Craig, Aaska, take two

It’s Monday and we’re back in Craig, Alaska. Rob will be working here the next three weeks, and I’m here to do some training for PeaceHealth. I’m winding down, about to enter my last full month of full time. Scary, daunting, exciting, a little surreal. Here we go!

This time we’re staying in a different place. When you do locums work (filling in for a permanent provider), a place to stay is part of the package. The accommodations can vary greatly. We’ve stayed in bed and breakfasts, efficiency apartments, cottages, hotels…The nice thing is that usually the place comes with basic kitchen stuff so you can have coffee and do as much cooking as you choose without going out for every meal. (I like to go out, but on rainy dreary nights, I just want home, and the comfort of getting cozy.) The place we stayed last week for Thanksgiving even came with a Butterball turkey in the freezer, the clinic’s holiday gift to each staff member. However, I did not choose to make the turkey for the two of us. We shared the holiday meal with several others and I brought my southern-style creamed corn and sweet potato casserole. The turkey (still frozen) flew home with us on Saturday and is now living in my freezer in Ketchikan. Hey, I’ll make a turkey dinner sooner or later…just won’t be this month, or in December.

We’re only a half hour flight from Ketchikan, on the island of Prince of Wales. We came over Sunday afternoon and I was surprised to see there is a lot of snow here. There’s a much bigger road system here than in Ketchikan, though not all of the roads are paved. This island was a major logging site years ago and a lot of the roads are from that era.

These little outposts are interesting. You never know what you’ll find in the way of stores and amenities. It can be hit and miss. I’m actually amazed at what is here when I realize that everything is either flown in or barged in. When you can’t drive in, the price of everthing goes up. Way up.

I enjoy the glimpse of small town life. Well, Ketchikan is small, but this is really little. I grew up in a small town, so this feels familiar. What’s different is the degree of isolation you experience on remote islands. Ketchikan has Alaska Airlines flying in and out several times each day, and the major state ferries stop there. You can’t drive out, but you can get out pretty easily. Not cheaply, but easily enough. The ferry from Prince of Wales (POW, locals call it) takes three hours to get to Ketchikan and the connection point for other travel. Or you can fly, but that’s pricey and baggage allowance is limited. Most folks here do an occasional ferry trip to Ketchikan to make a Walmart run or for some specialty need in healthcare. Women go over a couple of weeks before giving birth to deliver in the hospital there. There is no hospital here, just a couple of clinics on the island doing primary care and visiting clinic care.

Tuesday…Today the clinic has a visiting specialty provider coming over, and someone is coming for the day to set up the scanner and computer for the training I’m doing. Weather yesterday pushed both these visits to Tuesday. No planes were flying on Monday. But people around here are used to weather ruling. Ir makes a lot of decisions easy…bad weather, no flying. Really bad weather, no boating, although the ferries are big enough they usually keep to their regular schedules.

Ah, life on the frontier! Some things are so “normal,” you’d think you were on Main Street USA. There’s cable tv and Starbucks coffee in the grocery store and everyone has cell phones. But just when you think you know what to expect you’re caught by surprise…some pieces of life just work a little differently.

I’ve learned to accommodate. I bring my heels for work in a backpack and wear my snow boots. I bring snacks and a few basics. In some of these small communities the grocery closes at 6:00 and restaurants may or may not be open. Some businesses are only open seasonally. I’ve learned the hard way to be self-reliant, at least for the first night in a new place.

I often wonder if life will look different here years from now. Change comes slowly, but it does come. Who knows? But the weather, the remoteness, the ocean…nothing will change that. And for the people who choose this as home, maybe that’s a good thing.

Choices

This week I made a choice I did not expect to make. I chose to not travel to my grandmother’s funeral. She passed away late Tuesday night, and over the past few days, knowing she was in the hospital, I had mentally been preparing to fly back to Mississippi. But at the moment of decision, I suddenly knew it was the wrong choice.

Rob and I have had a difficult year. We have recognized that many decisions we made in the past few years have not been healthy for us, for our relationship, and that to correct that, we needed to make radical changes. To be honest, with all the amazing adventure that Alaska has offered…experiencing the Arctic, seeing dog sled teams race, traveling to remote and beautiful locations by float plane and ferry, seeing glaciers and northern lights…if I had it to do again, I wouldn’t move here. The distance from family is too great, and adventure doesn’t replace the ability to be present.

Still, this is where I find myself today. I looked at flying out today, knowing that Rob would spend the holiday and the next week alone, and I couldn’t do it. He’s a big boy, he’s spent a fair amount of time alone in the past three years due to work and travel demands. I know he could do it. But the point is, that choice has been a bad one. We are both weary of spending time apart for the sake of work.

