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Patience above! I am up to my oxters in work this week. It’s not been ‘bad’ but nonstop, like Lucy’s chocolate conveyor belt scene minus the charms. I am looking forward to the weekend for a break from work – although there is no lack of homework to do, worse luck. The weekend ‘there’s-work-to-be-done’ list is as long as a summer night in Norway, so there will not much sitting still.

It is the Friday before a three-day weekend. Traditionally this is a combination of more than usual ‘no-shows’ as people forget they have appointments combined with frantic calls for prescriptions from thems going out of town. Both actions have diminished with the internet. It’s easy now to check in for a twenty minute obligation appointment online or on the phone, and Rx can be sent with the push of a button. Alas Babylon! This morning the EHR prescription site is being difficult: I can’t send out prescriptions of a controlled nature – and on the eve of a holiday! The orchestra of scorched cats will be particularly loud, in A-minor.

I cannot remember when I last visited the blogger buddies; I am looking forward to this pleasurable past time. I am eager to get caught up on all the news that’s fit to print. Shenanigans unfit for print can be texted.

Gotta scram, 8AM approaches and the games begin. I remind myself despite the Fafner’s hoard of work before me today I have gone through thirty years of Fridays before Memorial Day and I will get through this one. I mark the start of summer by wearing the first Spo-shirt for Fridays, although it is last season’s and there will be talk.

Hugs and see you soon with something more substantial

Spo

BERJAYA

What’s top of my mind: Memorial Day weekend. Patience above! Memorial Day weekend starts this Friday! The weekend ‘there’s-work-to-be-done’ list is as long as my inseam. This includes: changing the AC filters; hanging the SHAG print; dry cleaning the jackets; sharpening the kitchen knives (they are quite dull). There is lots more. After all what is Memorial Day weekend for?

What are you doing this weekend?

Where I’ve been: Several iPhone stores. Having foolishly left behind the laptop cord at home last weekend I took the opportunity to visit the various airport stores to look for a replacement. The salesmen were quite courteous and well over four feet; they seemed to know what they were doing. Every time I pulled out the 2012 laptop they looked puzzled as if they have never seen such a thing before. One salesmen seemed younger than the laptop. Alas, Babylon! The cords for sale did not fit, not even close. It was page 71 as the stores had heaps of all sorts but none connected to the laptop. The salesman in Arizona looked as disappointed as I probably because I was to be their only customer that day.

Where I’m going: A walking seminar. Someone and I attend a walking programme from August to November. This will be our third year. Maria, our intrepid leader, has some sort of seminar this weekend to enhance efficacy and quickness of walking. I am not too interested in walking fast but I like efficacy and I would like not to be the last man over the line for once. We are going for a look-see. I hope I am not in too bad of shape to attend.

What I’m watching: The post, for a package from Nova Scotia. Urs Truly likes board games (although I am not very good at them, worse luck). There is a game called Marcala, consisting of two rows of shallow bowls that hold stones or marbles. The two players move these items about to get as many as possible into his or her home dish. Jolly good fun! I was going to write Mr. Bezos to send me one (he has heaps) but it turns out Norm (the dear!) has one in his antique store. Much better! When I play the game I will think of him. Goodness knows if and when the package get throughs the barbed wire fence Canada sensibly installed at the border. It gives me something to look forward to. When I play, I plan to use Skittles.

BERJAYA

What I’m reading: The Day of the triffids. After decades of warning others (I’m looking at you Walter!) about these awful beings, I figured I would read the original story to learn where they come from. For thems unfamiliar with triffids, they are tall carnivorous plants that use a whip-like stamen to stun their prey. They also ambulate when necessary. Oh the horror.

Has anyone read this book?

What I’m listening to: The baas of the lost sheep. I have discovered a quick way of checking the status of a patient when they or the pharmacy contacts me for a refill. Thems who haven’t been in for a while or have seemingly disappeared as referred as the lost sheep. If I notice one hasn’t been in for awhile, I tell the pharmacy not to fill the prescription but tell the patient to call us first and get an appointment on the books, and then I will fill it. Recently my daily roster has a handful of folks not in since last autumn, and one was living off of refills since August. Happily, most of them are just fine, so they just hadn’t thought to come in (although I ask them to return every three months). However there have been some grumblers who don’t see why they have to come in when they are doing just fine. Because I sign my name to their prescriptions that’s why.

