Category Archives: Third Phase

Spring, 2019

Spring!                                                                       Recovery Moon

ostaraA full recovery moon on the spring equinox. Lot of powerful juju in the air. The season that announces the return of life (except in Nebraska) begins as the moon swells into its most potent form. Of course, this is only meteorological spring, the date we agree on to name the season’s start, so you have to check local listings for time and channel. Here in the mountains spring’s another month away at least. Probably more like six weeks.

Minnesotans are both happy and wary about the coming of spring. It’s been a long, hard winter and to see it in the past will be welcome. As will be the warmth and color. But. There’s a lot of pent up water there, too, just like in Nebraska, water that will get released as the air grows warmer. Could be a major flooding year. The rivers in Nebraska have exceeded historic high water levels by feet. This is the new normal. Extremes.

We’ve got a string of 40+ degree days ahead, including a couple in the 50’s. Then, more snow. Colorado mountain living. As the melting begins here in earnest, Cub Creek, Blue Creek, Bear Creek, Maxwell Creek will all show their might, taking down the mountains from which they run, taking their stony surfaces and moving them toward the plains. It will take a while, but the creeks are patient and wait each year for the spring winds to melt the snow that has fallen and to melt the ice. They’re a wonder in the spring.

Tao4Alan Watts has a book I like a lot called The Water Course Way. It describes the tao as like water, going around obstacles, over obstacles, not stopping, going on its way regardless of what’s in its path, not troubling itself over temporary stoppages, boulders, canyons, even lakes. Soft wins over hard. The soft water slowly picks away at mountains of granite, basalt, gneiss and takes them a grain at a time, over centuries, millennia, eons back to the oceans.

I struggle with this. I’m more, as I think I said here recently, more of a take arms against a sea of troubles and by opposing end them sorta guy. An unreconstructed activist still clinging to the fever dreams of the 1960’s. Yet there is truth in the tao. Is it the only truth? Don’t think so. But in regard to Kate’s circumstances over the last year or so, it has taken a certain let the process work its way out attitude to survive it with our mental health intact. Had we been pushing, pushing all the time (which I am wont to do) then we would have harmed ourselves in the process of making her well. Not only not necessary, but harmful.

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April 5, 2018. Near CBE in Evergreen

Spring will come. The flowers and the grasses of the montane ecosystem will burst forth, bring us their ephemeral beauty. The creeks will run full down Shadow Mountain, down Conifer Mountain, down Black Mountain always gouging, prying at the very thing that created them. The lodgepole pines will green up, the aspens and willows along the creeks will leaf out. There will be mule deer fawns, elk calves, fox kits, bear cubs, mountain lion cubs. Skis and poles and boots will go in storage and rock climbing gear, bicycles, hiking boots come out.

This is our home now. And we don’t want to leave it. Still uncertain. Waiting for the tao to show us the right path.

 

Seen

Imbolc                                                                   Recovery Moon

20190317_180039
The Winnah!

Two people liked my chicken soup, well, two I know for sure. No, wait, four. Kate and I like it, too. I didn’t win the CBE chicken-soup cook-off but it was a hell of a lot of fun. A couple I talked to early on asked me about my soup and I told them I got the recipe off the back of a Gold’n Plump chicken. Somehow, from my description of my recipe, they figured out which one was mine. And voted for it. Bless their hearts. The woman who won was a bubbe, an anglicized version of the Yiddish bobe, for grandmother.

I hadn’t been to CBE for six weeks so I saw lots of people I hadn’t seen in a while Tara, Joan Tarsarar, Elizabeth, Dan Herman, Ron Solomon, Iris Solomon, Michele and her husband (they liked my soup), lots of kids from my religious school class, Sheri, Rabbi Jamie. How’s Kate doing? Improving, I’d say, but slowly. And you had pneumonia? Yes. You sound like you have a cold. Yes, I’ve had that, too. And, it still has me. What a time it’s been for you two. I’m so sorry you’ve had to go through this. It’s been difficult, but you deal with what’s there, right?

