Seeing Dr. Guber

Fall and the Sukkot Moon

Kate had a much better day yesterday. She decided to conserve her strength for the appointment today so we missed Yom Kippur. The parking at CBE gets problematic on the High Holidays and walking much distance creates breathing difficulties for Kate.

On to Harvard this morning. Harvard Avenue that is. Denver has a small cluster of streets with names like Yale, Vassar, Bates, Cornell, Dartmouth. In or near them is Denver University and Iliff Methodist Seminary. Also, Porter Adventist Hospital and its campus with the offiices of Dr. Gruber, the cardio-thoracic surgeon.

Kate’s seeing him for a consult on the lung biopsy and assessing the new nodule found on her lungs. The lung biopsy involves taking many small samples of cells from her lung tissue. Diagnosing what kind of interstitial lung disease she has depends on the relative amount of scarring (not treatable) and inflammation (treatable). It also allows pathology to look at the specific types of cells.

Once diagnosed she can get treatment and a prognosis. The problems? Well, taking the samples collapses the lung. This means a chest tube to reinflate it. The chest tube is painful even after the anesthetic wears off. There is also the risk of pneumonia and/or ending up on a ventilator.

Here are some positives. Kate’s in much better physical shape overall than back in May when Ed Smith put the feeding tube in. She’s had a prednisone burst which improved her breathing and made her feel better.

Then there’s that new nodule. Will require a biopsy, too. How to do it? That and whether she’s fit for a lung biopsy is the purpose of this consultation.

Just to add a bit of interest the temps dropped wildly from yesterday. And there’s snow! 15 degrees right now.

Unmatched? Yes. Great? No. Wisdom? No.

Fall and the Yom Kippur Moon

Great and unmatched wisdom. A supporter named diGenova has termed the House impeachment queries regicide. Refusing to comply with the House call for witnesses and documents. This is a dictator fantasy league with only one player. And, unfortunately, he’s our President.

My guess? His advisers, whoever they are today, have told him that he can win a faceoff with the House because the dispute will head to the Supreme Court where conservative justices are in the majority. If I’m right, and if the impeachment process goes to the Supreme Court, I think he’ll lose. Valorizers of the Constitution, that sacred writ handed down from the mountain top like certain tablets, cannot allow a breach of the separation of powers like the one Trump wants. At least I don’t they can.

Not sure we’ve ever had a crisis like this one.

Days of Awe

Fall and the Yom Kippur Moon

This is a day of fasting, prayer, and repentance for Jews in all places. Yom Kippur. The holiest day of the year, one when the soul is bare before the Self and all creation. Asking and seeking forgiveness. Putting in the past wherever you fell short. Cleansing for the year ahead. The Day of Atonement.

Kate and I will probably go to services this morning though we missed Kol Nidre last night. She wasn’t feeling good.

It’s been a tough week or so. Again. Her feeding tube has been giving her fits. Leaking. Since it’s now her primary source of nutrition, any hassle with it is significant. And, her shortness of breath seems to be worsening.

We see a cardiac-thoracic surgeon tomorrow morning to plan both her lung biopsy (which she dreads, understandably) and how to assess the new nodule that was found during her last c.t. Not a pleasant prospect, either one.

I’m dog paddling these days, trying to keep my head dry. I work out, cook, shop, do the laundry, dabble with gouache. This doesn’t sound like much, I know, but in the times between these activities I have no motivation. Frustrates me a bit since I have other things I want to get to: fire mitigation, revising Superior Wolf, starting a new novel, getting back to sumi-e, going to classes at Beth Evergreen. Some day soon.

Fall and the Rosh Hashanah Moon

Kep in the loft
Gertie

Worked out yesterday. Was sleeping really well, really well. Until. Cold noses in my face. Yes, Kep. Yes, Gertie. A yip from Gertie. Kep jumps up on my legs. OK, OK, give me a minute. Forces head back onto pillow, hopes the dogs will disappear for about fifteen minutes. Nope. All right, all right, I’m getting up. Geez. 4:30. Right on time, but no slack for a tired dad.

