Gratefulness

Obviously the woman in this photo has not yet tried her neti pot!!

And so

Our glad hearts, accepting the miracle of this moment, this breath, this day, this life—that is the foundation of all sanity. Terry Patten

The foundations of sanity. I am trying to complain and murmur less. That is hard when you have a cold/virus that is kicking your butt. But I am trying to maintain a glad heart, the foundation of all sanity!

I had an already scheduled doctor appointment. I got sick on a week ago last Monday and saw doc on Tuesday. He determined it was the nasty virus that is going around. At least it is not Covid or flu. He did say I was still contagious and should not participate in Senior Center crochet/knit group Christmas party. So Bob helped me drop off the decorations, set them up and then return home. I wore an N95 mask the entire time. Forgot how much I disliked those! He was gracious enough to return after the party and pick up the things I keep from party to party.

Doc strongly suggested I use a Neti Pot to rinse my sinuses. Have you had the joy of using one of those? Yikes. When I was a child in the 1950s mom would use saline nose drops on my sister and I when we got a bad cold. We thought she was trying to drown us. That was nothing compared to the neti pot!

Doctor stressed I am to use distilled water for this activity as tap water has bacteria in it. Gross. I warm 1 cup distilled water for about 30 seconds in the microwave to take the chill off it. Stir in salt packet designed for rinsing sinuses. Place in the neti pot. (I keep a soft towel handy for blowing my nose.) There used to be a vulgar saying about, “bend over and kiss your *** goodbye.” Yeah sort of like that! I try to just not think about it too much while I am enduring it!!

You let the fluid run into one side of your nose and out the other nostril. No drinking it or swallowing it, just flush. I bend over the sink to do it. There were some photos of people catching it in a basin. For me that would take too much coordination! This is a once a day ordeal.

Doc told me the benefit is to flush out congestion so the virus cannot grow into a bacterial infection. That would be worse than what I have. Who invented these things? Evidently the practice dates back 5,000 years and what we currently use in the USA is an improvement over the older methods. If I think too hard about it my mind wonders about waterboarding, no offense to any veterans who suffered that torture.

So I celebrate this day, THIS BREATH, this life and try to be grateful for the neti pot and our fine medical care. At least on this day, when our outside temperature is 9 degrees, I get to warm the water before I flush! Guard your heart and keep it glad!!

And then the Calendar got MORE full!

This week will not be any better than last week. We both have multiple medical appointments. I am trying to figure out a new schedule but as loaded as this schedule is there is NO wiggle room. If only I did not need an afternoon rest! If only my fatigue did not ramp up after 6 PM!

I just remembered the “If-onlys” can lead to increased emotional and mental suffering. I do not want to go there. This month we celebrate 55 years of marriage. In November I turn 75 years old. This is my life right now and I am never alone. God walks with me and also guides my steps.

1 Thessalonians KJV implores us to “rejoice evermore.”

 Rejoice always,  pray continually, give thanks in all circumstances; for this is God’s will for you in Christ Jesus. Do not quench the Spirit. 1 Thessalonians 5:16-19

I rejoice that we have access to such good medical care. I rejoice that we are able to afford what the physicians and their assistants wast us to buy, be it medication or physical therapy or devices to aid in healing.

I rejoice that Bob and I are able to cheer each other on when one of us gets low.

I pray for healing, not only for ourselves. We have a neighbor who is not going to get well from Parkinson’s. I pray that neighbor can have the best life possible and find ways to cheer the family and self.

I give thanks for the flowers that have survived the drought so far. I ask for grace as I drag one the hose again. Not a drop of rain the forecast.

Okay, my ship is beached for now – but not forever!

Would you get hold of the passage above and form prayers,, thanksgiving and rejoicing for yourself and those you know?

Decisions, Decisions

Test results are in. The CT scan confirmed I have “fusiform aneurysmal dilatation of the ascending thoracic aorta at 5.0 cm. Mild coronary calcification.”

