Color My World

First the good news. I’m out of the hospital. Now the bad news. We are in a color rut.

While I was in the hospital my daughter would bring get well cards that popped up in either of our mailboxes. I don’t know about anybody else but I have hard time with cards in the hospital. There’s so little room to begin with and what space is there is loaded with stuff. Hospital stuff. Bags and bottles, water and tissues, and those funny machines you breathe in on to keep you from getting pneumonia. But it was nice to see them, read them, and call the well wishers when I had a few moments. But the cards went back home so they would not be lost or thrown away.

When I got home I had a chance to take them all out and really read them and the notes so many had added. Then my daughter noticed it. “Are they color coding greeting cards?” She had observed, and observed correctly, that the vast majority of the get well cards were contained in yellow or some shade of yellow envelopes. There were also about half as many white, two brown, and one lowly blue card cover.

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Naturally this led to other occasions and what is used to wrap those greetings. Some were easy and unanimous (although with only two of us participating in the survey, unanimity was hardly conclusive). Envelopes for St. Patrick’s Day cards while we aren’t certain why they exist exist in green, usually swaddling a card portraying a drunken cartoon leprechaun or somebody presumably more than a little tipsy wearing beer goggles. Yellow envelopes when not paired with get well cards wrap themselves around Easter cards. Valentines come with red envelopes, Hanukkah cards are festooned in blue, First Communion, Confirmation, and Wedding cards get white envelopes, and Halloween cards, which confound us as much as St. Patrick’s Day cards, are distributed with orange envelopes. And although we’d think a black envelope for a sympathy card could catch on, they always seem to be in a plain white wrapper.

Some cards have standard colors but more than one. Christmas cards can be counted on the be in red or white envelopes with an odd green cover tossed in now and then. Thanksgiving is usually celebrated in brown or other earth tone shade although an orange envelope apparently left over from Halloween may pop up. Baby shower cards have the predictable pink or blue or the unpredictable white enclosure.

And some cards make no sense at all. Although you can almost count on a Mother’s Day card being in a pink envelope, a Father’s Day card might be in almost any color cover. And birthday cards exist with a rainbow of choices of envelope color.

I suppose somehow it all makes sense and although it’s rather formulaic it’s the system we’ve gotten used to. My question is who responsible and if I want to corner the market on Waffle Iron Day cards (which is coming up on May 29) do I have to submit an envelope color proposal before I willy nilly make them maple syrup amber?

 

Lighten Up! (Hospital Style)

It’s high time to lighten things up around here. Just because I am still, yes still(!) in the hospital doesn’t mean there aren’t things to poke fun at. In fact, much of what goes on around here is worth poking fun at.

So far, nobody woke me to offer me a sleeping pill. Yes it has been done. However I have had the same person offer me a laxative literally (seriously I’m going to use literally as it literally is intended) right after helping me back from the bathroom with … well, you figure it out but Adrian Cronauer would have credited it to a cup of strong cappuccino.

Diets are an interesting phenomenon in hospitals particularly when one has abdominal surgery. You start out with nothing but sips of water. You progress through clear liquids to full liquids to soft and then regular food. All the while each step gets modified to meet your specific health needs like a cardiac or renal or diabetic diet. I have yet to figure out why. When you’re on clear liquids you barely have the strength to left spoon to mouth so that goes right back barely touched. By the time you can eat solid food you’re chowing down on the sandwiches and cookies your family is smuggling past the nurses station and you’re too full to bother with the hospital’s offerings. And their food always tastes bad. You know it’s bad but if you had to describe what is bad about it you find those words have yet to be invented. I’m on Day 17 of this hospitalization so I’ve had some time to think about this. I’ve decided it’s the taste equivalent of when you walk into an elevator and you know somebody was there wearing a cologne more suited to a Turkish whorehouse than anywhere else on earth. So I suspect.

