Earth Day Lament

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More often than not, I’m still groggy every morning when I step out the front door onto the porch to make my way down the gravel driveway to fetch the newspaper. More often than not, it is still quite dark out at 5:15 AM.  More often than not, my slippered foot lands on something a little crunchy and a little squishy and a lot icky on the welcome mat in front of my door.

The front porch cat (as opposed to the back porch cat, the garden shed cat, the hay barn cat, the horse barn cat and an average of 3 additional stray cats), predator that he is, leaves behind certain remnants of his prey’s….um, body parts.  Mousey body parts or birdie body parts.  I assume, from the consistency of this little carnivore compost pile, these are unappealing to the kitty, so become the “leavings”, so to speak,  of the kill. Typically, it is a little mouse head, complete with little beady eyes, or a little bird head, complete with little beak, and something that looks suspiciously green and bulbous, like a gall bladder.  I don’t think heads or gall bladders are on my preferred delicacy list either. And they are certainly not on my list of things I like to wear on the bottom of my slipper.  Yet I do and I have.

I’m perplexed by this habit cats have of leaving behind the stuff they don’t want on the welcome mat, even the occasional whole shrew or field mouse, seemingly untouched by claw or incisor, but yet dead as a doornail on the doormat.  Some cat owners naively think their cats are presenting them with “gifts” –kind of a sacrificial offering to the human god that feeds them.  Nonsense.  The welcome mat is the universal trash heap for cats and a testimony to their utter disdain for humans.   Leave for the human the unappetizing and truly grotesque…

 

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So humanity is not alone of earth’s creatures to create garbage heaps of unwanted stuff.  Not only cats, but barn owls are incredibly efficient at tossing back what they don’t want out of their furry meals.   Our old hay barn is literally peppered with pellets, popular with high school biology classes and my grand-nephews for dissection instruction.  These dried up brown fuzzy poop shaped objects are regurgitated by the owl after sitting in one of its  two stomachs for a number of hours.  Bird barf.   It’s fairly interesting stuff, which is why these pellets (which we recycle by donating by the  dozens to local schools) are great teaching material.  It is possible to practically reconstruct a mouse or bird skeleton from a pellet, or perhaps even both on a night when the hunting was good.  There is fur and there are feathers.  Whatever isn’t easily digestible doesn’t have much purpose to the owl, so up it comes again and becomes so much detritus on the floor and rafters of our barn.  Owl litter.  There should be a law.

 

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Then there is the rather efficient Haflinger horse eating machine which leaves no calorie unabsorbed, which vacuums up anything remotely edible within reasonable reach, even if reasonable means contortions under a gate or fence with half of the body locked under the bottom rung, and the neck stretched 6 feet sideways to grab that one blade of grass still standing.  The reason why Haflingers don’t eventually explode from their intake is that Haflinger poop rivals elephant poop pound for pound per day, so there must be a considerable amount ingested that is indigestible and passed on, so to speak–like part of a tail wrap, and that halter that went missing… you know, like those black holes in outer space–that’s what a  Haflinger represents on earth.

 

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This is quite different from the recycled “cud” of the typical herbivore cow who regurgitates big green gobs of  grass/hay/silage to chew it  again in a state of (udder) contentment and pleasure.   If humans could figure out how to recycle a good meal for another good chew or two, the obesity rate would surely drop precipitously.   So would attendance at most happy hours. But then, how many skinny cows have I seen?  Probably as many as purple cows.  I never hope to see one, but I’d rather see than be one.

In my daily walk through life, I have my share of things I unceremoniously dump that I don’t want, don’t need,  can’t use, or abandon when I only want the palatable so the rest can rot.  Today is Earth Day, and I feel properly shamed and guilty for my contribution to landfills, despite my avid recycling efforts for the past 40 years.  Nonetheless, I am in good company with my fellow carnivores and omnivores who daily leave behind what they don’t want or need.

I now need to figure out that herbivore cud thing.  I can go green and just might save on the grocery bill.

