Things To Discuss When We Have the Time and Energy

Things to discuss when we have the time and energy:

1. Postcards to Voters. Is it a great way to manage those evenings when one’s mental health is not what it should be? (I recently managed a very bad brain day by alternating doom-scrolling and postcard-writing.) Or is it a giant waste of time and money, and a way to FEEL like one is Doing Something when one is Not?

2. Follow-up biopsy feelings. I still have a bruise, and in fact it’s a little larger now. I also still have irritation from the adhesive. It’s been nine days.

3. Follow-up cat kidney issues. The vet got back to us and said that the kidney stone analysis shows they are the kind that can’t really be prevented, so Repeat Issues are very likely. The STARTING recommendations (prescription food, regular x-rays, regular urinalysis) are $$$ per year; each surgery is several thousand dollars; I don’t know yet if there are procedures between prevention and surgery, or what they cost. At what financial point does a person decide that a 12-year-old pet should not be…er, sustained? What if that particular cat’s Support Person is leaving for college in a year and we were all already kind of worried about how he would survive that, considering how weird and clingy and yowly he was when she went to camp for two weeks? Well. Prescription cat food for thought.

4. Follow-up Paul kidney issues. He has a second procedure a week from now. Maybe let’s wait for the follow-up until after that.

5. I have been panicking. I wish to re-tell you the story about the time I was seeing a psychiatrist, and I was explaining in a fraught, breacking voice the weird side effects I was having from a medication (for example, seeing pedestrians and feeling certain that Something Bad was going to happen to them) and she listened carefully, and then said in a very calm, almost bored, diagnostic tone, “Panic.” She wrote it down. She prescribed some short-term medication. I have been once again having a rather extended session of panicky feelings. Also: I got together with friends, and it seemed to snap the panic streak. I recommend having friends, if that’s an option where you are.

6. Henry has been doing a summer youth theater thing, and I am so happy he is Finding His People/Interests and so forth, but also I am so exhausted by this. The transportation alone!! IT CONSUMES MY LIFE. And it is nowhere NEAR what parents manage for a kid in sports!! This reminds me of high school and college, where we as students would complain that every teacher/professor acted as if their class was your ONLY CLASS. Every kid activity acts like it thinks they are the ONLY ACTIVITY for your ONLY KID.

7. Henry has a rash spreading over his face/torso/arms/legs. Trying to get this looked at has been such a surprising hassle. Our (Catholic) pediatric clinic has switched to a (Catholic) health management system that has RUINED EVERYTHING. It used to be that if one of the kids was sick I would call the pediatrician phone number, and I would say “Oh, good morning, may I please speak to a nurse?,” and then I would tell the nurse what was going on, and either they would make me an appointment or else they would tell me what to do instead. NOW, I call an automated phone tree, which gradually allows me to select the numbers that indicate I wish to make a Sick Child appointment for an Established Patient—but then I talk to the same receptionist who answers allllll the calls ANYway, and she LEAVES A MESSAGE for the nurse, who calls me back HOURS LATER, and if I can’t answer the phone at that moment (driving; at an appointment with another child; in the bathroom; at work) they leave a message and I have to call back and LEAVE ANOTHER MESSAGE and WAIT MORE HOURS. HOW IS THIS BETTER. Anyway, the nurse told me it sounded fine and he didn’t need to be seen, and to give him benadryl and use hydrocortisone cream. And the rash continued to spread over the next couple of days, so I had to call back and do the entire system again, and the second nurse was quite alarmed that the rash was also on his face (“It’s not on his FACE or anything, right?,” she asked, despite me having told the first nurse that it was on his face and around his eyes); and eventually I got an appointment for him for this morning, and the doctor thinks it’s a result of contact with some kind of poisonous plant—BUT HERE IS THE THING: HE HAS NOT ENCOUNTERED ANY PLANTS. So. I mean. I will give him the steroid. And maybe it will work! But why did NEITHER the nurses NOR the doctor think my REPEATED “No, he has not been in nature” answer was relevant for the diagnosis of “contact with poisonous plant”???

8. One reason I emphasize “(Catholic)” in the previous item is that the medical center itself is emphasizing it. I used to give NO THOUGHT AT ALL to the “St.” part of the medical center’s name. But now there is a new, large poster in the pediatric waiting room, explaining that this is a CATHOLIC medical center, and as such they must HONOR their CORE VALUES above ALL ELSE. Isn’t that ominous, in the current climate? My loose plan is to MOVE US ELSEWHERE. Religious institutions can KEEP IT.

9. Some summers feel kind of languid, with lots of time for fun—or possibly I am misremembering, and they ALWAYS feel as if they OUGHT to feel languid with lots of time for fun, but ACTUALLY they are SO BUSY and we have NO TIME FOR ANYTHING? In any case, this is a summer when we have not even had time to discuss what we want to do this summer—and now it is almost August.

10. Rob got a job in Seattle! It is…fully remote. I am concerned he is going to LOSE HIS MIND if he is living AND working in a one-room studio apartment in an expensive big city where he has NO NEED TO LIVE for a fully-remote job. But he is a grown-up and this is up to him to figure out.

11. Next week I am taking the twins on a two-day road trip to visit a couple of colleges, including the one Rob went to. I am REALLY LOOKING FORWARD TO THIS. Hotel room! (I got one for the twins, and another for just me.) Car snacks! A couple of days away from home!

Benign

The radiologist called me today and I answered the phone even though I was at work where I am not supposed to use my phone (if my supervisor had been in, I would have explained the situation after taking the call, but she was not in), and she said the sample from the breast biopsy was benign. So that is a relief, and how nice to get the news before the weekend.

