Monday, March 30, 2020

Love in the time of Corona#3 3/30/2020 Confessions or what people tell me as a midwife

Love in the time of Corona 3/30/2020 #3
What people tell me

We are part of an elite group; people whom other people think they can unload all their secrets to. All their ailments, all their sins, all their dirty laundry. I might as well have a sticker on my forehead that reads: "Midwife." I can be on a bus or an airplane and after the usual introductory chit chat, the next thing I know my seat mate, let's call her Susan, is recounting every gory detail of her last labor. I can be at a book signing and as I ask for a name to address my signature to, I am hearing a blow-by-blow account of Judy or Leslie's last birth. I recently went to an authors' club that I belong to and a new gal, Ruth, cornered me after the meeting to describe her traumatic delivery, asking if I thought her practitioner was a fault for the debacle. The same thing happened in line at the grocery store last week, except this time I heard about the 72-hour labor this woman had endured.

Not unlike the priest in a confessional, I listen. I don't judge, I don't correct. Of course I know the first stage of labor doesn't/can't last 72 hours; pre-labor is normal. Sporadic contractions are a way the body prepares for the real thing. Called prodromal labor, it is labor that starts and stops before fully active labor begins. It's often called “false labor,” though many couples start counting the hours from the first twinge. They often start walking, thinking they can speed up the process, but then by the 2nd day of this, become completely exhausted and imagine this is all part of the birth process, when in fact they should have just rested, gone on with their regular activities and try to be patient till the real thing kicks in, which by the way, no amount of rest can stop at that point. Medical professionals recognize that the contractions are real, but they come and go and labor may not progress. True labor---the active stage of labor--begins in earnest when the contractions become regular, about 5 minutes apart and the cervix is at 4 cm or greater. 

I was at the post office recently, mailing some copies of my book, when the clerk asked what my books are about. I told her I write about being a midwife and tell true stories about the families I have worked with, from Amish home births to the refugee and homeless communities of Minnesota for the past 30 years. And--you guessed it--I get all the details of the clerk's C-section which ends with asking if I think the C-section had been truly warranted. As if I had been there. So I give her my standard C-section response: "I am sure there were compelling reasons to do it. I am just so grateful that we have these options in our country while it just isn't available in other parts of the world. Are you both doing well now?"


But now I am the authority on such things. On anything!

For the first time in my little life, I truly don't know what tomorrow will look like, or next week, or next year. I felt, for the first time in 10 days peace from this:


Pope Francis meditated on the calming of the storm from the Gospel of Mark during the prayer service over which he presided on the steps of St Peter's Basilica on Friday evening. Here is the full text.

“When evening had come” (Mk 4:35). The Gospel passage we have just heard begins like this. For weeks now it has been evening. Thick darkness has gathered over our squares, our streets and our cities; it has taken over our lives, filling everything with a deafening silence and a distressing void, that stops everything as it passes by; we feel it in the air, we notice in people’s gestures, their glances give them away. We find ourselves afraid and lost. Like the disciples in the Gospel we were caught off guard by an unexpected, turbulent storm. We have realized that we are on the same boat, all of us fragile and disoriented, but at the same time important and needed, all of us called to row together, each of us in need of comforting the other. On this boat… are all of us. Just like those disciples, who spoke anxiously with one voice, saying “We are perishing” (v. 38), so we too have realized that we cannot go on thinking of ourselves, but only together can we do this.
It is easy to recognize ourselves in this story. What is harder to understand is Jesus’ attitude. While his disciples are quite naturally alarmed and desperate, he stands in the stern, in the part of the boat that sinks first. And what does he do? In spite of the tempest, he sleeps on soundly, trusting in the Father; this is the only time in the Gospels we see Jesus sleeping. When he wakes up, after calming the wind and the waters, he turns to the disciples in a reproaching voice: “Why are you afraid? Have you no faith?” (v. 40).
Let us try to understand. In what does the lack of the disciples’ faith consist, as contrasted with Jesus’ trust? They had not stopped believing in him; in fact, they called on him. But we see how they call on him: “Teacher, do you not care if we perish?” (v. 38). Do you not care: they think that Jesus is not interested in them, does not care about them. One of the things that hurts us and our families most when we hear it said is: “Do you not care about me?” It is a phrase that wounds and unleashes storms in our hearts. It would have shaken Jesus too. Because he, more than anyone, cares about us. Indeed, once they have called on him, he saves his disciples from their discouragement.
The storm exposes our vulnerability and uncovers those false and superfluous certainties around which we have constructed our daily schedules, our projects, our habits and priorities. It shows us how we have allowed to become dull and feeble the very things that nourish, sustain and strengthen our lives and our communities. The tempest lays bare all our prepackaged ideas and forgetfulness of what nourishes our people’s souls; all those attempts that anesthetize us with ways of thinking and acting that supposedly “save” us, but instead prove incapable of putting us in touch with our roots and keeping alive the memory of those who have gone before us. We deprive ourselves of the antibodies we need to confront adversity.
In this storm, the façade of those stereotypes with which we camouflaged our egos, always worrying about our image, has fallen away, uncovering once more that (blessed) common belonging, of which we cannot be deprived: our belonging as brothers and sisters.
“Why are you afraid? Have you no faith?” Lord, your word this evening strikes us and regards us, all of us. In this world, that you love more than we do, we have gone ahead at breakneck speed, feeling powerful and able to do anything. Greedy for profit, we let ourselves get caught up in things, and lured away by haste. We did not stop at your reproach to us, we were not shaken awake by wars or injustice across the world, nor did we listen to the cry of the poor or of our ailing planet. We carried on regardless, thinking we would stay healthy in a world that was sick. Now that we are in a stormy sea, we implore you: “Wake up, Lord!”.
“Why are you afraid? Have you no faith?” Lord, you are calling to us, calling us to faith. Which is not so much believing that you exist, but coming to you and trusting in you. This Lent your call reverberates urgently: “Be converted!”, “Return to me with all your heart” (Joel 2:12). You are calling on us to seize this time of trial as a time of choosing. It is not the time of your judgement, but of our judgement: a time to choose what matters and what passes away, a time to separate what is necessary from what is not. It is a time to get our lives back on track with regard to you, Lord, and to others. We can look to so many exemplary companions for the journey, who, even though fearful, have reacted by giving their lives. This is the force of the Spirit poured out and fashioned in courageous and generous self-denial. It is the life in the Spirit that can redeem, value and demonstrate how our lives are woven together and sustained by ordinary people – often forgotten people – who do not appear in newspaper and magazine headlines nor on the grand catwalks of the latest show, but who without any doubt are in these very days writing the decisive events of our time: doctors, nurses, supermarket employees, cleaners, caregivers, providers of transport, law and order forces, volunteers, priests, religious men and women and so very many others who have understood that no one reaches salvation by themselves. In the face of so much suffering, where the authentic development of our peoples is assessed, we experience the priestly prayer of Jesus: “That they may all be one” (Jn 17:21). How many people every day are exercising patience and offering hope, taking care to sow not panic but a shared responsibility. How many fathers, mothers, grandparents and teachers are showing our children, in small everyday gestures, how to face up to and navigate a crisis by adjusting their routines, lifting their gaze and fostering prayer. How many are praying, offering and interceding for the good of all. Prayer and quiet service: these are our victorious weapons.
“Why are you afraid? Have you no faith”? Faith begins when we realise we are in need of salvation. We are not self-sufficient; by ourselves we flounder: we need the Lord, like ancient navigators needed the stars. Let us invite Jesus into the boats of our lives. Let us hand over our fears to him so that he can conquer them. Like the disciples, we will experience that with him on board there will be no shipwreck. Because this is God’s strength: turning to the good everything that happens to us, even the bad things. He brings serenity into our storms, because with God life never dies.
The Lord asks us and, in the midst of our tempest, invites us to reawaken and put into practice that solidarity and hope capable of giving strength, support and meaning to these hours when everything seems to be floundering. The Lord awakens so as to reawaken and revive our Easter faith. We have an anchor: by his cross we have been saved. We have a rudder: by his cross we have been redeemed. We have a hope: by his cross we have been healed and embraced so that nothing and no one can separate us from his redeeming love. In the midst of isolation when we are suffering from a lack of tenderness and chances to meet up, and we experience the loss of so many things, let us once again listen to the proclamation that saves us: he is risen and is living by our side. The Lord asks us from his cross to rediscover the life that awaits us, to look towards those who look to us, to strengthen, recognize and foster the grace that lives within us. Let us not quench the wavering flame (cf. Is 42:3) that never falters, and let us allow hope to be rekindled.
Embracing his cross means finding the courage to embrace all the hardships of the present time, abandoning for a moment our eagerness for power and possessions in order to make room for the creativity that only the Spirit is capable of inspiring. It means finding the courage to create spaces where everyone can recognize that they are called, and to allow new forms of hospitality, fraternity and solidarity. By his cross we have been saved in order to embrace hope and let it strengthen and sustain all measures and all possible avenues for helping us protect ourselves and others. Embracing the Lord in order to embrace hope: that is the strength of faith, which frees us from fear and gives us hope.
“Why are you afraid? Have you no faith”? Dear brothers and sisters, from this place that tells of Peter’s rock-solid faith, I would like this evening to entrust all of you to the Lord, through the intercession of Mary, Health of the People and Star of the stormy Sea. From this colonnade that embraces Rome and the whole world, may God’s blessing come down upon you as a consoling embrace. Lord, may you bless the world, give health to our bodies and comfort our hearts. You ask us not to be afraid. Yet our faith is weak and we are fearful. But you, Lord, will not leave us at the mercy of the storm. Tell us again: “Do not be afraid” (Mt 28:5). And we, together with Peter, “cast all our anxieties onto you, for you care about us” (cf. 1 Pet 5:7).

