Monday, December 28, 2009
Why We Need to Hire a Grip
Yeah, we need a fourth body... maybe a fifth... just so that we can have someone to hold lighting gear, haul lighting equipment and to help us find the best light. But we have just the three of us. We haven't had a family portrait taken since Carrie took some wonderful shots during our Mother's Day sale about 5 years ago. Needless to say, Aurora has grown a bit since then.
Sunday, December 27, 2009
Playing with light and shadow
Just a short posting tonight. Yesterday was spent relaxing and cleaning. Sounds simple enough, right? My hope was to go out and spend the morning shooting pictures in the amazing winter light. We were able to get a few good shots, but the ground was muddy instead of frozen and that made things more difficult. I also was ill prepared for how cold my fingers could get in just a few moments. In reading other photographer's blogs, they often comment on simple solutions for keeping one's fingers intact in cold weather. Today wasn't even close to fridgid... I think the high was nearly 37 degrees. Suffice to say that your fingers might not freeze to the metal legs of the tripod... but they SURE feel like they will. Ouch!
These few pictures were shot during our holiday festivities at Nancy's parent's home. Shot with ambient light (not much) and a single flash shot through a white umbrella. There is so much I am trying to learn about flash photography, and none of this is coming easy. Fun, sure. Easy, not so much.
Labels:
black and white,
chiaroscuro,
family,
flash photography,
holiday
Saturday, December 26, 2009
Christmas Fun
We celebrated our holidays this year with Nancy's parents in Corning. Somewhere between the most sinful melange of bread pudding and french toast (yes, this was one dish!)... and the turkey that appeared mid-afternoon, we were joined by the Abbey family. This brought the fun level right over the top. What a splendid way to spend Christmas.
Friday, December 25, 2009
Wednesday, December 23, 2009
Last Firing Before the Holidays
Today Hannah and I unloaded the last glaze firing for this year. It was loaded with the last of the orders from summer and fall. There is something so wonderful about knowing that the orders that have been waiting are finally done. The best part is that tomorrow I can start boxing things up to ship after the holidays.
This firing was for the first time, filled more with Hannah's work than with mine. As we unloaded and cleaned pots, it was really fun to see all the new ideas that Hannah has been pursuing for the past few months while I have been incapacitated. She has put a ton of effort into keeping the shelves stocked with mugs, sorbet bowls and plates. Her teapots and her butter dishes stole the show. The decoration is finally starting to meld with the form and the overall effect is awesome.
Labels:
apprentices,
Christmas,
finished pots,
glazed pots,
Hannah,
holiday
Monday, December 21, 2009
Holiday Party at Mary Ellen's
We don't do a lot of holiday partying in our family. Most years we just spend the major days with Nancy's family in Corning, then come home and relax. This year is different. There is so much more to celebrate. Mary Ellen and her family were there for me, Nancy and Aurora through the roughest spot in life anyone could go through. Her friends became our family. The day after Thanksgiving we all got together for a leftover feast. This past weekend, we all gathered for a pre-holiday gnosh. It was so wonderful to see everyone healthy, upright and happy. Certainly made my holidays much more festive!
Thursday, December 17, 2009
More filters, more fun
Wednesday, December 16, 2009
By The Light of The Night
Night falls and with it, energy sags. In this waning miasma Nancy and I find ourselves most every night. I have always wanted to capture the sensation of that glow coming off the computer and how it feels like your energy is being drawn from you bodily. Nancy was a willing accomplice tonight,... for her it was window shopping for shoes. For me, it was getting a chance to play with gelling lights. Too much fun for us both.
Certainly better than what we were doing an hour earlier.... wound care.
Yesterday I went back into the hospital to have those wonderful sutures (otherwise known as shark trolling line) removed from my abdominal wall. Mind you, these were buried about two inches INSIDE me. So yeah, they dug down, through blistered, abscessing wounds, found the blue plastic suture material, and pulled three feet of continuous line out of my body.
That was the good news. Tonight we found out that our local hospital can't bandage worth a damn. They used dry gauze which in a deep wound acts like velcro to fresh tissue. Hurts like a sum-bitch when time comes to yank it out. Seeing as how we have to do this daily, it is infinitely easier and healthier to have moistened gauze. Saline is your friend. These idiots basically made me blow through four massive clots tonight. NOT fun.
