Category Archives: Fourth Phase

Heirs

The Off to College Moon

Wednesday gratefuls: Tom. Diane. Brother Mark’s Bangkok walks. Water Monitors. Cattle Egrets. Wild Neighbors in urban areas. Rebecca leaving for India and the Buddhist nunnery. Joanne. Her new book with two Buddhist therapists. Pain. Cranking it down without addiction. Whippets. Sight Hounds. And those who love and breed them. Dogs. Oh, OK. Dogs again.

Sparks of Joy and Awe: Sight Hounds

Kavannah:  Friendship  אַחֲוָה Achava (חֲבֵרוּת Chaverut: Partnership, camaraderie) (אַחְדוּת Achdut: Unity, solidarity, togetherness)

One brief shining: A few decades ago, maybe 4, a group of middle-aged men who knew each other somewhat well ate dinner together in an Indian restaurant in Minneapolis, joined by two other men who did not know each other, but had slight acquaintance with one or two of the others; might have been a poker night or a get together to watch the Vikings lose another big game, instead it was the beginning of 40 year plus bonds of friendship among the Woolly Mammoths, who surprisingly still live up to their motto: We’re not extinct yet.

Wegman’s

Keep forgetting to post this. If you wanted to mail drugs worth $800 for a thirty day supply, how would you package them? Wegman’s is a compounding specialty pharmacy. Inside this colorful wrap sat my first doses of this round of Erleada. Clever, eh? And it gives the healthy message Ms. Thurston gave me in the first grade: Charles Paul, eat your vegetables. A twofer. Fun with cancer!

 

Had a session with my folks at Bond and Devick, financial advisors, RJ now for over thirty five years. They keep Kate’s IRA rollover steady. When the market goes up, you go up a little; when the market goes down, you go down a little. We’ve been with them since Penny Bond formed her firm, then hired RJ later on as her first employee. RJ just stepped down as owner/President, but keeps client contact and portfolio work. The IRA churns out what a 19th century British novel would refer to as a stipend and a nice one at that. With my Presbyterian pension and Social Security, I have more than adequate monthly cash. And. I will leave a tidy sum to my heirs: Ruth and Gabe, Seoah and my son. My heirs? That’s a weird phrase to write out loud.

The corpus has indeed gone up a little, down a little, always growing a bit but staying in the same basic range. Kate, always Kate, left me better off than she found me in so many ways, not the least financially. A shame that she didn’t get to enjoy the money she earned for longer. Thankfully, we had long ago passed the mark of mine and hers. We were together in all ways, no barriers between us. When she died, so did a part of me. A part now, in the way of the Soil, fertile ground for my new life after her death.

I suppose, come to consider it, that is the point of having heirs.

 

 

 

Pain and Suffering

The Off to College Moon

Tuesday gratefuls: RJ. Michele. Bond and Devick. Penny. Kate, always Kate. Ruth in college. Great workout yesterday. Terry. Rebecca. Joanne. Ginny and Janice. Whippets. Emma and Bridgit. Hilo and Kona. Buck and Iris. Dogs. Great Sol. Celebrex. Pain tamped down. Kamala’s bounce. May it grow. New electric blanket. Mary’s birthday across the International Date Line. Happy Birthday, Mary.

Sparks of Joy and Awe: Sisters

Kavanah: UNDERSTANDING בִּינָה Bina:  Understanding, differentiation, deep insight; from בּוּן to split, pierce/penetrate; also בֵּין between.  Third Sefirah = Left brain (opposite Chochmah/Wisdom)  (תְבוּנָה Tevunah: Comprehension, analytical thought, reason & intellect)

One brief shining: Take one a day with food it says on the pill bottle, a small white capsule, generic Celebrex, and so, compliant and dutiful, I take mine with breakfast as I read about Kamala and Tim, about Israel and Hamas, about Ukraine’s invasion of Russia, all outer battles dealing with the pain of conflicting values and unyielding desires for power, while in my blood stream this Cox-2 inhibitor acts to reduce the inner pain of spinal stenosis, pinched nerves, in my lower back.