To comment on this please email me at ssskimchee@gmail.com






new 3/24 Love in the Time of Corona

Laboring Alone: from the link 
https://www.nytimes.com/2020/03/24/parenting/coronavirus-labor-birth.html 


Hospitals Bar Partners Because of Virus Fears

On a cheerier note, here are some ideas I have come up with to keep myself meaningfully occupied. Please send your ideas to me at: ssskimchee@gmail.com

1. I have started re-writing my midwifery protocols should our county/state be locked down. I have already heard of places that are calling up retired providers to offer their services if needed. If I were pregnant, the last place I would go to deliver would be a hospital under the present circumstances. If a family chose to stay at home instead, and had been isolated for the minimum 15 days, I would consider assisting at low-risk home births.

2.  I have called a nearby animal shelter to find out if they are planning to place their animals in foster homes. I would consider fostering or adopting a dog.

3.  Every day that I have been isolated at home I have learned a new quilting pattern, reproducing templates from my quilting books and sewing them in miniature, one a day. They are quite challenging, not only because I have never made this particular pattern before but because they are so tiny. Keep the little gray cells challenged!

stay tuned for more. Please send me any of your ideas at ssskimchee@gmail.com

Love in the Time of Corona #2

Friday night
It is amazing what other people resort to in these times. One friend finished a novel. Another writes poems. I write because (like Joan Didion) I don't know what I am thinking until I write it down. But now is different. Even after writing it down I am still floundering. We have never been in this place before. We have no clue what this new world will look like next week, or in a month or year. On the radio I hear people suggesting good books for others to read, (never mind that the libraries are closed) or suggestions about ways to save money and connect with your kids. All the palaver about whether we can stop distancing by April 14th is so vapid. You are kidding, right? China is not over it yet, and we're going to be in 2 weeks. Uh-huh.
STAY AT HOME: ‘YOUR GRANDPARENTS WERE CALLED TO WAR. YOU’RE BEING CALLED TO SIT ON YOUR COUCH.’ 
You CAN do this.
When my daughter turned 13 we discovered a large bone tumor on her arm. I freaked out, of course, and insisted she be seen immediately and withing a few hours we are hearing about the possibility of cancer, loosing her arm...etc. On the way to Shriner's Hospital in Minneapolis it occurred to me that we were entering uncharted territory and that is what I proposed to her: "We have no idea what this will be like, what will happen next, but it is a new adventure; something we have never experienced before, and I believe God knows it all and we can trust that He will be with us." I hope that gave her courage. Perhaps my strength, my curiosity about the future could strengthen her. I will have to ask if about that, though it is 20 years later now.
As a writer I am both energized and simultaneously exhausted. As it all sinks in, day after day, I ponder that I can see how some people can panic and become unglued, but I am hyper-curious, if there is such a word. I can write endlessly all of a sudden: books on being the last woman on earth, though I don't do science fiction. I can write all sorts of apocalyptic fiction, the cosmos are the limit.
But then I think of Anne Frank who hid in an attic for 2 years. She couldn't go outside. And they didn't have enough food. She wrote:
 I keep my ideals, because in spite of everything I still believe that people are really good at heart.
How wonderful it is that nobody need wait a single moment before starting to improve the world.
Think of all the beauty still left around you and be 

happy.

another great blog from Lima, Peru:
http://rollingluggagers.blogspot.com/2020/


To comment on this please email me at ssskimchee@gmail.com

Tuesday, March 24, 2020

Love in the Time of Corona #1

Love in the Time of Corona*

*a take-off from the book Love in the Time of Cholera (SpanishEl amor en los tiem/podcasts/pos del cólera) is a novel by Colombian Nobel prize winning author Gabriel García Márquez. The novel was first published in Spanish in 1985. Alfred A. Knopf published an English translation in 1988, and an English-language movie adaptation was released in 2007.


I am hoping to write a short piece here every day. Maybe I am hoping to somehow lift up others' spirits. 
I can share my reflections, my thoughts and things other people have sent me that are worthy of repeating.

