Tag: Death

Grief and Loss, Pandemic Prose, Physical Fitness, Mental Health and Growing Older

Prozac in the Time Of Pandemic

Dear Reader:

I woke today to find, with a quick look at my social media feed, that it’s Mental Health Awareness Week . How appropriate, I thought as I swallowed one 20mg Prozac with my morning coffee. That’s not the first time I started my day with a little help, but it’s the first time in nearly a year.

I’ve had an on again/off again relationship with Prozac for twenty years. I filled my first prescription a month after learning of my younger brother‘s terminal cancer diagnosis. At the time, I didn’t have the luxury of pondering the merits of antidepressants. It was necessary.

I was a stay at home mom with a four year old daughter. I had to function reasonably well so that I could take care of my girl. Children can really help to clarify things in life. Decisions become easy.

I did express concern and ask my doctor about how I’d get off the medication when the time came. But, it’s the type of question that you ask even though you know there isn’t a good answer. My brother was given three months to live. He lived for a year. I needed both counseling and pharmaceutical help during that year and in the year that followed.

I don’t remember when I made the initial decision to stop taking the meds, but l remember other moments through the years when I either resumed use or discontinued use. Life goes on and there are challenges along the way. I have consistently believed that I should take the meds only if I need them. I experiment.  If life seems stable, I try to live without Prozac. Sometimes it works.

I have learned that, for me, a regular schedule of very intense activity can affect me positively both physically and mentally. During the time that I lived in Carmel and worked with Jonathan at Zone Fitness, I was able to remain drug-free.

Upon my arrival in Sacramento, I slipped into depression and had to resume my meds. In November, we celebrated one year in our new home. I was beginning to make friends with my new city and I felt better. I had established a new fitness program. My daughter was set to graduate in December with a job in…wait…can you believe it…Sacramento. Life was good.

That brings me to three days ago when I started to cry a lot. The week had brought a few minor interpersonal irritations, news of the death of one of my daughter’s favorite teachers and an injury to my right leg. Plus, there’s this pandemic! Maybe, I was feeling exactly as I should?

I paused and pulled out the old familiar tool box.

  1. Am I reluctant to leave the house?
  2. Has my personal grooming ritual fallen off?
  3. Am I schlepping around in sweats and napping often?
  4. Am I retreating from social life?

Yes! Yes! Yes!

The threat of COVID-19 has changed so many things including the criteria for determining if I need medication. But, I didn’t need to take a deep dive to find my answer. I knew the answer at a gut level. And, I am blessed to live with a man who has known me since I was 16 years old. I had only to ask the question: do I seem off?

I am a woman who has everything: a loving spouse, a wonderful daughter, and a beautiful home. I also have a mental illness. I am depressed.

In the past when I’ve written about this topic, people have commented: “Oh, how brave of you!” I’m still not sure how to respond when I hear that. I can, of course, see that the comment is meant to be a compliment. But, it makes me sad, nonetheless. Why I wonder is mental health still a taboo subject? If I said I was suffering from high blood pressure (I’m not), you might say, “Oh, I’m sorry.” But, I don’t think you’d call me brave for revealing it.

I don’t think I’m “brave.” But, the fact that there are people who do, keeps me coming back to the subject. I feel compelled to share my story if it helps anyone. Today, I decided that I need to take care of myself. Adding Prozac back into my daily routine is one way to do that.

Best,

Michele

Creativity, Eat, Drink and Be Merry

Aunt Bessie’s Tablecloth!

Aunt Bessie's Tablecloth!

Dear Reader:

Let me introduce you to Amy. She’s wearing her Aunt Bessie’s tablecloth, and she’s so happy that I noticed just how magnificent it is!

I had an amazing sandwich at a tiny little neighborhood restaurant in Sacramento last week. Despite how very hungry I was when I walked through the door, the first thing I noticed was that dress and the woman who wore it so joyfully.

I never hesitate to compliment people…why should I…that’s my thinking. I see it…I like it…I say it! And, sometimes I am rewarded with a great story, as I was on this day.

“Excuse me,” I said as she hurriedly passed me. “But, I must tell you that I adore your dress.”

“Oh, it was once my aunt’s Christmas tablecloth and I inherited it!”

Well, that’s not something you hear everyday, I thought. But it helped explain the great happiness that I felt emanating from this woman. Her aunt saved the bright red, hand-embroidered cloth for just a single day each year. Her niece remembers it fondly.

“I wasn’t sure what to do with it,” she continued. “Then one day my friend offered to turn it into a dress so that I could enjoy it all year long.”

