A Journey into the Dark

Sometimes things come together: I sleep well enough to enjoy my day, and, after checking my daily to-do list, see that there is nothing that really needs to get done. It suddenly occurs to me that I could visit my friends Jesse and Shay, who live a little more than an hour north from me, and have my caregiver Jenna drive me.

When she arrives, I tell her my idea and find out she’s up for it. Let’s get out of town!

The day is perfect for an outing. It’s nearly the end of August and there’s a bit of coolness in the air, the heaviness of summer lifting for a bit.

We leave town and immediately get on the highway. We pass steep hills full of leaning redwoods and pines and I feel my senses awaken. Traveling – even a short trip out of town, always opens up my world, reminding me there’s more to life than the inside of my mind and the confines of my home.

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Jenna and I converse on the way there. She’s only been working for me for a short time and this gives me a chance to get to know her better. She tells me a little about her unhappy childhood – growing up as an only child in a small town outside of Madison, Wisconsin and how she tended to her lonely spirit by climbing trees and watching all kinds of critters. I learn that she has moved around a lot since an adult, until she arrived in Mendocino County ten years ago and realized she had finally found her home.

I tell Jenna I need a break from conversing, knowing that when we arrive at Jesse and Shay’s, there’ll be plenty of it. I don’t want my brain to go on over-load before we get there and spoil the visit.

I turn and look out the window. We are passing through the tiny town of Laytonville, which holds not a whole lot more than a gas station, a general store and a few small restaurants. Old hippies live here side-by-side with rednecks pretty much amiably, it seems to me.

The road flattens out as does the scenery – there are less trees here, revealing gentle hills that are golden brown from parched grasses.

Finally, we reach Bells Springs Road and I direct Jenna to turn right onto it. The car immediately climbs, pavement turning to dirt and gravel. The washboard road jostles our bodies as we drive up and up, rounding one curve after another, a cloud of dust following. Occasionally, there is a break between madrone and manzanita on the right, revealing spectacular views of ridges spreading out for miles, with no houses in sight.

Eventually, just as I am becoming impatient, the road straightens out and we arrive at their driveway, which is steep but short, guarded by a large gargoyle leering at us at the base. We park at the top at level ground and get out.

Image gargoyle Strasb Cath

I am always struck by the quiet here. I pause and take a moment, breathing in the stillness, which is settling after such a long and bumpy ride.

We stretch our legs and look around before nearing the house. Two large goddess statues line the pathway, almost as tall as full-grown women. Flat rocks nearby them have been carefully stacked creating a natural tower.

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Photo by Pixabay on Pexels.com

The house is unusual – what I would call a Northern California home, probably built back in the 70’s. It is weathered and rambling with two stories and sits amongst trees. Two decks are connected by a narrow walkway, which leads to the front door. As we walk in that direction, we pass potted plants and a large stack of wood, forcing us to walk single-file.

I hear voices call out and see Jesse and Shay out on the front deck. When Jenna and I reach them, I introduce everybody, then hug my friends hard – it’s been too long since we’ve gotten together.

A big oak tree bends over the deck, one of its huge branches almost touching it. Beside us is a carefully and lovingly constructed ornamental terraced garden. There are small, meandering pathways and a tiny pond with a run-off that’s gently burbling. It’s truly a thing of beauty.

Gardening has always been one of Jesse’s passions Faerie GardenIMG_3808 and has kept her busy over the years, but now that she’s in a wheelchair, she can no longer tend to this incredible creation of hers and has taken to making what she calls “faerie gardens”, that line the deck.  These miniature gardens that she has worked on meticulously are made up of tiny plants made to look like trees, with elfin bridges, houses, and even people, and not one of them is the same.

Faerie GardenIMG_3751 They reveal the patience Jesse has, Faerie GardenIMG_3811 which is one of her most admirable traits, along with her great intelligence.

We take our seats and immediately launch into deep conversation. I have known these women for a very long time, so there is no need for small talk and pleasantries. Although I haven’t seen them for months, in many ways it feels like yesterday.

