Sunday, October 2, 2022

Seismic Shifts

     There are things that happen in your life that shake you to your core. Crack you open, leave you bleeding, help you see the world in a whole new way, but the getting there is so fucking hard. I'm thinking of a few things. Riding a bike, diving into a pool, having your first freaking kid (Did ToysRUs really look like this before?). And then your adult kids are struggling, and you dive underwater again. Come up for breath, hesitantly. Because the world is different now.

    Lab inspection was fun but they are always hard. Chief of path was a tall drink of water, about 15 years older than  me and elegant as hell. They are always on the defense at first, because I've been on the wrong end of a lab inspection I know what hell that can be. But we aren't that. We are collegiate. When I asked her about her kids, about a half hour in, she seemed shocked. I was reading your resume over breakfast, I told her. I have two kids too. Any grands yet?

    Yes, she said, a couple, and we just learned last week we will be having twins. Still recovering from that news. My youngest is in Panama City this week and I worry about them getting back. The hurricane, I said, and told her about my family's experience. Panama City will be fine, I assured her. My parents have been tracking it. It'll go way South of your kids. They will be safe. 

    She was kind of like a buttoned up Melody. Melody is a little easier and friendlier but I was the team leader so she was probably not being her real self. Super organized though - I've never gotten through a checklist quicker in my life. At the summation, I complimented her. But I did have to call her before, because something happened that has never happened to me at a lab inspection (I've done tons).

    Kayla, a young mom from Ward AR who supervises NLR was doing Heme/Coag. Her supervisor wasn't super helpful, kind of antagonistic, but towards the end of the day she snapped. Started yelling at Kayla making no sense. Mary went over to support Kayla while Angel and I were reeling. My adrenaline was pumping and I wondered is she going to get violent? What do we do here? 

    We do nothing. We support our own. I called the doctor to report it and told her that I would not bring it up at summation but someone needed to maybe check in with her. Her home life. I told the team if that was a member of our family I would address it more fully but ultimately that is their mess to deal with. Their own backyard. They were a very well functioning lab and they served their patients well and the CEO and CMO were happy so I've got nothing bad to bring to our governing agency.

    I'm not on call until mid-October so planning trips to Fayetteville to support C. She's good, she always was, she always will be, but she's in transformation. We all are, I told her. I've been struggling with GI issues for three years - can't be the badass hiker and yoga person I've always attached to myself. So the fuck what. Embrace the unknown. Because if you don't, you will get locked into horrible control patterns that won't serve you at all. Happy Sunday, much love, Elizabeth

Saturday, September 24, 2022

Support

     For an essay title that's pretty bad but if there was a theme this week, that would be it. I've been continuing to provide daily support for C and she is moving in the right direction. She and Christy and her new beau are all at the Format Festival this weekend. Christy called this morning - she said it was hilarious bc there was no cell service, it was in the middle of nowhere, and it was like a comedy of an entire (very professionally done, she told me, good, I said, Woodstock 99 docs have given me PTSD) fan base, security, food vendors trying to get cell service the whole time. I just told Cecelia she and her friends should bring lighters tonight, that's what we did back in the day.

    Monday was kinda crazy - Jan in transcription's daughter was upstairs delivering her first girl and Tina was at jury duty and Kimberly's brother Kyle came to ED for second day in a row. C'mon let me help you get some info. I grabbed my white coat and walked into the Dr. pod. I introduced myself to a Dr. Melton, they only one in there. I saw Wayne, who I went to med school with, and Lane, who I went to high school with, but I don't know you. I'm Elizabeth. I'm Shane, we all rhyme he said with a deadpan burnout voice but then found Kyle in the queue, told me to talk to the head nurse Michael over there to find out the wait, and honestly tried to talk us out of waiting for the sx he was having.

    I went into the overcrowded waiting room that immediately made me hot and dizzy and grabbed Kyle out of the throng of sick people to explain what he could and could not expect out of the ED when our name was called. As Shane walked in he said that was fast and I said I promise I did not pull any strings that's not my intent here but I appreciate it. Turns out Shane went to the same Methodist church in Bryant as Kimberly and Kyle's dad and stepmom and spent ten years doing house calls and supporting them through his multiple myeloma before he passed. So even though Kyle didn't get what he needed (they will not do an EGD in the ED for outpatient stomach pain unless you are coughing up blood and need to be admitted) I told Wayne when I brought two dozen Boulevard cookies for the break room the next day that I see all the posts in BMD. Insurance is squeezing out primary care who are leaving in droves bc they are so miserably overworked then you go to an urgent care bc you can't get in for three months and they tell you to go to ED with a 6 hour wait it's just such a fucked up system. You are under appreciated and overworked heroes. He smiled and said thanks, Liz, it's not a problem. He was always so laid back.