 

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When Worry is a Terminal Disease

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Considering myself a Dr. Doolittle of sorts, always talking to the animals, I reached out to pet a stray cat sitting quietly outside our barn one evening while doing barn chores.  This is a grayish fluffy cat I see around the barns every few months or so–he doesn’t put in frequent appearances and reminds me of a kitten we raised on this farm a few years back, though his markings are a bit different,  so I know it is not our cat.

We have 6 cats to pet here who claim “us” as their home and family, so there is no lack of fur balls to love.  There are probably that many more who hang out,  now and then,  considering our farm fair game and looking for an occasional free meal.  This cat just seemed to need a reassuring pat at that moment or maybe I needed the reassurance.  Wrong.

I found myself with a cat attached to my wrist by teeth and claws.  It took a bit of an effort to shake him off and he escaped into the night. I then surveyed the damage he inflicted and immediately went to wash my wounds.  They were deep punctures near my wrist joint–not good.  Lucky for me I was up to date on my tetanus booster.

By the next day the wounds were getting inflamed and quite sore.  I know all too well the propensity of cat bites to get badly infected with Pasteurella Multocida, a “bad actor” bacteria that can penetrate deep tissues and bone if not treated with aggressive antibiotics.  After getting 6 opinions from my colleagues at clinic, all of whom stood solemnly shaking their heads at my 12 hour delay in getting medical attention,  I surrendered and called my doctor’s office.  I pleaded for a “no visit” prescription as I was up to my eyeballs in my own patients, and he obliged me.  I picked up the antibiotic prescription during a break, sat in the car ready to swallow the first one and then decided to wait a little longer before starting them, knowing they wallop the gut bacteria and cause pretty nasty side effects.  I wanted to see if my own immune system might just be sufficient.

So the bacterial infection risk was significant and real but I was prepared to deal with it.  For some reason I didn’t really think about the risk of rabies until the middle of the night when all dark and depressing thoughts seem to come real to me.

I don’t know this cat.  I doubt he has an owner and it is highly unlikely he is rabies vaccinated.  My own cats aren’t rabies vaccinated (and neither am I) though if I was a conscientious owner, they would be.  Yes, we have bats in our barns and woods and no, there has not been a rabid bat reported in our area in some time.

But what if this cat were potentially infected with the rabies virus but not yet showing symptoms?  Now my mind started to work overtime as any good neurotic will do.  Last summer a rabid kitten in North Carolina potentially exposed 10 people when it was passed around a softball tournament, no one aware it was ill until it died and was tested.  Lots of people had to have rabies shots as a result.

This cat who had bitten me was long gone–there was no finding him in the vast woods and farmland surrounding us.  He couldn’t be kept in observation for 10 days and watched for symptoms, nor could he be sacrificed to examine his neural tissue for signs of the virus.

I called the health department to ask what their recommendation was in a case like this.  Do they recommend rabies immune globulin injection which should have been done as soon as possible after the bite?   I talked with a nurse who read from a prepared script for neurotic people like me.  Feral cats in our area have not been reported to have rabies nor have skunks or raccoons.  Only local bats have been reported to have rabies but not recently.  This cat would have had to have been bitten by a rabid bat to be rabid.  This was considered a “provoked” attack as I had reached out to pet the cat.  This was not a cat acting unusually other than having wrapped itself around my arm.  No, the Health Dept would not recommend rabies immune globulin in this situation but I was free to contact my own doctor to have it done at my own expense if I wished to have the series of 5 vaccination shots over the next month at a cost of about $3000.   Yes, there would be a degree of uncertainty about this and I’d have to live with that uncertainty but she reassured me this was considered a very low risk incident.

I knew this was exactly what I would be told and I would have counseled any patient with the same words.  Somehow it is always more personal when the risk of being wrong has such dire consequences.  I could see the headlines “Local Doctor Dies From Rabid Cat Bite”.

This is not how I want to be remembered.