Inevitably, the conversation turns to health. Last year, Jesse was diagnosed with cancer. Surgery became necessary and she has recently finished rounds of chemo. Her hair has just started coming back and when I rub my hand across her head, I’m surprised with how soft it is. She talks about frequent doctor visits, anticipating test results, and the hardship of having to go to Ukiah for appointments, almost 2 hours away. As she talks, I check out her appearance more closely and realize she’s lost a lot of weight, which concerns me. Nevertheless, she seems cheerful and talkative, and my concern, at least for her emotional well-being, begins to wane.

Locally: Cancer Resource Center of Mendocino County https://crcmendocino.org/

It’s Shay, really, that worries me more. She has suffered from depression since she was a teenager. Her voice is often flat, and she sleeps a lot and has little vital energy. Jesse’s cancer has certainly added to her mental state, and so our talk turns to her struggles.

For information and to learn the symptoms of depression: https://www.apa.org/topics/depression/

She has been on antidepressants for some time. At first, she had a hard time adjusting to one medication, but then they gave her some relief. But not long after, the effects abated then stopped working altogether. The doctors wanted to increase her dosage, which she did, and that helped briefly, but then again, stopped working. Discouraged, she cut back, but found it difficult on her body and even though she’d like to go off altogether, it became too hard to do, so she has given up and stayed on them, even though she no longer feels any relief.

She has also gone to therapy, read countless books on depression, quit sugar altogether and changed her diet. But all this has had no effect on her body/mind.

“The only thing that really helps”, she says, “That really gets me out of my head is being creative.” She closes her eyes for a moment. “I can get in this zone and it takes me away from everything and into this other world.”

Shay is an incredible artist, with many interests. Her main focuses have been jewelry, painting and drawing. Her studio is a work of art itself: Sketches are set up here and there. Cups and cases hold pens, colored pencils and brushes in various shapes and sizes. Tiny drawers hold all sorts of beads, necklaces, chains and clasps. Easels lean against walls. There are leather-bound journals with her creations in them, reams of paper for watercolors, as well as others’ artwork – from small sculptures to paintings to help inspire her.

After Shay speaks, Jesse adds, her voice becoming soft, “What’s hard for me is seeing how her depression affects her self-esteem. She’s so damn hard on herself!” Tears spring to her eyes.

I know this to be true. Shay constantly puts herself down, downplays her artistic abilities, compares herself to others in many areas of her life, and often, in her mind, coming up short. It’s painful for me to see this in her. I love my friend dearly and know her not only to be talented, but extremely kind, sensitive and thoughtful. I only wish she could turn those qualities towards herself.

Jenna chimes in, “Well, I’m not clinically depressed, but I have my days and my cycles with it. When the days turn into weeks, I start to microdose myself with magic mushrooms. It works for me. It interrupts the cycle.”

We’re all interested in what she has to say, and barrage her with questions. What kind of mushrooms? How much do you take? Do you get high? Can you take it with antidepressants and other medications?

Jenna answers carefully. “I can only speak from my own experience. I take a teeny weeny bit of psilocybin and I don’t get high. But, I feel…” She thinks a bit, “I feel better, is all I can say. Different. Something shifts inside, and my brain resets itself.” She shrugs, as if to say, “That’s the best I can do to explain myself”. “And I want to be clear here: I don’t know if it will work for you. I don’t know if you can take it with your meds. I don’t have all the answers.” She shakes her head with a sad expression on her face. “And unfortunately, I’ve run out of mushrooms myself and don’t know where to get any.”

We’re all quiet, taking in all this information.

“I do think,”, Jenna adds, “That if you ever try it – don’t do it alone. Have someone there with you. I’d be willing to do that with you, if you’d like.”

“But you don’t have any,”, Jesse says, making sure. “No. But I’m looking. I could let you know if I find anything.”

Shay sighs, sounding weary, but says “Well I like the idea of taking something natural…” She drifts off, “I’m not sure if I’m up for something new.”

