Whirling in Circles

yinandyang

 

kittensjuly27172

 

waspnest11

 

Now all the doors and windows
are open, and we move so easily
through the rooms. Cats roll
on the sunny rugs, and a clumsy wasp
climbs the pane, pausing
to rub a leg over her head.

All around physical life reconvenes.
The molecules of our bodies must love
to exist: they whirl in circles
and seem to begrudge us nothing.
Heat, Horatio, heat makes them
put this antic disposition on!

This year’s brown spider
sways over the door as I come
and go. A single poppy shouts
from the far field, and the crow,
beyond alarm, goes right on
pulling up the corn.
~Jane Kenyon, “Philosophy in Warm Weather” from Otherwise

 

web1

 

spiderdrizzle

 

Whether weather is very or very cold, so go our molecules — indeed our very atoms are constantly awhirl to keep us upright whenever we sweat or shiver.

This summer my doors and windows have been flung wide open; I’m seeing and hearing and feeling all that I can absorb, never to forget the gift of being human witness to it all.

Like a dog trying to catch its tail, I’m whirling in circles, trying to grab what will always elude me.

 

frillypoppy

 

sunsetcornfield

 

homermaple

 

homerroll2

Earth Day Lament

allalone 2

 

kittensjuly27172

 

 

 

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…

 

Josetractor

 

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.

 

owlpellets

 

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.

 

tonynose

 

noblesse11316

 

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.

 

redbelt

 

cowmorning

 

When Worry is a Terminal Disease

kitty2

 

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.

 

kitty1

catlikeobservation
photo by Nate Gibson

Like Pearls Slipping Off a String

pearls1

 

hydrangealighting

 

morningmist72817

 

grasssunset

 

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

 

kittens727171

 

notadeaddog

 

 

homerroller

 

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.

 

tennant201713

 

kittensjuly27172

 

pearls2

A Frayed and Beautiful Land

silentweb

morningweb7

 

Here is a new light on the intricate texture of things in the world…: the way we the living are nibbled and nibbling — not held aloft on a cloud in the air but bumbling pitted and scarred and broken through a frayed and beautiful land.
~Annie Dillard in Pilgrim at Tinker Creek

 

evening11316

fogdrops3

The weather is getting brisker so the outdoor critters, some invited, some not,  are starting to move inside.  The cats scoot between our legs as we open the front door, heading straight for the fireplace to bask in the warmth rather than a cold wind.  The corgis come in from the yard for a nightly snack and chew bone, and stretch out on the rug, acting every bit like pieces of furry furniture.  And today there was another mouse in the trap under the sink.  I almost thought we were mouse-free with three weeks of none sighted and none trapped, but there he was waiting for me when I got home from work, well fed and quite dead.  He became an opportune meal for a cat too lazy to go get himself a living breathing mouse.

From nibbling to nibbled.  It is a tough world, inside and out.

Our most numerous and ambitious visitors from outside are the spiders, appearing miraculously crawling futilely up the sides in the bathtub, or scurrying across the kitchen floor, or webbing themselves into a corner of the ceiling with little hope of catching anything but a stray house moth or two this time of year.   Arachnids are certainly determined yet stationary predators, rebuilding their sticky traps as needed to ensure their victims won’t rip away, thereby destroying the web.

I don’t really mind sharing living quarters with another of God’s creatures, but I do prefer the ones that are officially invited into our space and not surprise guests.  The rest are interlopers that I tolerate with grudging admiration for their instinctive ingenuity.  I admit I’m much too inept and bumbling to find my way into someone else’s abode through a barely perceptible crack, and I’m certainly incapable of weaving the intricate beauty of a symmetrical web placed just so in a high corner.

After all, I am just another creature in the same boat.  There is something quite humbling about being actually invited into this frayed and beautiful, this complex and broken world, “pitted and scarred” as I am.    I’m grateful I’ve so far escaped capture in the various insidious traps of life,  not just the spring-loaded kind and the sticky filament kind.

So it is okay that I’m settled in, cozy in front of the fireplace, just a piece of the furniture.  Just so long as I don’t startle anyone or nibble too much of what I shouldn’t, I just might be invited to stay awhile.

josecat

josehomer

homer3

Thirty Halloweens Ago

bobbieclose

punkinhallow

On Halloween day in 1985, I packed up my clothes, a roll up mattress,  grabbed one lonely pumpkin from our small garden, locked our rental house door for the last time, climbed in my car and headed north out of Seattle. I don’t recall looking back in the rear view mirror at the skyline after nine years living in the city. My husband had moved to Whatcom County two months earlier to start his new job. I had stayed behind to wrap up my Group Health family practice in the Rainier Valley of Seattle. I was leaving the city for a new rural home and an uncertain professional future.

