Friday, June 25, 2010

Father of Mine - 3rd in a Series

He fell… again, sustaining a mean forehead gash requiring sutures. The medics were called and they raced to the Kaiser ED in Honolulu at 3 a.m. After suturing, a head CT revealed an intracranial hemorrhage. Guess his daily baby Aspirin will be stopped. The internal medicine doctor admitted him to the hospital and he waited there, on a hard gurney in the ED, twelve hours for a hospital bed.

“That’s not uncommon Mom,” I tried to soothe her with helping her understand. “If the hospital is full, someone must be discharged home before he can have their bed.”

Initially, there were hourly neuro-checks and talk of burr holes to relieve the pressure. Technology is amazing. My sister sent a text message, including a photo of the over-bed monitoring screen, asking for explanation and interpretation. It flew transPac and landed in my iPhone moments after being sent: Dad's heart rate, blood pressure, mean arterial pressure, and respiratory rate.

By nightfall he seemed over the burr-hole hurdle. Then abruptly, his laceration began bleeding again. A nurse stood at the bedside for a long time, applying direct pressure to unsolicited complaints of pain.

“How ya doing Dad?” Someone held a phone to his ear. Sometimes he doesn’t know phone or its use.

“Oh, I’m surviving.” His speech was thick and slow, as if he was drugged. We talked briefly, until he quit.

My sister texted: If his forehead is bleeding, what are the chances he’s still bleeding in his head?

Exactly, but no one wants to perform surgery on a demented old man. And it’s not the dementia, it’s that, in medical vernacular, he’s piss-poor-protoplasm for a surgical procedure. He’s old and he’s bleeding. They cut? He’ll bleed more.

Continued bleeding into his head will cause mental status changes. They will monitor his mental status in an effort to avoid surgery. Barring nocturnal disaster, he’d head for the CT scanner again, next day.

This is his path, I tell myself, get used to it. Did you know that 40% of us will die of diseases related to dementia and frailty? We will fall, break a hip, and die of subsequent, hospital acquired pneumonia. Our interest in food will wane and - wither we will. Our families will command that we eat and force-feed us while our doctors enter a new diagnosis into our electronic medical record: failure to thrive.

“How do we help people live well if they must live sick?” our Palliative Care Chief asked recently.

“He is no longer able to independently create moments of happiness and joy for himself.” During my recent visit, Mom and I discussed giving him the experience of having a life of love. “Those moments must be created with him and for him – by us.”

How does Dad live well while he dies? How do we keep him safe without imprisoning him? How do we prevent falls while preserving dignity in the bathroom? How do we create the best quality for his remaining life and his experience of that? What is it going to take to give him the experience of being loved and cared for and how will we do that?

And how will we take care of self? Where do we renew and rejuvenate? Where is that well of compassion and patience for self and others? Oh, were it a dew pond for daily dipping.

A second head CT scan imaged a stable clot. Dad is now being evaluated for discharge home and safety issues abound.

How do we live well if we must live sick? It’s a powerful question.

Sunday, April 11, 2010

Sourcing Miracles & Keeping Dreams

Kaiser is seeking short stories for possible publication. Here is mine.

EIGHT!!! The subject line of my email streaked out across the Internet through Lotus Notes, screaming at my friends, Kaiser nurses and physicians all. My eighth patient was off insulin.

I recently queried those patients, many of whom lived with diabetes long before working with me. “Why did you do it?” I asked, “What made the difference?”

To which they replied, “No one ever said it was possible and no one ever gave me the steps to make it happen.”

The book Three Law of Performance would call that a change in their occurring world.

In 2008, I joined the Chronic Conditions Department in diabetes care management and invited patients to take-on their disease by learning to count and restrict carbohydrates and get off their insulin. Eight of them did.

“Number Eight (I’ll call her Annie) is an obese, 56 year-old female and a Kaiser Permanente employee,” my email read. “She has been in and out of my care management program twice. When I run at lunch, I pass her walking and we high-five as I yell words of encouragement.”

I encourage patients to get help and seek support.

"You are not reliable to eat for good glucose control and weight loss. If you were, you would have done it. There are many programs available in and out of Kaiser. Pick one and take your cook along. What appeals to you? Do something; do anything." 


Annie did, she attended the Kaiser's Diabetes and Nutrition Class, learning to count and restrict carbohydrates. The impact was startling, stunning, immediate and we regularly and rapidly decreased bedtime insulin in response to hypoglycemia and fasting blood sugars at the low end of the target zone.

Annie was happy with that result and it carried her through the holidays. In January of 2010 she joined Over Eater's Anonymous. Within days we decreased Glipizide due to recurrent hypoglycemia.

On day thirty-seven of her Over Eater’s Anonymous program, she reported a twenty-six pound weight loss and we stopped all glycemic agents but Metformin.

“I can see my toes!” she looked down and pointed. “The aching in my hands and feet is gone,” she stood in the doorway of my office flexing her hands. “I always felt like I had the flu, kind of achy all over; that’s gone. I had no idea how bad I felt.” She hugged me and said, “I love you.”

SHE HUGGED ME AND SAID, “I LOVE YOU.”

Annie’s new goal is to run a marathon in her 60th year. I will coach her through lunchtime runs and at least one section of that marathon.

Since then, Patient #9 is off all glycemic agents excepting Metformin and my meager pipeline is working, counting, keeping meticulous records and gunning for their insulin.

I have come to know that I provide an empowering context for these patients; that I am the keeper of this dream. Dreams and goals disappear, they fade in the frenetic pace of every day, they are beaten from us or we abandon them as unattainable. I meet my patients wherever they lie along the continuum of health, acknowledging what they have done. Together we explore small, attainable steps from which they choose.

“I want you to be successful so lets choose something that you know you can stick with. Can you do two five-minute walks every day?”

