Friday, December 31, 2010

Tackling Barriers, Trying New Things

:Does time really move faster as you age?  It seems like my September birthday was a month ago. I apologize to those who have asked for updates on my quest to tackle barriers and try new things as I prepare for my 60th birthday.  Perhaps the time has passed quickly because I have been so busy....

September:  If you are a woman and have not attended the annual Women's Week at Deer Valley YMCA camp in Pennsylvania, I encourage you to JUST DO IT!!  deervalleyymca.org.   If you look closely at this photo you will see parallel lines above the trees--the camp's zip lines.  With my daughter (who directs the women's programs) ahead of me/encouraging me, and a group of wonderful fellow-campers on the ground cheering,   I climbed the pole and zipped across the lake. I would do it again in a heartbeat. What a rush...!   During that week I led the daily "Morning Watch" group, which I have done several times.  This year  we explored the question "Who Am I Now?", from a spiritual perspective. And, for the first time, I added singing to the group.  Another new thing!  We sang a song each morning that I learned  last winter in  the Tucson Women's Chorus.  Each woman interpreted the words individually, which created lively discussions.  The song lyrics:  Woman am I...Spirit am I...I am the infinite within my soul..I have no beginning  and I have no end....all this I am.   I would love to hear your thoughts about the lyrics.


Klara & Peter in DC
Veterans near the WW II memorial
October: Peter and I drove to Washington DC to attend the One Nation Working Together rally--an uplifting experience in the midst of heartbreaking divisions.  The presence of many military veterans, especially older/compromised ones, inspired me to renew my commitment to activism. 


Back in Michigan, we enjoyed several Bois Blanc Island visitors, then closed up the lodge for the winter and headed south.  In Columbia, Missouri--my hometown--my mother and I spent a beautiful fall afternoon on the  Columbia College campus. We both attended classes when my father worked there.  My mom graduated from high school at the end of World War II.  Both of her older brothers are war veterans--one was in a prison camp and missing. for a year.  She met and married my dad, also a war veteran, shortly after high school, and became a mother to four daughters (I am the second one).
Just a couple of college girls...

Mom in our  former psychology class room
If I ever wonder where I get my drive to try new things, it doesn't take long to come up with the answer.  My mother started college thirty years after high school, around the time my dad took up motorcycle riding.  Mom agreed to enroll in a psychology class with me, and continued to take classes on her own--when she wasn't traveling the country with dad on the back of his motorcycle.

Speaking of traveling, when I left Mom's I decided to take a bus to Denver, where I was scheduled to meet Peter. Another one of those things on my "to do" list...not sure why.  I had wanted to take a train, but there wasn't a reasonable route.  The fourteen hour greyhound ride was....well....interesting. I boarded the bus with a group of men released from prison that morning.  They were easy to spot in the crowd: the only ones without cell phones, inadequate clothes for the crisp autumn air, personal belongings in paper bags. Unfortunately, I didn't get to talk to any of them (they got off a couple of hours into my trip).  Mom and I recognized the profile because we have a family member  in prison. She met him there, at the same bus station, a couple of years ago when he was released. As I ponder this spot I am in my life--turning 60 and exploring what my role is now--I can imagine becoming more involved in prison issues.  My experiences as a family member, a visitor and an advocate always leave me frustrated and angry.  I am blessed to count several former inmates as my current friends and teachers. 


November:  Peter and I attended the annual American Public Health Assoc (APHA) meeting in Denver.  I had not been to a meeting  for several years and it was good to be back in the company of 12,000 folks devoted to public health issues.  As I listened to the current concerns and needs for public policy change, I was again inspired to consider re-entry into nursing.  
Peter ready to head to Tucson
 We left Denver, spent a few days in Durango with former Michigan friends, then drove to Tucson---home for the winter.

I have wanted to experience a hot air balloon ride since I was a little girl. I am a serious Wizard of Oz fan and  grew up in the mid-west. When a Tucson friend suggested we do one  over the desert, I was thrilled.   Another opportunity to check off something on my life list.  The 90 minute ride provided  time to imagine life from a new perspective...familiar but different, distant but present.  I felt safe, so I relaxed and enjoyed the ride.