 

Long ago, a young medical student who had become my friend told me he believed doctors should treat pain, but never suffering. Steve Miles went on to become a well know medical ethicist, and his words have stayed with me down the decades. Treating suffering meant treating it medicinally, with narcotics or other addictive substances. As the oxy epidemic hit, ironically, it would be the treatments for pain that caused the suffering.

Suffering is the province of religion and psychoanalysis, self-knowledge and self-care. Not medicines. At the time psychotropic drugs were often more problem than cure. Some still are and the issue is still fraught. As I hope it always will be. We need caution when crossing the line between medicine and the inner world of the psyche.

Granddaughter Ruth and stepson Jon are, together, paradigmatic. Ruth has struggled and fought for a sane life without maintenance psychotropics. She’s currently using none and is in her best mental health of the last decade. Jon self-medicated his psychic pain. And died as a result. The balance between the bodymind and its from the outside aids for health remains a form of art as much as science. Perhaps a matter for religion at its best, kindest, and broadest.

Who are we? What brings us joy and love? How do we know the path that leads to a full and rich life? The ancientrail right for you? On my own path I stumbled long ago after my mother’s death sent my Self on an underworld journey maintained and sustained by alcohol. It took years of analysis to find my way back to the light. Not psychotropics, but deep self-understanding, self-forgiveness.

This week I’m on a different path. Back to Steve and the treatment of pain. I thought since my back pain wasn’t constant it wasn’t chronic. Sue thought I’d feel better if she could treat the pain. I reluctantly agreed. Celebrex carries heavy potential side effects and I’d said no to this kind of intervention before.

In the three days I’ve taken it I’ve learned some things about pain. I didn’t realize the degree to which I’d adjusted and adapted my daily to ease my pain. More and more sitting. Lying down. Not lifting. Doing household chores slowly, resting often. Sometimes deferring them. And here’s an odd piece. As I adapted to the pain, I did not think it was chronic because I could make it fade. That was the pain managing my life for me. Huh. This in spite of regular exercise, physical therapy.

With the Celebrex on board I can bend down without wincing, turn corners without tweaking my back, go upstairs with ease, get out of chairs without groaning. It’s seductive. I feel more and more as I used to in my body. That is a wondrous thing. Yet the dangers it poses are real. Again, more blood draws to check liver and kidney functions. Taking prilosec to guard against intestinal bleeding. I may not be able to sustain its use. But, I might, too. It’s nonaddictive, why I chose it, on second thought, over tramadol.

I’ve dealt with my suffering. Perhaps now its time to let physicians treat my pain.

 

 

An Unserious Man

The Off to College Moon

Friday gratefuls: Mussar. Rabbi Jamie. Laurie and her Chicago stories. And her chili cheese hotdogs. The Pearl. Ruby. Ruth on campus. Kepler, my sweet boy. Kate, always Kate. The blue Sky above, Shadow Mountain Home beneath. Kamala. Her tagging of 45 as an unserious man. Joanne and Alan at the Parkside. Labcorps. Marilyn and Irv.

Sparks of Joy and Awe: Kamala and Coach Walz

Kavanah: Serenity  Menucha

One brief shining: A lesson in patience has come my way, the comparatively (to Quest) slow pace of getting my still not available PSA and testosterone numbers sent me down on Wednesday, forced to adjust my attitude, to open my heart to waiting, which has taught me to consider my desire for knowing, for knowing now, for knowing what comes next, for knowing estimates of my life span, that desire changes neither my PSA, what comes next, or my life span. Oh.

 

The story of the Pearl resonates with all who hear it. Though. Realized after recounting this at mussar yesterday Oysters are not kosher. No fins or scales. I’m not observing kosher, perhaps obviously, yet I did have to stop and consider this. If I were to observe kosher, and I have no plan to right now, it would be along the lines of ethical eating. Which is the function of kosher observance in traditional Jewish life. I do eat far less red meat than in the past, partly health and partly to eat lower on the food chain. Use less resources.

Still working on finding a jeweler or silversmith. Harder than I thought it would be. Evergreen Goldsmiths could have done what I wanted, but they closed. Going to the Silver Arrow gallery to see if they have recommendations.