    Jan's granddaughter was delivered without problems and that was a high then we found out that Tina got picked for jury duty again and we were like what? Second murder case in a year she has been picked for jury duty. Like she's got a target on her back. We tried to entertain her a little through text until she got back on Friday. It was a nightmare, she said. Evidence was terrible. Forensic path was that new girl I had on the autopsy presentation I forget her name. Ended up being a hung jury. Lots of highs and lows, in transcription this week. 

    Poor Frankie in micro came out of retirement from being a med tech at ACH to help us during the pandemic. She is no nonsense, in her 70's, with short bristly grey hair and wonderful black blocky glasses, we talk books sometimes. Her hairdresser saw a suspicious lesion on her scalp, she showed me a pic, and wondered if I could help her get into derm bc she didn't want to wait three weeks. She just went through a large melanoma diagnosis and re-excision with her sister in Memphis - I helped interpret reports - so I texted Ahmad and he is going to pull some strings to get her in with Hayden Franks on Tuesday, Christy's derm. I texted you for Dan Smith - yes, Ahmad said, he is my first choice, but he's here vacationing with me. Oh! Tell him thanks - S's alopecia is gone.

    Thursday was our annual shareholder's meeting at LRCC and that's two weeks in a row I had to perform on a work night and that just is really hard for me these days. Last week Jack wanted me at this Clinton Library thing to support and watch Hillary and Chelsea's new show Gutsy, which was cute but smacked a little bit of we sophisticated people go back to LR to show you our hillbilly roots, and since Jack mostly hung with his student council friends and sat with them and wanted to talk with them afterwards I got an Uber bc I was ready to go. Thursday night I missed the dinner part supporting Cecelia and I was spinning I was so over it. Choked up a little in front of my partners but regrouped bc I wasn't about to hijack the evening with my issues. I sat there while they talked way past dinner on an empty stomach and three drinks and almost fell out after I tried two Ubers - one said 22 minutes one said 30 minutes as the bill was being paid but luckily Shaver offered to drive me home. 

    Thursday at four I was working on two hard cases - a metastatic urothelial cell carcinoma to the lung hilar nodes - Moeez (pronounced Mo-ez) Beg, a new interventional pulmonologist, had used me for a wet read the day before. And Gary brought a stat case for a 20 something female with HIV who came in with pneumonia. Pneumocystis all over the BAL. I don't know those NLR docs but this is stat and I googled her to call her - Zafirah Salman. She's stunning, and looked like maybe has ties to Pakistan and a small girl she was tweeting about it. I was worried for any possible family or friends she had over there bc it's drowning (yet we still let Trump and Musk and Putin dominate our news cycle eye roll). She thanked me for the phone call, I told her I knew she probably had been pre-emptive tx her with Bactrim but it was still a very impressive GMS stain. Pneumocystis jeroveckii everywhere.

    When Beg called me Friday morning about his case I found out they are brother and sister in law and I was the discussion at their dinner together Thursday night. I got so excited I grabbed the GMS from micro (I had presented the case in huddle and left it for them to see) and took pics and sent them on group text. WOW THAT's AMAZING (no all caps but they loved seeing it they were ebullient). Made me happy. 

    I'm having a calm girl's night Ms. Kandi Noah's caretaker and Becky Langley who I've know for years and first went to Crested Butte with - she started our single mom's Sunday school which has fallen apart oh well. There's a time for everything. Anyway they are coming over I said let's do a heavy app potluck and I'll have a key lime pie I just cut up the strawberries for it. I'll also do a cheese and cracker and fruit tray. Let's have dinner and swim (suits optional I emphasized - women need a safe space our bodies are so over scrutinized and under appreciated for what they can do) or just put your feet in the water and watch the sunset. Next M-W I'll be in Jefferson City, MO for a lab inspection - the last one ever for just NLR we finally got the two hospitals combined. Conway is a little too far away for that so the CAP inspections will continue there. So more business but for now, calm. Happy Saturday, much love, Elizabeth

    

Sunday, September 18, 2022

Way Off Kilter

     It's been a doozy of a call week, and while I've had hundreds of cases (no exaggeration) I'll tell you about one. Brian and Jamie Burton are a OB/GYN onc duo. I referred a BFF (deeds) to Brian a year or so ago - she'd been seeing midlevels for years (Ugh don't get me started midlevels suck go to a freaking dr.) and he's revolutionalized her life. I don't care if that's a word or not. I made it one.

