On Paula

I have worked in a hospital for 20 years. 99% of my work has to do with outpatient administration. I have been in the background and very much away from the inpatient floors. Those few floors are where the procedures, recoveries, and most critical health issues take place. Yet I nearly always forget I work in a hospital.

On some work calls, I hear about the inpatient statistics and infection rates of COVID. Those patients seem distant and far away. They have little to do with me. Yet on other calls where letters are anonymously shared, patients and family members have the most human experiences on those floors—experiences that are so positively impacting to their lives that they take the time to share.

While these letters cause me to smile and temporarily feel proud for working in my organization, they do not personally touch me.

Enter Paula.

Yesterday my husband and I moved a wooden flower container that was Paula’s from our deck to our small garden area behind the fence to remove the dirt.

As soon as we dumped the dirt, the entire container fell apart. Pieces of wood mixed with the dirt. I was surprised at the great condition those pieces were in. Being a self-proclaimed upcycler artist, I immediately saw beautiful pieces in which to make art on. First order of business was to make something involving Paula.

Paula used to have beautiful wildflowers in that same box. I remember her telling me in 2020 how she went to go put some seeds from a packet into the container when the wind carried the seeds right out of the packet! She thought they flew away, but a few months later, beautiful flowers appeared.

Now, like her life—some of the most raw, beautiful things such as the wildflowers are long gone, but the memories and magnificence of what was there remain.

Paula was the first neighbor I met when my husband and I bought our current house in 2016. It was a second home on the water in Branford. We had no intention of living at it for several years, so I was taken aback (in a good way!) when Paula and a host of other neighbors warmly welcomed us to the neighborhood.

Somehow every time we were here, I saw Paula. She was always around—walking, talking to neighbors, out with her happy dog Stella. Paula was in her mid-sixties and lived alone. She was FULL of life. Always smiling, laughing, joking… happy.

She often invited me over with my dog Koji to her fenced yard. Sometimes I had limited time at the house to complete work and declined her offers; other times I went there to spend time with her. In a short time, I learned about her life. She had a beautiful home that was lifted from the ground recently (flood risk), and again she was one of the happiest people I ran across regularly.

She often hosted happy hours. She held a welcome party for anyone who moved to our small community. She randomly met people on walks or in town and made connections with them and for them.

Somehow I had her cell phone, and she texted me often. She would often call to let me know about how nice my renters were, that an ambulance was on the street, or that something happened in the neighborhood we might be interested in.

I felt a part of the neighborhood even though we didn’t live there—thanks to Paula.

Extra bananas, clothes she was cleaning out, a knickknack that reminded her of me… she was often coming by with items that I may want that she didn’t need.

She dressed beautifully. Her natural hair color of nearly white looked very chic with her stylish cut. She had keys to our house and often went in to check on things while we were away. She welcomed nearly all our renters to the area. I still have dozens of comments from renters about how wonderful the area, neighbors, and particularly “that lady across the street,” Paula, was.

She was the only neighbor our children knew the name of. None of them ever lived here, but when they visited, they were sure to run into her.

I shared my blogs and stories with her. She often commented and referred to little things I wrote in daily interactions.

Based on an innocuous comment one hot summer day in July 2018, she was the very reason I realized how my PTSD was different from panic attacks. This kicked me into a three-day frenzy of large flip charts and sticky notes about the root cause as I explored a past that I was previously afraid to face.

During that time, there was a storm and we lost power. I was alone in my current home here in Branford. While I never went over to her place, Paula invited me over daily to have some salads and enjoy the comforts of her generator. I was very much involved in my little self-exploration and in a strange but cathartic despair. I knew Paula was right there if I needed anything, and that was comforting.

She came to every party we hosted with a very elaborate store-bought dish to share. She WAS the life of the party. I do remember, though, in the early months of 2019 during a party, she disappeared quite early. The next day I brought her coat that she left behind over. She would tell me she didn’t remember going home. She was drinking, so I wrote it off.

In the late summer of 2019, when we permanently packed up our Cheshire home and made the move to Branford, Paula was very excited. Yet every so often she seemed confused. It was getting to be this way for a while. I can’t say when exactly, but she wasn’t the same.

She was never the same. In 2020, the decline had taken an obviously noticeable turn. She turned 70 that year, and in the height of COVID, her brother and sister-in-law hosted a very nice outdoor party. Paula had friends staying with her from all different times in her life. My husband and I heard stories from them about Paula that were not surprising—how friendly and vibrant she was, how amazing of a friend she had been, how she lit up a room—and how the person now on her 70th birthday was only a shadow of Paula.