I understand this reaction. I’ve tried so many other things over the years and got my hopes up: Maybe this will work. Often, I don’t get the results I want, or it makes me feel worse and/or gives me intolerable side effects. Even something as simple and benign like vitamin B-12 to help feed my nervous system, took me a long time to try out. I just did not want to be disappointed yet again.

There’s a lull in the conversation and suddenly, seemingly out of nowhere, their scraggly black, Noche (with a tiny spot of white on the tip of his tail), shows up demanding attention, putting smiles on our faces. More shadows have moved in on the porch, taking over most of the sun spots. As much as I don’t want to leave, it’s best that we get on the road before it becomes too dark.

We reluctantly say our goodbyes and as we pull out of their driveway, I look back and see Shay holding Noche and waving at us.

We’re quiet as we head home as I process the visit. Seeing these beloved friends always warms my heart, but breaks it, too, if that’s possible. I realize I want to “fix” Shay, as others seem to want to “fix” me, but I know it’s not possible and that hurts. Maybe, if Shay wants to try them, those mushrooms will help, I think, as we whiz by trees and hills. And maybe they won’t.

Microdosing – disclaimer:  I am not endorsing the use of illegal or potentially dangerous drugs/medications. The subject of microdosing is only to inform my readers.

Psychedelic Times: “How to Find Psychedelic Treatment for your Psychological Disorder” Posted by Wesley Thoricatha April 28, 2017  Articles, Psychedelic Integration, Psychedelic Therapy 3 https://psychedelictimes.com/find-psychedelic-treatment-psychological-disorder/

“It’s also important to know that not all psychological disorders lend themselves well to psychedelic treatment. While there is no scientific basis for the propaganda that psychedelics can “make you crazy,” it has been suggested that those with latent schizophrenia could have their condition triggered early by a strong psychedelic experience. Keep in mind this is still a new frontier of research, and people with certain medical conditions or on certain medications should absolutely not take certain psychedelics. Any properly run treatment clinic will have a full physical and mental health screening before treatment, and walk you through any  contraindications that may be revealed. We do not endorse any illegal behavior, but from a harm reduction perspective, anyone who chooses underground treatment should exercise extreme levels of research, discernment, and safety precautions throughout the process.”

“Finding Integration Support – Beyond the psychedelic journey itself, integration of the experience after the fact plays a critical role in ensuring that the insights, progress, inspiration gained are translated into daily life in a sustainable way. Whether you are fresh out of an underground ayahuasca ceremony that helped you deal with childhood trauma, or a recent outpatient of an iboga center that helped you detox from an opiate addiction; a few weeks or months of integration support from someone who understands psychedelic treatment is immensely beneficial in securing your new goals, perspectives and commitments.” …

“Releasing the Stigma – One of the most insidious aspects of mental illnesses is the stigma that surrounds them. Despite the statistics that show how common these disorders are, our culture still often adopts a “toughen up and go it alone” approach, leading many to isolate themselves and be fearful of speaking up about their condition, much less seek help. Psychotherapy, prescription medications, and conventional rehab centers do help many people stabilize their lives, but sometimes these routes are not enough to fully eradicate the pain, trauma, and stress that lay at the core of the disorder, leading people to simply numb their symptoms without seeking true healing.” “Radical shifts in behavior, self-image, and wellbeing are something that psychedelics excel at when used appropriately, but not everyone is able to travel abroad for psychedelic treatment or willing to find underground options. The single most important thing that anyone suffering from an addiction or mental disorder can do is to speak up about it to their loved ones and seek help. Shame and stigma surrounding these issues should be forever discarded, as these conditions are an  integral part of the human condition, and everyone faces stress, challenges, and addictive habits in their own way.”

Glamour Magazine website: “Microdosing, Depression, and the Trippy Future of Mental Health Treatments, Psychedelics are a fringe frontier of mental health treatments. But are they safe?” By Deanna deBara, September 5, 2019 https://www.glamour.com/story/microdosing-for-depression-does-it-work

… “Carina*, a 59-year-old therapist in Oregon, sees the ripple effects of the anxiety and stress of our current cultural climate every day in her work—and in her personal life. She has struggled with depression for much of her career, managing it with regular therapy sessions and movement practices like yoga and dance, but when she found herself struggling with a particularly challenging depressive episode in the wake of the #MeToo movement, she began exploring alternative treatment modalities.”

