Tuesday, August 03, 2010

How I cope

Thanks for your comments to my last post. I appreciate the helpful advice. Even tho' I crabbed a bit in my last post, I do take steps to cope.

Here's how I've finally learned to cope with caregiving after 15 years of it:
  • I have a great therapist who has experience with dementia & end of life

  • I take antidepressants

  • I get away for one or two days a month to get a break

  • I get away for a week every two or three months for work and I add additional days when I can

  • I sit in a quiet house and just breath when H is sleeping

  • I have a job that is not too demanding (e.g., I am under employed) that I generally like

  • I have (a lot of) help around the house: cleaning, yard work, and for H: social worker, visiting RN & volunteers, the occasional doctor, caregivers for when I travel

  • I try to simplify everything to reduce stress; for example, bills are on auto-pay (mostly), I use a meal service (thescramble.com) for meal planning & recipes, getting someone else to set up H's meds

  • I get regular exercise, both at the gym and in the garden

  • I eat healthy foods with only the occasional pig-out on ice cream

  • I no longer drink except when travelling

  • I am ruthless about prioritizing my time in this order: me, H, everything else

  • I try not to go to every Dr. appointment with H

  • I piss & moan on this blog, which helps me tremendously

  • Bit by bit, I continue to reduce my expectations for H and my interactions with him

  • I've realized that H is pretty demented and that he won't change; all I can do is change my reaction and approach

  • I have learned to listen first to H, then pause, then think before I speak (he often doesn't mean what he says, I found out)

  • I don't expect H to get better anymore

  • I take one day a week, usually Saturday, and just do whatever I want, whenever I can

  • I fantasize about what life will be like for me after H is gone

  • I'm plotting to complete my bucket list whether H is here or not

  • I fancy myself a single man, even tho' I'm caring for my long-time partner

  • I accept that this situation is horrible for all parties and that H is certainly hurting too

  • I remind myself that I make the choice to be the caregiver for H...no one "makes" me

Now, this isn't about thriving, but about surviving. Thriving is another thing entirely and I'll write about what I think I need to do there some other time.

Friday, July 30, 2010

Thoughtful, loving alternative

Well, I've been thinking about some comments to my prior post (Snippets Again), specifically about choice when dealing with death and grief. And I thank my gentle readers for their comments.

Here's the deal: yes, it is a choice to wallow in pain and grief, to a degree.

But, the reality is that if I am fully present with H, as I try to be, then I am sad...both for him and for me. Simple.

Sure there are gifts -- important ones that I have blogged about here -- from this experience, but after 14 years of this, I am worn out from the loss and burden. I have great hope for me and my life, but not for H.

Last night, H was telling me that he was terrified that someone was going to show up at our door, arrest him for having AIDS, and take him to a concentration camp to be executed, but not until they delighted in his withdrawal from his pain meds. He was sweating, red faced, almost crying...abject, visceral fear.

I calmed him down, but this type of thing is a frequent event at our house these days.

How can I not be sad and not be affected every single f*!@ing day when the love of my life is delusional and terrified, can't walk hardly at all...even with a cane, and can no longer make a sandwich?

I would love to hear how to not feel sad and "chin up" or "man up" under these circumstances.

It is one thing to judge and lecture, it is entirely another to present a coherent, thoughtful, loving alternative.

Tuesday, July 13, 2010

Snippets again

Oh, the drama of it all.
H has always liked reality television, such as Wife Swap, Nanny 911, etc. But now, he's completely focused on RTV (Reality TV), especially those shows that include yelling, screaming, fist fights, police takedowns, acerbic meter maids, crashes, etc. The noisier the better.

Grieving in the dark.
When the house is quiet at night, when H and all the animals have gone to bed, that's when I feel the saddest. Mostly, this is when I can finally hear myself think (see above). It's only then that I feel really, really sad for H and all that he has lost. And I feel sad that our lives have ended up where they are. I wish that there was some way to grieve, get it over with, and just be done with this mess…I have been grieving for over 15 years now. Ironically, I would have grieved less if he had just died 15 years ago.

As much as I grieve in the dark, it also comes up for me at odd times...in the grocery store, at the dentist (?), driving to work. I'm sad because I see what H has lost...pretty much everything at this point. And I'm sad that I can't help him, really. Hell, I'm sad that I can't help myself. And I'm sad that he's afraid...I am too.