 

No results from Labcorp. Not sure what’s going on. Practicing the midot of serenity. Does it make me serene to get agitated about not having these numbers? No. Will asking my docs to look into it help with my serenity? Yes. So I did that just now. Inner calm. Yes.

 

Just a moment: Listened to the opening twenty minutes or so of Kamala’s speech. Trump as an unserious man. Oh, yes. An epithet so true and so weakening. I hope it gains viral currency. I found her speech fine, but not exceptional. Not a barn burner as we might say in our suddenly spotlighted Midwest. So I stopped listening. Don’t need a barn burner. Need steady, stable, democratic small d. A return to normalcy. Never thought I’d write or believe those words.

She seems to have captured the zeitgeist perfectly. Hyperbolic promises and overheated rhetoric play into the bombast and chest-thumping of the MAGA style. We do not need more of that. We need to take this narrow window Kamala recognizes and keep the orange one in his billionaire fantasy world, his tasteless Trump Tower and gauche Mar-a-Lago. There to await the consequences of his criminal activity as his various trials come to fruition and his debts to his victims come due.

 

 

Learning. Still. Always.

The Off to College Moon

Thursday gratefuls: Irv and Marilyn. Tara. Labcorps. Medicine. Medicines. Healing. Suffering. Pain. Puppies. Toddlers. Rainbows. Ponies. The periodic table of the elements. Starliner. Oh, my. Polaris. Betelgeuse. Vega. Rigel. Arcturus. Andromeda. The Milky Way. That far away, older than old Galaxy. The vastness of space. The particularity of you. Ruth’s first full day on campus.

Sparks of Joy and Awe: The Pearl

Kavanah: COMPASSION  Rachamim

One brief shining: A pearl means a parasite or some other irritant has caused an Oyster to encapsulate it in layers of nacre, hiding it safely away from the living animal within its shell; Kate loved pearls and had earrings, necklaces, so it is not a stretch at all to believe that she would surprise me with one on her eightieth birthday, perhaps telling me that death is just such an irritant to the living, that grief creates a pearl of compassion and wisdom to compensate for its insult to life.

 

Ruth’s first day. At college. Rather, at university. The University of Colorado, Boulder. Go, Buffaloes. Coach Prime. Funny at these big universities that basketball and football often define their public perception while their true work starts on days like these. Young minds, fresh from public education for the most part, begin to use the tools they acquired there to begin thinking on their own. Learning from, delighting in the deep deposit of human knowledge and culture, of skills and techniques created by others who preceded them. For higher education is not about building with the tools of others but wielding them on your own. If it’s not that, then it’s vocational education. Which is important, wonderful, and necessary. But. It. Is. Not. The. Same. Thing.

I’m so excited for and with Ruth. Opening the mind to new ideas, new information, new ways of thinking and understanding. What a rush. A rush that has never dimmed nor diminished for me in the 59 years since I walked on to the campus at Wabash College. We are many things, we human beings, but most of all we are creatures who learn and who use what we learn to make our lives richer, deeper, more just, healthier, more robust.

 

A note on pursuing da’at, knowledge. Which I have done and will continue to do all my life. I trapped myself yesterday, obsessively pressing the button for Labcorps results. Nothing so far. Quest always got my results up the next day after my blood draw. Had to switch to Labcorps because Evergreen Medical did. A different pace, a different system. Won’t change the results, but I’ve been frustrated, wanting to KNOW. When I know will not change the results. In that sense it really doesn’t matter.

Pushed myself down, down yesterday waiting, clicking, checking my e-mail. Forgot in the pursuit of knowledge the a priori middot of serenity. Shattered it for the day. A lesson. One I find very difficult to learn. The folly of desiring knowledge. Too much.

Luminescence

The Off to College Moon

Tuesday gratefuls: Ruth, off to college today! Good workout yesterday. The Democratic National Convention. Joe and his years. Joe and his tears. Kamala. Tim. AOC. Go, blue, go. Politics. A frisson of hope. A dollop of excitement. A Discovery of Witches on Netflix. Finishing the filet mignon from my dinner with Kate and her pearl. Tara. Dandelion.

Sparks of Joy and Awe: Ruth, her journey of independence which starts today.

