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Monday, January 06, 2003

Oh, and...



For those of you in the Orthodox tradition, Happy Christmas. For the Latin countries, here's to singing La Posada and the Three Wise Men. For the rest of you good Christians, it's time to take those trees down. It's Twelfth Night, for crying out loud. On to new things. A word to the wise--you should go ahead and finish partying before Lent.

My own little tree (of the more pagan variety) has been combed of its tinsel and some of the dry bits clipped away. I hope I can keep it alive for next year.

I'm all ready for spring. It's been raining or snowing for so long here that we're quite waterlogged. I want to see flowers bloom and sneeze from the pollen. I want warm, windy sunny days. Spring is stirring in my blood; I guess I'm reacting to the lengthening of days. But it's a long way to March, I'm afraid. :)

But first...



I had to go find a quiz to take. Found this one: How English are you?

Here's my result:

The epitome of Middle England, you prefer your Hovis to ciabatta and believe that England can win the cup this time round. You still feel frequent stirrings of patriotism, but deep down you know the world has moved on from the Empire and warm beer on village greens.

Not bad for an American; I suppose blood tells, although I'm actually more Celt than English, but let's just say British, shall we? I do love the Guardian's quizzes; they also say I should apply to be a royal butler. ;) Ah, Anglophilia!

Ah, another weekend, another game



Well, chalk one up for Arkham Paranormal, the intrepid bunch of investigators who save the world on a weekly basis. Did we win? No, of course not. But all characters that were alive last week are alive this week, and that is no small accomplishment. We didn't even lose any NPCs (non-player characters). When you have a mansion with thirteen guardians, one priest, five "non-combatants", five children, and three dogs, that's no small feat. Okay, so a major part of the house blew up when the zombie with lots of explosives detonated. But considering it blew up outside the house, due to the acrobatic feats of a large Australian bush-pilot, things went pretty well. One of our characters even managed to clip the (by now requisite) sniper who was ready to pick us off if we made it out of the house, and he and my character (fashionably dressed in a silk negligee for bed but boots for hiking past the reporters camped outside and over to the hill we'd been shot at from) nearly caught one of the cultists.

If this all sounds crazy, let me point out that it's from a role-playing game--meaning that it's fiction. We're usually doing things like preventing Cthulhu from rising or some cultist from getting ahold of the Necronomicon. If none of this makes sense, try reading HP Lovecraft (see link at left under favourite authors). It's a version of Call of Cthulhu, by Chaosium. Four relatively mild-mannerered people get together each week to roll dice, act out characters, and try to save the world. We've been doing it (with various changes in players) for nearly twelve years now. Think of it as a story you add to each time you play. It's an excellent way to work out frustrations and apply problemsolving skills. At the moment, however, I think we're happy to be holding our own.

Game-related fun included an exchange of presents left over from the holidays (one of the players had missed a couple of weeks. That was okay. Her character was in jail for decapitating the last people to invade the house). I got a lovely ceramic pentagram, a purple leather dice bag, and nifty purple dice that had green and purple glittery inclusions--perfect for Cthulhu. One of the other players got a "Summer Fun" Cthulhu. It's just sick. It has Cthulhu (large cephalopod head, front tentacles, and flappy wings) dressed in beach sandals, shorts, and a Hawaiian shorts. He looked like a Parrothead (read--Jimmy Buffett fan).

It's back to a normal week starting tomorrow; there are no holidays for us until Memorial Day (no Martin Luther King or Presidents' Day for us) and our accreditation survey is at the end of the month, so the next few weeks will be busy and tense. We do consistently well, but, like Mad-Eye Moody in Harry Potter and the Goblet of Fire, "constant vigilance" is needed. My department comes under JCAHO's (that's pronounced Jay-co for those of you not blessed by working in healthcare) heading for management of information. Sounds reasonable, right? Fortunately I don't have scheduled time with the interviewers, although they can always come in and ask questions. We should be in good shape, but I think I'll review some of the policies, etc. in case I get a "pop quiz".