Now it’s 2022. Her home is empty. She is a patient that some administrator counts the beans for. She is a number. Paula is someone that providers confer about how to handle during a huddle—someone that family members will likely write a nice letter for if her care was good. A random note that someone like myself, who does background work to make such a place run, will hear about, smile for a moment, and carry on.

But what about that patient’s life? Their loved ones? The people they touched? The remnants of their possessions that used to hold such life and love—like the planter that used to adorn her lawn, which is now in pieces in my yard? Where and how does that all count?

Where do those stories and that love go?

I was a very small part of her life for a very short period of time. Thinking about Paula and these pieces of her planter (that I will absolutely turn into something beautiful) will hopefully help me to stop and think about each patient while I run thousands of beans for them in various “ways ’til Tuesday” so the administration can make data-informed decisions.

These lives count. All lives matter. We aren’t just numbers. We are amazing human experiences that make differences for the next lives that come along. The history of each one of us may not be recorded, but we make history with every last interaction of our lives—even by accident. Like the wildflowers that appeared when Paula thought they flew away. She planted something beautiful and didn’t even know it.

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Some pieces of the wood I plan to work on first are out to dry.

A set of five wooden planks arranged on a composite deck, with sunlight casting shadows, alongside a plant and a white rocking chair.

On the Importance of Food, Shelter and Clothing

Most mornings and evenings I walk with my husband and our beloved black lab mix, Koji. In the morning, with limited time, we walk down the shore and back and observe the day awaken. In the evenings, we take a longer walk. Depending on the time of year, we are catching the height of the evening’s festivities, the daily wind-down, or the flat-out night in our neighborhood (summer to winter span).

This morning it is late September. The air is cool, and I wore my lightweight, dark blue raincoat I purchased in Maine a few years ago during an unexpected rainstorm while in Perkins Cove.

I already had my morning coffee. I wasn’t yet hungry. I was not stressing about what may be in my work inbox. My life felt content, and I was alive.

So very alive that my senses were more open.

I felt the crisp autumn air around me. I held my arms out and inhaled deep breaths. A few times in the past week or so, I was able to detect the smell of wood burning in a nearby fireplace.

I heard the dog sniffing. I heard the squirrels shuffling across the grass and their tiny feet crunching the dried fallen leaves. I heard water from the shore in the distance. I heard a lot of bird signals and whistles. Mingled into it all were the sounds of crickets and other unidentified woodland creatures. I closed my eyes to help my ears hear it all. What a song!

As we approached the shore, I noticed the early morning light dancing across the water. The sun hadn’t quite made its way above the horizon, but the light was creating a spectacular palette of color nonetheless.

I didn’t have my phone and asked my husband for his. I snapped a short video of the rippling water and rising sun. It looked beautiful through the camera, but more beautiful in real life. Nothing captures the moment like living, breathing, and appreciating the actual moment.

On the way back home, I contemplated nature with teeming life around me. I’ve been wanting to go back to being vegan. I do not need to eat so much. Some people have no healthy or good food options. Others have no food at all.

This got me thinking… How can you have an appreciation for life when you are hungry? When your body is so primed to keep itself alive, it is not thinking about other lives. It is telling you to feed it.

Sometimes I walk at lunch. Almost always after dinner. I thought about how I don’t always enjoy these walks so much. When I am not dressed right, when I am in a rush and worried about getting back to my computer, or when I am thirsty or hungry and fantasizing about what to eat or drink when I get back home is when I enjoy these walks the least.

I, like every other human, feel content when I have food, shelter, and clothing. Next up on Maslow’s pyramid is safety.

For years I did not feel psychologically “safe” with my husband. For reasons that belong to another blog, his perception of how to approach the issues in our lives brought a proverbial fire alarm in me. When I worry about work or the kids, or when I don’t feel psychologically safe, the ability to have my senses pick out subtle sounds and visual nuances is dulled. I don’t notice what the dog is doing if I am walking him, and then I’ll subsequently feel annoyed with him. I’m not present to those walks or my life when I don’t have the bottom of the pyramid covered.

As we continued home this morning, I contemplated how I felt safe—safe with my husband, who at that very moment of my quiet contemplation seemed to sense just that by reaching down to gently place my hand into his. I felt safe with him and in my neighborhood.

How can anyone feel safe living in the “hood” just a few miles down the road? How can you feel like the world is beautiful when outside your window is nothing more than buildings that block the sun? Where there might be a dangerous concrete jungle? Where the sound of birds and crickets is overtaken by honking horns, someone yelling, loud street signs, and overall chaos? If your walk to school or commute to work is fraught with fear and anxiety about being safe and what may greet you when you get there, how can you be comfortable and take a moment to appreciate life?

How can anyone thrive without life’s basics?

A flower cannot grow without a medium, sun, and water.

A human cannot flourish without food, shelter, clothing, and safety.

