Stop the Squirrel Cage

Fall                                                                     Healing Moon

stressWent to mussar yesterday for the first time in three weeks. Lots of hugs. Lots of obvious caring for Kate.  One of the ironies of this whole situation is that three weeks ago yesterday Kate and I co-taught a mussar session on compassion, rachamim. The next morning at 6 a.m. she was in the E.R. at Swedish. She’s been gone from home ever since.

Yesterday’s mussar was a sort of going away party for Rabbi Jamie who starts a three-month sabbatical on Sunday. Lot of folks brought sweet thangs. My first buffet in memory with snickers bars on the table.

Since I’d had a tough day at CBE on Wednesday, I wondered how I’d react in this setting. At first I was uncomfortable, both with the attention and with the fact that it was Kate who was ailing, not me, yet I was the focus. That lasted awhile. Roughly until we got into the discussion about emet, truth.

emet-truthIt was not the content of the discussion, but its nature that finally lifted my stress. Considering the meaning of truth, identifying the Jewish take on it, relating the search for truth to loving-kindness all stimulated my thinking, made me go deep. And that was the solace. Leaving the squirrel-in-a-cage stressors behind for a while, I went into that realm of memory and creativity where old ideas and new conditions meet, changing each other.

Rabbi Jamie is a great interlocutor. I learn from him, but mostly with him.

talmudThere is, I’m coming to understand, a unique Jewish epistemology, one which places a possible truth on the table and passes it around to the many gathered in its presence. Each one comments, shares the part of the elephant that they can see. The process iterates since commentators will comment on others reactions. It does not mean that there is no truth, this is the key move, but that truth itself is multi-perspectival. It takes a village to know a truth.

This has similarities to pragmatism which recognizes that truth with a capital T is not within our grasp, but that our search for it can identify useful approximations, their usefulness identifying their degree of truth.

So now I know a great stress reducer for me. Challenge the mind. Make it work. Let go of the present troubles in a search for new ideas, new ways of grasping what it means to be human.

Let Down

Fall                                                                                 Healing Moon

I missed seeing Kate yesterday for the first time since that Friday when we went to the Swedish Hospital’s E.R. And, I missed seeing Kate.

20181016_091641Odd experience yesterday. I led an exercise that involved body outlines I made from this template. (they actually looked better than this picture might suggest.) The kids responded to several prompts, among them: first school memory, early friends, where were you born, childhood hobby, childhood dream, then illustrated them on their body outline. The results are beautiful in many cases, revealing in all of them.

They were into it, using markers and crayons and stickers. The latter many of them used to decorate their faces as well. It felt energetic and engaged, the exercise, but I couldn’t get a conversation going about the results, so it felt like a failure to me. Alan, on the other hand, thought it was a great success. So did all the teachers who looked at the results.

The idea was to get the kids thinking about their childhood as they shift from childhood to being a teen. And, in that sense, yes, it worked. Where it failed was in having a discussion about commonalities and differences among the results.

Afterward, like the first two times I taught, all I wanted to do was sit down. Like a hard workout. Exhaustion. Attending to the little sprays of emotion, provocations of other students, even their eagerness and desire to do a wonderful job (which most of them had) was difficult. At least for me. Very difficult.

At the staff meeting afterwards exhaustion and an attendant lability found me looking out at the others: Rabbi Jamie, Alan, Tara, Debra, Karen, Tal from inside. Hard to describe. I was there, listening, understanding, but it was as if there was an invisible barrier of weariness between the watcher within and the physical circumstance he inhabited in that moment. I spoke very little, in spite of a fascinating introduction to the method of studying torah that resulted in the talmud.

In another instance I might have said I was depressed. The physical sensations were very similar: subdued, a feeling of distance, limited affect, low energy. That led me to my refrain over the last almost three weeks. I’m ok. No, I’m not anxious. Yes, I’m in the moment, responding to now, not imagining the future or regretting the past. I have believed that of myself, believed it was my experience, but was it?

As far as anxiety goes, I’m exquisitely sensitive. Generalized anxiety disorder will do that to you. I am, at least I think I am, an expert on my own anxious responses, what they feel like, how they manifest. As long as the ambit was Kate, her medical care, the dogs and their needs, my own needs, I felt fine. No, of course, I wasn’t joyous, nor was I unconcerned, but at no time did the usual stomach flutters, sweaty palms, shallow breathing signal an OMG moment. Was I repressing them? I really don’t think so.

But, there was a high stress level. That’s undeniable. It was a fraught situation, especially the first two weeks with Kate bombarded by tests, procedures, transfusions, and finally the bowel resection. Even so, the stress did not trigger anxiety. It did, however, exact a price and that price was exhaustion, depletion. As long as I was only handling the temporarily  resectioned world I described in an earlier post, I was fine. Being alone with all this was not a difficulty for me, in fact, I prefer it.