Kavanah: KNOWLEDGE   Da’at (DAH-aht)   knowledge, sensibility, awareness; from ידע to experientially/cognitively know

First Sefirah = כֶּתֶר Keter, KEH-tare: Top of head, superconscious mind, literally “crown” (between Chochmah/Wisdom & Binah/Understanding)  This is kabbalah.

One brief shining: Still wrapped in the pearl’s luminescence Monday took me into an intimate place with my grief and with remembrance, a few tears as I recalled our life together, more smiles as I remembered making salads from our vegetables, eating toast with honey from our bees, evenings spent hanging out with our dogs, often Irish Wolfhounds on our laps, Hanukah nights with Gabe and Ruth on Shadow Mountain, driving down the hill to Congregation Beth Evergreen together.

 

As I go into the lab today, get my vein punctured again, small vials of blood filled by the beating of my heart, this lab test’s importance weighs a bit on my lev. Yes, I need and want the da’at, the knowledge, it will bring. Yet it could bring knowledge of a shortened life span. If so, that’s ok, I have no need to last longer than I can. Memories of Kate’s final days comfort me. Not that she wasn’t suffering. She was. But she was resolute, loving, and brave, too. A role model about how to face the end, not with a whimper, but a bang.

Does not change this life, this August 20th life. Which I woke into around 6 am. Opening my eyes from the small death of sleep to an unpromised resurrection. As I have for over 77 years. May continue to do so for years more.

See Tara for breakfast this morning at the Dandelion. Like a workout seeing friends restores me as I hope to do for them. Seeing. Being seen. Hearing. Being heard. Touching. Being touched. The essential food of the soul.

 

Just a moment: So happy to see Kamala and Tim, even Joe, above the fold. And that other person not there at all. The squatter removed from land he had begun to imagine was his alone.

I did not look forward to spending the last of my golden years under a Trumpist storm of bigotry, lavish capitalism, and the decline of U.S. status in the world. Of course, that’s still a real possibility, but now it’s a fight, not a giveaway. I’ll go with Kamala’s: When we fight, we win!

Mixed feelings here about protesters at the convention. Deja vu all over again. Except. In 1968 the U.S. had intervened militarily in a civil war. Based on the domino theory which imagined countries becoming communist if touched by red fairy dust. Makes me wonder what those old war mongers thought was so appealing about communism, but that’s another story.

Here the protesters have sided with the Palestinians against Israeli aggression. I agree with the facet of their argument that contends Israel has gone too far. Way too far. Where we part company is in the protesters willing blindness to the suffering of Jews over time, the reason for Israel’s existence, and the horrific nature of the Hamas attack on October 7th. This is a story with no heroes, no glory, no victory.

The Pearl

The Off to College Moon

Monday gratefuls: Kate, always Kate. Sarah, BJ, Pamela. The Ancient Brothers. The Bistro. Oysters. Filet mignon. A Pearl. The Otherworld. Another dimension. Rain, Rain, please stay and come again another day. Shadow Mountain Drive, Shadow and Conifer Mountains, the Evergreen Meadow in the Rain. Mist and shades of green. My Otherworld.

Sparks of Joy and Awe: The Pearl

Kavanah: Serenity   Menucha

One brief shining: Drove over to Marshdale, a burb of Evergreen, as Rain pelted the Lodgepoles and the Aspens, rendering Shadow Mountain and Conifer Mountain green misty hulks of risen Rocks, to the Bistro, a small fine dining restaurant that Kate I and went to for special occasions, her 80th counted, walked in with my hood up as the Rain came down, got my usual table against the wall; Stacy came around and I ordered a 6 Oyster appetizer, both Kate and I loved fresh Oysters, proceeding from left to right I used the little fork to pry loose the meat, tipped the shell, and slurped them down, except at the sixth and last one, I bit down, what?, and pulled out of my mouth a tiny pearl.

 

 

I looked at it with my unaided eyes, having left readers behind as I often do, and held it up to Stacy. Is this what I think it is? I’ll take it to the chefs. Yes, the chefs considered opinion, a pearl. She returned it in a small clear plastic cup that might contain sauce in another situation.

Texted Ruth with a picture. What’s that? A tiny pearl I found during my birthday celebration for your grandma. Oh, she joined you. Dad does that sometimes with me.

