Pagers in the Night

Pagers in the night

Buzzing and beeping

Alarms sound through the night

Instead of sleeping

Our nervous system jolts

Like lighting bolts all night

Every so often nurses call me

Relaying vital signs and pain

Each one a stone thrown

Sending ripples through my brain

Countless as pages through the night

I know I’ll be alright, if I live to see the sunrise

Get through another night

Like I’ve done and I will do again

Sleep was just a glance away, a brief and fleeting chance away

Pulled away by pagers in the night

Neuroscience Love

How I’d love to go walking

Through the orchard of your mind

To behold fertile neurons branching ever more intricately

In an arboretum lushly laden with sweet serotonin

My fingers search restlessly for the roots of your dopamine

My tongue drowns itself craving your acetylcholine

I long to climb your axons and shake ripe neurotransmitters

From the delicate tips of your dendritic branches

I ache to see your potential in action

To be blinded by the searing speed of your electric signal

As it sparks from node to node

To be swallowed by the violent beauty

Of vesicles fusing with your pre-synaptic membrane

How I wish to be one of your post-synaptic neurons

So that I may feel flooded by your molecules

In the electric throes of neuronal excitation

I hyperpolarize when you are near

Gripped by GABA, I am mesmerized

I’m living to see behind your eyes

Depolarize me anytime

Carnival

Welcome to the carnival

I offer all manner of novelties to delight you

Are your thoughts as wild as a flying trapeze?

I’ve got pills to set your mind at ease

Does your heart feel like it has been trampled by an elephant?

You don’t need to use booze to get bent

I’ll flood your blood with chemical love and adjust the dose to fit like a glove

I’ve perfected my performance to be your ideal physician despite my perpetual exhaustion, hanger and burn out

Ignoring my own pain as I eliminate yours

Neither one of us is listening to the sacred wisdom of our bodies

I suffer long and hard so that you don’t have to feel a thing

In my side-show alley you’ll see that if you want more than an endless stream of candy refills, if you want me to be your shaman instead of your drug dealer, at any time you can feel your feelings instead of suppress them

Take a plunge from the high dive on the wild horse of your unmedicated body

Hear your healing lion’s roar

Let your self-expression soar

Allow yourself to fall into the safety net of the universe

Trust that you belong, that you are a star just as you are

Juggle fire and meet yourself with humor when gravity makes its presence known

Allow yourself to be shot from the cannon of self-doubt, trusting that you will be ok

If healing is a series of flaming hoops

The transformative way out is through

Show yourself what you can do

Dance to uplifting music every day

Cultivate strength and flexibility in body and brain

Remind yourself it is normal to feel insane

In this seemingly crazy world, only you can take the reins

Be the ringleader of your life

It ain’t me, babe

Though I have the hard-won power to prescribe the goodies you crave

To be in control of ourselves we must give up control of everything else

Welcome to the big time

The show can’t go on without you

I applaud you

My eyes are open to witness your marvels and miracles

Bouncy Ball

Resilient sphere of color

I throw you down but you only bounce back higher

Dancing down the stream

You get caught on rocks and fallen leaves

I free you and follow you down the babbling brook

Your journey is again halted by forest debris

I dislodge you with a stick and you bound onward

Carried effortlessly by the water

I was told that all rivers flow to the ocean

I am determined to travel there with you, to see this through

Then I learn that water sometimes moves underground

Branch still in hand, we are both stuck on land

I didn’t account for this

Years later, I am an adult in a high-pressure profession

Just now pausing after years of running

As if I’ve been chasing a ball down a stream

Bouncing from one goal to the next

I am bewildered by the restless movement which only distanced me from my heart’s desires

In exchange for passing tests, I received more tests

No one ever asked me if I want to be tested

I value serenity and peace, meditation in nature

I was already where I wanted to be

When I was a girl with a rubber ball

Bring me back to that forest stream

I will stand in it

Let the cool water wash over my feet

Bouncy ball by my side

In stillness and simple satisfaction

We will stay

Workaholic

I went into medicine partly due to heartbreak

The exhaustive training of medical school and residency was a welcome albeit ineffective distraction from my sorrow and loneliness

24-hour shifts are a convenient justification for not keeping in touch with loved ones

Even though the real excuse is my social anxiety and sense of inadequacy

Living within hospital walls, I suspect that I am not the only physician who became a medical doctor to try to forget unrequited love, to escape the world of human relationships

My older colleagues work far more than they need to to make ends meet, far more than any reasonable person would work in a week

Who needs friends or feelings when you have patients and science?