Fusiform means the aneurysm is all around the vessel, not just one side. Dilatation means enlarged.

I have no symptoms. Remember we had no idea in December 2024 that an aneurysm even existed in me. Only the echo-cardiogram in January 2025 brought it to light. What would our grandparents have done? Thinking they would just leave it alone. So far, 2025 has been a wild ride. I have decided that if the doctor suggests surgery I am going to refuse. The newest endovascular techniques that do not require open heart surgery have not been approved for the thoracic ascending aorta. They also have a high incidence of leakage.

What? I have no leakage now! So I have decided no heart surgery in my future. I turn 75 this year. Why would I put myself through that? The incision would be large and the recovery a bear. I already have fibromyalgia. I do not want to imagine how that would flare up with open heart surgery!!

When the doctor read the report he texted, “Ascending aorta measures 5.0 cm compared to 4.8 cm by prior CMR evaluation. We will continue to monitor closely for surgical timing. No intervention needed just yet. Will discuss further at our visit in September.”

News from the patient. He will have to talk long and hard to ever convince me to undergo open heart surgery. If the aneurysm bursts then the odds of death are high and rapid. Hopefully, not too painful, but we are talking death here.

Yes, there are many wonderful things the medical world can do. There are also some awful things like prolonging life when it might be more loving to just let someone go on to the arms of God. Mom always said she did not want to live as a vegetable. I do not want to be kept alive after my expiration date just because the medical world has found a way to prolong my time here.

I continue to pray for wisdom and guidance from the Lord.

Bob’s Recovery

It is always a relief when the Doctor calls and tells you, “The surgery went fine. He did well.” Total knee replacement is in the rear view mirror. The opening photo is minutes after getting home from the surgery. You can see he is still wearing the wrist band!

Bob’s recovery has gone very well. He is making rapid progress. He always sets such high expectations for himself, at times I have had to try to convince him he is NOT Superman! The opioid medication was only used 2 or 3 times. The new medication Journax along with Tylenol are carrying him along very well.

First physical therapy was rough, but he made it through. I did not have to convince him to allow the ice machine at the end of it! Watching the therapist put the compression sock on his leg taught me how best to do it. Yep, Nurse Molly is in full swing here! He was delighted when therapist said he could quit using the black knee immobilizer. It was causing him much discomfort.

I was laughing the first time I washed his white stockings and thought of the old World War II era movies and women hanging their stockings to dry.

Joan Crawford. No I was not wearing that outfit or those high heels as I hung the stockings to dry!!

The recommendation not to use the walker with wheels and brakes was absolutely correct! He saw right away how it might get away from him, especially on the hill that is our driveway. Wednesday morning surgery and Sunday afternoon he used the basic walker to go down the drive and walk 2 driveways to our right and one to our left.

Rolling in my sewing chair he is making his knee bend more than it wants to, as directed. He is doing his exercises regularly so far! He wants to walk the dog. I said no. First of all she is terrified of that walker (and anything else new to the house). How is he going to accomplish that? He swears he is going to use only the cane before the therapist says that is okay. We will wait until she says he can park the walker. He also declared he is going to be driving asap. Yeah, right. Guess I better hide the extra car keys!!

Thank you for your prayers and cards, meals and phone calls inquiring how he is doing.

Do not be anxious about anything, but in every situation, by prayer and petition, with thanksgiving, present your requests to God.  Philippians 4:6-7

So do not fear, for I am with you; do not be dismayed, for I am your God. I will strengthen you and help you; I will uphold you with my righteous right hand.  Isaiah 41:10

Therefore, strengthen your feeble arms and weak knees.  “Make level paths for your feet,” so that the lame may not be disabled, but rather healed. Hebrews 12:12-13 NIV

Waiting

Have you ever waited for medical results? It is no fun. No matter how hard I try to relax all the What-if’s jump in the ring haranguing their point of view.