Most often I direct them into well-established Kaiser or community resources. I never recreate the wheel and it is always our first goal to achieve glycemic control with or without additional medications.

As healthcare providers, when we extend the invitation and provide a pathway toward health, some patients will play for and with their lives.

“In life there are many games we can play,” my email concluded. “We play health and wellness games at Kaiser Permanente. I love and play this game - it brings me to tears and fulfills me in every way. You are the first to know excepting my fabulous pod leader Dr. Huang - who provides a supportive, nurturing environment in which patients and employees can flourish and thrive, including moi’.

BE well and dare I say... THRIVE!”


Lorin Bacon is an Acute Care Nurse Practitioner with Kaiser Permanente in Sacramento, California.

Sunday, April 4, 2010

A Birthday in Yosemite-Part 3

The weather broke on Sunday to clear and sunny skies. The forecast was for more of the same gray soup that had settled over California like tule fog. But Mother Nature is not wont to follow the forecasts of man; the day was unpredictably clear and clear means cold.

I rolled over to peek at the clock and everything about me hurt,

e-v-e-r-y-t-h-i-n-g! Auwe! Plagued with chronic low back pain from a career of hauling patients, I always stretch before leaving my warm cocoon… but this was more than back pain. My quads ached so I pulled my heels up next to my hips and laid my knees on the bed to stretch. Try that bilaterally and simultaneously, that’s a feat! I rolled to my tummy for daily yoga favorites: child, cat, camel and rolled out of bed for warriors one and two. My calves strenuously protested the reach for my toes. My shoulder sockets, jack hammered forward in repeated backward tumbles onto outstretched arms, ached and would ache for weeks.

I dressed and headed for my morning cuppa joe. Deep ruts in the heretofore, muddy service road through camp, were frozen solid. Pea-sized, ice-gravel crunched noisily beneath my boots. The air bit and I coughed with temperatures below freezing. Overhead, snow capped Half Dome shined against an azure sky. A great plume of smoke rose beyond Mother Curry’s Bungalow and the smell of coffee permeated camp, pulling me along like a like a moth to light.

In the lobby, I bumped into the young Russians with whom I’d exchanged cameras at the confluence of trails and trail signs deeply buried in snow. We queued for coffee and chatted of our climb and afternoon departures.

Coffee at the Coffee Corner is self-serve. I purchased a large and filled my insulated Starbuck’s cup that would keep warm for hours. Retracing my steps, I stopped outside Mother Curry’s Bungalow. In her day, the cabins of Camp Curry were called bungalows, those at the Ahwahnee – cottages, while those in Tuolumne Meadows were called cabins. They have not upheld that tradition as all signage and maps currently say: cabins. Too bad, some traditions are quaint and sweet; they honor the Ancients and deserve preservation.

Starting again from outside Mother Curry’s Bungalow, I suddenly remembered it was my birthday. I stopped in my tracks and looked about with new and liquid eyes. The valley pocket remained in shadows, the sun insufficiently high to peer over its shoulders. Overhead, granite gleamed in sunshine, promising a warmer day.

I smiled and sang: Happy Birthday to me. Happy Birthday to me. Happy Birthday dear Lorin. Happy Birthday to me. Why am I going home? I could make spending birthdays in Yosemite a tradition. Yes, I just may do that.

I opened the curtains to watch the sky lighten and plopped onto the bed with my laptop. I’d read and write before packing and checking out. At 11:30 I’d be in the main dining room of the Ahwahnee Hotel for Sunday Brunch, my birthday brunch.

My morning was non-descript. I packed my auto after moving it to warm in the sun. As I ferried satchels to my SUV, Cliff peaked through the window. Cliff was my housekeeper, a resident of Merced who had never visited Yosemite until job loss forced him to seek work far from home. He lived in resident housing and worked four days straight before returning to Merced.

“Waaooww!” I said, imagining how yummy Yosemite living could be, “I’d never want to go home.”

Cliff glared, “It ain’t that great here,” he snarled, “You’d wanna go home, trust me.”

Remember my departing email? “Methinks a winter trip to Yosemite is a good sieve. I will meet people like me. I'll probably LIKE THEM!” Remember that? Exclude Cliff. How one can reside one’s entire snuff-chewin’, teeth losin’ life in the shadow of Half Dome and never visit or appreciate is … oh never mind.

I stopped by the Lodge to retrieve and send a few emails. A fire sputtered and spit in the fireplace though it was 10 a.m. I sank deeply into the same log chair I had occupied twelve-hours prior. I fiddled and figured out how to post to facebook from my iPhone, posting my picture at Columbia Rock, shglicked by George. At the registration desk I checked-out, surrendering the oversized, brass key to my cabin. I arrived at the Ahwahnee ahead of schedule and browsed through their gift shop.

The Ahwahnee Hotel is a stunning amalgam of rustic rock and timber, art deco designs, arts and craft styling, and native Indian motifs. The hotel occupies the meadow beneath the Royal Arches rock formation and the former village site of native Miwok Indians – who called themselves Ahwahneechee.

Designed by architect Gilbert Stanley Underwood, who designed the lodges at Zion, Bryce Canyon and the Grand Canyon’s North Rim, it is in retrospect, his crowning achievement. The site was chosen for maximal sun exposure and its iconic Yosemite Valley views: Glacier Point, Yosemite Falls and Half Dome.

As seen from Glacier Point, the lodge is Y-shaped. It was constructed from 5,000 tons of rough-cut granite, 1,000 tons of steel, and 30,000 feet of timber. Its exterior wood and structural timbers are actually stained concrete poured into wood simulating molds. Construction lasted eleven months and totaled USD 1,225,000 upon completion in July 1927.