Rigel, “Who, me?”

Kate had a dentist appointment in the morning. We took Gertie and Rigel with us since it’s cooling down up here. I drive because her ability to walk very far has diminished. I can put the car as close as possible to the entrance. She came out with brighty whities.

requires moving 5 tons of river rock. 10,000 pounds.

We’re scheduled for an absurd temperature drop on Thursday along with some snow. Hope the cold and snow calm down the extreme fire conditions we’ve had for the last month or so.

The CBE Mitzvah committee may help with my fire mitigation. My energy level for doing it is low. My desire to get it done is high. Susan convinced me that she might find some folks willing to help in some way. Here’s my e-mail to her after we talked:

Susan,

How I feel most days.

I needed your directness. It’s tough for me to ask for any help, ever. I know, I know, I’m a guy. Partly that. Partly, too, I want to do as much as I can as long as I can. It’s about love.

I promise when I wear out, before I wear out, I’ll give you a call. Right now I’m really fine. Except for that fire mitigation stuff.

It has surprised me how much having people out there that care matters. As you say, just knowing that is so much.

I’m pretty self-reliant, one of those blessing and curse sorta things, but I’ve always needed friends and community. Beth Evergreen is both. And, more.

So, gratitude to you, to your committee, to the ancient path that breeds such caring folks. We’re in this together and that makes all the difference. Really, not rhetoric.

Årsgång

Fall and the Rosh Hashanah Moon

Årsgång, The Year Walk. According to Swedish folklore, the year walk was a method of divination in which practitioners would, on either Christmas Eve or New Years Eve (I’ll bet on the Winter Solstice, too.), sit in a dark room with nothing to eat or drink until it was night. Then they would set off into the woods with no technology, no flashlights.

As they wandered, they would have supernatural encounters (lots of supernatural entities in the Northwoods.) In one case they would place themselves far enough away so they could not hear the cock’s crow, not eat or drink, and not look into any fire the day before the walk.

After they set off, they would walk until they came to a road. When morning came, they could see funeral processions, including their own if they were to die that year. The village field beyond the road would show if the crops were to be good or not. They might see, too, if a fire was going to break out in the coming year. We could use this info up here on Shadow Mountain.

If we didn’t live in the mountains, I’d be tempted to try this. However. Cliffs and ravines. Oh, my. The Year Walk fits well with my winter solstice night vigil, even though I rarely make it through the whole night. Never thought of divination, but it would be interesting to try. Must have been pretty scary.

In the dark woods with no light. Even with no cliffs and ravines nighttime woods have many obstacles. Fallen trees. Undergrowth. Ponds. Marshes. Perhaps the occasional nocturnal animal. Add to those the supernatural and it would take a hardy or desperate soul to take a year walk. Wanna go?

There’s a cheap, six dollars, video game based loosely on this idea. I bought it. I’ll let you know about the game.

Hmmm

Fall and the Rosh Hashanah Moon

A culinary Saturday. With a few oddities.

Invited Jon and the grandkids up for a High Holiday meal of brisket. I bought a brisket, two actually, at Safeway. Brought them home, froze one, put the other in the fridge for the meal. Looked up a holiday brisket recipe. Found one for the Instapot. Chopped the onions, salted the brisket, added the tomatoes. Put it in for 65 minutes. Got it out. The meat was tender. Looked good. The jus in the pot also smelled wonderful.

Kate came by and looked at it. That’s corned beef, isn’t it? Oh, boy. Category mistake. I had bought, technically, a brisket. But, well… Anyhow I’d also picked up a white cabbage for the borscht I wanted to make for Kate. It only required a quarter of the head. I cut up the rest, threw it in boiling water and, voilá, corned beef and cabbage! The meal included baked potatoes, not normally part of this actually Jewish, too, dinner, but they fit well with the original brisket plan.

Everyone said it tasted good even though the menu got altered in a strange way.

Made mine with golden beets, too.

