Category Archives: Mountains

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.

20190313_134135
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.

20190117_103526
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.

 

 

 

 

 

 

 

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.

 

A Pearl Pendant

Imbolc                                                                   Valentine Moon

The waning Valentine Moon hung over Black Mountain this morning, Jupiter dangling below like a pearl pendant. The beauty here, the distinct and unique sense of place, the simple knowledge of being in the Rockies makes this a special place, hard to leave. Conversations still underway, no decisions until we talk to the pulmonologist, Kelly Green. Even so, moving seems the most likely outcome.

611333-ancient-roman-wall-with-street-nameboardEvery day I’m getting a bit stronger, stamina improving. Probably back to a new workout in a few days. I’m feeling the need to get moving, but my trainer said to wait another week. As my buddy Mark Odegard pointed out a couple of years ago, our old bodies don’t snap back the way they used to. I went way down with this whole illness and my body will require time to climb back up again.

We saw Edwin Smith, the surgeon, yesterday. He’s methodical, taking care to make sure that this operation will actually benefit Kate and that she’ll come through it well. He talked about a feeding tube placed down her throat. Kate said no thanks. He wanted the tpn. It’s in and working. Now he wants Kate’s visit to a pulmonologist to happen before he’ll schedule surgery. Makes sense since she had the pneumothorax (collapsed lung) and some concerning findings on x-ray about her lungs.

The methodical approach has an element of foot dragging and ass-covering to it, I think, but I believe I overestimated that. I was in the middle of my no good, very bad horrible three weeks the last time we saw Smith and I formed an opinion colored by my own malaise. Now I believe he sees a tricky and mildly questionable (in his opinion) procedure he’s to perform on a 75 year old woman in fragile health. First, do no harm. Even though it drags the process out, I agree.

Due to Kate’s more intensive care needs at this point I’ve bowed out of all my CBE obligations. I’m not reliable since Kate’s situation seems to get more fluid over time. This is true now because of the build up to the feeding tube, then the feeding tube placement, and the aftercare.

Then the heparin lock

Imbolc                                                                         Valentine Moon

tpnTwo saline flushes, then the heparin lock. Clamp the picc line. Half of the thiamine bottle, one each of the white cap and blue cap bottles, all injected into the tpn bag of milky, 950 calorie nutrition. The thiamine is yellow and floods into the bag creating a branched, river like stream. Shake the bag so that the vitamins and other additives mix up. Spike the bag with the plastic spike that connects to the tubing. Clamp the tubing. Connect the cassette that holds the tubing to the pump. It slides in and locks. New battery for the pump. Turn pump on. Wait, go through the pump’s programming. Unclamp the tubing. (lots of alcohol wipes in here. sterile technique required since the picc line ends just above the heart.) The tpn nutrients gradually, a milliliter at a time, snake up to the connector. Saline flush. Wipe. Connect tubing to picc lock. And, voila, breakfast, lunch and dinner.

I do this by myself this morning, with Kate’s assistance of course. The tpn pump, in Kate’s case, runs almost 24 hours, delivering approximately 41 milliliters of nutrition an hour, every hour. The objective here is not so much weight gain as getting her tuned up nutritionally for surgery. The feeding tube placement procedure is not major surgery, but it is surgery and she is frail. Most of the time people learn how to do this for a much longer duration. In our case 10 days. Learning new things everyday.

Still slowly emerging out of the cocoon in which illness places us all. Perhaps I’ll have imaginal cells (a real thing, see butterflies) which will alter my being, transform me into someone new after the last three weeks. I’m ready for some new, even if it’s taking up again the things I was doing before with changed purpose.

It’s 10 degrees here on Shadow Mountain, but, in Colorado fashion, a warmup is on the way. 47 on Tuesday.

And, btw, yes, it has occurred to us that 8,800 feet is not the best position for us with our ailments. Not likely to change soon however with the dogs and my almost pathological aversion to the idea of moving. The move that got us here felt like a last time for that sort of thing. Difficult.

Black Mountain White

Imbolc                                                                         Valentine Moon

I’m just gonna say this. May be a little whiny, but it’s on my mind. Hey, universe! Would you get your foot off our necks? Or, at least let up long enough for us to catch our breath. Geez. OK. There.

Kate’s collapsed lung resolved with concentrated oxygen therapy. Thankfully. The picc line went in yesterday and she’s getting her first infusion of nutrition through it as I write this. She’s very happy that, as she said, “Something’s happening.” She’s dealt with the weight loss, the fatigue, Sjogren’s, food aversion for so long. As one just coming out of a still debilitating illness, I can only imagine what it would be to feel the way I feel now everyday. With no change maker on the horizon. This picc line may be the beginning of a turn around. I sure hope so.

Meanwhile I’m weak, still. Feel like the diseases of the past two weeks plus have left the field of battle, but the wreckage is still under repair. I’m 10 pounds behind now, limited stamina, and less energy. I’ll improve over the next few days, I’m sure. I look forward to getting back to things.

Lot of learnings, most not consolidated yet. They will be over the coming weeks.

Here’s something uplifting, at least I think so. Black Mountain white.

20190218_073058

So Beautiful

Winter                                                                             Waxing Moon

Our snowpack. Needed for the trees and our well
Our snowpack beside the front door. Needed for the trees and our well

Another 6 or 8 inches of snow yesterday. Snowiest January since 1993. The northern half and eastern quadrant of Colorado watersheds have above average snowpack. Critically, the Colorado Headwaters area is at 116%. The south western quadrant of the state though is below average in two spots, including the Durango area where the big fires burned last summer.

So beautiful. The lodgepoles carry snowy covers on their branches. The deer, rabbits, fox that come through our yard leave their tracks.The rising sun colors the snow on Black Mountain, right now a light flush pink. Bright blue sky behind the mountain.

Not so good for those of us animals who need carapaces and wheels. This is the google traffic map from yesterday. Rush hour. Add in altitude and you get a real mess. This is when commuting to Denver from Conifer separates the brave from the foolish.

 

metro roads 1 28

Kate’s initiated a get-out of the house plan. She said last week that she felt isolated and alone, so we’re going to go somewhere each day. Yesterday we went to the post office. Today, the King Sooper Starbucks for Kate while I pick up some groceries. Tomorrow? Who knows?

creation of the waters
creation of the waters

Last week I painted the creation of the universe, the shattering of the ohr. Followed it with the creation of the waters. Next up: land. I tried to show an island in my first attempt. Not so good. I like the first two, I’m starting over today on land. I’m going to get somehow to Eden and humans and that tree. Will take awhile. Hard to say in the abstract paint language I’m using. But, that’s part of the fun.

Astrological learning has been on hold. Painting, exercise, and Kate have gotten my focus along with CBE. Gonna get back to it, though. Probably a reading with Elisa’s astrologer, John, to kick off the next phase of my learning.

Just entered the Chicken soup cookoff at CBE. Gonna get some practice today, picking up soup supplies during the grocery shopping at King Sooper. Taking some to a friend, leaving some behind for Kate and me. Kate loves my chicken soup. My heirloom recipe came off the Golden Plump packages when I bought chickens in Minnesota. Here, I do it from memory.