Tag Archives: love

even though you technically are

06 Monday Sep 2021

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Love came and

cracked open my ribcage.

Reached in and grabbed my beating heart and dug its nails in.

Pulled out

but

not hard enough.

My myocardium stuck on the shards of my ribs like jaggers.

Lacerated and bleeding, still beating.

Contractions spurring more

blood.

My chest empty,

a hole where my heart should be

(even though it is technically still there)

For

you are physically not

(even though you technically are)

And it kills me

Are you a Mary or a Rhoda? Maybe both.(of divorce and white hot suns)

21 Monday Jun 2021

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Someone crying a solitary sad tear

I cried a little on my way into work this morning. Well, not work exactly. I was actually driving to the tire place near my office because I got another flat. Presumably due to hitting the curb too many times trying to squeeze into a parking space in front of my house, a popular place for people from all corners the earth to park. Not that I’m bitter. Anyway, back to the crying. I was crying because I didn’t have a head scarf on. I was crying because my divorce was a little about more final now.

This is not my street but the parking looks similar

I started wearing my headscarves five years ago. Was it really five years? It went so fast. It was after my husband and I had reconciled, for the second time. I decided to wear the scarf for a lot of reasons. I’m sure I’ve written posts about it on here. I covered my head on my spiritual journey of my youth. Covered it studying Judaism, covered it exploring Islam, covered it, ultimately as a Catholic (turned post-Catholic). It was a way for me to remember God each day. But it was also because I was married. Muslim women who wear hijab do so whether they’re married or not. Same with the Amish. But Orthodox Jews cover their hair when they’re married.

And I’m not married anymore. Mostly.

Divorce doesn’t happen in a day. There’s the day you file, the day you tell the kids, the day you tell everyone else, the day you move out, the day you change your name back, the day you write up your custody agreement, the day you divide up your assets and debts (the physical ones anyway. Not sure you ever stop dividing up the blame and resentment but I hope so), the day the decree is handed down. But these are just the outward signs of the true divorce, the one inside you.

I don’t think judges get your wedding rings before pounding their gavel on your divorce decree that looks like an elementary school perfect attendance certificate but maybe I’m wrong

I chose to stop wearing my headscarves this weekend after a year and a half of considering it. I thought and contemplated and prayed and searched my heart and consulted the cards. And I knew it was time. I’m still devoted to God and I’ll still wear it on certain occasions. But, for me, a head scarf is for married women. And I’m not married anymore.

But as I was crying, I thought, why are you crying? It’s not that I miss my husband. I reeeeeeally don’t. It’s definitely not that I wish we were still together. I reeeeeeally don.’t. It was something else. A marriage is more than the two people in it. There are the two of you and then there’s who you thought they were and who they thought you were. There’s the couple you thought you were and the couple they thought you were. There’s all the people in your life and what you thought your marriage was to them. There are your kids and what it was to them. And there are your hopes, the life you thought would unfold over the next 30 or 40 years. Your identity as a married woman, now a twice divorced woman. It is a slow, painful death. But.

But.

It is followed by rebirth. All those contractions and dilating and blood and fluid and pushing until you think you might split in two like a wishbone, are worth it in the end. You emerge bloody and red and crying. You might even have some meconium in your lungs to work out. The air is cold and you miss the comfort of the womb, but there’s no going back. Here you are.

I wish I could say there’s a big boob waiting there to comfort you, but there’s not. After all, you just gave birth to yourself. The only teet is your own. Okay I’m going to drop this metaphor now. It’s getting a little bit too weird.

Where was I? Oh yes, scarves.

When I started covering my head, after we reconciled, if I’m being completely honest with myself, it was about more than God. And it was about more than being married. It was to contain the part of me I had to put deep inside in order to keep my marriage together.

We reconciled because I couldn’t financially afford to leave but we also reconciled because I couldn’t stand to be alone. It took me 40 years to get to a place where I could be alone and not fall apart. Okay, 42; I’ve definitely fallen apart during this divorce process and had to have some very strong external motivators to keep me going. Anyway, when I went back five years ago, it was in resignation. Resignation to the fact I couldn’t afford to leave, resignation to the fact I wasn’t strong enough to leave but I wasn’t strong enough to stay. I knew if I went back this time, that was it. I was in it for the long haul. I couldn’t keep putting my kids through the back and forth. Or myself. I needed to be stable and give them a stable home. I needed to grow up and accept my life for what it was. And so, I knew I had to resign myself to the parts of my husband that always made me want to leave. I had to accept the control and paranoia and misogyny and irrationality and the messy house and everything else. And I had to dim my light, so I didn’t outshine him. And so I covered it with a scarf and said goodbye.

How many of us spend our lives dimming our light to keep the people in our lives happy?

Well, fuck that.

It’s been a long journey of spiritual growth and therapy and a lot of blog entries and a few very good friends. But I have started shining again. Gradually, over these past few years. And now, the scarves are off and I’m aiming for supernova levels.

A photo of me seen this weekend grocery shopping in hoop earrings and platform sandals

It’s not just him. It’s so many people who’ve been in my life. And that’s life. That’s the fallen world we live in where people are insecure and jealous and afraid and don’t realize there’s room for all of us to shine. A million white hot suns. Feel free to stare directly at us, it will not damage your retinas.

And so, I find myself thinking of Gloria Steinem and Rhoda Morgenstern and all the other fabulous, confident, free spirited 40-something women with good hair. I am not someone new. I am just stripping away all the layers I’ve used to dull my shine. The self-imposed vernix. I am becoming more me.

I’m throwing my deep purple scarf in the air, ’cause I’m gonna make it after all.

Of Bats and Vampire Slayers

19 Wednesday May 2021

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I was thinking about bats. You see, I’m part of a local group that is creating a community garden. My practice is sponsoring an herb garden (which I plan to name after Gwen ferch Ellis, the first woman killed for being accused of being a witch in Wales. She was, of course, an herbalist and traditional healer. Which was the point of the witch hunts: to get rid of midwives and female healers to make way for the new institution of modern medicine). But I digress! We discussed at the most recent meeting perhaps putting up a bat house since our town has quite a few of them. And so, that’s how I came to be thinking of bats as I drove into work this morning.

A family of vampires heads to their Air BnB

My next thought, naturally, was vampires. This idea that vampires can turn into bats and fly away and then turn back into a vampire. Of note, my vampire likes bats and has a bat box which I will be removing when I move back into the marital home after equitable distribution is complete. Ahhh I digress again! Maybe I need a snack so I can focus better.

So, what does this ability to go back and forth between being the blood sucking undead and a flying rat translate to in our narcissist analogy? If you’ve ever lived with a narcissist, you know.

When you finally leave a narcissist you find yourself spending a lot of time trying to explain to people who know you both that the narcissist is a very different person behind closed doors than they are when they’re in the outside world. Narcissists can be very charming (recall the glamouring) in order to get what they want. They have spent their entire lives (some for as long as 51 years–almost 52) studying human beings and learning how they should act in any given situation to get what they want. Often times what they want is to be admired. Or pitied (they are the ultimate victims when they want to be). Sometimes they want money. Sometimes they want a job. Sometimes they want to gain your trust in case they need you as a flying monkey later. (A flying monkey is different from a flying rat; we’ll get into that soon enough). In any case, they put tremendous energy into containing who they really are. They remain remarkably lifelike. When someone from their home then tells you, no, they’re actually a really old blood sucking undead creature, you find it hard to believe. You find them hard to believe. And then you remember how the vampire confided in you that his entire family has mental health issues. And you think, poor woman, out of her mind and thinking her wonderful husband is a very old blood sucking undead creature.