Its grand public spaces are rich with tapestries, hand-stenciled timber beams and floors, massive stone hearths, log-beamed ceilings that soar to 30-feet, stone patios and expansive lawns. I’ve sat on those lawns in late summer and watched deer feed. Even in winter, buried beneath snow, the south lawn beckoned.

The dining room is notably Five-Star and dinner is a formal affair, by reservation only. Sunday brunch is casual. I checked-in with the maître d'.

“Ah, yes Ms. Bacon, we have your reservation for,” he paused to reconfirm before looking up, “One?”

“Yes,” I smiled reassuringly. I received many an odd look those three days in Yosemite. You have a reservation for… one? A look of puzzlement shadowed their faces momentarily; we are so unaccustomed to women traveling solo.

The maître d' checked himself and smiled broadly, “Welcome,” he parroted, back on auto-pilot, “We are glad you could dine with us.”

Me too buddy; you have no idea. “Thank you.”

Carol stood at his elbow ready to usher me inside. She was a delightful woman in her forties with an eggplant figure topped and coiffed in pageboy. She wore the black pants and white, long-sleeved, button-down shirt customary in food service. The busboys were similarly clad with an additional long, white, Bistro apron. My busboy was Sally, a decidedly masculine young woman with multiple facial piercings and the never-ending pitcher of fresh-squeezed orange juice – which made her decidedly popular as well.

I was seated in the west-facing alcove originally designed as the porte cochère. Yosemite Falls fell, framed in floor to ceiling glass. At my right elbow, towering over my table, The Royal Arches.

I wandered through the buffet area replete with sushi and egg chefs. A skilled pianist tapped ebony and ivory on the periphery. He looked up from his keys; I smiled and nodded as I passed, pondering a song request. That thought disappeared in the myriad of morsels, trays of truffles, dishes of desserts, bushels of breads and cheese, displays of fruits and vegetables, a panoply of epicurean delights Ahwahneechee-style.

As one whose diet is nearly devoid of meat, a buffet line offers multitudinous opportunities to indulge without discarding all but three of an eight-ounce steak. I conned the prime-rib guy out of two-bites. It’s easily been two years since I last tasted prime rib. YUM!

I ladled up cheese, bacon and collard green grits and three-bites of Cajun catfish. Veeery tasty but too-too salty – my persistent complaint of food prepared by others. I salivated at the sushi station where a chef rolled nori-maki sushi on request. I settled for one rolled disk each of seared-ahi and spicy tuna sushi.

The dining room’s entire south wall is glass, six by twelve foot panes edged by six-foot sliders, and all that completely surrounded by craftsman style windowpanes. Incandescent candelabras stood along the walls, their warm glow pallid against sunlight and snow reflection off the south lawn. On gray days I remembered, the cavernous dining hall could be dark and dreary.

I jotted notes in my journal and listened to the conversations around me. The couple against the west-facing window had broken their carb-free diet for her 61st birthday brunch. The four-top next to me also included a portly and pony-tailed birthday boy. I volunteered that it too was my birthday and that started the patrons of three tables talking.

“What do I have to do to get to the top of that?” Birthday-girl Karen pointed west to Yosemite Falls.

“Walk,” I said.

“That’s my downfall,” she said, “I don’t like to exercise.”

“Do you own an iPod?” They did but were unsure how to load their favorite books into it.

“Have your grandkids help you,” I offered, “They’ll do it in under ten minutes.” They laughed, knowing it was true.

“Then start waking, even if it’s two five-minute walks a day. When you get to two ten-minute walks, combine them into one fifteen-minute walk and increase that by one-minute each day until you are walking forty-five-minutes a day.”

“We’ve both lost forty pounds,” she disclosed, “We’ve got about another fifty to go and we’re gonna do it! We’re back on our diet tomorrow.”

What is it? What always has me at the center of these conversations; as if my forehead blinks neon: Healthy NOW, ask me how! I acknowledged them genuinely and profusely; they beamed slathered in my praise.

Before leaving everyone hugged: the patrons of three-tables-talking, our waitress Carol, our busboy Sally, and promised to attend birthday brunch at the Ahwahnee the following year. Before leaving, EVERYONE HUGGED and I hugged strangers who share my birthday. Do you know how extraordinary that is? For moi’? Curmudgeon-me who does not like to be touched?

“We’ll be a lot thinner,” Karen smiled, waggling a finger between she and her husband.

I wandered to the south patio, to sit in the sun and drink in the Ahwahnee before my departure from the valley. Snow outlined small ridges normally invisible from the ground. My eyes wandered and I imagined the Ancients watching me scour the cliffs in search of their visage – watching me watching them. Clouds rolled in from the west and a cool wind began to blow. I closed my eyes to feel Ahwahneechee and sent a silent prayer of thanks to Heaven (which from Yosemite – is not so far). Climbing into my SUV I meandered through the valley, following the Merced River, stopping at every whim and fancy.

A wolf or coyote protected kill near the roadway. I doubled back for a picture but it ducked before I could center my photo. The Merced flowed low and slow, seeking the riparian trough, exposing alluvial beaches that would disappear with both the thaw and throngs. I shglicked a pic. With nary a ripple and barely a current, tree and beast and rock and sky were eye to eye on its glassy surface. I parked and walked into the meadow - to imbibe its vibe.

Lastly, I returned to the Tunnel View lookout along CA Hwy 41. A brisk wind bit as I marched across the parking lot, mesmerized again by the view that captivated the cavalry two centuries ago. Many photographers littered the sidewalk. Bridal’s Veil fluttered in the wind and dark clouds threatened.

Quietly joyful at my return, I stayed to drink in Yosemite and let her steep, suffusing my cells and etching my memory in her unassuming tea… for later, for me and to honor the Ancients. I watched the gathering gloam until my ears ached and skies cried tears from Heaven (which from Yosemite – is not so far). Only then did I begin the journey home.