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My entry, #7

CBE is like a small town. Maybe not everybody knows your name, but they know your face. Those who do know you approach, or you approach them. It’s like going to the Bakery in Alexandria (my hometown) after a similar situation at home. People would come up and say, “Charlie, how are you? How’s your mom?”

These seem like casual questions, usual, but they’re not. These folks will listen, and closely, if you tell them how things are. They’ll commiserate. They’ll look for something they can do. One woman, when I told her how weak Kate is and how burdened she is by oxygen tubing and carrying around the tpn bag, and followed that with an example of her calling me when the dogs escaped through the blown open front door, said, “She has my number!” Her point was that she was actually closer to Kate than I was then since I was at CBE. She lives close by and has offered to give us assistance many times.

This is what community looks like, feels like. In the end, I imagine, it doesn’t matter how you come by it. Veterans of Foreign Wars. Living in a small town. Religious community of any sort. Quilting and sewing groups. Volunteering. But we need it. Humans are pack animals. We need to be known and to know others. That happens in community. You’ve read the research I’m sure about the affect loneliness has on health. That it’s an epidemic among the senior population. Well, the cure is community.

Another winner
Another winner

I think of it as being seen. That is, when I walk into CBE, I’m no longer a stranger, but someone who is known. Deeper. Some of those who see me, see more deeply into my person, my life. The mussar groups. The kabbalah classes. Friendships.

If we are not seen, then we are invisible. Invisible people wither. Look at the homeless. Or, the incidence of high blood pressure among African-Americans. The invalid. It’s important to enter the chicken-soup cook-offs and their equivalents. Not to win, though of course that would be fun, but to be visible. To offer yourself to public scrutiny. Not in a weird, self-abasing way, but in a way that affirms your presence. When you show up, as my friend Bill Schimdt likes to say, others show up, too.

See and be seen. The recipe for flourishing. Eudaimonia. Better than happiness, in my opinion.

 

Pi Day!

Imbolc                                                                           Recovery Moon

piHappy 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.

Our roof has curves. It looks like a sculpted chalet with deep sine waves marking the edges along the gutters and bulging hat shapes at the top. The road grader’s been by, guess the sagging power lines have returned to normal. This was a big one, stopping traffic in the mountains for a day.

Kate got her new delivery from Option Care yesterday rather than Wednesday. With the new pump we’ve got her on a 16 hours on, 8 hours off schedule now. Much better for living a life. She’ll be off pump from 10 am to 6 pm. She got some tasks done paid the bills, got started on the taxes. Her mood improved dramatically. As she gains weight and returns from malnourishment to normal, her energy level has increased and her spirits have improved. As she’s able to do more, she’ll feel even better.

Frustrating that we couldn’t see Gupta yesterday since the results of both the pulmonary function test and the CT scan have direct bearing on where we go next. Next week, I imagine.

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Gertie, ready to leap in the snow

My cold continues. Sneezing, coughing, generally feeling crummy. Hard to take since I had just begun to feel normal when it arrived. Still, as Kate said, it won’t last forever. Glad.

The dogs have found the snow a joy and a burden. It comes up to their chests, even Rigel’s, and they walk through it deliberately. Kep loves the snow and stays out much longer than Rigel and Gertie. He wanders all over the yard, poking his nose here, then there. Gertie goes outside and immediately plunges her head into a snowbank. She comes inside snow sticking all over her face. Even so there were times yesterday when Rigel didn’t want to go outside. Too much work, I imagine. Gertie, too. Kep? Nope. He goes outside eagerly.

When spring comes close, that’s how we roll up here on Shadow Mountain.

When Will It Ever End?

Imbolc                                                                            Recovery Moon

Going to On the Move Fitness to pick up a new workout on Tuesday. Then, back on Thursday to make sure I have the exercises down. This will be a gradual ramp up back to where I was before the month that shall not be named. Buddy Tom Crane, in a surprising show of solidarity, chose to have pneumonia over his birthday, too. Which is today. Not necessary, Tom.

instant potI’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.