It is like being on Tenterhooks. Miriam Webster site says: “On tenterhooks” means “waiting nervously for something to happen.” The word tenter means “a frame used for drying and stretching cloth” and is related to tent, so being “on tenterhooks” compares the tenseness of the stretched fabric to the tension of nervous waiting. I thought a tenterhook was more like a meat hook!

The latest cardiac test was a 10 minute visit to the CAT scan machine. I kid you not, start to finish. Lie down. Put your arms over your head. Slide into the machine. Only twice was I asked to take a deep breath and hold it. Now I wait for the results.

Wait, is that a cardiac surgeon sharpening her knife?!?!

My daughter was all in my face saying, “And if they post the results before your appointment you will be online trying to figure out what is next and getting all worked up!” Really, I do not think so.

There are only a couple of options. Live with the aneurysm as our grandparents did, oblivious to the presence of it and perhaps have it pop and drop dead. Not too bad a way to go. At least I would not be a vegetable in some ward.

If they want surgery then I have to decide if that is a yes or no from me. I have no cardiac symptoms. My blood pressure is being regulated with 3 prescriptions. The most reliable sources I have read, Mayo Clinic and Cleveland Clinic, say open heart surgery is what is needed to replace an aorta. Doesn’t that sound HUGELY invasive?

Twiddle my thumbs and wonder.

Instead, I have begun the age-old American coping mechanism of emotional eating. Doesn’t solve a thing, but it tastes mighty good. Until it doesn’t. Because I know this is not going to solve anything. I will stop before long. Besides, I work hard to keep that A1C down. Why spoil those results now?

There are new techniques being developed that are less invasive. They are already being used for abdominal aneurysms. Remember the saying, “Not quite ready for prime time”? They are just occasionally being used for the type of aneurysm I have. Not certain I want to be in the beginning group of patients if my cardiologist suggests it. These less invasive methods are not approved for use in the USA yet. There is also a high percentage of leakage from those. I have no leakage now.

Please pray for me to have wisdom from on high for this decision!

The Book of Common Prayer has this lovely prayer:

Page 461 For Trust in God
O God, the source of all health;
So fill my heart with faith in your love,
that with calm expectancy
I may make room for your power to possess me,
and gracefully accept your healing;
through Jesus Christ our Lord. Amen.

The results are in! Aneurysm measures 5 cm. Now I wait for my appointment with cardiologist in mid-September. Even this moment I am leaning towards do nothing and exit this earth however that may be.

Please pray the Lord will give Bob and me wisdom about all of this. His knee surgery is this Wednesday 7 AM.

What will I share this week?

This is a month of changes. My husband will undergo knee replacement surgery this month. We are thinking his years of playing catcher in baseball and then doing the breast stroke among others on swim teams for many, many years contributed to the destruction of the cushioning in his knee. He is walking the dog and riding his bike with bone on bone at this point. Two meniscus repairs did not help either! They took measurements through his CT scan to fit the replacement parts with more accuracy than was available in years prior to this event.

We will doing all of his recovery at home. It is somewhat amazing after watching the video in the surgeon’s office that they think this is so advanced and safe that I will be his caregiver! Watching the video we both realized this is no little thing they will be doing to him. They also informed us that he will be up and walking immediately after surgery. Yes, he will need a walker or crutches for stability, but he is expected to walk regularly the day of surgery and thereafter. None of this lollygagging around in bed!

Evidently the surgery has made huge advances in the last 20 years and our particular surgeon is extremely careful. Bob will even be using a nasal antibiotic before the surgery as well as antibacterial body wash, etc.

There is a new pain medication on the market called Journavx. “JOURNAVX is a prescription medicine used to treat adults with moderate-to-severe short-term (acute) pain.” Evidently if works through the peripheral nervous system which is outside your brain and spinal column. This is used instead of opioids. According to our surgeon patients are recovering faster and not having the side effects and addiction risk of opioids. If nothing else, this will be a grand experiment in the effects of as Bob calls it, “Better living through modern chemistry! “

He has nice legs, but not like hers!