E ha’ina ‘ia mai ana kapuana la: This is the end of my story: A Birthday in Yosemite. It was memorable and nurturing in its many moments. It’s valuable methinks, to create moments and memories to treasure.

Mahalo for your readership. This muse was penned merely as a practice and to capture my tale, to be relished, relived and remembered as an Ancient.

May you steep in life's glory, make memorable moments playing in my Heaven and paint on Her canvas. Aloha

Wednesday, March 17, 2010

A Birthday in Yosemite-Part 2

“Ah yes Ms. Bacon, we have your reservation.”

The registration desk at Curry Village is housed in a brightly lit, freestanding building next to the shuttle stop. Three walls of four are floor to ceiling, multi-paned windows, making it a bright, albeit chilly beacon in a largely unlit park. I pulled open the door to join the short queue and felt welcomed by the rich aroma of coffee. Large canisters of black coffee and leaning pillars of paper cups stood at the ready and I debated pouring a cup to warm me.

“Your last name please? Ah yes Ms. Bacon, we have your reservation.” He found my reservation and took my credit card. He marked a placemat-sized map of Camp Curry with a highlighter and rotated it for my study as he oriented me to the registration desk in relation to my cabin. He laid two large, brass keys on the counter and slid them in my direction beneath his hand.

I slid one key back, “I only need one.”

“How many of you are there?” he asked.

“One.”

“Only one?” He quickly regained composure, erasing surprise from his face. “Very good then, Ms. Bacon. The front desk is open twenty-four-hours-a-day if you require our assistance. Enjoy your stay.”

“I will,” I smiled before turning to foray into the darkness and find my cabin.

Beneath thick cloud cover obscuring a gibbous moon, Camp Curry was pitch black. People walked with flashlights and headlamps. I dug my headlamp from my backpack before sloshing through snow and mud.

Cabin #22A is pressed against resident housing and the row of cabins abutting the cliffs, forever closed by rock fall. The tent cabins of Tuolumne Meadows are heated by woodstove; I anticipated lighting a fire. I unlocked the door and was blasted back by heat of a wall furnace turned up high.

Curry’s log-accented cabins are of single wall construction. Unmilled log beams support log headers for doorways and windows. Board and batten slats complete walls and ceiling. Everything in #22A was painted a sickly shade of Grey Poupon. Lime-green and maroon plaid bedspreads covered the two brass beds. A small nightstand stood between them with a pine tree shaped table lamp. A dresser with unmilled corner posts stood in the corner.

“Honey, I’m home,” I yelled before throwing my stuff on the nearest bed.

I ferried gear from my auto to the cabin. Bear Aware signs were posted throughout the parking lot.

“Aren’t bears still in hibernation?” I’d asked at the registration desk.

“No. There is so much available food that bears in Yosemite hibernate for about three weeks,” he said. THREE WEEKS? “Get everything out of your car, just like in the summer.”

After unloading then sterilizing my auto for the bears (THREE WEEKS?), I sought dinner. Full dining facilities at Camp Curry do not open until April. The Coffee Corner serves continental breakfast then pizza until 9pm - but I seldom, almost never, eat pizza. I drove to Yosemite Village, bought a salad from their food court and spent the remainder of the evening reading, journaling, scouring maps, studying trail conditions and planned a morning climb.

The cabin had once been two rooms connected through an alley bathroom. A second bath had been added against the back wall of my half and the adjoining bathroom’s door was locked off. The single wall separating me from them might just as well been a cotton curtain. Cotton would not lend the illusion of privacy. With cotton they would know that every word, every zipper, every drop of every thing… would be heard. I coughed and shuffled my papers to clue them in. Their conversation continued beyond my bedtime; I sandwiched my head between pillows for sleep.

With Cary Stayner lurking in the dark recesses of my mind – I dreamt I was fleeing, running through the forest as Joie had – I awoke with a start, in a sweat, my heart racing, hammering in my ears. Eventually I slept again and woke to another gray day, as promised.

The Coffee Corner starts service at 0700. I dressed in layers, fleece, gloves, fur-trimmed boots, and my 2002 USA Winter Olympics beret. With temperatures in the 40’s, I stuck to high ground, avoiding the slurry of mud and snow as I picked my way past cabin after cabin.

I passed the communal bathroom as I reached the central village buildings and was thankful for my cabin’s indoor plumbing. I walked through the tent city, apparently abandoned for winter. Two large plumes of white smoke drifted upwards from the river rock chimneys of the Lodge and the Dining Pavilion. I followed the plumes until aroma café became its own siren’s song, luring me into right path finding.

“Nice hat,” someone said as I came through the doors and stood before the log fire crackling in the lobby.

“Thanks,” I smiled before queuing for coffee. Few people moved about at 0700. The log couch and chairs before the fire were vacant. In the café, small groups huddled over coffee and pastries, their conversations hushed by the cavernous room. I filled my cup and retraced my steps. I’d planned for several hours of writing before taking to the hills, to give the day a chance to warm as much as myself the pleasure of writing in Yosemite. With free coffee refills, I’d be back.

I passed a beautiful log home located behind the communal areas of the village. Private Residence, the sign stated. A bronze placard stood at the front gate: “Mother Curry’s Bungalow. In 1917, the first cabins were built with electric heat. After fifty years of living in a tent, Mother Curry got her bungalow.” (FIFTY YEARS OF LIVING IN A TENT?) A bicycle leaned against the front porch. Craftsman inlaid smaller logs around doors and windows, creating artistry in patterns. Smoke curled from the chimney. The home beckoned with quaint and charm. FIFTY YEARS OF LIVING IN A TENT? My mind got stuck like a phonograph needle in… you know… the broken record.