December:  The best Christmas gift EVER was the arrival of my daughter and family.  Ten days immersed in the world and lives of Fern (6) and Rose (4), and their wonderful parents, along with my sweet husband, Peter.
Christmas dinner with family and friends

Food for Santa and reindeer
What adventures, challenges, surprises will the New Year bring?

Saturday, September 11, 2010

Happy Birthday to Kathe

 My older sister, Kathe, died of colon cancer in 1999.  Yesterday she would have celebrated her birthday. I wrote the following piece shortly after her death to thank my dear childhood friend, Janie, who was Kathe's favorite nurse.   
Beautiful Dreamer


For my thirteenth birthday my sister Kathe, 15, gave me nail polish, and a lecture that boys would like me more if I didn’t play in the dirt with them and was more lady-like.  Kathe practiced what she was preached: matching shoes and purse, fashionable clothes, perfect black curly hair, careful make-up and freshly manicured nails.  She danced gracefully to Bobby Vinton tunes, and knew enough French to sound intriguing while teasing the boys.
The polish sat unopened on my dresser for years.   My short, bare nails suffered from building tree houses with boys. I wore jeans most of the time.  Nothing matched. I danced wildly as I listened to The Rolling Stones. My unruly blond hair was usually tucked behind my ears. Instead of flirty foreign phrases, I swore at the injustices I saw around me.   I never quite made it to the level of sophistication that Kathe achieved and recommended for me. It took both of us until we reached adulthood to realize our differences, accept our individual personalities, and celebrate the women we had become.
Years later when she was dying of cancer, we laughed a lot about her efforts to civilize me.  At 49 she was facing death with a level of grace and sophistication that was familiar to her, while  I was struggling with all of my raw and untamed forces  that wanted to stop the world, turn back time and erase the awfulness of the present.
Kathe was hospitalized several times during the year of her illness.  Janie Kemper, RN became one of the most important people in her life. Her many years as an oncology nurse resulted in her ability to give her patients the things they need the most to face a life-threatening or life-changing illness or prepare for death.
Janie noticed early that beauty and femininity were Kathe’s life blood. She would announce her arrival to Kathe’s room by saying something like “Girl that polish has got to go!  It does not match your scarf!”, or “You have got to check out this wig! It is so you that it scared me when I saw it!”  Then Janie would open the box of manicure supplies she brought in with her, or pull a wig out of her pocket. She and Kathe would be transported to a beauty parlor where Kathe felt womanly, alive, artistic and healthy. Kathe would be able to leave cancer and her baldness behind for a while. They would gab, giggle, and be girly— familiar and necessary parts of who Kathe had always been.  Janie gave Kathe opportunities to preserve her dignity and her sense of self.  Following Janie’s lead, several other nursing staff comforted Kathe by massaging her with her favorite lotions during the night, her most challenging and scary time.
Several times Kathe was gravely ill, hardly responding to us.   Janie would arrive and Kathe would rally, wanting to talk about hair, nails, perfume and bubble baths.  Kathe knew she was dying, talked about it freely and wanted to know that she would not lose that important part of herself in the process.
 Janie taught us, Kathe’s whole family, to tap into her needs and provide her an environment that gave her control to be as beautiful and dignified as possible. She encouraged us to bring in anything that would help Kathe continue her role as beauty consultant. For years Kathe had been involved in the Miss Missouri pageant, acting as sponsor and assistant to the contestants.  Kathe’s hospital room became a beauty queen’s haven, ripe with colorful scarves, mirrors, make-up, exotic clothes, dance music, jewelry, flowers and boxes of chocolate.
 One evening Kathe’s daughter dressed my husband in wild scarves and paraded him down the hospital corridor.  That led to other patients being curious about what was going on in her room.  Soon patients, families, nursing staff and housekeeping staff stopped by and discussed their fashion and beauty needs with Kathe.  She advised them, sharing her wisdom and experience with them, always stressing their best features and how to highlight them.
            Janie gave Kathe, and all of us, a priceless gift by understanding what Kathe needed, in addition to all of the cancer treatments available. She needed to maintain her self-identity as a woman with a mission to beautify the world. Her job wasn’t finished yet and cancer didn’t need to end that part of her persona.  Janie’s insight into that need, her ability to use humor and honestly communicate with all of us  resulted in Kathe dying with perfectly manicured nails, a wig that looked like her own gorgeous curls, and smelling like Channel Number 5, her favorite fragrance.  Most important though, she had the peacefulness that she had done what she was here to do—make the world a more beautiful place.  One of my favorite photographs was taken by Janie a few months before Kathe’s death.  She captured Kathe’s vitality and glamour while surrounded by her three sisters and our mother.
            Janie didn’t have to give what she did.  She could have focused on Kathe’s illness, rather than on her life.   It is challenging to be with someone who is dying and it is easy for clinicians to avoid tough topics.  I will be forever grateful to Janie for her approach. And occasionally I paint my nails and smile.
Klara, Kelli, Mom/Luci, Kristy, Kathe
           









