Federal Parliament Buildings, Ottawa ON |
The Parliament Buildings are undergoing a decade-long renovation project but the buildings (and cranes) were the screen for a light and music show that gave tribute to our nation.
Federal Parliament Buildings, Ottawa ON |
The Parliament Buildings are undergoing a decade-long renovation project but the buildings (and cranes) were the screen for a light and music show that gave tribute to our nation.
Christmas music is comfortingly familiar and most people enjoy hearing the same tunes year after year. Many traditional carols are ancient, their history obscure, with words that are not common in our 21st-century vocabularies. I remember singing as a young child, "Hark Uncle Harold's angels sing..." because my uncle was more familiar to me than "herald angels", whatever they were.
Other common childhood lyrical errors include,
See the grazing mule before us (Deck the Halls)
Get dressed ye married gentlemen (God rest ye Merry, Gentlemen)
He rules the world with Ruth and Grace (Joy to the World)
When shepherds washed their socks (When shepherds watched their flocks)
Round John Virgin (Silent Night)
God rest ye merry, gentlemen
Old Kitchener Gaol |
When I imagined life after retirement, it included spending leisurely time at the public library, sipping a drink from the cafe whilst reading a book or browsing through the day's newspapers. Nothing happened as expected and our local libraries were closed for months due to the pandemic. My post-retirement contract job has lasted much longer than expected and life hasn't been full of leisure time.
The other thing I planned to do after I turned 65 was to enroll in a local program called Third Age Learning. Their website states that
"TAL presents eclectic, continuing-education challenges for active, mature minds every fall and winter."
The current TAL lecture series is completely virtual and personal interaction is limited to Zoom discussions. I haven't enrolled yet.
Last week I finally spent a couple of hours in our beautiful downtown library which is now fully open. I sat at a window overlooking the old Kitchener Gaol and the reflection of the overhead lights on the window created an interesting picture. I selected a number of books about Canadian artist, William Kurelek, someone I knew nothing about, and planned my own Third Age Learning activity.
Children's biography/art book- Highly recommended! |
At the time he was an atheist, but he greatly respected the friendship and faith of his occupational therapist, Margaret Smith, and eventually converted to Catholicism. Many of his paintings feature apocalyptic religious themes and he also completed an art book called The Passion of Christ According to St. Matthew.
Kurelek returned to Canada and became a prolific and successful artist. He married Jean Andrews in 1962 and they had four children. He died prematurely of cancer at the age of 50. The Art Canada Institute website has an excellent biography and a list of his books. His art is exhibited at major galleries across Canada. His love for Canada is portrayed beautifully in his paintings and his artistic expressions of mental illness, faith and his passion for living are profound and moving.
I am happy to have access to a good library as many of Kurelek's books are out of print. I did manage to find one of his children's books on eBay for a reasonable price and will use some of the pictures in my next post.
I started my part-time contract, post-retirement job 21 months ago on March 9, 2020, two days before COVID-19 was declared a pandemic. It is hard to believe almost two years have passed!
The staff at our hospital decorated their respective units for the holidays. The Overflow Unit had several interesting displays including this holiday tree made of inflated gloves. The unit was opened to accommodate the surge of patients during the initial waves of COVID and it never closed. This is the reason my contract position, which was to expire in December 2020, has been extended several times. There still are many job vacancies in local hospitals, particularly in critical care units.
This week we have three COVID-positive patients in the hospital. The numbers have been decreasing every week which is a big relief. Surgeries are getting back on track and clinics are gradually reopening to in-person assessments.
COVID continues to impact staffing in other ways. Hospital workers cannot report to work if they or other household members have any COVID symptoms until they or the family member receive a negative test result. Most days we find out that at least one coworker cannot report to work because of a child having some type of respiratory symptom which usually is just an ordinary cold. Yesterday, over half the nurses on my unit called in sick for the day shift. It was a very busy day!
My contract position will become a permanent part-time position in the next few weeks and I will have to decide whether to apply or just stay in the casual work pool. I don't want to take jobs from younger people, but I do love the work and having a purpose during this long pandemic. So far, we have not seen an increase in COVID cases due to the Omicron variant, and we are hopeful that this variant will cause mild symptoms only, particularly in vaccinated people. Christmas will be a critical time where the spread and severity of Omicron will be more obvious.
