A Concept of a Plan?

Once again, someone is trying to rein in US health care costs, this time by somehow forcing Big Pharmaceutical to lower its prices for drugs in the US.

This is not a new issue. In 1970, when I entered medical school, all the first year students were given black leather bags with our names (followed by “M.D., which we wouldn’t deserve for at least 4 years) embossed in gold. Inside were a stethoscope, reflex hammer, and a few other medical toys. The generous donor was a drug company (name lost in the mists of time). A number of my classmates refused the gift on the grounds that drug companies were rapacious profiteers, getting rich off of the illness of others, spending more on advertising to physicians (like the bags) than on actual research.

Our country has repeatedly failed to come to grips with the effects of market-driven health care since at least 1947 when Truman proposed “nationalizing” the medical system, as was happening in the UK.  Johnson with Medicare, Nixon with HMOs, Clinton with failed reform, and the bastardized Affordable Care Act all foundered against the shoals of an obstinate belief in the value of the free-market in our health care system. Until the voting public gets over its fear of “socialized medicine”, we are doomed to pay ever-rising costs without a concomitant rise in the health of our nation.

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Summer In The City — i

In March, Al decided to start looking for a job.

“A real job,” he said. “The money from Kaiser’s going to run out by August, September at the latest.”

A shudder bubbled through my heart as I asked, “Where?” I had another year left before I finished my Master’s in Salt Lake. While we were apart in the fall, before he came out to ski, when he worked at Kaiser in LA, I found out I didn’t need him around every day. No matter what he decided, no matter where he went, I was going to stay in Utah and finish what I started, become a midwife. But I also discovered I wanted to be with him, long-term, to keep what we’d had in Venice going. After I finished, I dreamed, he and I would find someplace to work, together.

“I’m going to start here. I called up the Ob-Gyn group at Intermountain Health, and they’re looking to expand.”

“I don’t know. Working with a bunch of Mormons? Wouldn’t they want one of their own? And what are they going to say when they find out we’re not married, but we’re living together?”

“I can get along with anyone. We’ve got this house, we’re part of this community. USC is a great residency, I’m sure they’ll take me.”

            “I don’t know if I want to stay here after I graduate. It’s a strange place, the way they treat women. It’s not like LA, a lot of different people around. Everybody’s all the same here, and they’re not like us. Are you sure you’d want to stay here, after I’m done?”

“We’re used to being here. We don’t have to stay, we could try it out for two years, five years, if it’s no god, move on. I want to explore the possibilities at least. We’ve got an appointment for an interview, next Wednesday at 11:00.”

“Us?” I asked. “You want me to go, too?”

“Family…they want to talk to both if us, they said.”

We decided not to explain our unorthodox (for Salt Lake City) arrangement. “We’ll just tell them we’re engaged, getting married in August,” I said.

“For real? I thought…”

“My sister called last night. She and Carl, the ER doc she’s living with now, they’re going to get married. So I started thinking, maybe I could, too?”

“August? I don’t know…August?”

What, now he’s not ready? I thought.

Two weeks later, I came home from school and found Al slumped at the dining room table, poring over maps with several medical journals splayed open around him.

“Taking a trip?” I asked.

He looked up. “It’s Intermountain. They called. They don’t want me.”

“What did they say?”

“The young guy called, the newest partner. He said they were concerned we didn’t have family connections here, that we might not want to stay. They want to have somebody who’s ‘rooted in the community’.”

“Well…”

“He said there was a lot of Ob work here, more than enough for another practitioner at the hospital. He suggested I go into practice for myself, maybe they’d fit me in as part of their call schedule. ‘There’s always room at the top,’ he said. Sounded like he wanted moe people in the call rotation, without having to put the practice at risk by taking on a new person”

“Would you? Go into practice by yourself?” I asked.

“That would be scary. We’d have to get a bank loan to set it up, find an office, hire people, all that stuff. I’m not sure I want to be in business like that all by myself. What if it doesn’t work out, if we can’t pay it off, if people won’t come to a gentile Obstetrician?”

