Fatherless

Rose window example, San Antonio

“Can you tell me anything about your father’s medical history?”

“No. I don’t know him.” He shrugged as if it was no big deal but his voice said otherwise. 

Next patient…. 

“What about your father’s medical history?”

She scrunched up her face. “I think he’s still alive? I don’t know for sure. I never knew him.”

Next patient…

“So your mother is alive and has diabetes. Do you know anything about your father?”

“I’m not in contact with him.” The disdain came across loud and clear in her voice. “I hope he’s dead.”

If fathers ever think they don’t matter, they should sit in my seat and listen to the pain they can generate even when they are not there.

The Scales

Communicating effectively with others is the key to success. I want my son to get comfortable speaking in front of others so this year I encouraged him to enter a speech competition through his school. 

He worked hard on it.

As parents we all suffer from delusions of grandeur regarding our clearly exceptional progeny but between the two of us, I had no expectations that he was going to win. I just wanted him to participate. I was fully prepared to just celebrate the achievement of his participation.

But then? He was given a red ribbon with “Excellent” emblazoned across it in gold letters. 

At first I was overjoyed. In my day, a red ribbon meant that you placed second. Excellent meant that you did pretty damn good.

Did he really do so well? 

During our practice he struggled with speaking too fast and was not making good eye contact. Was it possible that he listened to me? That he took my advice to heart? To be honest, that would have meant more to me than the ribbon itself.

Eventually I was given his judging forms. There were three judges. Apparently in this private school league they only score as Good, Excellent, or Superior and the kids are not ranked into places at all. Color of the ribbon? Yeah. Meaningless.

WTF?

Two out of the three judges gave my son a Good. Only one gave him an Excellent. From the judges’ notes, he fidgeted, stumbled, had to be prompted, and did not make eye contact. They gave him an Excellent ribbon for that. We worked on all of those things but it was his first competition and he is a first grader so I am not surprised or embarrassed or upset with his performance. I am so very proud that he was brave enough to get up there in front of strangers.

But how can I reinforce to my son that hard work pays off when mediocrity gets him an Excellent rating and a red ribbon? How can I make the point that he should listen to his mama’s advice about eye contact? How can I help him work through rejection and loosing and the unfairness of life while in the safety of childhood before he becomes a fragile adult who is devastated by the realization that the world does not in fact hand out participation trophies? And what about how this demoralizes and minimizes the kids who really did perform exceptionally well? They deserve to feel the full glory of their achievements, don’t they?

I just don’t understand. 

Uncovered

Mission ruins, San Antonio

“Mommy!” my daughter gasped urgently. “Look, she’s a mermaid…” There was reverence and surprise in her voice. 

Imagine meeting a mermaid here!

“Yes, she is…. now, shhhhhh,” I responded.

I held my breath waiting for my little girl with no filter to say something about the woman’s size. She was probably close to 400 pounds and she was wearing a two piece bright purple and turquoise mermaid swim suit like it was the most natural thing in the world.

Mercifully my daughter said nothing more. Instead she snuggled up against me wrapped in her towels and fell asleep, smiling. I am grateful that she and the towels completely cover up my thighs.

I found myself very jealous of that woman. If I could have even half of that confidence, I could… 

But then, I remembered, what I saw was probably only just the tip of the iceberg so to speak. What kind of ugly things had been uttered by people under their breath as she walked by? Was she really, truly confident or was her swim suit an act of defiance, a f**k you to the world wrapped up in flashy purple and turquoise lame fabric? I would never know the reality of what lies beneath.

In contrast to the mermaid, there was a woman who must have been a size 4 standing in the wave pool with a voluminous hot pink coverup who looked so incredibly self conscious and miserable. I felt and understood her pain. She hid her body but did not succeed in hiding her discomfort. 

“Nothing makes a woman more beautiful than the belief she is beautiful.” —Sophia Loren

I looked around me at the hundreds of other men and women, bodies of all shapes and sizes and the swimsuits of all sorts, each one an act of courage. Bacne, surgical scars, stretch marks, cellulite, fat rolls, belly bulges, love handles, etc. all exposed. 

My body is a blessing.

“You are the best looking woman out here,” he whispers in my ear as I take off my cover up. I’m not. The mermaid is, but I love that he can make me feel like he believes it is the truth. 

So I decide to walk around like I am, like I really do believe I am beautiful in my deep cobalt blue velvet one piece swimsuit. I don’t like my body but that is OK. I am not this body. I am not this swimsuit. 

I am beautiful.

