Tag Archives: Memoir

Soup For Life

The meat, the meat must be beef shank, preferably with bone in; it makes a much better tasting soup. Set it to cook in a large pot three-quarters full of water. You add the spices at this stage. Salt, black pepper, garlic. The amounts are not measured; taste is what matters.

You must watch it closely at first. The fat will rise and needs to be scooped out, a spoonful at a time, making the broth leaner, clearer. Then you let it simmer as life simmers, gently but persistently, bringing memories bubbling to the surface.

“Papa, when do you add the vegetables?”

“I don’t know, Mijita.”

You know he does, but you say nothing and instead turn back to the stove. The meat is soft now and curls around its round flat bone. The bone is white as white can be, the marrow nestled in its center. You poke at it with the spoon, breaking it up into pieces, allowing its juice to mix with the broth. Meanwhile, you have chopped an onion into large chunks and added it to the broth in progress. Its layers float to the top, shimmery, translucent, adding their own juice.

It is you in the kitchen this Sunday morning. Your mother is sick, a migraine keeping her abed. You feel a deep sense of desperation. You want to fill in for her, but you can’t. You are not her and your father knows you are not her. He walks through the kitchen and steps outside, leaving you to divine the next steps. You know what the soup looks like when it’s done, but not how it gets that way.

With the fat scooped out, you can step away and leave it alone for an hour, or two, being careful not to let the broth cook away to nothing. This simmering will cause the meat to shred, making it so tender you barely have to chew it.

This soup was a staple in your home. Every other Sunday the house filled with the aroma of its cooking. Your mouth waters at the thought and you are helplessly transported back in time. You see the tall clay pot sitting on the stove, flames licking its full rounded bottom, its flared top opened wide, gaping at the ceiling, its middle pinched in like a waist.

It resembles a woman’s shape and you wonder what the potter was thinking while he shaped it. It doesn’t appear to hold much, yet your mother makes sure everyone eats their fill. You can never figure out how she does that.

Once the meat has cooked through, it’s time for the potatoes. Scrub them well and slice them crosswise into thick slices, unpeeled. While they cook, chop up the rest of the vegetables, carrots, squash and cabbage.

Take a fresh corn on the cob and slice off the tip, then shuck the corn peeling back the husk to its core. With a firm grip, snap off the cornstalk. Under running water, work out the silk tucked into the rows of kernels. Score the center of the corn with a sharp knife and then break it in half and add it to your soup.

The corn was your favorite part. You looked forward to it. There seemed to be so few pieces in that pot, but your mother always made sure you got one. Those firm yellow kernels glistened sweetly as you inhaled your soup, leaving the corn for last. There was no need to salt it or add anything to it; it was perfect as it was. You ate it row by row, slowly working your way down the length of it. When all the kernels had disappeared, you siphoned out the succulent broth from within that cob, again working your way along it lengthwise, making sucking noises that made your siblings laugh.

When the potatoes are done, fish them out and place them in a covered dish. Add the rest of the vegetables and continue cooking. In approximately thirty minutes it will all be done.

There is not enough room in your deep stainless steel pot to hold all the ingredients at once. It makes no sense to you. It seems so much bigger than the clay pot of your memories. Nevertheless, you set the potatoes aside before adding the vegetables. You’re not sure when you figured out the sequence to this, if you were shown it or if it just came to you, but it matters not, now.

 

*Eat soup. It’s good for you.

**A version of this appeared on my blog, Prose and Possibilities.

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An Apple a Day

I mentioned before that I’ve been studying foods for a few years now. When I decided I would write some food-related posts on this blog, in my own roundabout convoluted way of course, I surprised myself with just how much information I had gleaned.

I was also surprised to find composition books filled with neat penciled, cursive writing. Such patience. Such yearning. Such neatness. Such legibility. Such heartache. Running my fingertips lightly over the words as I read, I felt the me of so long ago. The me who had written them, as if the careful writing down of this vital information would somehow help my pain go away.

Fear not. I do not plan to impart solely the clinical. More so the personal, and share what I believe has helped me. The main objective for this study of foods was/is to combat inflammation. That to me is far more important than thwarting fat. Because having a few extra pounds of fat on board is not as lethal as having a few extra ounces of liquid on board.

I learned that the hard way a few weeks before being formally, officially, definitively diagnosed with Rheumatoid Arthritis. Prior to that event, I ended up in the ER with fluid squeezing my heart and lungs to the point that I presented as an MI patient.

I’d known there was something wrong with me for a while. Something that rest and sleep (hard to come by with a job and kids) and regular doses of OTC pain killers couldn’t seem to touch. My primary care physician mentioned the possibility of RA and handed me over to a rheumatologist.

Unfortunately, this rheumatologist turned out to be the wishy-washy kind. “It could be this. It could be that.” I don’t remember him laying a finger on me, not to examine me nor even to offer a bit of sympathy. And not surprisingly, he never came up with a diagnosis.