In what might seem like a surprisingly fast pivot from relief/gratitude to carping/complaining, one of my co-workers has been out with Covid. She had not been wearing a mask. The co-worker who sits within a few feet of her, who also does not wear a mask at work, was today coughing steadily. Meanwhile, another of my co-workers came back to work five days after his positive test, saying it doesn’t matter that he’s still positive on rapid tests, because “those only measure antigens.” I DON’T FULLY KNOW WHAT EXACTLY AN ANTIGEN IS OR WHAT EXACTLY THE RULES ARE EITHER, BUT I DON’T WANT HIM BREATHING HIS POSITIVE BREATH NEAR ME

I feel as if I am losing my mind. I am still wearing KN95s to work, and that is NOT AT ALL COMFORTABLE TO DO in an active job, but I am doing it because it still seems to me like a very sensible thing to do. My supervisor and our library director are also wearing masks, but cloth ones, which I have been seeing FOR QUITE A WHILE NOW are no longer recommended (cloth is reportedly better than nothing, but not great at protecting against the new variants, and much less useful overall in a pandemic stage when most people are no longer masking nor distancing nor working from home nor limiting travel nor limiting the number of people in a space nor etc. etc.), and they take them off frequently to talk or eat/drink. My co-worker who used to make companionable remarks to me about how she and I were the only ones still wearing masks, has now stopped wearing a mask, because she got Long Covid, and now when she wears a mask she starts gasping and coughing and feeling like she can’t get enough air. When she stopped wearing a mask, so did the two people who work under her—even though she is a VIVID EXAMPLE OF WHY WE WANT TO DO WHAT WE CAN TO AVOID LONG COVID (THE RISKS OF WHICH MULTIPLY EACH TIME YOU ARE INFECTED). I feel increasingly embarrassed and stubborn to still be wearing one, but again: IT STILL SEEMS TO ME LIKE A VERY SENSIBLE THING TO DO.

Back to the topic of the biopsy. The biopsy site is still sore two days later, but not VERY sore—more like, I do notice it, and I try not to bump it against anything. Now and then I do a move that quickly registers as Unwise, such as pushing myself up off the floor with that arm, or snugging an armload of books against that side. I have worn a bra to bed two nights in a row, and I like that it keeps me from dragging the biopsy site against the mattress when I turn over. I haven’t had any trouble sleeping on that side, though I start out each night avoiding it. The steristrips are still on snugly, and I don’t feel inclined to remove them. I have an undramatic yellow-and-pale-purple bruise about the size of smallish cookie—an Oreo, or a Chips Ahoy.

I have been feeling a little MORTAL about this whole experience. It felt like a little test-run.

What It Was Like To Get a Breast Biopsy (Stereotactic Needle Biopsy)

As you will likely remember but let’s have a link anyway, I don’t want to act like I assume you are hanging on my every word, I was scheduled for a biopsy today to investigate some microcalcifications. I loved the radiologist, who explained excitedly to me that the biopsy involved using TRIGONOMETRY. I have such a crush on women in STEM who love their jobs (I am similarly smitten with our oral surgeon, who wears a headlamp at all times); I hung on her every word, even though I myself would not remember how to use trigonometry even if you dangled me off the side of a cliff and threatened to let go unless I could find a cosine. (I got an A in Trigonometry in high school, but it is because I am very good at test-taking and at figuring out which problems to plug into which formulas, and not because I ever remotely understood what I was doing.)

Where was I? Oh, yes: so today was the day of the biopsy. I was a little nervous. The instructions said I could wear deodorant if I wanted to, which was nice. I was not supposed to take any blood-thinners of any kind (including ibuprofen) for 72 hours beforehand. It was suggested that I have a meal before the appointment, to avoid getting faint/shaky. I did not like the sound of “getting faint/shaky.”

As with a mammogram, I was instructed to undress down to the waist and put on the hospital smock “like a bathrobe” (opening in front). Unlike during a mammogram, I had to climb up onto a high table (as in, I had a two-step stepstool to help me, and I used both steps). The table had a hole in the middle of it. I am always anxious about positioning myself on tables for medical purposes (I feel clumsy, and when I’m nervous it’s harder to understand/follow the instructions), and I would say this particular positioning was one I was glad to have had a chance to gear up for (the radiologist gave me an overview when she was telling me I needed a biopsy). I talked myself through it by telling myself that I am HARDLY the only person who does not have experience in how to correctly lie down on a breast biopsy table, and that I am DEFINITELY NOT the only person who needs to be adjusted after the first attempt.

Anyway. The basic idea is this: one lies down on the table on one’s stomach so that The Breast in Question is down through the hole in the table, but the Breast Not in Question as well as The Ribcage Below the Breast in Question are well-supported by the surrounding table, so you don’t feel as if you will fall through. They give you a couple of thin soft pads to position under your head as you prefer; I found it most comfy to use both pads and also put my hand under the pads for a little extra lift—but this is how I sleep, with a hand under my pillow, so maybe that’s just what felt Right to me, and not what would feel Right to others. In my case, The Breast in Question was the left one, so I was supposed to turn my head to my right, and it was my right arm that was up under my head; I wanted my left arm up like that too, in a sort of Sunbather’s Pose, but they did not let me do that: my left arm had to be down by my side, palm up. It felt okay once I got used to it, but still a little awkward.

The most difficult part is RELAXING. You don’t have to hold yourself up! You are lying down, and well-supported! But it FELT like I had to hold myself up. I kept having to remind myself that I could just lie there and rest and be as comfy as possible, considering the circumstances.

