on the quality of life

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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!

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in the slanting light

10.18.24 ~ Pritchard Park
Chapel Hill, North Carolina

There’s hardly a spot of color on the hardwood trees in our yard, but the light is glorious, as it always is in October, and the signs of fall are unmistakable. ….. Always, when nature works as nature must, there are joys for every grief, a recompense for every sorrow. ….. Night falls earlier with each passing day now, but the recompense of shorter days is the glorious light of October. I wish you could see what happens to the magnificent colors of berry and bird and flower in the slanting light of October.
~ Margaret Renkl
(The New York Times, October 14, 2024, “Growing Darkness, October Light: A Backyard Census”)

These pictures were taken on Friday morning, the day we stood in line at the Chapel Hill Public Library to vote. Afterwards we took a walk on the trails in the woods surrounding the library. North Carolina has early voting, something new to us. Before we left Connecticut we had voted in favor of bringing early voting to our old state. I wonder if it passed. Our habit was to get up early on election day and get to the polling place before it opened. We were always near first in line.

Something new for the citizens of NC is having to show a photo ID when they check in to vote. We always had to do that back in CT. It’s so interesting getting to know the different ways the governments of different states run things, something I never thought about before, having lived in only one state my whole life.

As I stood in line I reflected on how encouraging it was to learn that our 39th President, Jimmy Carter, made the effort to vote while in hospice care at the age of 100. He was the first president I ever voted for. My thoughts also returned to the sacrifice so many of our ancestors made for us in the Revolutionary War, so that we could have the right to vote today. As the granddaughter of Ukrainian immigrants on one side and the descendant of several Mayflower passengers on the other, my complex place in American history has always fascinated me. While appreciating the myriads of reasons Europeans have crossed the Atlantic over the centuries to make better lives for themselves here, I also feel deep regret for the harm they have caused to the original people who lived, and still live here.

When we moved down here I started looking for southern nature writers who might help me get acquainted with my new environment. I’ve become a big fan of Margaret Renkl, who lives in Tennessee at the same southern latitude as we do. Her lyrical writings resonate with the seasonal observations I’m experiencing here. I’ve read three of her books, checked out from the same beautiful library where we voted, and enjoy her occasional editorials in the New York Times.

I tried to capture some of the slanting light of October to match Renkl’s words. This is our second autumn down south and the way it is unfolding feels much more familiar now, it’s starting to feel more like home.

sculpure at Chapel Hill Public Library parking lot

fading autumn

11.19.23 ~ Bolin Forest, Carrboro, North Carolina

On a chilly Sunday morning my friend Susan came over so we could take a very local wander in the woodlands. Susan has been living in this area many years so she led the way. Down the hill from us, on the edge of the neighborhood, is Bolin Creek, which runs through Bolin Forest. It might become a go-to place for Tim and me when we don’t want to have to drive somewhere for a nice walk.

crossing Bolin Creek
looking up Bolin Creek
reflections
beech leaves and shortleaf pine (?) bark
little holes in the bark might be resin pockets

A very unique bark characteristic separating shortleaf pine from loblolly, longleaf, and other southern pine species. These are resin pockets, also described by various references as “spherical pitch pockets,” “small spots of resin,” and “volcanoes.”
~ N.C. Cooperative Extension website

heavily shaded pine grove
eastern white pine (?)
marcescence with pine backdrop
leaf dam in Bolin Creek

Your thoughts don’t have words every day
They come a single time
Like signal esoteric sips
Of the communion Wine

~ Emily Dickinson
(The Poems of Emily Dickinson, #1476)

a good poem should smell of tea

“Tea on the Porch” by Willard Metcalf

I have three poems,
he said.
Who counts poems?
Emily tossed hers
in a trunk, I
doubt if she counted them,
she simply opened another tea bag
and wrote a new one.
That was right. A good poem
should smell of tea.
Or of raw earth and freshly cut wood.

~ Olav H. Hauge
(The Dream We Carry: Selected & Last Poems of Olav H. Hauge)

It’s 96°F (34°C) out there with a feels like temperature of 102°F (39°C). The weather folks tell us 85°F (29°C) is the average high for this week of September in this part of North Carolina. Sigh… So. Stuck. Inside. (Very grateful for air conditioning!) We’re unpacked and pretty settled now and more than ready to explore the world outside these walls. If only this oppressive heat and humidity would go away.

To help pass the time I’ve started binge watching an off-beat streaming series, Dickinson.

The show takes an unusual approach to depicting its protagonist’s coming-of-age in the 1800s: Characters speak in Millennial parlance, the soundtrack is populated with today’s hits, and more often than not scenes resemble fever dreams where what’s figurative in Emily’s poems gets depicted literally.
~ Shirley Li
(The Atlantic, December 24, 2021)

At first I thought I might not like it but it drew me in. The costumes and scenery are all 1800s but the language and music is modern. (Except for the words of the poems themselves.) It kind of reminds me of the times we saw Shakespeare-in-the-Park plays performed, twisted in the opposite way, with modern costumes and settings but with the original language intact.

It’s pretty exciting seeing her poems come to life visually.

I’ve also been reading a book of Olav H. Hauge’s poems. (I’ve posted a few of his poems here over the years.) When he mentioned Emily Dickinson in his poem at the top of this post it warmed my heart to know that a Norwegian poet appreciated her poetry, too.