But he did treat. Vioxx, right before that blew up. Advil, yeah, like I hadn’t thought of that already. Paraffin wax baths for my hurting hands, hah! I’d read about those in my Fundamentals of Nursing textbook in 1978. This was 2004!

I thought we’d come a long way, baby, but apparently he hadn’t. In August of that year, I went to my PCP and spoke my mind. “That man is going to kill me.”

Little did I know.

He referred me to another rheumatologist and I was given an appointment for mid-October, new patient and all. I tried to think positive. Help was coming. I could see the light at the end of the tunnel.

On Oct 3rd, what I saw were the bright overhead lights of the ER exam room where at least ten people floated around me, sticking needles into my veins, needles into my radial artery, pills under my tongue, O2 onto my face, leads onto my whole body for a 12 lead EKG.

And the funny thing was that I didn’t care! I didn’t care what all they were doing to me because when you can’t breathe you don’t give a crap about anything else.

After 24 hours of very expensive testing, it was determined that my heart and lungs were fine. As the ER physician put it as he sat next to my hospital bed, “It’s your inflammatory condition.”

It was not his place to diagnose a specific ailment and then come up with a long-term treatment plan for me, to do the job of the specialist who should have. It was his job to pinpoint the obstacle to my heart and lungs functioning as they should right then. I returned his wry smile with my own. We both knew why I was there, why my status had deteriorated to the point where he and I ever had to meet at all.

I immediately envisioned chest tubes being inserted into me to drain the fluid. I’d lost track of how many times I’d assisted a doctor with their placement in critically ill patients. Had I been thinking clearly I would’ve realized that had I needed that particular intervention, I would already have a Pleurevac hanging off the side of my bed.

Though I lay amidst wires, lines and tubings, which made for one very restless night, it was only IV lines, heart monitor leads and an oxygen sensor clipped to my index finger that held me captive to the bed. That, and my yet-to-be-diagnosed disease.

I was sent home on oral steroids to treat my pleural and pericardial effusions. That’s when I first met up with my buddy, Prednisone. We’ve had a rocky on and off relationship these past ten years. Mostly off, but I like to keep my buddy handy, or as I tend to think of him, my frenemy.

Our first dalliance lasted till the following February. By the time I got to see my new rheumatologist, I’d gone through the one week’s worth of treatment prescribed by the ER Doc. The first thing he did was to put me right back on the steroids. “We don’t want it happening again,” he said. No, we sure didn’t.

The next five years were a blur of pain, but at least I knew why.

Come 2009, something happened. I’d left my job several years before and my youngest child had flown away to college.  I began to feel better physically. The fog was lifting and I began to look around. And I thought wait a freaking minute. There’s gotta be more to this than pain and drugs. And so began my journey, into exercise, into foods, into love. Into me.

A Little Bit

Today is my sister’s anniversary. 51 years of married life. I can hardly comprehend that. That’s almost as long as I’ve lived on this earth.

We don’t keep in touch. She lives far away. All my sisters live far away. We don’t keep in touch, ever.

Sometimes that feels strange to me, and at other times, I don’t think about it at all. It just is.

But this wasn’t what I planned to write about. 

I planned to write about guilt. One type of guilt, for there is always a variety of it to go around.

As I go through my entries on this blog, and  compile those I might possibly use, all sorts of memories are being triggered. Some memories have nothing to do with RA, while others send me headlong into the world of constant pain that I lived in for what I assumed would be forever.

There’s no denying that RA changed me. It changed my outlook on life. It changed my ability to function, productively as well as effectively. It changed my career and career focus. It changed the trajectory of my future.

But looking back from ten-plus years, for I really do not know when this dis-ease arrived, I cannot say it is a bad thing. Not entirely.

I have benefited from the care of a wonderful doctor, who puts up with my self-treatment and self-diagnosis. Perhaps my intimate involvement with my treatment process has meant the difference. For though I no longer practice in the field, I cannot stop being a nurse. I cannot stop wanting to bring wellness to those whose lives I touch.

I have seen the depths and I have seen the light, to use one worn out cliché. And because of that, I feel guilt.

Guilt that while others suffer excruciatingly from this ailment on a daily basis, I am forced to agree with my doctor’s mantra. “You are doing very well,” he says to me after every visit.

And I am. I feel better and more mobile than before RA checked in.

I’m not really sure what I have done to make this happen. From the research of my writings, both posted here and those still tucked away in my journals,  I suppose I will find out, glean some sort of insight. Is it diet? Is it exercise? Is it love? Is it companionship? Is it finding like-minded friends to talk to? Is it knowing that people out there care about me? Is it caring for others? Is it all of the above?

I know that the treatment for RA is not a one-size-fits-all. But perhaps my story might help. Just a little bit.