Thursday, April 30, 2009

Gratifying

I am in my fifties.  I kinda think I am well preserved, but I am still in my fifties.  I am slender and fit, but I am in my fifties.  Tonight, a thirty-something man asked me home.  I mean he wanted to pick me up in a bar! 

The bar is a family thing, owned by a sister, bartended by a niece, and in a small community.  I was a stealth customer, there with other family members, and our presence unannounced.  A group of young men came in, some sang Karaoke, the others observed.  I really don't remember how the conversation started about scuba diving, but we traded stories.

Soon, my companions and I were ready to go home.  One young man who had been so attentive got really direct and assertive.  'Please come home with me.  You are the best thing I have ever seen.'  'I'm married.'  'Don't think, just come with me.  You are so beautiful.  You are incredible.  Be with me tonight...'  Blah, blah, blah...

I found myself embarrassed by the praise, and felt like it was so undeserved and phoney, there was no way it could be real.  Not that I would ever cheat; that is not the point.  For the first time in my adult life, I felt inadequate, like I could not possibly be the physical equivalent of this cute young man.  This is a person who I would not have looked at or thought twice about in my prime, and suddenly, I feel his attention as a mockery.  God, aging is cruel.  I remember my mother telling me how sad it was when men's admiring glances ended and they began to look right past her.  

Needless to say, I came home alone.  Code of the West, baby.  Cheating is not part of the Code. Not now, not ever.  But, how cute to be chosen by a darling young man and asked to be naughty together.  Wow. But I find myself confused.  Should I be flattered or offended?  Flattered because he thinks I am attractive or offended because he thinks I would be desperate enough to be a sure thing?  The callous words of my divorced forty-something brother came back to me:  'I love screwing older women; they are so grateful'.  No, not me.  I won't ever go there, even if I ever find myself without husband.  I would rather go without a relationship than to be grateful or feel somehow less than my partner. Equal, or nothing.  No fears.  No doubts.  No feelings of inadequacies.  Equal or not.  


Wednesday, April 29, 2009

Doggy smell

My Cali girl's bed still smells like her.  Someone had placed her cozy blanket-lined airline travel carrier in the guest room when a chick brooder full of chicks was carried into the house.  I panicked until I found it, covered with the red, white and blue quilt that kept her warm and muffled house sounds when she gratefully retired each evening.  I uncovered the carrier and was greeted by the soft musky smell of my puppy.  I opened the gate, lay on the floor with my face pressed into the blanket and felt the tears come.

I am grateful for still being able to smell her doggy smell.  Its like a little gift she left behind for me to return to again and again.  I will keep her little nest intact as long as I can smell her, as long as I need the connection, as long as I can.  Thank you, sweetie.  I miss you, too. 

Tuesday, April 28, 2009

Bad day for Badger



Earlier, I confessed my strange collecting habits.  I have found another great photo worthy of my collection, even though the animal is not road kill, and even though no painted line is involved.  Apparently, this animal didn't even die.

I checked Snopes and couldn't find a report verifying the story.  As rumored, the farmer cut the dazed animal free, risking his hands to do so.  I just love the picture.  It sums up a really shitty day.

The late comedian Mitch Hedberg told a story about a catch and release fish after his return to the water.  He gets to his meeting and his friend fish says, 'Bob, you're late!'  Bob says, 'Damn!  I got caught!'.  The friend replies, 'Bullshit!  Let me see your lip!'  Imagine the disbelief of this badger's friend when he tells him why he's late, 'Shit!  I got rolled up in a giant hay bale and some man had to cut me loose!'  'Bullshit!'

You see how my mind works?  You see why these pictures give me so much pleasure?

Monday, April 27, 2009

Daddy's girl


I always wanted to be a boy, for my father's sake.  I was child number six, the fourth girl.  I know he wanted a boy.  Failing the gender test, I tried to give him what he wanted.  My parents had a boy's name picked for me, one that was ultimately given to my nephew, Robin, twelve years later.  I instead got the most commonly given name of that year, right up there with the male equivalent, John.  He treated me like a son, and I loved it.

I was a tomboy and a grubby little person.  I got dirtier than I might have liked, but kept my hair long, because he liked that.  I endured hours of scalp torturing detangling efforts from my mother, who narrated the sessions with 'Twigs!  Twigs and sticks and pitch!  If you won't take care of your hair, we might as well shave you bald-headed!'  ('bald-headed'...in my day, you were never just bald).  After each wrenching brushing, released from the chair of torture and Doom, my Daddy would run his tough snaggy hands over my hair and proclaim, 'That is pretty.  I just love long hair on a little girl.'  Did I love being his long haired little girl or hate not being a boy?  

