“as estrogen declines in perimenopause and menopause, appetite ramps up. … hormone weirdness can impact your sleep (night sweats, for example). insufficient sleep can further elevate sensations of hunger.” (gennev.com)
and this additional news:
“the decline of sleep-promoting hormones including estrogen and progesterone is one big reason for disrupted sleep. and the other symptoms of menopause—from mood swings and anxiety to night sweats—also contribute to sleep problems for women. production of another critical hormone for sleep—melatonin—also decreases with age, which can compound sleep problems for women during menopause and beyond.” (psychology today, m.j. breus, phd)
shocking, isn’t it? it makes you want to sign up, doesn’t it? huh?huh?
as one who is smack-dab in the middle of this estrogen/progesterone/post-peri-full-blown-meno fun, i know i am not alone. there is nothing like lying awake in the wee of the night, filled with swirling angst-filled thoughts and lists and no shut-eye, listening to david gently snoring and dogdog running in his sleep, blanket on-blanket off-blanket on, grateful-for-each-moment-crabby-as-all-get-out, melatonin-deprived and starving. i can’t count the vast number of bananas and bowls of cereal we have eaten smack-dab in the middle of the night.
“levels of the hunger-stimulating hormone ghrelin increase, a reason why many women find themselves frequently hungry during this phase.” (psychology today, m.j. breus, phd)
smack-dab in the middle of the night. like every night. i lay awake listening to the peaceful, gently-breathing sighs and sounds of him sleeping. sleeping! the gall!
and so, smack-dab in the middle of the night, i wake him up. since, smack-dab in middle-age, we decided to share our lives, it only seems right that we share our non-sleep moments as well as our sleep moments.
we are not alone. it would seem, especially in these times, that there is a lot – a hell of a lot – of insomnia going on. it is likely i could, should i choose to, have a texting conversation with most of my friends in the wee hours. we’d all be completely and utterly awake, completely and utterly coherent. perhaps more coherent in the wee-wee hours than in the day, when we are weary from the night.
when one lays awake at night and ponders all of life, one uses up much energy. and thus, i get hungry. and not just a little. in the ‘olden days’ (read: when we first married) we used to get up and make pancakes. there is nothing like midnight pancakes to soothe the weary soul. but we have cut to the chase these days and choose, instead, a shortcut to satisfying midnight hunger pangs. and so i poke at his shoulder and ask, “youwannabanana?”
post-banana we sit, happy lights turned low, and chat. there are no real rules to this. sometimes we watch a trail and joey coconato ultimately tucks us back in to sleep. sometimes ‘grace and frankie’ make a middle-of-the-night cameo appearance. eventually, and it’s heavy on the eventual, we settle back in and sometimes i end up snoozing in-between hot flashes and heaving blankets and pulling blankets up and moving pillows and removing pillows. it’s exhausting. but somehow, it is not sleep-inducing.
i don’t know much. but i do know this: we’re smack-dab in the middle of middle-age. and by golly, we are going to celebrate THAT.
personally, i like the black bin in the middle of the room. right now, it gives me a sense of peace, or, more accurately, less of a sense of panic. in our seemingly neverending plumbing story, we are still seeking the proper gasket for our dysfunctional coupling. we were behind a local plumbing truck on the way to lowes. this business has operated in our town for four decades servicing all these old houses with their variety-pack of fittings and pipes and unions and o-rings and such. as i told a friend, it was a universe-is-laughing-at-us moment as we drove behind this truck that i just knew had shelving with old disheveled water-stained cardboard boxes full of the exact gasket we needed. i wanted to jump out of littlebabyscion at a stoplight and run up to his driver’s window and knock-knock-knock on it and beg him to check the ratty cardboard boxes for this gasket, which of course, he probably had in his pocket, upon which i would offer him 10 or 20 dollars for this simple vintage rubber 79 cent piece. it didn’t happen, of course. i’m quite sure that he would have done anything to avoid my panicked face in his window. and so, we are still on the quest. and learning a lot about gaskets and o-rings and sheet-and-ring gaskets and fun stuff. someone said to me yesterday, “oh, like that’s something you really want to know about!” but i disagreed. though i wish the tiny leak would stop, i am finding the puzzling-out of it a great learning process. a creative process, let’s just say. so. the black bin in the middle of the room.