I knew two things for sure: I was finally several months pregnant after a miscarriage and two years of infertility, so our family was on its way, and we were going to actually live in our own house, not just a rental, complete with a few acres and a barn. A real (sort of) farm. Since no farm can be complete without animals, I stopped at the first pet store I drove past and found two tortoise shell calico kitten sisters peering up at me,  just waiting for new adventures in farmland. Their box was packed into the one spot left beside me in my little Mazda. With that simple commitment to raise and nurture those kittens, life seemed very complete.

I will never forget the freedom I felt on that drive north. The highway seemed more open, the fall colors more vibrant, the wind more brisk, our baby happily kicking my belly, the kittens plaintively mewing from their box. There seemed to be so much potential even though I had just left behind the greatest job that could be found in any urban setting: the ideal family practice with a delightfully diverse patient population of African Americans, Cambodians, Laotians, Vietnamese, Muslims and Orthodox Jews. I would never know so much variety of background and perspective again and if I could have packed them all into the Mazda and driven them north with me, I would have.

We started our farm with those kittens dubbed Nutmeg and Oregano, soon adding an ethnic diversity of farm animals:  Belgian Tervuren dog Tango, Haflinger horse Greta, Toggenburg goats Tamsen and her kids, a few Toulouse geese, Araucana chickens, Fiona the Scottish Highland cow, then another Haflinger Hans and another, Tamara. I worked as a fill in locums doctor in four different clinics before our first baby, Nate, was born. Again, we had new commitments and life felt complete– but not for long, as we soon added little brother Ben and seven years later,  sister Lea. Then it really was complete. Or so I thought.

Thirty years later our children have long ago grown and gone, off to their own adventures beyond the farm.  Our sons are married to wonderful women, our daughter is finishing her student teaching and starting the job hunt. Each child moved to a different big city spread out in three different time zones from us. A few cats, two Cardigan Corgi dogs, and a hand full of ponies remain at the farm with us. We are now both gray and move a bit more slowly, enjoy our naps and the quiet of the nights and weekends. Our second larger farm is more than we can realistically manage by ourselves in our spare time. My work has evolved from four small jobs to two decades of two part time jobs to one more than full time job that fits me like a well worn sweater 24 hours a day.

My husband is talking retirement in a little over two years. I’m not so sure for myself. I have never not worked and don’t know how I can stop when the need in health care is greater than ever.

The freedom I felt that rainy Halloween day three decades ago, as Seattle disappeared in the rear view mirror,  meant I no longer sat captive in freeway rush hour bumper to bumper traffic jams.  I celebrate my daily commute through farm fields, watching eagles fly, and new calves licked by their mamas. I am part of a community in a way I never could manage in the city, stopping to visit with friends at the grocery store, playing piano and teaching at church and serving on various community boards. Our home sits in the midst of woods and corn fields, with deer strolling through the fields at dawn, coyotes howling at night, Canadian geese and trumpeter swans calling from overhead and salmon becoming more prolific every year in nearby streams. The snowy Cascades greet us in the morning and the sunset over Puget Sound bids us good night.

It all started October 31, 1985 with two orange and black kittens and a pumpkin sitting beside me in a little Mazda, my husband waiting for my homecoming 100 miles north. Now, thirty years and three grown children later, we celebrate this Halloween transition anniversary together, still pregnant with the possibility that life is never truly complete when there is always a new day just around the corner.

bobbiewindowsunset92horses

sunrise11272

sunrise1025154

Lean on Me

leafanclub

Thanks to changes in laws mandating reasonable accommodation of mental illness disabilities, we are seeing a boom in requests from our patients for documentation to keep emotional support animals with them in on and off campus housing, classes, public transportation and other public places.   Patients desire an animal support to lean on through their stress.  Within the past year, the population of dogs has exploded on the University campus where I serve as medical director — dogs leashed and (usually) obediently following their student, faculty and staff owners to classes, meals, and back home to the dorm.  As a relatively outdoorsy, green and tolerant northwest University campus, the presence of animals on campus has yet to seem like a big deal, but as the numbers inevitably increase due to 25% of the college student population nationwide currently carrying a mental health diagnosis, it soon will be 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, ducks and geese.  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 new trend.  The law compels clinicians to write the requested documentation to avoid accusations of potential discrimination, yet I’m more concerned for the rights of the animals themselves.   I’ve loved, owned and cared for animals most of my sixty 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.

I didn’t go through medical training to write 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.   The animal is not disposable like a bottle of pills (or a human therapist) when no longer needed and needs a commitment from its owner beyond a time of high personal stress.

Pardon me now while I go take care of my dogs, my cats, and my horses and yes, my goldfish.  They lean on me.

 

homer5315