“So what are you going to do?” I asked.

“I’m thinking of trying to find someplace else.”

“Where will you look?” I asked.

He pulled out a medical journal, the one with the green cover. He flipped through the articles and showed me a page with four ads on it. “I’m thinking of going on a road trip to Idaho, Colorado, California, Washington. This journal has a bunch of these ads, and also the weekly Ob-Gyn newsletter. I’ll find someplace I like.”

You like? I thought. What about me, don’t I get to choose?

*******

“I drove up from San Jose through Portland, around to the Olympic Peninsula and camped at a state park.” Al was telling me about the jobs he’d looked at. In Washington State, he said he’d found something which seemed perfect.

“You went to interviews after camping in the Bus? Didn’t you want to take a shower?”

“I washed my face, under my arms. I was OK. I had a suit in the closet and everything.”

“What was it like?”

“First I went to this place called ‘Doctor’s Clinic. That was in Bremerton, on the other side of Puget Sound from Seattle. Everywhere you looked, you’d see little inlets with houses on the water, on Puget Sound. It’s where the Navy has a shipyard, and they keep old battleships, the ‘Mothball Fleet’.”

“Did you like it, like the people in the group?”

“Umm…first of all, even though it was a group practice, they expected you to buy into the group, not start out as an employee. The docs are all paid individually, based on how much work they do. Not much security. I expected a probationary period, where we check each other out, and they pay me while I get up to speed. The guy who was recruiting me talked about the last person who’d looked, and why he turned them down. He said that guy’s wife had commented wasn’t a bookstore in town. The recruiter, the head doc, said they didn’t need one, they could just take the ferry over to Seattle where they had all the big city stuff.”

I imagined a frontier town, isolated in a rain forest. Sure, there was water everywhere, but what about people, what about all the culture that makes a city exciting.

“So I don’t think I’m interested in that one. The next day, in Tacoma, the place I interviewed at, I kind of fell in love with.”

“Tacoma, what’s that like?”

“I drove over this giant suspension bridge, like the Golden Gate. The city is right on the water, and reminds me of Cincinnati, hills everywhere, trees. And a giant volcano right out of town, Mount Rainier. A ski area an hour away.”

“Mount Rainier? Isn’t that a national park?”

“Yeah, it’s huge. You know Mount Whitney, how high it is? Mount Rainier is almost as tall but starting from sea level. It goes from sea level to over 14,400 feet. Mount Whitney starts at 8,000 feet. Rainier is like this giant scoop of vanilla ice cream looming over everything, glaciers make it look like its covered with snow all year.”

I remembered the hikes we’d taken in Colorado and Idaho, how much he’d enjoyed being in the woods, hiking up to a view with a lake or a mountain. That sounded like someplace we both would enjoy, in a real city, with mountains close by.

“What is that one like, the place in Tacoma. What’s it called?”

“Group Health of Puget Sound. Like Kaiser, except it’s a cooperative, not run by a big company, but by the people, the patients who use the services. It’s a big deal – they have two hospitals, clinics all over, all the specialties.

“They’re expanding just bought a little HMO in Tacoma, now they have to staff it up. I’d be the first Obstetrician. So it’s almost as if I’m starting my own practice, except I wouldn’t have to worry about any of the business stuff. Like Kaiser, I’d just take care of the people who are signed up, not have to hire nurses or buy equipment or lease an office. Only practice medicine. And get salary, not fee-for-service.”

“That’s good?”

“I think so. Fee-for-service, you wonder, ‘Is the doctor doing this because I need it, or because he needs the money?’ If I’m on a salary, I feel like I could do the right thing without money getting in the way.”

“Now what?”

“They gave me some forms, an application to fill out, get references and everything. I’ll start doing that, send it in and then – wait.”

