R3 and Hope

I have survived my second year of residency! The toughest most exhausting most soul destroying year there is. Part of me feels numb in disbelief, the other part nervous about the new expectations of me, but mostly, I feel hopeful. There's less call, more sleep, more awareness of the substance of life. I write after a sleepless night at The Baby Mill, but despite eyeball-stinging tiredness, I had fun. I had a blast catching wrinkly pink babies, sloshing out twins at that STAT stat C-section, popping a bloodvessel and my wrist bones in the exertion it took to pull up that low low head from the pelvis. Joking with the nurses, rolling my eyes with the attendings, reassuring patients... it felt like something I could do in the future.

Over the past year I've wondered how I've changed, how the 'system' has shaped me, dehumanized me, desensitized me and overall discouraged me. At times I lost sight of people. I stopped treating them as I would my best friend, my mom or my quirky cousin and started seeing them as illnesses and things on my 'to do' list. Now something has somehow reverted back to the Sheona I used to be. With feelings, goals and passion. Its refreshing. Hopeful even.

I miss my epidermis

Three friends. 330km. One lost tent. One set of car keys missing. Three flat tires. One freshly torn ACL graft. Several thousand mg of ibuprofen. Three square inches of epidermis gone. So far, so good.

When it comes to your epidermis, it really is true that you don't know what you've got 'til its gone.

I'm missing mine. Right over my ischial tuberosities (i.e. bum).

Last weekend I took part in the Seattle to Portland bike ride. It was pretty incredible, we biked just under 330km in two days. About 10,000 people participate and its fully supported so you have food stops along the way, and you meet the most amazing people of all shapes, sizes, ages and walks of life. The first day was beautiful sunshine all day. Day two however involved plenty of rain, wind and three flats in our group. At moments I knew without a shadow of a doubt that it was not physically or mentally possible for me to finish the race. I had no idea I could bike that far! Unfortunately, I assumed that pain was normal when biking these distances...of course this is true, but there's pain and then there's bleeding.

I found it philosophically fascinating, that I have been trained so well. Manicured and groomed not to listen to my body. To ignore feelings of exhaustion and push to 36 hours with no sleep. To pretend that feeling rotten is just part of the race (or the job). To completely disconnect from the signals my body gives me. Fascinating.

Don't get me wrong, the race was awesome, and I'd do it again... but next time I'd listen. Walking around like a wounded cowboy just isn't worth it.

You Took a Strip Off my Soul

Dear Midwife,

Just a friendly note to let you know you skillfully stripped the skin off my soul last night leaving me raw and sore. In general I tend to gel with your colleagues. I deeply respect the compassionate continuity of care you are able to provide. In fact, I personally would chose to be followed by midwifery if immaculate conception befalls me in the near future.

You say you're an open-minded, women-empowering, body and soul restoring wellness worker but all you saw were my greens. I have never felt so judged and marginalized in my life than when you confronted me as you 'advocated for your client'.

Do you know my name? My history? Do you know my passion for marginalized women? Do you care that I'm a person? Your blinders against Western medicine destroyed me. Your hate for all I represent was the focus, not the women you were to advocate for. The harsh words of an angry Obstetrician criticizing my decision-making is droplets off my skin compared to the soft hostility of your words.

Sincerely,

Wounded OB Resident

"No crying!"

He was the cutest three year old I had met since the days of Samuel Houston and his insistent 'excuse me... excuse me.' Toby hopped up and down on the twirling stool, crawled onto his mom's bed constantly squirming out of this father's arms. He wasn't three actually, closer to two and three quarters.

His mom on the other hand was wearing fantastic penguin pajama pants with tiny flower petals dotted on her toe nails. She was exactly 24 weeks and 1 day pregnant, not just pregnant, pregnant with twins... not just twins, twins with a cramping uterus and a short cervix. Twenty-four weeks is viability, the age at which if a baby is born it will be resuscitated. The implication of pre-term birth this early are huge, really really little babies just aren't supposed to see the world that early.

We chatted, I got the history, all the annoying questions. Then as she lifted up her t-shirt so I could examine her belly, the dad asked Toby:

What do we say to the babies?

No crying!

And what else do we say?

Dohn come out! Throwing his arms up in the air as only a two and three quarter year old can do.

It was refreshing. Did I mention he was nearly as cute as Samuel Houston? There is enough human tragedy to fill the ocean, but this kid, he was hope.

90th Birthday Parties

My Auntie Edna turned 90 yesterday, we had a great party. I read her this letter, one that I had sent last year (when I clearly had more hope and more sleep!)

Dear Auntie Edna,

It was so lovely to see you over Thanksgiving and I’ve been meaning to write this since I got back. I just got in from a fantastic bike ride through the Endowment lands. I got home covered in mud, chilled, and completely soaked but blissfully happy. The fresh, bright spring mossiness has now turned to the sweet, musty yellows of fall and each time I go out there I’m amazed at the towering trunks and lush vegetation, comforting in its peacefulness . . . I’m incredibly blessed.