What I’m eating: Dungeons and Dragons Chinese carry-out. On Wednesdays I order from China Chile, the nearby restaurant. They do a a good job. There are twelve lunch specials, and by now I’ve had them all. When I can’t decide which one, I roll the twelve-sided Dungeons and Dragons dice located in my office desk (all psychiatrists got one) and order that. I will roll again if it come us ‘tofu with vegetables” – that one isn’t very good.

BERJAYA

Wild card what-not: I was at work the other day, minding my own business, when The Medical assistant came into my office, carrying a bouquet of yellow flowers. Patience above! What is this? Someone sent them as a ‘just because’ item along with a card stating he was sorry he hadn’t gone to Michigan with me last weekend. Ain’t that sweet? I placed the flowers in the waiting room for all to see and smell.

When was the last time you bought someone flowers? Why dontcha?

Who gets a fist-bump: The executor of my late Godfather. The executor of my late Godfather (who happens to be his next door neighbor) contacted me about some money that is coming my way. I told him what really mattered was retrieving from his library a photograph taken of me in my late 20s. Could he find it? I described it as well as I could. He texted me the other day with a photo: is this the photo? Yes! It was! It wasn’t in the frame I described; George must have reframed it. Mr. executor will send it to me in time. The dear!

What I’m planning: Macaroni salad. Every Memorial Day I make me a large bowl of macaroni salad, and not just any type but proper no rubbish type. Do not dare to question this.

What’s making me smile: Family. Last weekend I had a blast seeing the bros and the cousins from both side of the family tree. The ones from dad’s side braved horrific travel conditions to make it in. There was nonstop laughter. I am blessed to have such a loving family.

BERJAYA

Brother #4; #2; #3; #1 (Urs Truly)

BERJAYA

Thems on the maternal side: all well over four feet.

One of last weekend’s post-memorial service tasks was going through some of the albums to a look-see at the photos. We have heaps. Some of the pictures go back to the 50s and maybe the 40s. Which ones do we keep and which ones do we throw out?* Most of the photos elicit emotions of ‘Oh! I remember that!” which slows down the task of sorting as we all stop to laugh and reminisce.


Among the hundreds of photos were a handful that caused us to say “what the heck is this?” Here is one of those:

BERJAYA

Behold Urs Truly, a long time ago in a galaxy far, far away. So many questions here. The only thing recognized is the background, which are the apartments we lived in, located in Saint Clair Shores Michigan. The rest is a mystery. Who dressed me up like this, and why? I cannot imagine this was my ‘everyday wear”. It looks like I am dressed for some formal occasion like Easter Sunday church service. Am I wearing socks or some groovy 60s-style leggings? All I can say is whoever did the accessories did a lousy job for the purse doesn’t match the outfit.

I don’t know if I am standing behind a car we once had or not. What kind of car is it anyway? I have a vague false memory we had a white car like the one in the background. And then there is that apple basket on its side: what on earth is it doing there? Father had a good head for photography; I daresay if he took this he would have removed it.

Given the ribald response from my brothers and cousins I decided to keep this one.

Spo-fans are encouraged to give theory as to what’s going on, and to anyone old or savvy enough to identify the vehicle, the winner gets a brand new sand bucket.

*This is a good place as any to pause to lecture folks to always label your photos with when it was taken and who is in the picture. It may have been all obvious at the time of the shooting but memories go sooner than you think.

Kenopsia: the eeriness of places left behind, such as an empty house or a deserted school. It comes from ancient Greek words meaning emptiness and seeing, and captures the feeling of nostalgia and loss.

My late father’s memorial service was conducted at the family’s long time church in Grosse Pointe Woods. The family started going in the early 60s. The Grosse Pointe Congregational church has been integral to my family ever since. Can you imagine, going to the same place of so long? I haven’t seen it since 2020, when my mother died and due to COVID we did not go in. Who knows when I was last in?