20190610_185905-2You recall my rants regarding remote controls. Too many buttons, too little function! Back in the 70s (yes, I really am that old) nurse call bells were pretty much that. In fact, the first hospital I worked at kept actual bells to distribute to patients in the event of a power failure. Today’s call bell alert mechanisms control lights, television power channel and volume, bed position, sleeping alarms, and might actually summon assistance by way of a two-way radio communication with a disembodied voice from somewhere deep in the building. My particular remote control/Dick Tracy wrist radio gets a lot of abuse pulled across the room, dropped on the floor, and otherwise tortured. This is an absolute true story. All of them are but you are going to say “Oh come on now!” when you read this so just keep in mind, this is an absolute true story. Among other things, my call button controls the room light (button A), controls a reading lamp (button B), controls the TV (TV), and summons assistance (stick figure of some bald dude). I was ready to call it another unsuccessful day and pressed button B to turn the reading lamp off but instead the main room light came on. Checking that I was indeed pressing the right button I tried again and the main light went off. Then I pushed button A because why not and the TV came on. Pressing button A a second time yielded no results so I pressed the stick figure button to report my equipment malfunction but instead of lighting up indicating a call had been initiated, the TV went off and the reading lamp came on. At this point I was back to having the reading lamp on and everything else off. I figured I could fall asleep under those circumstances and left well enough alone. Eventually someone would be in to check my blood pressure and I would report the broken control then.

I could go on with other curiosities like footwear particularly among the anesthesia staff, status boards, and isolation procedures but I might need some lighter topics next week too.

By the way, if I follow you and you haven’t heard a peep from me and are concerned, some sites I can reach through the hospital guest WiFi, some I cannot, and some change day to day. I am better and just waiting for some labs to stabilizer before I can be set free on the world again. I’ll catch up with my required reading then.

We Tried

I wish I had a happier update to pass along but last Thursday we lost the kidney. We knew we were entering unfriendly waters, weren’t certain it was going to take and had the best team we could want, but the transplant was not meant to be. They all aren’t. Even something with a 97% chance of happening flawlessly has a 3% shot of not working at all. I suppose you could say the long shot came in. I can tell you what happened but people are still working on the why to go with it.

On the first implant, the donor kidney almost immediately picked up color indicating blood was flowing through it. By the following morning blood flow could not be detected and an ultrasound indicated a possible clot in the artery leading to new to me kidney. The decision was made to go back inside me, remove the kidney, clean things up, then return it. This is where we were at the most recent post.

For the next two days, various imaging tests indicated blood flow to be good, marginal, or inadequate – not consistently nor in that order any given time returning any of those results. But laboratory tests indicated an improved renal function. It raised questions. It can happen, in fact it’s not unusual that flow and function decrease or diverge in the first week after transplant. After a week though, results continued to show too much discrepancy between lab function and imaging. After much consultation and while considering risks versus benefits it was decided the only conclusive answer would be achieved by actually exploring the area and physically examining the kidney.

It was found that blood was flowing into the kidney but not through the kidney. The small veins inside the kidney were again clotted, turning the kidney into an anatomical water balloon. The danger of rupture resulting in peritonitis was too great and the kidney had to be removed.

Now that kidney is being examined by pathologists to try to determine the cause. Was there a defect in the kidney making it prone to clot, is there an undiscovered defect in my blood making it prone to clot, or was there a combination of immeasurable or unknown factors resulting in the clots.

The disappointment is huge but the potential is great. If there is something organically “wrong” with that kidney these events might have happened to it while it still resided in my sister potentially rupturing in her and causing her all sorts of untold problems. If there is a defect in my blood it could be that a potential life threatening condition might now be identified and treated. If there is a defect caused by the combination of my blood and her kidney it could that mean future donor and transplant candidates may undergo even more rigorous screening for compatibility.

Some consequences are more immediate. I continue to be hospitalized while I recover from these three operations. As an impatient I’ve received dialysis and my response here will aid in determining if upon discharge I return to dialysis at my pre-surgical order and schedule. My sister will continue her post-operative tests and appointments. I may not have been a successful recipient of her kidney but she was a quite successful donor and will now forever bear the scar of her sacrifice.

So the journey does not yet end. We’ve merely come to the inevitable fork in the road. It might be too early to tell which path to take or it might mean neither path is best but a whole new trail must be blazed. Something good will come from this. It might not be the result that we wanted but “good” and “want” are not guaranteed to overlap. Stay tuned.


