Mask for coronavirus days

MASK SEWING INSTRUCTIONS

(These were written by my partner, Jean, who is experienced with textiles and understands the language. I don’t, so you’re on your own here. Note that this calls for three layers with a tightly woven middle/inner layer to improve efficacy. Based on what I’ve read re masks, this one should provide better protection than most other options, except for respirators, etc. – N95 masks are more protective for the wearer than others.)

YOU WILL BE MAKING 3 MASKS LAYERS. EACH LAYER GETS SEWN ALONG THE LARGE CENTER CURVE, THEN ALL LAYERS GET SEWN TOGETHER AT THE END.

USE LIGHTWEIGHT FABRICS FOR THE OUTER FRONT LAYER + BACKSIDE LAYER

USE A DENSE FABRIC FOR THE INNER LAYER (PELLON OR TIGHTLY WOVEN FABRIC).

FOR EACH LAYER: CUT 1 PATTERN PIECE FOR A LEFT SIDE, AND 1 FOR A RIGHT SIDE.

FOR EACH LEFT AND RIGHT PAIR, SEW RIGHT SIDES TOGETHER ALONG THE CENTER LARGE CURVE FOR EACH LAYER, CREATING THREE LAYERS. PRESS OPEN EACH SEAM.

PIN IN PLACE THE RIGHT SIDE OF FRONT LAYER TO THE RIGHT SIDE OF THE BACKSIDE LAYER THEN THE INNER LAYER ON TOP.

SEW AROUND THE EDGES THROUGH ALL 3 LAYERS BUT LEAVE A SPACE AT THE BOTTOM.

TRIM SEAMS CLOSE THEN TURN THE MASK INSIDE OUT THROUGH THE OPENING.

IRON ALONG THE FINISHED SEAMED EDGE.

SLIP A SMALL GAUGE “FLORAL WIRE” INSIDE AT THE TOP ALONG THE NOSE BRIDGE

(FOLD OVER THE ENDS OF THE WIRE FIRST SO IT DOESN’T RIP OUT THROUGH THE CLOTH).

SEW A CHANNEL ”POCKET” THROUGH ALL LAYERS TO HOLD THIS WIRE IN PLACE BE CAREFUL NOT TO SEW OVER THE WIRE.

MAKE A TUCK ON EACH SIDE OF YOUR MASK, APPROXIMATELY ONE INCH PERPENDICULAR TO THE EDGE. PRESS THE TUCK DOWN.

TOP-STITCH AROUND THE WHOLE EDGE OF THE MASK.

ATTACH ELASTIC TO FIT AROUND YOUR EARS OR HEAD. THIS IS WHERE YOU ADJUST MASK, SO JUST TACK FOR FIRST FIT. SHOE STRINGS OR PONYTAIL BANDS CAN WORK ALSO.

HAPPY SEWING!!! STAY SAFE.

JEAN CACICEDO

 

How my Mom died

Tuesday, May 29, 1990

In the morning I went out back to check on Mom. We talked for a few minutes and I fixed her a cup of coffee and washed some dishes. I went back home to straighten up before her radiation therapy appointment.

David and Mom at Little Gus’, where we had breakfast most weekends

When I came back, she was sitting on the two step ladder that I had given to Leslie 17-18 years ago) putting on her makeup. I thought, “Oh Lord, I don’t believe this as shaky as she is.” I didn’t say anything to her; just made a mental note to move a chair into the bathroom.

The truck was backed into the drive to make it easier for Mom to enter. I helped her walk to the truck.    Along the way she pointed with her cane to plants she had planted and some she had sprayed last week with soapy water for insects. She thought the hostas were doing better. She held my hand tightly.

We drove to Baylor and I think it was on this day she finally spotted the street woman I always watch for on Columbia.

Getting from the car into the clinic was a ridiculous effort. Ten 100+ yard walks were necessary to get her from the car into the clinic and back into the car. In retrospect it was surely more frustrating for me than for her.

She saw Dr. Senzer who did not indicate great concern for her condition, i.e., he didn’t realize she was as close to death as she was. At that time she was having increased right chest and back pain; weakness in her legs (reflexes seemed diminished to me); and some return of left hemiparesis. Pat Henderson, the nurse, gave her some IM demerol so she could tolerate lying still for chest x-rays. We went up to x-ray and back downstairs for treatment.    Then we left.

We got home about 12:45.  She walked, with help, from the car to her house. I got her into a blue gown- the one she chose, and into bed.   She was groggy and uncomfortable. I gave her two percocets.     We did quite a bit of pillow adjusting before she went to sleep. In the meantime, Betty Edge arrived.

David and Mom In her bedroom. Her hair had begun growing back in

Betty stayed with her and I went home to accomplish very little. I checked on her three times before I left about 3:00. She was asleep, or semi-comatose or partially conscious propped high on 4-5 pillows each time I came by. I went to the cleaners, Wolfe’s Nursery (to get Mom the birdbath she had asked for), and to pick up David. When I got home about 4:15 her condition had begun to deteriorate. She had increased pain in her chest and back and was coughing up blood every 5-10 minutes. She was breathing 24-26 times per minute and her pulse was 114-120 and somewhat weak. Mom was not completely alert, but was rational and responsive to questions. Faye Briggs was there and had called a doctor. Faye said the doctor told her the blood was a result of radiation and capillaries being close to the surface of Mom’s esophagus.

Betty asked Mom if she could stay and Mom said, “Yes, I need you tonight.” Tom and John arrived and helped with the coughing. Faye left.

The radiation and capillaries theory didn’t seem likely to me. There was more blood than that. I talked with Dr. Orr who offered the option of having Mom brought to the hospital for bronchoscopy and possibly stemming bleeding, temporarily.   By now it was obvious that she was dying and I declined the offer.  Despite the doctor knowing about the increased pain, he did not offer or suggest any change in medication, hence It was necessary to directly request stronger medication. Tom had gone for Kleenex and John went to pick up the morphine. Betty, Leslie, David and I stayed with Mom.   We gave her some of David’s Tylenol with codiene for her cough.

Most of that time she sat up or propped on her right side. She coughed at about the same rate as before. We would help her sit up each time and she would hold the kleenex. Then we would wipe her lips and give her a drink to help get the taste of blood out of her mouth.