We practiced Bob getting in and out of the car with the immobilizer brace on his leg. He has to wear this any time he is up and walking until Physical Therapy releases him from it. They warned us he might have to use the back seat for the ride home. Yep! It was way too difficult for him to maneuver into the front seat. Hopefully that will not become his usual place to ride in the car! He is already unhappy at being told he may not drive for 4 weeks. The surgery is on his right knee. He told one friend he is going to put the number for Uber in his phone. He is not good at just being at home. I figure by the time he gets in and out of the car for physical therapy and doctor appointments, a nap at home might sound good! The heat has been getting both of us down.

Equipped with a leg immobilizer, walker, crutches, cane, a list of medications and printed schedule for taking them, the electric ice machine, leg compression stockings, (oh my I will be busy, won’t I?) we are prayed up and almost ready. Wednesday August 27 at 7 AM is the big day! So many people who have had the same surgery speak of how nice it is to not be in pain anymore. We have been told that the first two weeks are the hardest. I will be rearranging my schedule to accommodate his needs. He had so often been my caregiver. After almost 55 years this is not a burden or unexpected. He is the love of my life and I want him as comfortable and healthy as possible. Of course, I might have to tie him to a chair at times to get him to rest, but then I might also have to chase him around the house with the threat of a fly swatter spanking to keep him moving. Just kidding. I think?!?

There was a saying that after forty you just patch, patch, patch. I think after seventy you just crumble. Thank God we have access to so many kinds of fixes!

Walkers, Canes and Assistive Devices

Modern society has created a myriad of ways to help us stay mobile while we age. At the Convent there are many Sisters who need those devices to get around. Father David Pfaff has visited the Convent often as a fill-in priest to do a service when Father Tom must be away. This weekend as retreat leader he said he spent more time with the sisters than in the past.

He decided to scrap his Sunday morning homily to speak on what he observed while among the sisters, oblates and associates. Sadly, the sermon was not recorded and he did not make notes for it. It was so anointed and such a blessing to those in attendance! One sister who had seemed serious all weekend broke out into a beautiful smile as he spoke.

Later, I asked him via email for his notes. This is what he sent.

“In a nutshell, walking assistive devices are visible reminders that we all need God’s grace to support in our lives, and watching the sisters manage their walkers in a way that I believe shows something of what God invites us to in the ‘great divine dance’ which is God’s grace and love for us.”

As best I remember, he pointed out that the devices are like a sacrament, “an outward and visible sign of an inward invisible grace.” God supports and aids us in our journey. For some the walker has a seat and a storage box. Some have large wheels, others small ones. Some have places to lean the forearms. A few have fabric laced with ribbon over the front of the frame. Rather than resenting and disliking the walker, we can embrace it just as we embrace God’s care for us.

That is a minimal sketch of his delightful talk. As I recall he also mentioned that he was impressed by how Sr. Hope assisted Sr. Marion when she moved from her walker to her chair. He noticed how each of us yielded to the ones with assistive devices when it came to a narrow path.

I once heard someone refer to her walker as a cage. That is sad. I hope this entry might help even one person re-frame the walker assistance idea. Yes, the walker surrounds with bars and handles, but for a good reason – support. I pray that when it comes time for me to use an assistive device such as a walker I can remember it as David Pfaff painted this lovely portrait last weekend.

Awoke Singing This

Some days I wonder do my dreams and worries inform my first thoughts upon waking up or is it all under control of the Holy Spirit?

For a few days I have recurrent thoughts about the cardiac surgery they say I will need sooner rather than later. Part of me wonders what if I do not have the surgery? All of that runs underneath the day to day thoughts.