Outside, though, I would get cuffed for daring to fall off of a horse or not snagging a runaway chicken.  I would be coarsely berated for crying if I was hurt or bleeding or for not beating a dog soundly enough for the dog's disobedience.  Like I was a boy.  

In seventh grade, a neighbor boy became the object of my first crush, my first kiss, my first heartache.  Later, in school, he turned into my tormenter and bully, setting traps for me, slamming my hands in my locker, spilling my science projects over my clothing.  Over the months, I lost weight, I cried every night, I dreaded the bus ride and the school day.  Because he lived down my half mile drive, I stopped riding my horse.  When I told my parents, I was shamed and ridiculed for not 'acting like a McBride', not 'fighting my own battles', not meeting force with force.  I shed shameful secret tears as I fell from my father's favor.

Finally, one day, I snapped.  I really did.  That is the only explanation.  The boy, Steve Teem, flicked gram weight beads into my face as I leaned over my science book.  I flung my entire box of beads at him.  The teacher, having witnessed the original deed, made Steve pick them up.  Stung, ego pounding, the boy followed up with snapping me in the back with tightly stretched latex tubing, leaving bleeding welts through my thin blouse.  I just lost it.  

I remember the text in my science workbook receding as I stood, retrieved the discarded tubing, and grabbed it.  I gripped the retreating shirt and began to swing the tubing across back, arms, face.  The teacher responded by taking away the weapon.  Still I advanced, pounding with tightly closed fists, lifting my tormentor by his shirt front.  Distantly, I heard 'Hit him once for me!' (for he was a bully) and 'Mr. Tews!  Get her off me, Mr. Tews!'  

The teacher and some classmates pulled me off of him.  He was crying.  I was crying.  The teacher wisely calmed us by talking about mundane things, then extracted promises of no future violence.  Made easier by the fact that the boy chose to move home to his father two weeks later, no doubt due to his new reputation as having been beat up by a girl.  I overheard a classmate tell someone a few weeks later, 'Don't mess with McBride.  She'll beat the crap outta you.'  I was shocked.  I had a whole new identity.

I did at home, too.  My dad was so proud of me.  He said I had lived up to the McBride name.  That I kicked ass, but I should have done it sooner.  That I was worthy.  That I was like a son.  But, I was torn.  My ego was proud, but my heart was sad and conflicted that such out-of -control violence should be so rewarded.  Ultimately, I went with the accolades.  I embraced the stronger, more confident, more daring and swaggering identity.  It held bullies at bay and gained kudos from the most important man in my life, my Daddy.

I still am Daddy's girl, front and center in my personality.  That person is tough and decisive, she has no regrets for the use of necessary violence, and she confronts conflict like a street fighter.  Behind her is the child, the youngest of six, the beaten and abused child of a crazy family, the boy/girl who is still trying to win the approval of a father, long dead, who would have preferred a boy.


Sunday, April 26, 2009

Excuse me, do you put effort into being such a jerk?

Okay, so today at work, I said 'Hello, Macho (not his real name), how are you today?' to a nurse I work with.  He said 'Fine. How are you?'  I said 'It's a better week; the hip's better and I'm not so sad over my puppy'.  He said, 'You're just after sympathy, aren't you?'.  Shocked, I said, 'No, I just thought you were asking a legitimate question and expected an honest answer'.  'Well, dear, you need to understand that too much honesty makes people uncomfortable'.  What a jerk.  (What I really need to understand is how to kill you without getting caught...)  

One of my coworkers, also a guy, said 'Ignore him.  He is a dick to everybody.'  I replied 'Yeah, and I am comforted by the knowledge that I can outshoot him.'    A quizzical look.  'Really.  He took training from me eight years ago.'  That got a laugh!  Mean spirited, maybe, but it felt good!

I looked at him later in all his macho know-it-all glory, and remembered all the bad habits I tried to correct in his shooting, despite his 'extensive military experience'.  And smiled, knowing I really can outshoot the shit out of the jerk, as I have so many other macho military/law enforcement/mysogynist creeps.  Ahh, the musings of the nontraditional woman...

Saturday, April 25, 2009

Home garden and marriage growth


The garden is nearly all in.  

I have two kinds of peas; Little Marvel and Oregon Sugar Pod II.  Buttercrunch, Romaine, Oaky Red Splash, Green Leaf and Radiccio lettuces.  Grape Juliet, Sweet 100, Sweet Million, Beaverlodge Slicer, Fantastic, Sweet Cascade tomatoes.  Cue ball Zucchini and Australian Butter squashes.  Spinach.  Swiss Chard, overwintered.  Lemon, pickling and Sweet Slicer cucumbers.  Tristar strawberries.  Pumpkins.   Onions. Leeks.  Anaheim, Jalapeno, and Poblano peppers.  French beans, dry beans.  Radishes, Carrots. And flowers.

