The Plague of Elders

I don’t mean that we Elders are the plague; I mean an awful lot of us Elders are afflicted with the same “plague.” It’s called There are lots of kinds of insomnia and there’s no cure for any of them.   There are a host of “remedies”, however, and I have tried all of them (see the end of this post), to no avail.  So had the author of a book I read several years ago, Insomniac, by Gayle Greene.  The book was published in 2008, and you would think there would have been some progress made since then with a treatment that works.  I contacted Greene last year to see if she ever found a way rid herself of insomnia  Basically, she said no; all she could do is schedule her life around it when she can, take sleep meds when she has no other choice, and keep looking for a solution.

Here’s a review from The Journal of Clinical Sleep Medicine Insomniac, by Gayle Greene, provides an interesting perspective and offers support to those with treatment resistant insomnia. It also offers a fresh perspective to readers who are also medical providers. The author defines insomnia in a way that sets the stage for the discussions that follow, as “Insomnia is when you can’t get the sleep you need to feel good, for no reason other than that you can’t.” By the end of the third chapter, the reader has a very clear understanding of the problems faced by insomniacs.

Greene’s book is both a memoir and a research paper. If you don’t read the book, read the whole review.  Here are some of the facts she shares in her book

A third of the American population suffers from insomnia enough to complain about it; in people over 65, estimates are as high as 60 percent.

⇒  Sleep has little part in medical curricula today, when doctors get an average of one or two hours’ instruction in sleep and sleep disorders.  The patient with a chronic complaint of insomnia will usually be referred to a psychiatrist.

  With all due respect, this is so ass-backwards, Greene states. The reason I want more sleep is so that I won’t feel depressed.  I need sleep not to avoid my life, but so that I can live it.

  This is what she learned from interviewing a range of sleep researchers and experts (all given citations in her book).  We do not know….the nature of the basic neural mechanisms underlying primary insomnia.  Nor do we know the identity of specific neurotransmitters that might be involved, or even whether specific neurotransmitter systems are involved.  The genetics of the disorder are also not known.

 The behavioral model (change your attitude, change your ways) has had, perhaps the unfortunate consequence of discouraging research into the neurobiology of the disorder.

 Insomnia is a subjective state..  There’s no blood test that it shows up on, no biopsy or x-ray that picks it up, and it doesn’t even show up on the EEG….. How much easier it is to tell us, as many clinics do, that we have “sleep disordered breathing,” or apnea.

  Exercise helps some people, but not all. “In order to make a difference, it has to intensive, enough to raise the core temperature (inside body temperature) to two degrees Fahrenheit for about twenty minutes, which happens with twenty to thirty minutes of aerobic exercise….. Since only people who are in shape can sustain vigorous exercise for twenty minutes or more, they’re the ones whose sleep is likely to be improved.

  Some billionaire who has a relative with terrible trouble sleeping…should endow a private foundation. There should be patient advocacy groups for insomnia, but they’ll need to stay independent of the pharmaceutical companies.

I wish every sleep doctor would read Greene’s book, which explores the various and complex reasons why folks have insomnia, including the gut-brain connections and the individual ways that insomnia manifests itself.  For example, I have the kind that prevents me from even falling asleep, from having my brain trigger what Greene calls the “sleep switch.”  I get relaxed and tired, but that last step evades me.

At the end of this month, I will have a sleep study.  I am going to give the doctors there a copy of this post.

Of all of the remedies I have tried for my insomnia,  I have to admit that I like the effect of medical marijuana (and I like the buzz I get before I fall asleep).  But trial and error has proven that I need sometimes 4 times the recommended dose to have any effect on my sleep.  That would cost me several hundred dollars a month, and I can’t afford that.  CBD helps with my daytime energy and mood, but has done nothing for my sleep issues.  And it’s not cheap, either.

I even bought some EMF fabric shield to cover my electronics at night. At my age (80), doctors will not give me prescription sleep meds.  Hell, I’m 80.  What’s it going to do, kill me?  Not sleeping is killing me and is depriving me of having any kind of satisfying life.

I no order of chronology or non-effectiveness, here is a list of what I have tried.
  Soto Bio-tuner; hypnosis; environmental changes; behavioral modification; yoga breathing; every pain and sleep-associated OTC on the market; a range of herbal, amino acids, and other supplements (sometimes combined); oxycodone (I’m running out of my old dental RX; I only take it when I can’t take the sleeplessness any more); binaural beats; relaxation, meditation, and music tapes; hot showers; massage (when I can afford it); decades of depression meds; tapping……..