Now that’s a story to love! I’m still smiling!

Michele

Grief and Loss

The Shape of Grief

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the shape of grief

when you lose someone who means the world to you
your world changes
never returning to its former shape

it appears to others unchanged
so you keep the secret

until you can’t
an anniversary
a place, a flower or a song
suddenly it spills out

you must tell the world
you are not the same
you have not been the same
you will never be the same

the illusion is just that
the pretense grows heavy
it requires too much energy to maintain
so you shed it

and discover others who know your secret
keep it themselves
believing they will not be understood
believing they too are alone
knowing time does not heal
time changes
what was already changed

all will be touched
eventually
shaped by love
altered by grief

Dear Reader:

The poem was inspired by thoughts of my brother and by my friends, in and out of the blogging world, who have shared their secrets with me: Franziska, Tamara, Sleepless Dave, Jon, Esmeralda, Jen, Gallivanta and Pam. 

Michele

Grief and Loss, Physical Fitness, Mental Health and Growing Older

I Am a Prozac Queen

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Plutchik’s Wheel of Emotions

Dear Reader:

I feel anger and contentment, sorrow and joy, anxiety and enthusiasm, along with fear and courage… sometimes all in the same day! And, yet, I am a “Fluoxetine Queen” as defined by the Urban Dictionary.

Fluoxetine Queen

An enthusiastic and outgoing advocate of the drug Fluoxetine, more commonly known as Prozac, especially one who has used the drug and experienced its benefits or one who is dependant on it to function normally.

There are some who will be surprised to hear that, despite pharmacological intervention, I feel every spoke in the Wheel of Emotions. Indeed I once consulted an orthopedic surgeon regarding my ankle.

He perused my paperwork and inquired, “I see you’re on Prozac…so you’re happy all the time, huh?”

He was an older doctor and I believe he needed to retire or take a continuing education course. I never saw him again and I never had the surgery he recommended. Maybe you can tell by my tone that his question miraculously caused me to feel something other than happiness. I was irritated, annoyed and downright angry.

Early in my blogging career, I wrote a post entitled In Praise of Prozac. I’m not ashamed to say that I’ve been depressed and that I was brave enough to get treatment. I want to be part of the movement that seeks to destigmatize issues relating to mental health. And, I’d like to reach out and offer compassion and hope to anyone who is suffering.

I decided to re-visit the topic after reading the New York Times front page story  Many People Taking Antidepressants Discover They Cannot Quit. I had an immediate reaction to the story. (I’m not the only one; less than two weeks after its publication there are over 2,000 reader responses.) You see, I am one of the “many…who cannot quit.”

When I filled my first prescription for 20mg of Prozac, I was a stay-at-home mom with a four-year-old daughter. My 35-year-old brother had been diagnosed with terminal cancer the month before. My husband’s job was demanding and my support system consisted of only a few close friends.

Matt and I had been very close and it wasn’t surprising that I felt overwhelmed and heartbroken. But, it was clear that I was not simply sad. I struggled to get out of bed and into the shower every morning. I was irritable. Each day seemed to bring physical aches and pains, despite the fact that I was not sick or injured. I remember most clearly a feeling of heaviness, exhaustion and emptiness.

I might have continued to suffer had it not been for my beautiful daughter. After I had a panic attack while at the bookstore with her, I knew I needed to do something. I had to take care of myself so I could take care of my child. I set up an appointment with a counselor and saw my general practitioner.

The only question I remember asking my doctor, “How does one stop taking antidepressants?!”

I do not remember his answer.

But, I didn’t re-visit that question for nearly a year because Prozac improved the quality of my life and relationships. It did not deaden my emotions; it made them manageable again. I continued to feel sad, but that emotion did not paralyze me. I often felt tired, but I did not feel utterly depleted. I no longer felt like a detached viewer of my own life. I felt  present again. The random, unexplainable aches and pains disappeared and with them several other prescriptions. And the fear was gone; I could leave the house without worrying that I’d experience another panic attack. I felt equipped to handle the responsibilities of motherhood.

I was not successful the first time I tried to taper down my antidepressant, nor the second time…nor the third. Seventeen years after my first dosage, Prozac still makes it possible for me to live my best life. Why does a strong, content, fulfilled woman need an antidepressant? I don’t know and neither does my doctor.

If you’ve done your research, as I have, you’ve probably seen depression defined as a “chemical imbalance” or a “serotonin deficiency.” But, that’s an oversimplification. Experts really don’t know what causes depression or how it affects the brain, nor do they understand exactly how antidepressants improve the symptoms.