I’m looking forward to the day when it will be cool enough for us to have tea on the porch in our new home!

not to be found in books

“Eye in Eye” by Edvard Munch

I was looking for a course, a way
and meaning in my life
and thought the answer could be found
in all that wise men wrote.
And they are surely not to blame
if I ended up no wiser.
That mystery so clear, so deep,
is not to be found in books.
It was in your eyes, shining, blue,
that I first saw it once.
Eternity opened a tiny crack,
And earth and heaven sang.

~ Olav H. Hauge
(The Magic of Fjords)

first nor’easter of the season

3.12.23 ~ Denison Pequotsepos Nature Center

How very strange to go through December, January and February without a single nor’easter! And to finally get one in March. Who knows? This may be the last one I had a chance to anticipate before the move. I’ve always enjoyed the drama and excitement these storms bring with them.

A Nor’easter is a storm along the East Coast of North America, so called because the winds over the coastal area are typically from the northeast. These storms may occur at any time of year but are most frequent and most violent between September and April. … Nor’easters usually develop in the latitudes between Georgia and New Jersey, within 100 miles east or west of the East Coast. These storms progress generally northeastward and typically attain maximum intensity near New England and the Maritime Provinces of Canada. They nearly always bring precipitation in the form of heavy rain or snow, as well as winds of gale force, rough seas, and, occasionally, coastal flooding to the affected regions.
~ National Weather Service website

the Canada goose couple, back to claim their nesting island in the pond

We took a nice long walk at the nature center the day before this nor’easter arrived. So delighted to see mama and papa goose swimming around the pond together. We first saw mama sitting on her island nest on the last day of March last spring. We kept checking back and got to see her little goslings exploring the world near the end of April. Maybe we’ll get to do it again this year.

reindeer lichen clinging to branches reaching out over the pond
catkins and reindeer lichen

Our ancestors spoke to storms with magical words, prayed to them, cursed them, and danced for them, dancing to the very edge of what is alien and powerful — the cold power of ocean currents, chaotic winds beyond control and understanding. We may have lost the dances, but we carry with us a need to approach the power of the universe, if only to touch it and race away.
~ Kathleen Dean Moore
(Holdfast: At Home in the Natural World)

daffodils across the street
back in the woods

But, as it turned out, there wasn’t much to get excited about this time — for us. It started raining Monday afternoon and rained and rained. The wind blew and blew. Tuesday evening there were a few snowflakes in the mix but nothing to stick. We didn’t even get the coating to 3 inches of snow predicted for the coastline here. But I see things are much different inland…

stargazing

“The Starry Night” by Vincent van Gogh

My best Acquaintances are those
With Whom I spoke no Word —
The Stars that stated come to Town
Esteemed Me never rude
Although to their Celestial Call
I failed to make reply —
My constant — reverential Face
Sufficient Courtesy

~ Emily Dickinson
(The Poems of Emily Dickinson, #1062)

begin this meal with grace

image credit: Deborah Hudson at pixabay

As we begin this meal with grace,
Let us become aware of the memory
Carried inside the food before us:
The quiver of the seed
Awakening in the earth,
Unfolding in a trust of roots
And slender stems of growth,
On its voyage toward harvest,
The kiss of rain and surge of sun;
The innocence of animal soul
That never spoke a word,
Nourished by the earth
To become today our food;
The work of all the strangers
Whose hands prepared it,
The privilege of wealth and health
That enables us to feast and celebrate.

~ John O’Donohue
(To Bless the Space Between Us)

May your Thanksgiving be blessed with good chat and cheer
and the love of family and friends!

a few prosaic days

Besides the Autumn poets sing
A few prosaic days
A little this side of the snow
And that side of the Haze —

~ Emily Dickinson
(The Poems of Emily Dickinson, #123)

After a few muggy, rainy days it felt wonderful to get out for an autumn walk in good weather. It was only in the 40s Friday so we wore our winter coats and headed for Sheep Farm. I realized we had been here in September 2021 and November 2020 but never in October. Fall is in full swing now here. We started down the yellow trail.

10.28.22 ~ Sheep Farm
glacial erratic viewed from the yellow trail
new trail markers on the trees

There were so many leaves on the trail we made good use of the new trail markers to stay on track. Love walking on dry, crunchy leaves…

leaves, moss and lichen on a glacial erratic
waterfall in Fort Hill Brook
amazing root system

The drought seems to be over (or almost over) judging by the water flowing in the brook. The drought map for Connecticut puts us on the line between “none” and “abnormally dry.” We decided to cross the footbridge over the brook and get another view of the waterfall.

waterfall viewed from other side of the brook
the same root system viewed from the other side of the brook
footbridge and huge tree with its amazing roots

The we turned around, heading up the hill and branching off onto the red trail.

golden yellow and burnt orange
other side of glacial erratic viewed from the red trail
tree with leaves in shades of green, rusty orange and brick red

On our way back to the car we encountered a very large group of mothers and children of all ages. They just kept coming and coming and the air was filled with their happy, excited voices. I wondered if they were all being homeschooled. When we got back to the parking lot we laughed because when we had arrived earlier ours had been the only car parked. Now there were a dozen (we counted!) SUVs surrounding us. Can you tell which car is ours? They sure gave us plenty of elbow room!