And so, when the vampire violates the PFA, you hold onto the warrant she went through hell to get and don’t serve it. And when you hear whisperings around town about it, you say “well it’s a he said, she said so we really can’t know. They’re probably both partially right. Divorces are like that.” Because who wants to believe a vampire lives in their neighborhood anyway? It’s really so much easier to take comfort in the glamouring and try not to think about it.

But as time goes on, the vampire can’t keep the image going. He is too entitled, too arrogant, too self-centered, too mentally ill to not begin to slip up. Rules don’t apply to him and neither do boundaries. So, one day he borrows something from your shed without asking while you’re not home. He knows better than, well, everyone, so he begins to challenge your authority in the local club you’ve been running for years that he just joined. And when you politely attempt to contain him, he pushes and pushes and pushes until his glamour starts to wear off and you realize how cold his hand is and how pale his skin. He does you favors you didn’t want him to do and then becomes upset when you don’t thank him. And you just generally begin to realize he’s full of shit.

And so, he must move on to another neighborhood. Another church. Another job. One where he can glamour again. In a cloud of smoke, he turns into a bat and takes flight in the night. He is the fastest, most beautiful flying rat you’ve ever seen. He eats more mosquitos than any bat. He has better sonar than any bat. And when he finds a new hunting ground, he lands and transforms back into a very old blood sucking undead creature with a large nose and an increasing number of gray hairs. And goes about glamouring again. All the people who rejected him in his old neighborhood fade away and he is happy once again and full of fresh, warm blood.

A woman with a bad haircut looks at the phone of a shirtless man, implying they’re a couple where the man has cheated

Vampires are lustful and very good with women. They cheat. And they think no one knows. But people do. And when the human they pretended to love finds out for a fact the vampire has cheated, she makes sure everyone in the neighborhood knows. And everyone in the church. And so, it’s good that he left before the humiliation began. There, in his new home, he is the image he wants to be. And this time, it will be different. This time, he will settle down and be almost human. For the vampire slayer that ruined him did not follow. He is safe from her here in his new home. and he’ll make sure not to take up with another one.

a prose poem on pandemic and human connection (or, angels knocking)

17 Monday May 2021

Posted by in COVID 19, doctors, love, medicine

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My receptionist is back and I had an in office appointment today. Almost all of my appointments have been by phone since March 13, 2020, but even with the rare in office appointment, I would greet the patients and have them go into the room with me. Now, she roomed the patient and then I went in. Before I did, I did the doctor knock. That sort of quick, short littler knock you do as you’re opening the door. You pop your head in first and then walk into the room and give your excited greeting. I came really close to crying. I had no idea how much I missed that knock. That moment where you’re standing outside the door and you pause and prepare yourself mentally for what’s on the other side. Sometimes it’s a brief, happy moment. Sometimes it’s a frantic review of the chart that you really should have done sooner. Sometimes it’s a feeling of exhaustion and dread and “can I really make it through another patient today?” If it weren’t for this pandemic, for this seismic shift in how we do medicine, I would have never appreciated that knock, that moment, that island of time and place that is the outer edge of the intimate relationship between doctor and patient. There is joy in my bones right now. The quiet sound of angels singing. A feeling of home in my heart.

Everything’s fine (of sock monkeys and crocodile tears)

06 Tuesday Apr 2021

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My therapist and I realized the other day that although I’ve been in therapy with her off and on since 2014, we’ve never discussed my childhood. “Well,” she said, “I’m sure you’ve discussed it with the other therapists you’ve seen in the past.” “No,” I replied, “I haven’t. Never.” She asked. if I thought we should and I paused and took a deep breath and said, yes. My life has been a series of fires to put out for so long, this is the first time we’ve had time to get into it. She is clearly not a Freudian. And I have clearly been avoiding this. (My mother’s voice ringing loud in my head “someday you’ll grow up and go to therapy and talk about what a terrible mother I was,” making a pit in my stomach big enough to swallow me whole. The guilt. The shame. You don’t talk about the family to anyone outside the family.

Soon after this, someone tweeted about writing about your childhood and your parents’ reaction. It was a lighthearted tweet but some jackass replied that if one is going to write something negative about one’s parents, they should discuss it with their parents first as he had had an experience counter to this and was not okay with it. Here’s my response:

He has since deleted his comment as you can see.

I mean what I said and yet, I have held back on discussing certain things here. But I’m reminded of the quote:

So, fuck it.

I was reading my fave Viktor Frankl a couple of weeks ago. There’s a book newly translated to English of some talks he gave in 1946, shortly after leaving the camps. He writes about getting out and choosing to stay in Austria and the experience of having so many people there say, oh we had no idea what was going on in the camps. He calls it a deliberate not knowing and says it’s essential to the success of authoritarian regimes. Ordinary people must deliberately turn away from what is happening so that they don’t have to accept responsibility for it, don’t have the moral imperative to do something about it.

And as I was reading it, I thought of my mother. I thought of how much energy she and my father have put into not knowing for my entire life. You see, my greatest fear has always been that my children will turn out like me. They most definitely got some crap genes from me (nature) so I have to know that I am raising them differently than I was raised (nurture). And so, I have to remember what it was like and all the glaring red flags and cries for help and all that that they purposely ignored. Because I wouldn’t. I wouldn’t ignore my kids’ cries for help and red flags and all that.

I used to make excuses for them. It was the 1980s, it was rural Appalachia, not a place mental health was talked about. We didn’t have health insurance a lot of the time. But it’s just excuses. I had a lot of friends, of all classes and varieties, whose parents got them help (tried to anyway). The truth of it is, she didn’t want to be embarrassed and she didn’t want to be bothered. It’s messy, ya know? I remember writing a story in college about a girl who kills herself by slitting her wrists but makes sure to put newspapers down so it won’t make a mess for her mother to clean up. I had no idea the story was about me. I truly didn’t.

When you cut yourself everyday with razor blades, arms and ankles and shoulders and thighs, it is bloody. It wasn’t a thing back then. They still called it “self mutilation.” A friend of mine turned me and my boyfriend onto it and I loved it. I loved it for a lot of reasons, conscious and subconscious. I tried to hide it but apparently something happened that made it impossible to ignore. So they told me to stop. And she said, “You don’t need to see someone do you? You’re all right aren’t you?” And there was only one acceptable answer. “I’m fine.” Because we were always fine.

But my cuts were a reminder we weren’t actually fine. An intrusion into the beautiful little house where she kept her china dolls, four daughters, four dolls. And so my sisters would say that I needed to stop upsetting mom. And they would check me for cuts. And I would find new places to cut that they weren’t willing to look. And in time it blew over. She honestly probably completely forgot about it pretty quickly. They do that, ya know? People like her. They just dissociate out the bad memories that don’t fit their picture of the perfect little life. Just put the cut up doll in a new long sleeved dress and back in her place and everything’s fine again.

Fine. We’re fine. Everything’s fine.

We came home drunk, came home high, came home tripping balls. And they didn’t notice. I thought I was really good at faking them out. My other friends’ parents kept catching them but not me and my sister. We were so much better than them! Of course, we weren’t. Of course, if my kids came home like that I would know instantly. And have to deal with it. And admit things are not fine. And I would. But not her. Not them.