All set in raised beds with rich compost and chicken potty (courtesy of the girls).  I has been difficult to get the garden in this year with a bum hip, but I am getting lots of help from Emily and George.  

Last year, I swore off of gardening when George began his twenty-sixth annual bitch fest about the hard work it takes.  I suddenly realized that I live in one of the richest most fertile and productive farming areas in the world, and there are scores of farm stands minutes away.  I said, "You're right.  I do this for the kids' experience and learning, which I don't need to do anymore.  I do this for you, because you get so much pleasure from the garden all summer.  I always plant your peas and tomatoes first and most.  The pleasure I get from gardening can be diverted into canning or tanning or blogging or fishing.  If it has become nothing but work, it is a silly thing to continue. I'm done."  I put away the tools and went inside the house, grabbed my purse, and went shopping.  I especially hated this annual sniping event because it is my physical limitations that dictate that his help is required, a car wreck having turned this strong farm woman into a weaker version of herself... 

When I came home, the raised beds were turned and amended, the seeds set out in a basket on the porch, and the weeds pulled.  George begrudgingly admitted that he probably enjoys the garden even more than I do, and he does not want the tradition to end.  I extracted a promise to end the annual bitching event.

This year, putting in a garden has been a pleasure.  Not one complaint, a cheerful offer of help each day I work in the garden, and praise for the progress.  He even said he can't wait for the peas and cherry tomatoes. Another reason I'm still married.

   

Friday, April 24, 2009

Does this make me a bad person?


I collect some strange things.  Usually, I get over it in time, sometimes not.  A long time ago, I collected wine corks, mostly because it was rare that I would actually get to drink any wine that had a cork instead of a screw top.  I made a cork board out some of them.  Some, I had the hot date in question sign and date it and kept until his face blurred in my memory and I tossed it out (cork and memory).

I kept pop can pull tabs for a while, making long chains of them.  Threw them out eons ago. Matchbooks, rocks, seashells, old pennies, apple seeds to sew into necklaces, animal teeth, and buttons.  I still keep the pennies and buttons.

The collection I have now never fails to give me a smile.  I don't know why.  I have pictures of roadkill animals that have been painted by a road striping crew.  Really.  I have a squirrel, raven, 'possum, badger, chipmunk, and something unidentifiable.  I call it the Really Bad Day collection.  Does this make me a nutcase, a realist or a dark humorist?  Or a bad person?

Not that it matters.  To me, it just shows that when you think things can't get worse, they do. Just when you think all your worldly problems are hitting at once, damn, some asshole paints a double yellow down your body.  I've had days like that.


Thursday, April 23, 2009

To my kids

For Baby
by John Denver

I’ll walk in the rain by your side
I’ll cling to the warmth of your gentle hand
I’ll do anything to keep you satisfied
I’ll love you more than anybody can

And the wind will whisper your name to me
Little birds will sing along in time
Leaves will bow down when you walk by
And morning bells will chime

I’ll be there when you’re feelin’ down
To kiss away the tears if you cry
I’ll share with you all the happiness I’ve found
A reflection of the love in your eyes

And I’ll sing you the songs of the rainbow
A whisper of the joy that is mine
The leaves will bow down when you walk by
And morning bells will chime

I’ll walk in the rain by your side
I’ll cling to the warmth of your tiny hand
I’ll do anything to help you understand
I love you more than anybody can

And the wind will whisper your name to me
Little birds will sing along in time
Leaves will bow down when you walk by
And morning bells will chime

Wednesday, April 22, 2009

Sunshine mania

The days have been sunny recently.  In my neck of the woods, the sun is late in coming, hinting at warmth and springiness in half- to full-day spurts, then impishly retreating behind dripping clouds.  The routine is losing it's cute, let me tell you.  But, the past few days have been wonderful, enough to make soggy northwesterners like myself consider forgiving the old orb.

I wore shorts to the garden yesterday.  The sunglasses I wore were as much for the reflection off of my white white legs as for the sun above.  My sister from Florida reminds me frequently that 'brown fat is prettier than white fat'.  I just know white fat or white skinny is a shock when exposed for the first time in six months.  

In the stores, clerks are sporting pink cheeks and noses.  Farmer tans are laying their foundations with farmer pinks, soon to be followed by farmer peels.  Coworkers are wincing under hands laid gently on their shoulders.  Yep, spring is only a few days old and already we have to be retrained on sunscreen protocol.

The doctors are blazing through surgeries, everyone trying to extricate themselves from the bowels of the surgical unit while the sun is still out.  Makes me wonder if surgical errors increase in the Pacific northwest as the first sunny days occur...

Spring is making everyone and everything a little crazy.  One of the hens is broody, it only took one egg to get her that way.  She would not be dissuaded.  So, putting our heads together, my daughter, two nieces and myself came up with a few prize eggs we each wanted hatched and slipped them under her in the night.  She now has one of her own eggs, two miniature Call duck eggs, and seven Old English game eggs.  Imagine her brood when it hatches!  But, she won't care, and neither will the babies.  It's mostly people who get all concerned about that stuff.