Leslie told David that Grandmother Mary was more sick now than ever before. She asked him if he understood and he said “yes.” Then Leslie asked if he had any questions and he said “no.”

After he came in to say hello, David went home and got Mom a straw.  Then he held the glass and straw for Mom to drink. Later he helped wipe her lips and rubbed her legs.

The card David made for her

He made a card for her and left it and a picture of himself (holding the sword he got at the circus) propped by her lamp. He also brought in some flowers from the garden and put them on her bedside table.

John and Tom were back and we gave her some morphine. She rested easy after a short time; and Betty, Tom, and I went home. John stayed on and we set up the intercom between the two houses. Mom lay either propped up on her back or on her right side. John was able to rouse her enough to give her medicines on schedule, but otherwise, she stayed semi­ conscious. Her coughing had lessened markedly. We kept a little vaseline on her lips and gave her small sips of water. She had no complaints except when changing position.

I could not sleep and went back and forth between the houses several times. John said that I came over every time Mom woke up. Although we were not saying, “Mom is dying now,” it seems like we were all fully aware of what was happening.         I thought she would make it through the night. I had a feeling of dread and could not sleep at all. About 12:30 John beeped on the intercom and I went back quickly.

John was holding Mom up trying to give her medicine. She wouldn’t take it and we eased her back down. We held her gently, John at her side, and I holding her head.  There was a change in her pattern of breathing and she opened and closed her mouth several times. I said, “Mom, we love you.” She stopped breathing. John asked if she was alive, and I said, “not very.” She died. We put a towel under her and just sat, numb, for awhile.

We called Tom but waited about 30 minutes before calling the doctor. The doctor called the Medical Examiner and they called the fire department and police. By now it was raining hard.     I went out to stand on the porch to await their arrival. About four firemen came to stand around saying and doing nothing and looking bored.  To me, they were intrusive and dumb.  The senior fireman filled out a report and they left. The police came and filled out their report. They seemed to have a greater sense than the firemen of what was going on this house where our Mother had just died.

Somehow, we bought into the process of getting this situation taken care of – forms filled out, cleaned up, body out, finished. We called the medical school and they dispatched a hearse. Tom came. Before the hearse came I went in to wake Leslie. She came out to Mom’s house (stagger ing numb/sleepy). When I told her that the hearse was on the way and asked what were we to do about David, she made a disapproving “mmrnm” sound.

That was all I needed to hear and went straightway out to meet the hearse and told them we had changed our minds and they couldn’t take Mom until later. After that, there was a calmness about. Leslie went back home to wait for David to awaken. John started calling people who might want to see Mom’s body before they took it to the medical school. We arranged Mom’s body and pulled a sheet up to her chest.

John said that Mom’s last words were, “Take me fishing. Take me fishing.”

David got up about five o’clock and immediately noticed that Mom’s lights were on and people were there. He asked Leslie about it and she called me home. We all sat on the bed for awhile and then Leslie told him that Grandmother Mary had died. He cried quietly for about ten minutes. During that time he moved back and forth several times from my lap to Leslie’s. We all cried.

We went out to Morn’s and David looked at her closely, and then he sat on my lap on the love seat in her room. He asked a lot of questions about what had happened and I answered them the best I could. Suzie Miller and Betty Edge came, and later Eloise and CB.

There was great sadness that morning. David brought a picture of himself out to send with Mom. David also told Tom that he could give Mom a flower, “even if she’s dead.”

* * *

This was not an “end to her suffering.” She had little suffering, and most of that was from her mind rather than the cancer. This was the end of her life. She did not want to die. And her death certainly came before we were ready.

But it was a very good death.

Mom had primary tumors in her lung, and metastatic sites in her lymph, spine, and brain- that we know of. There were many terrible potential ways this could have gone. I think a lot of people don’t realize how incredibly lucky she was to die like this at this time.

Aunt Dinah and Mom at Christmas

We are grateful for: Mary Kemp as a person, mother, mother-in-law, grandmother, and friend; her presence; the last two years of Mom living with us; all the time we spent together; Leslie taking care of her insurance and financial affairs; her friends; the garden; her last weekend (a very good one); the knowledge and confidence that kept her home to die with her family; her knowing throughout, from diagnosis to death, that we would be there for her and would do the right thing; being able to slow the after-death process; being able to grieve as a family; and much more.

We miss her more than can be said here. There is still so much sadness.

 

Eric and Jamie, talking in bed, With the Old Breed

Sunset across the Bay and behind Golden Gate

I was driving David home from high school one day. On Forest Lane we passed a bad traffic accident. There were emergency vehicles there, so we didn’t stop. When we got home we learned that two of his friends – Eric and Jamie – were in the car. They had been taken to Parkland Hospital, a terrible sign as both Presbyterian and Medical City were closer than Parkland (but Parkland has a Level 1 trauma center).

We drove straight away to Parkland. There were some of David’s classmates and a few parents there in the ER. We learned that Eric and Jamie had both died. The school chaplain was there and he was talking to the boys, trying to explain what had happened and seeking some kind of meaning in it. The boys seemed to tune him out. Then one of the parents who was also an infectious diseases doctor from Parkland began explaining to the boys what had happened. He gave them the unvarnished truth and didn’t try to explain why the accident happened or look for meaning in it. I could see them responding to him. He offered to take anyone who wanted in to see the bodies. Some went and some did not. Eric’s family came.

Eventually David and I went home, shaken to the core. That awful emptiness.

There was a series of memorials – several big ones that everyone came to. Jamie’s in an Episcopal cathedral, Eric’s in the Restland chapel. Over the next year there were other memorial events, all of them attended by Leslie and Scott’s mother, Oneida; by the time of the last memorial event, the school was represented only by the headmaster, Leslie, and Oneida. The stalwarts. Leslie visited Eric’s grave every year until she passed.

——————–

We were having coffee and talking in bed this morning – talking about how we sometimes have to work to integrate health-illness experiences with life (the story of our 2019).

And how integration is necessary for positive resolution of Erikson’s final stage of psychosocial development, ego integrity vs. despair. In other words, as we go through the challenges of aging and the end of life, are we able to integrate those challenges with our changing life? Integration (and acceptance) as we near the end of life leads to Erikson’s ego integrity and wisdom.