Now, an hour later, I can finally relax a bit. Nancy has cleaned me up, repacked my wounds, and bandaged me back up in such a way so that tomorrow night we wont be pulling out chunks of my furriness as we change dressings again. I like my fuzziness best when it stays on the skin-side of the bandage and tape!
Labels:
Alex hospital,
color,
flash photography,
Nancy,
wound
Tuesday, December 15, 2009
Writing from bed
I am thinking about getting ready for bed, now that Nancy has re-bandaged my stomach. The hospital folks did their usual lame assed job. But the good part is that despite the surgical procedure, I am in good spirits and tomorrows I will be able to go out and walk to my heart's content. That will make my day much more fun. Might even be able to get in some light PT. For now, it is bedtime.
Going Back In
This morning I head back to the hospital. Yeah, another procedure is required. Apparently my body is rejecting the intra-abdominal stitches. I have had these nasty blisters running down my mid-line incision since being in the ICU. I assumed they would heal pretty quick. It has been over 12 weeks since the surgery, so we should have beautifully healed over skin... but I don't. Last week, these blisters decided to give me a little surprise. Every other night, I would wake up in the middle of the night, feeling something cold and wet all around my torso and arms. I guess the blisters were tired of playing nice. Blood and puss everywhere. Yuck. Ruined my sleep and did a number on the sheets to boot.
I finally saw the surgeon a week ago, and he was very cool about things. Said he would open one of them up and just remove the sutures. After jabbing me with lidocaine over a dozen times, he started rooting around. Forty minutes later, he gave up. Said he needed better light, different tools and I needed better drugs. So we rescheduled for today. In the hospital. Fun eh?
So why begin this blog posting with a picture of Aurora? Because I woke up early today to see her off. She leaves for the bus to school really early. I needed a chance to make sure she knew I loved her. She is still wicked upset and worried. Having seen me with dozens of tubes coming out of every natural orifice (and many new orifices too) in the ICU, she was scared this would be more of the same. No one who saw me then wants me back in the hospital. But, I have to go. It's time to get these sutures out so I can finish healing these open wounds.
Once I can safely say the wounds are filled in and healed, I can get cranking on rebuilding my abdominal muscles. After that, I can start throwing pots again... I hope.
Saturday, December 12, 2009
Watching Saturday Race By
Here we are, staring at the last hours of Saturday whooshing past us. Nancy is wicked sick with a sinus infection (the same one I am starting to recover from)... but unable to sleep because her head is so congested. Instead, we stare into our respective computer screens, pounding away missives to an audience that hopefully is in better health.
This evening we watched Julie and Julia. I guess based on my love for food, blogging and the previews and cast, I thought this would be an awesome movie. It wasn't. I love watching Amy Adams, but her character was a nut. Streep will always be one of the best actresses to grace the screen... but as Child, she was too good. She genuinely made it hard to watch. There is a reason no one watches two hours of Julia Child cooking... you'd go bonkers having to listen to that voice. The best scene in the movie was the video of Dan Akroyd imitating Julia Child. That was funny. Overall, it lacked any major interest. The cinematography was pretty lame. Considering that most food bloggers acknowledge that good food deserves great images, this film was anything but sensual when it came to the food. Instead I was left feeling like I had watched two narcissistic women on the verge of a nervous breakdown. I wasn't the least bit hungry.
Compare that to Chocolat with Juliette Binoche and Johnny Depp... now THAT was a film that a foodie can get into. The sensuality, the colors, the textures and how it all echoed the human condition. That was compelling! Sorry Julia/Julie. In the end, they both may have mastered French cooking, but they never learned about food.
