on the quality of life

🍂

Given the ease with which health infuses life with meaning and purpose, it is shocking how swiftly illness steals away those certainties. It was all I could do to get through each moment, and each moment felt like an endless hour, yet days slipped silently past. Time unused and only endured still vanishes, as if time itself is starving, and each day is swallowed whole, leaving no crumbs, no memory, no trace at all.
~ Elisabeth Tova Bailey
(The Sound of a Wild Snail Eating)

It’s hard to believe it’s been five years since I received my radiation proctitis diagnosis on January 3, 2020. It’s been a difficult journey, learning how to live with a chronic illness. I feel like Sisyphus, continually pushing a boulder up a hill, with no reasonable hope for relief.

I’ve learned that radiation proctitis is called pelvic radiation disease by the medical system in the United Kingdom, a much more comprehensive description than we have here in the United States.

In the last few decades radiotherapy was established as one of the best and most widely used treatment modalities for certain tumours. Unfortunately that came with a price. As more people with cancer survive longer an ever increasing number of patients are living with the complications of radiotherapy and have become, in certain cases, difficult to manage. Pelvic radiation disease (PRD) can result from ionising radiation-induced damage to surrounding non-cancerous tissues resulting in disruption of normal physiological functions and symptoms such as diarrhoea, tenesmus, incontinence and rectal bleeding. The burden of PRD-related symptoms, which impact on a patient’s quality of life, has been under appreciated and sub-optimally managed.
~ Kirsten AL Morris & Najib Y Haboubi
(World Journal of Gastrointestinal Surgery, November 27, 2015, “Pelvic radiation therapy: Between delight and disaster”)

Quality of life — how on earth can it be measured?

The necessary low fiber, low fodmap diet is terribly restrictive and makes eating with others and/or eating out in restaurants very awkward. I need to bring my own food.

The unpredictable and painful flare-ups of symptoms keeps me from making too many plans and the plans I do make need to be tentative. It’s frustrating, but the alternative is to never go out and do anything.

In my darkest moments I feel like this steep price paid for cheating death is not worth it.


The Heart asks Pleasure — first —
And then — excuse from Pain —
And then — those little Anodynes
That deaden suffering —

And then — to go to sleep —
And then — if it should be
The will of it’s Inquisitor
The privilege to die —

~ Emily Dickinson
(The Poems of Emily Dickinson, #588)


Coping mechanisms — there are quite a few…

Gathering information and helpful tips from my sympathetic gastroenterologists (both in Connecticut and North Carolina) — I’ve been lucky with that. (On the other hand, the radiologist and oncologist who dished out the radiotherapy were shockingly unsympathetic about the iatrogenic disease this cancer treatment caused.)

Finding the Pelvic Radiation Disease & Radiation Colitis support group on Facebook. It’s validating to know others who understand what it feels like to be living with this.

Working on my original 2020 goal “to take a walk in the woods.” Spending time with nature and capturing its wonders with my camera is very healing.

Reducing stress by practicing yoga, reading poetry and books, and listening to music. (I’m so grateful for the beautiful Chapel Hill Public Library and for my playlists on Spotify!)

Distraction = long hours of family history research.

Learning to say “no” (and trying not to feel guilty about it) when I need to rest and recuperate.

What a long strange trip it’s been these last five years, running concurrently with the pandemic in the beginning, and complicating our move to North Carolina. Most of all, I’m grateful for my husband. Tim lends a patient and supportive listening ear, bearing witness to my pain and struggle. I honestly don’t know how I would have gotten this far without him!

🍂

to the blessed light that comes

“Woodland Stream in a Winter Landscape”
by John Henry Twachtman

I cannot tell you
how the light comes.
What I know
is that it is more ancient
than imagining.
That it travels
across an astounding expanse
to reach us.
That it loves
searching out
what is hidden
what is lost
what is forgotten
or in peril
or in pain.
That it has a fondness
for the body
for finding its way
toward flesh
for tracing the edges
of form
for shining forth
through the eye,
the hand,
the heart.
I cannot tell you
how the light comes,
but that it does.
That it will.
That it works its way
into the deepest dark
that enfolds you,
though it may seem
long ages in coming
or arrive in a shape
you did not foresee.
And so
may we this day
turn ourselves toward it.
May we lift our faces
to let it find us.
May we bend our bodies
to follow the arc it makes.
May we open
and open more
and open still
to the blessed light
that comes.

