Zentangle® – November 2023

30 days in November – 30 Zentangle tiles. All except one of the tiles I selected this month were from my ‘thicket series’ – which started with a branching double string that created many smaller spaces (a ‘thicket’) with various ways of filling the string.

8 of the tiles were made while my parent was in the hospital…a way to fill the time and regain some calm with the focused activity of creating a tile.

I left my scanner at home so the images were created with photos made with my phone…not as tidy as the scanned images of prior months but it was the best I could do when it came time to do this post!

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The Zentangle® Method is an easy-to-learn, relaxing, and fun way to create beautiful images by drawing structured patterns. It was created by Rick Roberts and Maria Thomas. “Zentangle” is a registered trademark of Zentangle, Inc. Learn more at zentangle.com.

Hospital Thoughts

Supporting someone in the hospital is high stress…but there is a lot of waiting that allows for contemplation as well. The blog post is gleaned from those quiet times between flurries of activity/trauma when my parent was in the hospital.

Observing medical professions – techs of various kinds, nurses, doctors – is always a learning experience. Going into learning mode is a better way to engage than adversarial….and expressing appreciation helps everyone through a difficult time.

There is art in the most public areas of the hospital…and I always notice it…realize that I appreciate the snippets of beauty/uniqueness along the way in and out of the hospital that can, momentarily, distract me from the stress of the place.

The view from the hospital room is also a distraction. This time it included a helipad! My sister saw one land during the night (mostly heard it rather than saw it) but then I got to see one land the next afternoon. It was the big excitement of the afternoon…and that was a good thing.

Another view from the window included curves of the drive into the hospital and a major intersection near the hospital. The open area is  appreciated since the hospital itself is a cluster of buildings and parking garages. It’s a big place. I figured out my route to my parent’s room and didn’t deviate!

Along the walk to and from the closest parking garage, there is a wall that reminded me of a Zentangle mosaic….and I made quite a few tiles during the waiting time at the hospital.

The up and down of the day at the hospital always seems more extreme that a normal day. I found that I never quite relaxed as much as I do during a normal day…but didn’t get any physically intense time….it was all mentally intense.

Ramping up Elder Care – November 2023 (update)

My sisters and I thought we had time to learn about various options at a comfortable pace and then ramp up support for our parents in a targeted way over the next few months. We ordered two cameras to install in their home and made appointments to meet with two service providers for the next time I was in Carrollton – but that plan changed quickly when one of my parents entered the hospital.

I went to Carrollton early - entering 24-hour rotations with one of my sisters to support my parent in the hospital. My other two sisters and my daughter handled things at my parents’ house (it is traumatic for two elderly people married over 70 years to be separated for even short periods).

We learned a lot during the hospitalization about changes we need to make to avoid aspiration of liquid into the lungs (i.e. thickening of ALL liquids to honey consistency is now required). Previously some liquids had been thickened to a lesser amount (nectar) but water was unthickened….and now even that will have to be thickened. But – the reward is no coughing while (and after) eating or drinking!!!!

Small anomalies can make big impacts…low potassium and dehydration were two that our parent experienced. And the associated weakness/dizziness curtailed almost all physical activity for a little over 24 hours which required some slow increase of activity on the following days to get back to ‘normal’…and maybe that was a ‘new normal’ that was a little reduced from the prior normal.

Two cameras were installed and we used them along with virtual meetings to help our parents talk to each between physical visits. We decided a third camera would be worthwhile, so it was ordered.

We quickly established a contingency sleeping arrangement in case the hospitalized parent required more support at night immediately after coming home from the hospital.  The room includes a twin bed with plenty of room for a caregiver to move around….and for extra equipment. We are anticipating that ambulation will need to be monitored/supported (i.e. a belt around our parent … a caregiver with a hand on it) during their recuperation until we are sure the fall risk is minimal.

As I write this, our parent is still in the hospital but due to go home within 24 hours. We hope we have ramped up our support plan sufficiently.