Before I start posting here I look at my favorite comic, Questionable Content. You have to go back several months to get the drift. Then, I often move on to Ancientrails and begin to write. But, just as often, I think, “I wonder what the idiot did now?” That means turning to the NYT. He almost never disappoints. Like cutting social programs, plumping up the military, and cutting 8.6 billion dollars out of the total budget to build this shibboleth. Team Trump is one heroic gutted, long red tied, obsessive ideologue trying to do something he doesn’t understand, using tools he doesn’t understand. When will it ever end, as the 1972 song by the Awakening asked.

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And Big Foot’s gone even further into the mountains.

There was a time, not that long ago in historical terms, when being in the Rockies, living on a mountain peak as Kate and I do, would have been an effective shield against the current chaos and cruelty that passes for the U.S. Executive Branch. Not today. The elk, the mule deer, the bears, the mountain lions, moose, bobcats, fox, fishers, and martins still live here, but even these wild inhabitants cower before the Trump. He appoints people like Ray Zinke to watch over the great public lands of the West. He dismantles clean air regulations. He loosens the rules governing hard rock mining. He opens those same public lands to oil drilling, uranium mining, and industrial forestry. When. Will. It. Ever. End.

Even the mythical, or semi-mythical creatures of the Rockies are under siege, too.

 

This, That

Imbolc                                                                    Recovery Moon

Dave and Deb
Dave and Deb

My recovery is going well. Scheduled two sessions with my personal trainers for next week. Gotta get back to working out. Important for both Kate and me. Still need to improve my stamina and these workouts will do that.

Kate’s pleased. She’s gained a bit of weight, up to 81.6 and these new nutrition bags have about a third more calories in them. Hopefully they’ll bump her up some more. So far medicare has relented and agreed to pay. We’ve got seven more days of the tpn for sure. Hope they agree to keep it up until she can have her j-tube placement.

When we see Gupta next Thursday, he will review the pulmonary function test she had yesterday and the ct scan from her pneumothorax incident a couple of weeks ago. He’ll make a determination then about her surgery risks.

Minnesota has had and is having a brutal winter from both a cold and snow perspective. I feel ya, guys.

grocery deliveryThird grocery delivery today. Won’t keep this up forever, but for right now, with my recovery still young and home chores, medical visits, it’s an errand I don’t need. Glad the option exists.

Asked Gupta about moving. He said it’s not urgent and not necessary if using oxygen is ok with Kate, and me. I suspected that was the case. He did say, too, that we’d feel better if we moved down the hill and even better if we moved to sea level. So, a judgment call. Kate’s to make. I’m all right here though by definition I would benefit, too.

Alan and Tara
Alan and Tara

We’ve been absent for a little over a month from CBE. Feels weird. Lots of social support there, e-mails, phone calls. But seeing folks in person, being part of the regular ebb and flow is important. Missing it. Next week is the chicken soup cookoff. I’ve entered. Kate loves my chicken soup. The recipe is straight off a Golden Plump chicken. Golden Plump was formerly owned by the Helgeson’s, including my friend Stefan. Lost the recipe a long time ago, but I’ve got it down now. I like the frisson of entering my Minnesota chicken soup in a contest with the folks who talk about CNS as the Jewish penicillin. Gonna have Kate make the matzo balls.

Today is a travel day here. R&R. Get the groceries put away. Cook something. Read. Relax.

Breathe

Imbolc                                                                              Recovery Moon

Black Mtn. Drive, toward Evergreen
Black Mtn. Drive, toward Evergreen

Black Mountain has the early sun, golden, on last night’s wet snow. Stolid. Present. Vishnu to the winds’ Shiva.

While making the instant pot chuck roast on Monday, I took all the spices and herbs out of the cabinet, spread them out on the counter. Gonna put’em back in an order that makes sense to me. But. We’ve been so busy that they’re still there. This afternoon or tomorrow for sure. Most used are going to go in the door rack, then I’m thinking alphabetical for the first two shelves, storage on the top. An undone chore.

Back to the pulmonologist today for a full pulmonary function test for Kate. That plus the ct from her pneumothorax will determine whether she’s fit to have the j-tube placed. I liked Gupta, the pulmonologist. Clear, straight, no bullshit.