My daughter’s mother-in-law died yesterday. Evidently she was sitting on the side of her bed, getting dressed. It appears she had a stroke? She fell backwards and just lay down on the bed. She was a catholic woman who lost her husband and her mother. While hospitalized a few years ago she was tested and doctors decided she had lost some of her executive reasoning abilities. She had to move into a retirement community. She did not like it very much, but there were so many things she did not like very much! May she rest in peace.

My husband, Bob, had recently taken her to Frisch’s for lunch, always her first choice. She had just seen her family for a celebration Easter weekend.

What does all this have to do with me? Margie was ten years older than I am. My death became a poignant fact with the aneurysm diagnosis last January. No one know when the Lord will call us home. Only God knows the day and the hour.

This morning when I awoke some of the lines from this song were rolling through my brain. Took me a while to wake up and capture it. This is a Catholic hymn based on several Scriptures. I chose to share this version because it provides the lyrics.

I have listened to the song several times this morning. I would be lying if I said that took care of any disquiet I have from the aneurysm I carry with me. NOT. The next scan will be a CT scan in August to determine if the thing has grown. Cardiologist will determine when to refer me to cardiac surgeon. Until then, as I do daily, I must trust in the Lord and walk in obedience to all I am asked to do for the Holy Trinity.

Bob jokes around about cremation which we both have chosen instead of burial. The funeral home down the street has been busy for the last year building a huge garage looking thing on the adjoining lot which they purchased. I called them this morning and yes, indeed, it is going to be a crematorium. The dictionary is so uncouth.

Crematorium: A furnace or establishment for the incineration of corpses.

He cracks a joke every single time we drive past, which is practically daily! I wonder if he thinks the same things while he is alone in the car? I told him he needs to stop or I will have weird flashbacks if he dies first. Yep, at our age these discussions occur with some regularity!

I chose cremation because I do not want any chance that I will get this body back in the afterlife. God knows the wishes of my soul. I told the funeral director I want the box the casket comes in, not some expensive casket.

Yep! There it is plain brown cardboard 🙂 from https://www.thefuneraloutlet.com/product/brown-cardboard-coffin/

I write all this as my daughter and her family go to the funeral home today to make arrangements. I have no idea if Margie had pre-planned her funeral. I hope so. No one wants to make all of those decisions while grappling with grief. Again, may she rest in peace.

Can You Relate?

Many women in America suffer from body image disgust. I came across a photo from when my kids were little. We were at a beach and I was in a swimsuit. I can remember seeing myself in that swimsuit and thinking at the time how I needed to lose weight. Looking at it now, “NOT SO!” I had a great figure.

Are there things about yourself you do not like or accept? When the diagnosis of aneurysm came I started to think my body had failed me. Yet, someone mentioned to me that one neurologist believes that this flaw in a blood vessel may have been there since birth and gradually weakened and enlarged over time!

There is great power in accepting things as they are, not wishing our lives were different as much as adjusting our expectations to how things truly are. One powerful book teaches that concept. “Radical Acceptance” has helped me avoid unnecessary suffering by coming to terms with reality. Tara Brach teaches, similar to Brother Lawrence, that we should cut short the negative thoughts and go for the ideas that move us forward.

And I said to my body, softly, “I want to be your friend.” It took a long breath. And replied, “I have been waiting my whole life for this.” Nayyirah Waheed

Isn’t that quote a lovely word picture? Are we willing to befriend our body and do whatever is necessary for the best care we can give it? One man I know is reluctant to participate in physical therapy. When PT is prescribed there is something we need help working on to get us to the best place possible.

I could list a thousand ways these ideas apply. You likely know your own ways. So try to befriend your earthen vessel and inhabit it as best you can, giving the best care you can.

Recently we were given tickets to see the Wizard of Oz ballet. What a treat! I was reminded as the Scarecrow wanted a brain; the Tin Man pined for a heart and the Cowardly Lion was desperate for courage, how I likely have all the things I need for my journey on earth. The Wizard showed the Tin Man, Scarecrow and Lion that they had already shown heart , brains and courage on the journey with Dorothy.