Both the radiologist and the nurse were good about telling me what was going to happen next. It feels pretty weird, because you are lying there on your stomach and someone is messing with your boob FROM BELOW. It is hard to wrap one’s mind around it. And one ear is squashed, which makes it a little hard to hear, or makes it feel like it’s a little hard to hear.

There is a sort of mini mammogram machine underneath the table, so they arrange the breast into that, and then the machine squeezes—not as hard as during a mammogram, just a sort of firm grasp. The machine does imaging to make sure the breast is positioned correctly; they had to ungrasp and regrasp a few times to get things right.

I am hoping I am remembering to mention all the steps. They raised the table at some point, even higher than when I had to use a two-step stepstool to climb up onto it. It’s so the radiologist can sit UNDER the table to do the biopsy. This table-raising might have happened before the grasping/ungrasping/regrasping. (By the way: the radiologist mentioned that for people who CANNOT climb up onto the table or who would PREFER NOT TO, this procedure CAN be done with the patient seated. She said but most patients find it easier not to have to hold still in an upright position, and not to have to see the radiologist RIGHT THERE, and WITH THE NEEDLE, and so forth.)

Then the radiologist warned me she was going to clean the area, and there was a cold wet wiping sensation. Then she said she was going to do the numbing medication, and that there would be a pinch, and that I should NOT “rise up” but should instead “wiggle my feet.” Feet-wiggling was so distracting, I almost don’t remember how much the pinch hurt, but my memory is that it was less than a vaccination, but in that general range of pain: a little stab, but nothing that made me want to jump or gasp. Then she said she was going to do a second dose of numbing medication, but that I would probably feel it less than the first one, and that was correct: I still did feel something, but not much. A mosquito bite, a tiny sting.

Then the procedure itself began, and she warned me that the machine was going to make funny noises, and it did; I suggested it was the sound of trigonometry being done, because I was trying to impress her, but she said “What?” and then I had to repeat it. The noises were like…low-volume vacuuming noises, intermittent machine-running noises, cycling motor noises, that kind of thing. Nothing gross or scary, but I was glad she mentioned them. I could not FEEL much while this was happening. Sometimes I thought I felt Something, but nothing upsetting or painful—just, I could feel something happening in the breast region. At one point I felt a burning sensation inside the breast, but not painful, if that makes sense combined with the word “burning”: you know how if you take a perfectly-too-hot sip of tea/coffee/cocoa, there is a “burning” feeling in your throat but not ACTUALLY burning the way there is when you burn your tongue and you hate it? or if you get in a slightly-too-hot shower when you are chilly, it is a “burning” feeling but you are not actually yelping and turning it down? It was like that kind of burning: definitely I would use the word “burning,” but it did not hurt-hurt, it just caught my notice, like “Oh there is a burning sensation.”

Then it was done, and I don’t think this doctor and nurse had worked together much in the past, because there was a little bit of a dance about getting me out of the machine / up off the table. I am not certain, but I think the issue was that someone needed to apply pressure to the biopsy area the entire time I was (1) being extricated (i.e., as the mammogram machine was releasing its grip) and (2) extricating myself (i.e., as I was moving from lying on my stomach to sitting up), but there were not enough hands to do all the things, or rather not a coordinated/understood allocation of hands; and there was some concern that I would be pinched by part of the machine, but I was not. Anyway, it was managed: I was sitting up on the table, and the nurse was “applying compression”—that is, squeezing my breast hard between her hands, with a wad of gauze over the biopsy site. It’s not an everyday sort of thing to have happen, but she was so normal about it and that helped.

She had to keep squeezing for Quite Some Time. Five minutes? Something like that, possibly longer. Periodically she would peek under the gauze to check the bleeding. I don’t mind blood, so I looked too. There was more blood than I was expecting. When they said “needle biopsy,” I was picturing a needle like a vaccination needle, where sometimes there is a teensy little pinprick dot of blood. In this case I estimate there was half a teaspoon of blood involved total (and that’s only counting the times AFTER I was able to start looking); and the first two times she checked it, there was a sudden welling of blood about the diameter of a pea, maybe a little smaller. The diameter of a petite pea. It made me grateful I did not know beforehand (or afterhand) how big a biopsy needle is.

When the bleeding had mostly stopped, the radiologist applied two pieces of tape, and there was a word for the kind of tape but I have forgotten it. Steri-strips? Steri-tape? Something like that. [Update: I see the paperwork says “steristrips.”] She put them in an X shape over the area. The nurse then took me to have a “gentle” mammogram to make sure the little piece of titanium they put in there was in the right spot. (The radiologist called the titanium “internal breast bling,” and I could not love her more.) It was like a regular mammogram but much less squeezy, and they said the little piece of titanium was where it should be. (If it had NOT been where it should have been, there was no way to adjust it, but they would have noted the situation in my record to avoid confusion later on.)

The breast/skin area around the needle site looked a little deflated to me, but maybe I was imagining it. (I don’t think I’m imagining it. It looks a tiny bit caved in. Puckered.)

The nurse gave me a little (pink, everything breast-related is always pink) ice pack to put in my bra. It felt soothing and nice, but also it was a very hot day so I think it would have felt soothing/nice regardless. I may put ice packs in my bra every summer going forward. (The ice pack had adhesive to hold it in place, and I often get pink/itchy from adhesive, and it didn’t NEED adhesive because it could be tucked into the bra, and I DID get pink/itchy from the adhesive—so if there is a next time, next time I would ask them to skip the adhesive.