Posted in Memoir, Salt Lake Stories | Leave a comment

Get A Job

In March, Al decided to start looking for a job.

“A real job,” he said. “The money from Kaiser’s going to run out by August, September at the latest.”

A shudder bubbled through my heart as I asked, “Where?” I had another year left before I finished my Master’s in Salt Lake. While we were apart in the fall, before he came out to ski, when he worked at Kaiser in LA, I found out I didn’t need him around every day. No matter what he decided, no matter where he went, I was going to stay in Utah and finish what I started, become a midwife. But I also discovered I wanted to be with him, long-term, to keep what we’d had in Venice going. After I finished, I dreamed, he and I would find someplace to work, together.

“I’m going to start here. I called up the Ob-Gyn group at Intermountain Health, and they’re looking to expand.”

“I don’t know. Working with a bunch of Mormons? Wouldn’t they want one of their own? And what are they going to say when they find out we’re not married, but we’re living together?”

“I can get along with anyone. We’ve got this house, we’re part of this community. USC is a great residency, I’m sure they’ll take me.”

            “I don’t know if I want to stay here after I graduate. It’s a strange place, the way they treat women. It’s not like LA, a lot of different people around. Everybody’s all the same here, and they’re not like us. Are you sure you’d want to stay here, after I’m done?”

“We’re used to being here. We don’t have to stay, we could try it out for two years, five years, if it’s no god, move on. I want to explore the possibilities at least. We’ve got an appointment for an interview, next Wednesday at 11:00.”

“Us?” I asked. “You want me to go, too?”

“Family…they want to talk to both if us, they said.”

We decided not to explain our unorthodox (for Salt Lake City) arrangement. “We’ll just tell them we’re engaged, getting married in August,” I said.

“For real? I thought…”

“My sister called last night. She and Carl, the ER doc she’s living with now, they’re going to get married. So I started thinking, maybe I could, too?”

“August? I don’t know…August?”

What, now he’s not ready? I thought.

Two weeks later, I came home from school and found Al slumped at the dining room table, poring over maps with several medical journals splayed open around him.

“Taking a trip?” I asked.

He looked up. “It’s Intermountain. They called. They don’t want me.”

“What did they say?”

“The young guy called, the newest partner. He said they were concerned we didn’t have family connections here, that we might not want to stay. They want to have somebody who’s ‘rooted in the community’.”

“Well…”

“He said there was a lot of Ob work here, more than enough for another practitioner at the hospital. He suggested I go into practice for myself, maybe they’d fit me in as part of their call schedule. ‘There’s always room at the top,’ he said. Sounded like he wanted moe people in the call rotation, without having to put the practice at risk by taking on a new person”

“Would you? Go into practice by yourself?” I asked.

“That would be scary. We’d have to get a bank loan to set it up, find an office, hire people, all that stuff. I’m not sure I want to be in business like that all by myself. What if it doesn’t work out, if we can’t pay it off, if people won’t come to a gentile Obstetrician?”

“So what are you going to do?” I asked.

“I’m thinking of trying to find someplace else.”

“Where will you look?” I asked.

He pulled out a medical journal, the one with the green cover. He flipped through the articles and showed me a page with four ads on it. “I’m thinking of going on a road trip to Idaho, Colorado, California, Washington. This journal has a bunch of these ads, and also the weekly Ob-Gyn newsletter. I’ll find someplace I like.”

You like? I thought. What about me, don’t I get to choose?

*******

“I drove up from San Jose through Portland, around to the Olympic Peninsula and camped at a state park.” Al was telling me about the jobs he’d looked at. In Washington State, he said he’d found something which seemed perfect.

“You went to interviews after camping in the Bus? Didn’t you want to take a shower?”

“I washed my face, under my arms. I was OK. I had a suit in the closet and everything.”

“What was it like?”