The other big thing for medical librarians this year is the institution of HIPAA's rules come this April. This is the legislation protecting health information privacy that's going to sweep the country. Again, we're in good shape, and I deal with very little priveleged information. But for those of you who haven't dealt with HIPAA, come April there are new rules for protecting your health information. So for those of you who have had someone shout out "this person is here for an AIDS test" (knew someone that happened to) or who have had someone leave a message on your home machine about a pregnancy or posted your name on a visible tote board, that shouldn't happen anymore. It does mean that it may be more difficult for you to, say, correspond by e-mail with your doctor (he or she may not be able to discuss your case over non-encrypted communications). The medical community has been preparing for this for several years now, with a lot of conflicting information regarding how the interpretation of the law works. So please be understanding if your provider says they can't share information a certain way or if you go through extra steps to protect your privacy. And if you are concerned that there may be a violation of your privacy, don't hesistate to say so. They're required to protect your information. Assert yourself.

Well, so much for that little pep talk. I suppose I actually should go to sleep so I'm ready to greet the week. 'Night.

Saturday, January 04, 2003

PS I heard excerpts last night from something I'm going to have to add to my wish list. They've come out with the soundtrack for Buffy: Once More, with Feeling (a musical episode from last season's Buffy the Vampire Slayer). Definitely something to play at work. :) Heehee.

Ah, the Saturday after a two-day workweek :)



When I woke up: 13:13 EST, then back to sleep from about 3pm-7:30. Didn't exactly mean to do that, but I moved the painting into the other room, let all the animals in (Spock was pining, and he's fifteen for pete's sake, why not let him cuddle, too?), and we all became a solid ball under the covers. I think they velcroed to me.
What I'm reading: The Man Who Fell to Earth, by William Tevis. This was recommended to me some time ago by my creative writing teacher, Gurney Norman. William Tevis had been a Kentucky native, and much of the book is set in this area. Gurney encouraged me to instill my writing, which is mainly science fiction and phantasy, with my knowledge and love of my home. He knew that I was proud to be Southern and of the tie I felt to the land; my family's been here since the eighteenth century, and even though I wasn't raised here full-time, it was always home. Tevis' language is wonderful; it draws you in and makes you feel like you're listening to music or poetry without realising it. I never saw the movie with David Bowie, but I can see why he was chosen for the role. I understand the book is supposed to be very different. I highly recommend it.
High point of day: Going to Fazoli's, getting a broccoli lasagna, drink, freezie, and cookie using a gift card (thanks Dwana!) that I got for the holidays, and reading in the sunshine. The amount of carbohydrates and the lack of metformin at the moment (forgot to get in touch with my doctor) probably contributed to said nap, above.
What I've watched: My Spiderman video--finally, seeing as I've had it for about a month and a-half. Enjoyed the little comic humour details like "incredible", "amazing", and running like he's Superman. [For those of you who have not been graced by comic knowledge, Spiderman is a Marvel title, Superman is DC.] When I was a kid, I subscribed to Spiderman and Star Wars, both Marvel. We moved around so much, and with comic stores off base, I wasn't able to finally get them until I started having them mailed to me in high school, after my parents divorced and we'd moved back to Kentucky. I think Peter Parker was the perfect hero for someone in my position--a geeky kid with no friends in a new place and too much imagination. I never could relate as well to Superman because, well, he just wasn't as vulnerable emotionally. Years later when I worked in a comic store, I tended to read DC, especially Sandman [which is not a superhero thing at all] and Legion of Superheroes [which is, sort of]. Even with a discount there was no way to keep up with all the stories of all the many titles of Spiderman and X-Men, and they'd done strange things in the intervening years where there were alternates to Peter Parker, etc., as Spiderman. I think the movie captured the spirit of the comic I loved.
Looking forward to: Tomorrow's game. I suspect more mayhem that will probably get all of our characters killed. But what can you do but trudge on. I tell you what, though--Spiderman's got it right--it's a lot easier to save the world than to deal with a bunch of well-organised, well-armed bunch of lunatics who try to take out the people you love, superpowers or not. And fiction or real world, it's what people can do to you emotionally or spiritually that's more important than what they can do to you physically.
Also looking forward to: Zabet and P's return. I missed them a little last night, when we usually play Scrabble and watch movies. I hope they're having a good time. I know neither Zabet nor I, who are both military brats, have a great record with keeping up with old friends, and I'm not sure what'll happen when they go away to Oregon for good. Of course, we didn't have e-mail back when I was losing touch with my childhood friends, so maybe it'll be different, especially so long as they don't drop off radar like our friend Tracy who works for NASA, who we finally found but never hear from. [Hint, Tracy, hint!] Still, I know it's important to Zabet to get away, although I'm not sure she's really going to find what she's looking for so long as she is looking for it. I suspect if she does, it's going to be one of those awful Wizard of Oz moments where she realises it was with her all along. I hate those moments; I suspect she does, too, but we all have them. Still, she's worlds ahead of where I was at her age, so more power to her.
Which reminds me: There is someone I would love to hear from, main male friend when I lived in Louisiana. His dad retired and they moved to Bossier City and we lost contact. Some of my best memories of my childhood were spent with him, when we were eight or nine. He taught me to whistle. So, on the rough chance that he ever puts his own name into Google to see if anything shows up, I'm going to put it here. Paul Scarboro (Paul Scarborough?), it's Lisa from Barksdale. Remember tracking what we thought were marijuana growers in the woods, or how afraid Kevin was of your poodle, Astro? Remember saving me from the snakes and stuff at the bottom of Flag Lake, and the day you stepped on a beer bottle there? Remember "fishing" with pop tabs and twine? Drop me a line. :) I'd also love to hear from Jody Sauers, Julia Hollinshead (both from Barksdale) and Deana Headley (from Belle Plaine). You all are even harder to find because you're girls, and who knows what your names are now. We're all in our mid-30s now, how weird.