~ Jan Richardson
(How the Light Comes)

the great surge of life

3.20.24 ~ hermit thrush, North Carolina Botanical Garden

I lack roots, I cannot fly on my own wings, and I do not burrow into the earth. But I am a part of something vastly bigger than myself. I am a part of the enduring force, of life itself. And the great surge of life occurs every springtime. It is this that I am made aware of now.
~ Hal Borland
(Hal Borland’s Book of Days)

fragrant sumac

Another favorite walk in the botanical garden, savoring every possible moment of this memorable spring flowering. Longtime locals have been telling us that this spring has come earlier here than it has in previous years. The last rose I found on this bush (below) was in November and this one in March is the first rose since then.

first ‘old blush’ rose of the season
Venus flytraps poking up from the soil
wild blue phlox
Carolina wren
white trout lily
 limestone bittercress aka purple cress
‘finch’s golden’ deciduous holly

I’m planning to get a once a month picture from this spot (below) on the boardwalk. The areas on either side here were part of a subscribed burn sometime after we found the seedbox plant in January.

Coastal Plain Habitat boardwalk in March
3.20.24 ~ Courtyard Gardens
Spring Equinox (8 seasons series)

Spring has returned — and now the earth is
like a child who has learned her poems by heart.
So many, so many … and for all her hard
and lengthy studies now she takes the prize.

~ Rainer Maria Rilke
(Sonnets to Orpheus)

eastern redbud cauliflory

Cauliflory is a botanical term referring to plants that flower and fruit from their main stems or woody trunks, rather than from new growth and shoots. It is rare in temperate regions but common in tropical forests.
~ Wikipedia

Learning something new every day… I’m trying to remember the word cauliflory by thinking of cauliflower. (I’m still having trouble remembering the word marcescence even after using it countless time on this blog…) This wonderful botanical garden is never the same twice.

throwback thursday

1.20.24 ~ hemlock in the snow

Yesterday I posted a picture of a tiny cone on a hemlock tree struggling to survive at the North Carolina Botanical Garden. Today I’m sharing a picture my sister took last week back home in Connecticut. The snow covered branches belong to one of the few remaining hemlock trees my brother-in-law has been fighting to save.

And below is an illustrated poem someone shared of Facebook, Dust of Snow, written by Robert Frost.

image credit: Suzanne Schafer Bakert

Playing around and meditating under the hemlock trees in winter kept my heart full of joy all the winters I spent growing up there!

house finch, gray catbird, cottontail

5.16.22 ~ house finch
Coogan Farm Nature & Heritage Center, Mystic, Connecticut

It was a lovely spring day and the air was filled with birds singing and bees buzzing. I couldn’t catch most of them with my camera but the scenery at Coogan Farm reminded me of a setting from a historical drama. I half-expected to see a character from a Jane Austen novel come around the bend on our path.

sunlight on dandelions
old farmland

It is clearly posted that dogs must be on a leash at Coogan Farm. This one arrived at the same time we did and was darting around the parking lot while its owner was getting things out of his car. We had two doors of our car open as we were getting ready for our walk, too. Next thing we knew the dog jumped into our car through the back door Tim was at, then squeezed between the front seats and exited the car through the front door I was at. She seemed very friendly and not too big so I wasn’t afraid, but, startled and annoyed. The man she belonged to called “Sadie” away and offered no apology. I assumed he would put her on a leash when he saw the signs at the trailhead. They took a different trail but our paths crossed later on and there was no leash to be seen, the man wasn’t even carrying one on his person.

We moved on, trying not to let the selfishness of others spoil a lovely walk for us.