I considered the reality that this was a family emergency, a moment to mark and honor a beloved woman in my life, and to renew my connections with family members that I don’t see often. But in the end, I think I am honoring my family. I’m acknowledging that this relationship, even at a moment like this, has to come first. It feels a bit selfish, and I have some anxiety that this choice will not be be understood. But after a time of reflection, I am at peace.

So today I’m sharing a Thanksgiving meal with a few others from the clinic where Rob is covering call. I will miss being with my family who have gathered to say goodbye to my grandmother tomorrow afternoon. I will miss seeing the little ones who’ve grown and the ones who have joined the clan since I was last with them. I’ll miss sharing the tears and the memories, the hugs and the smiles. It hurts my heart to choose absence.

But this morning, drinking my coffee and looking at this man who has been my life for the past 30 years, I knew I was right to stay. The lesson of the moment is that we have the present, and that’s all. We may not have the good fortune to live to 90 with all our faculties intact. The choices that we’ve made, we live with, and we look for ways to re-align our priorities with family and future needs.

And my grandmother? If I could ask her, I believe she would support my decision. She was a lighthouse, staying put, watching her children roam the globe, but I don’t recall ever hearing her complain about their choices. She was accepting that life has to be lived.

Rob and I had already planned a trip back in March. I regret that she won’t be there to sit with, to share with. But we’ll visit the cemetery then with my mom, and remember her, my grandfather, my dad, my uncle and aunt…all the family we’ve lost. It will be sad, but it will be sweet, full of happy tears that these people…human, imperfect, funny, wonderful, loving…touched our lives.

And until then, I’m where I belong.

It’s almost Thanksgiving

Thanksgiving…can’t believe it will be here next week. This is an off year for us. Rob will be working out of town, covering call, so we’ll be a bit casual about our holiday celebration. Some years we’ve been able to connect with family, but this won’t be one of those times.

This year we’ll be on a small island in Alaska, where Rob works episodically. I’m working in Ketchikan through Wednesday afternoon, so I’ll take some of the fixings for our Thanksgiving over with me when I join him, but most likely, we’ll share the big meal of the day with a few others from the clinic who’ve stayed in town. And that’s the main thing. Thanksgiving is not a meal to eat with one or two people, if you can help it. It needs a large group, a full table, a mix of favorite foods, old and new, traditional and experimental, all blended together.

The image of the feast, the expectation of a crowd, whether it be family, or friends, or a mix of both, is so ingrained that I literally can’t imagine a different scenario that would occur by choice. To celebrate Thanksgiving at all is to acknowledge it as perhaps the most American holiday. The 4th of July is a celebration of a new government, a new nation being born. But Thanksgiving recognizes the survival of the people who came here to create what would become America.

Many people have a tradition of sharing around the table what each person is thankful for. This year I am thankful for a season of surprises. My year has had twists and turns. I began it thinking I would sell a house and move, change jobs, encounter other life altering decisions along the way. I am not (yet) selling my house, or moving…you can never tell what housing markets are going to do. My work is mutating, in ways I did not foresee; in ways that are challenging me to think about how I work, where I work, and why I work. Life is full, if a bit unpredictable. I find myself feeling grateful for what has worked, philosophical about what hasn’t, and curious to know what will happen next.

This year I’m thankful for family that is well, for the ties that bind, for friendships that have deepened, for a little one in my life that is growing and changing from a toddler into a little girl, complete with words and opinions. She’ll soon be two, our Riley girl, and quite a girl she is. She brings a smile to my heart. I’m grateful for all the family who send love to me, and who receive it in return. I’m grateful for the recognition that there is a passing of connection from one generation to the next. I feel it with my grandmother (90+!), my mother, my daughter, my son, my granddaughter.

I’m thankful for my husband who is by my side through the ups and downs, who still makes me laugh, still makes me tear up in a sentimental moment, knows what I am thinking most of the time. I’m grateful for a partner in life.

It is easy to take these people in my life for granted. Some of them have been present as long as I have been alive. Others have been part of my life so long I can hardly recall a time without them. Regardless, I want to acknowledge that the few people out of all the billions on the planet that touch my life, and in return, allow me to touch their lives, are the small group of family and friends that care, support, nurture, cry, rejoice, celebrate, encourage, and participate with me as I make my way. They are the ones who provide the color, the music, the faces of my memories.

It’s almost Thanksgiving. I wish you a joyful day, and a heart that is thankful.