Well, I think that's enough for tonight. I have some research on canopic jars to do. :) Toodle-loo.

Friday, January 03, 2003

I'm considered part of a "Wild Librarian" trend!



And as part of Library Juice, no less. :) And here I was worried that I give you all too much content, especially day-to-day diary stuff as opposed to traditional, in the news today kind of blogging. Well, I think I give you plenty of context anyway.

I'm not sure just what the point of this site is. Maybe I should have subtitled it "Diary of a Mad Librarian" since it's usually stuff related to being a librarian, dealing with mental health, etc. I guess that's how I envisioned it, at least. But I hope that if you read this regularly, you get a sense that librarians are just regular people, not those stuffy imposing stereotypes. We're interested in helping, and yes, we tend to have somewhat quirky interests--that's usually one of the reasons we wind up in the field, after all. At least I'm not perpetuating that "partying librarian" stereotype the author discusses. What, me, party? Gee, I don't even know how to start. Oh, and definitely read the article, or I'm afraid this post won't make much sense (not enough context!) The Will Manley quote is dead on, but then, Will Manley is sort of the Peter David of the librarian world.
PS I have no idea why the links to comments were saying "poseurs", which is according to AltaVista's Babelfish is French for layers but according to my French dictionary seemed related to a person with affectations (same as "poser" in English). Enetation's site did an upgrade of their features and so I've gone and chaged the settings, so hopefully they'll make more sense. Hopefully the comment link will change, but in the meantime, feel free to comment. I feel like I'm blogging in a vacuum. :)

Wow



Okay, I enjoyed being back at work, but I came home and by 5:30 crashed. I guess I got used to being off. So now I'm up and continuing a long-standing family tradition of eating cereal at bedtime. I'm also spending some time with the cats. I took my dog into the bedroom with me, because I'd had so much trouble going to sleep last night suddenly with so much space (from couch to queen-size) and no warm animals. I could let the cats in, but 1) I have a very fragile painting that needs to be reblocked on my bedroom floor at the moment and I don't want them walking on it and 2) they sleep on my head. I want my own pillow for a change, thank you. I've never seen such greedy, hoggy, pillow-stealers. :) Cerys pretty much is content to cuddle up under the covers, although she sometimes decides to sleep across the bed. But she's extremely comforting.