Sun dog in Montana. We stopped twice in Big Fork to take a nap on a baseball field. The sun dog was there once when we awakened. The only one I’ve ever seen.

And how at Baylor we taught that a central goal of care was integration of the health/illness experience.

And how integration is an integral part of every trip. If we’re open to integration it unfolds over subsequent days, and actually, over months and years – all the way to this moment. The integration process was/is of equal importance to any visions and insights.

While we were talking I got a text. Ordinarily I wouldn’t interrupt our times together, but David is in Europe and I wanted to see if he was texting. It was David Overton, letting me know that Ram Dass just passed away at age 88.

David Overton and Ram Dass at Lama Foundation – New Mexico about 1987

When Ram Dass was 65 he had a massive stroke that took away his abilities to talk and walk. Eventually he was able to talk (with difficulty) and use one arm. He never walked again. He continued to serve as a hospice volunteer and inspire others with his integrity and strength. This is an example of ego integrity in the fierceness of aging and illness.

We’re having a ceremony on New Years Eve – saying goodby to a very hard year (yet in many ways a beautiful year) and hello to a beautiful New Year.

————————

I recently finished a book titled, With the Old Breed: At Peleliu and Okinawa. It’s a powerful and often horrible book that reinforced my belief that overall it was harder in WWII than in Vietnam (not that VN was easy!). I wondered what it would be like to read what I’ve written about combat, not as the writer and in terms of reliving it, but reading it without reference points in the same way I’d read With the Old Breed. My conclusions: we still didn’t have it as hard as those guys, but still, wow, that’s some hard-assed shit.

Photo from The Old Breed

From a review: on one level, The Old Breed refers to the veterans who fought and survived the early days of the war. On another level, The Old Breed for the author is “a paean to what has gone before him, to that which exceeds him. He is there to play his part, to serve with courage… One could have been swallowed up in the ‘chamber of horrors…’”

Last class, Off the Wall, Philadelphia, trains, NYC, Hoboken, Montana, David, Chris, life and death, relationship, health and illness, Dallas, Coloma, days of magic

Last class, November 2019

Last weekend I taught what I think will be my last class. The class was in a dome at a psytrance gathering in an East Texas forest… I got to the venue at dusk on a very overcast and cold Friday, set up my camp – which was simple as I was sleeping on a pad in the back of my RAV4 – and checked in with Kitty and Jessica at the main stage. Went for a walk in the woods and met up with Annie.

Sunset, from our deck in Berkeley

The music started around 8pm and was scheduled to stop Sunday around 11am. I hung out some by the dance floor with Kitty and at the chill dome where Kristina and Fritz were working on the deco. I turned in early to work on my presentation and listen to the music and all the shiny happy people talking and laughing at campsites near mine. It’s hard to sleep with the music pounding and having to get up pretty often to piss. I slept sound for awhile and awoke for good about 5:30. I stayed in the car for an hour or so having coffee, listening to the music, then breakfast (almond butter sandwich and apple). I got to the dance floor about 7:30 and did some little-tiny dancing at the back of the floor. I hung out with Jimi and Angela and Sean. The usual good scene. Finally it was 11:30 and time for the class.

Jean, Marika, Janet – Off the Wall principals at entrance to Philadelphia Museum of Art

The topic was psychedelic healing in PTSD and at the end of life. I taught from the perspective of, we’ve all been enlightened, even if just for a few hours, and therefore we should… reach beyond ourselves, live fully, reach out to others, those sorts of things. We discussed the mechanics and underlying process of MDMA-assisted psychotherapy and I contrasted that with my experiences treating people with PTSD with SSRIs. Most people in the class have had experience with psychedelics and MDMA – and some were having an experience at that moment. It was a relaxed and intense class, very open, good response and discussion. Sweet interactions afterwards. By the end of the class there were 18-20 people there. Interactions before, during, and after the class were very affirming for me.

After class and hanging out in the dome, I walked back to the main stage, where I spent a few moments with Tyson and David Brown who was getting ready for his set. Then back to the car and away, stopping at the gate to talk with Keith and Amber. Home at four, tired, feeling good.

A lot has happened in the last few months, and at the same time, I realize that Jean and I are both tired after the last “trying” year. I’ll write about some of these events in no particular order.

Jean discussing My Father’s House

Jean has six pieces in a major show (Off the Wall: American Art to Wear) at the Philadelphia Museum of Art. We went to the opening – a true gathering of her tribe. The work of Jean and her friends and colleagues from Pratt like Janet, Marika, and Sharron was seminal in the art to wear movement. This was the biggest show they have had – a great honor for them and for Julie, the collector and gallery owner whose collection comprised the show. There were artist and family gatherings around the opening. It was a beautiful and affirming celebration and I met some of Jean’s family and colleagues who I hadn’t previously known.

We are ON THE TRAIN

Jean and I, Janet and Peter, and Marika and Tom stayed together in an AirBnB in a transitional Philadelphia neighborhood. It wasn’t a great place, but was okay – until I got sick (GI) the night before we left. It was a long night. Jean and I took a train from Philadelphia to New York City. That journey is a blur to me, except I know at one point I was in a wheelchair. When we got to Penn Station in NYC we walked up to the street to catch a cab to Grand Central Station from whence we would catch a train to up-state New York to visit Jean’s sister. Unfortunately for us, the Veteran’s Day parade was blocking all cross-town traffic, so back down (and up and back down) we went to catch a subway to Grand Central. Our stuff got really heavy by the time we got through the right turnstiles, but we made it to Grand Central. Security guy told me I couldn’t sit on the floor. Oh Lord, trudge trudge. Finally on the train for a two hour trip and there we were on a cold, windy platform in small town New York. Sue pulled up less than a minute after we arrived and away we went to her and John’s farm. That night Jean got sick with same thing I had. We were sleeping in a loft with a chamber pot. I couldn’t make this stuff up. Jean moved downstairs to a couch. After two nights we split to go to NYC to spend a night in a hotel before moving on to Jean’s niece’s Hoboken brownstone. We slept in Anne’s bedroom on the third floor trudge trudge up some mighty steep stairs.

