Two for the Price of One: Two Views

[Note: Another foray into prose/poetry]

Boundaries and Expectations

 

September 12, 1986

Partly cloudy skies.

Driving home alone, I could barely concentrate on the road.

My eyes welled up.

 

Will I be a good mother? Can I do this?

Minutes before,

what I suspected was confirmed.

This was planned, yet I was overwhelmed.

I took a deep breath,

focused on the road and the sky, made my way home.

 

Into our little brick house.

I rush to the phone to call Gary.

He is still on rounds at the VA.

I have him paged.

It takes many minutes, seemingly forever.

 

Hello, Lin?

I’m pregnant!

Wow! This is such great news!

When do you think you’ll be home?

The usual time.

You can’t get out early?

Linda, you know I can’t.

 

I sighed and exhaled, resigned to this reality.

Okay, we’ll talk later.

I was left to my thoughts.

 

Eight months crawl by.

I was not glowing with new life.

Queasy, tired, morning, noon and night.

Ear infection, bronchitis, heartburn

I didn’t enjoy sharing my body.

 

So many rules:

No caffeine, no alcohol, drink milk

I don’t like milk.

Vitamins the size of Pluto.

Alcohol was no loss, caffeine another story.

I’m responsible for this new life!

I don’t want to screw it up!

 

The due date kept changing.

First May 2, then May 11, finally May 16

That day comes and goes.

The longest gestation in history.

I am ready! Nature has its way, though.

 

May 20 Gary travels to Long Island to take part 4 of his medical boards.

My parents come up from Brooklyn to keep me company.

At 5 pm they leave me with friends and

head back home, Gary is on his way.

I feel some contractions: Braxton-Hicks or the real thing?

 

Gary gets home by 9pm.

My water sort of breaks after midnight.

We call the doctor.

He tells us to come to the hospital.

It is before dawn on Thursday morning.

We put the garbage cans by the curb before going to Albany Med.

 

27 hours, the last 7 hard labor,

an apt description.

First, no progress, then Pitocin – a brutal treatment.

Finally, I push!

Such a relief! My body is almost my own again.

 

4:39 am, Friday, May 22, I look at my baby.

Labor was hard on me, but she is perfectly formed.

She is part of me and yet, she might well be an alien.

We are one and we are separate.

I understand her; I feel her joy, her hunger, her frustration.

But I am clueless, she is a mystery.

 

I fall in love over those first few weeks.

Her wondrous eyes, sparking with light.

Her pink, smooth skin.

She emerges into herself.

Curious, demanding, loving.

 

30 years later and

it is all still true.

 

[Note: Gary’s remembrance of that same time]

September 12, 1986.  I was on rounds when I heard my name over the VA hospital intercom for the first (and only) time in my life.  The operator put me through. Linda tells me that we are going to be parents. You could have knocked me down with a feather.  I was elated and scared and excited.  She asked me if I could get home early that day.  But the patients cannot wait.  I work as fast and furiously as I can to get out early but 10PM is the best I can do.  I remember not being able to concentrate during rounds that day which is the one and only time that ever happened.

That VA rotation was in many ways horrible.  Perhaps it was also an experience in growing up.  The VA is an underfunded, second rate health care system and, in my mind, a poor excuse to offer people who fought for our country and now are down on their luck.  And, to be sure, if you are a veteran and have other health care available to you, you are not going to the VA.  So these are the guys who things have not gone well for after they came back home.

I was an intern along with two others on that rotation.  Claude Scialdone was another intern with me and he was amazing. I can’t remember who the third intern was but it was not someone who did all that much.  Worse than that, our resident who was supposed to guide and support us was an empty suit (perhaps an empty white coat is the better medical term?).  And the attending physician came by in the morning to round, as he was supposed to do, but did nothing else.  So Claude and I were basically two guys just out of med school trying to keep 40 very sick veterans alive with basically no help.

It was frightening and it was exhausting.  On a normal day, when I was not on call, I would get there before 7AM and get home anywhere from 8PM to midnight.  When I was on call I wouldn’t get home at all.

One particular patient still sticks in my mind.  He had been there since well before I started my 6 week rotation and he was often times confused, weak and kept running fevers.  I worked him up for sources of infection again and again.  I ordered chest x-rays to look for pneumonia, urine cultures and blood cultures but they repeatedly came back negative.  I asked my resident about the guy – I told him I was certain we were missing something.  There was something going on and we were failing to identify it.  The patient was treading water at best and sooner or later we were going to lose him.