“That’s when she was introduced to microdosing for depression. “So much of depression is feeling stuck,” says Carina. “Microdosing has helped me get out of preservation mode; it helped me get out of the stuck places and see that there are options.”

“Shrooms (aka psychedelic mushrooms) and LSD have a rich résumé of providing a hallucinatory high, and we’re in the midst of a psychedelic resurgence. The recent interest in psychedelics isn’t a throwback to the ’60s so much as it is the potential future of mental health treatment—especially for depression and anxiety.”

“The goal of microdosing is not to get you high. As the name implies, the practice involves taking a small amount—a microdose—of psilocybin (in the form of mushrooms) or LSD every few days. Unlike higher doses of psychedelics, which typically produce the “trip” experience these substances are most known for, the effect of microdosing is much more subtle. Most people start with “around 10ug of LSD (around a tenth of a tab) or 0.1g of dried psilocybin mushrooms,” according to The Third Wave, a psychedelic education resource. (The “right” dose varies from person to person. You should never take any substance without consulting your doctor first.)”

“Psychedelics aren’t legal—they’re currently classified as Schedule I drugs by the U.S. Drug Enforcement Administration, meaning there’s “no currently accepted medical use and a high potential for abuse.” (For the record, cannabis is also classified as a Schedule I drug by the DEA.) That poses some considerable risks. Because psychedelics aren’t legal, they aren’t regulated. There’s no way of knowing what you’re getting, where it’s coming from, or how strong it is, which can put your safety in jeopardy.”

Medical News Today “Psychedelics: Risks and benefits of microdosing revealed: New research, published in the journal ACS Chemical Neuroscience, finds both potential benefits and risks of using psychedelic microdosing to treat mental health problems. The study reveals effects on cognitive skills and sociability, as well as metabolic and neuronal consequences.” By Ana Sandoiu on March 4, 2019 https://www.medicalnewstoday.com/articles/324609.php#1

“An emerging body of research is making a case for using psychedelic drugs to treat mental health issues.”

“For instance, two studies published last year showed that psilocybin, the active psychedelic compound in magic mushrooms, alleviated symptoms of treatment-resistant depression.”

“Moreover, the psilocybin did so without causing any side effects of conventional antidepressants. Such side effects typically include emotional blunting or apathy.”

“People who use psychedelics to improve their mental health and boost their overall well-being tend to do so with a technique called microdosing. Taking microdoses of a psychedelic drug means taking only a fraction of a dose that is required to have a full-blown psychedelic experience, or “trip.”…

“The lead researcher is David Olson, Ph.D., an assistant professor in the departments of Chemistry and Biochemistry and Molecular Medicine at the University of California, Davis.”

… “conflicting results may suggest that an acute dose of psychedelic substances affects the brain differently from intermittent microdoses.”

“Side effects notwithstanding, say the authors, the current results are promising because they suggest that researchers can separate the psychedelic effects from the therapeutic ones.”

“Our study demonstrates that psychedelics can produce beneficial behavioral effects without drastically altering perception, which is a critical step towards producing viable medicines inspired by these compounds,” says Olson.”

“This is the first time anyone has demonstrated in animals that psychedelic microdosing might actually have some beneficial effects, particularly for depression or anxiety. It’s exciting, but the potentially adverse changes in neuronal structure and metabolism that we observe emphasize the need for additional studies.” David Olson, Ph.D.”