The high point for me was a meal with Arthur at our favorite Hoboken restaurant – La Isla, a Cuban place with everyone stuffed into counter and tables, coats and hats. I remember when the “Marielitos” came from Cuba – another very interesting group of refugees to resettle. Finally we were on the plane

Fishing shack dock on Flathead

to Dallas. After a couple of days in Dallas, Jean was ready to go back to Berkeley (she had not fully recovered quickly) and away she went, while I stayed in Dallas to go to the previously described gathering. Tomorrow I’m headed back to Berkeley. Whew! What a trip!

Something I neglected to write about several months ago was that we went to Montana to spend time with Jean’s friends, Jim and Chris from long ago in Wyoming. We stayed in a cabin (the “fishing shack”) on their property on Flathead Lake. Courtney was there, too, staying across the road, past the orchard.

We spent several days in Glacier National Park – at last!

Singers at Sather Gate, UC Berkeley

David is teaching full-time at UC Berkeley School of Law. My son, the professor! For me, this means far fewer trains to San Francisco for lunch with David. Instead of 7 bus to downtown Berkeley, BART to The City, and MUNI to the Castro to meet up for lunch. Now, it’s 7 bus to downtown and then walk across campus to David’s office. My whole life I’ve loved being around universities. And here I am, on one of the world’s greatest campuses. I like to walk through the Physical Sciences building. My peeps.

I had lunch with David’s friend, Chris. He told me about his family, his work, and he told me that I had been a positive influence in his childhood and a role model in his adult life as a husband and father. That was another deeply appreciated affirmation.

Jean and I have a new custom: most mornings one of us lies on our back between the other’s legs, with head on the other’s chest. Then it’s 15 minutes of shoulder, neck, and head massage.

Jean at the Bulb

Morning has broken…

One of the lines from one of the songs of our life: “…for I will never grow so old again.” Reflecting on this profound thought that I will never grow so old as I was in those terrible dark days of grief.

This bold leap into openness when we each said, “I’ll love again.”

Reality is, one of us will die first, leaving the other alone. We’ve both been left before. We know the pain. Intimately. If I’m the one left behind, I know I’ll never have another love like what I’ve had with Leslie and with you, Jean. And if I pass first, I know what I’m saying is generally true for you. The fact of love is comfort to me – that love exists in the universe. The fact of having loved and been loved. I am fulfilled.

I’ll be exhausted again. In pain again. Sad again. Alone again. But never so old, so desolate again. Soaring high on love. What a life.

Sun dog. From baseball field where we took a nap in Big Fork

I’ve turned inward these past few months. Heart issues take up psychic and physical energy. I wore a mini-Holter monitor for several weeks and my suspicions of occasional episodes of arrhythmia were correct. So I have paroxysmal atrial fibrillation, which is barely in the same universe as persistent AF, such as Jean had. I also have an aortic aneurysm, but it’s small and stable and asymptomatic. Still, it gets my attention. I’m on all the right meds, several of which tend to cause a decrease in energy. Those meds + age + the exertions of the last year lead to decreased energy for me. I am, nevertheless, doing very well.

Our relationship brings great joy to both of us… passion, excitement, adventure, comfort, succor,

Sun shining through fog at the Bulb

rest. These are the days of the endless summer. Now it seems my heart may take me Onward, To My Noble Death. I had long expected I would die from cancer, now it seems that heart disease will be the more likely cause of death. In a sense I welcomed that one last battle. There is also the thing of last things to say, last chances for healing, and so on. But sudden it may be. I’m comforted by my ongoing effort to stay current: living as fully as possible, nothing left unsaid, no forgivenesses pending, all those things.

Other sort of side issues include: since the Marine Corps, I have operated as if I have no limits (obviously, there have been situations in which I couldn’t keep going – my knee giving out 2/3 of the way down the Grand Canyon comes to mind). Now, pushing myself physically has resulted in AF several times, so take it easy, sit down, take a rest. Also, I can’t take ibuprofen or other NSAIDs because I’m taking an anticoagulant drug. This matters because I have some pains and NSAIDs are more effective than acetaminophen.

4300 block of San Jacinto where Leslie and I worked

Somewhere along the line in these months, Jean had another cardioversion. Chinh came in to do the anesthesia – such comfort to Jean (and me). He gave her the propofol and said, “Jean. Jean.” Her eyelids twitched, so he gave her a little more. “Jean, Jean.” No response. “Okay,” he says, stepping back. “She’s under.” A resident pushed the button to give her the shock. She bounced and her heart went back into rhythm. RRR ever since.

We were in Dallas and drove by where Leslie and I worked during the Cambodian years 1980-1985. The apartment buildings are being torn down. So many memories. Faces, sounds, smells, tears, strength, real struggles.

From bedroom at Hobe and Jennifer’s in Point Reyes. We could see bats from this window

We drove to Coloma to visit Jean’s friend, Lisa, who had a two week artist’s residency at a gallery there. We had dinner with Lisa in Coloma and then drove to a cabin in the Sierra foothills on the American River (as it turns out, ½ mile from where gold was first discovered in 1849). The second day, PG&E cut the power to that part of California because of fire hazard. It was cold and dark and we had a good time. We ate breakfast in the warmest place around – the car, packed up and took off.

“California earthquake” – named for uneven crust – apple pies for Thanksgiving

We went to a big wedding on a farm in Sonoma. It was great fun, good food, lots of nice people. Afterward we went to Hobe and Jennifer’s home, hidden away among the hills and trees near Point Reyes. In the morning I could hear something rustling around outside. It was bats – countless bats – darting every which way, coming home to roost under the eaves after a long night of catching bugs! Breakfast at the table in the kitchen/living room. A little banjo music. Good times.

Dancing Earth

We drove up the coast near Jenner to spend the night with Kristina and Fritz. Jean and I slept on a futon on the floor of the living room. In the morning I was fixing coffee looking into the living room at Jean and Kristina came into the room and got in bed with Jean to snuggle. Sweet.

We went with Courtney to a Fiber Shed event on a farm somewhere in Sonoma. Almost everyone there was involved in some way with natural fibers – weavers, flax farmers, shepherds (really), and so on. with great (and in some cases, weird) food, good music, and at the end, Deep Magic from Dancing Earth, an indigenous dance troop. This was the first time I ever was truly turned on by dancing. I don’t know how to describe it except to say it was really real, really intense, and very beautiful. We were inspired to go to another Dancing Earth performance with Susan a few weeks later in the Mission (occupied Ohlone territory). Soooo San Francisco: BART from Berkeley to Mission and 24th, hanging out at Café Le Boheme, walking up the sidewalk for a pipe, serious opening ceremony, deep dancing.