Transplant Journey Posts

First Steps (Feb. 15, 2018)
The Next Step (March 15, 2018)
The Journey Continues (April 16, 2018)
More Steps (May 31, 2018)
Step 4: The List (July 12, 2018)
Step 1 Again…The Donor Perspective (Sept 6, 2018)
And The Wait Goes On (Oct. 18, 2018)
Caution: Rough Road Ahead (Nov. 19, 2018)
And The Wait Goes On (Jan. 24, 2019)
A Worldbeater of a Story (March 14, 2019)
Spare Part (May 22, 2019)

Close But No Cigar -Yet (June 2, 2019)

Other Related Posts

Walk This Way…or That (March 9, 2017)
Looking Good (May 18, 2017)
Technical Resistance (May 25, 2017)
Those Who Should Know Better (July 24, 2017)
Cramming for Finals (May 3, 2018)
Make Mine Rare. Or Not (Feb. 28, 2019)
Parts is Parts (May 6, 2019)

Close But No Cigar – Yet

If things went according to plan this should be Day 5 for me as an official kidney transplant recipient. Actually I don’t know if that’s an official designation. I don’t believe it comes with a membership card or even a secret handshake although it is an ever growing cohort.

I started with that “If things went according to plan” because we have somewhat deviated from that plan. Sometimes things are going to go as well as a textbook procedure, maybe with a minor glitch creating a minor challenge that makes a learning opportunity for everyone. Then there are the things that happen to me.

Sometime last Wednesday a kidney was removed from my donor angel, walked into the operating room next door to that activity, and placed into my body. It was a moment unlike any other. Literally. The organ was a sewn into place, arteries and veins connected, clamps opened, “dirty” blood flowed in and “clean” blood flowed out one way to be recirculation while waste flowed out as urine to its ultimate elimination. It was working! And it continued to work for about 18 hours. Then the reason consent forms came to be came to be realized.

Without getting into the many reasons that could have caused it to happen, partly because specialists are still trying to determine all of the reasons that might have caused it to happen, the blood stopped flowing. I immediately was prepared to return to the operating room where the kidney was removed, arteries and vessels cleaned of some newly formed blood clots, the kidney bathed in an anticoagulant solution, new ties and connections again attached the new kidney to my old body, and then the cleaning process reestablished although at a less than optimal rate.

The kidney was saved, the kidney was working, but to exactly what degree and for how long is still yet to be determined.

As I am writing this samples of my blood are being sent off for examination into why it is clotting at a rate the would not allow the process to be without the corresponding infusion of anticoagulants. Perhaps in another week I can share the reason or reasons and some resolution for it. Until then I can tell you the good things that have happened.

The earth angel who parted with one of her kidneys for me is well and at home already establishing a new normal that remarkably resembles her old normal and doing it much faster than expected, waiting anxiously and praying devoutly for me to to do likewise. Her former kidney is doing its job well enough that I for the first time in almost 3 years lived through a full week without once being attached to a dialysis machine! And we made the right choice of transplant centers where I have never seen such coordination of care and research happening to see that her kidney successfully transitions to being my kidney in its new forever home.

I am walking and eating and generally being a pest to the doctors asking for more freedom of motion, less dietary restrictions, and answers, please more answers. In general, if asked how I am feeling I am clearly feeling better and stronger than a week ago. But I also know I am not yet out of the woods or out of the the weeds or wherever one gets out of when things are not working at their tip-top-pi-est.

I also feel closer to the donor than I have for not just a week but for almost 57 years. That was how long ago the girl who shared her kidney with me was brought home by my parents and introduced to me as my new little sister. Like most siblings particularly a middle and a youngest, we spent many childhood years fighting for attention. Now we are fighting together and discovering even after all these years, new reasons to get our way. Only now finally a common way! Someday soon we will have our answers and we will get our way. How can I let her down?


Transplant Journey Posts

First Steps (Feb. 15, 2018)
The Next Step (March 15, 2018)
The Journey Continues (April 16, 2018)
More Steps (May 31, 2018)
Step 4: The List (July 12, 2018)
Step 1 Again…The Donor Perspective (Sept 6, 2018)
And The Wait Goes On (Oct. 18, 2018)
Caution: Rough Road Ahead (Nov. 19, 2018)
And The Wait Goes On (Jan. 24, 2019)
A Worldbeater of a Story (March 14, 2019)
Spare Part (May 22, 2019)

Other Related Posts

Walk This Way…or That (March 9, 2017)
Looking Good (May 18, 2017)
Technical Resistance (May 25, 2017)
Those Who Should Know Better (July 24, 2017)
Cramming for Finals (May 3, 2018)
Make Mine Rare. Or Not (Feb. 28, 2019)
Parts is Parts (May 6, 2019)

A Prayer for Memorial Day

SoldiersCrossLord, today we honor the memory of those men and women who have given their lives for their compatriots in the cause of freedom.