Good one for the moment from Austrian Neurologist Viktor Frankl:
Everything can be taken from a man but one thing: the last of the human freedoms—to choose one’s attitude in any given set of circumstances, to choose one’s own way.
When we are no longer able to change a situation, we are challenged to change ourselves.
Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom.
I grasped the meaning of the greatest secret that human poetry and human thought and belief have to impart: The salvation of man is through love and in love.
What is to give light must endure burning.
The last of human freedoms - the ability to chose one's attitude in a given set of circumstances.
Each man is questioned by life; and he can only answer to life by answering for his own life; to life he can only respond by being responsible.
Ever more people today have the means to live, but no meaning to live for.
A human being is a deciding being.
Live as if you were living a second time, and as though you had acted wrongly the first time.
Viktor Frankl 

Two links I highly recommend:

https://youtu.be/i-4nMixIh5M

www.//cnn.com.audio/podcasts/corona-virus

and this from a friend in Kenya:
*CORONA HAS ITS ADVANTAGES*
Message from an ex-MP from Egypt
*DONT CURSE THE CORONAVIRUS*
It has brought back humanity.
Brought back people to their Creator and to their morals.
It has closed down bars, night clubs, brothels and casinos.
It brought down interest rates.
Brought families together.
It has stopped people eating dead and forbidden animals.
So far it has moved one third of military expenditure to health care.
Arab countries have banned shisha, (shared hookahs.)
Coronavirus is pushing people to prayers.
It undermines dictators and their powers.
Humans are now worshipping GOD rather than progress and technology.
It is forcing authorities to look at its prisons and prisoners.
It has taught humans how to sneeze, yawn and cough.
Coronavirus is now making us stay at home, living simple lives.
It has taught us how to wash our hands.
*We thank GOD for waking us up to reality and for giving us an opportunity to ask Him for HIS Forgiveness and HIS help.*...

Stay tuned for more. I might not agree with all that people send me, but please take what you feel speaks to you. ~ ss


Saturday, February 1, 2020

writers' block and a recent birth study - how do the two jive?

I wonder ... and brain freeze.

I am part of a wonderful women writers' group. About ten of us, give or take a few, meet every month for lunch and go around the table updating the others on our progress, any new developments in our work, networking about new ideas, etc. Without fail, the majority will bemoan the fact that they have been so uninspired this past winter or summer; that they haven't found a way to buckle down and write consistently everyday. They try this method or that suggestion, and nothing works. So I started wondering why. What makes my brain, for example, sluggish, or decidedly blank or un-creative?
Is there a time that works better for me? Is there a place that works better for me? What kinds of reading material feeds my spirit? Does exercise help? Does coffee? Making love?

While pondering these conundrums, I thought about a study being done in Seattle. A group of childbirth professionals were wondering about a new phenomenon where couples in labor were coming into hospitals around the country, only recently, without birth plans, without a list of wishes. They had simply given up. It had all become too confusing and overwhelming. They surrendered to whatever staff were on duty and told them to do whatever they needed to do. You might ask what I am doing reading studies on prospective parents and current childbirth trends. The short version is that I am a retired midwife-turned-author.

What was scaring many of these couples was the fact that they could say what they might like to try or do during labor, but should a doctor suggest something different, or push for interventions, they were at a loss. How could they possibly contradict medical advise, signing a waver if necessary and risk harming their baby? The responsibility in the face of conflict was just too much. I get it.

So now you are asking what the two stories above might possibly have anything to do with each other. Well, it occurred to me that perhaps my writer-friends were experiencing the same kind of overwhelming, confusing, dis-functioning, paralyzing episodes that those parents were. Pondering how to go forward only produced fear. In turn the brain is left with no options. All it can do is freeze in self-defense until it can slowly thaw and heal. If we continue to bombard it with information, i.e. the millions of ways one can publish on social media, the lists of books on writer's block, the innumerable blogs for inspiring writers, ad infinitum -- is it any wonder we check out? Literally? Does the Information Age and the World Wide Web possibly have anything to do with it? It might even be super-human or heroic that we are even able to produce any writing at all, in spite of such overload.

To test my hypotheses I have begun experimenting with my own brain, the only one donated to the study thus far. First I wondered about how much new information I am feeding my brain on a daily basis. I could list the newspapers or radio every morning, then checking my email, scrolling the news there, then opening any interesting attachments. Next I would check my blog, perhaps work on an article I have been trying to write, taking a short detour to look up the latest Paleo recipes, then back to breakfast and the radio or music. Oh, yes, and volunteering once a week and working part time.

The everyday shopping, driving, cooking, cleaning, etc. have to be squeezed in besides. And this time of year there are garage sales all along the way that the car turns into almost on its own!

The night before last I had watched a movie with my husband and then read a memoir in bed for close to an hour. I mark important places with Post Its to review later. I am currently writing two memoirs simultaneously. One about our 25 years living and working with Hmong refugees, and one about entering the Land of Psychosis as I experienced it some years ago when I was inadvertently given a very powerful drug that I reacted badly to. It was an interesting trip, not unlike what I imagine LSD might be like. It gave me a glimpse, however, into what the mentally ill mind experiences all the time, year after year. I am now back to normal--I think. 

In my preliminary evaluations, I decided there was too much information coming in at too fast a pace. I was reacting by trying to produce as much in ratio to my writings at the same time. I was simply TOO BUSY. That went for reading, screen time and radio. I noticed that on the days I was really on a roll, I would be even more exhausted and often took a nap by four in the afternoon, have supper and tuck in early, sleeping in until eight the next morning. It was exhibiting almost like a self-inflicted mania. What would happen if I just stopped? (What would happen if I didn't was an even scarier prospect.)

So I did. I went almost a week without the news, the radio, TV or my laptop, and turned off my phone only checking it twice a day. Instead I walked, sat outside watching mama ducks nervously trying to keep track of 17 baby ducks, sipped herbal tea and did nothing. I took a nap. I don't remember what else I did. It was pretty quiet. It helped that I was visiting a friend in Wisconsin that week, but once I got home I committed to doing without for a while more. I cleaned off all the tables and desks at home. I mended the little pile on the sewing machine, then I put away the sewing machine.

I am trying to keep my desk tidy. The more cluttered it is, the more frantic my mood, I've noticed. It makes me wonder about the wisdom of our Amish friends whom I had gotten to know when I was practicing midwifery. No cars, no computers, no phones. Perhaps we humans were actually meant to live like that. I wonder how normal this pace we have gotten ourselves into is. I no longer think that modern man (and woman) have been blessed with technology. I wonder if in reality it is a curse. We only relate to one another in tiny time slots now, like my writers' group: two hours in any given month at most. If there are ten of us, that is about five minutes each to talk, given we need to eat during that time, too.
In the end, perhaps writing and birthing babies isn't all that different. Nature will take care of both if we let Her. Each one works well without a whole lot of interference. Granted my brain isn't in the same place as my, well, you-know-what, but I need to respect both and the time and space needed. 