My resident responded by asking me if any of the cultures had grown anything and the answer was no.  He then explained that this means he’s fine.  He wasn’t fine.  He wasn’t close to fine and I knew that in my marrow, but I was out of ideas and had no help.

At that time, the VA closely controlled the use of the newer, broad spectrum antibiotics.  If you ordered any of them, you automatically got an infectious disease consult.  Normally that might not seem like a problem, but in the Albany VA at that time, it meant you got Dr. Aldonna Baltsch on your floor. Dr. Baltsch was as feared as any doctor I have ever known.  She was a phenomenal, dedicated, passionate physician but she was also a perfectionist with a temper.  She would come in and yell at you for all the errors she determined you were making.  I think she just wanted to make us better doctors but perhaps didn’t exactly know how to go about doing it.  In any case, nobody ever wanted to see Dr. Baltsch around.

For that reason, nobody ever called for an infectious disease consult.  And the interns and residents became experts at using combinations of older antibiotics to avoid the newer ones that came with a dreaded visit from Dr. Baltsch.  But in this moment, I realized I feared the prospect of failing and losing this patient more than I feared Dr. Baltsch.

So I ordered a new wave, broad spectrum, expensive antibiotic when my resident wasn’t looking.  I did so because I knew that, while it would bring the holy wrath of Dr. Baltsch, it would also bring her expertise.  She came up and was really, really angry.  It was as if Mount Vesuvius was going to erupt and the lava would scorch us all.  However, as it turned out, her anger was entirely directed at my resident.  She never even spoke to me – which was fine with me.

And she ordered exactly the same tests I had ordered.  But this time, after they yet again came back negative, she ordered an LP (spinal tap).  That came back negative too but she told the lab to hold onto the spinal fluid sample longer for viral cultures and they eventually came back positive for Varicella (the virus that causes Chicken Pox).  Turned out he had Varicella encephalitis, an infection of his brain caused by that virus.  This is still the only case of Varicella encephalitis I have ever seen.

He was placed on antiviral antibiotics.  His fevers ceased after a few days and he finally started to get better.  Dr. Baltsch called for a special meeting of everyone in the entire department of medicine basically to humiliate my resident.  It looked like vultures picking at a carcass as the entire faculty went after the guy.  I almost felt sorry for him.

That rotation eventually gave way to others, some nearly as hard and some not quite as tough.

But fall turned to winter and winter to spring and then I took my boards exam on Long Island.  Knowing Linda was past her due date and could go into labor at any minute, I rushed through the exam.  It was the only time in my life that I was the first person out of the room on such an exam.  That night, Linda had spontaneous rupture of membranes (her water broke).  We took out the garbage and drove reasonably calmly to Albany Medical Center where she gave birth after 27 long hours of labor.

She was an amazing trooper.  No anesthesia.  One single dose of one pain killer.  Hour after hour.  I spent much of the time with her but also left to do rounds and see patients during parts of the process.  At the end, on May 22nd, Leah emerged, perfect, beautiful, alert and brilliant.  A miracle in our lives who has been such a great joy ever since.

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Just a few hours after birth – Leah looking directly at the camera, alert and bright. Gary, on the other hand, exhausted.

Leah was a force of nature.  It is hard to explain how even in those earliest days she had a spirit and a liveliness and a curiosity.  I felt like she saw and understood the world around her in ways that most babies could not and her smile melted my heart.  Life had taken on new meaning and I fell in love with her.

Still I was torn.  I could not devote less time to my patients than what I felt I needed to.  And yet I wanted to be home; to be with Leah; to help Linda who was in some ways almost a single parent. She was exhausted and I was exhausted.  And I could not do all I wished I could do.  I could not do all Linda needed me to do.

Having already completed all of the hardest rotations in May of 1987, my last rotation of internship was scheduled to be an easy one in a community hospital very near our house.  It was going to be perfect.  I would be working a short walk from our house, the hours would be reasonable.  A long, hard winter was about to give way to a beautiful spring and hours with Leah and Linda.  It didn’t work out that way.  On the day Leah was born, an intern quit the program and the department of medicine met to determine who should cover that intern’s rotation. They decided I should cover it.  I was back in the VA hospital.

Starting Over

I stood at the podium looking out over a banquet hall filled with my colleagues. Since I had no prepared remarks, I was trying to come up with something. What did I want to say?