    Anyway, he had a frozen mid-week. And he's not a normal freezer. But this chick came in with a boggy uterus and he sent a sample of her cervix. Malignant, I said. Maybe Squam? That would be common, but it's horribly discohesive on permanents and I showed Melody bc I was like WTF? Three rounds of immunos later I was texting Jesse on Thursday morning. I can't get anything to stick. Can you help? Are you on service? We do crazy (Cleveland Clinic), he texted back. I'm happy to help.

    Meanwhile Jamie is calling me on the way home from work Thursday telling me she will see this chick on Tuesday. I'm on the way home, she is on the way to a football game. I'm telling her nothing stained but blush synaptophysin which I do not trust as far as I can throw it. Can you call it malignant, so I can get a PET scan? Absolutely, I told her, I'll revise the report ASAP. The ins and outs of insurance are a nightmare I'm happy to accommodate. 

    So honestly that one is up in the air. Along with many other balls I'm juggling right now. My oldest is dealing with a bombshell that was predictable but still. It's eating at my every fraying nerve. As a parent, you want to fix. As an adult mom, you just support. And that can be really rewarding but really hard. Give me back my toddlers, ASAP.

    After call Saturday (creating ten more cases for me to tie up on Monday) I came home to lovely Jack in a crunch creating multiple meals for he and his non-binary friend Rory (I spilled the news to his Dad last week on the phone and Jack is grateful. We are testing patriarchy and I think he might be chameleon enough to jump on board) to got to Ozark for a music festival of cover bands I think? With C and her friend Leila they were camping I cannot wait to hear about it.

    Jack was making chicken fried rice and homemade banana bread muffins from scratch and trying to get out the door by one which changed to 2 bc he slept in. My contribution was cleaning the kitchen. I told S, can you imagine? Any teenager preparing this much for a small town music festival? If he did all this for me - I tasted the CFR it was mouth melting - I'd invite him to every freaking music festival for the rest of my life. 

    So Christy's French lover turned out a dud. Those French guys do have a tendency to be an ass. But, she found a new guy on social media. Her friend Hayley told her if she want so date she has to get on social media so she doesn't look like a serial killer. Good advice. She's now with a guy Trey, who is as emotionally supportive as he is fun in bed, which is really important. Much more so, IMO. He's also from Harrison, and the mom's know each other, which is cute as can be they talk about the relationship in the local grocery.

    We had them over last night. Grilled, I remember that, but I tapped out early and we still have a key lime pie in the fridge I feel guilty about bc I never presented it. Maybe eat some tonight. Happy Sunday. I was born on a Sunday. Much love, Elizabeth

Wednesday, September 7, 2022

The Wizard of Oz

     It's a good thing the weekend was so good or I might just throw in this GI crap towel. Last Friday the casework was insane - I'd forgotten to take my beta blocker that morning and was having chest tightness by noon. No need to check the old blood pressure I could feel it. I knew I probably had a refill left at the pharmacy so when I told Mike to call in some Paxlovid for Jack (he tested positiveThursday night) I decided to get some more Metoprolol too, so I could have a purse back up.

    Jack's second round - so our weekend of plans and S's dad coming and projects disappeared before our eyes. Quarantining for him. I told Jack everything happens for a reason, and we honestly needed the R&R. He got to cancel his last few shifts at the sno cone station and we didn't have to entertain (although S's Dad is pretty laid back and fun). I actually ate a few bites at each meal and didn't need cough drops. Read two novels. 

    Was still feeling good Tuesday morning - making plans for long neglected friendships and tackling cases, but by noon it was unraveling. I got fish and wild rice from the dr. lounge but started dry heaving after two bites and had to toss it in the bathroom trash across the hall. Went back down to get the vanilla soft serve yogurt - they recently fixed the machine and I'm so excited - it's more like milkshake, honestly, they need to turn the temp down, but I'll take it.

    At 3:30 I puked violently into my trash can at work. As I left for an appointment with Paula, I asked Dr. Quinn if he heard. He worried I needed a cold wet towel for my forehead. No, I'm fine, I'm used to it, it just normally doesn't happen at work. It's sooo loud. S can hear it from the pond and the garage. I'm thinking about putting out an advert to do a voice reel for exorcism horror movies. He smiled, but his eyes were sad.