And if my four year old came to me asking for protection because her older sister was bullying her, I wouldn’t say “Toughen up. Life is hard,” and go about my day. If they locked her in a room with a static-y TV meant to terrify her at age 5 because she’d seen Poltergeist, if she was so scared she literally ripped the door off the hinges trying to escape, I would do something about that shit. For her sake and for theirs. I prefer not to raise any of my kids to be dickheads. But she loved her flying monkeys because they did the work for her.

I have to think about these things to remind myself I am a different mother than she was and that my kids won’t turn out like me. They’re already turning out differently. They don’t pretend everything is fine (not at my house anyway). They get mad and sad and worried and frustrated and bored. And they notice when I’m unhappy and ask me if I’m okay and what’s wrong and they try to cheer me up. These things happen daily, generally multiple times a day. And it occurs to me how many millions of time I have stuffed down sadness and anger and guilt and confusion and shame and just generally not being fine. And how many times I have stuffed down the urge to say, what’s wrong, Mommy? Because no matter what I said or how I acted, I knew things weren’t fine. I just didn’t know how to say it. For decades.

I look at my daughter and think, wow, she’s so perceptive. She spots manipulation or insincerity a mile away and she calls you on it. And it’s taken me a year and a half to realize I was that perceptive too. I just didn’t allow myself to admit it. Because I had to survive. Because children die without adults to take care of them.

I think about that study where they replaced infant monkey’s mothers with these cloth monkey dolls and the monkeys bonded to them, clung to them. Those infants turned out much better than the monkeys without one, or with the ones made of wire instead of cloth. And I wonder, did those monkeys grow up and go out in the world and eventually realize their mothers were just dolls, and not real mothers at all? Did the monkeys marry monkeys or dolls? If you’re used to a doll, I’d imagine marrying a real actual monkey wouldn’t feel right. Until you eventually realized being married to a doll isn’t normal at all, and really not a good idea.

WILL YOU MARRY ME? I THOUGHT YOU’D NEVER ASK!

I am 42 years old. And up until a few weeks ago, I would have told you I’m not an emotional person. A lot of statements like this “That movie had me crying and I’m not an emotional person.” “I’m not a crier but when she said that, I ended up bawling.” And so on and so forth. I didn’t think I was an emotional person because that’s what they told me. I remember being at the Pittsburgh International Airport and my mom was either leaving for her prolonged trip abroad or returning from it. I was 16 or 17. And my mom was crying and my sister was crying and so on and so forth. And I wasn’t. And it was, oh what’s wrong with her? Why isn’t she crying? And so when I was diagnosed with Asperger’s at the age of 22, it all made sense as to why she never seemed to express the appropriate emotions. And what it took me all these decades to realize, is that I knew it was all fake. The tears, the words they spoke, the situationally appropriate feelings they acted out. All a performance. A play we put on everyday for ourselves, for the world. I just couldn’t play along. Actual sadness, actual crying, I knew to keep hidden. Like a rabbit crouching down in the field, pressing its soft underbelly to the cool grass, hoping the wolf won’t rip its intestines out. Hoping it will pass by. Never, I mean never, expose your soft underbelly to them. Keep it locked away. Even from yourself.

It turns out, I’m actually really fucking emotional. I cried in front of patients in residency. That is not done. I cry on my way home from a hard shift with my addiction patients. I cry every time my son Max plays piano. I cry at movies, on almost every major holiday, thinking about the future, the past. I’m a crier. It’s taken me my entire life to 1) realize this and 2) let go of the shame around it. You’re not allowed to apologize for crying at my office. Humans are supposed to cry. And if someone feels safe enough to cry with me, I’m honored. Crying, real crying, not performance tears, it’s truly amazing. Every cry is a good cry.

Lena knows the difference between real tears and fake ones. She knows there’s a certain look he gives her that’s meant to make her feel bad for him and manipulate her into acting like she’ll miss him when he goes even though she won’t. And she knows how she’s supposed to act to make people happy. I think she knows she doesn’t need to do that with me. I hope. I’m actively working on it. Working on accepting emotions of all kinds from them and from me. On being honest with them when I’m sad or angry. On letting them know I’m there if they’re sad and that they won’t feel sad forever. Listening. Watching. Noticing. Remembering.

I will never understand how you can see your child’s body bloody and gashed and not want to do everything you can to help her. How you turn away from a four year old asking you for protection. How you tell your daughter she’s a crazy slut and a horrible mother and you’re giving her ex-husband money to get a lawyer and take her kids away. How you mention to her that her uncle googled “Elizabeth Fleming slut” and all kinds of things came up. Show her the tiny little AP wire article in the hometown paper about her turning in the pedophile and mentioning, accurate or not, details about her sex life, and talk about how humiliating it is and remind her how embarrassed her sisters are. And will never understand a man jealous of a ten year old. A man who belittles and degrades his children and his wife, plays them against one another, gaslights and lies. And do you know why?

Because they aren’t real people. They’re just cloth dolls pretending at being human. They’re badly behaved little sock monkeys and I merely, dear reader, relate the facts. Because everything was not fine. And every feeling and word and question and desire and lament and exaltation that I’ve swallowed down, that my children have swallowed down, that so many of us have swallowed down, deserves to come out whatever way we see fit. Y’all sock monkeys can go on deliberately not knowing, just work a little harder at it. The rest of us, we’re gonna be just fine.

You Can Do Anything for 20 Seconds

17 Friday Jul 2020

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“You can do anything for 20 seconds!” That’s what the Peloton instructor said as we climbed up a steep virtual hill in my closet at my blue house in Oakmont at 7:00am on a Friday. And all of a sudden I was back in the gym in Verona. 2018. 6:00am on a Thursday morning, getting in a workout before heading up to my Grove City office for a long day of seeing patients. Staring into my reflection in the glass of the front window the treadmills all faced, telling myself “if you survived six months of Jeremy Noyes, you can run a little longer, girl. You can survive anything.”

Now, careful what you say to yourself. Because the universe is listening and if you say, I can survive anything, sometimes the universe goes ahead and sees if it’s true.

I’ve been through a lot since then and I’ve witnessed a lot since then. And I was right: I did survive. I survived a lot more than 20 seconds and a lot worse than a sprint on a squeaky treadmill at a gym that hadn’t been renovated since 1988 and refused to hire a window washer, resulting in a lot of funky spiders peering in at you from their cozy webs outside the windows. But now I’ve reached a strange place. It’s the place beyond survival. A place where you are not desperately trying to get through to the next day. A place where your solace is not picturing the far off someday. I have reached the land of milk and honey.

I’ll say this for the universe: it handed me the land of milk and honey within the worst moment in modern human history. We are essentially living through the Spanish flu, the Great Depression, the 1960s, Germany c. 1939 and a couple dystopian novels all at once. If you’re middle class, go get some weed and take a deep breath and you’ll be okay. But if you’re one of the 94 million Americans living at or near the poverty line, you may not survive this.

I take care of them and I see it and I watch helpless. I do what I can. But I know that almost no one in my life knows they exist. Not really. They were barely surviving before. Now? I just don’t know. All I know is things need to change. And if it’s ugly, then it had to be ugly. Poverty is violence. Our criminal justice system is violence. Our healthcare system is violence. That white rich couple in St. Louis are merely a more tangible representation, guarding their gated community with their big guns.

But I digress.

Back to the irony.

In the midst of all this, I find myself at a new chapter in my life. A chapter I’ve dreamed of for decades but am not entirely sure how to handle now that it’s here. My life is no longer about survival and getting by and fighting.

Now let me knock on wood. OK here goes.