This evening we watched Julie and Julia. I guess based on my love for food, blogging and the previews and cast, I thought this would be an awesome movie. It wasn't. I love watching Amy Adams, but her character was a nut. Streep will always be one of the best actresses to grace the screen... but as Child, she was too good. She genuinely made it hard to watch. There is a reason no one watches two hours of Julia Child cooking... you'd go bonkers having to listen to that voice. The best scene in the movie was the video of Dan Akroyd imitating Julia Child. That was funny. Overall, it lacked any major interest. The cinematography was pretty lame. Considering that most food bloggers acknowledge that good food deserves great images, this film was anything but sensual when it came to the food. Instead I was left feeling like I had watched two narcissistic women on the verge of a nervous breakdown. I wasn't the least bit hungry.
Compare that to Chocolat with Juliette Binoche and Johnny Depp... now THAT was a film that a foodie can get into. The sensuality, the colors, the textures and how it all echoed the human condition. That was compelling! Sorry Julia/Julie. In the end, they both may have mastered French cooking, but they never learned about food.
Tuesday, December 8, 2009
Coma Dreams #1
Yeah, I know. Not everyone wants to know what it was like while I was in the coma.... so if you don't, now's the perfect time to hit your browser's back button.
Today as I was felled by this nasty head cold, something hit me from out of the blue. Not sure what triggered it. Within seconds though, I was reliving an odd aspect of one of my coma dreams.
As I was prepping for the first "swallow" test, they feed you applesauce mixed with a seriously blue food dye. Apparently the dye shows up as a leak if you are unable to swallow properly. Considering I had been ventilated for over a month and still had a trach-tube in... swallowing was rough.
The setting: I am sitting in my recliner, waiting for the speech pathologist to administer the test. Meanwhile: All around me I can hear voices, but something is amiss. The voices slowly become more sharp and distinct. I am definitely not hearing English. Not sure yet what though.
A nurse aid comes into the room and says something I can't quite make out. Then proceeds to tell me that I should expect some changes in hospital staffing. Then goes back to speaking Slavic.
Bewildered, I look around the room, obviously unable to get up or really move around. As I survey the equipment, all of the instructions are either in Spanish or in Russian. What on earth? So I asked the nuse aid: her response was that it was simply cheaper to provide care this way.
With the first couple gulps of the swallow test down, I knew I had to urinate. A lot. I was sure that it was all going to come out blue and leak everywhere. Mind you, I was actually sporting a catheter at the time, and was semi-conscious. Not enough though. Weird stuff happens on all the drugs they had me on.
I probed further. She replied that now that the hospital was incorperating with multinational corporations, they had to maximize profitability and the easiest way to do that was to start with folks who would work for less. She explained that she and her family lived near the hospital. For some of my care, she would be bringing me to her home. Apparently her mother was an RN and was moonlighting as well.
Moonlighting or bootlegging depending on how you look at it. What they would do is when a patient could be moved out of the ICU they would take them home instead of the post-operative care unit. There, family members would administer to the patient's needs. In addition, they would collect unused medical supplies that would otherwise be thrown away at the end of the shift. They repackaged them and sold them on the black market to folks who couldn't afford proper medical care.
So as I lived with this family, my mother and I got to know them pretty well. Apparently the husband of the family had injured his back severely in a firefighting accident. All of the kids were nearly finished with school and two of them were planning to work for the hospital. They all worked as "outreach" for the community. They provided care, medical supplies and serious help to folks who would never otherwise be able to afford a hospital stay.
The dream ends with me laying on the dinner table having their youngest sons who were still in high school, drawing blood for a workup. They kept telling me we needed to hurry because it was almost dinner time and they needed to set the table. But I shouldn't rush, because that would skew the results. Their care was impeccable. They were skilled and compassionate. It sort of made me wonder what it would be like to live in a world like this. I am sure this is common place in other parts of the world.
Today as I was felled by this nasty head cold, something hit me from out of the blue. Not sure what triggered it. Within seconds though, I was reliving an odd aspect of one of my coma dreams.
As I was prepping for the first "swallow" test, they feed you applesauce mixed with a seriously blue food dye. Apparently the dye shows up as a leak if you are unable to swallow properly. Considering I had been ventilated for over a month and still had a trach-tube in... swallowing was rough.
The setting: I am sitting in my recliner, waiting for the speech pathologist to administer the test. Meanwhile: All around me I can hear voices, but something is amiss. The voices slowly become more sharp and distinct. I am definitely not hearing English. Not sure yet what though.