    Paula was great and a lot came up. When I was little there was nothing I loved more than The Wizard of Oz. We had a tiny toy black poodle named Toto that was the joy of my life. Once, when my Aunt Sheeran learned from my mom of my obsession, she bought me the novel for Christmas, I was maybe six or seven? The Nestrud's had driven down from Chicago and Minnesota for their annual pilgrimage to Arkansas with their dog, aptly named Tinman - a Great Dane maybe? Huge to me. I was so excited to open the book I accidentally tore the cover with the movie picture on it, one of the biggest tragedies of my thus young life. In retrospect, the red cover with gold lettering and the author's name on it - L Frank Baum, was infinitely cooler than the movie cover.

    So all this is coming up - you don't just go into other dimensions you relive memories, and I told Paula it was so ironic that those were coming up bc there was a double rainbow Monday night and all I could think of is that I was Dorothy, and there was my Oz. Not too far away. Just gotta be patient. In order to process all this I set up a meeting with Yousef tomorrow - it's been a while. I'm off until Monday, and after being up all night with the runs and puking again in my trash can spectacularly at 11am I need it. I finished up my cases by one and my partners volunteered to cover the OR from 1-4 so I could go home. It is so fucking hard for me to ask for help when I need it. But they all looked at me like I was a trooper for even trying to show up to work at all.

    I've been seeing a lot of good results online from Paxlovid, and Kewen Jauss called me about a case Friday and said her entire family was ravaged a week ago and it really helped to mitigate the symptoms. Jack had a rough first day but by Saturday morning with the meds on board he was upstairs in his velvet Harry Potter cloak and his N95 mask baking lemon pound cake and stirring wild blueberry jam into the batter. Genius! I told him. This will be one of the best memories of my life. It tasted so amazing with the brandied strawberries that had been soaking for 48 hours. 

    Well I'm going to chill and maybe go to bed at an ungodly early hour because I have no obligations until one. Still need to work on my mom's 75th bday project - I got the whole family to pick wishes and I need to sign each wishers name on the back of their wooden token wish and wrap and Fedex but I've got Thursday and Friday. Headed to a VRBO on Lake Hamilton for the weekend - Laurie has done it twice this summer and I admired and booked. Happy MY Friday:), much love, Elizabeth

Wednesday, August 31, 2022

Volcanic Explosion

     Well we are finally on the right end of hump day and it feels like a long time coming. I've done two tumor boards in the last week. The first one was CARTI general last Thursday, and it's the first time I've been back since they granted the contract to SVI. On Wednesday Tina handed me a request to present a case. Diane Wilder has retired from running tumor board (I suspect the SVI battle had something to do with it) and Grace Raja is now in charge. She's sweet as can be but the fax request to review and photo a 50 slide case less than 24 hours before TB rubbed me the wrong way. We have boundaries. We ask for 48-72 hours. This shit takes time.

    I was shaking a little, angry about being disrespected and honestly still reeling from the big decision. I crafted a text and smartly showed it to Melody before I sent it to Grace. It was a little snarky and cold, I knew it, and she helped me craft a better one. She doesn't know, Elizabeth. We can teach her. You are right, I said, you catch more flies with honey than vinegar. But you catch the most flies with bullshit, she said, I LOL'd bc I'd never heard that and we both kvetched over someone we know that does just that. We initially wanted to stop doing these bc we were so crushed, but we decided to pull a Michelle Obama - when they go low we go high - bc contracts get dropped and we might have a shot in 2-5 years who knows?

    So I asked Grace to remind the docs that 48 hours is ideal but I am happy to do this last minute for her. She said OMG you don't have to I'll add it next week. No, I told her, its a rhabdomyosarcoma of the uterus and I haven't seen one of those since residency I'm excited to look at it. I told her Quinn was Diane's point person for last minute cases and I'm happy to be hers - Quinn is looking to go part time in the next year or so and I'm far away from that. Just text me, I said. If I'm on vacay I can still figure out who is going. Guess what? Sneed sent his case of hairy cell leukemia for Quinn on Friday of last week. So she is good, Melody was right. She's already communicated it to everyone.