The Pope names 2020 the year of the midwife (and doula - ss)

Pope: Midwives might have the most noble of all professions

POPE FRANCIS
OSSERVATORE ROMANO | AFP

Francis asks for prayers for nurses and midwives as 2020 has been designated their year

Pope Francis on January 19 applauded the designation of 2020 as the “Year of the Nurse and the Midwife.”
He suggested that “midwives carry out perhaps the noblest of the professions.”
And nurses, he said, are not only the most numerous of health care workers, but also those “closest to the sick.”
The Holy Father has often mentioned his esteem for health care professionals, especially nurses, one of whom he credits with saving his life.
In 2018, he departed from a prepared text to praise this nurse:
With your permission, I’d like to pay tribute to a nurse who saved my life. She was a religious nurse: an Italian Dominican sister, who was sent to Greece as a professor, highly educated … But as a nurse, then, she arrived in Argentina.
And when I, at the age of twenty, was at the point of dying, she was the one to tell the doctors, even arguing with them, ‘No, this isn’t right, we need to give more.’ And thanks to those things, I survived. I thank her so much! I thank her. And I’d like to say her name here, in your presence: Sister Cornelia Caraglio. A great woman, brave too, to the point of arguing with the doctors. Humble, but sure of what she was doing.
The pope invited prayers for all nurses and midwives.
“Let us pray for all of them, that they may do their precious work in the best possible way,” he said.

Wednesday, October 16, 2019

Rewriting the Bucket List

Rewriting the Bucket List

It is way overdue. Seventeen years later and it is definitely time. When I turned 50 my mother no longer knew me. She had early-onset Alzheimer's, the one kind of dementia that might be inherited, according to the studies.* That gave me pause to think. I might not have much time left to do all the things I want to do. She had amassed a mansion filled with all of her collections: Turkish rugs, Persian antiques, Chinese Closinné, French perfumes, Russian jewels, Tiffany lamps. And then she was too sick to enjoy it all for very long. 

So I thought hard about what I wanted the next years of my life to look like. I didn't see precious collections as part of that picture. I saw instead quality time with my children, maybe travel, maybe do some writing. The first half of my life had decidedly been packed full of adventure: a stint in a Hindu ashram, and later several years as a contemplative nun in a Catholic monastery. Next came marriage, most unexpectedly, and five beautiful children; then the log cabin and our back-to-the-earth era, the intentional community era, the leaving-the-community era and all the drama that entailed along with whatever drama a houseful of teenagers could think up. No one died, no one ended up in jail... knock on wood. I survived in one piece, I think.

The first bucket list was open for additions. At one point I became obsessed with India. I found a volunteer position at a school in Karnataka, all expenses paid. I passed the rigorous application process but ended up in a psyche ward instead after a horrible reaction to a medication I was inadvertently prescribed. It took almost a year to fully recover. I could certainly choc that experience up to education, but the hospital was not on the bucket list.

About the time of the first bucket list I decided to keep my brain young and hopefully fend off Alzheimer's by delving into a new project each year. The first adventure I assigned myself was to learn Korean. I spoke passable Hmong after our years sponsoring Hmong refugees who landed in Minnesota after the Vietnamese war. This would be a cinch.... It turned out to be one of the hardest things I've ever done in my life, but I trudged on, probably due to an obsessive-compulsive disorder. But in spite of that, by a decade later I could read, write and speak Korean, though not like a native speaker yet. I would need to spend a year or more in Korea to do that. This past year I tackled Transylvanian peasant cross stitch, using patterns that date back to the 1600s. Much less stressful than Korean, though definitely challenging.

Loosing my hearing wasn't part of my bucket list. By the time I was 60 I had maxed out my hearing aids and was slated for surgery to turn off my inner ear vertigo. A rough year spent in bed more times that not. The alternative was to keep falling and breaking more bones. The surgery was brilliantly successful and I was given a whole new lease on life. It didn't restore my hearing, I was down to hearing only 24% of audible speech, but hell, I could do this. It wasn't cancer. I could no longer hear well enough to work in the hospitals as a midwife but I had lots of other ideas up my sleeves.

I found out that senior citizens could go to college for free in Minnesota so I quickly added sign language to my bucket list. I went for two semesters and was soon communicating with Deaf Minnesotans, my professor included. I have since been a recipient of the latest state-of-the-art hearing aids, one of which is not really a hearing aid at all, but a transmitter that "hears" what my right ear doesn't and sends it wireless-ly to my other, better ear's hearing aid. I am back on stereo, folks!

That year I added writing to my bucket list. I had dabbled over the years, but I wanted to write down the hundreds of birth stories that were swimming around in my memory banks. I thought I might have to self publish my first book since I wasn't a pro at this. I started attending writers' events just to get the hang of the territory out there. I'd ask dumb questions at the classes I signed up for, trying to grasp this new world of writing. I had never been required to take an English class--even in high school. I had gone to an experimental program, majoring in art which trumped all other subjects.

At one such writers' event I asked one of my random questions which prompted an editor who was present to approach me after the talk. She wanted to see my writing. She was serious. I was flattered but not quite hopeful. In the end she loved my stories. She loved them so much she took my first completed manuscript to a publisher/friend of hers who wanted to publish it. Wonder of wonders! It became my first book, which, by the way, won as a finalist in the Midwest Book Awards in 2016. The sequel is done and waiting for a new publisher. My last publisher died very unexpectedly.

I have continued to write. All of a sudden I am no longer a retired midwife, but have a whole new career. Then came the real shocker! Some young families in Romania bumbled across my book and started translating it into Romanian. Romania was not on my bucket list, and I doubt very much it is on yours, but this past July I flew to Romania for the book launch and sold and (signed) 70 books the first night after my talk. So many copies sold in the weeks after that that the Romanian version has gone back for a second printing. We are presently talking about publishing the sequel and 3 other books I have since written. They are offering to publish all of them in English and Romanian since it is cheaper to print them there than it is in the U.S.

Being at the birth of my grandson Theo was a highlight of the past three years and then again when our "adopted" Ethiopian daughter Anadi delivered Maraki eight months ago. This past year I have written short stories that are appearing in various magazines. I am currently editing the next manuscripts so they will be ready for the Romanians.

Although it wasn't on the bucket list, I got my first tattoo the year I turned 65. It celebrated fifty years of having survived sexual assault and my subsequent suicide attempts back when I was 14. It also covered up all of the residual scars I had carved into my arm. It is beautiful: a bumble bee on a poppy flower. Like the lilies of the field, God cares for us, even the most fragile of flowers, the poppy. The little bee reminds me of His most extraordinary creation, all packaged into such tiny insects. I no longer have to see those scars, but instead an exquisite reminder to be grateful.

So how have I rewritten my bucket list, anyway? I have knocked off India and Africa. If I am meant to I will go there. I don't have to scheme to make it happen. I still do not want an array of antiques or a Victorian mansion. I am actually quite intrigued with the idea of a tiny house on wheels, though I don't feel the need to plan for that quite yet.