The executive director of the New York State School Boards Association (NYSSBA), for whom I had worked for the last 9 years, had just introduced me by offering some left-handed compliments, noting my penchant for speaking my mind. Happily for him, the reason we were in the banquet hall was that I was retiring.

The party wasn’t only for me. A colleague, who had worked for NYSSBA for over twenty years, was also being honored. He had already been introduced and made heartfelt remarks about how much he enjoyed his career. He was genuinely moved and spoke haltingly, emotionally about his appreciation for the organization.

When my turn came to take the podium, I wasn’t at all sure what I felt. In the weeks leading up to the luncheon I couldn’t get myself to focus on writing remarks. After all, most of the reason that I was retiring at age 55 was that I was unhappy in my work. I was tired of fighting the good fight and getting nowhere. I couldn’t very well stand up and say that, despite my penchant for speaking my mind. I made innocuous remarks, thanking the people who I did enjoy working with and I wished everyone well. It was time for me to turn the page and start a new phase of my life.

It is unlikely that anyone reaches 55 years of age without starting over a few times. Whether the impetus is retirement, a relationship ending, or moving to a new city or changing jobs, it is almost impossible to avoid starting over in the course of a life. Some might actually seek out new starts, finding the prospect exciting and challenging. I am not one of those people. I like the idea of change in theory, but the reality is hard.

When district lines were redrawn when I was a child in Brooklyn and I had to attend a different junior high school than my elementary school classmates, I struggled. When my then fiancé, now husband, was accepted to medical school in Pittsburgh and I uprooted from New York City to join him, I had a tough time adjusting. When budget cuts closed the Legislative Commission on Expenditure Review, where I worked and enjoyed my job, I was angry and resented having to find a new job.

While those new starts were thrust upon me, the decision to retire as soon as I was eligible was a choice I made. After much ruminating, and discussion with Gary (husband, see above), I decided to retire, collect my minimal pension, and pursue writing. Perhaps that sounds simple. It wasn’t.

The decision was fraught on many levels. For one thing, I worried about how my retiring from paid employment would affect my marriage. Gary and I have spent a lot of time negotiating the balance of our relationship – balance in terms of finances, child care and household responsibilities, and attention to each other. Other than the first 8 years of our 33 year marriage (and counting), Gary has been the major breadwinner.

I supported Gary through medical school and continued to work when we started our family, but once he was in medical practice, he earned far more than I did. Gary never held that over my head, he wasn’t one of those husbands who begrudged me a new pair of shoes. He didn’t review the credit card statements. But, that isn’t the point. The point is that Gary works very hard, long, stressful hours. I think he felt a sense of relief, of shared burden, when I was working (for pay, that is).

Having grown up in the late ‘60s and early ‘70s, I bought the idea that women could have it all – family, marriage and career – hook, line and sinker. I wanted a career, I believed I should have a career. I felt like a failure when I finally admitted to myself that I could not balance it all. I thought it would get easier when the kids got to be school-age, but it didn’t. The running refrain in my head at the time was that I was doing a shitty job wherever I was – at home or at work.

Although I had a lot invested in my identity as a career woman, the reality was that I was working for the New York State Department of Taxation and Finance in a job that made me feel like I was living in a Kafka novel. It was not the vision I had for myself when I started the master’s program in public administration and policy at Columbia University. I thought I would help people by pursuing a career in public service, hopefully in education policy. Somehow I found myself in a job that was as far from helping people as one could get. I had to do some serious mental gymnastics to connect what I was doing to the public good.

When it became financially feasible for me to stop working and stay home with the kids, I did. I thought long and hard before doing it. I still held on to the idea that I should be doing something productive to help people and get paid for it. I considered looking for a new (more satisfying) job, but the truth was, with the demands of Gary’s career and two young children, I felt like working full time might lead me to a nervous breakdown. I was already well on my way to one. So, I stopped. I spent the next 11 years mostly staying home.

I told myself when I stopped work that I would write. Now that I was home, I thought I would try writing a fictionalized version of my childhood. I always wanted to write – I was always composing sentences in my head, describing the scenery or people I observed. At various times in my life, I wrote in a journal but I never moved beyond that. I thought I was finally ready to do it. I wasn’t. If I shared my writing I would subject myself to judgment that was too close to the bone, too close to judging my worth as a person. I couldn’t expose myself in that way, even under the guise of writing fiction.