    I showed up early and sat front and center (SVI dude creeped in late and sat in a back corner and didn't present - that's snarky I know but I'm still pissed about it all). My case was first, thank god, there were 31 and I did not want a repeat of med exec committee. I told everyone how rare it was and how I trained with David Parham, the international guru, at ACH. He was also bipolar, I said (no secret the lithium was on his desk and his Jekyll and Hyde personality spoke for itself), and so I looked at all the rhabdo's - alveolar, embryonal, etc. We looked at them together every day for two hours in the afternoon and this is the first one I've seen since (wonder if the guys were subjected to that? It wasn't horribly painful he only made me cry once. He retired during my training. Hope he's still alive. He had a band called The Specimens - they played at an event I cannot recall what it was for. Kind of wedding band-ish). 

    Grace's question, which she worried was silly, was why isn't it a MMMT, - these are much more common in older women. Rhabdo is a peds thing. It was easy for me to answer - there are no carcinoma elements and look at this stunning rhabdomyoblast - but I assured her on text no question is silly you know way more than me in your world. These oncs are incredible. Diane once told a story of fighting with an insurance company (DEVILS INCARNATED) on the phone to get a puking patient a med so she didn't have to be admitting. The patient was puking in her office trash can. She was holding her and comforting her while she was on the phone.

    ENT went well Tuesday but honestly Friday and Monday were so freaking busy - I signed out more cases than ever in one day - that I had chest pain. Luckily the workload has eased so I can breathe. Excited for a long weekend not on call. Paula and I had a great session yesterday - energy is moving and my gut is going nuts but I think it's a good thing. Paula said Pele showed up for her (I have a completely different experience and we share after) and I was delighted. Pele was my divorce goddess when I discovered her and walked on her volcano where she resides. It felt like full circle.

    So I researched her today and it turns out she shows up as a young woman, and old crone (who bums cigs and disappears in the roads around her volcano lol) and a white dog. I learned what she likes to receive, loose tobacco and gin and flowers and coins. She is creative and loves unity but also has a jealous streak and can obv be fiery. Her volcano, Kilauea, is one of the most active ones on Earth and the name means spreading. Like strawberries! If you soak strawberries in brandy and eat them it pays homage to her - the sweet and the fire. So I'm about to do that. Got some good recs from my liquor store guy after work. Happy almost holiday weekend, much love, Elizabeth

Tuesday, August 23, 2022

Med Exec Committee

     They canceled in June and I had to go home early sick in July. I notice there is a pattern - this GI stuff can be really bad on Mondays. So when I hit a new low yesterday, I won't even go into the embarrassing details, I went into Melody's office at 9am and cried. She made me sit down and hugged me and made me laugh and I picked up and moved on. I told her today you are pretty special. I didn't even cry during my divorce. 

    I had written a statement about autopsies last month that I planned to present last night since I had to skip July. But I was super stressed bc it was a bad GI day and I had to correct a false belief that many doctors and admin had disseminated over the years that would literally be in the room. I was dry heaving up a storm and Melody and Shaver gave me the bright idea to Zoom. So I explained to Sherry, the secretary to a big admin (there are lots of them - bean counters all but I can appreciate some intelligence and care as I get to know them but STILL.) She took Jessica's carefully made autopsy info handouts and supported my decision.

    And let's face it, I can turn very red. Rosacea, hot flashes, you name it, but me dry heaving loudly in front of a room of doctors and admin and having to present in person? After a really bad day? Nope. Jessica met me in my office at 5:00 to Zoom and I made sure not only was there a blue post it over the camera but that it was off. I was dead last, and the meeting went over. We were finally on at 6:30, when I was at the end of my rope, but it went well.

    In a nutshell, admin and docs have this perception that we don't do enough autopsies. But we are right in line with the rest of the private practices across the country. They have been complaining to Shaver and Palmer for years, but there has been no clear communication, so my goal was to remedy that. I explained that we have done autopsies pro bono for years, which may have made sense back in the day, but now it is like a bomb going off in your already busy day.

    And the facilities are so outdated - Blake Phillips was on a bit of a tirade right before me about the slow renovation of the 1971 ORs and I capitalized on this. He's doing surgery late (generating money for the hospital) and we do 5-8 autopsies a year. It's a no brainer not to renovate and send to UAMS, which we did last fall in the contract renewal. Which was a huge relief.

    I told them I knew that it was assumed in our medical community that we turf too many autopsies. We turf everything that is not within the scope of our practice. Anything medicolegal, anything that requires tools we don't have - that's for forensics. Anything family requested gets sent to two local pathologists who do private ones, and it costs money! It's the way I was trained, and a recent Facebook poll of over a grand of pathologists on PMG agree it hasn't changed. We only do physician led autopsies with specific questions. 