Today my bucket list looks more like this:
1. Stay healthy. Eat properly. Exercise regularly.
3. Live mindfully. Walk slowly. Clear your mind often. Pray often.
4. Be grateful. Be peaceful. Listen to the world around you lest you miss a still small Voice.
5. Get rid of the superfluous technology. Check emails only 3 times a day.
6. Stop watching the news which only serves to depress me and in turn wind me up with useless ideas and images.
7. Take a pottery class.
8. Want less. Ask myself before buying anything, "Can I get to heaven without this?"
9. Learn Romanian.

*Aging with Grace: What the Nun Study Teaches Us About Leading Longer, Healthier, and More Meaningful Lives, Bantam, 2002. In 1986 Dr. David Snowdon, one of the world’s leading experts on Alzheimer’s disease, embarked on a revolutionary scientific study that would forever change the way we view aging—and ultimately living. Dubbed the “Nun Study” because it involves a unique population of 678 Catholic sisters, this remarkable long-term research project has made headlines worldwide with its provocative discoveries.
Yet Aging with Grace is more than a groundbreaking health and science book. It is the inspiring human story of these remarkable women—ranging in age from 74 to 106—whose dedication to serving others may help all of us live longer and healthier lives.







Saturday, August 10, 2019

The 2019 Birth Conference in Romania

excerpts from my talk in July in Romania

Since the 1990s, C-sections have more than tripled globally. C-sections now outnumber vaginal deliveries in parts of southeast Europe, Latin America and China. Even in poor countries, the rates can be extremely high. For example, in Bangladesh, less than 60 percent of births occur at a clinic, but when they do, about 65 percent of them are C-sections.
Such high rates are due mainly to an increase of elective C-sections, says the vice president of global programs at March of Dimes, a U.S. maternal and child health organization. "The procedure is done when it is not really necessary or indicated," she says. The rates can be even higher in private clinics. For example, in Brazil, 95 percent of births in private clinics are now C-sections.
For a mom, an elected C-section can raise the chance of death by at least 60 percent, and in some circumstances as much as 700 percent, several studies have reported. And it increases a woman's risk of life-threatening complications during childbirth. The risks rises even further in subsequent deliveries. 

That said, the last birth I attended only 7 months ago started out quite uneventful. The mother ate only organic food. She practiced yoga. She was in great shape, determined to have a natural birth. After laboring for 30 hours without medication, we realized that everything that could go wrong was going wrong. A rare sepsis infection was causing untold havoc internally, where we couldn't detect it--until then. Finally Anadi had a C-section. Had she been in her home country of Ethiopia and not in the U.S. I am sure we would have lost them both.
So what's driving the global rise of C-sections?
It's likely three factors working together: financial, legal and technical, says Holly Kennedy, a professor of midwifery at the Yale School of Nursing. She says, "As an obstetrician told me ... 'You're going to pay me more [to do a C-section], you're not going to sue me and I'll be done in a hour.'" 
I am convinced that the root cause of the problem originates with the fact that these 3rd world countries are enamored with what they perceive as superior medical care as seen and taught in the United States. America is not actually leading the world in health care. Here are some sobering facts:
The U.S. is a worse place for newborns than 68 other countries, including Egypt, Turkey and Peru, according to a report released last month by Save the Children. A million babies die every year globally on the same day they were born, including more than 11,000 American newborns. Cuba is doing better, much better.

America is 48th on the list of the safest countries for mothers to deliver in. Maternal death is greater in the U.S. than in Cuba, Hungary, Chili, Mexico, and Slovakia. America does not have this all figured out. 
So why am I here? 
First of all, my hope is that you don't look to the U.S. as a role model for going forward in the future. Birth has become big business at the expense of mothers, babies and families. To top it off, the current situation is affecting even those who claim to be pursuing more natural methods and family-centered birth.

A trained home birth midwife in Minnesota where I come from charges from $6,000 and up (that is about 5,339.) In New York city prices are even higher. Those fees are not paid or reimbursed by insurance companies. A doula cannot be hired for under $600 or 537 per birth in Minnesota. The usual rate is $1,000 or 896s. Middle and lower class families can no longer afford such luxuries. 

Birth is not a business. It is an honor to be called to do this work. It is a vocation, I believe. It doesn't matter what tools you have in your medical bag if you cannot bring love, compassion, humility and respect to each woman you serve.

That said, my hope is that you don't make the same mistakes that other countries have made as they go forward seeking answers for themselves. We have much to learn from these mistakes but we also have examples of what does work and why, and how.

How many of you have heard of Ina May Gaskin? She led the resurgence of midwifery in the U.S. and later in much of Europe during the 1970s. Year after year, decade after decade she and midwives like her, learned, often by trial and error, often from friendly doctors, and also by listening to women and their families. This was uncharted territory. They had to be brave, they had to be daring. They understood the huge responsibility this work carried and, I assure you, they went into it trembling. Prayer, humility and respect counted as much as education and knowledge. There is no easy fix here. I cannot teach you what it has taken me, or Ina May or Carolyn Flint or others years and years to learn, but we are all behind you. 

I do not presume to know all the political or logistical issues that face you here in Eastern Europe,  so I won't even try. I can only guess, so I will not assume to tell you what you need to do. But I will listen to your concerns and tell you everything I know. I won't have all the answers, but I might be able to tell you where to get the answers you seek. I don't have more lectures planned. I am hoping we can use what time we have to talk together.

So who am I, anyway?
I am a retired licensed midwife. I also trained as a doula, a lactation consultant, taught neonatal resuscitation, and a whole bunch of other certifications, but first I am a woman, a mother and a grandma, hoping to bring what I have learned to other women. I will share absolutely everything I know; it was freely given to me and I must pass it on to the next generation. I have never charged for my work or time. Occasionally an insurance company saw fit to pay me. Others offered what they could. 

I have 5 grown children, 8 grandchildren so far, and a wonderful husband who has put up with so much over the years. Ina May was with me when I had my twins 37 years ago. No one in Minnesota would agree to even let me try to deliver them naturally, even though I agreed to have them in a hospital, so we went to Tennessee to her midwifery school to have them. It was my children who actually wrote the rules at home as teenagers: They decided that we would have no more talk of bodily fluids at the dinner table from then on. I had assumed everyone wanted to hear all the details of the most recent birth when I got home. 

When I lost all but 30% of my hearing about 6 years ago, I had to retire. I could no longer hear well enough to attend births. I began writing my memories of the past 30 years, all true stories. I found an editor and a publisher and all of a sudden now I am writing books and giving seminars. 
 Left: The English version

I have written 3 books on birth so far. I am currently looking for a new publisher. My original publisher died quite unexpectedly last year. My first book is here in Romania to purchase during the conference. I am hoping the sequel will also be available to you soon, and my book on bonding soon after that.
To contact me write: ssskimchee@gmail.com
Stay tuned for more!
The Romanian translation here below:
And a HUGE thanks to all who made this possible!!!








Saturday, August 3, 2019

ROMANIA! Some thoughts....