We got another shipment of styrofoam containers with supplies for Kate’s tpn. More nutrition bags, bigger this time. She’s going to 20 hours, down from 24, of feeding. Not sure why the bags are bigger for less time, but I’m sure there’s a good reason. These folks seem to know their business.

These last few days have felt hectic, like we’re moving faster than our energy level allows. That’s ok for a bit, but at some point we need what Kate and I call a travel day. On our honeymoon we decided to give ourselves a quiet day after travel to each new city. Catch up from the hassle and fatigue of travel. Stayed in our vocabulary.

I’m feeling good. Pretty much back to normal.

 

Stress is good

Imbolc                                                                              Valentine Moon

Minnesota-Winter-Weather-Forecast 2019Zoomed yesterday with old friends Paul, Tom, Bill, Mark. Paul’s in Maine, the other three are still in the homeland, getting blasted by an old-fashioned grit your teeth, squeeze the steering wheel, freeze up the nasal passages Minnesota winter. Nostalgic, eh? Given my 40 year residence there I’m ashamed to say that I’m not sorry to have missed it. Minnesota macho no longer.

30 years + I’ve known these guys. There’s an ease to being with them, even in little squares (Hollywood Squares sort of) created by the magic of pixels and bytes. We know the back story, the good times and bad, the struggles and the victories. When we speak together, the subtext is often as loud as the spoken. When Roxann’s mother faces the transition from home to assisted living, we know about Tom’s mother and the long process finding her a safe place. When Bill says, how do you solve a problem like Regina, paraphrasing the Sound of Music, his history with the Jesuits and hers as a nun is unspoken. So is the difficult time span of her death from cancer now some years ago. Old friends, like old dogs, are the best.

Ode signed in from near Muir Woods, a cottage overlooking the Pacific. Two weeks of vacation. Tom’s headed for Hawaii and Mama’s Fish House later in the month. Bill spent five days in Florida. Paul had, and I think I had something very similar, a disease that his doctor called the plague. His doctor fingered the same culprits as Kate did for me: kids. Fomites, Kate says. Paul visited grandkids; I taught 6th and 7th graders.

post furmination
post furmination

Took the Kep in for furmination yesterday. Before our now below zero temps we had a run of 50 degree weather. (The reason Minnesota macho has faded from my body.) Blew his coat. When he blows his coat, he looks like a ragamuffin, small tufts of fur his body deems not necessary hanging all over, falling off, making Kate crazy. Off to Petsmart for a thorough wash, comb out, vacuuming. He looks pretty good now.

Ode talked about living a stress free life. I know what he means, no work deadlines, no income needs, no drama at home, much less home maintenance (condo), the chance to go where you want, when you want. Like California in the midst of a brutal Minnesota winter. The chance to work on art projects either set aside while working or not pursued. The chance to visit with old friends, go to the Robert Bly evening at Plymouth Church. In general a life peaceful, not troubled by the undercurrents of the workaday world. He calls this The New Senior Reality Game-plan. And good for him.

reslienceNot my goal. I thought about it. I see the allure. In some ways I wish I could want that, too, bow out of the ongoing stream of pressures, both domestic and personal. But I don’t want it. To be clear I’m not a stress junkie, nor an adrenaline junkie. I manage my anxiety much, much better than I ever have, not letting the day’s troubles spill over into what might happen next. I’ve tried and often succeed at acting without care for results. But stress per se still keeps me engaged.

I like the challenge of learning to teach middle schoolers, of integrating enough of the Jewish tradition to walk among my friends at CBE, of caring for Kate and the dogs. I like the challenge of coming up with a new novel, even though I’ve never sold one. I like the challenge of becoming a better painter, of finding my voice with oils.  I could give up home maintenance responsibilities, like when we have ice dams to deal with or a driveway to plow or electrical matters to resolve. The priority of the living ones in our nuclear family, Kate, the dogs, and myself vitiate that for now, however. I enjoy the challenge of learning about astrology, keeping up with science, especially NASA and genetics.

still me
still me

Stress itself is neutral. In fact, it can be a good thing, motivating us to stay in life, to learn, to engage, rather than become socially isolated. It can, of course, be too much. And recently I’ve had more, much more, than I want. I would appreciate it if some of this stress would fall away. Kate gains 20 pounds, gets her stamina back. I’m back to working out, a real stress reducer. I have a novel and a painting underway again. But for all the stress in my life to go? No, not for me.