    I talked to Susi Jeffus in preparation for July and she told me UAMS only did 57 autopsies last year - a far cry from the 100 I was required to do for my training. She said a new young doc at the crime lab - Ted Brown I think, has taken over the autopsy directorship there and their long term goal is to move them all to the crime lab. They take a few family requested ones, and that's only bc they are a teaching institution and need the numbers. They DO NOT WANT our family ones - inquires there should be directed to Frank Peretti and Jennifer Forsyth - I provided the phone numbers. 

    I was trying to convey that we, in this current climate where getting out patient reports is priority to next step and efficiency, is much more important than playing arts and crafts with a dead body all day in an outdated morgue for no money. I wasn't that crass, but it's really what it is. I have helped get clinicians off the hook over the years (no, you didn't botch that aortic dissection surgery, your sutures are intact), and answered important questions and it's fun! But not practical, and 90 plus percent of the time it's redundant. My one AHA moment in residency was when I discovered a giant esophageal cancer in a woman who had been in the hospital for three months with no CT. Let's not even get into her race, or talk about marginalized women. She'd done snuff her whole life.

    Speaking truth is hard. One of the reasons this got so out of control (Quinn was attacked in trauma committee in early summer which prompted me to get together this talk) is we just listened and agreed and didn't change our correct practice. One of the only guys who had questions, chief of staff Shenker, was incredulous at our numbers and was up in arms that someone was pressing us to do autopsies. He's OB, so probably has never requested one. The irony that most of the people in the room were perpetuating their frustrations over a false belief was not lost on me. They didn't speak up. I replied to Shenker that I wasn't on a witch hunt, I was just trying to clarify our policy and help clinicians get what they needed.

    Death is scary and stressful and I'm not the one dealing with the aftermath. I get it. You lose boundaries, and want to please people (these days for patient satisfaction surveys but that's a whole other rant). So when we draw boundaries docs play with them and we have to play the heavy. Docs get pissed. But hopefully now they understand. There's funny stuff too but I'll save that for later I'm so tired. GREAT session with Paula (who I also called for help after I cried to Melody). She's a godsend. Happy Tuesday, much love, Elizabeth

Tuesday, August 16, 2022

Friday Eve

     Metaphorically, of course. It's mine, anyway. Thank goodness I need a break. This GI shit ramped up again Friday and Monday and honestly it's so exhausting. I think it's because Paula did a cord cleansing on me last Wednesday - we decided to meet every two weeks on Wednesday. She's a rock star in Reiki, something a lot of people think is silly and on the fringe. Working with her, just twice, has been earth shattering. I've never vibrated before, or dropped into different dimensions, or met teachers (three so far) and NONE of this has any drug enhancement just after work before yoga (I'm trying to go back but it's soooo hard). She recommended a Reiki book I've yet to read - Hands of Light maybe? It was published in 1978 and was recommended by Elisabeth Kubler-Ross who I worshipped in college when I learned about her so that's promising. One book instead of twenty. Cecelia is not the only one who tends to bite off more than she can chew.

    I'm talking to my sister again! Which makes me happy, and seems like her too, so we will see how that goes. Cord cleansing was a big help. - my first. Baby steps with Sara. Mom turns 75 next month so we are planning a low key surprise gift and all the sibs and spouses are involved, and Gkids. Dad's in Atlanta with Mike and Sara getting new cardiology consults. He has had a rough road lately and I pray the tides are turning for a bit of longevity. It's certainly in the Nestrud lineage - I have Great Aunts and Uncles that lived until their late 90's and I think my Polish Mother will probably outlive me.

    Lots of new exciting developments at work lately that are too soon to share. Change is afoot. Not much more to say here - booked dinners and massages for Eureka so planning a lazy fun weekend after getting Cecelia settled. It's getting more and more necessary to do that ahead of time - I guess it's growing. I'm used to procrastinating until the ride up; that doesn't work anymore since the pandemic. Got massages at the Basin for the first time in a long while. Staying in Zelda's room at Cliff Cottages - also a first - it seems a bit more private so I'm excited to check it out and let loose. I assume it's named after F. Scott Fitzgerald's wife - I guess I will find out when I get there can't be too many Zelda's in the world. Maybe she was an author too - haven't read her. Another woman squashed in time by a successful husband. Maybe. I know their lives ended pretty poorly. Who knows. Happy Tuesday, much love, Elizabeth.