Thursday, September 2, 2010

Happy Birthday to Me...removing barriers, moving toward 60

A couple of days ago I drove north  from Ann Arbor, Mich to our home on Bois Blanc Island.  The air conditioner in my VW doesn't work so  I arrived four hours later at the ferry in Cheboygan  dripping wet,  eager to jump in Lake Huron.  Ahhh...heaven.

The high the next day was a refreshing mid-70s, perfect hiking weather.  As I left the house I spotted a dead tree across the driveway.  It was a hot, still night, but the landscape here is so rocky  it doesn't take much prodding for a tree to fall.  Roots here typically sprawl out among the rocks rather than work against them to go deep.

I had a few options to deal with the tree.  I could wait for my husband and friends to arrive tomorrow and have the men take care of it.  There are neighbors nearby who would have helped.  Or, I could find a saw in the barn and do it myself.

With the tree across the driveway I am trapped here.  I had planned to drive eight miles to the general store/pizza place/ice cream stop (our version of a mall--one stop for everything)  and celebrate my 59th birthday with my beloved island community.  

As I  reflect on my life--the good, the bad and the truly mysterious-- the bad times pale in comparison to my immense blessings, which are far more than I deserve.  I do not take those things for granted.

One year until that landmark number sixty.  As I consider the past, contemplate the future and celebrate the present moment, I understand that I sometimes allow self-imposed barriers to prevent me from trying new things, taking chances, taking risks.

Singing?  Love it, but only last winter was I brave enough to join a women's chorus, after decades of wanting that.  The spring concert was a dream come true for me.

Writing for others?  A passion, but I stop short of trying to get things published.

Optimal health?  Sure, in theory I want that.  In practice I have some serious changes to make.

Dance lessons?  On my "to do" list for years.

And, the list goes on....

So TODAY I begin my quest to tackle barriers--real, imagined, self-imposed.

With an old rusty saw in hand, I conquered the first one.  It took an hour.  My muscles ache.  And I am smiling like a kid with a new bike.


Now...who's going to buy me a beer?

Thursday, July 8, 2010

Food Legacy: Recipes for Life

What will I remember about this  4th of July week-end? Without a doubt it will be Adele's gazpacho--the best I have ever eaten, and Adele. 

The next day she gave me a gift that will also help me remember the meal:  fifteen people working together to prepare a holiday meal in a beach house on Lake Huron--ideal weather, a few lightweight fireworks, tons of laughter, a bit of teasing, young folks flirting, older ones remembering, some political opinions, sun-burned backs, sangria.....

The gift? Her gazpacho recipe, handwritten that morning, in her elegant 90 year old penmanship.

I started collecting recipes about 40 years ago.  The clippings from magazines and newspapers, the recipe cards from friends/family and yeast packets with scrumptious sounding breads, all used to be neatly organized in a long  basket.  A few years ago  I  dropped the basket, which dumped everything onto our farmhouse kitchen floor.  The  sections "Favorites from Grandma's Kitchen", "Fun Things to Make with Sara", "Early Garden Harvest" etc. were instantly homogenized.   I scooped everything into a grocery bag and planned to reorganize them soon.  But I got distracted by the convenience of looking  up recipes online. 

Last year I discovered the bag in back of the pantry when we moved from the farm.  Again, I  vowed to restore order to my collection. Someday.