But, this is what I know:

  1. Prozac and counseling helped me face a huge loss.
  2. Prozac continues to help me.
  3. I have no regrets.

Antidepressants will continue to grab headlines and much of the press will continue to be alarming. That’s just the way it works. You are not likely to see Antidepressants Save Millions of Lives Every Year printed across the front page of any newspaper. And yet, I personally believe that is the bigger story.

Prozac hit the market a mere 12 years before I needed it. So, in a very real way, I am a guinea pig. I can live with that. After all, I am a Fluoxetine Queen!

Michele 

Grief and Loss, Physical Fitness, Mental Health and Growing Older

Beauty in the Ordinary

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Dear Reader:

There are so many ways to feel happy. Sometimes, a moment can bring on a smile that lasts for days.

I showed up at the gym for cardio today, as usual. I was feeling exhilarated and energized at the 35 minute mark on the arc when a young man climbed on the machine next to me. I had met him the week before. It was impossible for me to forget his name.

I removed my ear buds and said hello. I was feeling so good that I couldn’t resist teasing him.

“Oh, Matthew, that was just a talk test,” I said.

The look of terror in his eyes was amusing, but he was too sweet to torture. I’m into humor, not cruelty, so I quickly assured him that I was fine. I imagined him imagining me collapsing near his feet and requiring immediate emergency care!

Five minutes later my workout was done and he peaked at the numbers displayed on the screen of my machine.

“Wow, you just did 40 minutes on that thing,” he exclaimed.

Not long ago, I felt self-conscious when I found myself sweating next to a young, fit person. But, today I was impressed …with myself. I knew his praise was genuine. That was a gift, but it wasn’t the only one he presented to me, without knowing it.

If you know me or have read my posts, you are aware that I lost someone very special to me in 2001. He was 36 at the time; I was 40. I will live the rest of my life looking for him… and finding him.  My brother, Matthew, seems to appear in the face of any young man who is kind to me…and also happens to call himself Matthew.

Look for the beautiful, in the ordinary, and you’ll find it!

Michele

Politics

Goosebumps and Tears

 

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Dear Reader:

I was riveted by CNN’s coverage of the March For Our Lives in Washington. My reaction was both physical and emotional. With goosebumps on my arms and tears rolling down my cheeks, I watched survivors speak with eloquence and passion.

Their anger and pain seemed to burst from the screen and fill the room. And yet, the intensity of feeling was tempered by resolve, strength and determination. These “kids” who were thrust into the spotlight, in a way they wouldn’t wish for and couldn’t foresee, are leading a revolution. They are not going to be cowered by the NRA or politicians or POTUS or anyone who might disagree with them.

As I watched, I remembered how powerful I felt as a teenager.  I was idealistic and opinionated and I wanted to affect change with my words. I was optimistic solely because I was young and strong, just as the Parkland students are. They are not plagued by doubt. Their youth allows them to believe that if the cause is just and the effort great, they will succeed.

After the news switched from the march to politics, I turned off the t.v. and felt surprised that my overwhelming feeling was one of hope.

Here’s to the kids!

Michele

Family, Friends and Neighbors, Grief and Loss

Happy Birthday, Brother

Birthdays, siblings, brother, death, death of brother

Dear Reader:

He would be 54 years old  today, but instead he rests under a marker that reads: “Do not stand at my grave and weep. I am not here—I do not sleep.”

Today,  I remember my brother. Perhaps, you, too, have a special birthday you remember but no longer celebrate in the conventional fashion. Or, maybe your mind turns to a loved one on the anniversary of his death. Loss will touch us all and I have found that it can be such a comfort to share the experience with others. I hope you will not mind if I share my story with you on this day that can not help but move me.

During his 36 years of life,  my brother, Matt Lehman, occupied a large place in my heart and in the imaginations of family and friends. He was handsome, stylish and charming. (Think Matt Dillon, seriously!) He was a salesman and a collector. He’d been born with long eyelashes and affecting eyes. And bat his eyelashes, he did! The gesture was even more disarming when it was combined with his ready smile. He radiated enthusiasm, as if for him the entire world and everything in it was exciting. He was a joy to be around, and so everyone wanted to be his friend.

Matt was the youngest of three siblings. He was like the exclamation point after his two sisters. And, he certainly was not meant to be the first to die. But, as he told me one day after a visit to the cancer treatment center “how can I ask ‘why me’ when there’s a 12 year old child sitting next to me waiting for his chemo treatment?”