Stay tuned for the next installment of Ramping up Elder Care!

Previous posts: November 2023

Gleanings of the Week Ending October 28, 2023

The items below were ‘the cream’ of the articles and websites I found this past week. Click on the light green text to look at the article.

Water Worker Stumbles Upon 2,500-Year-Old Gold Necklaces in Spain – Celtic gold….from before the Roman Empire ruled the Iberian Peninsula.

Canopy gaps help eastern hemlock outlast invasive insect – Hemlock wooly adelgid killed most of the hemlocks in the part of Maryland where I lived previously. Perhaps part of the reason so many died was that they were in forests where there were too few gaps in the canopy around them.

Germany to Surpass 50 Percent Renewable Power This Year – Good milestone but evidently Germany is still not on pace to reach its goal of 80 percent renewable power by 2030.

The surprising origin of a deadly hospital infection - The burden of C. diff infection may be less a matter of hospital transmission and more a result of characteristics associated with the patients themselves (i.e. patients that are already colonized with C. diff were at greater risk to transition to infection). However, it is still unknown what triggers the transition from C. diff hanging out in the gut to the organism causing diarrhea and the other complications resulting from infection.

Meet the Bison: North America’s Most Famous Mammal – Lots of info on bison…their history of almost being hunted to extinction.

The secret world of rhododendrons: a plant more ancient than the Himalayas that inspired fables and stories around the world - There are around 1000 species in total, and modern DNA-based work confirms that all “azaleas” are in fact species of rhododendron.

A Sign of Things to Come? After Last Ice Age, Europe Cooled as the Planet Warmed - More than 8,000 years ago, as the planet thawed following the end of the last ice age, Northern Europe abruptly cooled. New research reveals that Arctic ice melt weakened a critical ocean current, leaving Europe in the cold, a finding with important implications for future climate change.

Fiber from crustaceans, insects, mushrooms promotes digestion – Chitin (from insect exoskeletons and mushrooms) activates the immune system and benefits metabolism. Insects are not on my menu….but I could eat mushrooms more frequently. The researchers plan to follow up to determine whether chitin could be added to human diets to help control obesity.

Review of over 70 years of menopause science highlights research gaps and calls for individualized treatment - Less than 15% of women receive effective treatment for their symptoms. Socio-economic factors such as lower quality of life and the potential negative impact of menopausal symptoms on a woman's work performance aren't often acknowledged. Therapy should be individualized depending on age and health risks, recognizing that health risks may increase with age.

California and Florida grew quickly on the promise of perfect climates in the 1900s – today, they lead the country in climate change risks - In California, home owners now face dangerous heat waves, extended droughts that threaten the water supply, and uncontrollable wildfires. In Florida, sea level rise is worsening the risks of high-tide flooding and storm surge from hurricanes, in addition to turning up the thermostat on already humid heat. Global warming has put both Florida and California at the top of the list of states most at risk from climate change. These futures bring into question how historic visions of economic growth and the sun-kissed good life that California and Florida have promised can be reconciled with climates that are no longer always genial or sustainable.

Gleanings of the Week Ending July 22, 2023

The items below were ‘the cream’ of the articles and websites I found this past week. Click on the light green text to look at the article.

The ground is deforming, and buildings aren’t ready – Underground climate change in urban areas where heat islands underground cause enough expansions and contractions to damage building foundations…particularly in older buildings.

How noise pollution impacts nature – A study out of Vail, Colorado, showed that increased trail use by hikers and mountain bikers disturbed elk so much the cows birthed fewer calves. Another out of Grand Teton National Park showed that backcountry skiers scared bighorn sheep during winter when food was scarce, with potentially lethal consequences.

Hospital understaffing and poor work conditions associated with physician and nurse burnout and intent to leave - The study from the University of Pennsylvania School of Nursing found that physicians and nurses, even at hospitals known to be good places to work, experienced adverse outcomes during the pandemic and want hospital management to make significant improvements in their work environments and in patient safety. The solutions to high hospital clinician burnout and turnover, they say, are organizational improvements that provide safe workloads and better work-life balance NOT resilience training for clinicians to better cope with adverse working conditions.