I did make the borscht, too. That was all day in either the grocery store or the kitchen. Tired.

Jon and the kids were late. Very. When Jon came in the door, I’d just gotten off the phone, the dogs were sending up their usual storm of barks for visitors. I came into the living room. Jon, I gotta tell you, I’m pissed. Oops. Not in front of the grandkids, Charlie. Too late, outta the mouth.

OK. I’ll try to remember this.

I wanted to talk to him about his chronic lateness, explain that it upset me, see how we could change the settings. Kate suggested this after I fumed when they were almost an hour late. She was right. Didn’t intend (mostly, anyhow) to do in that manner.

Apologized to Jon, Ruth, and Gabe. Not for what I said, but for when and how I said it.

Family. Not always easy.

Yet More

Fall and the Rosh Hashanah Moon

Piling on. Saw Dr. Gidday yesterday. Follow up on the c.t. scan from Monday. A new nodule on Kate’s lung. Will have to be assessed for malignancy. Dr. Gidday also prescribed a burst of steroids to possibly help with her shortness of breath. Since we have no diagnosis for her interstitial lung disease this is what physicians call an empirical treatment. Basically, making an educated guess.

Kate reluctantly agreed to a lung biopsy, a procedure that will be both painful and dangerous, but is the only way to definitively diagnosis which of two basic types of interstitial lung disease she has. The treatments for the two types are very different, and a pathology defined diagnosis is the only way to know the difference.

We got the name of a cardiac-thoracic surgeon whom Dr. Gidday trusts. The biopsy will happen sometime in the near future. Kate’s new pulmonologist, whom she likes, is unavailable, off for two weeks. He’s at National Jewish, the U.S. hospital for respiratory disease.

A lot. More than we need right now, but this stuff doesn’t honor fatigue or worry. It just keeps coming. Kate’s done well, keeping her spirits up mostly, but a steady stream of new matters to consider makes that difficult.

I’m doing well. Did a six-minute walking distance test (self-administered) yesterday. Walked as far a healthy person my age, something like 1580 feet. Means my exercise capacity is still in the normal range. That’s a good sign for life-expectancy with COPD. I’ll take any good signs I can get right now.

Days of Awe

Fall and the Rosh Hashanah Moon

Here we are, paused between the New Year and the Day of Atonement. The book of life is open, waiting for your next year to be inscribed. This is a new liminal space for me. A holiday(s) in which repentance and forgiveness are the focus, both at the beginning of the new year. It’s location in the early fall (a lunar calendar) makes it a part of the Michaelmas springtime of the year and part of the harvest festivals that end with Samain on the 31st.

Sukkot follows the Days of Awe, coming three days later. Rabbi Jamie says that Sukkot used to be the primary festival at this time of year with the Days of Awe sort of a preparation for it. Sukkot is the big harvest festival in the Jewish liturgical year. It’s fun, ending with Simchat Torah. “Sukkot through Simchat Torah is nine days long. The first two days (Sukkot) and the last two days (Shemini Atzeret and Simchat Torah) are full-fledged festival days, and the middle five days are Chol Hamoed.” chabad.org

The Jewish month of Tishrei is a holiday filled time for Jews. And, they vibrate between profundity and joy. This feels congruent with the turning of the Great Wheel which has three harvest festivals over the same time period. The middle one, Mabon, on the fall equinox, is a celebratory time followed by Samain, the end of summer when the veil between the worlds thins and the dead can walk among us. (where all the goblins and ghosts and ghouls come from at Halloween)

At least in the temperate latitudes temperatures begin to cool, leaves change on deciduous trees. Farmers and gardeners harvest fruits, vegetables, grains, nuts, then prepare gardens and fields for the fallow season. The days grow shorter, frosts and freezes mark, then kill many plants. The bare trees give forests a stark look. A friend was of the opinion that the thinning of the veil came from being suddenly able to see through forests.

Kate and I need all of the spiritual juice available right now and these two holiday traditions, Jewish and pagan, fill that need.