When I received Adele's recipe I pulled out my bag and began to sort.   Within minutes I felt like old friends--many of whom are deceased--were sitting around my kitchen table. 

 I spotted my sister's handwriting on a card labeled "Kathe's Chocolate Mints".  She loved fanfare and drama, and created Martha Stewart-like celebrations for even the most mundane occasions.  She introduced that recipe to our family when she was a young mother, determined to create the perfect home, complete with homemade bonbons.  Kathe died in 1999, but her special sweet treats are made every Christmas by my daughter, Sara, who started making them years before Kathe died.    Even before her illness, the chocolates were part of her legacy.  



One thing we all have in common, beside the fact we will all die, is that we all eat. Nurturing our bodies with nutrients sustains life. Part of our self-identity comes from our relationship to food. 

Do you cook/bake?  Grow your own food?  Buy local?  Prepare certain foods for certain occasions? 

Do you identify as a healthy eater?  A compulsive eater?  Someone who occasionally splurges on a favorite food?

We will leave behind perceptions of who we were, always with an element of mystery. Our family and friends will regret that they didn't ask  for more  details and stories that only we could have told.    A food legacy -recipes, stories, favorites--is only one way to share important aspects that make you uniquely you. 

I am not suggesting we give up the Internet, but these treasures that surround me tonight--handwritten cards or printed recipes with personal notations--will always mean more to me than a  Google search result.

I want my grand-children to know that their ancestors produced food by working  in gardens and fields.  And to eat some of the same foods that were always a part of special occasions.

A man who I did not know well, but admired for his kindness and generosity, died last week.  Tonight I found the following recipe that he wrote for me a couple of years ago.   

Bill's Apple Cake


Spread 1 can of apple pie filling in 13x9" cake pan.

Mix together in a separate bowl: 2 c. flour, 1 c. sugar, 1 tsp salt and 1 1/2 tsp soda:  then sprinkle over pie filling.

Beat together: 2 eggs, 2/3 c. oil, 1 tsp vanilla, 1/2 c. nuts.  Pour over dry ingredients and even out batter.
Bake at 350* for 40-50".    

Caramel icing:  melt 2/3c. butter or margarine and 1 c. firmly packed light brown sugar.  Stir in 1/4 c. milk.  Bring to boil and simmer for 3 minutes.  Remove from heat and let cool before spreading on cake.   Enjoy the fruits of your labor!!

Farewell my friend. Thank you for the recipe.  You will not be forgotten.  

Friday, June 25, 2010

Patients as Teachers

Patients are often my best teachers. Many years ago, as a young idealistic nurse, a 40 year old  man named Richard taught me more than any professor could have about embracing mortality.  He was admitted to the neurology unit for diagnostic tests due to persistent, but vague symptoms.  During the night shift prior to his exam he asked me to call a priest before he was taken to the operating room. 

He explained to the priest and me that he felt he was going to die from the procedure.  We tried to reassure him, but he calmly said "I want to be prepared to face the music".  He talked about how hard it would be for his family, that he didn't want to leave them, but he just had a gut-level feeling that he couldn't ignore.

During the procedure a massive brain tumor was diagnosed, requiring emergency surgery.  He died several weeks later, at the start of my night shift. He never fully regained consciousness.

I wrote the following poem shortly after his death and have continued to be influenced by the lesson I learned from him: listen to the message--no matter where you think it comes from. 

When we face the fact that we will die, instead of avoid admitting that, we can learn more about our lives and  that can allow us opportunities to prepare ourselves and others.


Music


The night before surgery
You told me
My heart knows I need to
To face the music


Life just unfolding
Wife and kids
Hopes and dreams
Music to your ears


I am a new nurse
A young bride
Dreaming of longevity
And happy endings


Now you are dying
You know and I know
Though we speak
without words


I want to run
Not death, not now
Not like this
I am not ready 


Hand in hand
Death claims you
The warmth of your hand
Lingers on mine


I have not broken news like this before
Your family arrives
Our tears flow
I no longer want to run 

Tuesday, June 1, 2010

Pet Loss: Good-bye Dear Jake

It is good to be back in Michigan!  In December Peter and I  loaded Jake, our 15 yr old Lab/Shepard mix, in  the car and drove to our new winter home: Tucson, AZ. 