What a mixture of emotions to step into a place I have known all your life but haven’t seen in ages. Most of the place, including the smell, was just as it always was. This felt so comforting like how your grandparent’s living room feels and smells. But there were noticeable changes, such as the ‘new’ back entrance. Chances are it’s been there for decades. That’s the problem with places: when you leave them a part of you wants them to stay just as they are.

People forget the majority of places like churches, schools, and houses go on without you. As soon as you step out someone else steps in and takes over and makes it their own. The inventor of the word kenopsia points out if places are haunted. it is ourselves who are doing the haunting, hoping to stay in a way not wanting to let it go entirely.

The service was a lovely one. In theory it was reserved for immediate friends and family. However, in the back were a handful of old folks, whom I didn’t recognize. I went to introduce myself as the eldest of the deceased and who are you? These quiet sad ancients were members of the church; they had come to pay their respects. They had known my parents all this time. Some of them even remembered, although I couldn’t recall any of them. It made total sense they should come, as a church is a family, and they were family members. Most of them sat in the back, like a metaphor they too were in decline, soon they would be shades themselves, in the columbarium outside where my parent’s ashes lay.

After the service I had the sensation I will not see the church again. Attendance and membership have declined as so many churches have. There is a foreboding it will close or merge with another church also in decline. The property will be sold and the church torn down, becoming only a memory. Meanwhile, my spirit wanders the halls, remembering the potlucks, the Christmas workshops, and the after-service coffee talks that we kids so desperately wanted done with to go home.

I apologize to Spo-fans and The Board of Directors Here at Spo-reflections (in that order) I’ve not been online all weekend. Last Thorsday I announced I was flying to Michigan for a funeral and then I left you hanging. The explanation is a simple one: I forgot at home the charge cord to my laptop. What little power it had I reserved for online work-related endeavors like renewing prescriptions. Lord love us if folks don’t get their Xanax! Both airports (DTW and PHX) had iPhone stores but my laptop is so old (2012, can you imagine?) there were no charge cords for sale.*  Brother #3 had no lack of charge cords but none fit, worse luck. I had to return home Sunday night to plug it in to write this.

The weekend a whirlwind of friends and relations and father’s memorial service was lovely. I have enough blogging fodder for many entires. 

Alas, Babylon! I am too tired to type more. I am going to unpack and do some laundry (it’s Sunday after all) and go to bed (for I am still on EST) and get some much-needed sleep. I write anon.

I hope you have been well and in my absence have avoided wickedness and abjured profligate past times. 

Hugs,

Spo

*Thems at Apple keep changing the shape of the charge cords, forcing one to buy new ones. Stirges.

BERJAYA

Thorsday is travel day; I am flying to DTW. I am old hat at this having gone 2-3x a year to house sit and such while Father was alive. Now I am going for his memorial. On the plane I will compose my eulogy for tomorrow’s service. The word ‘fortunate’ keeps coming up. He was a very fortunate man. He loved his wife of 50+ years; he had four sons whom he adored; he had a handful of grandchildren, one named after him. He liked his work (attorney) and he loved his hobbies (freighters). And at the end, rather than being alone in an assisted nursing center he lived with family. He managed to charm some of the night staff into going above and beyond in caring for him. I daresay one served as an ersatz second spouse. What more does a man want in life?

Without meaning to he managed to inchoate into his descendants a handful of slogans such as ‘there’s work to be done!” and “keep it sweet beet!” Last night on a zoom call to finalize some funeral matters, my brothers and I couldn’t focus but kept laughing with dad jokes and statements. We grow up vowing to not become our parents and then we do. In his grave Sigmund Freud is having a good laugh.

The weekend is unlikely to be a sad one, as all the relations are gathering. Tonight some/most of us are having supper with Uncle David my mother’s brother and I daresay some of the cousins will be there as well. Nonstop laughter and talking. Oh the noise! There will be bonuses of freshly laid eggs and a few books waiting for me at Two Dandelions Bookstore in town. Hot puppies indeed! I am certain to write about the service so that’s for a later post.