They just can’t.

Anyone who says we live in the land of the free and that anyone can make it is naïve.

I’d like to think that too, but people who don’t feel safe at home or anywhere in their surroundings during their day-to-day life are not free. They are prisoners of their own heightened senses that are keeping them alive. When a human is hungry, they cannot think of anything else but how to eat. When we are cold or too hot, our body turns other senses off to divert energy into keeping us alive. No shelter or an uncomfortable sleeping arrangement leads to sleep deprivation. No one thrives when their body is too tired to function.

I personally don’t know what to do other than what I already try to do. But I want to do more.

If you feel you have food, shelter, clothing, and psychological safety at the moment—perhaps just take a few seconds to stop and think about one thing you can do to lift the consciousness of others so they can be happier and more productive members of society too.

This morning I appreciated life. I wanted to be better, do better, go vegan. I felt that way because my needs were met and I was able to look past myself and help this beautiful world around me thrive. I wanted to protect nature. I wanted to bring other humans to a place where they could see and appreciate what I was able to at that moment.

Pay it forward. Forward this message. Activate and do something, anything… and give me some ideas back along the way…

Only we can help each other—our families, our neighbors, our communities. It starts with me. It starts with you.

If just one person does one thing to help raise us all as humans from reading this blog, then I consider that a success.

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On the Other Side of the Window

This first day of 2019, I sit in my dining room after a long run with a warm cup of tea in the sunshine, not far from our dog, who has also found comfort and post-holiday solace in a beam of sun.

Across the room are two potted plants I purchased this past spring. They are geraniums mixed with a few other plantings. They very happily lived on the front porch for the spring, summer, and early fall. As they began to die off when the weather cooled, I just happened to be reading a book where a woman in England talked about having her geranium plant for 13 years. She would bring it indoors each fall and back outside each spring. Instead of emptying the containers in the woods behind our home, as I normally would have done with these plants, I decided to try my hand at keeping these two lovelies alive through the winter.

This morning, when I opened the blinds to the new day and new year, I happened to see a little red bud on one of the plants. While I don’t believe the plant should be blooming, I was excited to see that my efforts are taking effect.

However, this afternoon while sitting in the same room I noticed the rose bush just on the other side of the window. It’s dead/hibernating in every way. There is also a little red bud on it that stopped growing mid-bloom during the first frost, and will never open to what would have been its full potential as a rose flower.
A close-up of green plant leaves with a blurred background featuring a small, reddish flower bud.
A potted plant with lush greenery sits on a wooden table near a window, with sunlight illuminating the leaves. A candle is placed on the windowsill, and a car is visible outside.

However, this afternoon, while sitting in the same room, I noticed the rose bush just on the other side of the window. It’s dead—hibernating in every way. There is also a little red bud on it that stopped growing mid-bloom during the first frost and will never open to what would have been its full potential as a rose flower.

The difference is the warmth, care, and attention I’m giving the geraniums. They get monthly plant food. They are shielded from the cold, just on the other side of the window. They have a fighting chance at survival. How is this not different from the way we treat others in the world?

Folks on the other side of the tracks. The homeless on the other side of the window from our homes, jobs, and businesses we frequent. The children who do not have the same opportunities to thrive to their fullest potential as many of their classmates, due to their home environment and lack of warmth and nurturing.

Last Thursday I drove down to Branford during rush hour. There was an accident on I-95 North at the ramp, and the signs on the highway suggested finding an alternate route. I followed my GPS, and a few turns later I didn’t recognize where I was or fathom how just a few turns away things were so different.

Suddenly there were really busted-up houses, apartments, and abandoned buildings. Check-cashing stores, pawn shops, rough-looking package stores, and one too many convenience merchants advertising the sins of the world. Folks were walking around hunched over with old clothes and hardly any outerwear. Drunken people around my age just wandering the streets alone or with another counterpart, barely aware enough to pay attention to oncoming traffic.

Just on the other side of town… as the rose bush is just on the other side of the window.

If the rose bush were also potted and brought in, the flowers would continue to thrive through the winter, just as they bloom nonstop in the warmer months.

I am fully aware that I’m not comparing apples to apples. The rose bush outside is a perennial and will resume its cycle in the spring. The geranium would not be alive next year if it were left out all winter.

But people are not flowers. We are born the same, not with such different gene sets like these two flowering plants. However, our circumstances often decide if we thrive or not. It’s the warmth and caring of our environment, town, parents, and community that determine if we bloom to our fullest potential or spend our lives just trying to stay alive.

It’s not fair.

Just on the other side of the window, the ones who are safe and warm have a duty to do something—simply because they have the power, energy, and stamina to do so. Because they can, I humbly believe that they should.