 They have worked, fought, and died for the heritage of freedom, brotherhood and honor.

Teach us the true meaning of peace and freedom, that the real battle must always take place in ourselves before it will be won in families and nations.

Make us keep your memory and pray for the peace and freedom of the whole world.

Spare Parts

I’ve been terribly inconsistent posting but I have a very good reason for that. I’ve been making room for a new kidney!

In the last kidney update from a couple weeks ago I said I was starting the annual testing to remain on the transplant list. Just as I was starting those we got word that we had a live donor match! In fact we had two!!

Since you’ve come along this far on the journey, please join me for this step.

From some posts on a support group page I took it that multiple matches although not common are neither rare. I suppose there could be two absolutely identical donor candidates. More common is the possibility of multiple “perfect marches” with cadaver donors. That would be because with a cadaverous donation only the organ is considered. With live donors, although multiple kidneys might match they are attached to people still using them and their lives rarely perfectly match. Considerations for age, family obligations, location, post-op support, and probabilities of future health issues not uncovered in the donor evaluation must be made. If there still is no decision then they have decide how they will decide. I suppose in the extreme, say if the potential donors are identical twins, they may go as far as a flip of a coin or rock paper scissors. Our donors aren’t twins and they were able to make a determination without resorting to playground games. They got together, made their decision, and notified the hospital.

That decided, pre-op testing began. For the recipient this is the same as the annual testing with some additional lab studies. For the donor, pre-op tests include only a chest x-ray, EKG, a complete metabolic panel lab study, and a complete blood count (CBC). All these can be done within a 30 day window leading up to surgery except for a “last minute” final blood and tissue typing. Last minute would be within 10 days or so of the tentative transplant date.

At this point that date indeed is still tentative. All these tests and studies will be reviewed again by the transplant team. Only after an affirmative from that review is the date finalized. Even then the surgery can be “unscheduled” by any member of the team, the recipient, or the donor.

The surgeries themselves aren’t difficult procedures considering the lifesaving result. The donor operation begins up to an hour before the recipient. In our transplant center this a robotic procedure controlled by two transplant surgeons in attendance. Long before this the decision was made which kidney will be removed. After its removal the renal arteries and veins are shunted to the remaining kidney, the unused ureter is tied off, and the donor goes to recovery.

KidneyWhile the donor’s surgeons are finishing their procedure the recipient’s receiving location is prepared by a second surgical team. The recipient surgery is performed through an open incision and two attending transplant surgeons, in my case one of them also a urological surgeon, will operate. Unless there is a medically necessary reason, the recipient’s native kidneys are not removed. The donated kidney will be placed in an abdominal lower quadrant, usually the right although in my case because of previous surgeries and that space already occupied, it will be placed in the left lower quadrant. The renal vessels and ureter from the native kidneys are transpositioned and the recipient is closed up and sent off to recover.

Typically the donor remains in the hospital 1 to 3 days, often ambulatory the same day of surgery. The recipient’s stay is usually 3 to 6 days, hopefully walking and building up an appetite on post-op day 1. When they go home there are lots of other things that have to happen for both to live healthy, full lives. After all, that is the point of that.

When we get to that point I’ll be sure to keep you up to date in just as excruciating detail as you have become used to. After all, that’s the point of this.

Oh, when will all that be? Well… our presumptive surgery date is next week! I’ll have my last pre-transplant dialysis on Tuesday then eat ravenously because I am ordered nothing by mouth after midnight, every surgery’s first order.

Then, if all goes well I’ll get a new, slightly used spare part. Stay tuned!