A friend sent me a link about a special antimicrobial face mask that is being marketed. I commented that the best mask is one that is worn properly and consistently. A clean surgical mask or KN95 mask is all that is needed when out in public. I would imagine that most transmission of illness occurs when people are unmasked in groups or family units. We would be wise to take extra precautions this month while we mingle with different groups of people over the holidays.
I have one good news story about a COVID patient I wrote about six months ago today. I walked through the Airway Clinic two days ago and heard my name called. The patient, who went home using 15-25 litres per minute of oxygen, was there with a family member for outpatient testing. In June, I participated in an online assessment with the lung transplant team at Toronto General Hospital concerning this patient who had severe pulmonary scarring from COVID pneumonia. A lung transplant was offered but the patient and family asked for six months to decide if this is what they wanted.
The patient has gained strength, is no longer frail, and is using supplemental oxygen at a flow of only 2 lpm. They will likely get off oxygen altogether. The patient and family are so grateful for the care received during the six-month hospitalization. The therapy team worked hard to mobilize the patient before discharge and success stories like this make our jobs worthwhile. This recovery also demonstrates how our bodies can heal, even after a devastating illness. I still have a couple of patients who remain bed-ridden with multiple medical issues months after contracting COVID-19. Their rehabilitation is progressing at a very slow pace but I hold out hope that they will improve too.
The blue glove tree is somewhat disconcerting to me. I don't know if the hands are reaching out begging for help, or if the inflated gloves represent the caring hands of staff who work with sick patients every day. Perhaps the hands are poised for applause because everyone I work with deserves applause for enduring this endless pandemic.
After working a busy evening shift in PACU a few weeks ago, our daughter called and said,
"Mom, don't stop riding your bike or eating your vegetables!"
Some of her patients were my age or younger and suffered from lifestyle-related health problems. My hospital has been very busy lately with non-COVID-related illnesses. Many people are admitted with preventable conditions. A staff member commented that most of our current patients were sick because of excessive eating, alcohol consumption, smoking or inactivity. COVID stressors have exacerbated some of these behaviours as people remain socially isolated and struggle with anxiety and depression.
I worked on a dementia unit for 15 years before I retired from my full-time job. I sat through many family meetings where the doctor and psychologist would advise patients on ways to prevent worsening cognitive impairment. Some types of familial dementia are challenging to prevent and treat, but other types are amenable to lifestyle intervention.
Here are some positive actions that are brain protective.
1. Drink caffeinated beverages. A recent study "found that people who drank 2–3 cups of coffee a day, 3–5 cups of tea a day, or 4–6 cups of tea and coffee a day had the lowest risk of dementia and stroke."
Yay! I can do this. (remember 1 cup of coffee = 6-8 oz) I have siblings who do not drink tea or coffee but perhaps it is not too late to start now.
2. Stay positive. Negative thinking, keeping grudges and resentment are linked to cognitive decline in people 55 years of age and older. (Here is a link to the research)
3. Protect your hearing. People with even mild hearing loss double their risk of developing cognitive impairment. Hearing aids are expensive but are worth the investment if they are needed.
4. Get enough good sleep. Sleep habits change as we get older and quality sleep is essential for a sharp mind. Obstructive sleep apnea (OSA) risk increases with age and should be treated as soon as possible. Try to maintain consistent activity and sleep times and deal with chronic pain that may interrupt a restful night.
5. Avoid anticholinergic drugs. Many drugs, including several over-the-counter medications, can block the actions of acetylcholine, a brain chemical important for cognition. OTC antihistamines, anti-nausea medications and some sleep aids are in this group of medications. For example, some people use drugs like Gravol on a long-term basis to help them sleep and this increases the risk of cognitive dysfunction.
6. Have a sense of purpose! No one wants to feel "shelved" as they get older. The need to contribute to society, to be part of a community, to have a reason to get up each morning is essential at any age. Retirement is a time to embrace new responsibilities, interests and opportunities.
In spite of our best efforts, we cannot stop to effects of ageing forever. But we can determine to do everything in our power to age gracefully and maintain our health and cognitive abilities into our senior years. I read Psalm 103 every day as a reminder to "satisfy my mouth/life with good things so my youth is renewed."