Stuck in the past.
As I stumble into the future (which keeps arriving before I'm ready), H is rooted firmly in the past. He focuses on his anger towards his parents, getting arrested 20 year ago for minor possession, on how our relationship has never been what he wanted, how he was disadvantaged in school, how he had strokes as a child…. What can you say to someone who is living anywhere but here and now? Meet them where they are? Tell them to get over it? Just nod and listen?

Letting go.
H and I are moving farther and farther apart...at least I feel that way more and more. We spend less time talking than ever before...some of that is that H doesn't know what to say; I don't either. What can I share with him that he'd understand? What can he share with me that is relevant? He often sits in the office with his back to the blaring TV, staring at his computer screen. We are hardly even in the same room in the house anymore...a just metaphor for our life together.

Thursday, June 24, 2010

Can a marriage die even when the loved one doesn't?

Amazing, helpful, and sad to read this.

Tuesday, June 22, 2010

The bane of proximity

Both H and I struggled upon my return. Once I came back, had a good night's sleep, and I needed to do something for H (make dinner), all of those resentments, fatigue...the burden came rushing back...less than 24 hours after getting home.

Yea, holding H in my arms was wonderful, but after the initial elation, it was the same ole, same ole feelings of "I don't want to be here. I am so done with this. Etc."

And H was so looking forward to my return, but of course, he, like me, had unrealistic expectations for what it would be like once I got home. It didn't turn out the way he wanted and so he's been in a major funk for over a week now.

It is the old cliché that absence makes the heart grow fonder. That is indeed the case, but I wish that proximity didn't undo that fondness so quickly.

Last night, I was sitting at the dinner table with H and he blurts out, "Can't I just die?"

I said, "I'm not certain what to say, honey."

"You don't have to say anything. I'm just tired of not being wanted...even S(his friend with benefits) doesn't want me anymore." He's crying now. And yet again, I'm stuck between wanting to comfort him and boundaries that I know need to be in place for my sanity.

And it pains me to see him in pain. In spite of it all, I don’t want him to experience pain, but that is completely unrealistic as all he has had for the past 15 years are losses.

I wonder what his experience really is. Most recently, he was expressing alarm to his nurse and me about the oil spill in the Gulf, volcanoes, floods, & earthquakes all make it likely that he won't be able to get his medications when he needs them.

In any case, the up-close view was just as I left it. I blissfully forgot the burden while I was away and the love for him took center stage, where it belongs. Another good reason for placement.

Friday, June 11, 2010

The beauty of distance

I've been in NYC the past week for work and have enjoyed being here in the city with my work crew. Must say, tho', that I'm far too old for the combination of working on the road, the time zone change, and the all-night party that the city can be. Yea, and a few hangovers as well.

As in the past, when I was getting near to leaving on this trip, I couldn't wait to leave and get a break. And now, as has also been true prior, I'm looking forward to seeing H again. Odd to go from being angry at H for all the exhaustion and burden to missing him and looking forward to seeing him again.

Regardless of all that has happened, the fondness and love for H is still there.

I find the emotional whiplash exhausting...an exhausting way of being that has dogged me for over a decade now. The gifts - compassion, being able to set clear boundaries and keep to them, patience, respect for my own mortality (and his), and belief in the survival of love in spite of overwhelming odds - are great, but so is the cost.

It would be easier if I were either consistently resentful or consistently in love. But that isn't the way it is anymore.

When I see other couples, I wonder what their lives are like. What it must be like to not have such a whiplash every year or two. What it must be like to stay in one frame or another: either resentment that builds over time and results in divorce or love that builds over time and the sense of the adventure of a life shared and all the excitement and comfort that brings.

But, from where I sit now, some 3,000 miles from home, I'm excited to see H again and to hold him in my arms. I wish that I could hold onto this feeling once I get home in spite of the burden of caregiving.

Tuesday, June 01, 2010

Frail is as frail does

Not much to report these days as H's viral load continues to stay down and life grinds on.

Happily, I'm heading out for a business trip next week to NYC. For the first time, I've arranged pro caregiver coverage while I'm out of town. I want someone who knows what they're looking at to keep an eye on him, help him with his meds, and cook for him. At least I can go with a clear mind, knowing that I've got coverage at home.

Difficult to see him so frail and shrinking. I've been stuffing him with his favorite rich foods (well, stuffing myself too), but he's barely maintaining his weight.

In the past, he's been frail, but then has bounced back. This time, he's staying frail. We were sitting in the hot tub and I was holding his hands...small, bony, weak, no grip anymore. And holding him in my arms...he's shrunk so much.