My kids’ health is not perfect but we are over the worst of it and I spend very little time being their doctor now and almost all of it being their mom instead. My medical practice has finally gotten to a good point where I am not afraid month to month if I will make it or not. Where I don’t have to agree to take any patient who calls up and wants seen that day or that weekend or at 2am standing on my head yodeling. I no longer need to work 90 hours a week. I am, after 16 years of more sacrifice than most, finally one of those doctors who can work 4 or 4 1/2 days a week. I could work more and make more, but I don’t have to and I’m not going to, damn it.

My mental health is strong. I have good people in my life with good boundaries. I have moved past the addiction to the delicious chemicals that flood your brain when you are in a volatile relationship. I have a beautiful home that is all mine. My mysterious autoimmune disease is gone and I am training at full speed and loving it. I am working on a plan to section hike the Appalachian Trail. And it’s actually going to happen. I read novels. I ride my Peleton. I’m building a beautiful patio and getting a tiki hut to go over my hot tub. MY FREAKING HOT TUB. I have arrived.

Now, I fully own my class and race privilege. But it’s not the hot tub that is the thing that matters (but it’s pretty darn sweet). It’s the freedom from toxic relationships with other people and with myself. It’s the ability to say, being a workaholic is unhealthy and unfair to me and my kids. The ability to say I deserve to be happy and free. The ability to hold boundaries. The ability to get overwhelmed and pause and take a breath and figure it out without running into something I will regret, something that keeps me in survival mode longer. The ability to sit in pain and uncertainty. The ability to be present, to be fully and wholly alive, the joy and the pain, the exhilaration and boredom. The ability to see the infinite unknown possibilities and be at peace.

The custody battle that was my last great entanglement with the man I loved is now done. This comes at the same time as my practice’s stabilization. The same time my little ones will now be with their dad longer, freeing up more time for me. I feel light. I feel the possibility, and the possibility is here. It’s now. Finally.

I feel like myself. Fully myself.

Life is a journey and I realize I’m not boarding the Good Ship Lollipop. There will be tough times. There *are* tough times right now. I spend a lot of time feeling the things and thinking the thoughts we all ought to be with the way things are. But it’s different now. And I truly believe my personal life hit its last rock bottom this past spring and it is uphill from here.

PTSD tries to take possibility from you. It places your body in a chronic state of fight or fight. Also knows as survival mode. Possibility is a far off, uncertain, unlikely thing when you are in that place between life and death. When you have PTSD as a result of rape and abuse, it will get reinforced over and over again by our patriarchal, imperialist, violent culture. Every time you go to take a step forward, people will try to shove you back down. They will tell you to stop playing the victim, call you crazy, call you a slut, say you wanted it, question why you didn’t fight back the way they think you should have, say you’re exaggerating, call you vindictive towards the poor innocent man you’re trying to destroy. In short, they will do everything they can to keep you in survival mode.

What they don’t know is that you are a badass warrior. What they don’t know is they’re the ones who will never be truly alive. You will.

I am.

40 Days and 40 Nights (or, what doesn’t kill you also makes you more grateful (if you let it).

03 Sunday May 2020

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We have now had a fever for 42 days. Off and on. Mine had gone away yesterday and I thought, maybe this is it. Maybe this was a fever that lasted 40 days and 40 nights, that started two days before I stopped being 40 years old. And maybe if that’s true, there is a deeper spiritual meaning to it. So, I researched the number 40.

They say 40 in the Bible essentially means, a really long time. It rained for 40 days and 40 nights when Noah was out on the ark. The Israelites wandered in the desert for 40 years. Moses’s life is divided into three 40 year phases. Jesus was tempted by Satan for 40 days. He stayed with the disciples 40 days before ascending to Heaven where he is seated at the right hand of the Father.

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They also say 40 represents a new beginning. It has to do with it being a factor of 5 and 8, and 4 and 10. I will skip over those details. After 40 days, the flood receded and it was a new world. After 40 years the Hebrews were considered to have paid the price for their disobedience and given a new life in the promised land. After 40 days, the Holy Spirit anointed the disciples and they were reborn. In Judaism, the embryo is considered to be formed at 40 days gestation. And a pregnancy lasts 40 weeks.

It also represents water, baptism, mikvah. There is the great flood. In traditional Judaism a woman goes to the mikvah ritual bath for purification 40 days after having a son, 80 days after a daughter. The mikvah is filled with 40 seah of water.

According to the Jewish Talmud, at 40 years old you gain the gift of understanding. You come to begin to fully understand all you’ve been taught.

I have been feeling exhausted lately, burdened. And feeling like I will forever be wandering in the wilderness, the promised land always just slightly out of reach. Time and again telling myself, you just need to get through this phase and then things will get easier. At what point do I admit to myself it’s a lie, that this is as good as it gets? In other words, I have been hopeless and have lost that sense of possibility I’d been so grateful to regain back in 2015 when my PTSD was healed.

My life is better than a lot of people’s and I know this in my head and I know this in my heart. But their suffering did not seem to alleviate mine. I kept telling myself to get over it, but I just couldn’t.

Perhaps it’s the nature of this fever. You feel good for a day or two or three. Really good. And you’re so grateful. You have energy and joy and you can run and get things done and enjoy life. And you think this is it, I’m better. I can get on with my life. And then it comes back.

Perhaps it’s this quarantine grinding us all down. Or the fact I had three people close to me in my life a year ago and now I have none. And I’m in isolation and can’t replace them. I cannot picture my future because none of us can. We do not know what will happen with the economy, with the pandemic, with the election, with the way things are done and the way we relate to one another. And so, how do we have a sense of possibility? There are infinite possibilities and none at all.

And so I looked to the number 40 for hope. If my fever lasted 40 days then maybe there was a divine reason God had allowed it to go on so long. Maybe God had a plan for me. Maybe beyond 40 years and 40 days and nights I would emerge from the wilderness and finally enter the promised land. Purified and born again.

But here I sit on day 42. Maybe sometimes a fever of unknown origin is just a fever of unknown origin.

I had the energy to play with my daughter today. She couldn’t believe it. We ran shuttle runs and played charades and had a jumping competition. I felt great. For now, I’ll take that and be grateful. We’re not promised a damn thing in this life. If I ever return to good physical health and energy I will be grateful in a way I couldn’t have been before. When we emerge from this quarantine and I can be with my patients in my office again, I will be grateful in a way I couldn’t have been before. And when the second forty years of my life are easier than the first (and they will be. I know this much is true), I will be grateful in a way I couldn’t have before.

I hate the saying what doesn’t kill you makes you stronger, even though it’s true. I mean, what a crappy gift: the knowledge now you can make it through something even more awful. But this truth has saved my butt more than once and I put faith in it that my children’s difficulties have done that for them. Because life is hard and the best thing we can do for our kids is prepare them to face whatever it throws at them without falling apart. But what doesn’t kill you also makes you more grateful (if you let it).

I’m grateful for my kids’ fever because at one time their immune systems were so dysregulated, their bodies couldn’t mount a fever response to invading pathogens. I’m grateful every time my 14 year old acts like a jerky teenager because he gets to a live a relatively normal teenage life now instead of being in PANDAS hell. I’m grateful every time I eat a meal without an abusive husband there criticizing what I’m eating or not eating because that was not always the case. I’m grateful to be a doctor, the good and the bad, because it was almost taken from me and I gave literal blood, tears and a piece of my soul (and my cervix) to get through my training. I’m grateful for the sense of possibility because for so many years in PTSD, it wasn’t there as I dwelled in that place between life and death.