“First I went to this place called ‘Doctor’s Clinic. That was in Bremerton, on the other side of Puget Sound from Seattle. Everywhere you looked, you’d see little inlets with houses on the water, on Puget Sound. It’s where the Navy has a shipyard, and they keep old battleships, the ‘Mothball Fleet’.”

“Did you like it, like the people in the group?”

“Umm…first of all, even though it was a group practice, they expected you to buy into the group, not start out as an employee. The docs are all paid individually, based on how much work they do. Not much security. I expected a probationary period, where we check each other out, and they pay me while I get up to speed. The guy who was recruiting me talked about the last person who’d looked, and why he turned them down. He said that guy’s wife had commented wasn’t a bookstore in town. The recruiter, the head doc, said they didn’t need one, they could just take the ferry over to Seattle where they had all the big city stuff.”

I imagined a frontier town, isolated in a rain forest. Sure, there was water everywhere, but what about people, what about all the culture that makes a city exciting.

“So I don’t think I’m interested in that one. The next day, in Tacoma, the place I interviewed at, I kind of fell in love with.”

“Tacoma, what’s that like?”

“I drove over this giant suspension bridge, like the Golden Gate. The city is right on the water, and reminds me of Cincinnati, hills everywhere, trees. And a giant volcano right out of town, Mount Rainier. A ski area an hour away.”

“Mount Rainier? Isn’t that a national park?”

“Yeah, it’s huge. You know Mount Whitney, how high it is? Mount Rainier is almost as tall but starting from sea level. It goes from sea level to over 14,400 feet. Mount Whitney starts at 8,000 feet. Rainier is like this giant scoop of vanilla ice cream looming over everything, glaciers make it look like its covered with snow all year.”

I remembered the hikes we’d taken in Colorado and Idaho, how much he’d enjoyed being in the woods, hiking up to a view with a lake or a mountain. That sounded like someplace we both would enjoy, in a real city, with mountains close by.

“What is that one like, the place in Tacoma. What’s it called?”

“Group Health of Puget Sound. Like Kaiser, except it’s a cooperative, not run by a big company, but by the people, the patients who use the services. It’s a big deal – they have two hospitals, clinics all over, all the specialties.

“They’re expanding just bought a little HMO in Tacoma, now they have to staff it up. I’d be the first Obstetrician. So it’s almost as if I’m starting my own practice, except I wouldn’t have to worry about any of the business stuff. Like Kaiser, I’d just take care of the people who are signed up, not have to hire nurses or buy equipment or lease an office. Only practice medicine. And get salary, not fee-for-service.”

“That’s good?”

“I think so. Fee-for-service, you wonder, ‘Is the doctor doing this because I need it, or because he needs the money?’ If I’m on a salary, I feel like I could do the right thing without money getting in the way.”

“Now what?”

“They gave me some forms, an application to fill out, get references and everything. I’ll start doing that, send it in and then – wait.”

Posted in Memoir, Salt Lake Stories | Leave a comment

All In All Is All We Are

It’s a job for him, this skiing. Every day around 8 he heads back to the garage on the alley and disappears in his yellow VW bus. He comes back at 4, 4:30. The routine is reassuring. He heads downstairs, hangs up his ski clothes by the boiler, then comes up to share his day. When it snows, that’s when he’s happiest. Today, for instance…

            “Nine inches!” he beams. “And snowing an inch an hour when I left. Hope they don’t close the roads tomorrow and I can make it up.”

            “Don’t you need a day off?” I asked.

            “Not yet.”

            “But what if the road is closed?”

            “Then I’d go up Big Cottonwood, to Solitude or Brighton.”

            “What are those like?” I asked.

            “Not so good. They’re not as steep. They only close the Snowbird road when it’s snowed two or three feet.” Al replied.

            “That’s good though, right?”

            “No. The snow is so deep, it slows you down, you almost stop. It’s not fun. If it were steeper, like at Snowbird, then it would be great.”

