picasso

Week Kavannah:  Patience.  Savlanut.  “Adopt the pace of nature: her secret is patience.” – Ralph Waldo Emerson

Tarot: Back at it soon

One brief shining: She still hesitates, sometimes, on occasion I have to go outside and shoo her in, yet I can always get her inside, a marked improvement; on the leash yesterday we walked up stairs, out the door, and into the front yard, where Shadow strolled easily beside me until I decided to get the mail and tightened the leash because of the road. She panicked.

 

Dog journal: With prozac Shadow reacts less to sudden movements, sounds. She doesn’t seem to play as much, but that might be reacclimation, moving from four Dogs and a more frenetic day, Natalie calls it chaos, to the quieter reality of our home. She does seem more subdued, less the bouncy girl. A balance I know. I’ll ask Dr. Josy what she thinks about a smaller dose.

Shadow had begun taking over Natalie’s pack, herding them. I worry the isolation with this old guy might weigh on her, especially with the limited outdoors of the Dog run. Natalie pulled back on her recommendation that I get another Dog when her pack didn’t influence Shadow’s behavior. Pondering.

 

Notebooklm: I had three things, well, really four that began to push themselves forward after I got done with radiation and into a somewhat free time. Fewer, much fewer appointments and procedures.

The first and most urgent was exercise. Diane helped me crack that one by suggesting I focus only on resistance work. At least for a while. I’ve combined her recommendation with an easier on myself self-talk, not carrying guilt if I miss a session. I’ll add cardio back in when it feels right.

The second thing pushing forward, Shadow, had a built in delay since she was at Natalie’s until Saturday. I still had to get the Dog run built and stay checked in on her progress. Now she’s home.

The third matter pushing its way into awareness concerned the question of politics, culture, and my role in this, my fourth phase. After joining the Democratic Socialists of America, it became clear.  I need to continue my learning about the new (far) right, adding in attention to topical news, but considered from a progressive socialist perspective.

I’ve combined Notebooklm and AI to produce a daily, weekly, and monthly research pattern that feeds what will initially be two columns of political commentary a week on my Substack site. I’m still in the setting up and learning phase, but I anticipate getting started writing later this month.

The fourth? Long has it waved. Superior Wolf. Unzipping it, separating out its tech bro immortality storyline from the story of Lycaon, the first werewolf. I want to focus on Lycaon’s story from his time as the King of Arcadia in a time of myth and legend to the present. Again, Notebooklm and AI have helped me get a running start.

I’ve already devoted time to each of these, regular time, so I can follow Picasso’s thought: “Inspiration exists, but it has to find you working.”

There is, to be fair to the process, a fifth that does not have traction for me right now: the nature’s rights, or earth jurisprudence movement.