——

Transplant Journey Posts

First Steps (Feb. 15, 2018)
The Next Step (March 15, 2018)
The Journey Continues (April 16, 2018)
More Steps (May 31, 2018)
Step 4: The List (July 12, 2018)
Step 1 Again…The Donor Perspective (Sept 6, 2018)
And The Wait Goes On (Oct. 18, 2018)
Caution: Rough Road Ahead (Nov. 19, 2018)
And The Wait Goes On (Jan. 24, 2019)
A Worldbeater of a Story (March 14, 2019)

Other Related Posts

Walk This Way…or That (March 9, 2017)
Looking Good (May 18, 2017)
Technical Resistance (May 25, 2017)
Those Who Should Know Better (July 24, 2017)
Cramming for Finals (May 3, 2018)
Make Mine Rare. Or Not (Feb. 28, 2019)
Parts is Parts (May 6, 2019)

 

 

Uplyfting Moments

Today’s Word of the Day at Dictionary.com is JOMO. I admit it, that was a new one for me. FOMO (Fear Of Missing Out) I think most of us would recognize. MOJO (okay, usually “mojo” as in a magic power) I think most of us might even claim to have! But JOMO, umm, no, I think a lot of us would scratch our heads at that. But then, what do I know? Maybe I’m the only one who doesn’t know JOMO is the Joy Of Missing Out. The Dictionary people define it as “a feeling of contentment with one’s own pursuits and activities, without worrying over the possibility of missing out on what others may be doing.”

In a Psychology Today article (“JOMO: The Joy of Missing Out,” July 26, 2018) Christine Fuller, MD calls JOMO the “emotionally intelligent antidote to FOMO.” In fact, she subtitles her post with that very phrase. She goes on to say, “JOMO allows us to live life in the slow lane, to appreciate human connections, to be intentional with our time, to practice saying “no,” to give ourselves “tech-free breaks,” and to give us permission to acknowledge where we are and to feel emotions, whether they are positive or negative.” Well now, that I’ll buy. But I have to wonder why she didn’t lead with that instead of that FOMO antidote business. That all sounds pretty positive and you don’t have to have feared something to enjoy a human connection, to be intentional with your time, or to feel an emotion.

I’ve not worked at a meaningful, paying (which aren’t necessarily mutual) job since 2014. And if it wasn’t for an occasional foray back into the medical world but as a patient, I’d be even more bored than I have been. I would have loved to experience some additional human connections than the few I would stumble across and be more intentional with my time other than how long it takes me to complete a morning walk where incidentally I would stumble across most of those few human connections. But the boredom aside, I wasn’t unhappy. I certainly wasn’t afraid I was missing something. We used to call that being comfortable in your own skin. I guess BCYOS doesn’t have the same flare as JOMO.

I bring this up because last month I found new joy and it involves human connections and intent and emotions. But I can’t call it JOMO because the word police would question why I’m laying claim to the antidote if I hadn’t acknowledged the fear.  So let’s just say I picked up some work. The folks who would say I’m not experiencing JOMO would call it a side hustle if I had a main hustle to have something to put beside it. Oh yes, we old timers had a phrase for that also. We called it moonlighting. Some people even were audacious enough to call it “a second job.” Yeah, if you look in an urban dictionary it will tell you a component of a “side hustle” is that the hustle is something the hustler is passionate about but I bet a lot of them are just a way to cover a bill or two. And for me it can’t be a second job without a first one going on. It’s just something to do.

Anyway, to make a long story short (I know, too late) last month I entered the gig economy. Or for my generation, I got a part time job. You may have picked up from the many times I’ve come right out and said it that I used to work in health care, specifically in a hospital, that I used to work in health care, specifically in a hospital. I was good. I actually won awards. But I was not a nurse and not an administrator so that means I have the background and experience that no hospital considers valuable enough to bring back as a part timer or an as needed consultant. So I gave up on peddling 30 years of health care management in the “gig economy” and started driving for Lyft. Seriously. And it’s been a very positive experience. Again seriously.

Hailing

To be honest I think you would have to work really hard to make a “real living” driving for a ride sharing company. Fortunately I’m at a point that I don’t have to make any kind of a living out of it. I just wanted something to do when and where I wanted to do it. And if I make enough for an extra dinner out each month I’d be happy.

Also fortunately I live very close to our main airport, many hotels, and lots of corporate offices. I can take two hours in the morning and never drive more than 10 miles from my front door ferrying business people from hotels to meetings and an occasional drop off at the airport. Ninety percent of the riders I’ve had wear suits, like the jazz I always have on in my car (or at least don’t complain about it), carry on pleasant chit chat (yes, yet another term from back then), and sometimes even tip. Obviously I don’t go out on dialysis days and the day after is a 50/50 proposition, but the few morning a week I get out I stay on the road about two hours and pick up 3 or 4 short rides. And that’s enough for what I want. When I want it.

The company and connection with others has been the most uplifting experience. The use of time to actually do something has been a close second. And the extra $100 a week doesn’t hurt either.