I did get written up today for an incident back in December when I left for a library conference and my boss didn't know where I was. I'm pretty sure I blogged about it at the time. While I clearly should have made a better attempt to keep her informed, I have to admit that the write-up, which was meticulously accurate, paints my boss, well, as an idiot. She clearly says she didn't see the note I'd posted. She states that she looked for me, yet she did not check with the receptionist, whom I had told where I was going, when to expect me, and where to reach me on my way to catch the bus. So I guess I have mixed feelings about it. I signed it and of course it'll go into my file.

I think my former boss, Kathy, would have handled the incident much better. Among other things, she would have taken responsibility for her own decision rather than laying it onto the HR director. But then, I'm not sure Kathy would have reacted the same way. Kathy was always more concerned that the patrons knew I was unavailable. The posting of the sign would probably have been fine. Kathy, I think, would have checked with reception, since we're all supposed to let them know we're leaving (and I might add, I'm one of the few who consistently does that, even if it's for lunch). Also, I think the basic issue is that my boss got embarrassed when someone looked for a poster that had been put in the library for our annual safety test and it wasn't there. It was there when I left. Given the timeframe involved, someone probably borrowed it (without leaving a note) around around lunch and I probably wouldn't have known where it had gone, either. But I would have just gone and found it so that the other person could use it. I think my boss got very embarrassed because she didn't know how to take the situation. I understand why. But I think the write-up had more to do with her embarrassment than anything else. I am sorry I put her in that position, although I didn't do so deliberately. I was just concerned at getting to the last meeting of the the year (I was president, and we were having elections that day), and between dealing with someone in the library and trying to catch the bus, I made a bad decision in not putting a note on her desk or getting that e-mail sent. I should have informed her earlier. But I think she should have handled it better, too.

Still, the write-up made it clear that there were issues on both sides, so at least that's something. I have made a better effort to keep her informed, and I think she's trying a little harder to not seem as abrupt with me. She's not particularly approachable; she's wrapped up in her own work, and I understand that. I think she senses that Kathy and I had a much warmer relationship. I saw Kathy the other day and just came up and hugged her, spontaneously, and I'm not a huggy person. But I tell you, when I was having my emotional breakdown, I think the only reason I survived, especially professionally, but on a personal level, too, was because of Kathy. When Kathy first took over (and my current boss was the original one which she replaced), I wasn't sure how to take her. She seemed came by more, and at first I thought she didn't think I could work on my own or something. I now realise that she was taking an interest in my work and in me. She was an advocate. She would flatly tell people when they were asking me to do inappropriate tasks. If she knew I was having trouble with depression and my blood sugar, she'd call and make sure I was okay. She knew, living alone, that I could easily have had my sugar bottom out and no one would know. She understood that my medication was sedating. She worked with me to make sure that I could take care of myself, go to my doctor's appointments, and still get my work done. She cared. I'm sure my current boss does, on some level, but it's not the same. I don't feel like I can depend on her to help me, say, go full-time or get to a national conference. Kathy would have at least done what she could on her end. And most importantly, as comfortable as I've become talking about my health issues, including the mental health ones, I just don't feel as comfortable talking with my current boss as I did with Kathy about them. Kathy and I were very open with each other. If Kathy wanted me to change how I was doing something, she told me why. She told me when she'd be out of the office (I never know with my current boss). She had a very open door policy (and was perfectly willing to close it to the rest of the world if we needed to talk privately). It seems whenever I try to talk to my current boss, she's out of the office or talking with one of the other nurse managers or care coordinators. I can pretty much only catch her if I schedule the time, and our e-mails almost always seem to cross so it's hard to do actual conversations that way. So a lot of little daily communication gets lost. Sigh.

Well, I think we're both trying to make it work. So we'll see how the year plays out. I think I need to send a card to Kathy and let her know how much I appreciate her help. I learned so much about dealing with people and putting them at ease from her. And given how much I've ranted in this blog, I suppose the write-up bothered me more than I've been admitting to myself. I feel like everytime I'm pushing forward, something like this happens, and yet the things I do day in and day out don't get nearly the same recognition. But I guess everyone tends to feel that way at work.