I’m in this life fully until it’s over and for me that means stretching myself intellectually, emotionally, spiritually. Stress free is not for me.

 

 

 

 

 

 

 

Better

Imbolc                                                                                Valentine Moon

Kate and Jackie
Kate and Jackie

Glad to see the Valentine Moon fade away. It presided over a difficult month.

The snow storm that wasn’t. Instead of 6-12, we got maybe 2. But it is -2 for temp. Before the storm that failed Kate and I watched the fog rolling in, covering the lodgepoles and the aspens. A bit of snow here and there, but mostly the fog coming down Black Mountain.

Kate’s feeling better. She smiles more, jokes. Her food intake was low and not nutritious before the tpn. It seems like we may be going in the right direction. At last.

Got the freezer defrosted. We have an insulated garage. As I restored the items to the freezer out of the Option Care styrofoam containers, I took inventory. Good stuff in the freezer still, even though we lost several items to freezer burn. Chili. Gravy. Challah. Sauces.

Very domestic day. Defrost freezer. Change Kate’s nutrition bag. Cook supper: hamburgers, tator tots, and kale cooked with bacon in the instapot. A load of laundry. Empty and reload the dishwasher. Home stuff. Satisfying.

Saw a meme on facebook. A deranged, autocratic psychopath showed up in Singapore. Kim Jong Un was there, too. Korea is personal. Not only is it SeoAh’s home, the two of them could return to Osan at some point.

 

 

 

Waiting on the Storm

Imbolc                                                                   Valentine Moon

ice dams

Snow storm headed our way. March and April are big snow months in the Rockies. Looking forward to watching the snow fall and temperatures drop. Black Mountain will be white again for a while. Shadow Mountain, too. Flakes already spitting as I went out to get the paper.

We’ve settled into a routine of sorts. Sometime during the day I swap out Kate’s tpn bag. She assists by drawing up the vitamins. I make small meals or heat up left overs. We both eat when we’re hungry rather than at meal times except for breakfast. Being hooked up to the oxygen concentrator all day, her nutrition bag, too, makes Kate restricted in her movements. A major reason I bowed out at CBE. Responding to anything out of the ordinary is  difficult for her right now. Lot of reading. Some television. Talking.

Placing the feeding tube awaits the pulmonologist’s assessment of Kate’s lungs. If she gives us a go, then the feeding tube could go in as soon as a week. That will change the routine. The J-tube, as it’s called because it goes into the jejunum, will not have the sterile procedures of the tpn and is gravity fed, so no pump. How things will look then we’ll have to see.

defrostOur Kenmore frostless freezer forgot its prime directive. I had to take everything out yesterday. Fortunately, I had all those styrofoam coolers the folks at Option Care have been sending with vitamins and nutrition bags. Checked it on the way up here this morning, the freezer’s in the garage. Almost all the ice build up is gone. Gonna get out the lysol and wipe the whole thing down, restore what wasn’t freezer burned and turn it back on. Having a freezer in Minnesota in the winter always made me think of salesmen and Eskimos.

Though I’m tired by the afternoon, my energy level has begun to return to normal. We’ve still got a puzzle to solve, revealed by my illness. What do we do if I get sick again? Hard to imagine I’m gonna get something this dramatic again anytime soon, but it didn’t occur to us that I’d get sick at all. We’re noodling this one.

We also agreed yesterday that I can go out as long as I’m not more than a half hour away, have my phone with me, charged and on. That means I’ll be able to go to CBE events occasionally. This is a time of intensive healing for Kate, getting her nourishment levels back to normal, then working on weight gain. Don’t wanna screw that up in any way.