A sense of the uncanny settled over the meal. Thunder roared outside, Rain hit the windows of this charming restaurant with its low wooden beamed ceiling. Did Kate reach across the table and take my hand? Did I tell her happy 80th and see her smile? I had intended to order the house salad but instead ordered a caprese salad by mistake. A salad Kate and I first had in a small cafeteria in the Vatican on our honeymoon. We loved it and made it often with our own heirloom tomatoes. We called it Popeteria salad.

At the table with me I had my Kindle on which I’m reading Lev Grossman’s latest, The Bright Sword, his retelling of the Arthurian legend, and in it a main character had just stumbled into the Otherworld. So had I.

The Pearl from Kate, what else could it be, I’ll have set in a ring to wear on my ring finger or as a pendant for a necklace.

On her 80th birthday. Kate. Reached out and gave me a gift. A Pearl of great price.*

Raffles Town House. 2016.

*Luke 13: 45“Again, the kingdom of heaven is like a merchant seeking beautiful pearls, 46 who, when he had found one pearl of great price, went and sold all that he had and bought it.

 

A Journey

The Off to College Moon

Shabbat gratefuls: Bagel table. Morning services. Brother Mark. Coffee. Water. Bagels. Lox. Cream cheese. Kate, always Kate. Great Sol. Diane. Shabbat. Lighting the candles. Studying Torah. Lev Grossman’s latest, The Bright Sword. Stories. However told. On television, movies, in books, by friends, by ourselves. The way we make sense of it all.

Sparks of Joy and Awe: Stories

Kavanah: SERENITY   Menucha (min-oo-CHAH)   Serene, carefree, literally “at rest/comfortable” 

[Daga, dah-GAH: Worry, care, concern]

One brief shining: Went to King Sooper’s yesterday, a grocery store in Aspen Park, took two checks, cashed the checks with the young woman there, how do you want your money, easiest way, she counted it out to me; it represented the breaking of my relationship with Century Link, former internet provider, and yet more dividends from my time in Andover’s electrical cooperative, as I folded the bills for my money clip I thought about the symbolic nature of money, not only as value but as evidence of a relationship, as proof of obligation, as transmitter of shared commitments.

 

Still feeling a bit dark, heavy. Will pass as this life, this August 17th life, goes on. Finding mornings, right after I get up, weighted. As the new life unfolds, begins to take on its character, in part shaped by my kavanah, in part by human interaction an easing of the weight, a passing over into a new chance at living, one unburdened by yesterday, and with few glances at tomorrow. Living.

Today, in this life, for example, I made coffee. Which I can smell right now as it finishes. Realizing I have less time to write than I like because I drive to Evergreen in thirty minutes for the Bagel Table and the morning service. I’ll see Rabbi Jamie and who ever else shows up. People I care about and who care about me. An elixir strong and potent. Later, Ruth’s coming up for a zoom call with my son. What a treat for me to have them both here at 5 today.

This life will gain its fullness through those encounters, as it will through the hours, the necessary hours alone. The way of a social animal who needs both presence and absence.

 

Just a moment: Kamala has put four sun belts state in play. Recent polls. Another lightening of the load. Who knows what will happen between now and the life of Election Day 2024. But at least I no longer feel tied to the mast of a sinking ship. Somebody plugged a hole in it. Thanks, Joe. Sometimes saying no means saying yes. Giving up means saying I’m all in. Sometimes leaving means staying. A bit of the Tao for today, for this August 17th life.

You are holy

The Off to College Moon

Friday gratefuls: Doncye. My son. Murdoch. Seoah. Alan. Dandelion. Evergreen. Black Mountain Drive. Brook Forest Drive. Aspen Park. Notary. Blue expansive late Summer Sky. The West. The Mountain West. Harris/Walz. Tweedledum/Tweedledee. Psilocybin. Mary Jane. Celebrex. Cancer. Friends like Alan. Rabbi Jamie. Studying Torah. Joanne. Life.