soon we will piece back together david’s studio down in that space. he’s bringing paintings back into the light and we gaze at them as he recalls much of this pandemic year, time spent without painting. i know this feeling as i enter my own studio upstairs. a crate of cantatas i composed, some resource books i have used for decades, a few decorations from the choir room i used to occupy – they sit along the side wall of my studio, the remainder of what i need to file away, put away, throw away. i, too, have not spent time in my studio creating. it’s the wrists, it’s the job-loss, it’s the pandemic … it’s a long time of fallow, i suppose. it is the juxtaposition of art that makes a living and art that is living. it’s a sort of betrayal by art. it’s feeling that which you have dedicated yourself to letting you down. it’s change. it’s a time of discernment. it’s a time of confusion. it’s a time of loss. it’s a time of not-found-yet. it’s a time of grief. it’s complex. it’s a mixed bag.
we laid awake in the middle of the night. we had a banana, our traditional middle-of-the-night snack. we talked. we grappled with the year-of-years we have all had. once again, for the millionth time, we tried to sort it out.
we talked about my snowboarding-broken wrists and a community of leadership that never reached out to me. we wondered aloud. we talked about the pandemic breaking out, virtual-work, exponential curves of connecting to others online. people, including us, losing positions we loved to a virus that shut everything down. we talked about financial hardship, too common a denominator. we wondered aloud. we talked about the terrifying covid numbers we watched on the news – climbing, climbing, climbing. we wondered aloud. we talked about political division, a time of chaos and the amping-up of bigotry, complicity and vitriolic rhetoric. we wondered aloud. we talked about isolation, people missing people. we wondered aloud. we talked about the civil unrest in our town, deaths-by-automatic-weapon a few blocks over, curfews, fires, boarded-up businesses. we wondered aloud. we talked about my fall in the fall, a whopping new wrist ligament tear and, again, a community of leadership that did not reach out. we talked about losing my long-term job. we talked about the silence of others. we wondered aloud. we talked about david’s dad and his move to memory care, his mom and her spinning grief and loss-paralysis. we wondered aloud. we talked about our sweet babycat and his sudden dying, the heartwrenching hole. we wondered aloud. we talked about the lack of security, rampant. we talked about extreme gun violence and people’s hatred of anything-they-aren’t. we wondered aloud. we talked about exhaustion, pervasive and overwhelming all of us. and we wondered aloud.
not much sleep.
we’ll find a gasket that works soon. or we’ll call a real plumber in. and maybe, little bit by little bit, our artistry will call to us – to trust it, trust ourselves. it will remind us that it is not responsible for making a living. it will ask us to look around at that which is of solace to others in these times, regardless of lacking financial reward: it is music, it is visual art, it is the written word. it is art and it is living.
and, for some time to come, the black bin will sit in the middle of the studio. to remind us of the process.
like many of you, i have laid awake many nights now. exhausted when i lay my head down and then, voila!, wide awake. the middle of the night has many monsters these days. it used to be that as i lay awake and would get hungry and hungrier, i would convince david that the perfect thing, rousing him from sleep, would be to have a 3am bowl of cereal together. since we went dairy-gluten-free i’ve substituted and have chosen a banana in the wee hours. somewhere i read that bananas are sleep aids, so waking david up to have a banana seemed like i was helping him. but now, we have no bananas.
we need to go to the grocery store. but it’s complicated, with disinfecting wipes during our trip there and being absolutely careful upon our return home to wash everything or store it for a period of time. it’s important, vital. we step back from the person who is a personal-space-invader. we make room on the walking path for those coming the other way. we marvel at the recklessness of large numbers of people still gathering in spaces. we weep for those who have succumbed to a disease that is apparently sorely underestimated.
this painting, eve, is a beautiful landscape of color and shape. eve, religiously historic as the first woman.
is it possible that the apple of eve and adam, the one in the story from the tree of the knowledge of good and evil, could now be seen as a casualness toward the spread of this pandemic, a cavalier attitude, a lack of regard toward social distancing or the peril facing citizens, medical personnel, workers at essential businesses? the apple that, in the story, changed everything, for all time?