When, however, I took this still existing high stress level-Kate’s still gone from home, driving in and out takes a toll, for example-into a social setting, I believe it surfaced the stress in a much different way. I was no longer in my temporarily resectioned world but in that ongoing life that is the world, the ongoingness that seems so strange from within a bubble of stress or grief. Yet, it is not strange, it’s the usual, the normal, the everyday, it was my stress that was unusual.

I was not able to fully enter into the casual flow, the ordinary ongoingness. I wanted to, but the effort required was just beyond me. This doesn’t seem aberrant to me, but it did make me realize the degree of stress, of the energy required to cope that I’ve been experiencing.

Final note here: People want to help and I truly appreciate that. But, I’m not real good at knowing what kind of help I need, what would be useful. I’ve always been a very private person, one inclined to handle my life on my own terms with my own energy. I know the pitfalls in that, but it’s a lifelong habit. And, one I generally admire. Right now I think it might be in my way, but I’m not sure what to do about it.

 

 

Day 19

Fall                                                                              Healing Moon

Kate on the morning of her retirement, 2011
Kate on the morning of her retirement, 2011

Day 19 and the first day I’ll not go in to see Kate. I’m back to my religious school class this afternoon at 3 p.m., then there’s a teacher’s staff meeting afterward. I told her yesterday I’d feel guilty if I didn’t go in and see her. “I give you my permission to skip tomorrow.” This is a landmark moment. She’s feeling good and I don’t feel a necessity for going in save for continuing presence. That last is enough motivation any day, but it feels great to know she’s not in crisis anymore. (I’ll probably feel a little guilty anyhow.) Yes, in two days this incident will reach its three week mark. Wow.

 

 

The Heat

Fall                                                                               Healing Moon

climate change vollmanThough I haven’t begun to read them yet, William Vollman’s two volume work: No Immediate Danger and No Good Alternative, the Carbon Ideologies paints a bleak picture. So does the IPCC‘s latest report. I also reported here, quite a while back, about a new movement called dark ecology that, like these three works, takes a dim view of our (that is, the world’s) willingness to execute the necessary carbon emissions restrictions.

Much as I hate to admit it, I believe these darker, more hopeless perspectives about the struggle against climate change might be right. If they are, we may be walking down a path that leads to an HG Wellian Time Machine world with the poor morlocks wandering the face of the earth (think the 99%) and the eloi burrowed into her mantle, using their great wealth and power to survive the heat and climatic chaos.

climate change eloi and morlocksIf we cannot slow down the rate of climate change (which is the most we can do, since so much climate change is already baked in), then we move to mitigation and adaptation. Geoengineering will become a buzz word as various strategies are tried. Climate refugees will become more and more disruptive across the world, especially those moving from coastal areas into interiors and onto higher ground. The already underway shifts in plant and animal eco-systems, climate refugees all, will bring them with different disease vectors, disruption to agriculture and sea life.

dark ecologyWe will not be known for Vietnam, civil rights, feminism, ruining health care, electing fascists to high office, but as the generation that allowed an earth compatible with human populations to slip away. Hard as it is to imagine the results of this inaction will be far, far more damaging than all the wars, holocausts and pogroms. How will we explain this to our grandchildren, to Ruth and Gabe in our instance? I understand the political and economic forces that have gotten us here, but explaining them will not alter the misery.

 

 

 

Day 18

Fall                                                                           Healing Moon

most of Gertie
most of Gertie

Kate’s taking full advantage of the power of the waxing healing moon. She’s gained weight, had several p.t./o.t. sessions, has a brighter outlook and has begun to have visitors. I took Gertie in to see her on Sunday so she could report back to the pack that mama was still alive. It was a sweet meeting and as we pulled away toward home Gertie looked back at Brookdale, obviously expecting that Kate was coming home with us.

Refugia

Fall                                                                         Healing Moon

love this idea
love this idea

As Kate’s rehab improves her strength, the middle of the recovery process is underway and underway well. She’ll have gains to make at home, weight gain chief among them, and I won’t consider this incident over until she’s gained at least ten pounds.

In an interesting NYT article on refugia* I began to think about those searing moments of our lives when their landscape changes forever, denuded of the familiar, apparently ruined. Most of us have at least a few, some have many. College often sets loose a wildfire of realizations as the mind encounters strange ideas, ones that can wreck the delicate eco-system of childhood beliefs. Death of someone close, my mom, for example. A failed marriage, or two. Substance abuse and recovery. Children of our own. Moving away from familiar places. (and these are just from my life.) Getting fired. Getting hired. Selling your business. Finding a new, strong purpose.