Intensely selfish people are always very decided as to what they wish. That is in itself a great force; they do not waste their energies in considering the good of others.
~ Ouida
(Wisdom, Wit, and Pathos of Ouida Selected from the Works of Ouida)

In 2016 this tower (below) was designed by an Eagle Scout, specifically for chimney swifts. It provides a suitable nesting habitat to help increase the chimney swift population: Connecticut Project Chimney Watch

chimney swift nesting season is May to July
distant view across the Mystic River

Selfishness must always be forgiven you know, because there is no hope of a cure.
~ Jane Austen
(Mansfield Park)

gray catbird

I’m seeing and hearing so many catbirds this year! They have a way of cheering me up. 💙

dandelion magic
buttercups and dandelions
cottontail rabbit
mushroom
lupine (thanks to Mary for the identification)

Walking is the great adventure, the first meditation, a practice of heartiness and soul primary to humankind. Walking is the exact balance between spirit and humility.
~ Gary Snyder
(The Practice of the Wild: Essays)

Connecticut’s positivity rate is up to 13%. Not good. It’s been going up since its lowest point in March.

to the lighthouse

10.13.21 ~ Watch Hill Light

So, we finally made it to the Watch Hill Lighthouse! I’ve been taking pictures of it from the distance from Napatree Point (see here) but now we have managed to see it up close. Sort of. It’s surrounded by a chain link fence and is closed to the public, but it sits at the end of a peninsula where we could take a nice long walk, surrounded by water on both sides. I was able to get pictures of it from a few slightly different angles.

The Watch Hill Lighthouse in Watch Hill, Rhode Island has served as a nautical beacon for ships since 1745, when the Rhode Island colonial government erected a watchtower and beacon during the French and Indian War and Revolutionary War. The original structure was destroyed in a 1781 storm, and plans were discussed to build a new lighthouse to mark the eastern entrance to Fishers Island Sound and to warn mariners of a dangerous reef southwest of Watch Hill. President Thomas Jefferson signed an act to build the lighthouse in 1806, and construction was completed in 1807. The first lighthouse stood 35 feet (11 m) tall. In 1827, a rotating light was installed to differentiate it from the Stonington Harbor Light in Connecticut. Erosion forced it to close in 1855 and move farther away from the bluff edge. The next lighthouse opened in 1856 and remains as the present structure, standing 45 feet (14 m) tall.
~ Watch Hill Lighthouse Keepers Association website

looking east
looking west toward Napatree Point
(the pictures I’ve taken of the lighthouse before were taken from that dune)
rose hip

Of course, it didn’t take me long to locate some birds. They were on the other side of a large thicket, though. It took me some time to find a way aroud the thicket and down closer to the cormorants and eiders.

double-crested cormorant drying its wings
juvenile double-crested cormorant ~ first one I’ve seen
side view of a double-crested cormorant drying its wings
view from the thicket
sticking out of the thicket
house sparrows peeking out of the thicket
immature male common eider
female common eider
immature male common eider
female common eider

What was it then? What did it mean? Could things thrust their hands up and grip one; could the blade cut; the fist grasp? Was there no safety? No learning by heart of the ways of the world? No guide, no shelter, but all was miracle, and leaping from the pinnacle of a tower into the air? Could it be, even for elderly people, that this was life? — startling, unexpected, unknown?
~ Virginia Woolf
(To the Lighthouse)

Atlantic Ocean

It was a pleasant day for a walk by the sea. We found the walk-in entrance to another public beach to the east of the peninsula and will probably try to visit that one on another visit. It will be fun to photograph the lighthouse from that direction!

Watch Hill Lighthouse

shells, seaweed, feathers

6.10.21 ~ herring gull, second year ~ Eastern Point

The morning after the heat wave was over we couldn’t wait to get out of the house and take a walk at the beach. I’m done with hiking in the woods for the summer. I managed to get poison ivy again last week, even after being very very careful on our last ramble. I swear it floats in the air in June. Fortunately this outbreak is not as bad as the one I had last year.

Sometimes I need
only to stand
wherever I am
to be blessed.