Badly arthritic knees and a troublesome torn rotator cuff preclude me from doing the kinds of exercises that might tire me out enough to crash into sleep.

“Set your alarm and make sure you get up every morning even if you are tired,” they tell me.  Yeah, sure.  After finally falling asleep at 3 a.m. or so every night, I’m not about to get up at 9.  Maybe 11.  Sometimes noon or later.  When I finally sleep, I often sleep deeply and have great dreams.  But I miss half of the day.

There are still no advocacy groups for and by insomniacs to help spread the word and urge researcher and doctors to keep digging to discover the biological insomnia triggers and causes. There are plenty of support/forums for patients, but all those do is give us more places to complain.

The Eyes Have It

I crave the cosmic and the common,
refusing to sever half my soul.
I choose to grow in all directions:
to grow both fruit and edible root;
to glory in the ground and desire the sky;
to stretch roots across acres
and reach for the bedrock;
to rejoice in the changing shapes of the seasons.
I eschew the single minded vision.
I am all Eye.

I wrote this when I was in my mid-thirties, when life was an adventure. At almost 80, my life now is a different kind of adventure.

These are my eyes as of last week,  Something going on with with the right eye.  The eyes don’t have it any more.

And it’s more than the eyes.  The WordPress I used more than a decade ago is a different animal.  I’m on a very slow learning curve.  But they say that learning new things is good for the brain.  Maybe so, but it’s not always good for the stress..

As I get older, I need things to be more simple. Only nothing is simple these days.  Even though the “Ayes” had it in Washington and voted to impeach the Big Orange Turd, it’s still complicated, and it’s not going to be easy.

The Gaming Life

Everyone in my family plays computer/video games except me. For the most part, it’s a generational thing, and I’ve posted before about how I feel about it.

My 15 year old grandson plays with teens he’s met in real life and online, and their goal is to get a team together to play in a tournament. ESports. Yes,it’s a thing.

According to Marcus Clarke of computerplanet.co.uk, gaming is turning into a serious profession. eSports, video gaming competitions, are expected to become a billion-dollar industry by the year 2018, with millions of people visiting eSports events in person, and even more people streaming them online.

Recently, the International Olympic Committee (IOC) has stated that professional gamers spend as much time practicing as professional athletes spend in training. They also said that “the Summit agreed that ‘eSports’ are showing strong growth, especially within the youth demographic across different countries, and can provide a platform for engagement with the Olympic Movement.” Although for true fans eSports do not need to be compared with other sports to be considered valuable, it is certainly positive to see the world finally acknowledging the effort we put into video gaming.

 

I know that there’s no turning back the clock on computer games, and making them a way to accumulate big bucks only solidifies their place in our culture.

As I notice the time that my grandson plays gaming, however, I’m concerned about the sedentary lifestyle that serious gaming ensures. So, in our family, folks, including my grandson, wear a “Fitbit” type bracelet set to remind them to get up and move every so often.

It’s a strange new world that necessitates being reminded that the body needs a life as well as the brain. I can’t help remember an old Star Trek episode with aliens that had big brains and frail bodies.

It’s going to be interesting to watch my grandson and his teammates try to enter the world of eSports. He’s well aware that they will probably wipe out during the very first round, but a least there will be no broken bones or concussions. As with kids playing any sport, parents need to be aware and involved to make sure that their kids are playing it safely.

As for adults — hell, who wouldn’t want a chance to win over 2 million dollars sitting at a computer playing a game. They just better invest some of that in a Fitbit.

Death With Dignity

The case for “Death with Dignity”

I have a unique relationship with death. My father was an undertaker, and we lived in an apartment above his business. Contemplating death and dying — my own and others’ — has been a part of my life since childhood. I have sat vigil during the hours and days of the deaths of both of my parents. At the age of 77, I am closing in on my final years. I have no control over when or why I will die; but I am learning about the choices I have about “how”. What I have come to believe is that it doesn’t matter what one believes about an “after-life”; what is important is to live fully while embracing the fact that we, after all, are all “terminal.” Those individuals whose religious beliefs preclude them from participating in such a process can follow the dictates of their religions, but those of us who have different beliefs should be allowed to make our own choices.