Peace ☮️

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On Understanding Panic Disorder

I almost don’t know how to start this. Anxiety disorders are the most common mental illness in the U.S., affecting millions of adults every year.

I am one of those people who suffer. When I’m in panic, it’s almost as if a doppelgänger took over my body. So many people do not understand what happens and that the person has no control over how they feel. Stress and cortisol flood the body.

Last night I had a panic attack. I actually had several in the past week, and 4 or 5 just yesterday alone. What made my last two particularly long and painful is that other people were home and weren’t reacting compassionately. They live with me and don’t quite understand what I go through, how painful it is, and how little to no control I have over how I feel or can possibly react. I can empathize and understand that it can be scary to someone else—really I can. I don’t want to be in full-blown panic either, believe me—way more so than the people around me don’t want to see it.

A key driver is understanding. Panic disorder with panic attacks is not something that can be helped in the moment or have a lid put on it. What makes it all so much worse is when those around you judge you and believe mental health issues are something that can simply be controlled. I’m writing this because if my own household doesn’t quite understand what this is about, how can anyone else? I need to do my part in spreading awareness.

I didn’t know much about true anxiety either. Why should I? We throw the word around a lot. Many of us live with low-level anxiety constantly. As a society, we are mostly all anxious. Anxiety and panic disorder are a little different. Nervousness and anxiety can both cause similar symptoms, but normal nervousness—like before a big presentation or applying for a job—is tied to a real situation and passes. Panic disorder is not like that.

I’ve read a lot about anxiety in the past two years since I’ve been diagnosed. Stress is prevalent in our culture. A large part is due to technology and the constant bombardment of information. Also, the ability for others to reach into our lives at any moment—through social media, texting, email—creates a constant sense of urgency. When I was younger and we had a house phone attached to a wall, leaving work meant the day was done. No one was creating new demands through texts and emails late into the evening.

Now, something as simple as a phone notification at 9pm can cause our heart rate to increase and create a false sense of urgency. Whether it’s from a loved one or your boss, the body reacts as if something is wrong. For most people, that feeling fades quickly. For those of us with an anxiety disorder, it doesn’t go away—it escalates.

A panic attack can feel like your body suddenly believes it is in danger, even when nothing is actually happening. Your heart races, your breathing changes, your chest feels tight, and your body prepares to fight or run. Rational thinking goes offline. It is not the time to reason through it or try to explain it away.

With panic disorder, the body goes into full fight-or-flight mode without a real, present threat. It differs for everyone, but for me, I am often triggered by something external that was threatening in the past. Many times I cannot initially identify the trigger. It is almost impossible to do so when the brain is flooded and executive functioning shuts down.

I want to feel normal and not panic more than anything. Riding it out, medicine, and therapy are helpful, but it took years for my body to become this dysregulated. It likely will not go away overnight.

I can tell you what makes it worse for me:

Being with someone during a panic attack who doesn’t understand and becomes annoyed or frustrated. I can’t be helped in that moment. Someone in my face trying to rationalize it feels condescending. Being ignored feels humiliating and similar to abandonment. I’m already overwhelmed—those reactions only intensify it.

Another difficult experience is trying to hide it so as not to scare others. That creates another layer of pressure. I’ve had panic attacks on airplanes, in restaurants, at work, while driving, while getting ready for bed, and even when waking up. When people pretend nothing is happening, it makes me feel like something is wrong with me—like I need to be hidden.

And then there is the shame. The feeling that you need to hide such a significant part of your experience from others. Our society does not always respond kindly to mental health struggles. Before experiencing this myself, I also believed it was something that could be controlled. Last summer I spent a full month in an Intensive Outpatient Program, but I was afraid to tell people why I was on leave. If I felt that way, I’m sure others do too.

May is Mental Health Awareness Month. If you don’t struggle with mental health (and that’s wonderful), it’s very likely you know someone who does—you just may not realize it. Let’s do our part to bring awareness and approach one another with compassion instead of judgment.

We are all human. Let’s treat one another as such.

Peace.

Anxiety and Depression Association of America https://adaa.org/about-adaa/press-room/facts-statistics#
We Need to Talk. Our Society Has an Issue With Anxiety and Mental Health. https://futurism.com/we-need-to-talk-our-society-has-an-issue-with-anxiety-and-mental-health/amp/
How to Handle Someone Else’s Anxiety or Panic Attacks https://medium.com/@gtinari/how-to-handle-someone-elses-anxiety-or-panic-attacks-51ee63f5c23b
How to Help Someone Having a Panic Attack https://m.wikihow.com/Help-Someone-Having-a-Panic-Attack
Mental Health America http://www.mentalhealthamerica.net/may

https://dailypost.wordpress.com/prompts/doppelganger/

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