            He took a can of soup out and heated it on the stove, then rooted around for some bread. He went on, “The best days, a perfect day, is when it starts snowing in the night, maybe a foot or snow, I get up there, and it keeps snowing and they close the road for avalanche work. Nobody can get up. If it keeps snowing, your tracks are covered every time you go down and back up, and with nobody making new tracks, it’s powder all day.”

            “I don’t like powder; it’s too hard to ski in, I’m always falling or getting twisted around.”

            “The secret to powder – it’s easier to ski in than other days. And the steeper, the better. With your weight centered over the middle of your foot, the friction of the snow on your legs slows you down. You reach a terminal velocity. Then, you keep your knees bent, ready to absorb, lean a little left, then right, and make those ‘esses’ all the way down.”

            He poured the soup into a bowl and dipped the bread in it. He doesn’t know how much he’s eating. He’s eating all the time. I guess he’s working so much, he burns it all up. He’s certainly not gaining any weight.

*******

            Having him around again helps me in school. Four months now, and I’m starting to feel I can do this, I’m going to do this, I’m going to be a midwife. When I got into Loma Linda’s midwifery school, a couple of years ago, I was unsure if I were ready. Al was eager to tie us up, said he wanted to get married. That scared me, doing both those things at the same time. I didn’t feel ready, not to be a doctor’s wife, Mrs. Truscott, and not to be a midwife, responsible for bringing babies safely into the world.

            What if something went wrong, I thought. We’d been living together for two years, sharing a refrigerator, sharing a bathroom, sharing the beach and the dogs, sharing a bed. We went to movies, went to shows. I’d taken a job away from County Hospital, so we weren’t seeing each other there. Could we share our lives if I didn’t have one of my own? 

            He’d come crashing into my life at the precise point when I had begun to take the steps I’d planned, to be on my own, dependent on no one but myself, not my parents, not my boyfriend, not some random guy. I was a nurse, had passed my boards, had a real job, a car, an apartment. And then he appeared, a whirlwind who always had something planned, always deciding what we should do. Then he said we should get married.

            I was happy with him, safe and protected. The Siren song of marriage held a powerful allure. I didn’t say, “No,” so he assumed that meant “Yes.” He started telling our friends, the other residents he worked with. Everyone acted like it was the correct next step. A few gave us wedding presents. I got pulled along in the excitement, like one of Buff’s sticks getting sucked out past the waves when Al threw it for him to fetch.

            Then I got into Loma Linda, and we started talking about how that would work, how he could stay in Venice, and I’d be in Redlands, and we’d see each other on weekends, and be married…the thoughts overwhelmed me.

            “But we’re still gonna stay together, right? I mean, it’s only a couple of hours to Redlands. You’ll drive back here on the weekends, right?”

            “Um, I think the classroom stuff happens in Loma Linda, but they’re doing the clinical work at County. That’s the second year. Only nine months I’d have to live out there.”

            “I can do that. We can do that. I’ve done it before, had a long-distance relationship, 120 miles apart. Remember?”

            I remembered. His super-smart girlfriend, the one who went to Radcliffe. I looked away.

            We went out to Loma Linda the next weekend, looked at student housing. “A dorm, a cinder-block dorm”, I mumbled as we drove back. “I can’t do that again. Not out here. Let’s come back next weekend and find a real apartment, OK?”

            A few days later, I got a call from the nursing department chief at Loma Linda. “Cheryl, I’m calling all the incoming midwifery students today with some distressing news. ___, the director of the program, was killed in a plane crash. We’re going to have to find a new director. We may have to delay the start of our midwifery program until we can get organized again. I hope you understand.” Relief flushed through my chest, my heart now open and free. “I hope you can wait until we have all that finalized.”

            Al was on call that night, and I worked the next day, so I didn’t tell him until a day later. In the meantime, I thought about what I wanted to do next. When we first met, Al had told me a story about driving from Cincinnati back to Los Angeles five years earlier, in 1972. He’d been driving all over the American West that summer, the last he would have free before his final two years of medical school and four years of residency.