The Commonwealth of Massachusetts is once again considering a Death with Dignity bill. Modeled on the Oregon law, H 1991, Compassionate Care for the Terminally Ill Act, would give terminally ill people more freedom, control, and peace of mind at the end of their lives. It is called “The End of Life Options Act”. I noticed that both the Northampton City Council and the Amherst Town Meeting passed resolutions in early November that called on the legislature to enact “The End of Life Options Act” (H1194 and S1225). I urge other municipalities to become familiar with the intent of this bill and take action to lend their support.

Seven out of 10 Americans who support the end-of-life option allowing qualified terminally ill people to end their lives through physician-prescribed medications support having a process to enable terminal patients to choose how they want to die. Such laws have enacted and practiced successfully in other states. I believe this bill has strong safeguards to ensure that no one – including people with disabilities, the frail elderly, and the low-income –could be coerced or pressured to end their lives rather than live longer or seek continued treatment for their terminal illness.

This is NOT assisted suicide, but rather an option to give people the right to choose to end their suffering (and that of their family) when faced with a prolonged and painful dying process.

I support this bill because I have sat by the beds of both parents as they suffered through their last days and hours of pain before death took them. When my father was in the last stages of pancreatic cancer in 1984, thankfully, we were able to use the services of Visiting Nurses (this was before Hospice was available) to give him drops of morphine while he lay in his bed, gasping for air and enduring a level of pain I can’t even imagine. It took him three days to finally die.

My mother, who died at the age of 94 in the “Comfort Care” unit of a hospital, hung on for a week with renal failure, until I finally insisted that the doctor increase her morphine dosage. A “Death with Dignity” Act would have spared both my parents painful deaths that, at that point, were inevitable anyway.

Please join me in contacting the co-chairs of the Joint Public Health Committee:  Sen. Jason Lewis (jason.lewis@masenate.gov, 617-722-1206) and Rep. Kate Hogan (kate.hogan@mahouse.gov, 617-722-2130). Urge them to pass H1194 before the deadline in early February.

For more of my musings about a better way to die, see my blog post: https://www.kalilily.net/2011/10/22/dealing-with-that-disturbing-d-word-being-a-midwife-to-the-dying/

The Dilemma of Choices

Because this blog focuses on the lives of American elder women in the last quarter of our lives I will not try to be overtly intersectional in specifically mentioning people of color, of poverty, with physical challenges, and who seek gender equality, because, in truth, “elder women in the last quarter of our lives” is intended to include all marginalized women in that age bracket. So, when I speak here, I speak from my own – somewhat privileged – experience. After all, I am white with a limited retirement income that I should be able to live within (with, granted, limited but livable choices).

Access to unlimited funds pretty much gives you unlimited choices because it eliminates one of the prime restrictions to making a choice: the money to pay for it and whatever consequences result. For 98% of us, that’s a crucial restriction, and we try to live within our means. That means we live with limited choices.

The Equal Rights Amendment did not get approved because it was not ratified by ¾ of the states. That Amendment to the Constitution would have benefited all kinds of people, but because of the options it would open for women, it remains controversial, with religious conservatives opposing it because of their pro-life stance. They continue to work toward limiting many women’s choices by demanding that we restrict ourselves to their choices.

While women, in total, make up more than half of American citizens, it is mostly men who are in power to make the laws that limit our choices. Take, for example the (thankfully unsuccessful) effort to repeal the Affordable Care Act. A wonderful recent piece by (of all things) the United Church of Christ blog covers this issue beautifully, ending with

All this new-found talk of “choices” is a mockery, a betrayal of Christian values, a scheme designed to lull the most vulnerable into supporting a health care law resulting in worse coverage for them, at greater personal expense, to the benefit of the wealthy who will continue to enjoy Cadillac care for less.

Again, this is an example of our predominantly male (and conservative) lawmakers giving us “choices” that do not really give us much choice.

Somewhere between oligarachic patriarchy and total anarchy there has to be a system that will minimize the limits of our lawful choices. “Lawful” is the key word, here. From wearing a hijab (or not) to getting an abortion (or not), these are choices we women should be able to lawfully make for ourselves. And the folks making our laws do not understand the meaning, the importance, and the social structure necessary in making choices that minimize negative personal consequences.