It's one thing to intellectualize the decline...to observe it and report...it's another thing to feel it with the arms that have held him so many times.

Monday, May 17, 2010

Why isn't it better?

When H is sickest, needless to say, our relationship declines. He's not cogent, feels awful, and there are other priorities.

But then, when he gets better, he goes on about how our relationship isn't what he wants it to be, that it ought to be better. Yet, he doesn't remember what's happened.

So, I find myself with someone who's been asleep for close to a year and then wakes up and wants their life to be what they want.

And, he can't understand that when he's sick, our relationship is all about me being guardian/caregiver and the last thing on my mind is what is going on with our relationship. I have other concerns, such as, "Is he going to die?"

He'll tell me that he's unhappy about this or that aspect of our time together and while I want to be sympathetic (and I am) to not getting needs met from a relationship, part of me just wants to slap him. "Don't you realize that it's like this because of your health? How can that not have an affect on our lives together?"

"Well, I'm better now," is what he'll say, "so there's nothing to worry about."

Yea, but tell that to person with PTSD. The event is over, but they are irrevocably changed, and not for the better

Thursday, May 06, 2010

I'm sorry you're stuck, redux

Last night, I talked with H about his comment: "I'm sorry that you're stuck caring for me."

I thanked him for acknowledging what a difficult situation this is and I told him that I don't blame him for it.

"Where we are is because of your illness, not you," I told him. "I don't blame you for this, I blame your health. I wish that it was different, but it is what it is."

(Lots of conversation not worth repeating here.)

The core issue is that H can't accept that our relationship is irrevocably changed...he keeps telling me that I'm "punishing him" by not re-engaging in a romantic relationship as soon as he's feeling better.

I told him that "I can't deal with the whiplash. You're going to die, no you're not, then you're going to die again, then you get better and want me to be the loving man that I was earlier in our time. You don't remember last year, you could hardly get out of bed, couldn't make a sandwich, and now you want me to act like nothing ever happened. I can't keep up emotionally."

"No, I don't remember what happened last year, but I know I was in bed a lot," he says.

I continue, "If you want me to show up, you need to show up too. And you haven't for years, except for a few months at a time. I do love you H and I want to make certain you're OK, but I'm mostly a nurse now anyway, not a partner."

And then the divorce word comes up again. Sigh.

So we go through all of that again. And I told him that I'm not going to make him leave, but if he wants to, let's talk about that, but where will he go?

The whole thing netted out to him begging me to place him at the facility that we have planned on using when the need arises. Then he told me he didn't want to talk about this anymore.

This morning, I asked him if he remembered our conversation last night and what he thought about it.

"No."

Monday, May 03, 2010

I'm sorry you're stuck

I was watching TV in the living room and I hear H talking to me from the kitchen.

"I'm sorry that you're stuck caring for me," he says softly.

I couldn't say it's OK, because it's not. I couldn't say I'm not stuck, because I am (tho' by choice, I suppose...). I couldn't say that I don't want to do it anymore, even tho' that's true.

I didn't know how to respond, so I didn't.

Tuesday, April 27, 2010

Losing them over & over again

At his sickest, I'd get an occasional glimpse of the old H...and that would make me want more. Reminds me of taking a drag on a cigarette after having quit smoking; I always want more.

And now, I get to see more of the old H...bit by bit he's coming back. So, extending my metaphor, I get to smoke the whole cigarette. Of course, I can't just smoke one; I want more and more.

Now, this has happened over and over again, where H is at the brink (and a "zombie") and then he gets pulled back and returns to more of his former self. The miracle of modern medicine.

Problem is that he's weller just long enough for those fond feelings and that love that I have for him to well back up...maybe even some hope and optimism that things can be different, that my ole H will return to me for good. And as he gets weller, then I also dread the inevitable decline again. Then he moves back towards the brink, there is no H there anymore, and I need to steel myself up for a possible death, hospice, etc.

What is hardest is that I fall again for him as he gets well, then I lose him over and over again as he teeters on the brink.

Dementia is called the long goodbye and it is.

Thursday, April 15, 2010

Back from the brink

A few months ago, H's viral load was 330,000...the second highest that it's ever been. Now, 3 months or so into the next round of new meds, his viral load is 100. Yes, 100, no comma.

Back in December and January, as I have done several times now, I was steeling myself to get hospice involved. And, like before, I made the phone calls and talked with the Drs.