George and I have resumed our decades old summer habit of meeting at the lawn swing in the evening, the one like a swinging sofa, to listen to the birds and catch up on the day until cold, darkness, or mosquitoes drive us inside.  We used to worry about the swing breaking with the weight of two or three kids, three dogs, a cat, and any other critter inclined to join.  Now, it is just us, and usually the old cat.  

As the seasons begin, reach their fullness, and wind down to rest and renew, so do our lives. That is what now is for my husband and I, a winding down for now.  I feel us poised on a burst of activity that will begin with his retirement.  We love to travel, and will do as much as we can. We will scuba dive in Baja again, fish in Alaska, ride quads everywhere, and hunt our legs off. 

But, for now, we are trying to sit quietly and finish up our obligations, launch our children with solid support, and build our resources for our second go at a busy life as a childless couple. (Patience, my ass, I want to kill something...) 

Quote


"Anybody who doesn't know what soap tastes like never washed a dog."
--Franklin P. Jones
(To this, I would add:  or a chicken!)

Tuesday, April 21, 2009

Brain fried

Last week was a blur of activity, emotion, pain, commitments and confusion.  I kept you posted on all of the activity surrounding Cali's illness and death, but in addition to that, our grown daughter and granddaughter visited us from Nevada, my trochanteric bursitis/iliotibial band tendonitis was so painful I could hardly bear weight and missed two days work, and my son Garrett gave his senior thesis defense for Honors Biology in Portland on Tuesday.  

The sudden departure on Sunday of two daughters, a son, a granddaughter, a son's girlfriend and her Pug left a hushed silence in the house, like someone waiting to breathe.  My empty nest seemed so much emptier, and I had no Cali-girl to stay behind with me and cuddle.  I washed the sheets, I closed up the rooms, I cleaned the baths and kitchen, and still the house did not release it's held breath.  I flung the doors wide open to listen to the frogs and let the air in.  I wandered outside to feed the chickens, limping as my hip gave me grief.  I pulled a few weeds in the garden, giving up when the pain turned to a dull ache down to my foot.

Back inside the house, I thought, 'Now this is a really empty nest'.  Strangely, I wasn't feeling sorry for myself.  I was merely observing.  I was noting, I was noticing, I was present in the moment, but sort of uninvolved.  It occurred to me that only a week earlier, this same scenario would have produced a lump in my throat.  I had reached overload and then defaulted to a level from which I could function, but not feel everything I would have otherwise felt.  I guess maybe it would have been too much, or maybe there was just not enough mental energy to feel. Whatever caused it, it was a relief.   


Monday, April 20, 2009

Chronic pain

Pain can be the most exhausting thing a person must cope with.  As exhausting as grief.  I have found that there is a new type of chronic pain, and it is called grief.

Saturday, April 18, 2009

Quote

I want to be the person my dog already thinks I am.

Wednesday, April 15, 2009

Quote

Dogs' lives are too short. Their only fault, really. 
                                                                                -- Agnes Sligh Turnbull

Therapy dog

For the past couple days, my home has been the latest playground for a goofy, loose jointed mess of a dog named Winston.  He is my 'granddog', which sounds nobler than Winston acts.  He belongs to my son's girlfriend, a puppy selected together when they began to date nearly three years ago.  He is a Pug.  A Pug that snores, hogs the bed, weighs three hundred pounds when he sleeps, and dribbles water in a 80 square foot area when he drinks.

The kids thought he would help me cope with having Cali so sick and in the hospital so far away.  They were right; I have been able to laugh through my tears when he flings toys so high they bounce off the ceiling or when he tips his head from side to side as I talk to him, lower teeth showing in a pearly line set in his black black face.  

But, as importantly, he perks up when I begin to cry, lands in my lap, places his front paws on my shoulders, looks straight into my eyes, and licks the tears off my cheeks.  He stays there until I give up and pretend to be okay, after which he jumps down and prances off smartly, as if  proud of a job well done.  Then, he comes back every three to five minutes to check on me until he is satisfied that I won't fall apart again.  
 
For all his silliness and joie de vivre, he takes his role as my therapy dog seriously.  And he is very, very good at it.


Tuesday, April 14, 2009

She's gone, my God, she's gone...

Cali is gone.  She was euthanized today at 1400.  She told me she was done.  She needed me to be her champion, her hero, her savior.  I did the best I could, aching and resisting all the way.  It came down to a choice between her suffering and my needs.  She won, using a desperate combination of obvious fatigue, tenting skin turgor, and painful sighs.  My needs are pitifully inadequate in comparison.  Dear sweet girl, you deserve a better level of existence.  I believe it awaits you.  