            Camping in his car, staying with friends or family, he tried to visit all the places he remembered from family trips when he was young. Near the end, in mid-August, he took a detour back to Cincinnati to see his parents and then stopped in Chicago to watch the Olympic Trials for swimming. Heading west, he found himself in Iowa late in the evening. The sun had set, yet the air was still hot, a damp muggy humidity oppressing him. He had a sudden thought, I don’t ever want to go east of the Continental Divide again.

            “Why?” I’d asked.

            “The air is different here. Even in LA, in the summer, the evenings, nights are cool. And in the mountains, out in Colorado, it’s drier, no humidity. I’m not going back.”

            I knew I wanted to be a midwife. It gave me purpose, even more than photography or living with Al. And yet, I didn’t want to leave him either. There were few places to train as a nurse-midwife; the one I’d heard most about was in Kentucky the Frontier School of Midwifery. I imagined long-haired, make-up free hippie girls in an Appalachian valley, long dresses, flowing tresses tied back with colored yarn. I might fit in.

            But would Al follow me? It was so close to Cincinnati, a place he’d said “was great for raising kids, but I wouldn’t want to live there.” When he talked about his dreams, where he might want to practice, it was never LA, never back east but “somewhere close to skiing, where the weather isn’t hot and muggy, and in the winter the snow is soft and fluffy. Colorado, San Francisco, Idaho, Seattle…”

            When I told him Loma Linda had closed and I wouldn’t be going, he nodded, straight-faced. “Are you going to apply somewhere else?”

            “I think I need another year, work in the ICU, learn more about serious illness and trauma. I want to see more difficult cases, so I won’t be afraid when something goes wrong.” I hesitated. “There’s one more thing I think I’m not ready for.”

            “What, you don’t want to leave LA?”

            A pounding started in my chest, a bubble forming in my belly, right below my heart. I looked at Al, his hair, his eyes. So much like the little Golden Retriever puppy we’d bought in Diamond Bar. Now full-grown, Jet still had boundless energy, always eager for our walks to the beach.

            “No…no…”

            We were in the kitchen, wondering what to make for dinner. He opened the refrigerator, reached for the Hawaiian Punch he always kept there. Grabbing a can-opener, he punched two little triangular openings in the top, and drank straight from the can. Disgusting, I thought, but also why I love him.

            “No…I don’t think we should get married. Yet.”

            “Yet?”

            The lump below my chest swelled, the pounding of my heart above crescendo’d. Now a little dizzy, I went on, “It’s all too much. Not getting into school, it made me think.”

            “Think?”

            “How I’m not ready, not ready for so much all at once. I need to slow down. First find somewhere to go to school. I have to be sure I’m going to be a midwife. Then, what about your residency? You’ve got another year, your senior year. I don’t think we can…don’t think I want to do all that, all that at once. I can’t do it,” I said.

            “Can’t do what?” Al asked.

            “We can’t do it. Can’t get married.”

            His face went blank. For once I’d taken control, set the direction for our life. Powerful, in charge, I went on, “Maybe after, maybe when I graduate…” This is it, I thought. This is when he tells me I’m scared of commitment.

            His unreadable face stared at the can of Hawaiian Punch.”

            “OK,” he said.

            “OK?”

            “Yeah, I get it. As long as you’re around, as long as we’re together it’s all OK.”

*******

“Everybody’s talking about where they’re going next year, after graduation.” Al had Jet in a headlock, the Golden loving every second of his master’s attention.

            “And…?” I said.

            “And, I don’t have anything set yet. I thought you were going to apply again for midwifery school.”

            “There’s a few I wrote to, asked for applications.”

            He raised his eyebrows. I went on. “Frontier School of Midwifery, in Kentucky? That would be where I want to go. They’ve been around forever; I like the vibe of the place. More natural, helping the poor people in Appalachia.”