“Hi!” Two little boys played with a toboggan on a small mound of snow outside their cabin. The smaller squealed shrilly as only the very young can, ripping through camp, tearing away any vestiges of sleep and waking the neighbors.

“Hi!” I waved as their mother peeked out.

At 0945 I stood at the Upper Yosemite Falls trailhead. A large and noisy party of young adults congregated. I hustled from the parking lot to out distance them, in my foolish hope that they could not keep pace. The day remained gray with the threat of snow; the sun but a bright spot in the clouds.

“You are alone?” I passed a couple from Japan.

Freedom of the Hills, Rule #1: never, never, NEVER hike alone.

“No,” I smiled, “You’re here; now I’m not alone.” She giggled as I passed.

I expected to meet people on the trail but a danger of hiking alone is that when one does not return, no one is the wiser. None knew on which trail I hiked or my anticipated return. Some of that danger is mitigated with the advent of cell phones and Yosemite has excellent at&t coverage, as I would soon learn.

The lower trail was speckled in snow but primarily carpeted in dried, rusted oak leaves, gray granite, lime-green lichens, illuminated in the low, flat and shadow-less light of the day. Snow clung to the clouds, unable to let go, take the plunge and freefall to earth. The trail quickly assumed the familiar, tight switchbacks of the Sierra that carve a mountain into baby-steps. Hand-hewn granite blocks lined the up-side of the trail, temporarily preventing Yosemite’s reclamation from man’s messing.

It was a windless day; I sweated through my shirts in minutes and removed my jacket though the ambient temperature hovered near freezing. As if my body heat radiated ahead and warmed my path, clumps of snow slid from leaves overhead, dusting me in ice crystals that sparkled and glittered to the ground. Voices fell behind and only the sound of diesel busses growling across the valley floor drifted up-trail.

I stopped to jot a note when something moved on the trail above – I froze, waiting - a seemingly solo man wearing a white, long-sleeved shirt briefly emerged between trees. I eventually overtook George as he bent over his pack at the edge of a cliff. Not wanting to startle him, I called ahead.

“Everything okay?”

He waved before turning around, “Yea, I’m getting my camera.”

George is a computer hardware engineer from one of northern California’s Santa cities: Santa Rosa, Santa Clara, Santa Teresa or Santa Cruz. His wife, a small animal veterinarian, attended a vet conference in the valley.

“We come here every year for this conference,” he said, “Usually its spring.”

George was tall, relatively lean, a bruxor I thought, as his yellowed teeth were evenly ground down. We walked together for a short time before I stopped, offering him the lead, rationalizing that my steps were shorter and my pace likely slower.

George declined, “No, I’ve sped up to keep up with you.”

We stopped for photos at Columbia Rock, 1.3 miles from the bottom and two miles from the top. Shglick! George clicked a pic on my iPhone. The valley floor lay at my feet; snow-covered Half Dome hovered over my left shoulder. With three-bar strength on my iPhone, I sent out another photo: Right here, right now!

George wore a Denali t-shirt. I inquired.

“I’m a wanna-be,” he said. He’d read books on hiking the John Muir (JMT) and Pacific Crest Trails; he attended lectures at REI. I spoke of my experience on both, of 1-week, bite-sized, 50-mile trips. We discussed bear cans and lockers, food drops, ranger stations and enrolling friends as mules to bring in food and entertainment for sections of the trail. Excitement grew in George with the possibility of hiking the JMT in sections.

“Are you planning to stay the night?” George eyed my pack.

“No, but after climbing in Alaska, my daypack grew. I always have enough stuff to stay the night in case I get hurt. I may not be comfortable but I should survive without loss of limbs or digits.”

Both solo hikers, we discussed Freedom of the Hills, Rule #1: never, never, NEVER hike alone. George was sticking to the lower, more populace trail. While he hiked alone, he would not be alone. I on the other hand, was headed for high ground and thin air.

“The problem is,” I justified, “If I wait for others, my life could be over –waiting. If badness befalls me, I figure Yosemite is a good a place as any to die and far better than most.” George applauded my ability and courage. Search and Rescue would call it anything but, were their services required.

The first and last people to pass on the up-climb did so, a young Russian couple that I would meet on top and again in Curry Village. George accompanied me to the base of the upper falls. There, water crystallized during its tumble, forming large snow dunes at the fall’s base. As far as George had ever hiked, it was once again his summit.

Before departing he dictated for me, my journal entry in his regard. “There she came upon George, a man of few words with an engaging smile, his face as cragged as the cliffs of Yosemite.” George smiled broadly, pleased with his work.

“Ooh, very good George!” I acknowledged, clapping. “I’ll need to write that down so I get it right in my journal. To which I will add, and my friends know this about me and will appreciate," I said parenthetically, "There she came upon George bent over his pack, providing her with the preferred view when meeting a man for the first time – his rear view.”

It was George’s turn to howl. “If I see you in Curry Village, I want to hear about the rest of the hike.” I promised to recount the tale. We shook hands and with that, George, computer hardware engineer and mountaineer wanna-be, retreated.

The trail beyond the base of upper Yosemite Falls turned cold with snow and ice. It veered slightly west into a narrow gorge carved by the falls itself until glacial moraine redirected its course and flow to its current location. I grew cold though still sweating beneath my two shirts. Occasionally, the sharp report of rock fall echoed above and looking for cover, I reviewed my protocol for rockslides and fall. Hiking against the cliffs of the narrow gorge, no cover from rock fall seemed to exist. That small "seeming" began to gnaw and I glanced overhead with anxiety.