I am a democratic socialist, which means that I would like to see America evolve into a system of a modified form of socialism, achieved by a gradual transition by and under democratic political processes. There are responsibilities to its citizens that every democratic government has. The piece on this page written by Alok Pandey, a young man from India, says it better than anything else I came across.

He ends with this. And so will I.

If it isn’t for people, what good is it for anyway? Now when I say for people, it doesn’t necessarily means doling out freebies to poor and giving a carte blanche to the rich. Any method is good if it is consensual and is in the better interest of the people. A democratic government must seek the approval of the common masses and later should be ready to receive the feedback for its acts.

Too much or too little. Stop #6 on My Medical Marijuana Mystery Tour

While there are all kinds of articles online these days explaining how to make cannabutter and how to calculate dosage if you are going to make brownies or cookies, I like this one because it includes both descriptions as well as other helpful information.

I think that I have pretty much given up trying to make my own edibles because I can’t seem to get the dosage right. Of course. everyone is affected differently, so it’s trial and error. I also wish I could get the leaves rather than just the buds. Edibles baked with buds have a strong skunky flavor. I don’t remember that happening when you use the leaves.

So, if you are going to start trying to use Medical Marijuana for insomnia, I suggest starting with the caramel nuggets, and the most cost effective way and easiest way to use them is to cut each 50 mg nugget into four or five pieces and suck on one before you go to bed. That is what is working for me. Not all dispensaries carry a wide variety of ways to consume Medical Marijuana, although all seem to carry capsules and lozenges. I just didn’t want to swallow capsules.

Between 10 mg and 12.5 mg of Indica seems to be enough to help me fall asleep and be able to go back to sleep after I wake up to go to the bathroom. It works better than any prescription medication I have tried.

So, for now, this tour is taking a break, since this dose and product seems to be working for me. If I have any great subsequent revelations, I will post them here.

I do have to report that one night I accidentally took a double does (didn’t cut the nugget correctly) and really tripped out. The worse part was panicking because I was alone in my bedroom on the other side of the house from everyone else and felt very disoriented. Suppose I got a heart attack! I was afraid to get out of bed because I was dizzy and the walls were circling around me. I learned my lesson. All I want to do is be able to sleep; I guess I don’t like feeling that much out of control any more.

Final Note: Remember, there is a big difference between hemp oil, CBD oil, and oil made from Marijuana with THC, and this article explains it clearly. http://www.mintpressnews.com/hemp-oil-versus-cbd-oil-whats-the-difference/193962/

And this “Ultimate Guide to Cannabidiol” is a thorough examination of CBD, its history, and its benefits.

Marijuana’s Dynamic Duo: Stop #4 on my Medical Marijuana Mystery Tour

I’m on Facebook with Grannies for Grass, and they post frequently about research success in the use of medical marijuana to treat and minimize the symptoms of various illnesses, and that is where I find all kinds of good information.

For example, it’s important to understand that marijuana/cannabis is composed of many different cannabinoids, CBD and THC currently being of the most interest to the medical community.

And, this is the most informative article I’ve been able to find that clarifies the distinction between CBD and THC. Most important to remember is that cannabis/marijuana is a form of hemp, the form that contains THC as well as CBD. The other form of cannabis, which is the hemp plant that has hundreds of beneficial uses for humanity, contains CBD not NOT THC.

I am willing to bet that researchers will eventually find that it is the synergy between the CBD and THC that is really responsible for whatever cures happen.

CBD can be bought online via any number of sites. It is legal. It doesn’t have a psychoactive effect. It doesn’t taste great in its most potent and least expensive oil form, so it’s also available as other flavored products, such as tinctures — which then dilute the potency. The place from which I ordered my CBD oil has lower prices if you have a medical marijuana registration card, which I do. But it is available to everyone. Just have your credit card handy.

I bought the bad tasting CBD oil, since I am used to the taste of herbal extracts, which often taste like dirt. And it was the least expensive of the oils they have to offer. Mine came in a needle-less syringe marked to indicate ten doses. Each dose of the very thick oil (the consistency of Vaseline) is about the size of a baby pea. I don’t take it every day, and I don’t know if that makes a difference in terms of its purported ability to prevent and heal disease. I’m experimenting. It’s part of the Tour.

The medical marijuana I buy at the dispensary is the usual kind that contains THC, CBD, and all of the other cannabinoids. And that’s where this Tour really takes off.