She asked me to rate the pain of the procedure on a scale of 1 to 10. I HAAAAATE those scales, and can’t believe how unscientific/subjective they are: dramatic people will say 10, it’s 10, MY SUFFERING IS ALWAYS A 10!! MAYBE A 12!! Careful anxious hand-wringing overthinkers will say “Well, 10 is supposed to be the worst pain I can possibly imagine, and I can imagine some really terrible pain like if I were shot multiple times or if I were being chewed on by an alligator or maybe I mean crocodile or maybe a shark would be worse, so I guess this excruciating, about-to-pass-out pain is probably a 4 or 5 compared to THAT.” Anyway, I told her the pain of the procedure was less than 1, about 1/2, and I feel good and non-hand-wringing about that assessment. Mayyyybe it was 1 at the worst, but I don’t think so. I think it was 1/2. Maybe less.

On the way home from the hospital, the numbing stuff started to wear off. I don’t know if everyone is like this, but when I get novocaine at the dentist office, as it wears off I get a fair amount of pain that seems to be THE PAIN OF THE NOVOCAINE DEPARTING, rather than THE PAIN THE NOVOCAINE WAS CLOAKING, if you see what I mean. That is, once the novocaine has fully worn off, I am not feeling that pain; it’s more like when a limb falls asleep and is waking up again, and you feel pain as it wakes up, but not after it is awakened. It’s one of the reasons I dread novocaine. Anyway it was like that: I felt an ache like novocaine wearing off. It was not VERY painful, but it was enough to make me want to stick my lower lip out and make a small self-pitying whining sound but not a SERIOUS one. I listened to soothing classical music, which I rarely do, but neither NPR nor my usual pop stations seemed right for the situation.

The ice-pack was small, and by the time I arrived home about 40 minutes later it was not cold. They’d mentioned it was reusable—but what to do while it is re-chilling? I am definitely saving it in case I ever have to have this done again, so that I can have one ice-pack in the bra and the other recharging. [Update: I put some frozen corn into a snack-sized ziplock baggie and tucked that into my bra, and swapped it with another snack-sized ziplock baggie of frozen corn each time it got uncold, and it was as good as or better than the ice pack they gave me, so I will just do that instead of indefinitely saving a used breast-care-center ice pack Just In Case.] I put the single ice-pack I had into the freezer, and I would say the sensation at the site of the biopsy could best be described as “stinging/aching.” Again, not terrible, not VERY painful—but stinging/aching. Putting the ice-pack back on awhile later was pleasant. The whole area feels Kind Of Sore—not agonizing, and I’m not flinching much if I accidentally touch/bump it, but I’m aware of it and it’s uncomfortable, and I am enjoying the cold of each fresh ice-pack.

There was a little bit of blood on my bra. They instructed me to wear a bra to the appointment, but I’d add that you should wear one you don’t mind getting a little bit of blood on. OLD bra. Old COMFY bra. They said I might want to wear the bra to bed tonight, to snug the owie part in and keep it from getting unexpectedly jostled. And I might. But I am someone who does not mind my bra, as opposed to someone who can’t wait to take it off each day, so your experience may vary.

I’m allowed to shower/bathe normally, but I am supposed to avoid washing the area of the biopsy, and I’m supposed to gently pat the area dry afterward. I am supposed to leave the special medical tape on until it falls off, or for four days, whichever comes first. (They said it will probably fall off after three days.) I am supposed to let them know if the area of the biopsy becomes hot/pink (infection). There is apparently a small chance of internal bleeding, which would leave a big swollen bruise but would be fine, and it would go away, it would just be icky/uncomfortable for a little while.

The radiologist will call me when she gets the results; she expects that to take two days, but says because today is Wednesday there’s a possibility the results won’t come in until after work Friday, in which case I wouldn’t hear from her until Monday.

College Search Starting All Over Again

When we were doing the college-search for Rob and then for William, I am not even sure how we chose which colleges to consider. I feel like we’re completely starting over with the twins. Did we just…go to places we’d heard of? or something? It all seems so willy-nilly in retrospect.

Since then, I’ve skimmed a book about how some colleges/universities have spent a lot of money marketing their brands, and that this is part of the reason for the huge increases in costs and in application competition, and that essentially it’s better to AVOID the colleges/universities you’ve Heard Of, because they tend to be over-priced and not a good value.

This is why I feel At Sea, I think: how does one find the colleges/universities one has NOT HEARD OF? I wondered if this would be a good use of Group Input. Because it isn’t really that we want to find the ones literally no one has heard of; we’re looking for the ones people might not have heard of, but that we know of for reasons other than Good Marketing. Maybe our friend’s kid went there, and we’d never heard of it before then, but our friend and their kid were both really happy with the value. Maybe we’ve heard of the place but it has a super boring/unmemorable name.

For example, Paul’s cousin’s kid is going to University of Chicago, which is a boring-named place I would not have remembered Hearing Of. But it’s apparently a terrific school?? and he’s going there almost for free, because they have a fabulous financial-aid situation??

Anyway, I would love to hear of any school you think it would be a good idea to look into. With TWINS (and another kid probably going to college two years later, so we’ll have THREE in school at the same time), I am definitely more inclined toward the less-expensive Good Value types of schools. (I am familiar with the idea of saving money by going to a community college for the first two years, so I have tucked that idea away as one option, but right now I am looking for the usual 4-or-5-year living-in-a-dorm type colleges.)

Oh, and this is going to rule out a lot of places, but we are not interested in religious schools. I had a long paragraph here about how I went to a religious school and it was a good fit for me at that time for various reasons that don’t apply now etc. etc., and about how what I mean by Religious is probably Christian but at this point I am not really feeling favorable toward ANY religion etc. etc.—but let’s just say Not Interested in Religious Schools (including Oh But It’s Not REALLY Religious! schools) and leave it at that. If the kids want to seek out a religious school, that’s not hard to do and it’ll likely save us some money, but I’m not going to do the seeking on this one.