Sparks of Joy and Awe: I’m at the front of a large group of people who will support you no matter what. Alan

Mikveh of my conversion

Kavanah: HOLINESS*   Kedusha       Holiness, dedication, specialness

One brief shining: Steve came in white hair tousled, spandex on his 70 pound-less frame, sat down at the Starbucks table where I waited for him with an iced white chocolate latte; he had just had a deep tissue massage and came to me ready to discuss prostate cancer. What he said drug me down.

 

Oh. See. Steve’s outside the golden zone where androgen deprivation therapy (ADT) works. At that point even though testosterone is at or near zero, the PSA continues to rise, meaning active cancer cells. Probably where I am, too. Find out next week. Blood draw.

In the midst of extolling his oncologist and her care for him he said, “She told me that once you get out of the golden zone you have about a year and a half.” I hope she meant, “Now that you, Steve, are out of the golden zone you have about a year and half.” Intend to find out for sure. Implications put me in a funk yesterday, this morning. Understandable, it seems to me.

This round of prostate cancer news has unsettled me, made me vulnerable. That last, vulnerability, has proved useful since I’m aware now that I need help with household chores and pain management. Over the next few months I hope palliative care will steer me in directions to take care of those needs.  A bit tender, sensitive. Cautious with how I view my future.

 

Just a moment: Studied Torah with Rabbi Jamie for an hour yesterday. Our monthly session. Interesting. I asked, “So Kaplan eschewed supernaturalism. What does God mean, then? How did God enter the picture.” Jamie started to ask why does it matter. We both agreed in some ways it doesn’t matter at all.

On the other hand, an interesting question. So we got at it anyhow. The parsha for the week: Parshat Va’etchanan, Deuteronomy 3:23 – 7:11 focused on Moses instructing the people before they go into the promised land. Moses speaks directly to God, then tells the descendants of the Hebrew slaves what God commands. No God out there in Reconstructionist thought, so…

I figured out that God came from the people. Moses, this wise guy, speaks and they follow him. How did he get so wise and knowing? Had to have the imprimatur of a God. What else could it be? In other words in order to follow Moses the people had to give him an authoritative source for his pronouncements: God. I really like this idea because it literally grounds God. Takes God out of the heavens, out of the supernatural, and places the God concept in the relationships in and among people. And, if you follow the thought, within your own inner world.

God is not out there. God becomes those impulses we follow for the collective good, for our own lifting ourselves up.

*(רוּחָנִי Ruchani, roo-chan-EE: spiritual,  cognitive function = intuitive/abstract)

Important to us…

The Off to College Moon

Wednesday gratefuls: Shirley Waste. Great Sol. Blue Sky. Shades of green. Mark in Bangkok. Ruth and Gabe. Jen. Workout this morning. Reconstructionism tonight. Steve Bernstein. Prostate cancer. Sue. Kristie. Black Mountain. This oh so strange election year. Kamala. Tim. He who must be defeated. Celebrex. Pain relief. Medicine. Hippocrates.

Sparks of Joy and Awe: Pain Relief

Kavanah: STRENGTH  Gevura     for a workout today, this August 14th, 2024 life

One brief shining: Rolling, rolling, rolling the thunder sound of green and yellow garbage bins under a brisk Mountain early morning, my driveway, the neighbor’s driveway, then another neighbor’s, a form of sympathetic magic involved, recycling as a solution to global warming, climate change, all of us doing our part. Sort of.

 

Yesterday. Seems so far away. May I, for a moment, speak a word against telephone call centers. An example might be United Health Care. After a good medical day Monday when I felt heard and seen and cared for I followed it up doing what the front desk requested. Changing the name of my PCP from Kristin to Sue Bradshaw. Simple enough, right?

First, the chipper A.I. confident in its ability to take care of whatever I needed. After having said advocate, advocate, advocate, this simple spell did result in a human voice. Ah. Yes, I can help you change the name of your primary care provider. Can you spell her name? B-R-A-D-S-H-A-W. Please hold while I work on changing the name of your primary care provider. Some ditzy tune that would have been a good warmup at a rollerskating rink oh those many years ago. For far too long.

Hello, sir. I was not able to replace nurse practitioner Bradshaw-did I detect a slight tone of how could I anyway?-as your primary care provider. Her credentials do not meet our contractual requirements. I will call Conifer Medical Center and see if I can solve this problem. I’ll put you on hold again.