Our skin grows pale under fluorescent lights

Our vision becomes shortsighted as the screens stare unblinkingly

Our hearts forget how to feel carefree

Our muscles atrophy as our brains hypertrophy

Our minds become boxed in with facts, our mental filing cabinets overflow

I am a recovering workaholic working alongside workaholics who do not appear to be in recovery

Perhaps they suspect the same of me

Heads down in the trenches, none of us can know another’s heart

We can only know our own heart, if we listen

We carefully administer medications, surgeries and therapies

We measure progress in numerical metrics of lab values, calculated scores and vital signs

We arrive early and stay late

We work day and night without a break

We always have too much on our plates

We deprive ourselves of sleep, fresh air and food

We know why we have irritable moods

Practicing medicine is an unhealthy, imbalanced lifestyle and we know it

We can only ever heal ourselves

I’m ready to show it

I am finally healing my broken heart

I found that I had to begin at the start

Childhood wounds tangle and bloom

Trauma begets trauma until we change our thoughts, words and actions

Breaking old patterns even as we hold traction

I am love itself, I am the source of what I sought

My cup overflows, it was not all for naught

Enlightened AF

You can never get to the end of it, you said about The Divine

Your words drew kaleidoscopic visions in my mind

I used to feel oppressed by poverty

Now I know I was only oppressed by the false beliefs within me

All the riches were always inside me

To the mind that is still, the whole universe surrenders

Beyond the collapsing walls, the sky is open

I am still tormented by the torrent of my thoughts

Then I think, ‘I don’t belong in anyone else’s head, nor do they belong in mine’

I try to let go of unhelpful thought-patterns

Such as my deep disappointment when I deem myself as less than perfect in every way, which happens multiple times each day

I may not be able to unthink a thought, but I can balance a negative with a positive, I can let the cloud float away without latching on all day

Today I was transported back to the time when I’d jerk off men for pennies on the dime

Now in the context of a trained medical professional providing a form of physical therapy to another doctor

Standing next to the massage table, I felt as if I hadn’t come far even after all the struggle and sacrifice to get out of poverty, to give my kids a better life

I remind myself that I have enough and I am enough

In my humble, imperfect way

I am enlightened AF sometimes

Death Certificate

Another day, another death by COVID.

My COVID patient who died today was relatively healthy and young.

While filling out his death certificate, I paused over the ’cause of death’ section:

 

My patient had multi-organ failure with a subsequent cardiac arrhythmia incompatible with life and viral pneumonia causing respiratory failure, however the failure that lead up to his COVID infection was systemic at a societal level.

 

My patient was a prisoner, infected by COVID-19 because he was denied the ability to socially distance, robbed of the right the protect himself.

 

I didn’t know him, but as I studied his body during his final hours I imagined what his life had been like, and wanted to include on his death certificate:

 

Cause of death:

Complications resulting from loss of human rights due to imprisonment

Secondary to the prison-industrial complex

Secondary to class warfare

Secondary to poverty

Secondary to racism

 

I didn’t know him, but I shared pieces of his struggle:

Adverse childhood experiences, trauma on trauma on trauma

 

His premature death is another stone in my pocket

My path is liberation

Wherever his soul is now, I hope he feels liberated too

Liberated from the brown skin which lead to his incarceration which inevitably did him in.

HPV

She told me that I have HPV

Human papilloma virus: the ghost of ex-partners past came back to haunt me

I want to line up my exes: the awkward horn-bag teens, the sex clients who shortchanged and stole from me, the abusive drunks, dramatic douchebags, one-night-too-long one night stands, and interrogate them whodunnit.

I will never know, of course

I may have gotten HPV from dreadful fingering, though it was probably from unprotected intercourse

Intercourse most likely undesired, as most of the sex I’ve had was unwanted by me

It could have been worse, at least it was only HPV which I contracted after riding bareback on so many dozens of dicks- I don’t know now many men have slept with me, but any one of them could have easily given me HIV, somehow I was spared

God, you were there

Kids, don’t try this at home

I tell my cervix to hang in there, I will make it up to you, treat you right

My ex-boyfriends aimed and fired at my cervix: the bullseye of my reproductive tract

Whether I got HPV long ago or from my most recent mistake, it is in me now and I may lose a piece of me in a LEEP if I don’t overcome this virus

My LEEP will be a leap of faith that I will regrow intact and complete, heal myself and still have the power to create and give my baby a better life than mine

That is the goal in all I do, even the abortions I’ve endured were to make a better future for my children than the hell I’ve lived through