I am packing a large suitcase as every time I visit Michigan I come home with booty. Brother #3’s basement is full up with our parents things, including Mother’s figurine collections that no one wants and the thrift stores won’t accept. They have become a sort of ‘passing the runes” they may get snuck into my take home luggage. What i want to bring home are two bottles of whisky I purchased in February on our Kentucky adventure, that I forgot last time I was there. I haven’t opened the bottles I managed to bring home, so more really isn’t necessary. Perhaps I will break them open for the post-ceremony Brother #4 shindig which now sounds to bigger than a block party.

There is a sobering thought this may be my last trip to Michigan in goodness how long. With father gone there is no need to travel to babysit dad, house, dogs, cat, and chickens. Father’s onetime night aide earns money coming over to tend things. It may be I don’t return until another funeral, perhaps Uncle David’s. He is the last of that generation. I plan to spend extra time with him for this reason.

BERJAYA

I hope this Wednesday meme isn’t growing stale and uninteresting. Writing it every Wednesday gives me structure; it gets me to stop and contemplate what’s happening in my world. I will continue doing it so long as the Spo-fans like them and The Board of Directors Here at Spo-reflections doesn’t chop off a toe. Spo.

What’s top of my mind: Money. Mind! I am not worried about the stuff. It’s just I’ve become more educated about finances, where ours things is. I watch the savings accounts and where we are spend our pennies. These are interesting times. I watch Fidelity (work), Charles Schwab (my inheritance money), and Merrill Lynch (our savings). I catch myself following things too closely, which is a time-suck and detrimental to the goal of staying the course through good times and bad.

Where I’ve been: Illinois. It was pleasant being back in Chicago and even more so in Elgin. The weekend was bright and sunny, a lovely spring day – just perfect for the outdoors memorial service. Nice.

Where I’m going: Michigan. Tomorrow I fly to Michigan, Land of Perpetual Snow and Ice, to attend another memorial service, my late father’s. Mother died in 2020 during COVID times so she had no service. Father is getting a gathering of friends and relations for a proper ceremony. He asked “Hail to the Victors” be played at his funeral. Oh the pain.

What I’m watching: The Overlord Barons. The Overlords have are more layers of echelons than a torte cake. Thems on top are playing musical chairs or reenacting The War of the Roses. They send out a lot of group emails announcing who is stepping down or up. These emails are filled with flowery words of honor, regrets etc. always with how wonderful it is to work here and you the employees are the best, ala young Mr. Grace at Grace Brothers telling the staff (whom he doesn’t know) ‘you are all doing wonderful”.

What I’m reading: Shirley Jackson. While in Chicago we went to The Unabridged Bookstore, a small independently owned store that was there when I lived in the neighborhood in the early 90s, can you imagine? I do not go in and out of a bookshop without buying a book. They didn’t have any books on my list of wants (I carry that list around in my iPhone) but I stumbled across others. I found Shirley Jackson’s “We have always lived in the castle”. For thems unfamiliar with her, Ms. Jackson wrote the famous short story “The lottery” and the best haunted house book that ever was “The Haunting of Hill House ( do not dare to question this).

The ‘castle’ book has one of the best opening paragraphs in all literature:

My name is Mary Katherine Blackwood. I am eighteen years old, and I live with my sister Constance. I have often thought that with any luck at all I could have been born a werewolf, because the two middle fingers on both my hands are the same length, but I have had to be content with what I had. I dislike washing myself, and dogs, and noise. I like my sister Constance, and Richard Plantagenet, and Amanita phalloides, the death-cup mushroom. Everyone else in my family is dead.

Have you read any Shirley Jackson?

What I’m listening to: An orchestra of scorched cats consisting of patients who took their medications not as prescribed. One of the challenges in my job is thems with anxiety taking tranquilizers. They have a tendency to take more than prescribed, despite being told not to. If this happens the Rx are not filled sooner – in theory. I recently got some calls from a couple of patients announcing in an anxious swivet they have consumed a month’s worth of Klonopin or Xanax or Ativan in 25 days and they are freaking out as they don’t have any left and they will go into withdrawal and have a seizure and die or something. Oh the horror. I tell thems who do this sort of shenanigan they get one break and if it happens again there are no more early refills. Take meds accordingly.