There was never any hope given other than the  possibility that treatment could extend his life a bit. It was in July 2000 that I received his phone call telling me it was cancer, “not a good kind,” and the doctors had estimated he had four months left. In the end, he lived a full year after his diagnosis. He made the most of that year, generously sharing the time he had left with those who loved him.

I vividly remember an exchange with Matt during one of our last visits. His faith was unshakable; he was going “home.” I did not share his strong beliefs, but I found myself explaining that I couldn’t go with him just then. I needed to stay and raise my 4-year-old daughter. My baby brother was going somewhere and some part of me felt that I should go with him or instead of him. Or maybe, some part of me wondered how I could bear my grief.

For a long time after Matt’s death, I felt sure that every ring of the phone would bring news of illness or death. And, of course, just below the surface was the fear that came with being brutally reminded of my own mortality. But, I have celebrated the milestones of 40 and 50 remembering that my brother never did. I am grateful for the years I’ve been given to test my commitment to my husband (shaken but never destroyed!) and to watch my daughter grow into an adult I admire, respect and love.

And, so  with tears in my eyes and a big smile on my face, I remember my dear brother today but not beside the headstone that bears his name.  For he is not there. He lives with me in my heart and I know in the hearts of many others.

I welcome you to share your remembrances of those you have loved and lost.

Love,

*Shell

* When he was young, Matt could not manage to say Michele and so I was Shell to him for as long as he lived.

 

Dogs, Grief and Loss

Dia De Los Muertos

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My altar
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Catrina draped in my grandmother’s rosary beads
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A lamp made by my brother

Dear Reader:

Day of the Dead (Dia de los Muertos) is a misunderstood holiday celebrated in Mexico, and in my home, on November 2. Given the timing of the holiday and the macabre imagery and costumes, people assume it’s simply “Mexican Halloween.” But, the meaning of this holiday is so much greater.

In the year 2000, my 35-year-old brother was diagnosed with an incurable form of cancer and I did what I always do when presented with a major life challenge; I researched and read about the topic of death. Books have always been my saviors. During the toughest year of my life, as I watched Matt die, the accumulated wisdom of others brought me comfort. It was during this time that I learned about Day of the Dead.

The holiday takes its origins from the Aztecs and was celebrated around the end of summer like Halloween. With the arrival of Spanish conquistadors, Catholic influence led to the combination of the holiday with All Saints’ and All Souls’ Day. Dia De Los  Muertos follows the same two-day structure. In the Catholic tradition, All Saints’ Day calls us to reflect upon how we should live; All Souls’ Day is a celebration of those we’ve loved and lost. In the Mexican tradition, November 1 is the day to remember the loss of children and November 2 is the day to remember adults who have left us. The most important aspect of the holiday is the belief that the spirits of the dead join the living for the celebration.

In preparation for the party, altars are created that contain remembrances and offerings to our departed loved ones. (Sugar skulls are often included for children and alcohol for adults. You may have noticed KAH tequila in my display.) I love arranging my tribute each year and I love talking about my altar to visitors in my home. Those who are represented are gone but not forgotten; that truism is comforting to me.

I remember:

  • My grandmother, Rose Carmella Bartucci. She had a big heart and memories of her make me smile. My daughter never knew her, but her middle name and nickname (Rosebud) are in her honor.
  • My brother, Matt. I miss you so much.
  • My father-in-law Jim. My husband inherited all your best traits and my daughter adored you.
  • Bart, my faithful four-legged companion. The pink shed isn’t quite the same without you.

During the time that my brother was sick and following his death, I often felt very alone in my grief. It’s not easy or natural to speak of death and dying in our culture, but I believe very strongly that we should. What better way to start a conversation than by bringing the departed back into your living room?

I’ll end this now as it’s time to toast my loved ones.

Cheers,

Michele

Dogs, Grief and Loss, Quotations

There’s an Empty Bed in the Pink Shed

 

Max the dachshund

“My little dog—a heartbeat at my feet.”― Edith Wharton

Dear Reader:

I’m going to miss the little heartbeat at my feet. It’s been three days since Bart died in my arms, but I’m still looking for him. He followed me everywhere, and there’s no substitute for that. (Heaven forbid my husband should start following me around!) We have three dogs, but Bart was mine. He needed me.

Oh my goodness, how Bart loved it when he’d hear me grab the keys to my shed from the kitchen drawer. He’d run straight to the back door and wait to descend the stairs down to the pink shed. He had a well-worn bed  (he liked to chew on the corners of it) under my desk and he’d patiently wait until the writing part of my day was over. Then I’d put him in my lap while I read or enjoyed a cup of tea in my cozy chair. Bart is featured in two of my of my most popular posts:  See The Nose?! and My Dog’s Favorite Books.