Am I’m joyful because I’m missing out on some part of life? Nope. I’m joyful because I’m taking part in it!

Parts Is Parts

I haven’t written much recently because I haven’t had much to say lately. At least not in mixed company.

Actually I’ve had a lot of doctor appointments, tests, and a even a procedure done in the past couple weeks and I’ve been tired! Today I was at the dentist’s office sitting in another one of those waiting rooms with one other gentleman sitting across the way. You know how some people will go to extremes not to speak with another person in a small space, even so far as to not even make eye contact? This guy was not one of them! He would probably start a conversation with the driver of the car in the neighboring lane at a red light. I wasn’t sure if he intended on speaking with me or just talked all the time, but with an occasional “uh huh” or “umm” and a “oh yeah” or two he kept up enough conversation for the both of us. It was almost like being married again. (I’m sorry ladies, I just couldn’t resist.) (Yes, maybe that is one of the reasons.) One thing he brought up in his remarks is how as we age we pick up more spare parts as he pointed to various body parts.

It’s not something we might think about and if we do that we’d admit to ourselves, but it is quite true. Even at my tender age I have a variety of pieces that are not original equipment. And they don’t all have to be as dramatic as replacements of major internal organs. Or even minor internal organs. I would wager almost everybody reading this is helped along in some daily activity with something that was not there on Day One.

Those spare parts could be something obvious and visible like a pair of glasses or a hearing aid. It might be something not quite so obvious but still visible if you look hard enough like a dental crown or implant. If you’re looking that hard it should be at a person you know pretty well, certainly better than a random waiting room partner. You also shouldn’t stare at somebody with a larger spare part such as a prosthetic limb.

SparePartsSome spare parts are less obvious and often invisible. Artificial lenses often reside in post cataract surgery eyes correcting clearer but weaker vision; pacemakers and implanted defibrillators keep weak hearts working stronger. A friend’s father was an early recipient of an early implanted defibrillator. It worked dandily, even way back then. Except whenever someone triggered the garage door opener they also triggered a mild shock to his heart. They fixed that by replacing the opener. Easier than replacing the father. And some spare parts are outright replacements like a swapped out heart, lung, pancreas, liver, even a kidney.

Spare parts. They may not add up to what became the 1970s version of the Six Million Dollar Man, but to the person with a new heart or not blurred vision they are priceless.

Hurry Up and Wait

It is annual exam time and I’ve been spending a lot of time in doctors’ offices this week. A fixture of doctors’ offices is the waiting room. Some waiting rooms are actually nice pleasant places to be that make lasting impressions on the patients there. I recall from my youth the dentist who had fish tanks, aquaria even, with sunken pirate ships, treasure chests, and probably fish but as a six year old boy I mostly remember the pirate stuff. Some waiting rooms are actually one eyebrow raising (which I have never been able to master) like the gastroenterologist’s office who had an aviary, a bird cage even, where several colorful birds and pages noting why they were actually beneficial in a doctor’s office and probably plaques to identify the birds but as a sixty year old waiting for a colonoscopy I mostly remember just that there were birds. But mostly doctor’s office waiting rooms are sort of bland with sort of cheap furniture with sort of old magazines with small screen TVs hanging in an upper corner of the room sort of over there by the sliding glass window that somebody opens at irregular intervals to check in new arrivals, copy insurance cards, and distribute privacy notices. To me waiting rooms seem almost oxymoronic. Not much waiting goes on in them, and except for the one with the birds, most don’t have much room. The real waiting goes on in “the other room.” The exam room. The surgery in 18th century colonial speak. Back there.

We all know the drill. The office nurse sticks his or her head out into the waiting room, calls out a first name hoping there is only one Augustine (thank you HIPPA), leads Mr. X down the hall to the scale, then places him into “the other room.” There things start optimistically. A blood pressure is taken, the little finger thingie that measures oxygen in your blood is put on your finger, maybe some questions about changes in meds or general health are asked and answered, notes are made on the computer, a smile is flashed, the line “The doctor will be right in” is sing songed your way (sing sang?), and the door is pulled shut behind her. Or him. And now we wait. There are never any old magazines in the little room. Maybe you brought your phone or tablet and still have enough battery power to play a game or thirteen. But you don’t because you know you’ll be moving up to level 57 when the knock on the door comes.