So listen little virus, I am a strong, powerful giant and I will destroy you

I’ve survived too much to be taken down by the likes of you- senseless double-strand of DNA who has consumed too many of my sisters, lost to the sands of time

You won’t take me, the war is on and it got personal

There is no way I’m going to let one of those awful men leave a lasting lesion on my body

I am the supreme iron dragon goddess warrior, and my healing potential is infinite

My abilities to love and forgive and understand are among my many strengths

Watch out, virus, watch out

Instead of spreading you to someone new, I will melt you with my amazing body, take you down with my brilliant immune system

You will no longer struggle to survive, you will unite with the Spirit which flows through all things, and you will flow right out of me in peace

 

In Case I Die Early

In case I die early

From the virus which I will be in close contact with for the foreseeable future

Rest assured that I lived a full life

I was intermittently enlightened, and there is no higher bliss than that

It took nearly my whole life, but I finally found love

I enjoyed exquisite physical pleasures and the connection of sacred partnership

My mind was often filled with colorful visions and my heart overflowed with music

I wrote wild poetry which I shared only with you, and a great many other things too

If you want to remember my life, take a deep breath and know that you are loved by the universe, that you are love itself

If you want to see me, look up at the sky and trees

If you want to hear my voice, listen to the river and the birds singing

If you want to feel me, place your hand over your heart, and know that we are not far apart

If I don’t die early, I’ll keep creating my visions to promote vibrant healing

But in case I die soon, I wanted you to know that I go peacefully, though I long to see my family and turn my dreams into reality to share them with you

Take care of yourselves, and each other

Take care of Mother Earth

You are supported by spirit with every breath

Corona

I wear my crown of martyrdom

On the front lines, yet still at the back of the testing line- haven’t been tested

I think of you, virus, though you do not think of me

Coronavirus, on the news

Coronavirus, in my body

Is the aching in my muscles and bones your calling card?

You desire to enter my cells, virus, as much as I long to keep you out

Together, yet separately, we hunger

You want to pick my lock, use my typewriter to transcribe your RNA, then mail your enveloped self-promoting propaganda air mail special to Hadestown.

Don’t bring me down on the way, I pray

Not like this, not today

My heart breaks to think of those who have lost their lives to you, and those who needlessly will still

My head is intoxicated with fear

You always seem too near

Perhaps we Americans deserve the repercussions of our recklessness

Though it is the innocent who pay, as usual

Another day deep

I march on with trembling hands and heavy feet

Tracking invisible mud out of the wards and onto the street

Ashamed to stay in the job I was fixing to quit anyway,

Ashamed to leave now and abandon my post

The war is on, dwarfing the existential crisis of living the life I want versus fulfilling my societal obligation

I am among the minority who have a medical education

Only in following my heart can I grow up at last, no longer a slave to the judgements of others who do not bear my burden

My mind’s liberation opens up like a blue sky

Back to here and now, overcast again

In clinic and in the hospital

I struggle to bring my heart into the mundane and mission-impossible tasks which overflow from one day to the next

Virus, I gaze at your storm clouds accumulating on the horizon, and feel small

I see your silver lining, as I am well practiced in finding positivity amidst disaster

You are rich in potential

Look at the way you are uniting humanity, virus

People are taking care of themselves and each other like never before

Practicing presence in hospital hallways and supermarket aisles, smiling shyly at each other from behind our suffocating masks

We are finally being mindful of our precious resources, thinking globally and acting locally for sustainable solutions

We are cultivating more community and camaraderie than we could ever quantify

Teamwork and solidarity are weaving our spirits more closely together even as the physical distance between our bodies grows

I take a step back to take in the beauty of the tapestry you wove, virus

You bring opportunity for innovation and flexibility, you demand it

Many of us no longer take life for granted

We are cleaning our hands as often as we always should have

People are being prioritized over profits as we focus on what is essential

We settle in, acknowledging at last that we are in the same boat

Living in unspoken gratitude for each day of health

Please don’t rock my boat too much, virus

Though you are armed with cunning skills

And you may bring about more positive change still

I plan to ride out this storm, though land is not in sight

Virus, perhaps you could rest tonight?

Virus, my type II pneumocytes are mine, my lungs are a celebration of life and you are not invited

I wind-down after another day on the front lines,

I give thanks to those who are doing their part in time

To those in the comfort of your own homes,

Please stay where you are, be satisfied

Coronavirus, we will destroy you with patience and ingenuity, with solidarity and community, with soap and water, and with love for one another