His divine power has given us everything we need for a godly life through our knowledge of him who called us by his own glory and goodness. 2 Peter 1:3 NIV

Our God is more mighty than any pretend Wizard. He has promised and given us everything we need, as Peter wrote, for a godly life. Why should we belittle and denigrate what He has created? We ARE His workmanship. Thankfulness will get us further than shame and negative thinking. I pray you will go forward in this life thanking the Lord for how you are created.

For we are his workmanship, created in Christ Jesus unto good works, which God hath before ordained that we should walk in them. Ephesians 2:10 NIV

But we have this treasure in jars of clay to show that this all-surpassing power is from God and not from us. 2 Corinthians 4:7 NIV

Chonda Pierce used to say this verse shows that we are all crackpots!

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Uncertainty

Many world religions teach us the importance of learning how to live with uncertainty. Most of us are not very good at it! I read this quote recently from Gratitude. It hit me right where I have been living.

Peace is an invitation in daily life to breathe deep, right here, in the uncertainty. Morgan Harper Nichols

Learning to live with the knowledge that I have a large aortic aneurysm has been difficult and very unsettling. Knowing my God calls me to a life of peace has me wondering how to tap this particular dance. (My sister took tap lessons, not me. I remember her reciting shuffle-ball-step.)

My Internist convinced me that I cannot continue to live in this high state of stress. Doing so for 2 months has caused a massive, ugly fibromyalgia flare. Fibro is a nasty condition addressed in other blog pages. Suffice it to say my body became a train wreck.

I began returning to some of the best teachers I know regarding good mental health. Rick Hanson.net has many resources from this renowned Psychologist. One of his books came to me by way of my sister. I passed it along to my granddaughter. Now I am buying another one for myself!

Resting in Calm Strength: When you recognize that you are basically all right in the present moment, you can release unnecessary anxiety. This isn’t about denying real threats or challenges but rather about not letting anxiety run the show when you are, in fact, safe.

I have prayed and asked the Lord for help with all of this. Deliverance came with realization that this aneurysm may have been present for decades! Now that we are aware of of it, doctors can monitor and treat it. Yes, I very likely will need open heart surgery at some time in the future, but I am in fact all right now.

This is not to say I will remain calm and full of equanimity when the time comes to book that surgery. It just says I can cope in the here and now – this moment – without dwelling in that high anxiety constantly. Perhaps with practice I will be able to face the surgery with peace and calm? The hard work of re-framing all of this plus the three blood pressure medications they have me on seem to finally be bringing my blood pressure down. Now, to maintain those lower numbers!

It has been difficult, but not impossible to let go of those aneurysm thoughts. With practice and diligence I have been able to lay most of them aside. I realized browsing though Hansen’s webpages that I had used the old, ugly habit of rumination with the aneurysm. Rumination is based on negative, obsessive thoughts and it drags me down to the lowest places. Here is a blog entry I wrote about it in 2022. https://treasures-in-plain-sight.org/2022/07/21/rumination/

So I have signed up for his 5 week course entitled Breaking Out of Rumination. Dr. Hanson says that rumination “is very normal, and problematic in the extreme.” I am looking forward to getting a handle on how to stop myself from this habit. I likely learned it from my family of origin – that inability to let something go – just hashing and re-hashing it over and over again. Plus, more good news, when I actually went to sign up the course was half-off!

My writing may drop to 4 blogs a week as I put more work into preparing the poetry for publication. I am also pulling blog entries to try to organize into booklets for publication. Yes! I found an editor and now need to apply myself to the new work of compiling, editing for my part, sending them to her for edits, revising, preparing for publication, open an Amazon self-publishing account, etc.etc.

That certainly gives me other things to think about. My Internist encouraged me to put my focus there!

You will keep in perfect peace
    those whose minds are steadfast, {staid on Thee}
    because they trust in you.
Isaiah 26:3 NIV