But a few days ago, I came home to a vacuumed house, the beds made, stuff put away, and H making a sandwich for himself. Something is different…and then we got the news about the drastic drop in viral load.

A long-time friend of ours told me yesterday that last Fall and Winter, H was a "zombie" and that it was hard to have a conversation with him. And now, she sees the improvement in H as well.

"You know, , I don't understand how you do it," she says.

"Do what?"

"He's dying, then he's not dying, then he's dying again, then not dying again," she says.

"Yup it's a white-knuckle ride. It's happened so many times I can't even remember them all...and it will happen again, most likely. The doctors don't know and I don't believe them anyway at this point."

"Yea, but how do you do it?"

"Well, it's really hard. I know that I have no control, so that doesn't bother me much anymore. I have a good therapist and I take anti-depressants. But, at the end of the day, I can't change what's happening to H and I accept that."

"Right, but how do you get up every day and do what you do while H goes up and down?" she presses.

"I think that I've compartmentalized a lot of this by now...I've divorced myself in many ways from what's happening with his health and I've divorced myself from romantic feelings for H as a survival tactic. And I don't expect him to get any better...I expect him to get worse...so I'm not disappointed. But, to be honest with you, I don't know how I do it. I just do it because I have to."

While I'm glad that his viral load is down and he's more himself, what really bothers me is that I know he'll go the other way again. And then they'll pull him back again. And that this will drag on and on. And when I indulge this line of thinking, that's when I don't believe I can cope.

Tuesday, March 30, 2010

Can't go home

Sad news...H's mom died unexpectedly last week. We're not certain, but we think the cause was an accidental overdose of pain medication.

Needless to say, H is beside himself, not just because his mom died, but also because he's not able to travel to the funeral due to his health. Fastest travel times to get to the service is about 15 hours and there's just no way he's up to the travel, even if I travel with him. He can only be up for 3 to 4 hours at a time at home….

It took a long time on the phone for his family to get that his health is just too bad to travel; maybe not being able to attend his mom's service will help get them out of denial. "Oh, you'll just be tired...we're all tired." You have no idea, folks.

After the service, which we participated in via Web video, H said to me, "I'm so glad I didn't go. That trip would have killed me."

H has been having dreams where he's lost, can't find his car, his cell phone, or his cane. And he can't seem to get home, no matter what he tries. In fact, in his dream, he's not certain that he has a home to go to, but he knows he can't stay where he is.

Monday, March 22, 2010

Navigating in the fog

In one year, H has gone from being able to fix food (a sandwich) and remembering to take his meds to not being able to. Went from being able to operate the washing machine to not being able to. And from using the oven to not being able to figure out the dials…the microwave is even harder for him to figure out with all the buttons on it.

Given all that, he still has his moments of cogency, which makes this much harder. He's still there, but he's just not able to do much. And, while he can do the core set of ADLs (dressing, bathing, transferring, etc.), he can't shop, can't make food or even remember to eat it if it's prepared ahead of time for him, can't do housework (including laundry), can't really get around (drive), can't remember to take meds, and can't do anything related to money (except tell me what I need to buy).

So, I'm looking for additional help for home and that could take any number of forms. Specifically for when I travel, but I'm wanting to get it in place because over time it will be more than just when I travel. I've think I've solved the issue for when I travel in the short term, but there are larger fish to fry.

I know that I am not willing to pay myself for caregiving as this not only sets a bad precedence, but is also too expensive for us to afford. Now, if it were for a short time, OK...we could figure it out, but it's not. Besides, if H needs full time care, I don't want him at home anymore for any number of reasons.

So, I talked with H's Dr. about hospice and am working that angle. While H likely has more than 6 months to live, his care needs are increasing due to his dementia. H's visiting nurse tells us that she has several guys on hospice care. And I'm exploring other alternatives as well.

Bottom line: I'll figure it out. The reality is that I need the help and so does H. As long as I can keep him safe and cared for at home without a full-time caregiver, I will.

It was striking to talk with H's nurse and Dr. about hospice with H sitting there...he just didn't react. I'd be terrified (he was in the past) at the notion of hospice. I just don't think he's home very much anymore.

But, if I had a magic wand, I'd love to wave it and have him well again, or dead, or already placed somewhere. I am so not looking forward to the next year or so.

Wednesday, March 10, 2010

You can't incarcerate me

I've been trying to follow the advice of a friend and involve H more in care decisions. As I'm heading out of town this weekend for work, I was talking with him about how we can cover his care needs while I'm out gallivanting about the planet.