Anyway, thanks for listening. I think I'm going to head back to bed and try to get up early in the morning, maybe let Cerys play outside if there's snow instead of rain. 'Night.

Thursday, January 02, 2003

One of the great things about being a medical librarian...



Ample opportunity to learn new words. Today's is intussusception, an intestinal blockage most commonly occuring in infants. It's described as acting sort of like a telescope sliding over itself. Ew. Can you tell I'm back at work? It would be a great word for Scrabble, but I don't see how that combination's ever going to come up; there are too many letters (mostly low points) and nothing to really build upon, unless susception works. Hmmmm....

Wednesday, January 01, 2003

Well, the world's still here, thankfully...



Happy New Year's, everyone.

I'm thinking back over the year, and all the changes, and while there were times I didn't think I'd make it, I now realise that I'm in better shape emotionally and socially than I have ever been. This year was one for building (and rebuilding) relationships, which happened as I started to get back my self.

While I was doing some work to reclaim my bed (it's been storing a painting, clothes, and many books for a long time, and I've been sleeping on the sofa) I came across a poor book that was falling apart (and yes, it came and that condition). I very nearly tossed it, thinking to get a better copy later. It was Sybil by Flora Schreiber,a fictionalised account of a woman's struggle to become whole which, with the TV movie that won Sally Field and Emmy as the title character, spawned a generation of diagnoses of Multiple Personality Disorder along with a predictable backlash. I read a copy from the library years ago, and I remember that it made me very, very uncomfortable--like finding some sort of forbidden thing and being titillated by it. Now, as I read it, I find that I mainly have sympathy for her. She was so talented, so strong, so fragile. She was overly dependent, I believe, on the people who did care for her, and there were people (such as the Teddy in the book) who perhaps had their own psychological reasons for protecting her, but it seems they helped her survive. There's a lot of controversy over whether her illness was truly multiple personality and evidence has surfaced to counteract the beliefs presented within the book. While the diagnosis may have been off, I think the essential issues were not--the abuse, the lack of love, the need to be accepted and the continual rejection she felt. This was someone who at the core did not believe that anyone could truly care about her, and in the end, I think it was a story of accepting herself--all of herself. That seems to be the main way road to recovery, from what I can see, for anyone. To love and be love, we must first learn to love ourselves and to be able to rely on ourselves for care, not abuse. I think the hierarchy of personlities depicted in the book may represent a way that the psychiatrist and patient could understand what had happened to her, a framework that helped them reach those core issues. I think dissociative identity disorder, which is what MPD is known as these days, which is seen as a spectrum of presentations, would still apply to Sibyl, though. The rise and fall as MPD as a psychological fad put a lot of confusion into the mix, but in the end, maybe those who are having similar issues will get better treatment as we learn more. I know that as I read, I felt close to Sibyl, for reasons I'll go into. Ironically enough, she lived in my own town until her death in 1998; in fact, we lived only a few blocks away from each other. She lived in a nice, quiet neighbourhood with her pets and with good friends. I hope her life after she came here was a happy one, and that now she is at peace. She seems to have had the life she longed for.

I have to admit, the historian in me is very intrigued by the relationship between Ms. Mason and her doctor. I have to admit I'm curious as to what Dr. Wilbur's papers will reveal when they are unsealed in 2005. According to one website those papers were bequeathed to a friend, Dr. Leah Dickstein, for eventual publication--but that site also contains errors, including the location of the University of Kentucky. The 2005 date I got from the above Newsweek article, and so I'm not sure where that archive is presently located. Because of the death of all three principals of the book (the author, the patient, and the doctor) and the revealing of Ms. Mason as Sibyl elsewhere, the library of John Jay College of Criminal Justice, which has archived Flora Schreiber's papers, has unsealed the last of those archives. While on one hand, I think that it's a shame that opportunists chose to "out" Ms. Mason, who was understandably concerned with her privacy, I think the world itself would benefit from a study of her life and those with whom it intertwined. Certainly I think their relationship is not fully understood. It rather reminds me, at least superficially, of how the relationship of Anne Sullivan and Helen Keller was perceived by outsiders. People accused Anne Sullivan of "creating" Helen Keller in much the same way they have accused Dr. Wilbur of "creating" Sibyl. Hmm...maybe that's a doctoral thesis in the making.