Visiting the Medical Marijuana Dispensary #3

Just the other day, New York State approved the use of Medical Marijuana. Currently there is only one dispensary in New York State, but four others are scheduled to open soon. Massachusetts now has several dispensaries, and the closest to me is in Northampton, about 40 minutes away.

I have discovered that marijuana buds smell skunky. (I don’t remember that about the leaves, but my last connection with those was more than 20 years ago.) And so a vague haze of that smell permeates the dispensary and wafts out as I am buzzed through the door into the small, locked entrance foyer, where I have to show my official marijuana registration card and driver’s license. After the happy young man finds me on the computer and buzzes me farther in, I am greeted by a long line of fellow travelers awaiting their turns at the upscale glass and chrome counter. It looks kind of like a cosmetic store, with light wood paneling, recessed lighting, and glass display shelves featuring bags of edibles, oddly shaped paraphernalia, and samples of the assorted fuzzy-looking green buds. At least five “associates” are busy behind the counter, helping customers choose among the offerings, which include actual buds of miscellaneous strains, lozenges, chocolates, capsules, and lotions.

When my turn comes, my identification papers are checked again, and my legitimacy confirmed by the computer. “It’s my first time,” I tell the smiling, attractive middle-aged woman. That is her cue to ask me what ailments I am treating give and me a run-down of what is available that might help. She hands me a menu with descriptions and prices.

At first I am overwhelmed by “sticker shock.” $5 per lozenge. $50 for 1/8 oz of bud. $100 for 1/4 oz. There are also capsules (30 for $100), vaporizer cartridges ($25 each), and pre-rolled joints ($15 each). And you can only pay with cash, a debit card, or as a cash advance with a credit card. A prescription med would be a lot cheaper; unfortunately, the many I’ve tried either don’t work or have side effects to which I don’t want to subject myself.

I did my homework before I arrived, so I think I know what I want. There are two major strains of marijuana: indica and sativa. The former is “prescribed” to help with relaxation and sleep (also inflammation and pain). The latter is supposed to rev you up and help alleviate various physiological symptoms. The choice for my insomnia is obvious.

I also know that I don’t want to smoke it or vaporize it, so I go with the lozenges. 10 of them. $50. I will try them, but there is no way I can afford to buy enough to use them for a month of sleepless nights. Who knows if they will work, anyway.

(Stay tuned for my adventures in ingesting Medical Marijuana)

Shifting Gears: Medical Marijuana Mystery Tour #1

It’s been a while since I’ve posted anything here. Whatever I might rant about (corruption in politics, corporate mortal sins, our malfunctioning Gestapo) is being satisfactorily covered by my Facebook friends. My goal here has always been to deal with my own interests from, what I hoped was, unique perspectives. Whether explaining how to fix t-shirts so that you don’t have to wear a bra, or chronicling my mother’s five last days, I tried to share an authentic experience, told from my gut and my heart.

The challenge, lately, has been to find something I want to share with authenticity and guts and heart.

I will be 76 in another month or so, and my life as an older person is nothing like I imagined, in both good and bad ways.

One of the bad ways is that I have had really bad insomnia since the fall of 2014. I’ve tried just about everything available — prescriptions, OTC, herbal concoctions, TENS stimulation, exercise, meditation, visual imagery. Some worked for a while then stopped and some never worked at all.

When the state I live in, Massachusetts, legalized medical marijuana, I decided to give it a try. And also to blog, from my unique perspective as a “gray lady,” about this new adventure.

Soon I will begin “Gray Lady’s Medical Marijuana Mystery Tour.” As the Beatles sang, “The magical mystery tour is hoping to take you away. Hoping to take you away.”

I don’t know where it will take me. Will take us. Keep in mind that I’m not a very private person; I tend to put it all out there, and, as usual, you will probably learn more about me than you really want to know. Or not. What I hope is that my experiences will shed some light on how medical marijuana might enhance the lives of the elderly, whether to help us deal with insomnia, or pain and inflammation, or simply to help us just feel all-round better.

I will try to link to specific and factual information where appropriate. But mostly this is about me. Because, you know, it’s always about me.

Facing Finalities

I am going to Maine with two friends next week. While there, I am going to put to rest what remains of the guilt and sorrow and regret regarding my relationship with my mother.