A nurse aid comes into the room and says something I can't quite make out. Then proceeds to tell me that I should expect some changes in hospital staffing. Then goes back to speaking Slavic.
Bewildered, I look around the room, obviously unable to get up or really move around. As I survey the equipment, all of the instructions are either in Spanish or in Russian. What on earth? So I asked the nuse aid: her response was that it was simply cheaper to provide care this way.
With the first couple gulps of the swallow test down, I knew I had to urinate. A lot. I was sure that it was all going to come out blue and leak everywhere. Mind you, I was actually sporting a catheter at the time, and was semi-conscious. Not enough though. Weird stuff happens on all the drugs they had me on.
I probed further. She replied that now that the hospital was incorperating with multinational corporations, they had to maximize profitability and the easiest way to do that was to start with folks who would work for less. She explained that she and her family lived near the hospital. For some of my care, she would be bringing me to her home. Apparently her mother was an RN and was moonlighting as well.
Moonlighting or bootlegging depending on how you look at it. What they would do is when a patient could be moved out of the ICU they would take them home instead of the post-operative care unit. There, family members would administer to the patient's needs. In addition, they would collect unused medical supplies that would otherwise be thrown away at the end of the shift. They repackaged them and sold them on the black market to folks who couldn't afford proper medical care.
So as I lived with this family, my mother and I got to know them pretty well. Apparently the husband of the family had injured his back severely in a firefighting accident. All of the kids were nearly finished with school and two of them were planning to work for the hospital. They all worked as "outreach" for the community. They provided care, medical supplies and serious help to folks who would never otherwise be able to afford a hospital stay.
The dream ends with me laying on the dinner table having their youngest sons who were still in high school, drawing blood for a workup. They kept telling me we needed to hurry because it was almost dinner time and they needed to set the table. But I shouldn't rush, because that would skew the results. Their care was impeccable. They were skilled and compassionate. It sort of made me wonder what it would be like to live in a world like this. I am sure this is common place in other parts of the world.
Sunday, December 6, 2009
How to know you're HOT
It has been four weeks since I left the hospital. During my six week stay in the ICU, I ran pretty constant fevers. You know you're hot when the hospital staff has to search high and low to find a fan big enough to cool your body down. Apparently I was always so hot that the fan became MY fan. It went everywhere I went. When I was moved to the short-stay surgical ward after the ICU, the fan came along too. When they came to bring me down to the rehab unit, they brought my fan too. The funny thing though... I never needed it again after arriving on the rehab floor.
It is hard to explain how devastating it was for me to be in the ICU. I am not even sure now how much that time has affected my life. Being confined to four walls for a month will make anyone stir-crazy. Add to that the incessant bells and alarms going off all hours of the day and night, and you get what is affectionately known as ICU Syndrome. When I was taken outdoors one day in October, the sky was brilliant blue, nice breeze and the trees were aflame with color. Just feeling the sun on my face and the wind on my skin was like being re-born. I felt alive and safe for the first time in what seemed like forever.
I have to come to realize that I spend a great deal of time out-of-doors each day. Whether that time is spent walking, hiking, running errands, gardening, moving stuff from the house to the studio.... all of it adds up to lots of time observing my surroundings. The sounds of birds, the pine trees overhead creaking or even the cars driving down our road, all are part of my daily life. Being cut off from those sounds drove me crazy. Even now, if the house is too quiet I have to open a window or door so I can hear things outside. Fortunately, I am able to find a way to be outside everyday now. I walk around the yard, meander to the studio and occasionally drive into town. Each time I head out the door, I smile, knowing that this is right. This is home. I am safe and sound in our little house. It is good to be back.
Thursday, December 3, 2009
Pass me the Passy-Muir!
Just kidding. I don't want to wear this thing ever again (if I can avoid it!). But in the ICU, I had to be intubated and placed on a respirator... fun fun fun. It took over a week of being in the ICU (with me trying, in my unconscious state, to tear out the tubes) before they finally gave me a tracheostomy. In other words, they cut a slot into my neck and slipped this device in. Nice... it allowed for air to get in without me having something in my mouth. It was stitched to my neck. On the inside of the device was a balloon, which was inflated so that it would effectively seal the trachea from that point down... ie, no mouth air. It also meant I couldn't speak. Then again, I was unconscious for over four weeks with not much to say. Once I began to waken from this chemically induced coma, my biggest frustration was being unable to speak.