Rabies is one of the worst possible ways to die.  The cases I’ve read about are among the most frightening I’ve ever seen in the medical literature. Not only is it painful and horrific but it puts family and care providers at risk as well.  It also has an unpredictable incubation period of a up to a month or two, even being reported as long as a year after an exposure.  What a long time to wait in uncertainty.  It also has a prodrome of several days of very nonspecific symptoms of headache, fever and general malaise, like any other viral infection before the encephalitis and other bad stuff hits.  I was going to think about it any time I had a little headache or chill.  This was assuredly going to be a real test of my dubious ability to stifle my tendency for 4-dimensional worries.

I decided to live with the low risk uncertainty and forego the vaccination series.  It was a pragmatic decision based on the odds.  My wounds slowly healed without needing antibiotics.  For ten days I watched for my attacker cat whenever I went to the barn, but he didn’t put in an appearance.  I put out extra food and hoped to lure him in.  It would have been just be so nice to see his healthy face and not have to think about this gray cloud hanging over me for the next few months, as I wondered about every stray symptom.  No gray kitty to be seen.

Almost a month has gone by now and he finally showed up last night.  I could have grabbed him and hugged him but I know better now. No more Dr. Doolittle.

He is perfectly fine and now so am I, cured of a terminal case of worry and hypochondria which is not nearly as deadly as rabies but can be debilitating and life shortening none the less.

From now on, I’ll be contented to just “talk to the animals” like any good Dr. Doolittle.  I don’t need to cuddle them.

 

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photo by Nate Gibson

The Golden Amber of Her Eyes

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photo by Tomomi Gibson

 

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photo by Nate Gibson

 

She seems to hide all looks that have ever fallen
into her, so that, like an audience,
she can look them over, menacing and sullen,
and curl to sleep with them.
But all at once

as if awakened, she turns her face to yours;
and with a shock, you see yourself, tiny,
inside the golden amber of her eyeballs
suspended, like a prehistoric fly.
~Rainer Maria Rilke from “Black Cat”

 

 

 

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Bobbi arrived on the farm 14 years ago after living a life of luxury in town.  She couldn’t accompany her owner to life in the big city so moved in complete with a van full of her own cat furniture, a personal chair, toys, and special cuisine.  When she strode out of her cat carrier, took a look around and climbed into the nearest tree, she never looked back at the accoutrements of her former full time indoor life.  She became queen of the farm, undisputed and regal, watching the goings-on from a carefully calculated and royal distance, never interacting with her subjects unless it was absolutely necessary.

She tolerated other cats, but barely.  They scattered when she came in view.  She thought dogs were a waste of fur covering empty skulls, but when they met her needs, like on a chilly night, she would happily bunk down with them.  They were astonished but grateful for her royal blessing when she decided to sleep among them: a two-dog and one-cat night.

She chose only one person to be subject to: our daughter-in-law Tomomi.  On Tomomi’s first visit from Japan, Bobbi approached her and decided then and there they were meant for each other.  During Tomomi’s annual summer visits, Bobbi brought her mice on the welcome mat and followed her like a puppy, coming only when Tomomi called, and deigned to allow her to touch her calico coat.

Earlier this year, nearly 16 years old, Bobbi took over the front porch bench when our black cat Jose died.  She liked to stay a bit closer to us, but seemed thinner and less disdainful.  When two kittens arrived to live in the barn this summer and within a week formed a coup and took over the front porch, Bobbi retreated again to her other quarters on the farm. I worried a bit that she had given in too easily with no yowls or flying fur.

Yesterday morning she lay still on the grassy slope out front – she was never one to take her naps where her subjects could see her.  I knew her long life was over.

Long live Queen Bobbi.  May you forever reign in our hearts.

 

 

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photo by Nate Gibson

 

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photo by Nate Gibson

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photo by Nate Gibson

Like Pearls Slipping Off a String

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I believe the nicest and sweetest days
are not those on which anything very splendid
or wonderful or exciting happens
but just those that bring simple little pleasures,
following one another softly,
like pearls slipping off a string.
~L.M. Montgomery from Anne of Avonlea

 

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Pearl by pearl, the simple pleasures slip away so softly in these precious few days of family fullness and warmth.