So maybe that’s what the promised land really is: gratitude. If we never wandered through the desert for forty years, how could we even know we were in the promised land? Maybe it is not a static place, this promised land. Maybe it can’t be. Maybe it’s an oasis where we replenish ourselves and get a rest before heading out again. We never know how far into the wilderness we will go and for how long, but we know the promised land is always there. Until we reach the end of this life and enter the world without end and find that possibility we have been been seeking once and for all.

Lassoing the Beast

24 Friday Apr 2020

Posted by in christianity, empathy, Evil, kids, love, marriage, medicine, my awesome husband, narcissism, PTSD, Rape, Sin, Uncategorized

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I do not think that I have ever seen a case where the sentencing goal of protection of the public figured more predominantly. Anyone who sat through this trial would realize that this defendant is the worst nightmare of every child’s parent. The entirely credible and overwhelming evidence demonstrated that the defendant is a dangerous predatory sadist…
Hon Sean McLaughlin, sentencing of Jeremy Noyes

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A package arrived today. A hoody. Oh, how I love a good hoody. Is there anything better? Cozy and comfy and flattering on people of all shapes and sizes. Maybe it’s because I grew up crushing on boys with long hair in hoodies and Vans, but hoodies hold a special place in my heart. Back to present day: the hoody that arrived was blazoned with Beast on the Bay. Because I have decided to run the Beast on the Bay again this year.

Regular readers may recall that in 2018, I ran the Beast as part of my ten year anniversary of my trauma. It inspired me to get into shape and do something that felt impossible. It also happened to be in Erie, where my trauma occurred and is sponsored by my old med school, who made the trauma significantly worse. I was not able to run the race in 2019 because the previous summer, in the best shape of my life, I had suddenly developed a mysterious autoimmune neurologic disorder a week before I was to run a different obstacle course race, the Spartan. Now, within this surreal time of quarantine, I’ve decided to do it again this September (if it’s not cancelled).

I had come to some new revelations on Easter Sunday. Not regarding God or Armageddon or resurrection. Regarding my immune system.

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In order for me to explain, let’s rewind to June 2019.

I’d been in training for 14 months and was in peak form. My body fat percentage was its lowest ever. I could run a 9 minute mile. I was pumping out burpees like a champ. I felt amazing. On Sunday, my husband I went to a local Crossfit gym to do a class and practice rope climbing. I’d never climbed a rope in my life. I never even tried in gym class as a kid because I was convinced I couldn’t do it and would just embarrass myself. I knew I needed to climb one for the race coming up the following Saturday so we went and the owners gave me some tips and I did it! I was so damn proud of myself.

The next morning I woke up and felt sick: I was exhausted, my muscles ached and felt weak. It wasn’t the way I felt after a really brutal workout. It was the way I felt when I had the flu. I decided I better give into it and rest as much as possible but I’d been planning on working out leading up until a couple days before the race. I needed to get better quick, though , so I cancelled the workouts. By the time Friday came, I was still exhausted and I knew I needed to cancel the race. I was heartbroken. I’d worked so hard and it meant a lot to me. It was odd I was still feeling just as bad six days in, so on Saturday instead of going to the race, I went to Quest to get some bloodwork drawn.

Over the next few months I saw neurologists and rheumatologists. I had bloodwork, MRIs, EMGs, and EEGs. I began to piece together symptoms I’d been having in the months leading up to my exhaustion. Blistering on my lips I’d assumed were cold sores (they weren’t). Neuropathy in my arms and legs after showering. A tightening of my rib muscles during a run. At one point, my calves swelled and hardened during a run, forcing me to stop. My fine motor skills were off and I was having more of the involuntary muscle movements I’d gotten for years. I was losing my balance more often too.

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None of the doctors ever arrived at a diagnosis and I was told to deal with it and be grateful it wasn’t something bad. I wasn’t. How could we know if it would get really bad or not if we didn’t know what it was? I had plenty of patients in the same boat. Vague autoimmune symptoms and slightly off labs but no clear clinical picture of a known disorder. They often found their way to my doorstep looking for help from medical marijuana (Which is smart because it helps both the symptoms and has immune modulating effect which can help longterm outcomes). I was now one of them.

I tried changing to a plant based ketogenic diet but it only seemed to make it worse (and was unpleasant as hell to eat). I tried forcing myself to exercise but it made it worse too. I would have a few days where I felt pretty good, but the symptoms always returned. That is, until November.

In late November, my husband moved out. Our marriage ended. And so did my symptoms. I hadn’t been expecting such a dramatic reaction on the part of my body, but there it was. Fatigue, pain, weakness, skin blistering, muscle jerking, neuropathy. Gone. My toxic marriage had been killing me. My body was sending me one last desperate message before it gave up the fight. And it worked.

What can make you more grateful for the movement of your body than losing it?

There has been a lot going on in my life since then. Divorce, buying a new house and moving in less than two weeks before Christmas, and the in and out of court of a high conflict divorce and custody battle. Finally as February came to a close I felt like things had settled down and I was ready to start working out again and go on a diet to shed the weight I’d gained since June. It went well for a couple weeks and then buh buh buh, quarantine! And it all went to pot. Like it did for all of you.

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No more daycare. No more school. Time to homeschool 3 kids and take care of a preschooler. And now you have to take your medical practice and completely restructure it because you can’t do office visits anymore. And no one can help you because it’s a freaking quarantine. And did I mention the high conflict divorce I’m in? Yeah, those don’t improve with quarantine either.

And then we got sick. March 22nd, my four year old and I woke up with a fever, sore throat and cough. Exhausted, body aches, chills, no appetite. Then the other three kids got it. We didn’t qualify for COVID testing so I put us into complete isolation (actually considerably worse than regular quarantine life, believe it or not) and waited for it to pass. But it didn’t. The fever would sometimes for 24 or even 72 hours, but it always came back. We’re now on Day 33. I eventually coerced an urgent care into giving me a test despite not meeting criteria on Day 24 when our fevers went up higher than ever. The test came back negative but they told me false negatives were common and I should consider getting tested again. I consulted with my mentor, the best doctor I know. He said he thought it was COVID and a false negative. I agreed.

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If you consider the other things in the differential diagnosis (cancer, rheumatoid arthritis, Epstein Barr virus, CMV, Lyme disease), none of them made as much sense as COVID.

And so, here we sit in isolation. Now, back to the Beast. I was in a lull of symptoms two weeks ago on Easter Sunday. I was sitting watching a local church service on my big screen TV while my kids ate their candy and watched their iPads, and a verse struck me.

A good man brings good things out of the good stored up in his heart, and an evil man brings evil things out of the evil stored up in his heart. For out of the abundance of the heart the mouth speaks.

And I realized my husband had ruined my relationship with God. Because that’s what abusive people do. They isolate you. From friends and family and, sometimes, if they’re really good at it, God. I realized how far from God I’d gotten, and how I couldn’t separate God from my husband and the harm he does. And I realized it was now time to stop. And I said hello to God again.