Butternut squash pancakes with crispy sage |
A warm 1st Sunday of Advent 2015 |
Our newborn grandson 2019 Nativity (2008) Erland Sibuea, Indonesia |
Black-capped Chickadees are not as flashy as Tanagers but are commonly found year-round in urban spaces in Ontario. They are one of my favourite birds with their bubbly, outgoing personalities. It is easy to entice them to your hand for some seeds and they are guaranteed to brighten your dullest day with their trusting ways.
On January 31, 1965, our family was involved in a serious motor vehicle accident that for me, ended a carefree childhood and brought awareness of the risks that life can bring.
December 1964- Getting a Christmas tree- This was our Ford Falcon that was in the crash |
My 10th birthday was on Saturday, January 30, 1965. Mom allowed me to invite one friend for dinner and we had chocolate birthday cake for dessert. The next morning, we prepared to go to church as usual. I sat in the backseat of the Ford Falcon with three of my brothers, Mom held 3-month-old Stephen in her arms in the front passenger seat, and Dad was driving. The car was not equipped with seatbelts and was, from a safety standpoint, about as safe as a tin can. Old Cummer, a narrow, winding road at the end of our street in Toronto, was a shortcut to the major streets that we took to church. Dad noticed a car driving quickly toward us on the wrong side of the road and pulled over onto the shoulder of a curve and stopped. The oncoming car hit us head-on. I awoke to see Dad standing outside with his upper jaw smashed and bloody. Mom hit the windshield hard, shattering it and causing severe lacerations to her face and eyes. She was covered in blood. I remember ambulances, the hospital, and fear. My brothers and I suffered concussions and bruises, but were not seriously injured. Mom and Dad were hospitalized and had extensive surgeries for their injuries. I remember Grandma and various women from the church taking turn caring for the five of us at home. When Mom and Dad came home, their faces were almost unrecognizable. They were 33 years old and had scars that lasted a lifetime.
Ontario did not have public health insurance until July 1, 1966. My parents were responsible for their medical bills and I know our extended family helped them in the short term. There was a court case and settlement five years later, but the financial insecurity in the interim was significant. Mom had surgery every year for the next five years, and her health was affected as a result of her injuries throughout her lifetime. Dad had facial reconstruction but suffered from chronic sinus infections for years.
I had increased responsibility for the care of my two youngest brothers who were both under the age of two, not that I minded looking after them at all! I learned how to work in the kitchen and helped mom with cleaning and laundry. My life remained safe, secure and predictable as I went to school and spent time with friends and extended family. I became confident and more capable as my assistance was needed and appreciated in the household.
High Park, Toronto, July 1965. Mom was still recovering from her facial injuries and eye damage. Nathan, Aunt Joan, Philip, Sandra, Linda, Mark, Grandma, Stephen, Mom, Ruth |
Mom and Dad changed. I recognize now how a head injury, chronic pain and financial worries took a toll on Dad's emotional health. He was more irritable and anxious, and as I entered adolescence, Dad and I had our conflicts. Dad suffered from untreated depression for many years. Mom also coped with chronic pain but became the negotiator for peace in the household. The last half of the 1960s was a time of great political and cultural change and the post-war Baby Boomer generation changed social norms very quickly. This caused my parents to become more strict with us at the time my oldest brother and I were teenagers. I am glad that I was allowed the freedom to choose my career path and my parents did encourage us to be independent. My younger brothers had very different experiences growing up than I did. I see "the accident" as a watershed event in our family that divided the siblings into two different sets of children.
My parents were resilient and stoic in their suffering, perhaps too stoic at times. Depression and anxiety were considered to be signs of weakness, and compassionate mental health care was uncommon. My family was loving, and my childhood did not include abuse or parental neglect, but I recognize how any adverse event can have a lasting impact on a family unit. I wish we had been able to discuss these things with Mom and Dad earlier.
There is a theory that states that violence and unrest are cyclical with America experiencing social and racial upheaval every 50 years. The late 1960s and early 1970s were a time of violence and social change related to the Vietnam war and the Civil Rights movement. The Middle East was a hot mess and political assassinations were too common. The world has never been a place of peace. Fifty years later, protests against racial and gender inequality, systemic abuse and violence have escalated again. Children are coming of age in this generation when families are divided along political and ideological lines and fear and paranoia are rampant.
