Spring Recovery Moon
Head. Mostly clear. Lungs. Mostly clear. I’m beginning to feel the illness bidding me goodbye. So long, it was good to know ya. Nah, it wasn’t. And don’t come back, please.
Kate continues to show steady, if incremental, gains. She smiles more, laughs more. Until, that is, she opened the letter from Swedish Hospital advising us that our balance with them was $25,000. Oooff. Our insurance provider has not, for some reason, paid them. I get to chase that down today. Being sick in America. If the illness doesn’t get you, the debt collector will.
If we didn’t have resources, didn’t have enough education and chutzpah to front the insurance company about this, we might end up stuck with the bill. Kate’s experience since September has been long, invasive, and expensive. Without insurance we’d be eating away at our IRA. I don’t think this should be too hard to clear up; but the ominous nature of a letter like that creates an unpleasant frisson. To say the least.
I’m debating going to see my doc about o2 sats. They’re below normal, though not in a dangerous range. The high 80’s a good deal of the time. Normal is above 95, though above 90 nobody worries. Since we’ve gotten here, my sats have been around 90 most of the time. As Tom pointed out, we’ve lost 75% of our available oxygen just by being at 8,800 feet. That would make a normal reading 93 if I’m doing my math and physiology right.
I really don’t want to confuse Kate’s journey right now, especially since we see the same doc, so I may wait a bit, be sure the flight of respiratory illness I sampled over the last two months has actually ended. In time I would like to know if anything in my lungs compromises my breathing. It’s certainly possible. I smoked for 13 years. Not proud of it, but I did. I also worked in a couple of high particulate matter jobs in my younger days, cutting rags at a paper mill and moving completed asbestos ceiling tiles to pallets. And, Dad had severe asthma, using an inhaler virtually his whole life.
Ruach. The Hebrew word for breath, wind, and for spirit. The Greek word is pneuma. God breathed ruach into the lungs of Adam and he lived. Since the traditional test for death was holding a mirror or a hand up to the nostrils, no moisture on the mirror, no felt breath, it’s not a stretch to equate breath and breathing with life. No breath, no life. Many traditions, especially Hindu and Buddhist, have breathing related practices. So do the Sufi as my friend Debra Cope has taught me.
What impedes breathing, impedes life itself. Impedes the spirit of all life that dwells within us. Like health breathing is unremarkable to most of us until its ease experiences an interruption. Water boarding, or extreme interrogation (not torture as our CIA likes to say), is horrific because it emulates drowning. Our body has reflexes built in, the diving reflex, for example, that protect us in the case of sudden immersion in water. This means that our DNA carries a history of dangers to our breathing.
The pulmonologist treats matters related to breathing. But the pulmonologist, no matter how skilled and learned, deals with the physical challenges to breathing, not the spiritual implications. No, that is up to us and our own way of understanding the body/mind/spirit links.
A breathing issue is not, then, solely the province of pulmonology. It is also the province of theology broadly understood. Theology, for me, is the way you identify, organize, and deal with matters of ultimate importance. Life itself is, of course, a matter of ultimate importance to an individual; therefore, life and how it is for us at any particular point is a directly theological matter. Breath, the spirit of life that fills our lungs, provides our cells with oxygen so that they can carry out the physiological functions that are life in the body, is also of ultimate importance.
Here’s a website devoted to breath meditation.* Note in the second sentence that prana, a Sanskrit word, means both breath and life. No breath. No life.
My journey right now forces me to investigate my breathing at both a physiological and a theological level. It’s all o.k., too. None of us get leave this ancientrail alive. Something takes our breath away. That something shows the fragile nature of even the most master of the universe sort of person. Right now I’m going to attend to my breathing, my o2 sats, the spirit and life they make possible within me. An ancientrail of the third phase, no doubt.
*Breath is the universal factor of life. We are born the first time we inspire, and we die the last time we expire. Breath is life itself. In Sanskrit the same word–prana–means both breath and life.