bananas. they were $.49 lb. we picked up a bunch and walked to the register. a moment later, with no question or drama, we paid our $1.17 and left.
the next step in my two-broken-wrists saga is occupational therapy. not because we do everything with our hands. not because we write with them and open doors with them. not because we use them for our personal hygiene or because we cook with them. not because we drive with them or dress with them or shake hands with them. but because using my hands IS what i do. the therapist asked me how long i have played the piano. 53 years. it’s what i DO. so getting my wrists back to pre-snowboard-fall is imperative to me. there are no other options.
before we went to this first appointment i, responsibly, called our healthcare insurance company – the one we pay $29,000 a year to – the one with the slogan ” for the care you need at a price you can afford” – to check in about the coverage of OT. i was told, after much menu-choosing, that i am limited to 20 visits and that the cost will be $50 per visit. with the OT’s recommendation that my getting-these-wrists-back-trajectory would involve appointments twice a week, that would add $400 to the already-$2400/month in healthcare costs. bracing. impossible.
the OT office checked in with me to remind me of my appointment, coincidentally, just after i hung up with the insurance company. i told them what i had just learned and they insisted i was wrong. “no,” i was told, “we have never heard of molina charging ANYthing for a copay.” I asked them to please double-check for me and they assured me they would and that they would apprise me at my appointment.
when i arrived, the receptionist checking me in told me that they had their 23-year-insurance-veteran in the office check and that there would be no copay. i asked them to provide a written document to that effect so that if and when i was billed i would have recourse. they assured me that they would triple-check and to stop back after my appointment.
at the end of my appointment with the therapist, the receptionist told me that “no, you don’t have to pay $50 per visit. it’s actually worse. instead, you have to pay 100% of all fees until your thousands-of-dollars-deductible is met.” what?!!!! now this is the third story i am hearing about the same service with the same provider and the same insurance company. who am i to believe?
i stood there and literally cried in front of the receptionist in the middle of the waiting area. you mean to tell me that our $29,000 a year doesn’t really cover much of anything??? this is blatantly wrong, grossly outrageous.
bernie sanders, if you have listened to him speak, has given a example of the perverted and pathetic healthcare in this country. he speaks about a family who makes $60,000 a year and that this family must pay $12,000 for healthcare. “that’s 20% of their gross income,” he bellows. what i wish he would add is this next example: consider a couple who makes say $65,000 a year (this is the magic healthcare cliff for two people and only $5000 more than the previous example). that couple will pay anywhere between $24,000 and $29,000 for a policy that will still have high deductibles and yet (clearly) not actually have good coverage. i want to jump on the bernie-bellowing-band-wagon and yell, “that’s 45% of that couple’s income!!! what is wrong with that???? EVERYTHING!” how is it that we can live in this country, the richest country in the world, and have the worst healthcare for our populace? how is it right to set the populace up for financial disaster when they have to deal with the eventual health scare, injury, illness?? (on a side note, i won’t even beGIN to start talking about Covid-19, for i have nothing good to say about the administration’s handling, lack of information or truth, and unpreparedness for this pandemic that will truly test the resiliency of our country.)
when i could take a breath at the receptionist’s desk i asked, “what do these appointments cost?” how much is my professionalism worth to me, i am thinking. i earn my living playing the piano, i am thinking. i have fifteen albums of piano music, i am thinking. i am a pianist, i am thinking. i just need care for my wrists so that i can do what i do, i am thinking. at what cost, i am thinking.
but healthcare is not like bananas. i was told, “we can’t answer that. we don’t know.” i beg your pardon??? “billing handles that. and it’s different depending upon insurance plans and whether or not you have appropriate insurance.” i beg your pardon???? “what if i just wanted to pay cash right now?” i ask. “you can’t,” she says. “we don’t know what it costs.”
i wonder if it would be more if i paid cash – after all, i’m not an overstuffed insurance company that has the capacity to deny portions of the billing or disallow costs or base payment on the coding used to describe my treatment, while at the same time accepting ridiculously high premiums from clients with the knowledge that the insurance offered is incomprehensibly lacking.
no. i’m just a person who needs her hands.
we left, went to the store and bought more bananas.
reverse threading 