Second Mammography Update

When last we chatted, I’d just had a call about my mammogram: they wanted me to make a follow-up appointment so they could get a better look at some microcalcifications that were new since my scan a year ago. I had those scans today. If you’re curious, it was almost exactly like getting a normal mammogram, but they only did one side, and the technician said “I’m sorry, but it’s going to squeeze harder”; I don’t think I would have noticed, but it was good to be warned. And afterward, instead of getting dressed, I was sent back to the waiting room in my hospital smock (just in case the radiologist wanted more images) while the radiologist took a look at the scans.

I was glad no one asked about or remarked upon the little patch of sunburn in my cleavage. I had a fun afternoon outside with friends yesterday, and I did pretty well with the sunscreen application, but apparently missed a small portion down the front of my swimsuit. I am a little surprised the sunshine managed to get in there: I am not amply bosomed, and even the word “cleavage” is a stretch. Well, the sunshine managed, and it is a good lesson about how well sunscreen works, because the rest of me is nearly as pinkly pale as ever.

After I’d been in the waiting room for ten or fifteen minutes, the technician came back for me and brought me to the radiologist. The radiologist showed me the scans, which were pretty neat to see. First she showed me last year’s scan compared to this year’s, and sure enough: little tiny white specks on this year’s but not on last year’s. Then she showed me the close-up they did today, and mentioned some positives: the general shape of the cluster is oval, which is good; and also some other things which I have already forgotten.

She said she is 90% sure these are just calcium deposits and not cancer, but the close-up did not give her the information she would want to see in order to be completely sure, so she would like to do a biopsy. She says when she does the biopsy, she will leave behind a tiny little smidgen of titanium to mark the place, in case they need to go back in (like if the biopsy DOES show cancer or pre-cancer), or in case later they want to remember where those little microcalcifications were. It all sounded pretty cool, though of course 10% does not sound like a small chance to me. But the radiologist said if it IS cancer, we have caught it at absolutely the earliest possible stage, and she gave a little laugh that I found reassuring—like, we’d have caught it so early our timing would almost be comical. Ha ha. Ha ha.

I am trying to think of another update. OH. So, I mentioned a fun afternoon in the sun. Friends and I lounged in THESE in the water, with beverages in the cupholders:

(image from Target.com)

It’s a SwimWays Spring Float (Target link) (Amazon link). (One friend had the very similar Kelsyus one, if that’s easier to obtain where you are.) Once in a while we would paddle lazily inland and holler for one of the husbands to bring us a fresh drink. It was BLISS. I have ordered three of the loungers and may order more: I got overwhelmed by the Exactly How Many decision, but didn’t want to miss the Target sale, and knew I wanted AT LEAST three for an upcoming family vacation, so I got the sale price on THOSE anyway, and will order more after I’ve had some time to think.

Mammography Update

This morning the mammography place returned my call, and I had to let them leave a message (one does not answer one’s cell phone when one is a library employee out in the stacks), but then I zipped to the break room and called them right back.

The nurse said that I have microcalcifications that are new since last year’s mammogram. She said they were too small to be felt during a breast exam and could only be detected with imaging. She said the radiologist would like another look at them from a different angle, and that I will need to have the new scans done at the hospital instead of at the local mammography place.

I started to look “microcalcifications” up online, because they sounded so unalarming I was certain I would be reassured; then I saw the first few search results and decided I’d rather wait for each step to occur and find out more THEN, if necessary, since there are plenty of outcomes where there is no need to have spent any time worrying about it. If necessary, I am an excellent and speedy worrier, and can easily make up the time.

Paul is still doing a lot of sighing and groaning. I already knew I was not great in the spousal role of Nurse, but I have had a new realization: I would not have been a good childbirth partner, if my spouse had been the one in labor. I would have had to find ways around this—perhaps showing support by buying gifts/treats, and encouraging the use of a doula, and then making myself available to run and fetch whatever was wanted/needed by either my spouse or the doula, or really anyone else on the maternity ward. I am pretty good at darting out to do specific tasks. I am very bad at listening sympathetically to panting and moaning, or dealing with someone making Suffering Eyes at me—EVEN IF THE PERSON IS IN FACT SUFFERING. (Though I might find myself better at it if the person making Suffering Eyes had not been doing so for every little sniffle over the past couple of decades.)

Kidney Stone Update; Message from Mammography

An update on the Paul/cat kidney stone situation: today, a day short of two weeks since he started feeling pain at a level that made him unable to drive, and a week after the cat had HIS surgery, Paul had a procedure done to break up the stones. (My co-worker: “He should have asked if the vet would take him!”)

I don’t know if you know this, but Paul is extremely squeamish. So he has been very conflicted: his very strong urge to get this taken care of and make the pain stop, but also his very strong urge not to go near a hospital, or near an IV, or HEAVEN FORBID near a stent. All of those things he wished to avoid have occurred. And also: the doctor told me they were only able to get one of the two large stones, and Paul will have to go back next week to get the other one taken care of. In the meantime he is peeing blood and feeling, as the nurse described it, “as if he has a UTI.” As someone who has had many, many UTIs over the years, it did briefly flit through my mind that this would give Paul an invaluable opportunity to work on empathy. (It gives me a similar opportunity for personal growth, as he keeps explaining to me that it feels like he has to pee ALL THE TIME!! and when he does pee, it HURTS!! and he can’t CONCENTRATE or SIT STILL!! And I have to work hard not to turn my head nearly upside down like an O RLY WHAT’S THAT LIKE sarcastic owl.)