It is almost too much to bear knowing these pearls can never be strung together again in quite the same way, but I rush to gather them up together in the deep pocket of my memory for safe-keeping.

And then I remember they will always be there, ready to be touched and treasured when I need them, each one more splendid and wonderful and exciting than I would ever have imagined at the time.

 

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A Furry, Finned or Feathered Treatment Plan

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Due to changes in Fair Housing Act laws, clinicians are experiencing a significant increase in requests from patients for medical documentation to keep emotional support animals with them in “no-pets policy” rental housing. On a college campus, this leads to far more than just two-legged mammals inhabiting dorm rooms.  There has been an animal explosion on our University campus with over seventy animals of various types approved as an “ESA” in the residence halls and unknown dozens more who live with their owners off campus yet still frequent campus.  Only a small minority of these animals are actually trained and certified as service animals with the right to accompany their owner on public transportation to any public place, including classrooms and eating establishments.  The rest are approved only for housing purposes, yet they are regularly showing up in airplane cabins and grocery stores, dressed in little jackets that are easily purchased along with “certification letters” for big prices on the internet.  ESAs have become part of the campus and community landscape.

As a relatively outdoorsy, green and tolerant northwest University campus, the presence of animals on our campus has yet to seem like a big deal, but as the animal numbers inevitably increase due to 25% of the college student population nationwide currently eligible for an animal due to a mental health diagnosis, it is becoming a big deal as individuals insist on exercising their civil rights along with their dogs.

And it isn’t always dogs.  There are cats, along with the occasional pocketed rat, hamster, guinea pig, flying squirrel, and ferret not to mention emotional support pot bellied pigs, tarantulas, and various types of birds.  And at least one snake.

Yes, a snake.

As a physician farmer concerned with stewardship of the patients I treat and the land and animals I care for, I’m emotionally caught and ethically bound in this treatment trend.  The law compels clinicians to provide the requested documentation to avoid  potential law suits alleging discrimination, yet I’m also concerned for the rights of the animals themselves.   I’ve loved, owned and cared for animals most of my sixty two years and certainly missed my pets during the thirteen years I was in college, medical school, residency and doing inner city work (my tropical fish and goldfish notwithstanding).  I neither had the time, the money, the space nor the inclination to keep an animal on a schedule and in an environment that I myself could barely tolerate, as stressed as I was.   That is not stopping the distressed college student of today from demanding they be able to keep their animals with them in their stress-mess.

As a clinician, I’d much prefer writing fewer pharmaceutical prescriptions and help individuals find non-medicinal ways to address their distress.   I’d like to see my patients develop coping skills to deal with the trouble that comes their way without falling apart, and the resilience to pick themselves up when they have been knocked down and feel broken.   I’d like to see them develop the inner strength that comes with maturity and experience and knowing that “this too will pass.”  I’d like individuals to see themselves as part of a diverse community and not a lone ranger of one, understanding that their actions have a ripple effect on those living, working, eating, riding and studying around them. Perhaps corporate work places, schools and universities should host a collaborative animal center with rotating dogs and cats from the local animal shelter, so those who wish to may have time with animals on their breaks without impacting others who aren’t animal fans, or with potentially life threatening animal dander allergies.

So I find myself reluctantly writing a prescription for a living breathing creature perceived by the law as a “treatment” rather than a profound responsibility that owners must take on for the lifetime of the animal.   With great gravity, I always let my patients know an animal is not disposable like a bottle of pills (or a human therapist) when no longer needed and must have a lifelong commitment from its owner beyond a particular time of high personal stress.

Pardon me now while I go take care of my dogs, my cats, by birds, and my horses and yes, my goldfish.  They are my joy to support for decades and for as long as they need me.

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The North Wind Dying

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Outside, the north wind,
coming and passing,
swelling and dying,
lifts the frozen sand drives it
a-rattle against the lidless windows
and we may
dear
sit stroking the cat stroking the cat
and smiling sleepily, prrrr.
~William Carlos Williams

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José is our front porch cat. That is as opposed to our garage cat, our upper barn cat, our lower barn cats and those that come and go on the farm because we’re a hospitable place where food is always on the table.