I was a bit worried about you when we chatted in Calgary and I know you’re excited about getting to heaven and all but I was wondering if you were depressed. You voiced the frustration of having to rely on others so much and feeling like a burden with your physical limitations. It made my eyes well-up with tears that you felt this way. I suppose I understand it though, your whole life you have given and given and given, you’ve been self-sufficient and supported dozens and dozens of people spiritually, emotionally, financially and in other innumerable ways. Your whole life has been a gift to all of us and I hope and pray that as you live out your twilight years we who have been blessed by you are able to give back just a little bit of the immeasurable gifts you have lavished upon us with your time and your love. My other thought was that you no longer feel that you can give and contribute in the ways you have done your whole life. Well, here’s the deal, we’re not done with you yet. I get all choked up when I think about all the love, encouragement and support you have given me personally and my whole family, well, you are part of my family. You write us weekly letters when we’re not in Calgary, whether we’re in Tanzania, Peru, or Australia, those letters gave me roots, they held my home for me. You know me better than any biological or missionary aunts I’ve ever had. In this messy world we live in where who we are depends on what we accomplish you love me regardless of anything I do or don’t do. You’ve taught me that my worth doesn’t depend on what I do but on who I am. You loved me when I was a rambunctious, bratty little kid bouncing off the walls when you visited us in Peru, you loved me enough to go into a store and buy my me an Oilers shirt to bring me when you came to Ecuador, you loved me in all my bitterness about Canadian winters, and you need to know that your love still makes a difference to me now, today, on the soggy west coast. Your life is a testament to hope.

You probably want to know how I’m doing out here. Honestly, life is delicious (not gonna lie). God has given me a peace like I’ve never experienced before, about who I am, where I am, and what I’m doing. I have moments of incredible joy, my life is so full and I am blessed and privileged in a way that I am infinitely grateful for. God is so good. Not that things aren’t challenging now and then, but I am held tightly in a blanket of grace. I want to live fully, to do justice and show mercy. When I think of those in my life who have demonstrated this I think of you, you are living a rich legacy for all of us.

Love,

S

I Feel

A single tear rolled down my cheek. I blinked, wiping it quickly away with my hand flippantly, hoping nobody noticed.

The deepest empathy pouring out of my being in response to the heartache before me.

It felt good to feel again.

My Wee Gran

I'm all outta grandparents. My parents are orphans, and I'm a granorphan.

Although she was 90 with worsening dementia I still find myself not believing. The reality of it all is far away over the ocean, across the Firth of Fourth.

Gran was a constant, a deep part of my confused identity, and although the gran I knew changed drastically over the years, her loss is a loss of my foundation, my roots and I find myself shaken and unsteady. Her love for me was unconditional, as grandparents' love tends to be. It did not matter, what I did, where I traveled and what or if I studied, she loved me for no reason other than because I was me.

I don't remember my dad's father, who died when I was very young, running around terrrorizing my closest friends and family in Peru. But Gran was always there, in Balingry with Silva, her little terrier. Memories of the comforting smell of coal fires, endless chocolate biscuits and mince and 'taties for supper spring to mind. I remember curling in front of her fire, the scratchy rug on my cheek and smoky smell tickling my nose. When we lived in Scotland, Sunday afternoons were spent driving to Fife from Edinburgh across the Fourth Road bridge, a sacred time of walks with Silva and eating more Kit-Kats and Caramel bars than mom approved of and Gran insisted on.

After we moved to Ecuador and then Canada, we went back at least every two years to visit, and then it became us going individually as we grew older. I remember a trip with Rhoda after I'd spent a summer in Peru and I took two massive books of photos to tell her all about it. She was then visibly aging and her memory declining. I wondered how much of it she would take in. But she went through the hundreds of photos, asking questions and repeating again and again. "We just don't know how the other half of them lives, do we?"

No matter where we lived, in the vast extent of my families globe-trotting, Gran was immovable, unchanging and obviously the central part of my Scottish identity. She seemed to shrink each time we saw her, and always hugged us fiercely, smiling widely when we came. Her eyes watering when we left. Its heartbreaking to leave bits of your heart in so many places, and Gran was where I left the Scottish chunk of my heart. She held it safely. Now my heart is missing that same chunk with her gone.

My last visit with her was in March of last year. She had been in a nursing home in Cardenden for several years and was different than I had ever seen her before. When the care-giver introduced me, her grand-daughter from Scotland, she beamed from ear to ear, re-arranging all her wrinkles. She touched my face, and said my Gaelic name like only a wee granny from Fife can. Then in clear dulcet tones, she started to sing, I couldn't follow the meaning of the words, and I have no idea if she actually knew who I was, but she sang to me and told me she loved me and I will take it as a gift.

So as my parents bid farewell to Gran and she returned to ashes on Friday morning in Scotland, late at night in Vancouver I cut babies out of taut bellies. Slimy, flailing and crying indignantly at the insults life brings, new grandparents were made that will love these grandbabies for no other reason than that. That they are their grandchild.

Goodbye Gran, I love you.