Cold Brew

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Is there a tonic quicker than the cold
upon my face, while leather warms my hands
and walking feet? The morning air is bold
as crystal, sharp and clean, and it commands
brisk attitude from what was weary me.
It polishes my cheeks with icy sting
and coaxes open eyes to clearly see
through tearing chill the edge of everything.

And what’s the tranquilizer that can top
the evening I have built myself tonight?
Alone within my living room, I stop
the usual, attend the firelight,
and start the music over, while I sit
among the purple candles I have lit.

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Waikiki

Outrigger

Transitioning today to Waikiki,
we ready for the traffic and the crowd
that gathers at the Cheesecake Factory,
the flares of tiki torches, and the loud
and bass-less music rising from the bars
that perforates the beach like scattershot,
the waves of brand-name stores, the tides of cars
and taxi cabs, the sidewalk polyglot.

It’s called the capital of paradise
but nobody can argue it’s the best,
unless the score depends on mai tai price
and luau shows and time-share talks addressed
to people so commercially confused,
they can’t tell if they’re anxious or amused.

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Alone Unlonely

Haleakala

Our three-day stay includes a rental car,
and we have driven south of here and east.
The island’s small enough we can’t go far,
but we’ve explored aquaria, increased
our height from level sea to see a star
observatory – miles high at least –
and we can’t tell where all the tourists are;
we wander unmolested, unpoliced.

The kitchens we select are never loud.
We’re driving where we want with little stress.
Perhaps the western beaches have the crowd
and maybe sunset luaus host the mess
of lumpy shoppers, flowers in their hair,
but we’re enjoying tropic solitaire.

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Disruption

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“You know what they say,” I intoned. “Whatever doesn’t kill you makes you stronger.”

Margaret snorted. There was no way I could interpret that as agreement. And she’s a professional. I looked up and listened.

“That’s just not true. Or not often. It’s kind of like child abductions – way less common than you’d think. When a kid gets snatched it makes the news. All the kids who are safe at home and school are not interesting to the viewers. So yeah, sometimes a victim survives and triumphs and is stronger and wiser for the experience. But most of the time, especially nowadays, abuse leads to psychological disability. At least.”

“But I…”

“Yeah. You were one of the lucky ones. And then wasn’t now.”

“That sounds negative,” I said. “Are you sure you aren’t falling into Hendersonism?”

Margaret chuckled before responding. “Hendersonism” is our name for the condition that occurs when a specialist has been in her field for so long that she begins to see everyone through the warped lens of her own experience. We named it for Jack Henderson, an OB/Gyn I used to know who was a fertility specialist. He was a business client of mine and he once told me that no woman over 40 should even attempt to conceive a child. He seemed oblivious, even after I mentioned it, to the fact that only women who had trouble conceiving were consulting him.

“I don’t think my perspective is skewed,” Margaret responded. “I’m just saying that most abuse victims don’t develop the strength to, for lack of a better phrase, rise above. The few who do, become noteworthy. And I’m convinced the few are getting farther between. We live in a sick society growing sicker.”

“Wow. Them’s fighting words. Let’s walk.”

Margaret and I grew our friendship out of the therapy room. She was the best and therefore last of my son’s child psychologists; when his therapy was concluded (a radical concept) and we retreated from the regular appointments, the empty space slowly filled with dinners and walks and talks as she and I got to know one another and grew close. We shared an interest in health that made us compatible about exercise, fiber, and certain nonfiction books. In fact, our walk destination yesterday was the nearby bookstore, one of the last independently owned shops in our region.

I worked in a bookstore when I was in college. It was my favorite job ever, although it paid minimum wage and was not a sustainable career. I had to leave it for the financial district, but I never lost my love of bookstore environments. So I mourn the death of the industry. I hold my Kindle with uncramped hands and mixed feelings. In the same way that I was compelled to get a cell phone because telephone booths disappeared, the extinction of bookstores forced me to acquire an e-reader and shop Amazon.

“So what about the heroic stories?” I resumed when we got to the sidewalk. “Just last week I read about an abuse survivor who is scoring big time as a motivational speaker.”

“One in a million.”

“Me, too?” I can’t describe my childhood as abusive exactly, but a combination of circumstances created an environment wherein my needs were not met. My mother had no time or patience for me, and was contending with her own undiagnosed depression, and my father, sometimes an amazing loving guide, was generally too busy with his work and too trusting that Mom knew what she was doing. I’d gotten a deep perspective on my own childhood while peripherally participating in Alex’s therapy, and I’d slowly, miraculously learned that (1) I was blameless and (2) it was too late for Mom to mother me but there was a way I could mother myself.

“You too. I’ve never met anyone like you. People think you’re all about intelligence, and sure you have that, but your strongest qualities are extreme willfulness and kindness.”

