Which Is Which?

aa-allnighter
Night after night after night after night for the past three weeks I’m awake well past 4:00 am.   Last night I was awake until 3:10 am, just awake, not anxious awake or fearful awake or even we-leave-for-Prague-in-six-hours awake.  Just awake even after swallowing three milligrams of Clonazepam.

I still awaken at 7:30 or 8:00 or 9:10 am.  Today my day didn’t start until 3:00 pm.  But I can’t untangle the ball of yarn because I can’t pinpoint the beginning of this wakefulness: Is it one of three dire maladies that come and go like my sanity was a delicatessen (and bedeviled generations since expelled from Pandora’s Box with other evils) or if the distress of my brother’s death only appears in solitude; then today this torment advanced by adding a threatening malaise. Teasing the debilitating effects of mental illness with the expeditious death of my brother, my routines have been stirred, causing an atypical night/day composition causing great distress and exhibiting itself in one of three years in great part by one three infirmities: 1) Mania (this ain’t a party; 2) Depression (which routinely involves sleep; or, 3) Grief.

But today, today the symptoms were clear: sleeping well into the morning, sitting on the side of the bed for two hours; no concept of passing time.  When I first was diagnosed we accepted odd sleep patterns as a component of bipolar.griefpoem But now, when the inevitable death became evitable, my grief churned the sediment of negative memories, their decay rising to the surface like the Magic Eightball, and I precisely recall that day or incident or mounds of work to what?  End in death? Four years now sours like wet rags lying on the basement floor for two weeks and turn into deep, powerful, and dangerous emotions like hate, retribution, and bitterness which poison even my brightest memories like an elixir or potion.

And today I feel like shit; disinterested, loathsome, hopeless, belongings reduced to ordinary objects; all over, two men smiling or laughing in picture frames remain unrecognizable; too many functional, but inefficient appliances, especially my computer.  In order to simply write I’d have to troubleshoot half a dozen issues:the writing is slow to the surface anyhow, and when buoyant is likely to blather on about how shitty I feel, and how long am I expected to stave off this darkness?

Oh yeah, and when will someone like me rush to my side and avail his own life to repair mine?  When will that be? When do you think? How long did you wait? When generosity runs as thin as this a damning selfishness takes a seat at my table: “Hear you’re tired of saving people even when you’re risking yourself. Hear you’re looking for your “generous man” to shoulder your burden and top-off your short-comings.  Well, today’s your lucky day, ’cause they sent me instead. I’m what you’d call Selfishness.”

Heaven Might Be Anywhere

One of my greatest fears in life is that this life, this practice life, will be our only life, and, of course, one doesn’t hear the punch line. This moment of truth, this day of reckoning, this day of judgement, is the religious revelation of the existence of evil and the evil dominion of bête noir: The introduction of fear as consequence of a wayward behavior in this life.

What if the moment of truth, the day of reckoning, and the day of judgement were all about the earthly presence of beauty, of grace, and of winsomeness? What if in your minds eye you were witness to all the mystical magic of earth? What if the magic of life was overlooked because our treasured gift of life was fettered away in a foolhardy gaffe to get somewhere-anywhere, because somewhere-anywhere promises joy and laughter and intimacy and beauty which is sorely missed from right where I am.

What if the hereafter punch line was: Heaven is right under your nose?

IMG_0423 IMG_0424 IMG_0414 IMG_0416 IMG_0413 IMG_0401 IMG_0376

 

Rich Didrickson (1955-2013)

“Life’s a voyage that’s homeward bound.” — Herman Melville

It sent me back on my heels and against the ropes.

I was so surprised that time stopped.

It’s disappointment struck like a head-on collision.

When I answered I heard the life expectancybut I expected a little empathy;  not the credibly, relative destiny. 

It was a bombshell aimed dead-center to insure the greatest damage.

It was the end of one of several episodes.

It was the start of a new episode.

It was colorless. Soundless. Sightless.

It’s coldness remained near me, like walking out of a freezer.

It underestimated its infliction of cruelty.