The simple ways cities can adapt to heatwaves – Heat monitoring and planning is become more important for cities…the climate emergency in cities is a health emergency.

New biodegradable plastics are compostable in your backyard – New plastic made from blue-green cyanobacteria that isstronger and stiffer than previous plastics from the same raw ingredient. They can be recycled…but also degrade rapidly in the environment.

Giant Hand Axes Discovered in England Point to Prehistoric Humans’ ‘Strength and Skill’ – More than 300,000 years old perhaps from an interglacial period. Early Neanderthal people inhabited Britain then…and maybe other archaic human species too.

Germs, genes and soil: tales of pathogens past – DNA sequencers and powerful computational tools…applied to ancient microbes…probing their role in human history. This article describes how the work is done, ethical considerations…using examples of what has been accomplished so far. The field of archaeogenetics is just beginning.

Back from the Dead: New Hope for Resurrecting Extinct Plants – There is a global effort to digitize herbaria specimens which had helped identify holdings of extinct plants…sometimes finding seeds. And then the challenge is how to best attempt to grow old seeds.

Pain risk varies significantly across states – Pain due to arthritis varies geographically in the US – with the moderate to severe pain being 23% in West Virginia vs 7% in Minnesota.  There is also a difference between people that did not complete high school…and those who obtained at least a bachelor’s degree – with the delta being greatest in West Virginia, Arkansas, and Alabama. There is a need to focus on the macro-level policies (i.e. generally at the state level) while continuing current individual interventions.

The Acropolis Adopts Crowd Control Measures for the First Time – The post-pandemic travel surge is overwhelming at some places – including the Acropolis!

Gleanings of the Week Ending February 26, 2022

The items below were ‘the cream’ of the articles and websites I found this past week. Click on the light green text to look at the article.

After a shaky start, airborne wind energy is slowing taking off – Another way electricity might be generated in the future…but still a lot of work to be done.

Crews working to cull 600-900 bison from Yellowstone’s herds – I guess this happens every year at this time…even though in the rationale to cap the Yellowstone herd at 5,000 animals involved the mistaken idea that the bison were spreading brucellosis to cattle herds (research has shown that it is elk that spread the disease).

What damaged that tree? Probably not what you think – I guessed correctly….but only because I had seen something similar on a tree during a naturalist led hike…and they had identified the animal that make the marks!

The mystery of Mexico’s vanishing stream oaks – A great piece of trivia: Mexico has more species of oak tree than any other country! The article is about trying to save one of those species.

Three in four people worldwide support a ban on single-use plastic – Wide support…but no clear path on how we can do it. As a consumer – I try to avoid single use plastics, but some products don’t come in any other kind of packaging!

Seeing ‘green’ can ease confusion, anger in navigating hospitals – It’s not just hospitals that could use more natural views and ‘green.’

Top 25 birds of the week: waterbirds and seabirds – Terns, scoters, herons, gulls, cormorants, ducks, spoonbills, kingfishers, sandpipers, plovers, grebes…enjoy the photographs!

Warming temperatures are turning Antarctica green – Another indicator of how fast the Earth is changing….and that even Antarctica is not immune.

Drought depletes a reservoir in Spain, revealing a ghost village – The dam was installed in 1992 so this is not an old reservoir. The US is having similar drought related problems with Lake Mead behind Hoover Dam installed in 1935.

After 25 years at sea, shipwrecked Lego pieces are still washing ashore on beaches in England – Plastic is very durable…the pictures of the small Lego pieces still look pristine. Some of the pieces sank…some floated…they are all moving around and, very slowly, breaking down either in the ocean or on the beaches of Cornwall.

Zentangle® – January 2022

31 days in January…31 Zentangle tiles selected from the ones I created during the month.