I basked. Immodestly, I agreed with her. And I treasured her for noticing the kind part of me.

I found Margaret through my best friend Mellie. I needed a therapist for my little boy, and Mellie has had an (adult) lifetime of it. She’s well connected in the community. I’ve got my doubts about her guy (who doesn’t have critical observations about her best friend’s therapist?), but I can’t forget he connected us to Margaret, who helped Alex thrive (and incidentally me too), and then became a friend.

Mellie also knows endocrinologists. She presented with Type 1 diabetes when we were 35, and I was assigned my customary role (established shortly after we met and became college roommates) of reading the science. So I’m not unfamiliar with the pluses and minuses about insulin, and was therefore conversant, halfway to the bookstore, when Margaret opened the subject.

“Most people don’t realize it’s a hormone,” she began. “Sure it serves a vital purpose, but based on the reading I’ve been doing, I’m convinced that a huge part of our culture’s problem is that we’re all OD’ing on it…”

“But how could that be? I mean, except for people like Mellie, who inject it – did I ever tell you about the time I tried to kill her with it? I’m joking of course, but we were away at a weekend spa, and she didn’t bring her cheaters to the dining room and asked me to draw up three units for her. I wasn’t used to the needle calibration and pulled 30 units instead. Haphazard Mellie plunged the needle into her thigh before she realized what I’d done.

“Talk about an emergency situation! I ran for the orange juice while the staff called the ambulance. Poor woman had to spend the whole day on a glucose drip.”

“Shit,” Margaret commented. “That was probably harder on you than on her.” I nodded. “No: we’re almost all getting too much insulin. Do you realize that average sugar consumption has gone from like 35 pounds per person per year, when we were born, to over 140 pounds per person per year now? All that sugar means huge glucose loads in our bloodstream, which require huge insulin responses. Not to mention the other ingredient in sugar: unmitigated fructose to stress the liver and add fat to the system.”

An invisible lightbulb flared above my brain as I made a connection. “Wow,” I said. “I remember the only and best big long-term study about what causes complications in people with Type I. The conclusion linked all the problems to high insulin levels…”

“Yeaaaa-uh. And guess what? Folks on high-carb, low fat diets (meaning: people with high serum insulin levels) experience notably more depression and suicidal ideation.”

“Which is known to be prevalent among insulin injectors, too!”

“Worse than all that: insulin promotes cell growth, including cancer cells and brain plaque. It tells the body to store everything but glucose as fat, and then makes the brain crave more glucose. I used to subscribe to the standard assumption that obesity is self-induced: a matter of poor choices. Now I see it as broken metabolism. True disability. Reversible, but not easily. Especially when like 98% of food sold to us is laced with added sugars.”

“This is sounding bad.”

“Un huh. You have to check out some of the books I’ve been reading. It started for me with Teicholz’s Big Fat Surprise. All about how “science” has been lying to us since WWII. That wiped most of the knowledge I thought I had out of my head. Then I did Lustig’s Fat Chance. He sent me looking for Yudkin’s Pure, White & Deadly, which was billed as hard-to-find (written and suppressed in the 1970s), but was a one-click purchase on Amazon. Let’s find one or more of those titles today. I’ll soon have you off sugar and refined carbs, too.”

“How is it, off sugar?”

“Easy. I was prepared for an adjustment period of two to four weeks, but after decades of reserving calories for a little fine chocolate every night, it was like I was done with it. Never looked back. Don’t want it. Here we are.”

We turned into the bookstore doorway. It was pleasant in there, with a comfortable small crowd of browsers and good natural light. But we didn’t find any of the books. There was one about gluten and brain disease, but Margaret told me to stay away from it unless I wanted to fill my shelves with supplements.

We were discouraged but not surprised to come up empty. We knew we’d have to turn to Amazon. The deck is stacked so many ways.

I like to think I’m an alert, focused person, but what happened next humbled me. It didn’t kill me, but I don’t think it made me stronger either. As we exited the bookstore, mumbling together about being forced online, an elderly driver accelerated toward us. I saw the SUV angling from the street toward the tile and glass storefront, I understood somehow that the geometry was wrong, but I didn’t react physically. It was Margaret who got it. She yanked me toward the street about two seconds before the front of the car smashed into the store. The impact shattered the glass and even took a big chunk out of the tile.

We’re okay. One pedestrian had a leg broken and two store customers were hit by flying glass. The driver, a man in his 80s, had not had a medical event. We heard that he confused the accelerator for the brake and then panic-reacted by yanking the wheel the wrong way.

The adrenaline dissipation was uncomfortable. But appropriate. And far better than too much insulin.

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Papio in Pa’ia

Papio

The travel guides advise us not to miss
this site or that attraction, to secure
our tickets in advance for that or this,
insisting a vacation must be sure
to tick off most the must-sees on a list
some enterprising blogger mapped for all.
But we’re on break, agreeing to resist
the coupons, crowds, and every shopping mall.