For a long time, he's claimed that he's "just fine" when I travel, but I know better. But it is hard to convince him of that. Very difficult to involve someone in their own care decisions when they can't remember what they need or that they need it at all. Yet, not involving them creates other issues.

I said, "I'm worried about you when I travel...taking your meds, eating...how can we ensure that you do these things when I'm gone? What are we going to do?"

For some reason, H has forgotten to take his meds in the evening two days in a row. This is really, really bad news for him for lots of reasons...at least of few of them life-threatening.

And I used to track his meds and when he takes them, but I forget too and assume that he does it. Just one reason why H and I aren't the best care team for him.

"Honey, if you forget your meds when I'm here routinely, how do we make certain that you take them when I'm gone?"

"I always take my meds and I don't need the help," he says.

I say, "Honey, how can you say that? We just talked about it. Is it possible that maybe you don't know what help you need? That you can't remember what's going on?"

He's getting defensive now, "What do you mean?"

I say, "Well, for example, when you wanted a med holiday, I told you that you had done that before years ago and that you became very sick…."

"I did?" he says. He doesn't remember either the events or us talking about it.

"Yes, so please trust me that I'm trying to keep you safe while I'm not at home. I'm talking with you so that you're involved in your care decisions."

H says, "Well, you can't incarcerate me!" (I'm thinking...honey, I don't want to do that, but what options do I have when I'm gone or even in general? And a part of my brain is saying, "Watch me!")

"That's not what this is about, H." At this point, I'm sitting in a hall of mirrors.

While a bit frustrating, this conversation was very insightful for me. He sees placement as incarceration and he clearly doesn't trust me in this regard, which is why I'm trying to involve him in all of this.

And most importantly, I realized that my evaluation is the only thing that matters. In spite of my habit and desire to involve him, I can't count on him in this way.

Clearly, his dementia is getting worse and fast. My guess is that the new anti-virals are not working for him...if his viral load isn't dropping substantially (we'll know in a few weeks), I'm moving on hospice. And H and I need to have the hospice conversation. Fine, they can come to our home, but it is likely that they will be coming this year.

What do you do? Go through the motions of involving them and then just ignore what they say? How can you get someone to accept care when they can't remember that they need it? How do you get them out of their denial if they can't remember all that has happened? How do you bring up hospice when they don't remember why they need it? How do you tell someone you love that they're not "just fine" and that they won't get better?

So many questions and (I think) so little time.

Tuesday, March 02, 2010

And yet more snippets

Structuring my life
While it's true that I work full time, my "chores" for H actually structure my life more than work. Work is completely flex-time, but I have to feed H. Twice a day...breakfast and dinner. And the occasional sandwich in the fridge that I leave him for lunch. Not to mention all the times that he asks me for help. What will I do without this demand?

Feeling the emptiness
Sometimes, I'll be walking down the hallway in the house or making dinner and I get hit with the thought: "someday, H won't be here anymore." And I can feel the emptiness, I feel the sadness, and I wonder what it will be like without H punctuating my life with his health issues and care needs as he has these past 15 years or so.

In many ways, H is an anchor for me and I mean this in both positive and negative sense. While I yearn for my freedom from being a caregiver, I also know that this role defines both me and my relationship with H. When he is gone, what will I do without the constraints, not to mention the company?

Where it is going
In spite of the day-to-day ups and downs (which drive me to distraction), there is little doubt that the general direction is down. Now, we won't know what H's viral load is doing for a few more weeks, but it's striking just how impaired he is cognitively and how weak/tired he is all the time.

Last night, he closed his eyes at the dinner table and just sat there for about 5 minutes...then he went back to eating. I asked him if he knew that he was asleep; he said, "I wasn't asleep, I was daydreaming." "What were you dreaming about?," I asked. H says, "I don't remember."

Monday, February 22, 2010

Me too, honey

'Twas talking with H last night at the dinner table about how he's doing. Difficult to get him to talk about this...he's suspicious when I ask about his health and I have to remind him that I'm asking because I care.

H asked me if I wished that he had not stopped taking his anti-virals. I said, "Well, I support whatever decision you make...I told you that. But...."

"Yea, I wished I hadn't stopped taking them, (asingleman's endearding nickname)," H said.

"Yea, I'm worried that they won't work for you, H," I said.

"Well, I'm not worried. If they don't work, then I die. Why does it matter? No one cares, anyway," he said.

"I care, our family cares, lots of friends care. Many, many people love you and would miss you."