I slowed with frequent starts and stops. I began counting my steps, discovering the switchbacks turned every 50 – 90 steps. I allowed myself to rest at the next turn or after 75 steps, though usually forcing myself to traverse one complete switchback before stopping. I scoured the trail for overnight shelter and feared being forced to seek such shelter. That being the case, I thought to turn around though there were still many, many hours of sunlight left in the day.

I pictured the contents of my pack and silently inventoried my gear and ability to live through an exposed night on a mountain. Down parka-check. Gortex pants and jacket-check-check. 200-weight fleece jacket-check. Food bars for 1.5 days-check. Space blanket-check. Lighter/matches-NO check! My matches were in the cabin. Auwe! I berated myself for stupidity.

If one can lasso these irrationalities, rein and recognize them as the clanging dinner bell, the beast is broken. It is yet again, another reason to hike with others. Companions may notice goofy, irritable and paranoiac behavior.

I did notice that I seemed unusually fearful and did follow the proverbial breadcrumbs. I stopped, threw on my jacket, groused around for a Clifbar and ate as I walked. I felt better within minutes: cheerful, lively, and sufficiently warmed to remove my jacket once again.

I met two young men on their way down. “Twenty more minutes,” they said as we passed.

“Five more minutes,” the young Russians said as they returned. Someone excavated the four-foot-tall trail signs from the snow and we stopped for pictures at the trail junction. It began to snow in earnest and I donned my gortex jacket.

I summited alone shortly before 1300. Five young adults met me on top: four men, one woman. Two men wore cotton t-shirts saturated in sweat.

Freedom of the Hills, Rule #2: cotton kills. Cotton does not wick water from skin. Cotton clings and cools and draws one’s body heat away. Several wore Cal Poly cotton sweatshirts, where they all attended classes. We assisted one another with the obligatory summit photos before I beat a hasty retreat.

It is in wilderness areas easily accessible by day-trips that one can witness such foolishness. Fortunately, the weather was not awful, they were young and strong and barring injury, would likely return to the valley floor without mishap or hypothermia.

On the lee side of trees, lichens cling and deep tree-wells form. A tree-well is the divot beneath the branches on the lee side, devoid of snow, that provides shelter. I left the summit, the wind and blowing snow and hiked until I found a tree-well into which I could sit upright, out of the storm and eat.

I brought graham crackers with mini Baby Bel cheese wheels as a birthday treat. I devoured an apple and noticed the stippling of snow on a nearby granite cliff. As I sat high on a mountain, tucked beneath the boughs of an evergreen, listening to the wind and watching the snow-fly… my cell phone rang and I Dream of Jeannie played.

Were I not tucked out of a snow storm, I Dream of Jeannie is usually followed by dance and exclamation, “Dance break!” I’ve done that in elevators with strangers, on escalators with friends, on street corners with street people.

I Dream of Jeannie is a reminder that my job is to come out to play, make merry and grant wishes. I Dream of Jeannie provides ballast for the curmudgeon-me that wants to hunker-down and hole-up.

My tree-well was as confining as a bottle, I had neither maneuverability nor inclination to find my cell phone. I listened to two stanzas of I Dream of Jeannie before my caller rolled into voicemail. Amazing, I thought, at&t must have a repeater tower high above the valley.

The trail down was slippery, icy and treacherous. I pitched and flailed like a newbie on ice skates. I wore Teva Snow-Monkey winter sport boots, boots I bought for their name as well as functionality. (I was born in the Chinese year of the Snow Monkey and while I have never ascribed to superstitions and folklore, I confess I am ALL snow monkey.) Mea culpa, I digress.

The soles of my Snow-Monkey Tevas are big snow-tire treads that bite and stick in snow. Nothing but crampons are useful on ice (I didn’t bring mine) and snowshoes did not fit within the well trampled, luge-run trail. I slipped and fell often, landing hard. When I found myself on the ground, I glissaded the run until the slope leveled before standing again.

Back at the base of Upper Yosemite Falls, I dug for my phone buried deep in my pack and returned a call to my neighbor and cat-sitter extraordinaire, Marcie.

“I don’t know why my phone called yours,” she said, “They just wanted to talk.” All was well with my cats. I shglicked a pic and sent it to Marcie: Right here, right now!

For a short time I followed a young couple in a timeless argument, “You don’t care about me,” he said. He turned in a huff and started down, responding to her pleading with sharp accusation.

Talk about NOT being present and in the moment. Standing high above Yosemite Valley, easily one of the most beautiful spots on earth, he pouted and spouted, “You don’t care about me.” It’s an age-old tug-o-war for power and control, of righteousness and domination.

Some years ago a friend admitted honestly, “You always seem like you’re upset with me.” Really? Auwe! He was the last man on the planet I wanted left there! His remark stung. I promised myself that I would be responsible for how he was left, that he would never be left there again.

In response, I invented a game named: No Squandering, a game with no allowances for pettiness and wasting of precious life. That game spawned another called: For you? Anything! In that game, there is no resistance. (I play this game with my pod of doctors at Kaiser.) His remark was a defining moment, a point on which our, and thereby many of my relationships, turned. These are games I continue to play and share with others.

I passed the quarreling couple and sent a silent prayer to Heaven, (which from Yosemite - is not so far) that he would learn No Squandering, to enjoy the moment and her company – soon, before he wore her and his welcome – out.

I hiked the final mile with two young men who, due to work commitments, were forced to return to Oakland same day. Parked side-by-side, we loaded our vehicles at 1500 and I bid them adieu.

I had a hankering for ice cream – my recurring food fantasy conjured in the mountains. I was far too cold to eat ice cream. I walked to lower Yosemite falls and stood on the footbridge visible from far above. I browsed through Yosemite Village to stretch and loosen my muscles. I visited the graveyard and read headstones, most dating to the mid-nineteenth century.