I made a commemorative Zentangle tile on the back of the card stock rectangle that was my name plate from the door of my hospital room. The nurse handed it to me just before we headed down to the area where my husband was waiting to take me home….and I covered the back with my patterns a few days later.

There were various types of card stock and cardboard for the square tiles…all reused materials that would have otherwise been recycled. The lighter ones are from decades old file folders from my sister’s clearing out old files from my parents’ storage; some of them were over 50 years old! The darker one was more recent…from boxes of canned soft drinks. In both cases – I use a paper cutter to create the 3.5-inch squares. The limited color palette is caused by me trying to use up older Ultra Fine Sharpies before I open a new package.

The rectangular tiles are all made from light weight cardboard inserted as dividers in boxes of small cans of cat food. There are several kinds…varying shades of light brown. The texture also varies. I used the paper cutter to make them 3.5 x 4.75 inches tiles. Most of the time I prefer the rectangles over the squares – not sure whether it is the larger size or the textures or the colors that are the greatest appeal (probably it is all three!).  

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The Zentangle® Method is an easy-to-learn, relaxing, and fun way to create beautiful images by drawing structured patterns. It was created by Rick Roberts and Maria Thomas. “Zentangle” is a registered trademark of Zentangle, Inc. Learn more at zentangle.com.

Cancer Diary – Entry 9

The next milestone after cancer surgery is the appointment with the surgeon 2 weeks after. I’m writing this post a week after the surgery…so halfway to that milestone.

I spent the night after the surgery in the hospital. It was a miserable night with the head of the bed at a 30 degree angle….pressure cuffs on legs…throat sore after two rounds of anesthesia…IVs. Sleep was not possible although I felt deeply exhausted. I ordered breakfast as early as I could…the first food since the day before surgery: scrambled eggs and fresh fruit. Eating was slower going than I anticipated because my throat was sore, and swallowing was not quite back to normal; on the plus side – I really savored that meal! There was the taking of meds (more challenging because of swallowing issue), waiting around for release orders, and finally it was time to go. The coordination of me being wheeled down to the pickup point just as my husband pulled up was successful...and I was on my way home on a sunny cold day.

My priority after getting home was to have some lunch (a smoothie) and then organize myself to follow the discharge instructions. There were not a lot of meds…but enough that were new-to-me that I made a little chart to make sure I took them at the right times for the upcoming week. The situation was more challenging because we decided that in all the flurry with my evening in the hospital, the risk of being exposed to COVID was enough that I needed to be sequestered in the house. I had two rooms upstairs to myself and would wear a mask elsewhere in the house; the sequestering continued through a negative rapid test on day 5 and then day 7. Getting my meals and carrying them back upstairs to eat…juggling to open and close doors…almost required more coordination that I could muster!

Pain was not a problem but the visual of the red and purple color that had moved from the hematoma location down across the front of my chest was disturbing. It was a shock to my sense of self that I had not anticipated…my body looked so different than before…a stranger to myself. I wanted it to improve rapidly; instead - the purple and red color reached its worst the day after I came home from hospital and then seemed to just stay the same for several days; some areas are still purple a week after; I’m hearted that some areas have faded to yellow; the body is cleaning up what happened.

My sleep improved at home but did not return to pre-surgery ‘normal’ until close to the end of the week. Every little odd twinge or tightness was something I monitored….constantly feeling the need to reassure myself that everything was OK. I noticed feeling ‘different’ as I was drifting in and out of sleep – my mind working on whether it was the surgery, the mediations, or just sleep changes…the net was little deep sleep the first few nights.  I napped several times during the first half of the week to make up for the poor sleep during the night. By the end of the first week, sleep and energy level during the day were returning to normal.

My meals had been mostly things like smoothies and soup – easy to swallow – but I graduated to more normal fare by about the 5th day when my husband got us take out from Chipotle (no chips for me, though). The next day I made corn bread muffins with added cranberry/orange relish – somehow I had gotten very hungry for them! I had prepped a meatloaf before my surgery…stored it in the freezer. I moved it from the freezer to refrigerator to thaw the day before and my husband put it in the oven with some baked potatoes.