Doctor’s Day

Cute butterfly on a blossom

Doctor’s Day was yesterday. Did you know that?

Caught me completely by surprise.

It used to be a big thing ten years ago. The hospital hung banners up and handed out logo emblazoned umbrellas, bags, pens, and whatnot. My staff signed a big card the office manager picked up and a new potted plant would now sit on my desk. Drug reps dropped off cards and swag. There would be emails celebrating doctors sent from the suits. Well not really from the suits. From their secretaries. The point was, though, you just could not escape what day it was. 

To be honest, all of the hoopla back then made me feel very uncomfortable. 

This is not why I am doing this. I am not here for the accolades or the potted plants and I resent the insinuation that these things matter to me. Please leave me alone.

Each year it is less and less of a big deal. This year? Silence. Not a single frickin word from anyone. In fact, my only clue was a post from someone else on WordPress. 

Yesterday I told a woman she has metastatic ovarian cancer. I told a man that he now has diabetes and we developed a treatment plan together. I did a newborn visit on a precious two week old baby. I cried with a woman over her divorce and saw a man whose mother just died from the same disease he now has. Then I watched the last few minutes of my son’s karate class and picked up cupcakes for my daughter’s class party. 

This is life. My life. Every day. 

And you know what? Despite any bitching and complaining that I do here, I really, really love my job. It is such an honor and a privilege to care for people, to be there when they need help. THAT is what keeps us going… keeps me going.

In truth, I’d do this job for free. Just don’t tell the suits that I said that. 😉

A touch of tenderness

This is a wonderful post about the importance of touch in life and death. Please pop over and read it if you have not done so already.

Sue Vincent's Daily Echo

The Cathedral by Rodin.

My son gleefully squeezed harder at the knotted muscle in my shoulder, with a ‘Now I’ve got you’ as I groaned in agony. We have established and agreed that he has a slightly sadistic tendency where I am concerned. It may have something to do with my knack of getting just the right spot on the painful muscles as we got his body working again. Day after painful day, for months on end. So now it is payback… and he appears to enjoy it. He still manages to lay the blame squarely on my aching shoulders, muttering something that sounds vaguely like ‘hereditary’.

He is a little more squeamish than I. His face screws up in horror as my wrist bones crunch back into place when he applies traction. It is, however, nice to regain freedom of movement occasionally. So I make him do it…

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Traveling Through Time

Facade of Mission San Jose in San Antonio
I was not an only child, no matter how hard I prayed for God to take away my siblings. We did not have a lot of money so when we went on vacation all of us were crammed together into tight quarters in the family car. We slept on the floor with family/friends or in sleazy motels (think roaches and cigarette burned coverlets) and survived on McDonalds (you could get a sack of five burgers for five dollars). If we were super lucky, we got to take my grandpa’s motor home and ate hot dogs every day unless it was too wet for a fire, in which case we got spaghetti. 

Oh, there was bickering. Lots and lots of bickering…

Stop poking me!

Mo-ooommmmm! She’s looking at me again!

He’s breathing on me! Make him stop breathing!!!!

My father had a government job and my mother was a stay at home mom. As such, when we went on trips over the summer it was for 2-3 weeks at a time. I travelled all over the US learning things. I don’t think there is a place with educational merit in the continental United States that I have not visited except for things in the state of New York which I was told was “the den of sin and iniquity and the home of  those damn Yankees”. I wanted to see the Statue of Liberty something fierce but as far as my parents were concerned NYC in particular was not worth our time. 

I saw the VLA (Very Large Array) radio telescope years before the movie Contact made it famous. I learned about hydrology from the huge scale mock up of the San Francisco Bay Area complete with working wave maker built in the 1950’s by the Corps of Engineers. I learned about the Civil War at Gettysburg and Texas independence at the Alamo and Washington on the Brazos and fossil dating from Dinosaur Valley and the Petrified Forest. 

There were the obvious places like Yellowstone and Glacier and Mesa Verde. The contrasts of natural and man-made, like the arches in Utah and The Arch in St. Louis. And the obscure, like the Helium monument in Amarillo and what is left of Route 66 (no one cared about that back then).

I have so many good memories of those trips. For all of the bad my parents may or may not have done, they did get one thing right… those family trips. 

Well. Except for New York.

So now, as I am weighing an expensive trip to Disney World with my kids vs a cheap road trip with them somewhere more… interesting, I think about my own childhood. I have the means to make my kids’ dreams come true, if I wanted to, but do I really want to? I never did see Disney World but I think I ended up with something even more magical, an understanding and appreciation of where I came from… my own history and the history of others. That is what I want to pass on. 