Anyway, I can sympathise. My own mentor and I have very different personalities, although similar interests, but people assumed that I was some sort wind-up toy he'd created. The truth is we approach life quite differently and disagree on some very basic ideas. [Ironically, a friend of work, whom I am probably closer in terms of approach to life and personality, and I are seen as quite different by our peers because they don't know how similar our experiences have been and have preconceived notions about each of us, like that she's a "good little church girl" and I'm the "liberal pagan who's so academic". It's kind of funny, really. We instantly saw the similarities in each other once we started talking, and no one else can figure out why we bonded so quickly].

As to why I relate to the character of Sibyl as portrayed in the book--while not splitting into full-blown personalities, I spent my entire life dissociating when threatened, often losing time and memory of my life, although of course I didn't realise what I was doing until much later. My actions often came from child-like impulses that attempted to express my frustration over feeling unloved and unwanted. Unfortunately, while they allowed me to express emotions I normally buried away, the behaviour was often self-destructive, typical borderline personality sorts of things.

Everytime I started therapy (and there were several attempts over the years), I would describe how others saw me, or about things in my life--never feelings. Feelings were too raw, too terrifying. Eventually, though, my careful reserve fell totally apart. Reality and fantasy clashed when wanted something so badly to be true that couldn't be. Most terrifying of all was when I would fall into those labile "fits" where I wanted to run, wanted to die, wanted to do anything but deal with being me. Like a seizure, they came and went. After several, I realised that if I could just curl up in a ball--either in a bathroom, if at work, or in my bed, if at home, it would pass. The rare times it happened while I was driving, I'm surprised I didn't wind up a statistic, taking others with me. Those who saw me like that thought I'd gone totally mad. Most people never saw me in my full state of breakdown. They just thought I was moody. They didn't realise that every day was an exercise to see if I would make it to the next. I don't know really what to call that state--it was depression, and anxiety, and a host of other things, but the best way I can describe it is that my self unravelled almost completely. The medication helped stabilise the physical imbalance. The therapy helped me gain control and start rebuilding. I slowly started to live every moment, almost a hyper-reality, after so long. With help I started recognising when I would start to "squirm away" and go onto auto pilot. I started to deal with the consequences of my action. I still have a long way to go, but I feel like there are fewer hiding places inside me, that I can walk through the rooms of my mind without flinching. That's a lot.

So now as I read the story, I understand it in a way I didn't before. I think that's the key. I've connected to several people simply by admitting that I'm dealing with depression and anxiety. Mental illness isn't a thing that just a few have. Mental health is something we all have--and just as some vary from others in terms of physical health, the same holds true for mental health. They shouldn't be treated as separate things--a person dealing with a physical illness is more likely to deal with mental illness, especially depression, as a result of dealing with their disease. By the same token, a person who is mentally ill is less likely to have good physical health. Until we start treating the whole person, and indeed, the whole society/environment, people will suffer in silent agony.

I talked to my psychiatrist the other day. She suggested getting involved in the National Alliance for the Mentally Ill's programmes as someone who has been there and is doing better--a sort of peer advocate, I guess. I'm lucky. I do have supportive people in my life that help counteract the negative. Maybe I can have a chance to "give back" by helping someone else.

She was also curious about my blogging. I've never been able "to journal" my feelings, my activities, whatever. I was so strange to answer, when asked whether I keep a journal, that yes, I do--online. I think she was surprised that I chose to write in a forum that anyone can read. How people use the Internet fascinates her, she said. I told her that someone could do a search on "OCD", etc. and get this blog. I suppose someone might use it against me. I could see not getting a job I applied for, etc. But really, I think the benefits outweigh it.

For those who do put up with my long ramblings, thank you. On the one hand, it's like I'm writing out in space. But it's sort of reassuring that there are humans out there who bother to click here. :)

Have a great new year. Peace.