Meanwhile, the cat has had a week to recover, and is doing very well and is not complaining about how frequently he needs to visit the litter box. I am still putting his cone on him at night just in case, but I suspect we are past the nightmare scenario the vet laid out for us, where he might lick his stitches open. (I am not extremely squeamish, but I did grip the countertop when she described that possibility in compellingly vivid detail.)

Paul’s doctor did not give me a cone for him, so I assume he doesn’t have to wear one.

Meanwhile, not to make this all about me (though I did already mention all my UTIs in a paragraph about someone who just had KIDNEY STONE SURGERY), but on the way home from the hospital I got a call I couldn’t take because I was driving, and I listened to the message when I got home and it was someone calling from the mammography center about the mammogram I had yesterday. They tell you at the mammogram appointment that no news is good news—which means it is not pleasant to receive news. The message was left at 4:15, and said that I should call back at my earliest convenience and that someone would be available to talk to me until 5:00. I arrived home at 4:30, and I called back at least every five minutes (approximately once a minute for the first five minutes, then every five minutes after that because I was imagining my number showing up embarrassingly on a call log) from then until 5:00, and no one ever picked up, I just got the recording; I also left a message (as instructed by the voice mail) fairly early on (I’d wondered if, like at the office of one of Edward’s specialists, the nurses really ONLY return messages), and no one returned that call.

I realize things can get unexpectedly busy. But THEY should likewise realize that when THE MAMMOGRAPHY CENTER (WHERE NO NEWS IS GOOD NEWS) calls and leaves a message, it is a CONCERNING THING. And if they choose to say in their message that they will be available to take a call until 5:00, they should BE AVAILABLE TO TAKE A CALL (or return a message) UNTIL 5:00. This wasn’t a situation where they left a message at 8:30 a.m. and I tried to get ahold of them five minutes before closing: they called me at 4:15, they said they would be available until 5:00, and they were not; so now I will spend all of tonight, and also all tomorrow morning because I have to work and can’t call them again until afternoon, wondering why they called.

Kidney Stones: Person and Cat

We have been having some cat and human medical drama, nothing with a Terrible Ending as of yet, nothing with Covid involvement; the title is a spoiler but I will tell the stories.

The week before last, Paul took Henry on The City Trip, where Paul and kids/kid take a train to a far-enough-to-be-fun city and do fun tourist things for a week, and they follow Paul’s vacation preference that they not eat anywhere they have the option to eat at home (I am more the “eat at Taco Bell because I am already at my limit for newness” type of traveler, though I WILL eat adventurously AND enjoy it IF someone else handles the arrangements, and Paul is good at handling the arrangements). He took Rob and William on this trip when they were in the 11-13 age range, and then took the twins when they were about that age, and then Henry’s trip was planned for summer 2020 and so you will not be surprised to hear it was canceled. And last summer didn’t feel safe, either. And this summer didn’t feel safe EITHER, but there apparently comes a time. So they went, bringing masks and Covid tests, and they had a great time.

On Friday morning at their hotel (not yesterday-Friday but a week before that), right before they were due to catch the train to head home, Paul started having what he thought was probably kidney-stone pain. He managed to get himself and Henry to the train THANK GOODNESS (the first text he sent me wasn’t clear on that, and my reaction was GET TO THE TRAIN, GET TO THE TRAIN, FOR THE LOVE OF GOD GET TO THE TRAIN AND THEN WE WILL FIGURE EVERYTHING ELSE OUT); and William and I drove together down to the train station, and then William turned around and drove my car back, and I drove Paul’s car (including Paul and Henry) back, because Paul was in too much pain to drive. Since then Paul has not been able to go to work, and has been doing a lot of groaning and writhing and pacing. But he’s had kidney stones before, and they have passed without medical intervention, so he felt he could cope. (I was not sure I could cope.)

Meanwhile one of our cats has been losing weight again over the last few months, and also started sometimes peeing outside the litter box. He went to a substitute vet (our usual beloved vet wasn’t available for a sick visit that day) who prescribed antibiotics in case this was an easily-treated UTI; and then a week and a half later we saw our usual beloved vet for his annual exam (I didn’t trust the substitute vet and was glad we already had the annual exam scheduled) and she suggested an ultrasound and a more intensive pee analysis, which was scheduled for this past Wednesday.

That same Wednesday, Paul had a doctor appointment scheduled because the kidney-stone pain was continuing and it seemed like time to consult someone, but we ended up canceling that appointment because he went to the ER instead. William had to drive him, because I was dealing with the cat’s appointment and also Elizabeth’s annual pediatrician check-up. If Paul had been willing to wait an hour, I could have driven him; but it had gotten to a point where he did not want to wait an hour.

So we had Paul at the ER, and the cat at the cat hospital, and I didn’t know when either of them would need to be picked up. “At the exact same time,” is of course how it turned out.

By then Paul was on an IV of painkillers/anti-nauseants and sending perky gossipy updates from the ER (“They’re boutta put a woman in restraints, I think.” “Oop, there she go!”). When he first arrived, they’d told him they were completely full so they would try to find an EMT to check him out, but then I think his pacing/groaning got him bumped up the list, so they put in an IV and put him on a gurney in the hallway along with several other patients they didn’t have room for. He did get a CT scan (I was worried they would send him home with painkiller and a referral and no scan), and they said the stones are 8mm, and they said 4mm is generally the largest a person can handle without medical assistance. They gave him a prescription for painkillers, a prescription to relax various tubes/muscles, and a referral to a urologist.