Images of rollerskates, organ music, girls in short skirts twirling while boys in jeans struggled to stay upright. Boredom. A period where I got all my bills scheduled for payment. A turn at reading the New York Times, first article, second article. Playing Spelling Bee. We’re now 20 minutes or so into this pause while other wheels turned out of my aural range.

Then the climax. A dial tone. Yup, the call dropped off. As you know, if you call back, you don’t reach the person you talked to last time.

Found my spirit doused, my energy cooled for solving minor life bureaucratic annoyances. In spite of pleasantness as my kavanah for the day, I had unpleasant thoughts, not for the first time, about my health insurance.

Just a moment: There will be blood. But for now it’s Harris/Walz placards. A presidential candidate under 60 and a 60 year old vice presidential candidate. A youth movement. Not sure how long this momentum can last, but go, Kamala, go. We have a fighting chance to win now. May her name be ever known as blessed.

 

 

Palliation

The Off to College Moon

Tuesday gratefuls: Sue Bradshaw. Palliative Care. Good sleep. Smoke in the air. Open front door this morning. Geez. Kamala and Tim. A moment for Minnesota. May he who will not be named stay hidden. CBE. Alan. A Manny for Us. Getting medical stuff done. Ruby, battered but dependable. This Shadow Mountain Home. The Fourth Phase.

Sparks of Joy and Awe: Sue Bradshaw

Kavanah: PLEASANTNESS   Noam   Pleasantness, sweetness, niceness  (Chen – Graciousness, charm, charisma) ( Sever Panim: Warmth, affability, geniality; literally “a bright face”)

[Mrirut; : Grumpiness, sourness, literally “bitterness”]

One brief shining: Told Sue about my last week, she leaned in, took my hands, looked at me; here, I realized was a medical professional who cared for me as me, and a knot I didn’t know I had untied, released; I was not alone on this path toward death, be it late or soon.

 

Which is not to say that I don’t know each one of you who are walking me home and whom I’m walking home. Sue is the one inside the medical world. Kristie, too, though she’s more clinical. As this maelstrom spins, I’m not sucked under and it’s because I have friends and family who care for me. This may seem to suggest things are more dire right now. Not at all. My new PSA/testosterone numbers will clarify what is right now murky. And there are treatments left. Not sure whether or if I need them.

Sue is treating my back pain. Possibly with a long lasting NSAID. Trying tramadol right now. She also suggested I see a palliative care team*. In case you’re not familiar with this form of care, I’ve added an explainer below. It’s not hospice. It does not mean death is imminent. It does recognize in my case that the treatments I’ve been getting, combined with my back pain, are diminishing my quality of life. I feel good about this idea. A consult will happen as soon as Sue can set it up.

This part of my fourth phase began in Korea, a year ago September. That day at the main palace for the Joseon Dynasty, I watched the changing of the guard and walked back toward the center of the palace. And began hobbling. By the time we’d toured a bit more, I was done in. That occasioned my visit to the Korean orthopedist and Mr. Lee, the massage therapist. Later, here, Mary, the physical therapist.

It also occasioned my trip to San Francisco. Which was wonderful. But underlined the limitation my back has left me with. A week ago Sunday I walked from Union Station to Alan’s condo with Ruth. OMG. Lot of pain. I need more intervention. With the back pain. With the trajectory of my cancer. I feel fine with where I am now. Headed toward just that.

 

Just a moment: Just like that. Hope. Not a big fan of hope, but definitely not a fan of despair. Kamala and Tim. The happy warriors. Could we reset our politics that easily? Of course not. Yet…

 

*Palliative care is specialized medical care that focuses on providing relief from pain and other symptoms of a serious illness. It also can help you cope with side effects from medical treatments. The availability of palliative care does not depend on whether your condition can be cured.

Palliative care teams aim to provide comfort and improve quality of life for people and their families. This form of care is offered alongside other treatments a person may be receiving.

Palliative care is provided by a team of health care providers, including doctors, nurses, social workers, chaplains and other trained specialists. The team works with you, your family and your other providers to add an extra layer of support and relief that complements your ongoing care.