Kate in the E.R., September 28th
Kate in the E.R., September 28th

In the heat of the fire itself, Kate’s visit to the emergency room and the various procedures, recovery from them, for example, it can seem as if all will be gone, nothing left of the old life, maybe not even anything worth living for. This sense of total destruction is often inchoate, a visceral curling up under one of those fire shelters the hotshots use. But there comes a time when the fire has used up all the available fuel, when it goes out, becomes the past, rather than the present.

In that transition from crisis to life in the burned over section, that’s where the refugia are critical. “These havens shelter species that are vulnerable to fires. Afterward, they can be starting points for the ecosystem’s regeneration.” Our love remains, protected by its watercourse way, cool and flowing even during the heat. The dogs and their rhythms remain, a furry oasis shielded from the fire by distance. This loft remains, a literal haven, not untouched, but intact. The house. Our friends who’ve followed Kate on the Caringbridge, near and far. Our family.

Today
Today

But the old forest, the one that stood when the flames rushed up the hill toward us, is gone. Kate will not return to the same house, not even to the same dogs, for they and she have transformed. The homeness of our house remains, but its configuration will change, how we use it will change, how we see it and understand its role in our future will change. The companionship of the dogs remains, but their lives will have to adapt to the new, and while adapting, will change the new in their way.

I cannot yet see how the refugia will repopulate the forest of our life. The fire is not yet out, the crews of hotshot nurses, physical therapists and occupational therapists are working to find hotspots and put them out, to build fire breaks and clear out old fuel. When their work is done, Kate and I will rebuild the wild forest that is our time together, our small contribution to the ongoingness. There is opportunity here, a chance to reexamine old habits, old dreams, old hopes, to reconsider them in light of the altered landscape. What will it give us? I don’t know. But, when Kate returns home and begins to heal here, on our old forest’s ground, we’ll find out.

 

*”The fires left scenes of ashen destruction, but they did not wipe out everything. Scattered about the ravaged landscapes were islands of trees, shrubs and grass that survived unharmed.

It’s easy to overlook these remnants, which ecologists call fire refugia. But they can be vital to the long-term well-being of forests. These havens shelter species that are vulnerable to fires. Afterward, they can be starting points for the ecosystem’s regeneration.”  NYT

When it rains…

Fall                                                                                     Healing Moon

Two days ago
Two days ago

9 degrees here on Shadow Mountain with snow blowing in the air. A bit unusual since snow most often comes straight down up here, like rain. The storm has underperformed for us, but it’s here and I like it. Black Mountain is gone, disappeared by the gray blue clouds.

Without going into details that shouldn’t be in writing yet, Jon is in trouble again. To say that this is bad timing colossally understates the case. Kate’s in a delicate moment of her recovery. The stakes this time, as they were last, are very high: custody of his kids, his job, his ability to pay his mortgage and therefore to keep his house. He and the kids were up here yesterday when he got a call from the Denver Police and had to return home.

Not sure what to do, not sure there’s anything I can or should do other than support him emotionally. I’m not making any assumptions about the situation, about his “guilt” or innocence. I don’t understand it very well and it’s intricately complicated. I do know that the implications are dire.

punta arenas
punta arenas

Spoke with Kate yesterday afternoon and her heartburn/nausea from a breakfast without ativan prior to eating has passed. She and her body are trying to figure out a new way to live together, to become healthy again. Not easy after the insults of the last couple of weeks. She’s determined, stubborn and this last trait will mostly serve her well right now.

A mutual friend from CBE, Rick Levine, will bring a meal to Brookdale today at 4:30 p.m. I’m sure that’s well beyond whatever traffic difficulties the current storm will bring.

New snow tires, Blizzaks, purchased last month, sit in the garage still bound together from shipping. I mean, it’s mid-October! I’m not unhappy about that. It’s unlikely this presages the full on beginning of snow season. November, even late November, makes more sense as a time to have them installed. The reason I buy snow tires, even though good all-seasons would probably suffice in this milder winter climate, is that Kate and I are older drivers and need all the extra advantages we can get. I leave the lights on during the day for the same reason, that additional clue to others that we’re coming.

 

 

A Life Temporarily Resectioned

Fall                                                                      Healing Moon

1605–15; < Latin resectiōn- (stem of resectiō) a cutting off, trimming, equivalent to resect(us) (see resect) + -iōn- -ion

pruning gooseberries
pruning gooseberries

Always had trouble with the word resection. Why can’t doctors just say, cut out, excise, remove? After Kate’s bowel resection for her bleeding, I decided to finally figure out this word.