            He released Jet, giving him a final scratch behind the ears. “I don’t know…Kentucky…it’s east of the Continental Divide. Humid, no mountains…”

            He stood up and walked into the enclosed front porch. Barefoot, wearing bell-bottom muslin pants, string tie dangling in front, and a matching loose-fitting un-ironed shirt, with his shoulder-length wavy sun-bleached hair and mid-summer beach tan, a familiar tug entwined me.

            Why can’t I do what I want, for once? I thought. “Wait,” I said. I hurried after him.

            The morning light, filtered through the porch windows, glittered prismatically on the scraggly plants Al had planted in small rust-colored pots. “They have a program in Salt Lake. University of Utah. The only one in the west,” I said.

            He brightened, turning to look down Wavecrest to the beach. “Salt Lake City! That’s where Snowbird and Alta are.”

            My heart began a war with the anger in my stomach, the thoughts of independence in my head. Was I going to let a man tell me what to do once again, take me away from where I wanted to go?

            “Is that a good school, Utah? That’d be great if you went there,” he said. “Should we go and look at it?

*******

Flying into Salt Lake one October weekend, the cloudless sky, snow-capped mountains, and blazing orange trees covering the valley floor contrasted with a tang of bitterness I still felt on having my choices restricted. From the middle seat, Al leaned over me and pointed out the window.

“That must be where Alta is, up that canyon! And down there, see the Temple, and the Capitol? Is that the University, up against the hills?”

Friday morning, I had an interview with the program director. I had wondered what we would do the rest of the time, but she scheduled a series of visits. I told her about my interest in Anthropology in college; she set me up with a professor of clinical anthropology, Madelyn Leininger. I met with some current students, who rhapsodized about their classes, professors, and clinical work in locations at an Air Force base, and down in New Mexico on the Navajo reservation. I began to feel I could fit in there. There would be friends to make, a new city to discover.

 Heading to my meeting with the anthropology professor, I thought about why I was doing this, why I wanted to be a midwife. Women having babies is so basic, the start of everyone’s life. At LA County Hospital, I’d seen how women from all over the world, Mexico, Nigeria, Korea, so many places, how different women act in labor.

“But every one loved their newborns when they first held them,” I told Dr. Leininger.

“It’s like that here, too,” she said.

“Really? I thought Salt Lake was all Mormons, having a lot of babies, sure, but isn’t it kind of all the same?”

She laughed. “No, it’s a very cosmopolitan place here. The LDS Church sends young people on missions, to so many different countries. There are little enclaves of immigrants all over the town as a result.”

“I wonder what that’s like, seeing how women from other cultures go through pregnancy, take care of their babies,” I said.

“You’d be coming into a Master’s program here, you know. You’d have to write a thesis to graduate. Maybe that’s something you could explore for yours!” she said.

*******

After Al had finished his post-skiing soup and bread, he said, “Driving home, I heard an ad on the radio about this ice cream place that’s having a sale – they called it ‘a cold day in January’. I mean, what is it with this town and ice cream? Baskin and Robbins is a run-of-the-mill place here. Utah has ice cream parlors like other places have bars!”

“Because they don’t have bars?” I speculated. “They can’t smoke cigarettes, aren’t allowed to drink. So sugar is their big vice?”

Al began to write his short summary of the day’s skiing in a red spiral notebook. He closed his eyes as he counted the runs, then jotted down brief details in a line or two.

“I met with my thesis advisor today,” I said.

“Hmmm,” came the response as he closed the notebook.

“When I mentioned I wanted to do a cross-cultural study of birthing practices, we had a great idea.”

“What do you mean, ‘cross-cultural’?” he asked.

“Remember at County, how the women from different countries all acted different during labor?”

“Yeah. Of course, the Mexicans, they said ‘Ai, doc-tor’ a lot. But Korean women, they were so silent, enduring, holding it in. And Nigerians, they would snap their fingers and click their tongues,” Al said.