Bottom line – there are still a few residuals of the surgery that I am noticing 1 week afterward (swallowing not back to normal, color from hematoma event not totally faded) but overall, I am feeling good. Next week, I’ll have to experiment with how to cover up my scar when I am out and about; it helps that it is cold this time of year and bundling up is the norm!

Cancer Diary – Entry 8

The surgery day finally came. I showered with antibacterial soap as instructed and minimized what I was taking to the hospital in the pockets of a freshly laundered fleece jacket: new mask, eye glasses case, ID and insurance cards and phone. My clothes were comfortable pull-on pants and a button front top…wool socks with clog shoes. We left early enough that the sun came up while we were enroute into the city. The temperature was in the 20s but the place where my husband dropped me off was only a few steps to the door of the building. With the Omicron surge in our area, he was instructed to go home and come back later to get me.

Everything went as expected at first – easy check in because the pre-registration had been complete…the nurse came out to get me and got me into hospital gowns…IV ports were put in….the anesthesiologist came…the surgeon was about 20 minutes late. And then there was a time I don’t remember at all…and I’m in a recovery room…woozy at first and with a headache…drinking a Sprite and realizing that the dehydration headache from the early morning is gone.

Toward the end of the time in the recovery room, things were not as expected. There was more swelling than there should have been. Rather than going home, I would be admitted for overnight. I began to realize I should have paid more attention to the non-optimal outcomes to the surgery and that my phone was running out of power. I was taken in a wheelchair from the outpatient recovery room, through a labyrinth of corridors to a hospital room; on the way there, I noticed every bump in the route and that the swelling seemed to be increasing. The nurse immediately checked the swelling when I arrived ….and realized a hematoma had formed. There was a flurry of activity in the room where the hematoma was drained; they were able to slow the bleeding but not stop it….so back to an operating room where there was another time that I don’t remember at all.

Afterward I learned that while it is not common – it happens occasionally because so many blood vessels into a cancer have to be stopped…one of mine was not seen bleeding during the 1st surgery so the incision was reopened and it was stopped. Then the area was searched further to make sure there was no other bleeding.

Another time in recovery and then back to the hospital room. A nurse had found a charging cable for my phone while I was in the second surgery, but I was too exhausted to turn on the phone until the next morning.

So – not a ‘smooth sailing’ experience. I found myself being very thankful for the doctor recognizing that something might not be quite right…the nurse realizing that the problem had become critical… the professional team that slowed the bleeding and got me back into an operating room to fix the problem.

Cancer is scary and having a ‘bleed’ right after surgery could have been a ramp up of anxiety…but my emotions were almost on pause…in a surreal experience of passively observing highly trained people focused on me…doing what needed to be done. I’ll always remember someone reassuring me, as pressure was applied to slow the bleeding as they moved me from the hospital room to the operating room, that they would get me a clean gown.

Ten Little Celebrations – December 2021

It’s a season full of celebrations. In my family we have celebrations associated with a birthday, an anniversary, Christmas…and then ones associated with the beginning of winter. Here’s my top 10 for the month:

A winter day at home. Being at home enjoying the forest through the window….still one of my favorite places to be…even in winter. I like I particularly in the morning when the sun first hits the treetops with golden light.

Flannel sheets. The week we change from percale to flannel sheets has a lot in common with decorating for the holidays….it is a celebration of the season…full of warmth and snuggles. It’s such a treat to get into a bed made with flannel sheets prewarmed by a heated mattress pad!

Brookside Gardens lights. Our walk around the lights at Brookside Gardens was even more celebratory this year since we didn’t do our traditional visit to the garden lights in 2020!

Pumpkin roll. Our grocery bakery has this treat seasonally. My daughter is the one that introduced me to them several years ago so the celebration is a special food of the season that prompts me to savor the positive impact she has always had on my life.