"I wish that people would call me or come see me then," H says.

"Me too, honey."

Thursday, February 18, 2010

Whine, whine, whine

The malaise is striking...what I'm finding is that I'm as busy as ever, but I don't care all that much anymore. It's not depression so much as just being bored with it all...so I go through all the motions of being a good employee, a good caregiver. No surprise, but none of this seems important or even fulfilling.

I'd rather be gardening. And that's what I've been doing with any free time.

Was talking with H's local sister and the comparison is striking: she's so busy with work and family, but she calls it all "boring." Not that she doesn't love her family, just that she's looking forward to the last kid leaving the nest and it can't happen fast enough. And her work is anything but fulfilling or even interesting now...even tho' she loved it in the past. Drudgery she calls her life.

She seems tired, distracted, mopey, bored, a tad bitter, "flat," and, if you look under the veneer, just a bit afraid. Tho' maybe just projecton as I feel like this too.

Maybe this is just the infamous "mid-life crisis" showing up for both of us as we hit 50. Maybe we're both just a bit burned out living the lives that we have.

Surprisingly, H mentioned to me that I should take a vacation by myself. When I've floated this in the past, he's been upset at the idea. The ironic rub is that, at this point, it doesn't seem appealing...it doesn't seem, well, enough. And, of course, I'd have to arrange care for him.

When I've added time to my business trips to get a break, I've found that it isn't a respite, really; mostly it just emphasizes how lonely I feel. I'm in a strange city and while I can certainly find short-lived puerile companionship, that isn't what I really want. Well, yea, but then they go away and there you are, alone... What I'd really like is to be able to take a trip with a partner again...to have that shared experience of travelling and being a tourist.

H suggested visiting his family down South...err, I don't think so. This is just so not a break in my mind...besides, I'm still sore at them for all of the BS that I have gotten from them, not to mention their denial, and abscence from H's life. Yea, forgiveness...don't know that I can muster that right now. Besides, I don't want to talk about H with them anymore (unless something happens) and if I see them, then that's what it will be.

Really got no friends out of town that I want to visit.

Whine, whine, whine.

H said to me once that the only way out of his situation, the only path that he can see ahead of him, is to die. His health won't get any better...this is as good as it gets, he fears.

Maybe the root of my malaise is the same: this is as good as it gets. And the only resolution is for H to die.

Tuesday, February 16, 2010

When it is time

Recently, a BBC television reporter said on camera that he had euthanized his partner, who was dying of AIDs (article here).

H and I have discussed this possibility. When when we put our cat to sleep, H asked, cyring, "Why do we treat animals better than humans? Why can't I just go to sleep like that when it is my time instead of suffering?"

We have talked about end of life and I promised him that, if needed, I'd take care of him at the end, as did Gosling.

While I hope that I don't need to do this, I will if necessary to honor my commitment and love to my partner of almost 30 years.

Monday, February 15, 2010

Monday, Monday

I H8 VD
Just don't like Valentine's Day (humbug). My (few) single friends don't like it as everyone gets all giddy and romantic with their SO. I've got one of those, but I dislike VD as much, maybe more, than my single friends.

Not because I'm lonely this VD (well, sort of), but because I'm in this tween space…not really involved and not really single. Yet, I feel obligated too and I also want to... do something for H….

Yet, my desire on this Valentine's Day *is* to be a single man.

So, H and I exchanged cards and a bit o' chocolate. A nice acknowledgement without any reference to the sex and romance part. Just the love, then…what a relief.

What isn't there
I work with a bunch of smart people, really smart people. And when you get into a meeting with them, for some reason they focus on what isn't there: here's what's wrong with this, here's what you missed....

Now, this isn't restricted to work certainly, as many folks focus on what they don't have instead of what they have.

I have a friend who is quite wealthy and healthy, has a wonderful man who loves him, several great kids, and more toys and property than anyone could want. But when I see him, all he talks about his how or ex-wife isn't doing this or that, how he's lost money on this or that transaction, how his kids aren't growing up right, and how much he hates living here and wishes he were somewhere else.

As annoying as I find this, I fall into this as well. In fact, I've whined here about my lack, sometimes at great length.

In balance, I'm healthy, well employed in a job I like, and generally a happy person that owns a home and loves my garden and music. No real worries in life other than dealing with H dying, which is a big one.

The tough work for me to reach acceptance and always see the sick and vulnerable man that I love who needs my help instead of seeing what he isn't doing for me (besides it's my job, not his, to make my life work).