I realized something else that night as I stayed up late journaling about all my newfound epiphanies. I was ready to get in shape and lose weight again. But I needed something to focus on, a race. I thought of the Beast. But when I thought of it, my stomach dropped. I realized the thought of running it alone, without my husband, scared me. That I felt like his ghost would be haunting me the entire time. And most things that scare you, are the things most worth doing. And then it occurred to me. The timing of the onset of my autoimmune issues. I’ve always noted the cruel irony of it beginning right as I was to run an obstacle course race even harder than the Beast, that I’d trained for for so long. Right at my physical peak. My husband was going to run the Spartan with me just like he’d run the Beast with me. He jumped on the Beast wagontrain late in the game. He said he didn’t think I’d actually train and go through with it so he waited. Like it was such a big freaking honor to have him run it. He took something that was mine and made it his. He was jealous. And he was going to take the Spartan from me too. He had spent years complaining I was fat and had a flat butt but when I got in shape, he was so damn jealous, he did everything he could to undermine me. And he couldn’t let me have the Beast, my moment. I didn’t finish high in the Beast, mind you. I couldn’t do about a third of the obstacles. But I finished. And I was so damn proud. He acted proud too: proud of us, proud of his wife, of himself. His wife, not me. His possession that reflects on him. That was what he showed the world. A few weeks after we finished it, I put a “I Beat the Beast” bumper sticker on my car and he looked at it and said “You didn’t beat the beast. You didn’t finish all the obstacles.” And that, ladies and gentlemen, is what he shows his family. For out the abundance of the heart the mouth speaks. I stood up to him and told him I had finished and tried all the obstacles and that was a big accomplishment for me. He gave me a shitty look and walked off.

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He took the Beast from me and my body wasn’t going to let him take the Spartan. Maybe that’s why it shut down. Maybe my heart called up my immune system and said, if he does it to her one more time I’m going to break. And my immune system said, ok, time for the Hail Mary. We will throw the switch and shut the whole plant down and give her some time to sit and think. And if she won’t walk away, we’ll leave her there sitting. And if she does, she’ll run it for her. And my heart blew my immune system a kiss and my immune system blushed. Maybe. Maybe it was a gift from my body.

So, I signed up for the Beast. And ordered a hoody. And the next day fruits and vegetable and water became a thing again at our house. Planning and cooking dinners because a nightly thing. And working out resumed for me and my kids too. Life was good. I was triumphant!

But then life happened. Our fever has taken up residence and work and homeschooling are getting harder instead of easier. Yada yada yada. I’m back down for the count. But I’m not cancelling the Beast. I am running it, come hell or high water or fever or economic collapse. Even if it takes me ten hours, I’m running it.

I cried a good bit during the Beast the last time I ran it. Cried for what Jeremy did to me, for what my school did to me, for what their mom having PTSD took from my kids, for all the other survivors I know who will never see justice like I did. I imagine I will cry this time too, for a whole other set of reasons.

My high conflict divorce has been nastier than ever this past week. We may soon go before the judge via teleconference (ya know, quarantine) and I am scared my husband will convince the judge he’s the guy out there bragging about his wife running the Beast, instead of who he really is, the guy denigrating his wife when she dared to be proud of herself. But this is not my first rodeo, dear reader. I have sat in court with a man who accused me of lies before and I have spoken the truth and justice prevailed. I will lasso the Beast again this time. And I will put on my hoody and take a run and thank my heart for being so damn good to me.

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America we’ve given you all and that’s not nothing (or Narcissus needs a drink)

11 Wednesday Mar 2020

Posted by in empathy, Evil, love, medicine, narcissism, Uncategorized

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America
I’m addressing you.
Are you going to let your emotional life be run by Time Magazine?
I’m obsessed by Time Magazine.
I read it every week.
Its cover stares at me every time I slink past the corner candystore.
I read it in the basement of the Berkeley Public Library.
It’s always telling me about responsibility. Businessmen are serious. Movie producers are serious. Everybody’s serious but me.
It occurs to me that I am America.
I am talking to myself again.
*
*
*

I have spent a lot of time reading about narcissism lately. I have my reasons I won’t go into here. An unexpected outcome of this research is the realization almost every politician in the Democratic primary is above average on the naricissim spectrum, some just as high as Trump. One in particular. The one who had to drop his bid in 1988 because he was exposed as a pathological liar and plagiarist. The one whose toxic masculinity led him to challenge someone to a fist fight recently. The one who has assured the billionaires “nothing will change.” And a relationship with a narcissist, my dear reader, only ends one of two ways: you wake up and leave or they suck the life out of you. The Democratic electorate has chosen the latter. It is narcissist versus narcissist in 2020 (it has been before, to be fair) . We will all lose no matter which one wins. If Biden wins, we are left with an America still under the conditions that created Trump and we will either get another Trump or …. Trump. Do you really think leaving the White House will make Trump go away? He has created a movement and they will follow him where he leads. The presidency,  my dear reader, may become significantly less relevant. The question is, will the movement Bernie is driving remain intact to counter it?

 

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I think of the people most affected by all this and I cry. My addiction patients in rural Pennsylvania, their children. They don’t even realize just how different much of America is living. And most of America doesn’t realize how they’re living. If they did, I’d like to think things would be different. But narcissists are very good at gaslighting and projecting and lying. Lying especially. Lots of lying. And if you’re a decent, feeling, empathetic human being, it is hard to resist. It is hard for for you to conceive that such a person could exist. Someone with no empathy and no remorse. Entirely self serving with nothing to limit what they’ll do to get it. Try to imagine. It should scare you. Terrify you.

I believe most Americans are decent people trying to get by in the face of a lot of hardship. I see it in my office everyday. Not just my most vulnerable patients, my middle class medical marijuana patients too. The cop with PTSD who had to retire because of it and now has no insurance or income to pay for the therapy he so badly needs. The single mom of an adult son with autism, trying to get services that aren’t there, trapped in her house. Chronic pain patients that were abruptly kicked off their pain meds once doctors started facing consequences for over-prescribing, not offered any help for withdrawal or to manage their pain. And I see the upper middle class patients who benefit from the system but have so much anxiety and depression, the money does them no good. And still they hold onto it tightly, unwilling to see letting some of it go would not only save so many struggling; it would save them too.

Greed is an illness. An ugly dark emptiness that cannot be filled and will not stop making you hunger for more. Like any addiction. Are the heads of the pharmaceutical companieds just projecting then? Turning so many into addicts so they can see themselves? And Trump, who will never have enough cheering angry supporters or enough money. He pulls the worst from us, feeding off negative emotions and chaos as narcissists do. Projecting onto America the darkness inside of him.

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I do not mean for this post to sadden you or leave you feeling hopeless. Indeed, that is exactly what a narcissist wants. I want you to see that once you know you’re dealing with a narcissist, you begin your steps towards recovery. Leaving is not easy. They will try to suck you back in. They will love bomb you, bring you flowers and tell you how wonderful you are. But if you stay strong, it gets easier in time. And the best part? The thing narcissists hate most is someone who heals and is happy and strong. Our revenge would be a healthcare system that takes care of us, universal childcare, a Green New Deal, a living wage, an end to mass incarceration. Our revenge would be joy. Like an army of Care Bears shooting out beams of love and kindness and hope from our chests. They would keep trying, but with no one to reflect their image back to them, narcissists wither. Like Narcissist himself, when the reflecting pool they’re so addicted to dries up, so do they. And we, America, will have won.