As to moving. We’re going to consult the pulmonologist who is the ultimate authority here on these matters. That’s this Thursday. Once we get her input we’ll be able to make more intelligent decisions.

We have impressive ice dams on our north facing roofs. Before the idea of a move came up I was going to have them removed and electric heat tape installed to prevent them in the future. Now each thing that involves putting more money in the house will require scrutiny. Still going to have the ice dams removed though. Not cheap.

Demon possessed
Demon possessed

Meanwhile the dogs are healthy. Rigel’s eating well. Her predatory instincts have remained strong. When I cleared the deck last week, a rabbit squirted out from under it and ran to the shed. No wonder she spends a lot time sniffing at the deck, clawing rocks out of the way (when things aren’t frozen). Kep’s blown his coat with the recent run of over 50 degree weather. Off to Petsmart this week for defurmination.

Then there’s Gertie. This bitch bit me in the thigh last week. Three holes in my leg, blood dripping down, and a monster bruise. She wanted to get to the gutter guy who was trying to give me an estimate on the heating tape. She has an anger problem when it comes to any visitors. She’ll bite without warning. That was the issue that caused Jon and Jen to decide to euthanize her. We took her to spare her life. Most of the time she’s a really sweet girl, all doggy leans and kisses, especially to me. She spends most of her time with me. But…

 

Became Native to This Place

Imbolc                                                                Valentine Moon

we're waiting to transition to a feeding tube placed in the jejunum
we’re waiting to transition to a feeding tube placed in the jejunum

UPS delivers vitamins and bags of nutrients for Kate. On Tuesday we got a box with a styrofoam container, two gel packs to keep things cool, bubble wrap filling the container, about 12x12x12. Two vials of vitamins. Next day, two more boxes, same size, syringes, nutrient bags, batteries (a fresh 9 volt goes into the pump every day), saline flushes, heparin locks, tubing for the pump that connects to Kate’s picc line.

The logistics of this tpn feeding are remarkable. Not only do they have to ship us the right amount of stuff, it has to get here on a timely basis. And, the nutrient bags have a mixture that is tuned according to Kate’s labs, which can change on a weekly basis. Somebody has to coordinate all that and make sure the counts are right, the nutrient’s up to date, and that it gets here so we can use it. But, you can’t send too much at once because the tpn might be stopped, or certain things, like the vitamins and nutrients might spoil.

tpn4It’s no wonder medical costs are high. All of these things are one use only: syringes, nutrients, saline flushes and heparin flushes (each in their own individual packing), batteries, tubing, alcohol wipes, even the packaging for the deliveries. The need for sterility drives most of this. Kate’s picc line ends near her heart in the superior venous cava, which means there is a direct link between the outside, non-sterile world and that vip organ. Even the tiniest mistake in sterile procedure could have disastrous, catastrophic results. No pressure, eh?

I’ve gotten more facile with the various steps required to change out Kate’s nutrient bags. She draws the vitamins out of their vials using syringes. She and Julie, the home health nurse, make that look easy, but my fingers don’t find it so. As Kate said, my dexterity is in my brain, not my fingers. The rest of it, I can do. I could figure that one out, too, but with Kate’s expertise, why?

20181230_064700Grieving now. Looking at things around the house with that critical, ok what do we need to do with this in order to sell the house eye. Driving up the mountain considering how many more times I’ll be able to see Black Mountain on my left as I climb Shadow Mountain to our home near its peak. Not anxious about it, just sad.

Place is very important to me. Andover taught me that. Even though we lived there twenty years I never made my peace with the suburban blandness. No there there, was the way I put it. Oh, yes, our property had a definite sense of place, but it was set in a context that numbed the mind. At least my mind. Here, the opposite is true. I love the mountains, the vistas, the curves in the road. The weather. The ever changing face of Black Mountain.

As the John Muir quote on my e-mails says, “You are not in the mountains, the mountains are in you.” It’s an aesthetic sensibility. Over my years at the MIA I learned how important aesthetics were to me. Always have been. Deep in my soul. Perhaps it’s even the root of my pagan leanings, the aesthetic link I feel between myself and the natural world.