I returned to the food court at Yosemite Village seeking hot food to warm me: mashed potatoes, green beans, and rutabaga/garlic soup. I sat on the periphery to discourage conversation and study diners. Seated near the doorway, incoming patrons stopped to inquire about the soup, which was as good as it was garlicky. I had more conversations… shattering yet again my illusion of self as unapproachable and aloof.

The Lodge at Camp Curry is wi-fi free and the evening gathering spot. I plopped and sank deeply into a log chair next to the river rock hearth, a beer in one hand, laptop in the other. Portraits of David and Jennie Curry hung over the mantle, he on the left and she on the right.

I tipped my beer back and took in the open beamed ceiling and wagon-wheel chandeliers. The room was littered with large, comfortable log furniture and card tables surrounded by four chairs.

The fire was stoked with immense, split logs easily the circumference of my thigh, er... okay, maybe not so immense, and tended by the willing amongst us. A pencil-thin young man stood to return embers to the fire and rearrange logs. Flames rose to lick at fresh fuel even as he returned to the couch nearby.

She possessed the classic features of her people: blond hair in bilateral French-braids, bright blue eyes, creamy skin all the more pale against ruby cheeks and rosy lips.

“You know,” I’ve been known to say, “Y’all that are blond and blue from up-there.”

“You mean us northern Europeans?” my blond and blue friend laughed, requesting clarification.

“Yea, blond and blue from up-there.”

She was beautiful, blond and blue from up-there, Denmark as it turns out. They had planned to head into the high country but were unprepared for winter camping. They would stay through the weekend before leaving for San Francisco.

A group of four played a board game behind me.

“Why are you going to Santiago?” he sounded annoyed. “There’s no disease in Santiago.” Words like Ebola drifted from their huddle as they read cards and moved game pieces around the globe, containing outbreaks of plague, pestilence and deadly contagions.

I checked email, finished my beer, wished the Danes a spectacular trip and departed. The sharp crack of hockey sticks echoed against the cliffs while the unfamiliar music of Gen Y blared from the ice rink. I followed the small circle of light cast by my headlamp. Too exhausted for even the ghost of Cary Stayner to disturb, I slept well and awoke on my birthday in Yosemite.

Tuesday, March 9, 2010

A Birthday in Yosemite

In years past I have let birthdays slip by without fanfare. It’s much ado ‘bout nuthin’, I thought. With the advent of age however, I appreciate more fully the gift of each birthday.

A few years ago, a dear friend made extra-special birthday arrangements. “I’m going to wake up in Yosemite on my birthday,” he informed.

Few places more readily display God’s broad brush – my heaven, Her canvas. No other place can literally steal my breath… from a parking lot. I thought his birthday strategy brilliant and decided this year I too would awaken in Yosemite on my birthday.

In 2005, my friends and I hiked a section of the John Muir Trail (JMT) from Yosemite Valley to Mammoth. One day as I climbed out of Garnet Lake, I met two men, a father and son. The father carried a large pack and stopped to chat. He said he had hiked the JMT, all 220 miles, over ten times, that he brought his son to the trail as a little boy. Both men were card-carrying members of the National Park's Eagle Pass. He was eighty-something, on his “bon voyage trip” hiking a final section of the JMT.

In my journals, I came to call him the Ancient Man. I wrote of him and remember him often. I aspire to hike the JMT again, if only a section and for the last time, in my eighties. What frequently brings the Ancient Man to mind is a question I thought to ask but did not.

Knowing it’s the last time; what does it look like?

I suspect the water was bluer and moon glow softer, the sky more infinite, the granite more chiseled, the flora more fragrant, the fauna more arresting, the starlight more brilliant and the world… more breathtaking than on the seventh day. I suspect he saw newly, as if not for the last time, but the first.

We never know what's left in our wake. I love the Ancient Man, for in his wake I am attentive to everyday beauty in the natural world. I stop for sunsets and geese overhead, I run in the rain and listen to thunder. I drink in nature and let it steep, suffusing my cells and etching my memory in its unassuming tea… for later, for me and in remembrance of the Ancient Man.

The Ancient Man and my Yosemite birthday buddy also crossed paths above Garnet Lake, though I doubt they met. Too bad, they would have liked one another methinks. Both men were couriers of sorts as my birthday neared with an opportunity to create a lasting memory - a birthday in Yosemite. I may not have another birthday. I certainly will not pass this way again. Let me make time to spend time in a special place on my special day.

I have never seen Yosemite shrouded in winter. Always in the backcountry, I have stayed only once on the valley floor. The summer sun glares off bare granite and Yosemite Falls is known as Yosemite Walls. I have seen Yosemite Walls and summer traffic called the Yosemite Crawl but I have never seen Yosemite Falls and heard its roar.

I reserved a cabin at Camp Curry and made celebratory plans: a birthday brunch at the Ahwahnee, time to snowshoe, read and write.

I always draw a rudimentary picture of my destination and intended activities to post on my office door: stick figures golfing in AZ, mountain climbing in CO, birding in Big Sur, and beaching in HI. My staff love it.

The caption read, “Off to God’s country, snowshoeing in Yosemite. My heaven, Her canvas.” My picture depicted a stick figure snowshoeing amid 3 Brothers mountains, Half Dome, El Cap, Bridal Veil Falls, and the Merced River, Yosemite’s “Tunnel View”, that view from the Hwy 41valley entrance. I taped it to my door and departed for six days.

I emailed friends: Happy birthday to me, Happy birthday to me.

Happy birthday to Lorin. Happy birthday to meeeeeee.

Headed for snowshoeing in Yosemite. I intend to awaken on my birthday in Yosemite. Perhaps Sunday brunch at the Ahwahnee.

Methinks a winter trip into Yosemite is a good sieve. I will meet people like me. I'll probably LIKE THEM! A good time will be had by all... me, myself, and I.