What I’m eating: Root beer barrels. The last time I was online begging Mr. Bezos, I asked for a bag of Dad’s root beer barrels. Someone questioned the purchase. I explained it is for the two sweets bowls at the receptionist counters at work. From time to time I make a contribution. It looks like the choice of sweeties was well-received for by day’s end both bowls were half-empty.

I kept a few for myself for reasonable attorneys fees.

Who needs a good slap: So many people that it makes my eyes cross. This particular W is losing its luster as thems who need a good slap are the usual ones and no amount of slapping is going to change them, worse luck. I need to come up with a new W. I ask you, gentle reader, to provide suggestions. The winner(s) will get not a slap but a love-pat on the cheek.

Who gets a fist-bump: John at OptumRx. It was time to renew one of my meds. This is always a painful thing as one of them costs $1,300 for a three month supply. Rather than do this online I called and got ‘John’ whom I heard hesitate when he pulled up the prescription and saw the cost. He started looking up things that could help and lo! he came up with some some sort of assistance to get the co-pay down to zero! Hot puppies! Bless you, John!

What I’m planning: A speech. Father’s memorial service is apt to be a noisy one as it will be filled with Spos all wound up and excited to see each other and few if any on Adderall. To provide some solemnity to the event, the brothers decided I should say something. Why me? Well, I am the oldest and the one with the most ‘style’. My eulogy needs to be eloquent, touching, and just the right length – like my men. Since I will be addressing mostly family, chances are no one will be paying much attention.

What’s making me smile: Seeing the relations. Spos like each other and enjoy each other’s company. Many of the cousins are coming, many well over four feet, and not seen in awhile. There will be plenty of jokes and laughter and Facetime with the ones who couldn’t attend. It will be one noisy happy ho-down. Brother #4 is planning a king-size-titanic-unsinkable-molly-brown BBQ party (all the neighbors are invited). Jolly good fun!

37. What is your favorite aspect of being a grandparent?

I doubt grandma and grandpa are going to admit the truth: we get to enjoy you grandchildren but only up to a point. After a while we can shove you back onto your parents. We get the fun without the drudge. At some level the grandchildren know this. Grandparents are the fun ones; arents are the whistleblowers.

Lots of my patients who are grandparents convey they spend a lot of time baby-sitting their grandchildren while the parents work. They don’t seem too perturbed by this second round of child-rearing, but it strikes me they are being deprived of their golden years. My grandparents did not so this, but then they lived far away and Mother was a stay-at-home type; she did the child-rearing. I guess times have changed viz. when both parents are working the grandparents are cheaper than hiring a nanny or daycare. Mind! I sometimes hear complaints from patients along two lines:

The grandparent patients feel pressed upon to provide free baby-sitting when they don’t want to.

and

The parent patients are peeved their parents aren’t helping to mind the kids, so they have to pay others to do so.

Normally this is where Urs Truly ties the question into his own reflection but no can do. I haven’t been a parent let alone a grandparent. None of my niblings grew up interested in forming a deep bond with their oldest uncle, worse luck, so all the fun things I could have done along the line of Auntie Mame did not occur. As an old bachelor I don’t have to answer to anyone, which is nice, but I don’t contribute to helping the next generation of Spos becoming fine men and women well over four feet. I sometimes regret not having had children (or grandchildren, which is better) but not much and not often. Whether I would have been a good parent/grandparent is one of those what-ifs not worthwhile to wonder.

Spo-fans who are grandparents: what is your favorite aspect of being a grandparent? Are you called upon to tend the grandkids much, and more than you want to?

BERJAYA

Yesterday was the memorial service for my friend Leon the Larger (in the red shirt) who died in January. The last time I came to Chicago I was excited for seeing friends and my godfather. This time the mood was a pensive one as folks have died in the interim.

Leon’s death is one of those types that doesn’t feel real; we weren’t in touch during his decline so when the news came it felt an abstract concept. Perhaps this is just a defense mechanism to ward off sorrow.  