ROMANIA! Some thoughts....
After spending time in Romania I am full of thoughts, mostly questions: where do we go from here?
I went to Romania on July 4th for the  book launch of the Romanian translation of my book, Ma Doula: A Story Tour of Birth. Many of the mothers I met were hoping I could help them have more of a say or just work toward having choices for their births. Having a doula as an advocate seemed to them a possible solution.

Image result for romanian babies imagesHere is the link to the English and Romanian translation of the talk I gave. https://www.youtube.com/watch?v=HOBxp-5ITSc


It didn't turn out to be that easy. Actually, there are multiple factors affecting women's choices in Eastern European countries. For one, the overthrow of the Socialist Republic of Romania only happened as recently as December, 1989. The recession in 2008 squashed any progress that had begun. A Communist government continued to hold court as they always had: controlling the people and the country. Not a whole lot has changed.

I am not sure why, but the hospitals continue to be run much as they had  been in the 1960s and '70s in the US. Routine procedures such as automatic episiotomys, birth in stirrups flat on your back, C-sections for any abnormality such as breech, cord around baby's neck, etc. But while all this is going on, women in Eastern Europe are educating themselves. They now have computers, Facebook, and YouTube. They are hearing about home birth and water births. They want to be a part of their births, not laughed at when they show up at a hospital in labor and mention that they would like to try a natural birth.

So I wonder. I  don't think doulas are the immediate answer here. Then we have another problem compounding the situation. There are doulas in Romania, Hungary, and neighboring countries who are not only teaching other women to be doulas, though they don't have certification to do so, are passing themselves off medically trained midwives, offering to do home births (for a price) and thus making a very bad name for all doulas everywhere, including the hospitals and entire medical community that we are hoping to work with to obtain those choices.

Some facts:
1. I do not advocate home birth at any cost. As a licensed midwife, I would not attend a home birth without hospital backup. I would not attend a home birth if the mom had any exhibiting risk factors as listed in my protocols.

2. As a certified birth doula, I would never offer to be the sole provider at a home birth. I would also not attend a home birth if the midwife was not licensed with an accredited agency.

3. I would never undermine a woman's relationship with the provider she has chosen and encourage her to contradict any of his/her advise. As a doula that would definitely be outside my scope of practice.

4. Doulas are trained ONLY in emotional and physical support during labor and birth. They do not have medical training, expertise, nor experience. They are not prepared to represent that they possess any of the latter. They are actually at grave risk of endangering life, both the mother's and the baby's.

Some of the ideas we came up with at the end of my time in Romania was that the pro-life organizers that invited me would try to connect with friendly doctors that we could present our concerns to in the near future. Hopefully they can spread the important issues at stake here.

My job will be to educate moms (via my blog and website*) and work toward making their needs heard.

It is not my intention to start a raving feminist movement in Romania; rather I believe women should have a say and be an active participant in their births. Statistics prove that when women are allowed to make choices, labor times are shorter and interventions are often avoided. Patient satisfaction soars--are you listening physicians?--and birth is returned to the family where it belongs.
 * coming soon.

Saturday, June 22, 2019

Blessed are the Poor, For They Shall Wait


Today it is Ruby’s Pantry. It will be my first time. Each food shelf has their own rules. Most have been born out of trial and error over the years of each one’s evolution. Ruby has deemed it best to let all its guests remain outside until her army of volunteers have assembled the food on tables in the gathering space of the church they are housed in once a month. That way they won’t have the hordes tripping over pallets and boxes before everything is set up. I learn later that by volunteering to be one of her worker bees you avoid the lines outside altogether and get first dibs at the groceries. Smooth move, Ruby.

It is 7 degrees Fahrenheit this morning in rural Minnesota, Isanti county to be exact, colder, about -22 F if you factor in the windchill. Most of the people waiting outside look like they are dressed for a day of Minnesota ice fishing in padded snow pants, boots, fur hats and leather gloves. There are several balaclava, and a few ushankathe Russian Soviet soldiers' winter army fur hats, making this look like a Siberian Soviet dispatchment. I even see some raccoon and fox tail lumberjack hats. The man in front of me points to one and informs me that the orange suit guy made his own hat, complete with fox ears standing up on top. A few have kids with them, dressed identically. Each holds two large produce boxes or laundry baskets for their haul today. I am totally unprepared to stand out here. I ask the man ahead of me in line how long do you typically wait to go in. He tells me it is usually about half an hour. I go into meditation mode: think about tropical islands, hear the waves, feel the sand between my toes and the sun on my face. It works for the next 5 minutes.

 I turn to see the line behind me has grown another several dozen people. At least 50 are ahead of me in line, exactly 53, but who is counting, and cars are still coming, circling the totally inadequate church parking lot. I try again to transport myself to Bali without much success.

I see many of the people smoking and wonder to myself if that warms them. I am tempted. Finally the doors open and as if this were Macy’s on Black Friday, the line attacks the vestibule. The queue snakes back and forth until about three quarters of its bulk is tightly packed in. A few stragglers are still outside.

 The first two people are admitted to the check-in table housed inside another space. Christian rock music roars from the room. Coffee machines and platters of cookies stand ready along one wall. Little tables and chairs are spread out in this second space. After one registers you are given a poker chip with your number on it and told to wait until you are called to go to door number three.

Each of us funnels in, stopping at the registration table and pay our $20. Some food pantries are free and some ask for donations to be able to supplement their costs. There are three tables with children’s books we are invited to choose from; one book for each child or grandchild in your household. And now we wait once more.

 I pull out my knitting. I am getting to be a pro at this. I have finished four major needlework projects in the past year made just during the waits like this one. I am on to a sweater this time, the wool collected from various local thrift stores. It is amazing what one can find in thrift stores and Goodwill. I call the yarn “rescued” like shelter dogs and cats. If I hadn’t found them, they would be consigned to a back shelf in a thrift store for the rest of their dusty, unlucky lives until they are similarly euthanized.

Today I am number 54. Five numbers are called at a time. There seems to be about a ten-minute gap between the calls on the megaphone. It really is a megaphone. I look around to find the caller. It is an older 70-ish man with a white pony tail in military fatigues. He announces that incoming people are entering on the right, near the free coffee and when he calls the numbers, we must exit through the left door. These instructions are repeated every time he calls the next numbers out.

The piped-in music stops and a woman gets on the P.A. system, inviting people to take books home and then announces a prayer. The decibels in the room lower slightly as she prays out loud, thanking the Lord for our blessings today and asking him to make us all grateful for all we are given.

I knit as I watch people coming and going. There are still people packing the vestibule, waiting to register and cars are still circling the parking lot. I ask one of the women at my table what number are they up to. She tells me 35. I can’t hear well when I am in a totally silent room even with my hearing aids. This place renders me completely deaf.

The food is all part of a larger network of grocery seconds and soon-to-be-expired goods from major food chains and warehouses throughout the state. The umbrella agency is called Second Harvest. From Wikipedia: clients, who told him that she regularly fed her family with discarded items from the grocery store's garbage bins. She told him that the food quality was fine, but that there should be a place where unwanted food could be stored and later accessed by people who needed it, similar to how banks store money.