On the deck, making bubbles

All my life I am grateful for these days of Deep Magic.

 

Tribute to Laura Neal-McCollum

Laura Neal-McCollum: She was the first hospice social worker in Texas and one of the first in America. She created a path through cultural, racial, medical, funding, and other wildernesses at the literal edge of human existence.

She gave me the record of the music (Pachelbel’s Canon in D) we played on breaks in the first hospice training sessions at my house and at Cliff Temple Baptist Church. We were finding our way in uncharted waters and Laura was walking point. Some memories of things I know she did…

There was a woman dying from cancer (all of our patients were dying from cancer) who was still feeling sexual despite a large purulent abdominal wound, weight loss, pain, etc. In the course of conversations with Laura, the woman said something about black or red satin sheets. Our way was clear. The nurse working in that team taught the woman how to put on a secure dressing that the exudate wouldn’t soak through. The rest of us took up a collection for the satin sheets. The woman and her man had sex on the satin sheets and the dressing didn’t leak. That was the way Laura was.

An old man was dying. I remember him as severely jaundiced. I remember sitting on the front porch of his little frame house in Oak Cliff. He lived with a lady who gave him beautiful care. His worthless relatives started showing up, usually fucked up in one way or another and talking about getting his life insurance. Laura got an attorney (Sister Rosemary) from an advocacy group to get his affairs in order, in particular insuring that his money went to the lady who cared for him. The lady got everything – $14,000 – and his relatives got pissed off, and he died knowing that he’d done the right thing.

Laura enlightened us to the reality that we were doing nothing less than birthing souls from this life to the next. She explicated that concept to us. This was in 1978. Today, so many years later, people are talking of “end-of-life doulas.” That’s what I’m talking about when I say that Laura showed the way into and through the wilderness.

Laura Neal-McCollum gave us a lot. Thank you, Laura.

Worlds They Rise and Fall, gathering in the deep forest, shaman bands, these days, qualities, spoon?

I gave this song to Jean. It’s by the Incredible String Band and is a very good description of what it’s like to be in a relationship with someone like Jean.

Worlds They Rise and Fall

Worlds they rise and fall within her eyes
She gives the eagle wings
To fly her skies
Upon her breath the four worlds live and die
and sometimes
Its all I can do is bow to her

But when the moon is misty through the trees
Right now she says I want to be
Your girl, your little girl

Stars they rise and fade, around her dance
For her the steep is climbed
The gulf is spanned
She lives, she lives, the bards sing, around her stand
and sometimes
Its all I can do is bow to her

But when the moon is misty through the trees
Right now she says I want to be
Your girl, your little girl.

——————

Written as part of the invitation to a psychedelic trance gathering put on by Atrium Obscurum, the crew I’ve worked with for about 8 years

Sunday morning from DJ booth

Sacrificing what we are for what we can be at Tribal Tejas.

Along a narrow country road, turn off on a one lane dirt road, through trees, into a meadow, and in the meadow, a shelter where some nice people (people just like you and me!) will talk with you about leave no trace and what to do if things get intense. You pay a small fee for two nights of camping with your tribe and non-stop music from Friday night to Sunday morning.

Drive on down the road into the forest, up hill and down dale, past more meadows… starting to see tents in the forest now, other people walking along, look, there’s a dome, people working, people laughing, people in love and you can tell that they too are brothers and sisters.

Saturday night – artists working all night long

Welcome to Paradise! Sisters and Brothers, Welcome!

Shortly after sunset Friday there will be an opening ceremony, to which all are invited. We will give thanks for this beautiful land, for those who were here before (Caddo and Cherokee Indians), for the presence in our lives of those we love, for those we love and who are no longer here. We will give thanks for those who worked to make this gathering happen, for those who create and give to us the music, for those who traveled long distances to be here, for every single person at this gathering. Giving thanks for the forest, for the sky, for life, for love, for hope, for ecstasy, for peace, for nothing less than the opportunity for rebirth. Everyone is invited to bring something meaningful to place on the altar in the front of the dance floor.

Chill dome at Art Outside – Saturday late afternoon

The ceremony shifts into its next phase, the part where music fills the air, the trees, the meadows; the part where the dance is ecstatic and we begin to connect, riding the music, whirling, stomping (Oh yeah, it’s Tribal alright!), lifting up our arms, our hearts, our love, our vulnerabilities, our sadness, our joy, our very selves. Lights sparkling, people talking, dancing into the dark, hugging, swaying, skipping, flow artists flowing… The darkness is good and it’s safe and if you need a hand someone will help you.

First time travelers: as you can see, these gatherings are not about going to hear some music. They are transformational gatherings, where we’re all involved in making it happen, i.e., co-creating – and in every case, working toward a higher vibe, a higher experience, a tranceformation for everyone.

Join us! Bring your self, your being, your pain, your hope, your gratitude, and your respect for life and the lives of those who no longer here. Join us in lifting up the Native Americans whose land this once was, lifting up the Ghost dancers, the Shamans of the past, and yes, lifting up ourselves and our Sisters and Brothers.

———————

Shaman bands

CK and Chris from Jonathan’s Place at door leading to exam rooms

I was listening to a concert performance of Daughter, a song by Pearl Jam (Rock and roll will forever stand!). It’s a grim song, about a girl with learning difficulties who is abused. It ends with the words, “the shades go down…” And then there is a shift into a different direction with the words, “It’s okay, it’s okay” back and forth between the singer and the audience and some very raw guitar work building, building. “This my chance. This is my voice. This is my life. This is my hope!” After my involvement with Jonathan’s Place (where children go when they’ve been removed from their families in Dallas County) and after patients and others confiding that these and other bad things have happened to them, I experience this song on a profound level.

“It’s okay, it’s okay.” I get it that it may never be all the way okay, but sometimes it is okay. “This is my voice.” Light in times of darkness. “This is my life!” Hope when there isn’t any. “This is my hope!” “It’s okay, it’s okay.”

And I started thinking about bands that are more than entertaining.

Or can be much more than entertaining. Or are sometimes more. Bands that can be transcendent and can lift one’s consciousness.