We were concerned about Jake's comfort and ability to make the trip, but he tolerated it well and seemed revived soaking up the sun in our new yard. 

It was hard to watch him lose the strength to get in the car, the ability to manage stairs, the comfort of being around other animals.  As his senses faded his anxiety escalated.

Our vet helped us assess his  condition and needs.  We had hoped he could make it back to Michigan, but by April we knew it was time to euthanize him.

We have had other pets euthanized--it is never an easy decision.

The reason I decided to write about Jake's death here is this:  Reactions to the loss of a beloved pet is  as multi-faceted as any other loss.  Everyone is entitled to view their animals, and the loss of them, however they want.   I caution you though to not make assumptions about what that loss is like for others.

Some of the comments people made when Jake died offended me.  Really, really offended me.  Some of them were made by the professionals who were assisting us with the process, some by friends.  

Here are some examples:

---Referring to Jake as my "child".  NO...he was my loved and valued pet.  He did not come close to being in the same category as my child. 
--Questioning our decision to euthanize--some thought we waited too long, others thought we were too hasty.  It is not their business, unless their opinion has been requested.
--Telling us their personal stories of pet loss (often the re-telling  proved traumatic for the person and they would then need comforting).  In the midst of trying to make the right decision no one needs to have things complicated by a tearful story.

Pet loss, like other grief, is a personal journey.  Let the person take the lead in conversations.  Listen.  Listen well. 

We were lucky to have many, many people do just that.  Let us guide the conversations. 

I especially want to thank Dr. Lee Fike (Tucson) http://www.leefike.com/ : thank you for your compassion, wisdom, guidance and  patience. Your  method  of euthanizing in stages allowed us the opportunity to see Jake at peace to be able say good-bye in our home, as we listened to music that comforted us. Thanks also to our dear friend Helen Costa (Ann Arbor) who was always just an email away, willing to answer questions and help us explore options. And, many others who said just the right thing, at the right time.

Today we will spread Jake's ashes in Michigan and celebrate his awesome, sweet spirit.

I am glad he is home.



 

Wednesday, January 6, 2010

Living With a Terminal Illness

I woke up today thinking about my dad, born on this date in 1916. He died in 1999, but I still learn from him.

He faced his death the way he lived his life: as a practical thinker with a curious mind, who was quietly stubborn with a huge generous heart.

Dad was diagnosed with multiple myeloma on his 80th birthday. During the next three years he paved the way for others to talk with him about living with a terminal disease as he went through a range of treatments, hospitalizations and kidney dialysis.

He kept detailed records of doctor visits, lab results and weight/appetite changes. Education and compliance were as important to him as chemotherapy. The more he understood his condition, the more empowered he felt to make informed decisions and suggest additional treatments to his health care team. He was determined to live as long as possible, but didn't deny his own mortality.

"Death is a natural part of life", he told me one evening as we reviewed his most recent physical changes. He was hospitalized for kidney failure, which necessitated starting dialysis. The day I had feared had come. My heart was broken.

"I've had such a good life" he said, as he listed the things most important to him: his family, his home, his friends.

I asked him how we could help him now.

"I want to be home, to be comfortable, to be with my family."

We hoped he would tolerate dialysis well. From home, he went three days a week to a clinic where he endured a four hour procedure in order to survive. Due to his advanced cancer the treatments quickly became more than he could handle.

When the decision was made to stop dialysis we knew he would die within a few days. The night before he died a steady stream of family, friends, neighbors came. He extended his thin, frail hand to all, smiled and thanked everyone for visiting him.

I watched in awe. In his own quiet way he had maintained control over the end of his life. He knew what he wanted from the time he was diagnosed three years prior to his death. He must have spent a lot of time imagining the end, preparing himself emotionally and spiritually. His willingness to talk with others helped prepare us too.

The next morning he was no longer conscious. It was clear that death was close.

In his own bed at home, surrounded by family, he peacefully took his final breath. He died the way he had hoped he would.

Happy Birthday Dad....Your wisdom and grace taught me how important it is to live fully, live honestly, live facing death instead of fearing it.