Refinery29 – “Can Microdosing Psychedelic Mushrooms Curb Your Anxiety?” By Cory Stieg, August 7, 2019 https://www.refinery29.com/en-us/2019/08/238497/microdosing-psilocybin-mushrooms-benefits-depression-anxiety

“Microdosing, or taking tiny amounts of a drug daily, does more than just get people mildly high. Specifically, psychedelics such as LSD (which is very similar to psilocybin, pharmacologically speaking) act on the neurotransmitter system, serotonin, which is widely used in traditional antidepressant drugs, says Harriet De Wit, PhD, founder and primary investigator in the Human Behavioral Pharmacology Laboratory at the University of Chicago. “So, there is some neurochemical rationale for the possibility that it improves mood,” she says. Compared to traditional antidepressants, which can take weeks to take effect, microdoses of LSD have been shown to have marginal subjective effects after just one administration”, she adds.”

“All of this points to the greater need for research into promising drugs like psilocybin. Most experts agree that psychedelic drugs have a lot of potential — either taken in microdoses or in combination with psychotherapy with psychological guidance. “This is an exciting new chapter in psychiatric research,” Dr. De Wit says.”

 

Gargoyle Image from https://pixabay.com/photos/gargoyle-cathedral-strasbourg-1663459/

Click the link below for cancer centers in your area. National Cancer Institute: NCI-  Designated Cancer Centers https://www.cancer.gov/research/nci-role/cancer-centers

 

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I Said I Would be Honest

I said I would be honest

So here it goes:

This is one of those days.

Those days I feel seizury,

which doesn’t mean I’ll have a grand mal seizure

but will feel like I can’t figure things out.

I will slur my words and feel blurry

and want to cry and feel like

I don’t belong in this world

and why am I here, really, why???

I am not suicidal, but I hope I don’t

live a long life so how’s that for honesty?

This blog helps me gives me purpose and

meaning and I just hope it helps

someone, even just one person.

Today is a “TV day” where I can’t

do much but watch reality shows and

shows that aren’t too complicated.

I have a caring caregiver here (better

than an uncaring one!) and so that

makes things better. I have a partner

that suffers too, who loves me and

has loved me for years and will love me

for years to come. There are three kitties

too: Reggie, Zoe and Simon, all of who

I adore, so I guess, why complain?

But today, right now, well I wish I

could feel better and think better and

SLEEP!!!

and I know when I bring my attention

to the present moment

Right here, right now

I am ok

this epilepsy, insomnia, anxiety

can bring me to my knees

again and again

so while I’m here

I might as well kiss the earth

and say “thank you”

which breaks my heart open

which teaches me how to love

which is why we are all here.

~Maluma

 

Another Excerpt from the “Book” I Never Finished: Chronic Illness and PTSD

All people I know who have chronic illness challenges struggle at some point or another emotionally. There are times when our emotional suffering can overtake our physical suffering. Fear can grab a hold of us and spiral out of control, turning into anxiety or panic attacks. Thoughts turn dark and the spiral becomes depression or despair.

We’ve already explored the difficulties one faces at the onset of our illness; loss and the fears that often go hand-in-hand with it (refer to my previous post of April 8, 2019 Excerpt from My “Book” “Introduction and Initiation to Loss”). But, there are other scenarios that can cause difficult emotional responses, making it hard to maintain our equilibrium. One might be that we’ll go through a period of time when our symptoms are minimal and we have more choices available to us, our life opens up again. We might start to make plans, we may think we can get our career back on track. We may even believe that we are restored to perfect health, never to deal with the illness again. Then gradually, or perhaps suddenly, something shifts again, and we take a turn for the worse. It’s easy to see that these sets of circumstances could trigger our old fears of isolation and dysfunction or launch us into depression.

But sometimes, even if we’re doing okay physically, intense, dark emotions seem to rise out of nowhere and we are carried away by despair, hopelessness or dread. What’s going on here and what can be done to ease our minds and hearts in all types of scenarios?

First of all, it’s important to understand that because of the intricate relationship among them, when the body is in a weakened state, so is the mind and therefore, the emotions, creating an atmosphere that most of us find very challenging. I notice this with able-bodied people as well and more clearly, when they get something like the flu. At first, they’re unperturbed, and take remedies or pills and rest, knowing it will pass. But then, as the days go by and they realize this particular strain of flu might go on for a few days, they become grumpy. But then, if the flu goes on for weeks and the symptoms are difficult; high fever or stomach cramps, accompanied by sore muscles, for example, their usual cheery and determined disposition changes. They become a little nervous: When’s this going to end? They exhibit insecurity and question their significant other: Do you still love me? As people dealing with chronic illness, our challenge is on-going, which includes our emotional and mental reactions to our ill health, as well.