As with most technical language, it’s more precise than removing a piece. Instead of cutting out a piece of the colon, a surgeon resections it. Resecting can mean any degree of alteration in an organ from outright removal, to partial removal, to altering it in some way short even of partial removal. The best synonym I found, the one that helped me finally get it was this. Pruning.

As a former horticulturist, I did a lot of pruning. Cutting this diseased part of a plant away. Removing an errant branch or stem. Thinning blooms to create larger flowers. Resecting all along and didn’t know it. Sometimes there was total resection of a plant no longer healthy, or of plants out of place (otherwise known as weeds).

down the hill and through the woods to Grandma's room we go
down the hill and through the woods to Grandma’s room we go

I’m belaboring this etymology because I realized how useful this word was for describing what I’ve done for the last two weeks or so. I temporarily resectioned my life. I pruned away all that was not essential. That left being with Kate, understanding her medical condition, showing up for procedures and recovery, sitting with her. It left giving the dogs as normal a life as possible. After all, they don’t understand the situation. It left feeding myself and getting plenty of sleep. It left writing Ancientrails and posting on the Caringbridge website about Kate’s progress. Everything else got pruned away.

No CBE work. No writing. No exercise. Minimal grocery shopping, some work outside. Filling the car with gas, getting the oil changed. Necessary maintenance.

2014, Andover
2014, Andover

I chose to prune away parts of my life so I could attend to an unusual occurrence, an anomaly that required most of me. With Kate now in rehab, her bleeding behind her, that severe pruning, like I would do to the raspberry canes at the end of the season, cutting them off to the ground, will fade away. Though. When she comes home, there will still be home care for her, of course. But, the driving and leaving the dogs behind for hours at a time will be over.

Our lives can require these rescections. Sometimes they’re temporary, as this one will have been, sometimes they’re permanent, like Kate’s surgery. If Kate had needed more home-based care, this resectioning might have become more permanent. This can happen in the third phase, when one partner requires a good deal more care.

Feeling level. Lighter.

A Fortnight Ago

Fall                                                                              Healing Moon

moon waxingAs I drove home yesterday from Brookdale Green Mountain Rehab, the healing moon was a sickle in the evening sky with gaseous Jupiter a planetary pendant sparkling beneath. This morning as I walked up to the loft Orion stood tall in the southern sky, guarding the entrance to winter, to the fallow time.

All this week we’ve had fog, sometimes up here on Shadow Mountain, more often after Aspen Park on the way down the hill on 285. Fog presents the mountains like a fan dancer, revealing this patch of rock and ponderosa pine, only to conceal it and reveal a gulch filled with a lower down cloud. The interplay of climate, weather and mountains. Beautiful.

at Brookdale
at Brookdale

A new phase of Kate’s ordeal has begun, a more upbeat one, but one that will demand a lot, too. In the first phase she had to endure, now she will have to act. Eat. Exercise. Eat. Exercise. Sleep. Repeat. She’s ready, but also tired, drained. Down to 80 pounds.

I’m putting my toe back in the water at CBE. Alan Rubin and I will visit Kate this morning at 9:30, then have some time together to plan next week’s religious school session. I feel a need to get myself out of the drive in, drive back, take care of the dogs, sleep cycle I’ve felt necessary for the past two weeks. Not all the way out, just far enough to reengage, to connect with both my commitments and folks I care about who care about Kate and me.

Don’t know how long Kate will be at Green Mountain, but I imagine it will be longer than I assumed. She looked frail, but determined when I saw her in her new spot. She’ll need that. A new cycle will probably emerge from this new living situation for her.

 

Day 13

Fall                                                                                   Healing Moon

brookdale-green-mountain-heroFeeling much lighter today. Kate’s headed off to Brookdale Green Mountain Rehab, probably after lunch. Bleeding stopped. Other markers like hemoglobin stabilized. Moving better, but not quite well enough to come home.

She’s also eating, having found that ativan prior to eating avoids nausea. This is big because it means she may finally be able to gain back some of her weight. More weight can mean more muscle mass, more muscle mass, less fatigue. Sjogrens has played a definite negative role all along, perhaps being the primary culprit behind her weight loss and fatigue. We might be able to fight back against at least some of it with ativan and marinol.

marinolWe both hoped that a positive from all this would be a way to attack her persistent nausea. May have found it. If we have, it will make for something upbeat other than survival. Which was, of course, the first and most necessary result.

Even my exhaustion seems less this morning. All along I’ve gotten reasonable, most times good, sleep. I’ve eaten. Trying to stay in shape for whatever Kate might need. Got back to my workout yesterday. That felt great.

There is, too, modest snow cover and the stage 1 fire ban has been lifted. Less to think about for now.

Of course, Trump’s still in office, but, hey, everything can’t be looking up.