You will be sorely and constantly and truly missed.  You are my heart, you know my soul.  Your velvet ears have absorbed a million kisses and a million and one secrets of my soul.  I kissed them over and over as your tiny body cooled.  Emily said, 'Mom, kiss her ears while she's warm,' and I did.  These wise words from the girl, now doing woman's duty, who lost her sweet doggy less than two years ago.

It reminded me of when my ninety-three year old father-in-law died.  He was a DNR, Do Not Resuscitate. But, when the time came, my husband and mother-in-law were frozen, looking at me for answers.  I was not yet a nurse, but I had traversed the previous three years with him as an end-stage Alzheimer's patient caregiver, and I knew what he wanted and I knew what he would return to, if resuscitated.  I said, "He is a DNR."  The relief in the eyes staring desperately was palpable, measurable from a distance.   The hospital team and I arranged him on a bed, removed the ECG electrodes and cables.  As he lay in the hospital bed, I said, "Hold him while he's warm".  The words seemed harsh, but galvanized my husband to approach the body of his father and take it into his embrace, a hug that he says he will never forget.

I felt today like, if I held onto my puppy's body, some of her life force or energy would find it's way into me, through heat or smell or osmosis, and I would be a better person because of it.  I drank her doggy fragrance in, and poured my tears onto her soft fur.  She felt and smelled like ten years of love and tolerance and humor and laughter and forgiveness and virtue and purity.  She smelled like my Cali-girl.  I will so miss her and all she represents.  She embodies goodness in a crazy world full of badness.  She has been my antidote.

More later, I don't know when...

Monday, April 13, 2009

This sucks!

As I look back on my blog entries of the past week, I see a long list of 'Cali updates'.  Perhaps boring for the reader, but it sums up the focus of my thoughts and mental energy since Cali has been ill.  She is in the hospital, but yet with me, behind every conscious thought and every rote movement I make.  I can be deep in thought and analysis of a patient condition or personal conversation or charting vital signs, and suddenly, my tummy gets quivery and scared and my heart feels all achey.  Tears are just offstage, waiting in the wings to rush out.

Additionally, my hip continues to ache almost constantly, and give peaks of pain upon movement.  I chose not to go to work today, in order to stay off it for a few more days until I work next.  

All in all, it adds up to some very bad, no good, rotten, less than great days, as I used to tell my kids.  A gently sarcastic way of saying, 'This totally sucks'.  And, let me tell you, it does.  Suck.  My kids are safe and happy (as happy as college aged over achievers can be), I love my job, my marriage is solid, and I am grateful.  But, the rest of it sucks.  


Sunday, April 12, 2009

Cali update; Sunday

Last night, the veterinarian surgeon called and said that Cali had gone into respiratory distress, and had to have thoracentesis performed, that is, needle drainage of the pleural space.  The labs on the fluid indicated huge quantities of protein.  She was transfused with protein and albumin, in an attempt to hold the liquid part of the blood in the vascular spaces.  Dr. Vornock suggested we visit at 0800 today to make a decision.  I cried a lot and slept poorly.

When Emily, Garrett and I arrived at the OSU hospital, we were told that Cali had rejected her transfusion, and was in respiratory distress again.  She has also begun vomiting again.  She said that she has been placed on broad spectrum antibiotics 'in hopes'.  The vet admitted that she is in 'uncharted territory'.  Studies indicate that post-op day 5 is the peak of complications in biliary surgery, and this is it.  She said that we could assess her during our visit to see if we think she is ready to quit fighting.  With heavy heart and hollow stomach, I went into the ICU.

Cali was sitting with her back to the cage front, enclosed in an oxygen environment.  When she heard my voice, she turned around, tried to walk to me and get out , and wagged her tail and licked my hands.  I put my face near the round port and she licked my face with her dry, pale pink little tongue.  The vet and students laughed and celebrated.  They were so impressed with her enthusiasm.  We took turns loving on her, but she looked past everyone else and gave me constant, direct eye contact. Finally, she leaned against me  and eventually fell asleep contentedly curled under my hand with her head on my hand.

She told me she is not done yet.  She said she wants to get this behind her and come home.  The kids and I concurred; she lives to fight on.  The drive home was better than the drive up.

 

Saturday, April 11, 2009

Cali update, Saturday

Cali is doing better today.  Her bilirubin is down, lower than it has been since her initial blood draws oh, so long ago.  She is slightly less exhausted, and is manifesting some motility of the biliary tree and the jejunum.  Today, they will increase her j-tube feedings and offer chicken baby food to see if she has an appetite.