***

America, by Allen Ginsburg

America I’ve given you all and now I’m nothing.
America two dollars and twentyseven cents January 17, 1956.
I can’t stand my own mind.
America when will we end the human war?
Go fuck yourself with your atom bomb.
I don’t feel good don’t bother me.
I won’t write my poem till I’m in my right mind.
America when will you be angelic?
When will you take off your clothes?
When will you look at yourself through the grave?
When will you be worthy of your million Trotskyites?
America why are your libraries full of tears?
America when will you send your eggs to India?
I’m sick of your insane demands.
When can I go into the supermarket and buy what I need with my good looks?
America after all it is you and I who are perfect not the next world.
Your machinery is too much for me.
You made me want to be a saint.
There must be some other way to settle this argument.
Burroughs is in Tangiers I don’t think he’ll come back it’s sinister.
Are you being sinister or is this some form of practical joke?
I’m trying to come to the point.
I refuse to give up my obsession.
America stop pushing I know what I’m doing.
America the plum blossoms are falling.
I haven’t read the newspapers for months, everyday somebody goes on trial for murder.
America I feel sentimental about the Wobblies.
America I used to be a communist when I was a kid I’m not sorry.
I smoke marijuana every chance I get.
I sit in my house for days on end and stare at the roses in the closet.
When I go to Chinatown I get drunk and never get laid.
My mind is made up there’s going to be trouble.
You should have seen me reading Marx.
My psychoanalyst thinks I’m perfectly right.
I won’t say the Lord’s Prayer.
I have mystical visions and cosmic vibrations.
America I still haven’t told you what you did to Uncle Max after he came over from Russia.
I’m addressing you.
Are you going to let your emotional life be run by Time Magazine?
I’m obsessed by Time Magazine.
I read it every week.
Its cover stares at me every time I slink past the corner candystore.
I read it in the basement of the Berkeley Public Library.
It’s always telling me about responsibility. Businessmen are serious. Movie producers are serious. Everybody’s serious but me.
It occurs to me that I am America.
I am talking to myself again.
Asia is rising against me.
I haven’t got a chinaman’s chance.
I’d better consider my national resources.
My national resources consist of two joints of marijuana millions of genitals an unpublishable private literature that jetplanes 1400 miles an hour and twentyfive-thousand mental institutions.
I say nothing about my prisons nor the millions of underprivileged who live in my flowerpots under the light of five hundred suns.
I have abolished the whorehouses of France, Tangiers is the next to go.
My ambition is to be President despite the fact that I’m a Catholic.
America how can I write a holy litany in your silly mood?
I will continue like Henry Ford my strophes are as individual as his automobiles more so they’re all different sexes.
America I will sell you strophes $2500 apiece $500 down on your old strophe
America free Tom Mooney
America save the Spanish Loyalists
America Sacco & Vanzetti must not die
America I am the Scottsboro boys.
America when I was seven momma took me to Communist Cell meetings they sold us garbanzos a handful per ticket a ticket costs a nickel and the speeches were free everybody was angelic and sentimental about the workers it was all so sincere you have no idea what a good thing the party was in 1835 Scott Nearing was a grand old man a real mensch Mother Bloor the Silk-strikers’ Ewig-Weibliche made me cry I once saw the Yiddish orator Israel Amter plain. Everybody must have been a spy.
America you don’t really want to go to war.
America its them bad Russians.
Them Russians them Russians and them Chinamen. And them Russians.
The Russia wants to eat us alive. The Russia’s power mad. She wants to take our cars from out our garages.
Her wants to grab Chicago. Her needs a Red Reader’s Digest. Her wants our auto plants in Siberia. Him big bureaucracy running our fillingstations.
That no good. Ugh. Him make Indians learn read. Him need big black niggers. Hah. Her make us all work sixteen hours a day. Help.
America this is quite serious.
America this is the impression I get from looking in the television set.
America is this correct?
I’d better get right down to the job.
It’s true I don’t want to join the Army or turn lathes in precision parts factories, I’m nearsighted and psychopathic anyway.
America I’m putting my queer shoulder to the wheel.
Berkeley, January 17, 1956

That’s me in the corner, that’s me in the spotlight (or, the fault in our star)

03 Tuesday Mar 2020

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losing my religion:  southern term for losing one’s temper, “flying off the handle,” going insane  etc. Note that the R.E.M. song of this title has nothing to do with religion, despite the common misinterpretation of the phrase.

Oh, life is bigger
It’s bigger
Than you and you are not me
The lengths that I will go to
The distance in your eyes
Oh no, I’ve said too much
I set it up