Back Sunday... maybe. toodles noodles! xoxo lb

After filling my tank and packing winter gear, I headed south on CA Hwy 99 and pulled off 90-minutes later in Manteca, at the CA Hwy 120 – Yosemite exit. One hundred twenty miles west of Yosemite Valley, the mountains were but a dark stain at the feet of a dove gray sky.

This is cowboy country, the fertile fruit basket of our nation, the San Joaquin valley. No Target’s, no Walmart’s, no Safeway’s venture deeply into cowboy country. Rather, they cling to the commercial corridor edging the freeway – and suckle.

In my eagerness to reach Yosemite, I normally race through this stretch of California. This time, with the Ancient Man in mind, I drove slower, in the right lane, and scrutinized the scenery.

I passed through Escalon, it’s old streets lined with fifty-foot sycamores, bare and bent in winter. I passed the Cowboy’s Church. CA Hwy 120 is lined with orchards and vineyards and small cow farms. Stately, plantation-style mansions occasionally ornament the roadway in tobacco-row charm.

Spent almond blossoms sprinkled to the ground in pink petal confetti. These same grounds will be gilded in gold leaf following autumnal rains in a stunning shock of color.

Wrapped in white, newly planted saplings, perfectly aligned, sent my thoughts cross-country to Arlington’s National Cemetery. Odd, that flight of thought, from beginning to end, sprout to stone, west to east, the peculiarity of neurochemical dots connected instantaneously by the geometry of sprigs in soil.

Knowing I'd be losing da lua (bathrooms), I stopped at McDonald’s in Oakdale and sampled their answer to Starbuck’s frappuccino. I listened as gravely grating turned to whir and my iced coffee drink blended chunky to smooth. Even kids eating Happy Meals wear cowboy boots. This IS cowboy country!

As for McDonald’s frappé mocha? Like their billboards boast, it’s yummé!

On the outskirts of Oakdale, 66 miles from the park entrance and 94 miles from the valley floor, the ground begins to rise and orchards surrender to expansive pasturelands. Rolling hills shone chartreuse in fresh stems and shoots. Calves frolicked near their mamas. Spring had clearly sprung in central California.

Farms have many outbuildings with uses that remain a mystery to me. They always appear in some semblance of derelict and disrepair. Sunlight peeks through weathered wood and doors lean heavily, all but unhinged. Windmills, rusted mute and motionless, tower over solar panels erected in their shadow. Old metal cisterns, eviscerated and left for dead, decay amongst the weeds.

Massive oaks stud the hills like sentries – posted for centuries. Naked and gnarled, their trunks lean, arthritic branches reach toward dirt, like crotchety old men falling, slowly, tarrying in their tumble. Their lacy silhouettes against the gray day were despairingly lonely with devastating beauty.

I stopped at Lake Don Pedro, at The Rim of the World vista point for my last out-house break. The sound of rushing water ricocheted off steep canyon walls and spilled into the parking lot. Lake Don Pedro is a two-million-acre-foot water reservoir with 160 shoreline miles. The 1849 town of Jacksonville was flooded and inundated in 1971 with the completion of Don Pedro dam. Visible from an airplane, I use it as a beacon to Yosemite’s gate, for a wanton glimpse of Half Dome.

Old Priest Grade is a 2.7-mile, two-lane, twister that snakes up the southern slope of the gorge that feeds Lake Don Pedro. Its 45-degree pitch connects the towns of Moccasin and Big Oak Flat. Moccasin is a company town built to house the workers of the Hetch Hetchy Dam that supplies water to San Francisco, many crow miles away. The road was replaced some years ago with a kinder, more genteel route (Priest Grade) that covers the 1540-foot rise in six miles. I shifted into low gear and took the Old Priest like leftover communal wine, in one shot and straight up.

Two-point-seven miles and 1500 vertical feet later, I popped onto Big Oak Flat, population 200, elevation 2803’ and snow-lined roads. The big oaks quickly gave ground to evergreens and scrub mahogany, traffic became sparse and not for the first time, I feared being a small, solo female in Yosemite, remembering Cary Stayner and the small, solo, female park ranger he hunted and beheaded.

California’s mountain communities can be equally quaint and frightening when my mind wanders to ex-cons. Mountain communities reportedly contain a disproportionately high concentration of ex-cons. "Cary Stayner is imprisoned," I said aloud, reminding myself as I passed through his killing field.

At the park gate, I paid the weekly winter fee of twenty dollars. The ranger warned of icy roads and a maximum 20 mph speed limit. As if enchanted, the magical, mystical land beyond the gate was deeply blanketed in snow, the roads edged with six-foot berms. ICY signs announced slushy areas in bright orange as I wound my way to the valley floor. Nightfall approached and I weighed my options before making a right turn onto CA Hwy 41 Fresno, en route to the famous “Tunnel View” lookout.

A brisk wind bit as I marched across the parking lot, mesmerized by the view that captivated the cavalry two centuries ago. Several photographers stood tri-pod ready, awaiting fading light for flawless photos. I extended my iPhone and centered the valley “tunnel” view. Shglick!

The iPhone does not have the clean, crisp click of mechanical shutters of yore. Rather, it’s the wheezy, slurry, slushy click of an insufficient, vegetative mechanism. Were it a heart valve? Dx: endocarditis; Rx: valve replacement surgery. Mea culpa, yet again I digress.

Shglick! I sent the captioned photo to several requiring no explanation, “Right here, right now!”

Quietly joyful at my return, I stayed to drink in Yosemite and let her steep, suffusing my cells and etching my memory in her unassuming tea… for later, for me and to honor the Ancient Man. I watched darkness creep through Yosemite and scale the opposing slopes until the valley dissolved into darkness. Only then did I drive to Curry Village.