My son is of the opinion that this health crisis is in part due to Cali giving up on life, due to a sort of depression.  In the past two years, she has lost the two other dogs she has known since birth, Lacey the Beagle to old age, and Gordita her sister to a terrible drowning accident.  Meanwhile, I have been working long hours and the kids have all left home.  It makes perfect sense.  Even people die of very real diseases and conditions that have no identifiable cause other than sadness or grief.  We've all heard of the married couples who die within days or weeks or months of one another.

Dare we hope that our  little bean will come home to us?  I do, against all odds.  I do.


Friday, April 10, 2009

Cali update; Friday


Cali is worse today.  She now has pancreatitis.  The vet says her case is not clear cut, not black and white. To them, she does not seem like a terminal patient.  She might pull through.  Tomorrow marks the limit of the 6,000.00 dollars I authorized for her care.  Do we want to save her, or continue treating her?

I do not feel qualified to answer these questions.  If I had thought a week ago that she was terminal, I would have spared her the surgery, the pain, the separation from me and home, the confusing strange environment. God, I feel like a reluctant God.  If she dies anyway, what have I given her?  A week of hell.  (I know, I know, Monday morning quarterbacking...)

I err on the side of the fighting chance, I err on the side of illogical love.  I want her by my side again in the leather recliner.  I long to hear her dramatically drawn out crooning when I come home at the end of the work day.  God, spare me from selfishness and self-serving decisions.  Give me the strength to let go if I have to.

And, Cali girl, forgive me my need to hold out another day for a better prognosis.  

Love,  
Me

Thursday, April 9, 2009

Bad day

I saw Cali yesterday; she was soooo sad.  Tubes everywhere, moaning rythmically and softly.  Today, she needs a transfusion of PBRCs, packed red blood cells.  She is still in critical condition, her survival up in the air.  Bilirubin is 2.4, down from 10.  She will not eat food.  High point of her day was when Emily visited, that really perked her up.  I needed to stay home and work to pay for all the care she is getting.  I would love to be with her.

I am so tired.  I had a cortisone injection in my right hip Wednesday, before I took Cali to Corvallis, for IT Band tendonitis and trochanteric bursitis, brought on by leg presses on a weight machine three months ago.  I am in physical therapy, also.  But, today, I just hurt like an old lady.  Took over ten minutes to limp to my car after work, in the rain.  

So, tonite, I go to an uneasy rest.  Worried, sore, and feeling my age.  The good news is that my middle son and my daughter checked in spontaneously to wish me well, check on Cali, and repeat their offers of financial support for her care.  All  my kids have done so.  Is that cool, or what?

Good night, more later.

Wednesday, April 8, 2009

Cali, post-op morning 1: 7:00 AM

Last night, following what turned out to be a three and a half hour surgery, the vet hospital called Emily to tell her that Cali had made it through surgery, where her gallbladder was removed and a stent placed to keep the common bile duct open until healing occurs.  She had a hypotensive event during the procedure and had to be administered vasoactive medication.  This is common in dogs having gallbladder surgery, I was forewarned, because harassment/manipulation of the gallbladder tends to stimulate the vagal nerve, the nerve responsible for the tone of the vasculature.

This morning, I called and spoke with the senior surgical student who is caring for Cali in the hospital.  Later, when I visit, I will speak with the surgeon.

She is in intensive care, with a jugular vein catheter delivering a constant rate of Fentanyl, an opiate pain reliever, and Hetastarch, a colloid intravenous fluid that holds intravascular fluid within the venous space, increasing blood pressure.  She has a percutaneous endoscopic gastrostomy (PEG) tube, a tube that opens a port from the outside directly into the stomach.  It is placed for the introduction of food and medication and liquid when she can digest them safely, which will probably be tomorrow.

She has voided this morning, and walked a bit, albeit unsteadily, all very good signs in a dog given eighteen hours to four days to live!

It is likely that she will be in the hospital for days.  We can visit her upon prior arrangement.  When I do, I will update you.  Thank you for your kind thoughts and prayers.  I will pass them on to our little girl.

Tuesday, April 7, 2009

Cali Update

6:00 PM
I just left Cali at the vet school hospital, undergoing emergency surgery.  We will know in two hours if she made it or not.  Without, she would have lived only four more days unless the gallbladder ruptured.  In that case, she would have lived eighteen to twenty-four hours.  

If the surgery is straight forward and she only required a  stent placed at the common bile duct to allow bile to drain from the biliary tree and the gallbladder into the duodenum, she has agreater than 85% chance of survival.  If it is complicated, and the gallbladder has to come out, she has no more than an 85% chance of survival, still good odds.  But if her surrounding structures are so compromised by inflammation and her drain system has to be reconstructed, she has about a 15% chance of surviving to lead a compromised, weak little shortened life.  It is the latter condition under which I gave permission to let her go, that is, to euthanize her.  