Shaman Bands (for me)

Grateful Dead

Incredible String Band

Beatles

Van Morrison

Bob Dylan

Pearl Jam

——————–

These days

Every day I open my computer with dread for the appalling thing(s) of the day. Actually, I check in on CNN, Google News, NYT, Fox, and others several times/day. I see mass shootings. Third-rate sycophant nominated for a critically important security job (Ratcliffe for DNI). Senate delays for gun control legislation. Racist presidential rally (“shoot them – haha”). The resurgence of white nationalism. Lies upon lies. Bullying. The grossest trivialities in the highest office (the President of the United States feuding with TV personalities). And on and on.

And almost every day, there are appalling things and I have the constant consciousness that whatever moral fiber the US had is slipping away fast. This corrupt and treasonous “King of Debt” is bankrupting America. Everything and every person he touches becomes dirty.

I don’t have a conclusion or answer. It’s just what’s happening.

—————–

Some of the qualities I admire in people (not inclusive)

Brave

Honorable

Honest

Morning, from the Temple

Kind

Walking The Path

Competent

Productive

Loyal

Respectful

Aware

Modest

Consistent

———————–

We were dozing in bed and Jean asked, “Do you want a spoon?” Thinking she was dreaming about offering me a spoon, I said, “No thank you.” Later I asked her what she was dreaming about and she said, “I wasn’t dreaming.

Sunset – Mount Tamalpais in the distance

I was asking if you wanted to spoon.” Doh!

 

 

Preserves 2019

Preserves 2019

Updated recipes for cherry, peach, strawberry, and pear preserves; orange marmalade.

General concepts

  • Be careful! You’re dealing with a lot of hot materials. Rubber-tipped tongs are a real good idea.
  • Sterilize jars and utensils in boiling water to cover for 15 minutes. Sterilize everything you’ll use.
  • All these recipes have less sugar than original recipe.
  • I’ve started cooking fruit and juice until the fruit is done (20-30 minutes), removing the fruit and app

    Strawberry and pear preserves backed by cyprus vine (iDallas)

    ortioning it in the sterilized jars, then reducing the syrup. In some cases I add pectin to syrup to thicken. (See directions inside pectin box.) When syrup desired consistency pour over fruit, affix top and sterilize.

  • Setting point is determined by putting a couple of plates into the fridge for ~15 minutes. Put a spoonful of preserves or marmalade onto a plate and back into fridge for 5 minutes. Then push the edge of preserves or marmalade with finger. Wrinkly = set.

You are really in for a treat!

Cherry preserves

Pear preserves

4 # cherries, pitted
3 + cups sugar
Juice 2 lemons
Eight 8 oz (or four 16 oz) Ball jars sterilized (boil jars, tops, utensils for 15 minutes)

Directions
Pit cherries – important to pay attention here
Put in pot, stir in lemon juice and sugar, let sit 1+ hour
Cook for about 20 minutes – until cherries are soft/firm
Cherries to jars, lids on tight
Reduce syrup
Add syrup to jars of cherries – lids on tight
Submerge in boiling water for 15 minutes

(I filled 2 16 oz jars, then added pectin to remaining syrup for 2 jars. Those with pectin were still runny, so needed more pectin)

Peach Preserves

Juice from 4 large lemons (approximately 8 tbsp)
6 lbs fresh peaches, firm, not hard or soft
2 1/2 – 3 1/2 cups granulated sugar (the amount used depends on how sweet peaches are)
Eight 8-oz or four 16 oz glass jelly jars – Sterilized (boil 15 minutes)

Directions

From left: peach, cherry, chutney (Jean’s), pear, nectarine

Pour the lemon juice into a large, heavy bottomed sauce pan. Peel, pit and chop the peaches into small, bite-size chunks. Add the peaches to the lemon juice as you chop, stirring with each addition to coat the peaches in the lemon juice to prevent browning.

Pour the sugar over the peaches and stir gently to coat the peaches in the sugar. Let the mixture sit at room temperature for 1 hour.

Bring to a boil on medium heat, stirring occasionally. Check the fruit in about 20 minutes. When done at 20-30 minutes, place fruit in sterilized jars and reduce the syrup to thicker consistency (takes about one hour).

Add syrup to jars. Lids on tight.

Put jars covered in boiling water for 15 minutes

Strawberry Preserves 

Recipe from Martha Stewart, with adjusted sugar

Super-sweet berries are not necessary. The main thing is good flavor. The sugar takes care of the sweetness.

2 pounds strawberries, hulled
11/2 tablespoons freshly squeezed lemon juice
1.5-2 cups sugar

Directions

Put strawberries and lemon juice in a large saucepan. Cook, stirring occasionally, over low heat until juices are released, about 40 minutes. Stir in sugar.

Sterilizing

Can take berries out, put in jars, then cook the syrup down and pour over berries. This will result in firmer berries.

Bring to a boil over medium heat. Cook, stirring occasionally, until mixture registers 210 degrees on a candy thermometer, about 15 minutes. Original recipe says “Let cool completely; skim foam from surface with a spoon. Preserves can be refrigerated in an airtight container, up to 2 months.” I pour them up hot, jars in boiling water for 15 minutes.

Amber Pear Preserves

From COOKS.COM

Next street over, this week

This recipe is about 75 years old.

4 C under-ripe pears (I use 4#)
3 C sugar (try a little less – with 4# pears, I used <4# sugar)
1 1/2 tbsp. lemon juice (3 T if increasing as above)

Directions

Peel and chop under-ripe pears, stirring them into lemon juice as you cut them up to help retain color.

Stir in sugar

Let stand overnight with sugarand lemon juice.

Stir then put on low fire and let simmer until pears have turned amber color, about 2 hours (BUT do not over-cook). Go by color. Stir to be sure it isn’t sticking. Pour in prepared jars and seal. Use all juice.

Boiling water bath for 15 minutes.

Orange Marmalade

From About British Foods

Seville oranges are smaller and not as “pretty” as the oranges most often seen in stores. But they are the right oranges (bitter) for this recipe. Usually available December-February.

Need ~12” square of muslin, large non-reactive stock pot with 4 liters water, sterilized jars.
5# Seville oranges
2 large or 3 small, unwaxed lemons
5# sugar (original recipe calls for a little more)
4 liters water in a large pot

Strips of orange peel

Directions

Halve the oranges and lemons and juice them, saving pips and peel.