~ Mary Oliver
(It Was Early)

mourning dove

I was very surprised to see a couple of mourning doves on the breakwater. I’ve never seen them at the beach before. And I only saw the one herring gull, looking like he might be in the middle of molting. Later on the walk we saw an abundance of feathers on the rocks and floating in the water. On this day, too, there seemed to be a colorful seaweed salad floating just under the surface of the water.

growing out of a crack in the rock

The belief that nature is an Other, a separate realm defiled by the unnatural mark of humans, is a denial of our own wild being.
~ David George Haskell
(The Songs of Trees: Stories from Nature’s Great Connectors)

While we were noticing everything and anything in the water we heard a familiar bird call in the distance and then a couple of American oystercatchers flew into view!!! No pictures because they kept flying in circles around the area and whenever they went to land they disappeared behind the rocks. I do hope they are going to make a nest there like they did back in 2014. That was the last and only summer we saw them here. Click here if you’d like to see the pictures: oystercatchers!

The light must have been just right and my arm must have been steadier than usual because for some reason I got some halfway decent pictures of a cormorant. Which isn’t saying much. They’re too far away and have frustrated my attempts to photograph them for years. This one had a bit of a personality and seemed different than the others.

double-crested cormorant

I have started on a new drug to manage my radiation proctocolitis symptoms and am hopeful it will make things easier for me, perhaps even get me to the point where I will feel comfortable traveling to visit our grandchildren. We’ll see. My wonderful gastroenterologist is retiring. 🙁 I will see her one last time in July. She assures me, though, that she is leaving me in good hands.

Had a wonderful weekend visiting with my sister — the talking went on forever. 🙂 I hadn’t seen her in person since December, and that was on a walk outside, six feet apart, and with masks on. What a blessing to lounge around the house and catch up. Living in the present moment.

And the grandchildren are planning another trip up here in August!!!

fresh vitality

“Spring at Old Lyme” by Childe Hassam

Laugh though the world may at the vibrations of poet hearts echoing the songs of the youngest of seasons, how can they help it? It is never the empty vessel that brims over, and with the spring a sort of inspiration is wakened in the most prosaic of us. The same spirit of change that thrills the saplings with fresh vitality sends through human veins a creeping ecstasy of new life.
~ Marah Ellis Ryan
(Told in the Hills)

strong as a great oak

3.3.21 ~ Great Oak Park, Ledyard, Connecticut

After a bitter cold snap we managed to get out for a good walk on Wednesday. Another new place for us. This time I brought my father’s cane to use as a walking stick so I wouldn’t have to find one in the woods. It fit perfectly and had a good energy! Papa was very fond of his cane because his father had carved it and used it. (A couple of pictures of him with it here.)

photo by Tim

Our daughter-in-law mailed us our old camera a couple of weeks ago so I could see how it compares to the one I’ve been using for several years now. But so far I haven’t felt inclined to pick it up so Tim took it along on this outing. It was fun with both of us having a good camera.

beautiful blue sky
still a bit of ice and snow in places

We were looking for the remains of a famous huge oak tree in the woods here. Before long we spotted the sign and were saddened to see just how very little was left of it.

During the summer of 1969, the gypsy moth defoliated an estimated 260,000 acres of trees in northeastern woodlands — more than triple the defoliated acreage of 1968.
~ Ralph L. Snodsmith
(The New York Times, April 19, 1970)

image credit: Ledyard Historical Society
The Ledyard Oak, c. 1910

The famous oak didn’t survive the gypsy moth assault in 1969. Fifty-one years later this is all that is left of it:

decomposing
devastation from an invasive species

My feet will tread soft as a deer in the forest. My mind will be clear as water from the sacred well. My heart will be strong as a great oak. My spirit will spread an eagle’s wings, and fly forth.
~ Juliet Marillier
(Daughter of the Forest)

This little oak was planted beside the original in 2009.
Maybe 400 years from now…

We continued walking and found a historical cemetery.

interesting roots
Lester family cemetery, early 1800s
In memory of Solomon Lester who died Dec. 4, 1840 aged 69
Miss Lucy Lester died Apr. 18, 1814 in her 70th year
unused fence post and its shadow on a tree
some kind of moss or lichen
a huge rooster
a hen (?) and said rooster

Within this park are more trails and the Nathan Lester House & Farm Tool Museum, presumably the home of the chickens. We will have to wait to explore when the pandemic is over.