Instead I did a bunch of other things on a freelance basis. I became an impartial hearing officer who heard disputes between parents and school districts about services for students with disabilities. I did that sporadically for about five years, until they changed the law and required hearing officers to be lawyers. I could have continued, they grandfathered the current pool in, but it didn’t seem right to me. If the belief was that a law degree was necessary, and I could see the wisdom of that, then I decided I shouldn’t continue.

I became a facilitator for the Anti-Defamation League’s World of Difference Program, a multicultural, diversity education program, and I did that on a freelance basis.

I also got involved in my kids’ school. I volunteered in their classrooms and in the library. I went to PTA meetings. After about two years of doing that I ran for the school board and was elected. I served for nine years.

When our son was in his junior year of high school and our daughter was a freshman in college, I thought it was time to go back to work full time. The pressure of two college tuitions, and my desire to get back to a career, led me to start to look for work. That turned out to be complicated. It seems that the various freelance positions I held, and serving on the school board, looked like a hole in my resume.

Finally, based on my school board service and the support of someone in the organization, I found a job with the New York State School Boards Association. I stayed for nine years. During that time, in my opinion, education reform was moving in the wrong direction. Too much emphasis on tests, misuse of the tests to evaluate teachers, charter school expansion that drained resources from public schools, Race to the Top….I could go on and on. I tried to advocate within my organization to take a stand against these policies, but I rarely made progress. After 18 years immersed in public education, and reaching age 55, I decided I had enough.

At the same time, I started to think again about writing. I had never stopped thinking about it actually. Most of my days at work were spent writing, but it wasn’t the type of writing I wanted to do. I thought maybe I was finally ready.

Lucky for me, my children knew I needed a nudge. As a retirement gift, they signed me up for a writing workshop at the Capital Region Arts Center. It was three hours each night over the course of four consecutive evenings. I was both terrified and excited.

The class started on a lovely summer evening in mid July. I was nervous about finding the Art Center and parking in Troy, so I left myself a lot of time. I am chronically early and this was no exception. The classroom was still locked, so I wandered around the Center and looked at the art exhibits. I found the vending machines. I tried to distract myself.

I went back to the classroom. I felt hopeful, but unsure of what to expect. The door was unlocked and there were a few people in the room. It turned out the workshop was led by a poet. I hadn’t written a poem in…I couldn’t remember when – probably in junior high school when we were forced to. The workshop was described as ‘generative,’ which meant that participants were able to work on whatever type of writing they wished. So, poetry wasn’t required. Phew!

There were only five other people in the class, all women, several of them looked to be about my age, the others definitely younger. The poet-leader was a young man. After brief introductions, Victorio read a poem to us, which was in the form of a letter to oneself. After he read it, he asked us to take 20 minutes and write something to ourselves. The six of us spread out in the room. I took a spot on the windowsill, looking out on the Hudson River.

I did not have difficulty finding words. I wouldn’t call it a poem, it was prose, but it wasn’t a narrative either. I wrote freely. I surprised myself.

After 20 minutes, we came back together. Victorio didn’t ask for a volunteer to read first. He simply called on me. My jaw dropped; the moment of truth. I know he saw the fear in my eyes, but he didn’t flinch and he didn’t let me off the hook. I stopped thinking, looked down and read the words I had on the page. I didn’t look up until I finished.

I honestly don’t remember the substance of the comments. What I remember is that it was okay. I survived. There was criticism, all of the constructive variety. (In that I was fortunate – none of the women turned out to be jerks, and Victorio set a great example for us.) There was encouragement. And, most important, I didn’t die of exposure or embarrassment!

Driving home that night, I was almost giddy. It felt like a burden had been lifted. Ahhh, liberation…..I could finally try to do what I had always wanted to do. In that moment I certainly didn’t know if I would ever be published (and still don’t), but it didn’t matter. I didn’t know where the process would bring me, but I knew something had changed inside. I had begun a new path.

Maybe it wasn’t really starting over at all. Maybe it was a coming home of sorts, coming home to myself.

Another Poem: Search Terms

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Search Terms

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Redress number passport

Okay, not applicable.

How to move across country

Hmmm – stuff to think about.

Greyhound shipping

They have a student discount.

Restaurants that deliver near me

What kind of food do we want?




Key Bank locations in NYC

Only one!

Cabinet depth refrigerators

Need to look at Consumer Reports, who subscribes?

The Wire

One of the top television series of all time, according to this article.