All that lives, breathes–even plants and the bacteria that make bread rise. The process of breath is identical in all, consisting of inhalation and exhalation. It is the most immaterial factor of our existence, being a link-manifestation of the mind/spirit that dwells in all. For this reason, the breath is the natural and logical basis for meditation, the attempt to “enter into life.” The breath is the key to the cultivation of pure consciousness.



A visit to the pulmonologist. Dr. Gupta, looked very medical in blue scrubs, said Kate’s pulmonary function test wasn’t helpful. He didn’t say why, “Looks like a bad test.” He postponed the j-tube surgery yet again, instead ordering a hi-resolution ct scan. This will look for evidence of interstitial lung disease, in particular inflammation or scarring. It will also help them identify the cause of any lung disease, which, in the case of interstitial lung disease, is critical to its treatment though I don’t recall why. Short version. Another week before we know anything definite. Kate says she feels suspended.




Kate’s tpn feedings have given her energy. She’s finishing our taxes, for some reason she likes to do them, and in doing so has walked up and down the stairs to our third level twice. She hasn’t done that in months. When I compare where she is now with the dark days just after the bleed in September and the hemicolectomy, she’s a new woman. Is there a distance still to go? Yes. And a significant distance, too, but that doesn’t diminish the gains she’s made. Go, Kate.
Happy Pi day! I know it’s irrational, but pi’s got that kind of attitude. Will you be going to a recitation of pi? Some people will. Yes, that’s a thing. I like this day devoted to a mathematical phenom. I mean, who hasn’t heard of pi? And, it’s another holiday.
Today is chicken soup day. I have a simple truth organic chicken thawed in the refrigerator. It comes out to warm up to room temp. All the ingredients are here. I had to go buy some peas yesterday since I used the original pack in the fried rice I made. Friend Bill Schmidt looked up the Gold’n Plump Chicken
Mary, she persevered. Sister Mary. When my father died, she insisted that he had a portion of an oil well that should come down to herself, Mark, and me. It took her some time and some legal work, but I got in the mail this week three letters from Roan Resources detailing how we make our claim legitimate.
Kate will go to a 16 hour feeding schedule on Thursday. That will give her 8 hours of freedom from the nutrition bag and the pump. If she continues on with the tpn, next week she’ll go to 12 hours feeding, 12 off. That’s the final stepdown, I believe. Carrying her tpn pack with the nutrition bag, which is heavy, and trailing the tubing that connects it to her picc line, is made more complicated by the tubing that connects her to the oxygen concentrator. A fall hazard for sure. 8 hours of not having to juggle all that stuff will be great for her.
story. His teenage son took his cell phone and created a ringtone using rap music. He didn’t know. He was in with a patient, he said, when all of a sudden, “Then the motherfucker did this, and the motherfucker did that…” started coming from his phone. He’s a good enough guy to see the humor.
First, is Kate strong enough to withstand the surgery that would place the j-tube? My lay opinion is that she is, based largely on how she handled the hemicolectomy (removal of part of her right bowel) under the stress of all that had come prior to that with the bleed. Still, I do see Edwin Smith’s point that killing her to cure her is not the best course of action, so knowing her lung capacity is crucial. Gupta will tell us.
I’ve been using the Instant Pot. Made a wonderful chuck roast, shredded easily, tasted great. On Saturday I made rice. Turns out three cups of dry rice makes a lot of cooked rice. It cooked for 1 minute. Sort of. There’s a learning curve for guys like me. First, the instant pot, a pressure cooker with bells and a literal whistle, has to heat up to the temperature required to produce the right pressure. That can take a while, maybe 5-10 minutes. Then, it cooks for 1 minute in the instance of rice. Fast, right? Well, yes. But, with foods like rice that have liquid and plump up after cooking, you do what the instant pot cook books call natural release. In essence that means you wait until the pressure cooker depressurizes on its own. 10 minutes. So, to cook 1 minute takes around 20 minutes in real time. Has some resonance with DST.