Add juice to water.

Put the pips and rubble onto the muslin, tie it off, and put into the water.

Pull the membranes out of the oranges (reserving the pith and peel) and discard. I think the membranes add a stronger bitterness.

Cut orange and lemon peel into strips 1/4” wide. If too thin they will dissolve.

Put into water. Bring to boil, then heat, and bring to boil. Boil for about 20 minutes, removing any scum – until setting point* is reached. When setting point reached, turn off heat and let sit for 20 minutes.

Pour into sterilized jars and seal.

Fog rolling in at “Albany Bulb” – a reclaimed industrial dump – a magical place.

The original recipe doesn’t call for a 15 minute boiling water bath, but I think it’s a good idea.

*Setting point is determined by putting a couple plates into the fridge for ~15 minutes. Put a spoonful of preserves or marmalade onto a plate and back into fridge for 5 minutes. Then push the edge of preserves or marmalade with finger. Wrinkly = set

Lives connected

Sometime around 1982, when Leslie and I were working as volunteers in the Cambodian refugee neighborhood in Dallas, one of the families we were involved with asked us to look in on a new family. The new family lived in one of the one-bedroom upstairs corner apartments at 4400 San Jacinto. There was a mother and father and two children. They had almost nothing. The weather was cold and they had a couple of blankets and a few cooking things and a little rice. The father was sick. It was desperate.

We got them some blankets and warm clothes and food and medical care and so on. We started taking the father to Parkland Hospital, but his illness was not treatable and all they really did was track his last months. Maybe 6-12 months(?) later he was having a bad day and I took him to the Parkland ER. He was on a gurney in one of the ER halls. I had to leave for a while and when I came back a little while later he had passed.

Funeral ceremony for Tep Kim Suar in his family’s apartment at 4400 San Jacinto

When I called his completely uninvolved sponsor to get money for his funeral, the director said, “We can go maybe $200.” I didn’t give the appropriate response (…) and went and got the money. I recall that the city wanted his body to be taken away quickly, but we wouldn’t let them take him and there was a ceremony in the apartment with the body present. Neighbors and others got the money together for necessary services and he was buried or maybe cremated at Sparkman-Hillcrest.

His daughter, Sue did well in school and so did his son until he had a health event that left him severely impaired. His daughter met a young American man, Jimmie. He had come from a difficult background, but then so had she, in a different way. They married and as time passed, they each showed themselves to be people of great quality… true… decent… caring… and competent in their work and in their family. In time we saw less of one another.

In December 2015 I got a call from Jimmie. He wanted me to come talk with Keo, a Cambodian woman who had grown up with Sue and who had actually lived with Leslie and me for a few months when David was a baby. Keo was now in the hospital with advanced breast cancer. The idea was that I would convince her to have the cancer treated as one of the doctors involved in her care wanted. She wanted no part of it and the fact was, treatment was a very long shot with certain concomitant suffering.

I supported Keo in her wishes and Jimmie was graceful in accepting her decision. He and Sue were involved in Keo’s last days, as was I. When I gave the eulogy at Keo’s funeral I named Jimmie, Sue, and Sue’s Mom as true stalwarts in her last weeks.

About a year ago, Jimmie was diagnosed with a glioblastoma. Today, he passed away in the VITAS inpatient hospice unit. I think he was in his early 40s. Well done, good and faithful servant.

The old crew passing: Leslie, Sang Van, Khuon Voeuth, Keo, Phana, Jimmie.

——————

When you find out who you are 
(From The Incredible String Band)

When you find out who you are
Beautiful beyond your dreams

Change the world by the things you say
By the things you Love

Oh how many shining hearts
With love have guided me

We used to speak of that ocean deep
How little words can say

It’s better now to ask your friend
What makes him sad today

Make your own dreams come true
Make it come true

 

Effie, life, hope at the end of life, Jean’s friend, a Curse, Hi Tim!, clothed in strength and dignity

Two years ago with Melvin and friends early Sunday morning after all-night party near Austin – dancing beneath the diamond sky.

(Random thoughts and random photos.)

For many years my Mom invited a former neighbor for Christmas dinner. She was very old and for several reasons had not aged well. One year I went to her apartment in a retirement home to bring her to my Mom’s home. I was kind of standing around inside, waiting, and I saw an old-timey photograph of a beautiful young woman – one of those old kind of sepia, soft edges photos and she was so beautiful. I asked, “Effie, who was that?” “Oh honey,” she said. “That’s me.”

____________

When I was working in hospice I would approach my patients from the perspective of first, any pressing problems or issues and second, as more than the person lying there in bed, so sick, dying. I would think of my patients as people with a lifetime of experiences – a little girl in first grade; a teenager, falling in love; a young man going off to war; a wife, a husband, a parent, a grandparent, a widow; someone who knew happiness, disappointment, love, loss, grief, just all the fullness and experiences of our lives. And then kind of loop that around to include in the now.

Sing our songs. We all want to sing our songs.

Given some openings and the ability, people would talk about their lives, how they met their spouse, their courtship, their children, their regrets, their hopes, their dreams realized and unrealized. Sometimes even their hopes for their (very short) future. Oh, I’ve heard some love stories!

What do people hope for at the end of life? First and foremost, people hope to be healed – and when there is no hope to heal the body, they/we hope for our hearts to be healed. For relationships to be healed. To be with loved ones. Sometimes there are words unspoken that need to be spoken. And it’s not always words of love and not always words of forgiveness. Because healing requires the truth – good and bad – the truth. We want to sing our song of our life.

And in the end, we can forgive ourselves.

__________________

From the deck

Someone Jean had been in a relationship with long ago died last week. Fell down dead. Like Jean’s husband had. It hit her pretty hard. What a time of life this is! We’re all pretty much at the edge. Let’s enjoy it while we can.

Here’s to our youth, our hopes and dreams, and to our future.

__________________

Leslie and I were in a car with some other people, pretty crowded, on about a one hour drive. For no apparent reason she was being hostile toward a man in the car. He wasn’t someone I particularly cared for, but I thought she was being a little extreme, putting the Evil Eye on him, truly. Later I asked her what was going on and she told me she didn’t like the man. I asked her if she had to be so overt. I remember that she just looked at me.