Rick had the courage and nerve and right to refuse pain medications, food, and finally liquids. His pledge to himself guaranteed freedom from his hellish suffering that heroic measures caused, and found his real life patiently waiting at the gates of heaven on Tuesday, October 1, 2013 at precisely 1:00 p.m.

It’s impossible for me to estimate the number of people who now have holes in their hearts where Rick used to be.

A Comment Worth Mentioning

aacommentDr. Culpepper writes in response to my recent post, “Thank You, Doctor.”

Dear Mr. Mulligan:

Medicine is a calling and I suspect that you would have served beautifully in this profession. A real physician does not have a job as a doctor, he or she becomes a doctor.

In the process of medical training, one takes on a new life… well, that’s the ideal. Much of the challenges of our healthcare quagmire result from medicine becoming instead a business.  It’s as if church and state combined into a disaster. So it is with healthcare becoming a business. No one begrudged a well paid physician, our community supports that concept. It is instead the focus on business: the margins, marketing, middlemen, and entrepreneurs (some of whom are doctors) that has poisoned this noble profession. Those physicians that are still true to the calling are swallowed up by the toxic agendas and often not seen except floating below the surface.

Please continue pointing to those brave souls. They need the attention and a lifeline.

Dear Dr. Culpepper:

it’s nearly impossible to practice a passionate profession be it medicine, applied sciences, mathematics, art, performing art, music or writing.. aacommentresponse While these passionate professions are often enjoyed by many, they fall far outside the gated community called business.

Your irresistible “calling” metaphor is the perfect rational as to why men and women pursue professions which require the volitional abdication of varying aspects of their human nature like sensibility, acceptance, support or reason. But it also provides a pathway to genuine propriety and inclusion in one of the most reverent and honored professions on a global scale. It is a profession which treats humanity not borders or anarchy or tyranny.

Physicians transcend the pettiness of our human condition to oversee the miracle of humanity. I myself have heard a calling; to ignore convention and weave together language inviting the curious to hear the harmony of words. To others blessed to hear their calling, I recommend you listen to its invitation; yet most discard it as folly. True Callings  never quiet; they continue to knock, disrupting whatever future you planned with doubt and obstacles.; then one day an example of the difference you could make persuades your abandonment of a false life to step off the canyon’s edge and begin your true life.

If it’s fear that stops you, consider your patient’s eyes filled with fear and the strength they see in yours; passionate eyes sparkling with compassion and the quiet strength of a truthful life.

Thank You, Doctor . . .

There was a time, oh, not so long ago that friends Michelle and Peter and Nick would remember that I sat in a chair in a public forum and wept because I never became a doctor.  Friends recommended nursing, but on my first day my instructor, wearing one of those origamitized hats mentioned the adjective caring in hundreds of examples.  By the end of the day I’d grown so weary of the word caring I returned my shiny new mules and knew I didn’t have the dedication to the lives of total strangers simply because your unyielding care and uncompromising affection for humanity seemed as close to grace as most of us will ever know.

I’ve been very lucky to have been able to continue my 20 year relationship with my primary care physician.  In 20 years we’ve both learned a lot about each other: he more so of course, especially with those physician distributed x-ray glasses (and we thought they were some manifestation of a cartoonist’s imagination) because how else could doctors have the degree of insight simply by engaging in an innocent conversation.

I’ve been thinking lately that all these men and women who voluntarily step up to education and raise their hands so strongly, so surely, and so hopefully that witnessing that depth and degree of service to strangers must be one of the most moving examples of humanity stepping into a life where their life is secondary.

Why they do this happily, proudly, compassionately in order to be in the presence when most of us aren’t gussied up for prom astonishes me and thanks God for loaning humanity a few hundred thousand angels to leave Heaven and come to earth (by way of unimaginable hours pouring over manual after manual after manual and I can’t even remember 3 things to buy at the grocer’s), then share their own type and degree and experience of the comfort they know to be true once we let go and become fine examples of colorful balloons rising higher and higher and out of sight but not out of mind.

To all those selfless and defenders of the weak or ill or mentally compromised or children or any other of the millions of disenfranchised a mere thank you will never repay your kindness. But maybe God’s set up a 401(k) for you in heaven.