How do you tell a nurse that you are overheating with piles of blankets on you when you can't speak? I couldn't even lift a hand to get someone's attention. There wasn't enough strength in my body to even press the nurse call-button.
On top of it all, I had pneumonia. Yeah, imagine hacking and coughing up loads of mucus, for days on end. Now imagine choking on a straw in your throat at the same time. Add to that, the inability to tell anyone that you're going out of your mind in fear of drowning in your own mucus.
Each night, Nancy or my mom would sit by my bed, siphoning the mucus clear of my trach-tube. None of us slept for three days and three nights. It was awful.
And then as the worst of the coughing began to subside one of the doctors decided it was safe enough to try out a Passy-Muir device on me. So what is this thing of which I speak? It is a cap, with a one-way valve that allows someone with a trach-tube to speak without having to put their hand (or in my case, someone else's hand) over the tube so air comes out your mouth.
With one small press of this cap onto my trach-tube, I could suddenly tell the world everything.
And my first sentence in over a month? "What do you want me to say?"
Yep. Oh, yeah. And we all cried.
From that point out nurses knew NOT to pile me with blankets, NOT to touch my toes (they had to stay uncovered or I would overheat!), and to make sure the fan stayed on ALL the time. I had a voice and I made it heard.
Here, in all it's glory, is my Passy-Muir. Invented by David A. Muir in 1990 who became ventilator dependent after becoming a quadriplegic. Thank you Mr. Muir. Your invention became a ray of hope for me. If I could communicate, I could start to change things. And things did change.
Now imagine how the nursing staff felt when in the rehab unit, I asked to keep my trach-tube and Passy-muir after it was taken out. It came out two days before Halloween. In PT we made jokes about blowing all this hot air out of a slot in my neck. We thought it might be fun to get some duck calls and tape them on to my neck so when I walked and breathed out it would quack. We never did it, but it was a funny image.
Now I have a trach-tube and passy-muir sitting on my kitchen table, waiting for me to do something with it. It is something between a trophy and an artifact. I fought mighty hard to be well enough to get it; I'm not ready to throw it away just yet.
Labels:
Alex hospital,
ICU,
Passy-muir,
talking,
tracheostomy
Wednesday, December 2, 2009
Close to the Edge
My wife did an exemplary job of trying to keep everyone abreast of my condition while I was in the hospital ICU. Even after I regained conciousness after a month in a coma, she still continued to write about how things improved. For all intents and purposes, reading about one's self and having no memory of the events is like reading fiction. This week I began reading the medical reports from my ordeal. I made it twenty five pages into a 295 page document... and then I lost it. What little I know about medicine I learned from my family's medical chaos, from my time working as a videographer for the trauma unit in Miami, and from watching House M.D. Definitely doesn't qualify me to even play a doctor on tv. But I know, when reading, what bad looks like.
Allow me to give you a brief synopsis of what I read and why it hit me so strongly.
These things were all going on simultaneously:
1. Septic shock (BAD news!)
2. anastomotic leak with probable fecal spillage (my guts were leaking internally)
3. Lactic acidosis
4. Sinus tachycardia (sinus rhythm at a rate greater than 100 beats per minute )
5. Leukocytosis (an increase in the number of white blood cells in the circulating blood that occurs as in some infections)
6. coagulopathy (problem with blood coagulating)
7. hyperkalemia (the presence of an abnormally high concentration of potassium in the blood)
8. hyperbilirubinemia (the presence of an excess of bilirubin in the blood)
9. evolving renal insufficiency
10. urinary tract infection
11. fever
All of these spelled disaster. Two surgeries later, I would have experienced two lavages (where your organs are pulled away and washed -inside and out), and would remain unconcious and wired/hosed to every machine in the ICU for a month. Eventually pneumonia would keep me from getting the tracheostomy (surgical formation of an opening into the trachea through the neck especially to allow the passage of air). Every time I came close to conciousness I would try and pull out the tubes in my throat and nose. Not cool. All the while I ran wicked fevers; soaking through multiple changes of bedsheets everyday!