The other day I went and spent some time with a good friend, and who is also a healer of souls carrying burdens of regret and guilt. Ed Tick began as my therapist and over these 30 years, that relationship blossomed into a friendship. I still reach out to him when I am troubled, and I visited him earlier this week in his new home not far from where I now live.

The result is that, next week, in Maine, as part of solidifying this new phase of my life on which I have embarked, I will do a ritual to let go of stuff that needs to be freed. I will build a fire, read this last missive to my mom, and then burn the paper. And then burn the triptych with her images — sending her history as a woman to soar with the gulls.

In preparation, I have set up a little altar to honor the good parts of my relationship with my mother, who died five years ago. I have her wedding ring that I put on a chain, and beads from the old red coral necklace (that has been a part of my matriarchal lineage for several generations) that I made into another necklace. I will wear these during the ritual, but, for now, they are a part of the altar. One of the few things I have left of hers is her old statue of Saint Anthony, the heretic converter. I’m sure that she prayed to him all of the time to convert this heretic. It didn’t work, but this icon,one of her favorites, has become mine. Maybe I like him because he holds a lily. And a child. And an open book. In my poetic heresy, I can interpret that any way I like.

altar

So, here is what I will read. And what I will burn. In place of prayer, I write. Here and wherever. Because I can.

If we become the mother
we wanted, our children
grow the roots and wings
of our lost early yearnings,
Our daughters become
the women we wish we were,
our sons the men we dreamed.
But too often we succumb
to the echo of her voice,
caught in the tangle
of a cord never cut.
There is no burying our mothers,
though we lay them deep.
They live in us one way or other,
whether we heed or not.

I am sorry, Mom, that I was not the daughter you wanted. I’m sorry that you were not the mother I wanted. I know that you tried your best to be the best kind of mother that you knew how to be – the kind your mother was. And I did my best to break away from that kind of suffocating tradition.

Yet, despite how I disappointed you over and over, you were always there for me when I needed you. Because that is what the mothers in our family do, And that is how the best parts of you still live on in me – in the kind of mother I have finally become.

I’m sorry that your last years were filled with such turmoil. I wish I had made better choices about how to give you the care you needed. I guess it was my turn to try my best. That was all either of us could ever do.

I’m sorry that your last days were not what you had always hoped they would be – to die at home, in your own bed, with family around you. I did the best I could, Mom. I tried to make sure that you didn’t suffer. Instead, I suffered for you, and that was OK because it meant that in those last days I kept you safe from enduring some unnecessary familial narcissistic tyranny.

There were good times and bad times during the last of the years that we lived together. I like remembering the time we had then to talk and laugh, to dance the polka, to sing all of the old songs, to share our memories of times that were good for us both. I liked that I was finally able to do things for you that you really appreciated, that made you feel good. Because I know there were many other times before that when I made you feel bad.

All of those years as I struggled to grow up, I never really saw you the way that others did. You would have been glad to hear what cousin Cristine wrote to me about you after you died. She said:

I remember the enigmatic smile she always wore, like the one in The Portrait. I never remember her upset or angry. She was always dressed impeccably and I remember her love for Ferragamo shoes. Odd what we remember from our past — the strange minute things that become permanent strong memories and the important things that fade away. I always remember the bathroom at your house on Nepperhan — the l-o-n-g narrow pink bathroom with a door at each end (how cool!) and how it always smelled of green Palmolive soap. I remember your mom cooking and running back and forth to the kitchen and not sitting down and enjoying her own meal.

Someday, I will write a poem about that “enigmatic smile,” which I now think was a biting back of your disappointment and frustration for the parts of your life that you were never allowed to make your own — but I was too wrapped up in my own selfish agendas to realize that.

I don’t know if you were aware of much during your last days, but there was a sea gull who spent most of each day screeching from and pacing on the roof outside the window of your hospital room. This is what I found out about sea gulls:
Sea Gulls are messengers from the gods, especially ancient Celtic deities. They bridge the gap between the living world and the spirit world. Opening yourself to their energy enables you to communicate with the other side. Sea Gull can also give you the ability to soar above your problems and see things from above. Seeing all the different viewpoints.

So tonight I am here at the ocean, communing with the messenger seagulls, sending this message into the wind, into the endless sky: I miss you, mom, I’m glad we had some good last days together, and I wish we had been able to be closer, sooner. I release what is not worth carrying, and I cherish what is left: the comfort that, at the end, we knew how much we loved each other.