I have cried all the way home, consumed with self doubt and selfishness, wanting to call the surgeon and say "Save her no matter what!"  But, I can't do that to her.  It would be for me, not for her.

I did ask the surgeon to make sure my doggie was held while she died, if she cannot be saved.  She assured me she would take off mask and gloves and personally hold, kiss and talk to her.  She says she does that for all the animals that she must allow to pass on.  We discovered that we both believe that there are all types of medicine; touch, talk, music, stillness, prayer.  I think she will be a fine stand-in for one of us if Cali has to leave.  But I hope and pray that she will come home with me tomorrow or the next day.

The bill will be from $2500 to $5000, in addition to the $1300 already spent on diagnostics and medicine.  How do you put a value on love?  I don't know the answer to that.  I am just following my heart and what I believe is fair for Cali.

I will know in a couple hours.  I'll post again then.

Cali update

Our little girl had a rough weekend; nausea, vomiting, zero appetite, sad eyes and lethargy.  She could not even keep water down.  I gave her little bits of water by syringe in the mouth, which she hated.  Her antiemetics (stop puking medication) had to be dissolved in water and given forcefully.  I called the vet at 0800 and she had her blood drawn by 1000.

Bilirubin had gone up from 0.8 to 9 (critical level).  The doc thinks her liver is fine, but that her bile ducts are block, from sludge or stones.  So, to, she goes back up to the OSU veterinary teaching hospital for more treatment, probably a cholecystectomy, or gallbladder removal.

This on the same day that I have a steroid injection on my right hip.  After the injection (notable for the needle being imbedded into the bone, then withdrawn slightly), instead of going home to rest, I will be driving 45 minutes north with my girl.  It's what ya do when someone needs you.  Code of the West, baby.

More later, wish us well (please?)...

Monday, April 6, 2009

Check this out, empty nesters!

There is a site dedicated to supporting those of us who are going through the empty nest years.  It offers fun, practical, compassionate, and 'been there' advice, suggestions, and a shoulder/ear for transitional times like these.  Check it out:  

http://www.emptynestsupport.com

Let me know what you think.  It seems to be a good balance between 'Snap out of it; women have been doing this for generations', ''Oh, you poor thing', and 'Wow, now it's time for ME ME ME!'.  All of which I go through like an iPod on dance shuffle!


Sunday, April 5, 2009

Cali Update


Well, Cali seems so much better.  Of course, what is happening inside her body as this week wore on is a mystery to be revealed on Tuesday after another round of blood tests.  She rests a lot, but that is her job description.  'Rest, relax, eat, repeat.'

She still does not seem to enjoy her food.  I used to give it to her with a little water in it, warmed up a bit.  She would wolf it down, I mean to the point that I was considering getting those eater marbles to put in her bowl to slow her down.  Now, she picks slowly, gathers a kibble or two, then takes it to the carpet to sit down and crunch it.  She walks away after there is a big area of crunched kibbles with a Chihuahua ass shadow in it, without having eaten much at all.

So, today, I cooked some natural turkey breast, simmered it with fresh baby carrots, veined fresh celery, rice and broth, then blended it.  I gave her a tablespoon full.  Oh, my gosh, ecstasy was etched on her little furry face!  she kept it down, so I gave her some more two hours later.  Again, the enthusiasm.  So, I will continue on this route for a while to see if I can put back on a little of her lost weight.

Meanwhile, your thoughts, prayers, and inquiries about her health is appreciated.  I'll keep you posted.

Saturday, April 4, 2009

What retirement means to me

I am an empty nester, as I have mentioned before.  Such a cute little name for such a sad thing. But what does that really mean, on a day to day basis?  For me, it means:
  • I have been forcibly retired from the best job I have ever had, the one I longed to have for years, but held out for until my nest was secure and stable with the right mate.  I was CEO of the best company in the world, center of growth and excitement, a devoted and tireless work-a-holic.  Suddenly, I was phased out, without the retirement party, the golden parachute, or the gold watch.
  • We have sold the big beautiful house custom built for my kids and our lifestyle.  I live in a place that has never echoed with the giggles or running steps or childhood arguments of my kids.  Or the excitement of Christmas morning.  I listen, but, nothing.  I no longer even have access to the closets and beds that still smell like my babies.  If I did, I would lay down and sleep, sometimes.
  • I miss the growth charts on the wall that recorded heights every four or six months.  I taped a piece of acrylic film over the chart and copied it before the wall was painted when we sold the house.  It stays rolled up in a closet.
  • I miss being touched.  My kids and I are very touching people.  When each was born, I couldn't get enough of them.  After more than two decades of hugging, cuddling, nursing, rocking, soothing, and closeness, I went cold turkey to touch.  And it leaves an aching void.  My husband is not overly demonstrative, and therefore no substitute.
  • The house is so quiet.  No slamming doors, no loud music, no stream of young people in and out and in.  I have deliberately made our home welcoming to all friends of my kids, and enjoyed the company of many over the years. They would walk in, say 'hi', and hit the pantry for snacks before heading upstairs to see whomever.  They borrowed money, spent the night, did their laundry, went on trips with us, or just dropped by to hang out.  No one does that anymore.
  • I laugh less.
  • I holler less, whether in summoning, cheering, or stopping a disagreement.
  • When I am home alone, I often go the entire day without speaking.
  • I worry more about what my kids think of me, whether they will someday not want to call or come home.  I don't have anything specific to offer anymore, our relationship will from hereon rely on friendship, regard, and love.  I hope that there will be enough of those.
  • I drive a big vehicle that carries only me now.
If that sounds a little desperate, so be it.  I am in transition, in a type of mourning, for the family I once had.  Of course I still have it, in a different form, but right now I hurt.  I am a strong, independent and intelligent woman, capable of anything I put my mind to.  But, I am an empty nester, and believe me, this ain't for wimps.