But he is the king of the farm cats.  No one questions him (usually) and no one occupies his front porch bench without his express permission. His Majesty shows mercy to any who show proper submission, and every once in awhile, that includes the dogs.  He’s trained every pup here over the years.

He is the official front porch farm greeter, rising from his pillowy bench throne to investigate any newcomer up the sidewalk, mewing his cheerful little “chirp” of a meow in welcome.  Then he turns around and returns to his perch.

José also is a performance cat, having been trained in his younger years to ride on a bareback pad on our Haflingers, walk, trot and over jumps (sorry, no pictures).  This once again proved his ability to get any creature, large or small, to submit to his will.

The love of his life is our daughter, Lea.  José  arrived on our farm 13+ years ago from a city home where he had been adopted as a stray of indeterminate age, and was too intimidating to the other resident cats.  José needed his own kingdom and his own queen so he set his eyes on her and decided he was exactly what she needed.  They have had many happy snuggles together over the years whenever she returns home, including only a month ago during the holidays.

The winter weather was brutal over the past month with weeks of bitter northeast wind blowing right over José’s front porch bed.  Usually during northeasters he picks up and moves to another of our farm buildings until the storm is done, and then reclaims his favorite spot when he deems it cozy enough to be worthy of him.

Only this time, when the wind went away, José didn’t return.

I’ve looked, I’ve called, I’ve left goodies out.  But no José. No chirpy meow, no yellow eyed gaze, no black velvet fur to stroke, no rumbly purr to vibrate in my lap.

I fear he has left for warmer quarters far far away from here as the north wind was dying this winter.

I think he was dying too, and somewhere on the farm — I just haven’t found it yet — there is a black coat that he left behind.

He doesn’t need it any more.

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She Gazes Back

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At the old Polish gardener’s
There’s a young cat
A calico
Living half-wild
Under the potting shed
Where she was born

Her face is decorated
With daubs and smudges
And streaks of black
As if she were made up to be a clown
In some mysterious carnival

I gaze at her in wonder
She gazes back
With her clear golden eyes.
~Anne Porter “A Village Cat”

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photo by Nate Gibson

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Our stub-tailed calico Bobbie came to live here eleven years ago when her physician owner needed to move out of the area and couldn’t take her along.  She arrived with a van full of cat furniture from her luxurious indoor house cat existence — a cat house, a cat tree, a cat bed, her own large chair and lots of toys.  I gently explained Bobbie would be living the life of an outdoor farm cat from here on, but her stuff was unloaded and after a tearful goodbye, her mom left.

Bobbie took one look around the farm and claimed it as hers, much to the chagrin of several long term resident farm cats and corgi dogs.  She has been the Queen here ever since, greeting any new visitors with royal demeanor and occasionally allowing a stroke of her colorful fur only if it is offered with proper respect and deference.

Her favorite person is our Japanese daughter-in-law, Tomomi, and Bobbie greets her affectionately during her summer visits — no one else is allowed such access to her Royal Highness.

Bobbie, in her uncanny wisdom, knows a quality person when she sees one.

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photo by Nate Gibson
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Bobbie will frequently accompany us on walk-abouts on the farm – oh, excuse me, your Highness, I’ll correct myself — we and the corgis are allowed to accompany her on walk-abouts on the farm.

Just to make sure the corgis understand her ownership of all things, she will enter the dog pen while they are out doing chores with me and then remain until their return, striking terror in their little inferior canine brains as they try to decide whether to re-claim their territory and food bowls — or not. Until she decides it is time to elegantly stroll in a leisurely manner out of their pen, they are stymied with fear and refuse to reenter.

Bobbie has climbed every tree, explored every building including the roofs, and won’t sleep in the same place more than one night in a row.  No surrogate cat house, tree, chair or toys for this cat.

She is the Queen, after all, and when we are fixed under her golden eyed gaze, we aren’t about to forget:  we are her subjects and forever will be.

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photo by Nate Gibson