My birthday…my parents’ wedding anniversary. Celebration abounds in December for my family…every year.

Coursera course – Anatomy of the upper and lower extremities. What a great way to fill up the lulls this month. It’s challenging enough to require my full attention! Celebrating the course…grateful to the Yale faculty for producing it…Coursera for hosting it.

Druid Hill Park for birding. Celebrating the walk around the park as we did it…and in hindsight that it was before the Omicron variant was spiking in our area.  

My mother’s experience coming home from the hospital. I am celebrating that she is getting focused therapy that is showing positive results….more than any previous hospitalizations.

Telephone conversations. Celebrating all the alternative communications we have…since I didn’t travel in December. Even though we do texts and emails and zoom…somehow the telephone seems to be the one where the deeper communication is occurring (maybe because it is synchronous, one on one and not as ‘quick’).

Quiche. When I make quiche…I simple use what I have on hand – so I am celebrating that one I made recently turned out great!

Filling time at the Hospital – Zentangle® Tiles

One of the ways I filled the hours of inactivity at the hospital was making Zentangle tiles. Their creation was easily interrupted and then continued…..fitting around conversations with nurses and doctors and varying interactions with my mother as she improved. There was a feeling of accomplishment and optimism when a tile was finished.

Being creative in times of stress has always been a good coping mechanism for me. Making a Zentangle tile is a form of respite…a little art that makes it easier for my mind to be creative in other ways too…coming up with solutions to whatever happens in the next hours at the hospital.

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The Zentangle® Method is an easy-to-learn, relaxing, and fun way to create beautiful images by drawing structured patterns. It was created by Rick Roberts and Maria Thomas. “Zentangle” is a registered trademark of Zentangle, Inc. Learn more at zentangle.com.

Hospital Experience

Most of my experiences at hospitals is associated with my parents getting older and needing support during hospitalization. A week ago, another one was history. My sister and I organized 24-hour shifts to support a 4 day stay in the hospital (we each had 2 shifts) and now are supporting follow up appointments and at-home PT. It’s a time requiring focus - overcoming a lot of emotion, anxiety, sleeping on somewhat uncomfortable converted couches, and boredom during long waits. My favorite activities to keep the boredom at bay are making Zentangle tiles, reading, and making notes about what is happening/what I was thinking about. I’ll post the tiles I made at the hospital in another post.

Vaccination makes quite a difference in our anxiety about COVID-19; the hospital allowed limited visitors. Mask wearing (except when eating) was required. My KF-94 mask was comfortable for the long hours of wear, but my ears were increasingly tender by the second 24 hours. I was relieved that there was no need for another long duration round of mask wearing. The only time I took my mask off for more than a few minutes in the hospital was once to eat a sandwich in an outdoor picnic area (lots of grackle calls…very windy).

I also took pictures from the hospital room and nearby lobby. There were two rooms last week. The first was in the ICU and on the 7th floor of the hospital. The roof below the window was somewhat decorative and the front of the hospital with the two columns of water was also visible.

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We moved out of the ICU in the middle of the night – up to the 10th floor and to the other end of the hospital. Note the different orientation of the two columns of water.

We had just settled into the new room…drifted off to sleep…when I heard a big noise and realized it was a helicopter. I sat up and saw it landing…noted that it was 2:10 AM…went back to sleep…the patient slept through everything. In the daylight – it was easy to see that the room looked down on the helipad for the hospital!

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The height of the windows provided a good view of the Dallas skyline. I wondered how long it would take for the neat rows of trees planted at the front of the hospital to get big enough to be more forest like.

On my rare forays down to the 1st floor lobby for food – I realized that my favorite art along the long hall was a work that depicts wildflowers of Texas. Many of them have such distinctive shapes that they are identifiable in silhouette.

Overall – the pandemic protocols did make this hospital stay a bit different (masks, limited visitors, less ‘stuff’ coming home) than our previous experience. The fundamental goal happened - the patient got better and came home. That is success.