Meanwhile the vet called me with the cat’s results. She said this second ultrasound (he had one two years ago) confirms that he has one kidney that has basically shut down and another that is compensating, which is a perfectly sustainable situation for a cat or a human as long as nothing else happens. The bad news is that something else has happened: he had a bunch of kidney stones and they were piled up in his urethra. (There is another large stone lodged in the kidney that has shut down; she thinks that might be WHY it shut down.) She further made it clear to me in her tactful way that the two choices were surgery or putting him down: this was a situation that would lead to A Bad Crisis at some point likely very soon; she described him as “a ticking time bomb.” She said she was going to try to rearrange her schedule the next day so that she could do the surgery then, because she didn’t want him to have to wait until next week; she did manage to do that.

It is tricky math to figure out how much money is worth it to save a pet—similar to figuring out which repair is the one where you sell the car, but more fraught. In this case I came down on the side of paying for it: he’s only middle-aged, he is a beloved cat, the cost is Within a Certain Range, etc. This is the kind of expense where Paul soothes me by saying “This is WHY we EARN money: to PAY for things.”

The cat, like Paul, was given a painkiller and a medication to relax various tubes/muscles. Both of them were stoned out of their gourds. The cat kept leaping up on things and MISSING, and walking along the edge of the counter with one paw slipping off the side, and falling into the sink. Paul kept singing operatic snippets of songs, and starting stories he couldn’t remember the endings for, and wanting to talk about WHY he might be feeling so much better, and misplacing his phone.

On Thursday morning, the cat had surgery. They first put in a catheter and used it to push the stones back into his bladder, and then did an incision and removed the stones from his bladder. He is recovering well. He is still telling us he loves us and asking us if we have ever really looked at our paws. He has what the vet calls “a very bad haircut” (shaved sides for the ultrasound, shaved belly for the incision, shaved wrist for the IV, and a shaved area at the base of his tail for the equivalent of an epidural). He has an Elizabethan collar he is supposed to wear whenever we can’t keep an eye on him. He has various prescriptions.

On Friday morning, two days after he went to the ER, Paul went to the specialist, who ordered more bloodwork (he already had bloodwork in the ER) and x-rays (he had a CT scan in the ER). That was Friday morning before a long weekend. The specialist did not call Friday afternoon as we’d hoped. Now it is Saturday, and we still have Sunday and Monday to get through, so if you have kidney-pain-reduction suggestions, Paul would LOVE to hear them. He has ketorolac and tramadol for pain, both of which he had to PRESSURE the doctors to give him (both the ER doctor and the specialist were going to give him NOTHING for pain), and he says the ketorolac works better but they won’t let him take it longer than 5 days and tomorrow is Day 5, and anyway it consistently wears off about an hour and a half before he can take the next dose; the tramadol doesn’t work as well as the ketorolac, also wears off early, AND makes him feel crummy; he’s also on flomax. (The cat is on gabapentin and prazosin.)

Helpful Marriage Thoughts

In the comments section of an earlier post, BSharp wrote this:

I just wanted to mention that my therapist said, Blame is the noise your brain makes when you are not getting your needs met. It’s not always accurate or completely meaningful (though with the mouthwash, omg it sure can be!), the same way suicidal thoughts are the noise your brain makes to ask for help in treating depression. It needs to be addressed! But the topic of the thoughts may not lead to the outcome that actually fixes things and meets your needs.

For example, if you are a sleepdeprived new mom who thinks “My husband needs to do more!!!” that may be true, or it may simply be true that you need to do less, or to get more help elsewhere, or to sleep more and have time unburdened and make sure you belly laugh once a week. Possibly your partner needs to do more! But DEFINITELY you need to get your needs met.

and SquirrelBait responded with this:

This is exactly the kind of thing my therapist says too! And then I say that I can’t meet my own needs and then she tells me all the ways that I can and often she’s right…

And I have found those two comments SO EXTREMELY USEFUL, and so much better than letting my brain cycle endlessly in the things my spouse does / doesn’t do / should do / etc. category. This lets my brain get off that spinner and think about something more interesting, like identifying which needs might not be getting met, and are there ways that those COULD be met. I have a fair amount of time when my mind can chew on things, and it’s been really great to have something better to chew on than what I WAS chewing on.

A friend of mine who went to therapy with her husband said she found it useful when the therapist said something about how the goal of their sessions was to improve the relationship, whether that meant improving the marriage or whether it meant working on amicable and respectful divorce/co-parenting: either way, the goal was to improve communication and behavior. My friend said this took a lot of pressure off the sessions: they were no longer necessarily trying to SAVE THEIR MARRIAGE!!! (which she felt at the time could not be saved), but instead were two people trying to have a more pleasant and effective way of interacting. It shifted what she felt like they were trying to do, and made it feel achievable: like, even if they split (which is what she wanted at the time), the sessions wouldn’t be time wasted.

What I was wondering is if any of you have encountered other such useful concepts about marriage, in therapy or from a book or from a friend or from a page-a-day calendar or otherwise, just anything you find helpful in that recentering/redirecting kind of way, and if you would like to add them to the Chew On This pile.

Collapse of Democracy; Grocery Store Report

I am speechless with rage and despair at yesterday’s Supreme Court overturning of Roe v. Wade. I was at work when the decision was announced, and we gathered around someone’s computer to watch as some of us lost the right to make certain crucial lifelong decisions for ourselves, and we listened as part of the crowd around the courthouse screamed in dismay and horror, and part of the crowd screamed with joy and victory, and I was glad of my Pandemic Mask because it helped partially hide/absorb my Dystopia Crying.