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I don’t remember which one became my patient first. I think it was Him. But it could have been Her. He was initially more memorable. He liked to show me pictures. Of his woodworking and antiques he’d restored. Of his boys. Of the squirrels they’d killed that year. I asked him not to show me the squirrels but he did anyway. She was quiet. Told me about the jewelry she made and the things she grew in her garden and foraged for in the forest. I do remember the day I realized they were a couple. That he was the he she talked about and she was the she he talked about. The “Ohhhhh” moment. The “oh wait, she’s *that* She and he’s *that* He!” It happens a lot in my rural practice. Six degrees of separation is not a thing in rural northwest Pennsylvania. It’s more like two.
*
They started coming to their appointments together eventually. They would tell me about their garden and their yard and the retaining wall they were battling to put up. And they would tell me about things addiction patients in rural northwest Pennsylvania tell you about. Meth and heroin and jail and stealing from the people you love and five year old kids calling 911 when their mom overdoses. They’d both been clean a long time, but everyone had relatives and friends still lost in it. They were no exception.
*
They gave me things. A piece of amethyst they’d hunted and extracted themselves. A small glass vase with a flower from her garden. She gave me gardening tips, foraging tips, taught me some herbalism.
*
They were always late. Always. That was a given. And that was okay. As long as they came. Sometimes they mixed up their days and we’d get a call a couple days later and fit them in the schedule for another day. I always held my breath until they called. Because you never know. You never really know if something didn’t happen and if they’re really all right.
*
And so it happened that they came in a week or so after their appointment in early February. I wasn’t at my office in northwest PA so they came to my office in Verona. Sam got to meet them for the first time. They got to see my other office, which is fairy tale themed. I knew she’d like it.
*
She wasn’t herself that day, though. She was sad. So damn sad. He had to talk for her for most of the appointment because she couldn’t stop crying. She’d been depressed. But it was more than that. She’d been having pain in her side a while now and it was getting worse. She’d gone to the ER and they’d drawn blood work which came back with an abnormality but when they tried to get an IV in so they could run some imaging tests, the nurse couldn’t get it. They kept poking her over and over and she ended up leaving the ER.
*
I asked her some questions to see if I thought she needed to go to the ER right now (it had been a couple days since leaving the ER and she hadn’t gone back yet). Based on her answers I told her I didn’t think it was an emergency but she needed to go back and get the test done. I said maybe she could try going to a different ER where the nurses were better. We talked about her depression and I started her on an antidepressant and told her to email me in a couple weeks to let me know if it seemed to be helping at all so we could work on the dosing.
*
I had a crystal sitting there. Malachite. A pretty dark green stone. I’d been feeling for a couple of days I was supposed to do something with it. An odd feeling kind of hard to describe. Like, restlessness. But with a stone. And before she left I took it and said, here, I want you to have this. And she told me she had something for me too. It was a necklace she’d made but she’d felt timid about giving it to me. But when I gave her the crystal, she said, she felt okay to give me the necklace.
*
He said, (or maybe she said?) that it was fitting because it had a star on it and pointed to my walls. The room we were in has a Sleeping Beauty theme and is covered in stars. (It is based off something I wrote about kids with PANDAS battling the disorder and emerging from it, like sleeping beauties waking up). I took it and told her I loved it. And I did. When I went to put it on, the chain broke, so I put it in my pocket. My back jeans pocket. And we walked out together and said our goodbyes. And Sam said they were sweet and I said I was worried about her. And I was.
*
Somewhere between there and my kitchen, I lost it. The necklace, that is. I realized it later that night and told myself, it’s here somewhere. It’s not gone. It hasn’t fallen off planet Earth. You’ll find it (this is the same thing I say to my children when they are panicking over something they’ve lost. I find it is helpful to give myself the same talks I give them pretty often). I looked a couple places I thought it must be (the cubby over my coat hook by the front door, the back pocket of those jeans I’d since thrown in the hamper) but it wasn’t. Over the next few days I looked a few other places and it wasn’t there either. I tried to remain calm.
*
Then a week later I found it. I was trying to dig a quarter out of my left coat pocket for a cashier, in line ahead of a grumpy resentful old man in the Giant Eagle “12 Items or Fewer” lane and I pulled it out instead. I was relieved. He didn’t care. At all.
*
I went to coffee with a friend that morning (please note: this is a rare occurrence) and stopped in at the crystal shop across the street (please note: this is not a rare occurrence). It had been quite a while since I’d received that amethyst. A lot had changed. And I now frequented the local crystal shop (thus, the malachite). I was browsing on this particular day and saw a necklace with a stone in it that looked like the one my patient had given me. I excitedly drew the necklace from my left pocket and held it up side by side to the other and they were an exact match. I told the women in the shop the story of the necklace and asked what the crystal was. They told me and I asked if I could take the little card that had the name of it and its meaning and they said yes. And they said how sweet it was my patient had made me a necklace. And I said, yes she’s very sweet.
*
The next day I was answering the phone (Sam was out of town and I was like a dad on a laundry detergent commercial, drowning in ineptness with a lost look on my face, trying to perform basic office functions). I was relieved when a familiar voice spoke back to me. It was him. And then it happened. One of those moments. One of those moments that create a Before and After in your life. He told me she had cancer. One of the really bad ones. There’s no such thing as a good cancer. But there are such things as really bad ones. That’s what she had. I stopped breathing for a few seconds. Parastalsis slowed. I got goosebumps (the medical term for that is piloerection. It’s the same thing that makes a porcupine’s quills stand up when it sees a predator. It’s supposed to make us look bigger and scarier, in theory. It does not, in practice). In my head I thought, “Fuuuuuuuuccccckkkkk.” I did not say this to him. I asked how she was. I asked him a series of questions trying to get more medical type details. I tried to get him to say something that would make me realize he’d gotten it wrong and it wasn’t actually cancer. It didn’t work. He said she was resting but I should call her later. I said I would. Even though I was scared to. Because there’s nothing really great you can say. Because you’re a doctor and you’re supposed to fix people and this is not something you can fix.
*
Her palliative care doctor called a little while later while I was on the other line with someone considering making a medical marijuana appointment for anxiety. They had a hundred questions and, in the end, said they’d call back once they decided what to do. I listened to his voicemail and frantically wrote down his number and called him right back. He was nice. God help me, he was a genuinely nice, caring doctor. If you knew doctors like I know doctors, the way they actually talk when there aren’t patients around, you’d know how rare a thing that is. He hadn’t seen her yet (the appointment was for the next day) but he wanted to touch base with me since I prescribe her a controlled substance and his role was pain management (also prescribed substances).
*
When I talked to her that night (well, to her voicemail), I let her know the pain doc was good people and would take good care of her. And he did. We have texted and talked since then, each step along the way, She and I. He and I. And even the palliative doc and I. There is more to it than this, various details you might not expect. But the heart of it is this: a really beautiful human being is sick with something she likely won’t survive. She is in a lot of pain. And the man who loves her is doing an amazing job supporting her through it. He is an unlikely romantic hero. Not a sappy, trite one. A genuine romantic hero. And she is a warrior. Strong and smart and intuitive and kind and creative and honest. And she is so damn young. Too damn young for this shit.
*
And so it was that I came to wear a star necklace everyday (I ordered a new chain for it the day he called with the news. I kept it in my pocket until the chain arrived). And so it was that I came to wear that necklace the night I ran into a good Christian I know.
*
The Good Christian looked at it in horror. Genuine fear in his eyes. And he said, “Have you lost Jesus?” He was distressed. I looked at him and said, “What?” And he pointed to my necklace and said it was a witch’s necklace, a Wiccan necklace. I said, it’s a star. A patient made it for me. That doesn’t mean I’ve lost Jesus. He looked… freaked the hell out.
*
And I thought of the word the palliative care doctor had used when he told me about her CT scan. Innumerable mets. Meaning, the cancer had spread to so many spots, the radiologist gave up counting. I remember when he told me that I wondered, at what point do they stop counting? 10, 20, 100? Maybe that particular radiologist was lazy and she really only has 3. But that’s not likely. When he used that word, innumerable, the hope I’d held out faded away. And I began to focus on how we could all support her in finding peace and being comfortable and doing the things with her last months she’d like to do. Because, lets be honest, doctors very rarely actually fix patients anyway. So maybe this very nice palliative care doctor and I could help her with these things. Hopefully I could be of use.
*
I thought of that word, innumerable. And I thought of the cancer growing inside her. And about how brave she is. And how sweet her he is. And I looked at this Good Christian and saw something in him. A different kind of cancer. One with innumerable mets to the soul. Dark and sticky. Inoperable. Incurable.
*
And I thought, this patient knows more about Jesus than you ever will. Because Jesus is love. And she is full of love. And she has brought joy and love to so many people. And she will keep doing that. Despite it all. She will keep inspiring other people to love. And she knows that I love her. And she lets me love her. And loves me back.
*
And that, dear reader, is not something the Good Christian is capable of. Not something he even understands. And that is why a necklace can inspire a look of dread and disgust in him. A star. An innocent little star.
*
I told my kids a bedtime story tonight. The boy in the story was looking up at the night sky when a shooting star appeared. My daughter got so excited and was urgently shouting “make a wish quick! Before it’s gone!” She was nervous the boy in the story would miss it. Because everyone knows if you make a wish on a shooting star, it comes true. Because that is what stars are for. To wish upon, to make our dreams come true as we sleep beneath their lovely glow. They’re magical. And shooting stars? They’re actually little burning meteors,  magical, glowing rocks. Kind of like amethyst or malachite.
*
If taking comfort in that means I’ve lost Jesus, dear reader, then consider me lost. Because not every sleeping beauty wakes back up at the end of the story. Sometimes her true love kisses her goodnight one last time. And releases her to shine down on us and remind us of who we are, innumerable stars in an endless universe connected to one another always.

 

***

Oh, life is bigger
It’s bigger
Than you and you are not me
The lengths that I will go to
The distance in your eyes
Oh no, I’ve said too much
I set it up
That’s me in the corner
That’s me in the spotlight
Losing my religion
Trying to keep up with you
And I don’t know if I can do it
Oh no, I’ve said too much
I haven’t said enough
I thought that I heard you laughing
I thought that I heard you sing
I think I thought I saw you try
Every whisper
Of every waking hour
I’m choosing my confessions
Trying to keep an eye on you
Like a hurt lost and blinded fool, fool
Oh no, I’ve said too much
I set it up
Consider this
Consider this
The hint of the century
Consider this
The slip that brought me
To my knees failed
What if all these fantasies
Come flailing around
Now I’ve said too much
I thought that I heard you laughing
I thought that I heard you sing
I think I thought I saw you try
But that was just a dream
That was just a dream
That’s me in the corner
That’s me in the spotlight
Losing my religion
Trying to keep up with you
And I don’t know if I can do it
Oh no, I’ve said too much
I haven’t said enough
I thought that I heard you laughing
I thought that I heard you sing
I think I thought I saw you try
But that was just a dream
Try, cry
Why try?
That was just a dream, just a dream, just a dream
Dream