Secondly, it’s important to understand that some of the emotional and mental challenges that arise for people with chronic illness can be symptoms of Post Traumatic Stress Disorder. This understanding took me years to realize. It wasn’t until I saw a tv program about a Vietnam vet with PTSD, that I recognized myself – a lot of his symptoms were similar to mine: insomnia (although I believe mine is partially due to my neurological makeup), hypervigilance (for me, during the night: what if I have a seizure?) and occasional panic attacks (heart pounding, stomach in knots, persistent anxious thoughts). To come to the understanding that I have PTSD, was an enormous revelation for me and extremely validating.

In the past, when I exhibited these symptoms, I felt a certain shame with it: Why am I so weak-minded? Why can’t I sleep like everyone else? Why am I so fearful? Now I had a name and a reason for these particular reactions, which made me feel better about myself and therefore, more compassionate. I understood that for me, having grand mal seizures are traumatic, and that even though it’s been 20 years since I last had one, the fear of grand mal seizures is still great.

Because of this understanding, I could become kinder to myself and admit, with less shame (I’m still a work in progress), that I needed help. So, I hired caregivers. This way, at night, for example, when my anxiety becomes too much for me, when depression enters the room once again, I don’t feel like I have to “power through” – I can get up, wake up my caregiver and we can talk, have a cup of tea, and I can calm down more, and maybe even laugh!

Here are some of the classic symptoms of PTSD:

Emotional expressions

irritability, angry outbursts, guilt, shame, despair, disgust, anxiety, panic, nervousness, sadness, loss, depression, and overwhelm

Overall symptoms

sleep disturbances, hypervigilance, difficulty at work, impulsive destructive behavior, problems with concentration, strained relationships, changes in personality, loss of identity and sense of purpose

Physical symptoms of PTSD

headaches, colitis, and respiratory issues, ulcers

Of course, some of these things could be attributed to other causes, as well. It’s probably best to talk with a practitioner who is familiar with PTSD in people who are chronically ill, but if you have some of these symptoms and something resonates in you that their cause is PTSD, then I’d say chances are you are right.

As people living with chronic illness, we can feel we no longer trust our bodies, that they aren’t safe or reliable. This feeling affects the very core of our being. We feel unprotected. We live with the fear of a recurrence of our worst symptoms. We sometimes feel unsupported and misunderstood by our friends, family and doctors who think it’s all in our head, or that we aren’t trying enough to get well. This can further compound our doubts, fears and shame about our innermost selves and cause further isolation from community and society at large. Our financial position may change drastically, which affects us on a core survival level: How will we pay for any medical help? All this can be very traumatic and shouldn’t be minimized.

A direct quote from Counseling and Psychotherapy reads:

“A recent study showed that people whose worst event was a life event such as chronic illness, had more PTSD symptoms on average, than people whose worst life event was typically traumatic, such as an accident or disaster”. I feel the truth of this statement in my bones and I believe the reason for this truth is that our trauma is on-going, not a one-time occurrence.

According to studies, treatment for PTSD is multi-faceted, using a combination of education, medication, and therapies to address the effects. This is certainly true for me. In order for me to have any hope of even a fair night’s sleep, with my psychological and neurological makeup, I need a combination of hypnosis techniques, emotional support, medication and remedies. If you think you suffer from PTSD, it’s probably best to tell your practitioners (ones that understand this phenomenon) to get the help you need. It may take experimentation to figure out what works best for you, and what might make the best combination of therapies, support, medication and/or remedies. Understand that you may not ever “get over” the feeling of being traumatized but can look towards improving the quality of your life.

Love Matters

One day, my caregiver drives me to Ukiah – a half hour away – to go to the Social Security office. I anticipate a long wait, as I don’t have an appointment, but we get there early and only have to wait 15 minutes. When I go to the window to talk with someone, our exchange is even more brief.