Dominic West

He’s English, who knew?

Several, few, couple: definitions

Still don’t understand the difference, but they aren’t interchangeable.

Eye muscles

There are six.

Bronchoalveolar carcinoma

A term describing certain variants of lung cancer.


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And now for something completely different

When I was in elementary school I wrote poetry. I did it for a number of reasons. First and foremost, it was assigned by the teacher. I think there was a unit on poetry in each grade. But, there were other reasons, too. When I wrote a poem, I got positive feedback from the teacher and from my family, particularly from my mother and Zada. I responded to that encouragement by getting more interested in poetry.

As a child I liked reading poetry, too. Thanks to my mom, I grew up exposed to Robert Louis Stevenson’s A Child’s Garden of Verses, among others. I remember checking poetry anthologies, along with fairy tales and Betty Cavanna books, out of the school library.

Zada, who hadn’t graduated from high school, appreciated the written word. I was in 4th or 5th grade when he asked me to type up my poems so he could keep a copy. I think there were about five poems on two pages. He took them from me, folded them up and put them in his wallet. I believe he shared them with friends and family. He would pull the pages out every so often to remind me that he still carried them. I think he still had them when he moved to Florida.

When I reached junior high school I had stopped writing poetry. I stopped writing creatively entirely. I’m not sure what happened. Maybe I stopped getting positive feedback. I don’t know if it is coincidence, but I stopped at the same time that my acute self-consciousness fully flowered. I was paralyzed by doubt. I periodically wrote in a journal during that time, but I was totally unwilling to share anything.

I didn’t write another poem, or share any of my writing, until a little over a year ago. As part of the first writer’s workshop that I took after I retired, we were asked to produce some poems. During that intensive four-day workshop, which was led by a poet, we were asked to not only write poems (and prose, too), but to share it with the group! Much to my amazement I was willing and able to do it. And nothing terrible happened – I didn’t die of embarrassment. It was liberating.

After that workshop, I focused on writing the stories I’ve been sharing on this blog. Lately, though, I have found myself writing prose that I think may be borderline poetry. I don’t know the definition of poetry, but what I’ve been writing is different than the narratives I’ve been posting.

Since this is my blog, and I am experimenting with my writing, I thought I would take a risk and put something different out there. So here goes…..two poems for your consideration.

 

 

[Note: I can’t figure out how to post the poems single-spaced! If anyone reads this far and knows how to do this on WordPress, let me know! Thanks]

Morning Ablutions

Pop out of bed

I’m late

I have nothing to wear

Fling open my closet

Pull out a drawer

Toss stuff on the bed

Settle on a trusty t-shirt and jeans

Into the bathroom

Run a pick through my hair

Brush teeth, rinse mouth

Grab my backpack

Head out to the bus

 

I stumble half-awake into her bedroom

Shhh, shush, it’s okay, little one

I lift her and hug her to my chest

She settles a bit

I carry her to the changing table

Tickle her belly with my nose

Remove the wet diaper

Wash and dry, sprinkle some talc

Put on a fresh one

Pick her up and bring her to the kitchen

Into the high chair

Some cheerios to munch

Yawn as I whisk her eggs.

 

Open my eyes

Reach for my glasses and I-phone on the night stand

Look at the time, peruse email, scroll Facebook

Nothing of interest

Sit up and put my feet on the floor

Get my legs under me

Shuffle to the bathroom, working out the kinks

Shake out the pills

Take some water, throw back my head and swallow

Apply moisturizer (with sunscreen) to my face and neck

Brush teeth

Throw on yoga pants and sweatshirt

Head downstairs for coffee

_______________________________________________

Rosh Hashanah 

Rosh Hashanah 1991

We enter the sanctuary

Before us a sea of curly dark hair

Dotted with white yarmulkes

Blue next to gray next to brown suit

White tallit draped across shoulders

Heads turn to note our entrance

I shift Daniel in my arms,

Grasp Leah’s little hand

Murmur “sorry” as we climb over congregants to

Settle into seats

We wait to hear the shofar usher in the new year.

 

Rosh Hashanah 2016

We enter the sanctuary

Before us small clusters of people

Sprinkled throughout the huge hall

Bald and graying heads

Covered by white yarmulkes

Gray, navy and black suits

Stooped shoulders beneath tallit

Heads turn to note our entrance

I follow Gary to the front section

We settle into our seats

We wait to hear the shofar usher in the new year.