Van Hengel began to actively solicit this unwanted food from grocery stores, local gardens, and nearby produce farms. His effort led to the creation of St. Mary's Food Bank Alliance in Phoenix, the nation's first food bank.

In 1975, St. Mary's was given a federal grant to assist in developing food banks across the nation. This effort was formally incorporated into a separate non-profit organization in 1976.

In 2001, America's Second Harvest merged with Foodchain, which was the nation's largest food-rescue organization at that time.

In 2005, Feeding America began using an internal market with an artificial currency called "shares" to more rationally allocate food. Currency is allocated based on the need, and then individual banks bid on which foods they want the most, based on local knowledge and ability to transport and store the food offered. Negative prices are possible, so banks could earn shares by picking up undesirable food. The previous centrally planned system had penalized banks for refusing any food offered, even if it was the wrong type to meet their needs, and this resulted in mis-allocations ("sending potatoes to Idaho"), food rotted away in places that didn't need it, and the wrong types of food being delivered (e.g. not matching hot dogs with hot dog buns).

In May 2007, it was featured on American Idol, and named as a charity in the Idol Gives Back charity program. September 2008, the organization name was changed to Feeding America.

In August 2009, Columbia Records announced that all U.S. royalties from Bob Dylan's album Christmas in the Heart would be donated to Feeding America, in perpetuity.

There has been a rise in the numbers suffering from hunger since the financial crisis of 2007–2008. In 2013, the USDA reported that about 49 million U.S. Americans were now facing the condition, about one in six of the population. In September, they launched Hunger Action Month, with events planned all over the nation, to raise awareness and get more U.S. Americans involved in helping out.

In 2015, Feeding America saved more than 2 billion pounds (907 metric tons) of food that would have been thrown away otherwise, but could instead be distributed to hungry families.

Feeding America works to educate the general public and keep them informed about hunger in America. The national office produces educational and research papers that spotlight aspects of hunger and provides information on hunger, poverty and the programs that serve vulnerable Americans. Feeding America's public policy staff works with legislators, conducting research, testifying at hearings and advocating for changes in public attitudes and laws that support Feeding America's network and those the organization serves.

In 2017, Feeding America announced a plan to increase the nutritional value of food from food banks. By 2023, the group plans to offer more fruits and vegetables, and provide training so they can distribute more produce, whole grains and lean proteins. (End of article.)

I look around the room. The thing is I don’t feel poor. I live in a tiny apartment with my husband. It is enough for us. I don’t need and have never owned a house. We eat three times a day. Sure I make plenty of soups when I have extra vegetables or leftovers, and I never buy processed foods like pizza or frozen dinners. To round out the food shelves’ offerings, I try to buy in bulk at chains like Costco. I portion the food when I get home, freezing what I will use later in the month. Aldi’s is my next go-to store. Their costs still hover around 40% less than Cub or Rainbow. I receive Social Security retirement benefits and we are both still working, though we are over 65. $12 an hour isn’t stellar, but we are definitely not malnourished. We fall under the poverty line for income but we make just slightly over the cutoff to be eligible for food stamps or the SNAP supplemental food program in Minnesota. We actually chose to keep our income limited after the Vietnam war, our way of protesting the money going toward the military, staunch pacifists that we are, still.

We have a car and heat and clean water. Much of the world does not. The homeless in Minnesota have far less. When we are given food, especially cakes, donuts, cookies and things I shouldn’t eat since I have reactive hypoglycemia, a form of diabetes, I store these groceries until I visit friends that still have kids at home and must be worse off than we are. Canned soup has more sodium than is allowed for my husband’s low salt diet. I have an empty nest now, but when we had 5 children at home and lived in Wisconsin, and my husband was laid off, I applied and received food stamps. I schemed my utmost to make them last for a month and just couldn't stretch them past the three-week mark. I finally called a social worker and asked for any suggestions. She read to me from a guidelines pamphlet: “A typical lunch for a teenage boy should be 1 cup of cooked macaroni and cheese and ½ an apple.” I was incredulous. Really? You've gotta be kidding me! But that’s what it suggested. What did people with less wherewithal than I do?

Finally my number is called after knitting for an hour. I am whisked through the proper left door and find myself now paired with a spry little senior citizen pushing a small flatbed cart. He grabs my 2 boxes and sprints behind the flatbed to the first station. He grabs a 10-pound bag of frozen diced potatoes and hurls it into the box, frisbee-style. I have to jog to keep up with him. He tells me I can refuse any items I don’t want but they would prefer we take it all and give it to friends. The only item I refuse is a 12-pack of canned Coca Cola. We run to accept frozen hamburger packages, sausages, chicken, cookies, pizzas, boxed cereals, cookies, breads, hamburger helper, turkey stuffing, more cookies, oatmeal, and flour, and we finally come to the end. Both of my boxes are overflowing. I am silently calculating whether, when I give away the non-nutrient-filled groceries, is the rest still worth my $20? I decide it is. I will be back next month…dressed more appropriately.

My boxes are tossed onto the sidewalk outside the church, the dolly is whisked back inside and I am given a plastic-coated number in exchange for my poker chip, while being instructed to go get my car. When I drive up, I put the car in park and pop the trunk. I see beefy volunteers tossing the boxes in people’s trunks and adding cases of gourmet ice cream on top of the boxes. The trunk is slammed shut and I am waved on through before I have a chance to say thank you.

Whew, what a trip!

The following Friday rolls around. It is Manna Market day! Not a relative of Ruby, but still part of Second Harvest. It all started rolling when The Gray Panthers as they were once called, the senior citizens who braved the heat and cold, rain and snow and lobbied until they succeeded and put at least a little kink into the works and managed to recycle some of the tons of food being destroyed around the country and put it back on the tables of people who could use it. Back in the 1970s and 80s the big food chains reasoned that if they gave any of it away, people who ate outdated food and got sick could sue them, but their bigger concern was that people would stop buying at their stores having gotten free handouts. We now know both are not true.

When our husbands were in college, friends of ours who had grown up in India with their missionary parents introduced up to dumpster diving. You go out behind the biggest groceries and check out their dumpsters. Everything that didn’t fit on the already over-stocked shelves got chucked out. All the produce that didn’t win the beauty contests that day got tossed. Cheese and yogurt that would reach their expiration dates in the coming days had to go. We found whole trays of kiwis still in their green tissue paper wrappers. There was cheese from Holland, gourmet yogurts, heads of broccoli and cauliflower still sprinkled with ice chips from the displays. We’d work the stores in St. Paul and our friends would hit the Minneapolis ones. At the end of the day we’d compare our loot and trade over a potluck supper, our babies rolling around on the floor: If they got tons of cauliflower and we had plantains, we’d swap. We got so good at it we figured out what times of the day the produce guys had their dates with the dumpsters and we’d intercept them. One place just rolled the carts out the back door and didn’t even bother to dump it into the bins, knowing we’d take it off their hands. A year after that a new trend emerged: grocery stores started spraying the dumpsters with pesticides to deter the homeless and people like us from accessing them. Cub Foods brought in a crusher shortly after that where all the food got smashed beyond recognition before it was pitched. I wrote a letter to National Public Radio protesting this new state of affairs and it actually got read by Ian North on All Things Considered. I don’t know if anyone up the food chain noticed.