Thursday, April 2, 2009

Cali Update




This little doggie is one tough cookie.  She is stoically taking her meds, with pathetic eye contact, and doing everything I ask of her.  Of course, the capsules are mixed with vanilla yogurt (her favorite), the larger pills are surrounded with cheese, and the half capsules are given in peanut butter.  Good stuff for bribery!

She has the cutest little shaved belly; complete with hematoma at the biopsy site.  

You would never know she is ill; she greets me when I come home from work, and, tonite, came upstairs to whine/bark/howl to notify me of George's arrival.  She seems clingy, as if she knows her health depends on me.  It is strange to know that she is so ill, so close to terminal, as she bounces around and acts goofy and playful.  She demands her treats, as if it is a normal evening, despite barely touching her real food.  It makes me sad.

Today, at work, I had some tough patients.  One, a little, tiny, 95 pound, frail elderly woman who had fallen last Sunday.  Blackened her eye, broke her hip.  After the repair, she didn't come out of sedation as hoped.  She arrived on a ventilator, fighting for her life.  It was heartening to watch the team struggle to save her, to analyze blood gases, to arrange for donated blood to strengthen her, to give medication to first increase, then decrease, her blood pressure.  To give her that one more chance that her family was praying for.

In PACU, there are no Code Blues.  We deal with the crashing patient ourselves.  No announcement goes over the loudspeaker stating, "Code Blue, PACU".  We deal with it internally.  We resusitate, no matter what.  And, it is rare for a patient to die while in our care.  

We take pride in our ability to keep them from that precipitous edge.  And, if they plunge over the edge, we bust our balls to bring them back.  We are the last frontier for the post-op patient. Everyone is precious, everyone gets the Full Meal Deal.

I sensed that same attitude in the veterinarian student and resident that cared for Cali yesterday; her recovery was a point of pride for them.  She arrived at the hospital in my husband's arms, with her favorite blanket and stuffed toys, Lalligator and Possum.  She was sleek and clean from a recent bath and conditioning, and she was well behaved and curious.  The team gave her their best, knowing that they were dealing with a loved little dog.  They held our hearts in their hands.

It was instructional, as a nurse, to experience what is probably only a fraction of the stress and concern that my patients' families go through at my hospital.  It makes me want to be a better nurse as I experience what life doles out to me.  I never want to forget what I felt like as my good friend died tragically when we were eighteen, as my father died at fifty-eight when I was twenty, as my mother died from medical negligence when I was twenty-nine, as my father-in-law died twelve years later after a long diminishing illness, and as numerous beloved pets have succumbed to old age or accident.  I never want to be insensitive to that pain.  

It is a gift to find care givers, for humans or for animals, who connect with the emotional element of illness as it impacts the family of patients.  I appreciate the professional and kind vets and students of the Oregon State University Teaching Hospital for their handling of the case of Caliente, our sweet little Chihuahua.


Wednesday, April 1, 2009

Day Off


I am going to take today off.  My sweet little Caliente, Cali for short, is very ill.  She is in extreme liver failure.  Yesterday, George made a flying trip forty miles north to the veterinary teaching hospital for diagnoses, a move suggested and arranged by our vet.

Her liver enzymes are twenty times what they should be.  She is nauseated, not even keeping fluids down, eating not at all.

I will update you all as our family moves through this tough time.  I will be giving her five different medications twice a day.  I'm a nurse, and giving meds is what I do, but my patients rarely clamp their jaws shut, poke away with their foot long tongues, and chew on my fingers as I ram the pills down the throat.  Nor can they spit out a pill that I have deposited to the distal end of the esophagus, just at the entry to the stomach, causing chew mark up to my elbows.  Well, Cali does.  

The docs say there is cause for hope, and we are hoping. And praying.  And bargaining.

More later...