I had planned to have lunch afterwards, but it is too early for that, and I don’t feel like going home. It occurs to me that I could visit Josephine, who has dementia and lives in one of the facilities in town. I tell my caregiver my idea and off we go.

I haven’t seen Josephine in a long time. I first met her in Massachusetts when I was 13 years old, about 50 years ago. She is the mother of my first boyfriend, Mark, who, long story short, ended up living with me and my family until he graduated high school. When Mark and I broke up a few years later, I ended up renting an apartment from her back east for a short time. Our families have interacted with each other over the years: Josephine bought land in the tiny town of Elk, CA, where my parents moved to, and Elizabeth, her daughter, moved there once a house was built. Josephine continued to live back east, but she came to visit Elizabeth often, and, while there, saw my parents too, and sometimes I’d make an appearance during these visits. Mark and I stayed in contact over the years and he would occasionally call my dad, whom he had made a strong connection with while living with us.

When my caregiver and I arrive at the facility, I start having doubts: Will she remember me? Why am I doing this?

Putting these questions aside, I go up to the front desk and ask the woman behind it if I can see Josephine Mitchell. She lets me know she’s in the middle of an exercise class, but it would probably be okay if she came out for a visit.

While I am waiting, I look around: The lobby looks clean and spacious, but what about the rest of the building? Does she share a room with others, and if so, how many? I don’t think Josephine had a lot of money, so I don’t know what she can afford.

In the midst of these thoughts she shows up in the hallway that leads to the lobby. I’m surprised at how young she looks. She doesn’t appear much older than the last time I saw her – probably 15 years ago. I approach her tentatively, not knowing how this is going to go. I have never been in this situation before and I don’t know how to act.

As I get nearer, I notice that, although physically she looks the same, there is something in her manner. Josephine always seemed sure of herself, confident and outspoken. Instead, the woman before me looks a little lost, a little frightened and as awkward as I feel. She has a small, uncertain smile on her face, which makes her seem young, almost innocent.

“Do you know who I am?”, I ask.

She shakes her head.

I explain my relationship with her, mentioning her son’s name. When all I get is a blank look, I add a little more: where we met, that I know her daughter, as well. But I can tell this doesn’t trigger any memories at all.

“Well”, I say, feeling foolish, “can I give you a hug”?

She shrugs and then gives a little nod as if to say, “I don’t have any idea who you are, but you seem like a nice person, so why not”?

And so, I give her a gentle hug and then we just stand there looking at each other, both of us unsure what to do next.

“Well, I guess you might as well go back to your class. It was great to see you”, I say, lamely.

When I leave, I continue to feel foolish. What was I thinking coming here? It meant nothing to her.

But, as the day wore on, I realized it meant something to me. I gave myself the gift of respecting my own memories that are still with me, as she edges towards death, leaving hers behind. Those memories connect me to an impressionable and precious time in my life that left a positive imprint, which compelled me to reach out to Josephine.

Memories link us together. When we think of someone in some significant way, it is our memories of them and what they stand for that causes us to act or feel a particular way. Somewhere deep inside of us, we sense that this interconnection leads to interdependence for all of us. Simply said – we need each other to survive and thrive.

It was also a good lesson for me to be on the other side of things. I thought that because of my own experiences of loss of memory after seizures, I would know exactly what to say and how to act with Josephine. But I didn’t. It was humbling. And it also gave me insight into what my caregivers, friends, and family sometimes go through when they struggle with how to be with me when I am feeling seizury or extremely sleep deprived or anxious. I now know how they felt.

Love isn’t always straightforward.

Relating to others can be awkward or confusing. We will sometimes feel foolish in our interactions.

But, that doesn’t matter. What matters is that we try. What matters is that we show up in difficult times. What matters is that to the best of our ability, we say and do things that add up to “I love you and I care”. What matters is that we don’t give up on ourselves and each other. We are all fools for love at some point or another; hopefully often.

Love matters.