So it is again Friday night. Manna Market has developed into a seamless machine. I am duly impressed. The doors of the gymnasium at the local school open promptly at 5 p.m. Not more that 5 people are waiting outside, though the line inside quickly fills out after that. We shuffle past theregistration table signing ourselves in on our cards. Each person is given a raffle-type ticket. A woman at the end of the table rips the tickets in half, giving back the number and dropping its twin into an oversize pretzel jar. We continue to shuffle—there are lots of old people ahead of us—making their way to the coffee machines. There is no fee here and again the snacks are free, only Manna Market encourages healthy eating. They have the standard donuts and cookies but there are also platters of veggies and dip and apples and other fruit. We shuffle on to a table where we park our coffee and snacks and settle in for the wait.

I think back to another food shelf I found years ago. They distributed food by weight: so many pounds per person in the family. It sounded fair. I would fill my box and wait my turn by the scales. If I was even one ounce over our limit, I would have to return one potato or a carrot or an apple until the needle on the scale registered the correct amount--exactly.

But back to Manna Market. I take out my knitting, hang my coat on the back of my chair and sit at one of the long tables to sip my coffee. All the tables will be filled by 6 p.m. when registration ends and the ticket stubs are brought up to the podium. First there are announcements. “Tonight is a raffle for a child’s bike that was donated.” Just what the ancient couple at my table needs. Then we are reminded that on our way back to our cars we are banned from using our cell phones. “The parking lot is not lit and there have been a few close calls where cars didn’t see people in the parking lot. Unattended children are not allowed to run around the school halls. Every 7th number can pick up a bag of Halloween candy from the table by the podium to take home.” Halloween was 6 months ago. She continues, “If you are still drinking your coffee, you cannot get in line when your number is called. You must dump it out in the bucket placed on the folding chair in front of the podium. A trash can is provided for your Styrofoam cup. Please make your choices quickly tonight to keep the line moving.”

Then one of the senior pastors from the local Lutheran church takes the mic and asks for quiet, which lasts about 45 seconds at the most. He gives a proper homily on gratitude that goes on for 10 minutes. Then he sings a bible song. No one chimes in, so it is essentially a solo performance, all 5 verses. Last week it was “Rock of Ages.” He ends with a prayer and reminds everyone there are blue sheets on the tables to write any prayer requests that will be brought to the staff at their next meeting.

Then the numbers are called. They are also posted on an overhead projector for us hard of hearing folks. The numbers are picked out of the pretzel jar and called one at a time slowly, like at a bingo game. There is a group of people with name tags behind the caller who meet each number and carry a box for you. It would definitely put a snag in the works should an old person drop a box full of groceries and need to be rescued. The caller continues to call numbers and people pack up their belongings and head for the other half of the gym. They are met by one of the box holders who write the name and number on the box. Half way through the maze is another group of box people who are ready to issue you another box with your name and number should your box be full already. Today half of the box people are girls wearing fake diamond-studded tiaras. One lady at my table informs me that it is some junior high girls’ club from the Lutheran school doing their community service hours.

Unlike Ruby’s Pantry, the numbers are not assigned as you register, but are picked randomly once everyone has registered. There are at least 30 tables and about 8 people at a table I figure. About 240 people or more. Some days my number has been called after waiting only 10 minutes at the tables. Other nights I wait over an hour and there are still others who must wait even longer. It is already after 7 p.m. this night. I came at 5. I knit on.

 There are definite cliques here. I start to notice clutches of friends at different tables each week, some holding places with their coats or boxes for others still coming. I am part of a clique, too. After several weeks I find myself surrounded by a deaf couple and a Native American woman. I have enjoyed the couple immensely, jumping at any chance to practice my sign language. A few years ago I learned that senior citizens could go to college for free in Minnesota and I promptly signed up for American Sign Language, ASL. After 2 semesters, I am feeling like I can get most conversations. The Native American lady came over each week to see the progress I was making on the needle point project I was working on at the time and finally just joins my table each week. She whips out her phone and soon we were comparing craft projects, grandchildren and similar hobbies.

The only unwelcome guest at our table is Hugo. The first time I came to Manna Market he sat next to me and came out with totally inappropriate sexual harassment jabs. I was completely unprepared for that. A pickup at a food shelf? You’ve gotta be kidding. Right?  I was quiet for a minute and then pulled out my deaf card, a sure turn-off. “I cannot hear you when you hunch over your phone like that. I am deaf and I need to see you when you talk to me.” It worked, of course. Then I promptly got up and reported the incident to one of the senior pastors who had absolutely no idea what to do. Finally I told the pastor that he needed to keep an eye on the guy and make sure he didn’t bother any other women, especially girls who wouldn’t know how to handle themselves. The next week he tried it again. I didn’t say anything but just got up and joined a group of women across the room. He hasn’t bothered me again since. I am ready, though. One wrong look, one word and I will SCREAM at him that I am calling the police and will do it, too.  He chose his victim poorly. A survivor of childhood trauma is not someone you want to fool with.

Finally my number is called. A school girl greets me with a huge smile, a box in her hand and a slightly crooked tiara on her head, her teeth covered in matching silver braces. The first table has a pile of gigantic whole salmon fillets. Salmon! I haven’t had salmon in years! I say yes and the girl grabs plastic-coated salmon. At the next table are three piles of various meats. I can pick one of the three I want, but not items from other piles then. I choose sausage links, a hoagie sandwich and hamburger meat. We move on, my box hardly standing still at any one table. Next I can pick any three vegetables: a bag of potatoes, a bag of onions, eggplants, hot peppers and cucumbers. I choose and those get dropped in the box. It continues to fill with fruit, produce, heads of lettuce, tomatoes, avacados, and bunches of cilantro, chard and beet greens. My first box gets spirited away while I am studying the next table of three choices. There are towers of kefir, hummus, tofu, tempe, yogurts, mango juice and several items I am clueless as to what they are. I choose one as my box is propelled down to the next table. Cereals, cake mixes, noodles, soups, chips, crackers, donuts, cookies, cakes, candy and breads complete the giveaways today. On my way out the door to the parking lot I pass another table with cosmetics and baby food. I am told to pick one of each. I pass. A pastor shakes my hand on the way out and wishes me a good night.

I drive the car up to the alley behind the school and line up between the orange cones funneling us up to the last tables now outdoors. A truck is stacked high with gallons of milk. A table holds cases of pop and another table is piled with dog and cat food, which I decline. My boxes are loaded into the trunk for me, the hatch slammed shut and I am off within seconds.

 As a writer, I am intrigued as I observe humanity in all its forms around me. I ponder the lives of all those people I saw tonight. I say a prayer for them as I drive home. I add a prayer for Hugo, too.