DoctorSignSo I play a different game while I wait in “the other room.” Guess The Footsteps. For example, if I know somebody ahead of me went in with a walker and I hear the slide of it I might figure that person is on the way out so then from recalling how many patients went in between him and me I can guess if I have enough time to finish that crossword puzzle. If I hear two sets of footsteps that’s the nurse and new patient coming in so that doesn’t help with figuring out how much longer it will be. A single set needs evaluating before I can determine its significance. A slightly hesitant pace might be a patient leaving making certain to take no wrong turns. (I’ve noticed that although you are always escorted to the exam room it’s about a 50/50 chance somebody will accompany you out. And yes I have gotten lost along the way.) (Sigh.) A fast pace barely heard through the closed door is the nurse returning to the waiting room to bring back another patient. A fast pace clearly heard approaching and receding is the office person who handles the billing and probably the only staff member other than the doctor not in scrubs and tennis shoes. A purposeful step that pauses outside your door with an accompanying rustle of paper is the doctor arriving at the wrong door and putting your chart back in the holder mounted on the wall next to the door. And somehow with all that marching up and down the hall, when the doctor does knock once and open the door to finally get on with the main event, I never hear those steps.

So that’s how I spend my time waiting. It might not be all that much fun but I got a whole blog post out of it! I wonder if this was how Milton and Bradley got started.

Happy Holidays

Happy Easter Monday the day after Easter to Roman Catholics and most Christians, Holy Monday the second day after Lazarus Saturday and day after Palm Sunday to Orthodox Catholics and many Eastern Rite Christians, Chag Sameach as we are at the Fourth Day of Passover or Pesach to the Jew Communities, an early Ramadan to Muslims whose holy month starts in just under two weeks on May 5, a late New Year which was April 19 to Theravada Buddhists, and again a late Hanuman Jayanti celebrating the birth of Hanuman one of the prominent heroes of the Indian super epic Ramayana also on April 19 per the Hindu calendar. My apologies to all if I got any dates, names, or reasons wrong or I missed anybody completely.

I bring this up because it’s worth bringing up. All diverse peoples all taking time out from a hectic time of year, just as seasons are changing and schools are ending and graduates are starting new lives and gardens and yards are being tended for the first time in a while and probably bunches of other stuff that you’re doing and I hadn’t written down. These aren’t new celebrations. None of these were thought up by a greeting card company or a marketing firm. Frankly, if you are celebrating one of these you probably aren’t paying much attention to any of the others. Yet together, within a 2 week period almost all of the world will be celebrating as they have been celebrating for millennia. And they will be, and I dare say most of us will be, celebrating religion.

For all that the world has given us it is our religions that live on. They are our collective identities. The sources differ, the customs differ, the names differ, but the reason is one. To each of us there is a path, a way, a trek through ourselves to a greater end. Don’t talk about politics or religion at the dinner table we are cautioned. Politics yes, never talk about politics. Blech! But religion. I’m not so sure about that. I think if we saw beyond our own and looked not at how others celebrate we would find what we celebrate is quite well known to each of us and we might find that each of us is reflecting in and perhaps even a part of the one across the heretofore forbidden common table.

I use the word celebrate very specifically. Not that we worship or to whom we pray or what we venerate. We celebrate. Our religions offer us community, stability, an anchor that contributes to our sense of purpose and fulfillment, to our well-being, and to our need to belong and to share. Religion makes us who we are. And it makes us happy.

I think some of that happiness is defined by religion itself. If you think narrowly that happiness is defined by possessions, religion won’t make a difference to you. But to those of you who include things like friendship, accomplishment, guidance, peace, and comfort in the Top Five Ways to become Happy, religion has those. It doesn’t hand them out. You aren’t baptized and immediately become the ultimate guide to peace and tranquility. There is work involved on your part. But it opens the path and begins the build up of happiness. Religion provides the structure to achieve the goal.

Somebody out there may be saying “Religion! Bah, humbug! All religion is good for is to strike fear of an unforgiving god in an unsophisticated person and ask for money.” I say those are they who have not experienced faith and are among the ones whose top ways to become happy are get money, get power, and get laid. And that’s fine if that’s what they want to believe. Just don’t tell me my way is wrong. And don’t be offended now when I see so many others celebrating and I wish the world collectively …

“Happy Holidays!”

Coexist