We have a private cottage so benign
we want to spend big chunks of time in it.
We use the rental car with attitude
of exploration – routes without a sign.
No reservation is appropriate,
and all we seek from people is good food.

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A Rest on Maui

Rest

Arrested by a rest on Maui, sweet
and light and dreamless, eyelids closed and yet
insightful, wind caressing neck and feet,
I’d be staggered if I stood up now.
I would wobble if I tried to move
or talk – today I have forgotten how
and what I used to strategize to prove.

I’m slowing down to island time, as calm
as if I were immersed in water hot
enough to soften me. Above a palm
is fluttering its fronds, and I forgot
to wonder what to do today, with time,
or worry at the pitches of this rhyme.

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Imaginary Friends

rabbit-harvey[1]

Imaginary friendships aren’t rare
for children who are dreamers, introverts,
and loners. Care providers rarely care,
for ghost companions aren’t any worse
than coloring outside the lines, resisting
mandatory rest, or tasting paste.
So disembodied friends don’t make the list
to which the tag “pathology” is laced.

It’s okay if Amelia moves her lips
when walking by herself, and it’s all right
that Mike and Adam have relationships
with heroes no one sees (but just at night).
My BFF’s invisible of course,
and I don’t think it matters he’s a horse.

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On Camphor Trees

Cinnamomum_camphora_-_Botanic_Gardens

Its graceful shape appears ahead of me:
a rearing solid trunk of grayish brown,
with textured yellow-green as canopy,
as if a living pillar wore a crown.

It seems a link from sidewalk to the sky,
or something placed as cloud support on earth.
Of all the trees the city planners try,
the camphor answers with its height and girth.

So as I walk, I hear the trimmer praise
the tree for sending roots so deep and neat,
that take to being pruned by loosing rays
of their perfume upon the old concrete.
And praise it, too, for never dropping gum
or sap or any sort of sticky plum.

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Our Special Friend

language

Not. That was our first clue that Margaret might be a keeper. She was the only child therapist who did NOT claim to be my boy’s special friend. Which is kind of ironic, because she was so effective that we didn’t have to keep her for long, and after the therapy was over, she did become something of a friend.

There were four others before her. We were ordered to counseling in kindergarten, first grade, and second. Alex was always impulsive and quick to anger, and when he ran into the school’s zero-tolerance policies, the crash reverberated through class, afterschool programs, and our dinner hour.

First was Anita, with the smarmy hand-puppets. Alex was five years old and saw right through her. He completed the assigned six sessions, but his behavior didn’t improve.

Then came Nancy. She favored a small sand box in her office. Alex tossed the sand around every chance he got. I think he was baiting her, but that was when he wasn’t answering even my questions. They let him stay in school, but his temper continued to flare.

Moe and Mary were a husband-and-wife team. We met them after the carpentry incident. That was not a classroom event; it occurred in an afterschool program. Alex never did get along with Jonathan, and maybe I’m delusional but I believed his story that Jonathan started it. But Alex should never have picked up that 2 x 4. Everyone thought a male counselor might be effective then, which is how we met the Martins, but Moe was even more saccharine than his wife, and the couple didn’t make any headway with my delinquent.

It’s easy for me to write about all of this now that Alex has proved the prognosticators wrong, but his early childhood was a nightmare. No matter how I went at him, his only regrets then were that he got caught. He never admitted that his behavior was bad. I prayed for a consequence that would teach him, and couldn’t discover one.

When he got suspended for bringing a weapon to school, the administration left the treatment to me. They told me he couldn’t come back until I took some action to correct him. The weapon was a box of kitchen matches, and I believed him when he told me he found them in the vacant lot outside the playground (I had none at home, and he had no money), but I couldn’t afford a private school or the time to homeschool, so I had to go along with the program.

I got Margaret’s name from my best friend. Mellie has been in therapy as long as I’ve known her, and she asked her guy for the best child psychologist he knew. Margaret was almost out of private practice then – well on her way to her position at Children’s Hospital as resident expert in Munchausen’s Syndrome by Proxy – but she agreed to take us.

Most therapists are like dermatologists – rarely does a patient die but just as rarely does one get well. Margaret was different. She was an effective professional. She met with us, defined the problem, and worked closely with us till the problem was resolved. Then she withdrew. In Alex’s case, the solution turned out to be teaching him to accept the fact that his mind, his personality, and his vocabulary were years ahead of his peers, and helping him develop the patience to wait for them.

Of course there was more to it. His abusive father was a fact of his weekend life. And I had to learn that my yelling hurt Alex more than his father’s fist.