 

 

There are plenty of places to go and talk about that decision that resulted in the sudden loss of human rights and bodily autonomy for only a certain segment of the population. You can talk about it here in the comments section, if you want. What I am mostly doing is reposting on Twitter/Facebook what other people managed to say about it, because I can’t think what to say but other people are saying things that I wish to say too. I am also deleting (without reading) all emails from the various Democratic politicians I follow, and I sent an “Our leaders have failed us. YOU have failed us” email to my state’s congresspeople. But otherwise I don’t have anything to say; I am still in the silent internal screaming / gentle hopeless weeping stage, which feels like it started in 2016 and never stopped.

 

 

It seems stupid to do a grocery store report at a time like this, but it feels like it’s either “post about how it’s all downhill from here and let’s brace ourselves for the loss of marriage equality, contraceptives, religious choice, etc.”; or else the weird Facebook posts I’m seeing from people I know/suspect are anti-abortion-rights, and who know enough not to rejoice openly, but are posting blithe things asking what TV shows is everyone watching / it’s so hot today! / love this fresh garden produce, or whatever. In a sea of people posting about how if you like to GO CAMPING in a state that DOES NOT ALLOW CAMPING you can COME VISIT ME AND I WILL TAKE YOU CAMPING AND NEVER TALK TO ANYONE ABOUT THE CAMPING, it comes across as nauseatingly obvious that some of us feel like walking into the sea and others of us feel like it’s a beautiful day for celebrating the everlasting union of church and state. A nice mild collapsing-systems post about grocery shortages seems like it might be in the vicinity of what we might want to talk about in between sessions of inchoate shrieking: somewhat anxious, so that it’s doesn’t seem perky or oblivious, but not adding TOO much anxiety to the already overwhelming dread and despair.

 

 

I don’t know if you heard the news that sriracha sauce is suspending production. I use sriracha sauce at a slow but steady rate, and consider it pretty essential—but it’s in that category where it isn’t ACTUALLY essential, the way reproductive healthcare is essential, it’s just an emotional support food that makes me feel anxious to imagine going without. But I COULD go without, and/or I could find substitutes. But I don’t want to go without or find substitutes, I want the comfort of PLENTY OF SRIRACHA.

 

 

At such times, it is important to find balance: one does not want to HOG the sriracha so that OTHER sriracha fans cannot have THEIR sriracha, but nor does one want to run out of sriracha and regret not buying more of it when one had the chance. So, the next time I went to the grocery store after seeing those articles, I bought two bottles: that felt reasonable. And the fact that the grocery shelves were FULL of sriracha made me wonder if I had fallen for a sneaky marketing trick: perhaps this was just a clever ruse to get people to buy more sriracha! Well, it has a long shelf-life.

 

 

In the days after that purchase, I heard more and more sriracha stories, and began to feel that I had not purchased enough. This could be an EXTENDED outage! And I have tried many hot sauces, and none of them are sriracha. And so the next time I went to the grocery store, I bought two MORE bottles, feeling TRULY silly since, again, the shelves were FULL of sriracha; they even had BOTH SIZES, which is not something they always have even in normal sriracha-rich times. By the time I was unpacking the groceries at home, I felt sheepish, and thought maybe I should donate a couple of the bottles to a local food pantry. But then the NEXT time I went to the grocery store: NO SRIRACHA! None at Target, either!! And this morning when I went, again NO SRIRACHA. NO SRIRACHA ANYWHERE. THE SHELF IS FILLED IN WITH KETCHUP AND A.1. SAUCE.

 

 

So now I feel pretty happy about my bottles. If I find I am going through them more slowly than expected (the frequent news about sriracha shortages have made me crave it and I have been eating it every day, but that isn’t likely to continue), I can figure out a way to get rid of some—by giving it to a fellow sriracha lover in distress, or by donating it to the food pantry, or by putting it in some sort of fundraiser. (I did that a number of years ago when I had some Necco wafers on hand and the Necco factory had shut down production. Four rolls of Neccos raised $25 for charity! …Then Neccos resumed production.)

That was FOUR PARAGRAPHS about sriracha. (The sriracha is not a metaphor.)

 

 

Then, a few days ago, I was listening to the radio in the car and they mentioned that MUSTARD is the next anticipated shortage. Well, for heaven’s sake. Pretty soon I am going to need an entire cabinet dedicated to condiment reserves. Mustard is another of my VERY IMPORTANT THINGS (not actually important in the way the separation of church and state is important, but still feels important in its own food-accessory way). Paul makes me a sauce out of mustard, mayonnaise, creamy horseradish sauce, and sriracha, and I go through BOTTLES of it (I use it as a dipping sauce for chicken, steak, pork chops, etc.). (He deliberately makes it a little different each time so that it’ll continue to be a surprise to the palate, but if you want the basic proportions it’s like 48% regular yellow mustard, 48% mayo, and then the remaining 4% is sriracha and/or horseradish and/or spicy brown mustard and/or whatever else he thinks might be good; make sure you get the CREAMY horseradish or else the little shreds will clog up the mustard-bottle spout, assuming you mix it in an empty mustard bottle as Paul does.)

 

 

Anyway today at the grocery store I bought six bottles of mustard, and I really appreciated the clerk not remarking or asking questions. (Do you remember the time I was buying chocolate chips and the clerk didn’t know what they were? I had COMPLETELY FORGOTTEN about that until someone mentioned it recently.) I am going to buy another half-dozen bottles the next time I go, assuming there still ARE bottles to buy, because (1) like sriracha, mustard keeps indefinitely, and (2) unlike sriracha, mustard is eaten by other members of my household.

 

 

Something we haven’t seen on the news but have seen in our store: no bratwurst. Not for weeks and weeks and weeks now—and we’ve only been LOOKING for it since we started feeling like grilling, so who knows how long they were gone before then.