Some years later I learned that that man had repeatedly molested someone I knew when she was a little girl. I learned it from the person he had molested. Leslie did not know about this – but she knew something and it wasn’t good.

He broke the little girl. She was broken her entire life. You broke her, God-damn you.

_________________

My last day of work and my last patient – who I first met years before in a desolate apartment when she had just come to the US. Frightened, hungry, overwhelmed. She’s much better now.

Through Facebook I’m in touch with a high school friend, Tim. We played golf together, went to the same parties, dated two girls (Claire and Martha) together from another school, and after high school we both went into the Marine Corps. The last time we talked we discovered that we had each had a spiritual awakening and had both ended up doing related work – he in substance abuse counseling and I in nursing.

And now Tim is posting photos of the Florida beach/ocean where he lives and I’m posting photos of the San Francisco Bay where I live – sunrises and sunsets coast to coast.

_________________

What a fierce time of life this is. To some, we probably look like just more old people. That’s what we are, except no just to it. We loved, we love, we fought in wars, we stopped wars, we danced beneath the diamond sky, we were/we are beautiful, we were/we are hot, we created/we create, we took risks, we grieved; and we’re in challenging places and times. We’re close to death or worse. No one gets out alive. See us love, see us touching,

In our tent in Wyoming.

see us slow-walking across the street, see us in our beauty at the end of life.

Van Morrison: And we’ll walk down the Avenue again; And we’ll walk down the avenue and we’ll smile; And we’ll say, “Baby, ain’t it all worthwhile.”

Proverbs 31:25:

She is clothed with strength and dignity,
and she laughs without fear of the future.

Big Sur – 2019

Road into the canyon – up the canyon, into the mist, into the redwoods

It has been a remarkable few weeks: LaHonda/Santa Cruz Mountains, Mendocino, Orr Hot Springs, Bolinas, Berkeley, and now Big Sur…

Big Sur: Highway 1 follows the coast, past Santa Cruz, past Monterey, past Carmel-by-the-Sea, into the whole of Big Sur, past where David’s ashes were placed at Esalen, past where we cried as we first drove this road together three years ago, where the mighty Pacific Ocean stretches across 1000s of miles to Asia, turn off on an unmarked road, through a gate and follow a dirt road into a canyon in the Ventana Wilderness and in a few miles a pull-off. We park and walk across a wood foot-bridge up a path to a traditional wood Haida cabin on a knoll in the redwoods and here are the people we’ll spend the next few days with.

Eight paces from our bedroom/ sleeping platform

Hang out at the table cut many years ago from a huge redwood, then walk down the hill and carry our things along a narrow rocky path beside the rushing water and tiny orchids growing alongside the path and into the clearing where our sleeping platform awaits. We set up our bed – pads, air mattress, sleeping bag with sheet and fleece inside, pillows (Oh, we’ll sleep in style). All under the stars, eight paces from the river.

There is no electricity and no wifi – it’s a digital cleanse for us with no electronically transmitted information, music, or anything else as long as we’re here. But there is hot water and up the hill a white ceramic throne waits among the trees.

Jean on the rocky trail to our bedroom

Time standing still. Talking, art, life, cherries, wine, cheese, herb, the wind in the trees and sometimes sunlight filtering through and high above we can see the fog moving in. In an incredible happenstance, one of our hosts, Steve was in Vietnam at almost exactly the same place and time as I… along la Rue Sans Joie (the Street Without Joy – named by French Legionnaires), where Bernard Fall was killed in 1967, where many from both sides died, and now here we are in this redwood forest. Everyone here has lost a loved one – parent at a young age or spouse. We don’t talk much of

In the morning

the pain, but those who passed on are very much with us.

A family gathering in the glade where the dining table sits (thank you for including us!), a teacher, a healer, an artist, an environmentalist, a gardener, a grower, a calm center, a child, a black lab. Then to a campfire, cobbler, s’mores, then slowly along the rocky path to our bed.

Gin, Susan, Jean, Steve

The first night we slept soooo well, so warm, tangled up in soft and love and in the morning I walked up the hill and made coffee for Jean and me and Susan was there, making coffee for Steve and herself. Our joyful job. Back down the hill with coffee to the bed, talking, seeing, hearing, feeling. We talked of places so good for sleeping. For me, this place, the Temple, home on Reiger, my campsite at timberline in Maroon Bells going in to the Four Pass Loop, Dragon Hostel in Hong Kong, Big Bend in a sleet storm, Ana Lisa Hedstrom’s studio on a cold, rainy night.

Breakfast was the usual fruit and yogurt and bread, coffee, talking. Steve’s family left, so it was just four of us. We walked ¼ mile up a path to the “common cabin” (shared with two other families, neither of whom were there) and Jean showered while Susan and I walked along an old trail deeper into the forest where redwood sorrel was like soft green cushions

growing out of 1000 year old mulch. The forest was still, beautiful, and Susan is a quiet, careful walker. We talked of beauty and life. After we walked I stayed behind at the common cabin and showered…

——————

Sing the first three lines with me:

I’ve got a feeling
A feeling deep inside
Oh yeah

He walked on the soft ground around to the front of the cabin and stood naked on the deck, lifting up his arms and soul to the redwoods to the sky to the fog to the sun to the river running by. Give thanks.

Sorrowing for his country, for the moral collapse of what was once humanity’s greatest hope.

Where now lies are virtue and Jesus is whored out to the gods of greed.

———————

Fawn up the street in Berkeley – still with spots

A still afternoon, easy, comfortable. Dinner, campfire. Back along the rocky path to our sleeping bag. And in a perfect summary of our life together, Jean woke me up about 3 am and said, “It’s getting wet” – the fog so heavy and right here we could actually feel the tiny droplets of water kind of stinging our faces. Pull the ground cover tarp up over us and burrow down deeper in the sleeping bag. Warm, dry, except a little damp around our heads. Friends, it truly doesn’t get any better.

In the morning we all packed up and headed out – Steve and Susan to the beautiful valley and home where they live and Jean and I to the magic of Berkeley. Along the way we stopped at Nepenthe, high above the Pacific, then on to the Promise of Berkeley and our happy home.

Sunset from the deck the first evening home

As I write, this text comes in from Jean: “Stuck in traffic. Big demonstration/anti-Trump kids in cages protest.” The Promise of Berkeley!