We cannot avoid all personal adverse events, nor can we control what is happening in the world. Our children are affected by our fears and insecurities and we must show them how to identify and overcome these emotions so they become resilient and functional adults. I enjoyed a relationship with my parents that grew in mutual respect and affection over the years, in spite of differences of opinion on some things. I can look back with compassion and understand why we had some conflicts. I am thankful for our supportive extended family who did all they could to help normalize our experience in a time of stress.
Postscript: Here is a comment from Aunt Ruth, Dad's youngest sister about that day, January 31, 1965.
"I shall NEVER forget that phone call!! We were notified on our way home from a weekend in the US …and headed straight to the hospital to see my unrecognizable brother and your Mom!! How they survived is a miracle in itself!"Mary meets Elizabeth- Luke 1- (Photo Credit: The Nativity Story, Newline, 2006) |
The Christmas story is fraught with scandal and danger, yet the narrative is full of anticipation, joy and celebration. Family is an important part of our modern Christmas celebration, and family played an essential part in the nativity of Christ. Mary was in an unfortunate social situation, being pregnant before marriage. She sought the companionship of her relative, Elizabeth, who was also waiting in joyful expectation for the birth of her son, John. Luke records "The Song of Mary" which was an ancient Christian hymn based on the hymnology of pre-Christian Jewish worship. The Magnificat mirrors Hannah's Song in 1 Samuel 2:1-10, as well as the words of Psalm 113.
Latimore, Kelly. La presentaciĆ³n de Cristo en el templo, Art in the Christian Tradition, Vanderbilt U. |
L-R: Philip, Linda, Sandra, Nathan, Ruth in Grandma's dining room |
The menu on Christmas Eve was always Christmas beef with Grandma's fruity chili sauce, harvard beets, a jellied salad, to name a few items I remember. And of course, there were cookies and her Christmas cake which we still make every year. The Christmas beef was a big deal because the preparation of the large roast started at least three weeks before Christmas. Grandma kept the meat in her cold cellar in a big crock as it was cured.
Here is the recipe in Grandma's handwriting. She ordered the 14-pound roast at the butcher shop two doors down from her house. When the three weeks of marinating were done, the meat was cooked in the oven, cooled, thinly sliced, and served cold. Spiced beef was a popular holiday treat in the British Isles, particularly in Ireland. I wouldn't be surprised if Newfoundland's Jigg's dinner has a linked history. Mary Ann Griffin, Grandma D's great-grandmother, came to Canada from Ireland so the recipe was likely in the family for a few generations.Christmas Eve 1962; We were allowed to open one present after dinner. Uncle Bill is on the right. |
JESUS MAFA. The birth of Jesus with shepherds, from Art in the Christian Tradition, a project of the Vanderbilt Divinity Library, Nashville, TN. https://diglib.library.vanderbilt.edu/act-imagelink.pl?RC=48387 |
I work with a diverse group of people at the hospital, many of whom have come to Canada from different countries around the world. At morning rounds this week, I took notice of the number of my coworkers who are people of colour. They came to Canada from Kenya, Eritrea, India, Central America, the Philippines, China, the Caribbean, to name a few countries. I looked for Christmas cards this year that reflected the multicultural makeup of our community and came up short. Nativity scenes invariably feature white faces and I found two troubling pictures of black Magi bowing to a white baby Jesus. I have been thinking a lot about how people of colour internalize these kinds of white images in religious art and classic Bible storybooks.
"The Life of Jesus Mafa" is a set of 63 pictures from the life and teaching of Jesus, viewed by the artist as if the events had taken place in a village in Cameroon. (source) The pictures are archived at the Vanderbilt University website. I love the life and beauty represented in this collection and can imagine how the people of this culture could identify with these Bible story pictures.JESUS MAFA. The Annunciation - Gabriel and Mary, from Art in the Christian Tradition, a project of the Vanderbilt Divinity Library, Nashville, TN. https://diglib.library.vanderbilt.edu/act-imagelink.pl?RC=48278 |