Somehow, Nancy kept fighting. Friends kept visiting. I was unconscious and unaware... but apparently my body knew. When my vital signs were really bad, Nancy would sing to me... and the vitals would normalize almost immediately.
Everyone keeps telling me that my fortitude and strength are what got me through this ordeal. I don't think so. I think I was very nearly gone. My bet is that the huge tug on this side of the universe kept pulling me back. Once I regained consciousness each day was measured by my time with Nancy, visits from family and friends .... and of course the beginnings of PT. I don't know if I will ever be able to thank folks like Lloyd (my PT) for all they did to give me hope. When you can't even begin to move your fingers or your hand... hope seems very far away. Take away the ability to talk and hope is an abyss.
But we did it. Somehow, I pulled through. Reading these medical records is hard emotionally. On some level, they happened to someone else. In as much as they happened to my body, I wasn't there. My recovery now is based on where I WANT to be, not on what they did to me. Each time I go out for my mile walk, I touch the stop sign at the end of our block... just to remind me that I am on this side... this is real! I can touch things again, I can move, I can walk. After two months of ICU syndrome, I no longer hear the nurses' call bells at night. Sleep is comforting, albeit still painful. Soon this pain will fade and pass. My hope is to then re-read this mountain of medical reports. It would be nice to be able to box this ordeal and know my life had moved past it.
Allow me to give you a brief synopsis of what I read and why it hit me so strongly.
These things were all going on simultaneously:
1. Septic shock (BAD news!)
2. anastomotic leak with probable fecal spillage (my guts were leaking internally)
3. Lactic acidosis
4. Sinus tachycardia (sinus rhythm at a rate greater than 100 beats per minute )
5. Leukocytosis (an increase in the number of white blood cells in the circulating blood that occurs as in some infections)
6. coagulopathy (problem with blood coagulating)
7. hyperkalemia (the presence of an abnormally high concentration of potassium in the blood)
8. hyperbilirubinemia (the presence of an excess of bilirubin in the blood)
9. evolving renal insufficiency
10. urinary tract infection
11. fever
All of these spelled disaster. Two surgeries later, I would have experienced two lavages (where your organs are pulled away and washed -inside and out), and would remain unconcious and wired/hosed to every machine in the ICU for a month. Eventually pneumonia would keep me from getting the tracheostomy (surgical formation of an opening into the trachea through the neck especially to allow the passage of air). Every time I came close to conciousness I would try and pull out the tubes in my throat and nose. Not cool. All the while I ran wicked fevers; soaking through multiple changes of bedsheets everyday!
Somehow, Nancy kept fighting. Friends kept visiting. I was unconscious and unaware... but apparently my body knew. When my vital signs were really bad, Nancy would sing to me... and the vitals would normalize almost immediately.
Everyone keeps telling me that my fortitude and strength are what got me through this ordeal. I don't think so. I think I was very nearly gone. My bet is that the huge tug on this side of the universe kept pulling me back. Once I regained consciousness each day was measured by my time with Nancy, visits from family and friends .... and of course the beginnings of PT. I don't know if I will ever be able to thank folks like Lloyd (my PT) for all they did to give me hope. When you can't even begin to move your fingers or your hand... hope seems very far away. Take away the ability to talk and hope is an abyss.
But we did it. Somehow, I pulled through. Reading these medical records is hard emotionally. On some level, they happened to someone else. In as much as they happened to my body, I wasn't there. My recovery now is based on where I WANT to be, not on what they did to me. Each time I go out for my mile walk, I touch the stop sign at the end of our block... just to remind me that I am on this side... this is real! I can touch things again, I can move, I can walk. After two months of ICU syndrome, I no longer hear the nurses' call bells at night. Sleep is comforting, albeit still painful. Soon this pain will fade and pass. My hope is to then re-read this mountain of medical reports. It would be nice to be able to box this ordeal and know my life had moved past it.
Subscribe to:
Posts (Atom)