His death was a sad one; his physical and mental capacities declined to the point he could not live anymore in his long time house (with stairs) with his long time spouse. I am told he hated the assisted living center because the food was bad, but mostly because of his situation. It was not at all how he and DougT envisioned their post-retirement time. They had talked about splitting their time between Washington and Arizona, going on numerous hikes – that sort of thing. It is reminder what happens to us in the end nearly never what we imagine it to be.  It raises the question can one really plan anything, really? Perhaps this is why Someone and I never talk about retirement; at some level neither of us believe it will happen. 

BERJAYA

The first part of the service was conducted at the fen, a large area he and his friends have been working to return to natural prairie. Their project have goals decades out. They are like workers on a cathedral who will not live to see their work completed but hope generations ahead of them will.  

After the fen there was the memorial service at a nearby inn. About forty friends showed. He was loved. I knew Leon in his later years, so I got to hear about his younger days and achievements in work and hobbies. I didn’t know he and his long time partner had hiked the world over. Good for him! Leon had it in all in the right areas: service of others; seeing the world; having many friends who loved him, and a life partner he had until the end to care for him. 

That evening DougT had a smaller group for dinner at a local restaurant; I was included. I felt honored.

A memorial service makes one wonder who will come to our memorial, and what will they say. What will the photos reveal about our selves and our lives?

I fly home this afternoon al the while thinking what lays before me, what life do I have left.  Lord willing the flight will be on time without hassles. I have a few days of work before flying out again to my late father’s memorial service. 

BERJAYA

Lots of folks report they are feeling traumatized these days. Whenever a patient uses the T word, it is similar to saying the are having a nervous breakdown: I have to play twenty questions to find out what they mean. Over the years I’ve seen the word trauma applied to broader and lesser things. A few weeks ago I had a patient tell me she was traumatized by a grueling exam she had to prepare for and take.

A lot (the majority?) of mental illnesses arise from traumatic events. Some traumas are ‘big T” like witnessing a shooting and some are ‘small T’ like ongoing dealings with an unpredictable and/or nasty parent, partner, or boss – “death by a thousand hurts’, as a patient once called it.

Here I am writing away when I should first define the trauma. It has many definitions, and there is an official one in the DSM. The one l like to use is descriptive: trauma is a event of perceived danger and helplessness that activates the limbic system (viz. the flight or fight response).

The neurology of a trauma condition is the front of the brain is saying to in the present ‘this is absurd, that event happened years ago, it’s done!’ while the inner part (the limbic system) is saying ‘hell no! This is happening still – right now! Run or fight!, which is manifested by nightmares, flashbacks, triggered emotions, and putting one on guard for the attack.

All trauma treatments try getting the memories or triggers to stop pushing the panic buttons so easily and so intensely. In my opinion, counseling/talk therapies focus too often on the event, the ‘what happened’. The patients know what happened, they don’t need me to tell them*, and repeating it over and over again in counseling often doesn’t assuage the emotions. Patients can fixate on it. It is better to focus on how the patient adapted to the trauma, and how their survival techniques are not very useful anymore, at least in the here and now.** Something happened, leading to a series of adaptions leading to a disconnection and maladapted strategies.

It is fascinating how some folks are quite traumatized by a matter, while others who were also present were not or not as much. The event maybe ‘not too traumatizing’ in most people’s minds, but it was to the patient and sometimes quite so.

The good news is the majority of folks who experience a trauma do not go on to develop post traumatic stress disorder. Who will and who won’t is another fascinating phenomena. How a person was doing prior to the event, and how intense/consequential was the event are major contributors to developing posttraumatic stress disorder. There is one trait not too often examined, and that is a sense of mastery. Yes this sucks but I can get around it or through it.

*That presumption is not so in Freudian psychology, nor in EMDR. The former has the hypothesis a patient’s current symptoms originate from unconscious conflicts, and EMDR works on areas of trauma where the patient has sometimes only a sense of something ‘from that time”. In contrast Cognitive Behavior Therapy (CBT) doesn’t care tuppence about the ‘why’ but focuses on the present maladaptive reactions to events.

**Here is where Jungian symbolism comes in handy. I educate on The Warrior archetype. Childhood trauma often results in a child going into survival mode, like a warrior in hostile territory, in order to survive. You did, but The Warrior, bless its heart, still sees everything as a threat or potential battle, and leaps up to attack or defend, although the current situation deems it not necessary.

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