And the cure wasn’t immediate. We made enough progress to see a light at the end of the tunnel, and Alex steadily improved after second grade, but there were bumps and occasional booster sessions with Margaret till he finished elementary school. From then on he flourished. He was so successful in middle and especially high school that I worried he might peak before 18 (a groundless fear, as it turned out, but I’m getting way ahead of my story).

Because in some ways it turned into my story. We looked into my childhood a bit during the regular sessions with Margaret, but it was those later visits, looser and more comfortable than when Alex’s problem was acute, that afforded us time to get into details about things my parents did to me.

I’d told Margaret and Alex the tonsillectomy tale shortly after we started. It was a horrible experience: dropped off at five and a half for an ether-filled operation and overnight hospital stay, with no information from my parents about what the plan was. I confronted my mother long afterward – how could she and Dad have just abandoned me with no warning? I’d asked – and she insisted, he agreeing, that the doctor told them not to inform me. Margaret commented that if she were asked to write a script to drive a kid toward autism, she couldn’t have come up with desertion, confusion, and torture better than what I endured. Personally I think the experience shot me into mini-adulthood before kindergarten, because ever since then I’ve been the most willful individual I know.

We’d gone over that episode several times during Alex’s early visits, but it wasn’t until the irregular sessions that I told them what happened when I was three, and when I was eight, and we derived how it must have been for me even in my first year.

My first brother was born shortly after my third birthday. I guess I wasn’t done with diapers, but my mother was, regarding me. She decided it was time for me to use a toilet. I didn’t agree. I started defecating in secret, in the closet. That’s when she consulted the doctor. Who advised her to control when I went so she could guide me about where I went. She told my father and he was the one who administered the enema. In the bathroom, with him sitting on the edge of the tub, me bent over his knees, and Mom hovering above us, making noise. That’s how I remember the event.

I also remember it as repeated, but when I mentioned the memory to my father, he corrected me vigorously. Apparently the experience was almost as traumatic for him as it was for me – he swears he only did it once and I believe him. I also believe my mother’s “doctor’s orders” explanation.

I don’t know if the seating arrangement on the flight to California had anything to do with a doctor. I was eight and we were moving cross country. Dad was already on the west coast, and Mom had her hands full with my younger brothers, but I’ll never understand why I wasn’t even seated near them. I was placed between two grownup strangers.

I was freaked out about the airplane toilet. I wouldn’t use it alone. I held my pee as long as I could. I implored my mother to go with me. She couldn’t, but she didn’t seek any help for me. “You’re old enough to go alone,” she snarled at me under her breath. I can still see the hateful look of exasperation on her face. “Can’t you see I have my hands full? If you can’t be a help, just leave me alone.”

I held it some more. When I couldn’t restrain my stream any longer, I released it into the upholstery beneath me. Then I sat on the wet until it dried.

Looking back, I think that was the last time I explicitly asked my mother for help.

Finally I tried to reconstruct events from my infancy. I can’t pretend to remember them; my earliest recollections involve fear of the front-loading washer, and I was between two and three for that. But I’ve asked my mother why she didn’t breastfeed me (“the doctors said formula was better”), and I’ve inquired about my first weeks (“the baby nurse made us put you on a schedule, so we determined when you ate and slept”) and about my birth (“I didn’t know what was happening – the doctor was in charge – when I came to, they told me I had a girl”) and even about my first year (“that was when your dad and I lived with my father, and I swear I spent all my time with my arms straight out, trying to keep those two from arguing”), and all I can see is a young, insecure woman, following the instructions of others.

Mom’s still that way. She’d elderly now but relatively healthy, and her calendar is full of appointments with internist, gastroenterologist, cardiologist, ophthalmologist, dentist, periodontist, vascular specialist, et al. She’s an instruction-gathering, contraindication-reading machine.

I know. I hold her advanced health care directive and I go with her to most of the appointments. I was there when Dr. Phillips mentioned that there’s no medical reason not to eat nuts and seeds, but that some of his diverticular patients report less discomfort if they avoid those sorts of foods. That statement got turned into “doctor’s orders” when she now refuses pepitas and peanuts. I heard Dr. Abrams suggest that maybe Mom should walk outside some days instead of always on the treadmill; that too became “I’m not allowed to use the treadmill any more.”

But at least she’s doing it to herself now, and not to me.

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The Mom

Angelo_Bronzino_Det_004 - Copy

When I was young, I thought you had no life
except to shop and clean and give us food.
You did for Dad the duties of a wife
and somewhat more, with your impatient mood,
and for we three that you with him produced,
provided all you thought that children need.
Then I, by dashing industry seduced,
assumed you didn’t like to think, or read.

So much of you was like an iceberg then,
submerged beneath responsibility.
You hid yourself and grew, and grew again,
till you became a learning prodigy.
The way you’re thinking now appears so sage
I’m starting to look forward to my age.

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