I’m so glad to have had the absolute adoration of my cuddly Bart for nine years!

Michele

Grief and Loss

On Acceptance

“All I’m saying is, kindness don’t have no boundaries.”

Kathryn Stockett, The Help

Dear Reader:

Yesterday I felt a memory. It hurt almost as much as it did seventeen years ago. I was discussing religion with a friend and it brought to mind something I’m sure I wanted to forget. How many words does it take to describe how horrible it feels to be judged? Not many.  And yet choosing the words is so difficult for me, even now.

I’ll start at the beginning. My father converted to Catholicism shortly after marrying my mother, and my siblings and I were raised Catholic. But when my brother, Matt, met his wife he joined the congregation at her non-denominational Christian church, and his new church family came to supplant his birth family. It was not difficult to understand why:  we were raised in the “classic” dysfunctional family. You know the kind; we looked so good from the outside that no one could believe it when we fell apart.

I understood my brother’s desire to believe and to belong. I had moved away with my husband and started a family and a life separate from the drama that was a painful part of my past. I was mothering a newborn as Matt was beginning his married life 300 miles away. We had always been close, but for three years we saw each other only occasionally. We exchanged birthday greetings and the obligatory holiday wishes through the mail.

Then my brother called to tell me he’d been diagnosed with cancer and had only a few months to live. My husband, young daughter and I arrived on his doorstep the next day.  We were met at the door by a man I did not know. He introduced himself as Bruce, a close friend and the pastor of Matt’s church. We stepped into the small living room of Matt’s ranch house to find him comfortably settled in his favorite chair with his dog in his lap. He looked great; he was smiling. After the three of us exchanged hugs, Bruce suggested that my husband and daughter take the dog into the yard for a romp. Matt grabbed a ball and joined them, and Bruce and I were left alone. That’s when I discovered that Bruce was serving as a sort of gatekeeper to determine who could spend time with my brother. He was applying a religious test to anyone who didn’t identify as an evangelical or born-again Christian.

He asked me to describe my relationship with God. I told him I was Catholic. He asked if I had acknowledged that I was a sinner and asked the Lord for forgiveness.

“Of course,  I’m a sinner. Aren’t we all?” I answered.

He pressed on:  Did I understand that my brother would be going “home” and could I support him in this journey? I felt like crying, but I was steel. I told him that Matt and I had always been close and that I loved him dearly. I assured him again that I considered myself a Christian. Bruce left shortly after our conversation and we enjoyed the day with Matt. My “Catholic credentials” had been deemed satisfactory.

I will never forget how it felt to be held in judgement. I thought I had, but yesterday the immensity of it came back to me with full force. There were people who felt they had the moral authority to decide whether I should be allowed to spend time with my own dying brother. Well, I confess, I judge them as well,  and I find them to be lacking in compassion and grace. My opinion of evangelical Christians was formed by that single heartbreaking experience.

Since then, I’ve been careful when I interact with people who I know to be Christians. But for some reason, this week, after all these years, I opened up to the wife of one of my husband’s closest friends, a woman with whom I’ve also grown close.  I’d been careful to avoid talk of religion with her knowing that she attends a Christian church, but when we found ourselves alone our conversation turned to things we hold dear, such as family. She mentioned her faith and I found the courage to share my memory with her. She disavowed the isolationist position of the members of my brother’s church. While she shared some of their beliefs, she could not exclude us as her friends. I was not steel; I felt tears come to my eyes.

Making judgements is part of being human, but it can be humbling to reflect on the moments you’ve been judged. It can be a reminder to work to consciously choose acceptance of others over rejection.

When I woke up this morning I found myself thinking of the waitress at a restaurant I frequent.  She’s Mexican, and one day she told me that since our president came along she’s been concerned about what people think of her. Are they wondering whether she’s  legal? Did they think she should go back to Mexico? I thought of the day I was discussing colleges with a friend and she said that she and her daughter were researching the rising incidence of anti-Semitism on campuses out of concern for her daughter’s safety. I reflected on a discussion I’d just had with a young man who lost Facebook friends when he announced his engagement to another man. Suddenly my mind was filled with the faces of those who had been judged and hurt.

Perhaps we should all regularly call to mind those times in our lives when we’ve been deemed unworthy so that we may  be less likely to inflict that kind of pain on our neighbors.

Michele