So maybe Disney World is better left in our dreams and our imagination?

The Longest Ride

Columns on Alamo facade in San Antonio
“MOMMY! He hit me!!!” she wailed.

“No I didn’t!” he hissed back.

They both start hitting each other.

The elevator is full of men and women dressed in suits for some conference or another. Some turn and stare. Some laugh. Some pointedly avoid making eye contact. 

23 floors.

Just when you think they are old enough to get along in public, they prove you wrong. 

Siblings.

Because no one knows how to get under your skin quite like a brother or sister.

Exposure

Almond tree flowers
What makes a woman report a crime?

I’ve been thinking about this question since my turn with jury duty. There are tons of things that would make me call the police. Theft, causing physical harm to a person or property, cyber bullying, extortion, etc. There are some gray areas, however.

For instance, let’s take a woman who is minding her own business loading groceries into the back of her SUV. A man drives up slowly in the store parking lot and exposes himself to her, his penis waving about in all of its erect “glory”.* What makes her say, “You know what? I’m going to call 911 and report you, you sorry bastard!”

To be honest with myself and all of you, I would not be the woman dialing 911. I’d be shocked and disgusted to be sure, but calling the police? No. Not for this.

Why? 

Shouldn’t I be reporting the guy to keep him from doing this to other women? Isn’t it my civic duty to report it, to protect the public? 

Maybe I am just desensitized from seeing men’s penises every day as part of my job, some of them even erect (nothing funny about that, it is involuntary) that it does not offend me as it should? Maybe I just don’t want to waste more of my time on him. Filing a police report, potentially testifying in court… those things take time. A lot of time. Then there is the added aggravation of having defense counsel work to convince the jury that out of either malice or ignorance I must not have seen what I know I saw… worse, if the jury decided he was not guilty.

So here I am, an educated woman telling you that I would make the conscious decision to not call the police about a man showing off his penis to me in public and I have to be honest with you that after serving as a juror, I think I would be even less likely to do it. 

Call me a coward. 

What prompts another woman make the report, though? What are your thoughts? Would you call 911 if you were the woman? Why or why not? What if you were a man and witnessed this being done to someone else? What if it was done to you? Would you do something different if a friend was with you? What if there were kids around?

*In case you are wondering, this was not the case I served on as a juror.

Chimera

Small white flower bloom

I read the chromosomal analysis.

Partial trisomy of sex chromosome… mosaicism…

Well. What was that going to mean? I needed an answer before I called this baby’s mom. She had been waiting anxiously throughout her pregnancy after the initial testing had showed a probable genetic anomaly. Mosaics are tricky. Some cells are normal. Some are not. The end result can vary. I searched everywhere at my disposal professionally. 

Nothing. 

So then I turned to Google. 

“Likely no developmental delays. No fertility issues. Phenotypically normal appearance.”

I breathed a sigh of relief. I was still sending them to genetics but I wanted to be able to reassure the family if I could. It had been a very emotional pregnancy.

And since then I have been thinking about this more and more.

Now that OB/Gyns are offering, and sometimes pushing, these more advanced genetic tests during pregnancy I wonder what it is going to mean for the babies as they grow up. We would have never known there was an issue genetically for this child 10 years ago. We just would not care. They would have grown up as a “normal” child. Now this kiddo will have “sex chromosome anomaly” hanging around their neck for the rest of their life. 

Is more information really better? Just because we can do something… should we?

Maybe not.

A Discourse on Intercourse

Philadelphia building

“Doc, I just want her to have sex with me. I come home after working hard and I want to make love to my wife but she’s not interested.”

I went into my usual discussion about wooing and foreplay and questions about their relationship but I was getting nowhere fast. It always feels incredibly silly for me to be giving anyone marriage advice, as if I have everything figured out, but here I was. Again. 

“Wait. Don’t you work out of town all week?”

He shrugged. “Yeah. So?”

“Look, you and she have four kids under the age of eight and five out of seven days out of any given week she is a single parent also working a full time job. You come home Friday night and want to get busy when she is exhausted and really just wants to finally get some good sleep? That is not math that is going to add up.”

“Can’t you just give her a pill?”

“Uh, no.”

“Then can you tell her she needs to lose some weight? Start exercising?”

I looked over at her, sitting silently in the corner. She was not obese. She sure did tired. She rolled her eyes.

“Tell you what, here is the name and contact info for a good marriage counselor…”