“I want to expand beyond labor. That’s all we saw at County. But there’s so much more to being pregnant, before, during and after. And not just what individual women do, but the whole societal attitude towards mothers, and pregnancy and everything.”

“How can you do a thesis about all that? It’s so broad,” he asked.

“That’s what we talked about. She wants me to check out the community of Tongan women…” I started.

“Tongan?”

“Yeah, Tonga. It’s an island in the South Pacific.”

“Never heard of it. Like Samoa, or Fiji?”

“I guess,” I said. “She knows some of them, says I should go to their church, and I could start meeting them, interviewing them.”

“What’s the thesis? What are you trying to prove?” Al asked.

“Not prove anything. The point would be to document how their pregnancy and their birth experience differs between here and Tonga. Find some women who had babies back there, and then came here and had a kid. Interview them and look for common threads, I guess. Document the differences.”

Dylan jumped up on the table and started sniffing Al’s soup bowl. Instead of shooing him away, or, worse, picking the cat up and tossing him on the floor (something he’d done a few times until I demanded he stop), Al began to gently scratch him above the tail, then rubbed his head softly from the nose up between his eyes, to a final ear scratch on either side.

“Look, you’re not sneezing or sniffling!” I observed.

“Yeah, that nose spray really works,” he said.

“What’s it called again? I asked.

“Nasalcrom. It prevents the mast cells from releasing the stuff that causing the symptoms, the itchy eyes and nose. I got it cause I’m allergic to spring, but it’s good for the cat as well.”

I’d always had a cat, but when I moved in with Al, he said he was ‘horribly allergic” to them. I’d thought that was another thing I’d have to give up if I wanted to live with the man, like going to school east of the Rockies.

After we bought the house in the Avenues, I moved from my little apartment down the hill. He was still in Manhattan Beach at Gary and Karen’s, and I needed a companion, a daily reminder of who I was. I found a little fluff ball and introduced him to Al when he came up for Thanksgiving. I was fearful he’d erupt, complain about his allergy. Instead, he offered the name “Dylan”, and took to the little guy right away.

Growing up, we’d always had a cat. My mother would sometimes find a stray at the back door, thin and shivering, looking for safety from the coyotes in the canyon below our house. She’d nurse the little guy back to health and sit stroking his fur while rocking in her mother’s creaky chair. I thought everybody had a cat.

“Your family didn’t like cats?” I asked.

“My father had – has – allergies. Cats make him sneeze, he claims. I think he just doesn’t like cats. He was a ranch boy, my mother a farm girl. Dogs were what they grew up with. Cats were for city people. Too effete, too aloof. So, dogs. We had a couple of dogs, little black Cocker Spaniels, Tina and Toki, when I was growing up.”

“Tina and Toki?”

“Tina – that was the first one. My parents named her ‘Sweet Bertina’, after my sister and I.”

“Wait, ‘Bertina’? How is that after you two?”

“Well, I was named ‘Albert’, after my uncle who got killed in the war, and my grandpa. So, ‘Bert’.”

“But, ‘Tina’? How do you get that from ‘Leigh’?”

“She wasn’t always ‘Leigh’. After college, she decided her name was too stodgy, not her. So she changed the spelling from ‘Shirley’ to ‘Leigh’, and dropped her middle name – ‘Justina’. You take ‘Albert and Justina’ and get… ‘Bertina’.”

            “I can see that,” I mused. “I don’t know how I’d feel about ‘Shirley Justina’. It does sound kind of stodgy. Did you like your dogs?”

            Al pursed his lips. “When I was a kid, they were the right size. I’d take them on walks, play with them, all that stuff. I even took Toki with me to Colorado when I worked as a dishwasher that winter after I finished college. She never ate better – I’d bring home the best steaks and bones from the plates I’d clean off at Guido’s.”

            He put Dylan back down next to the plate of milk I’d set out. Dylan sniffed at it, looked up at the two of us, and wandered off to the bedroom to the waterbed. He hopped up, setting off a gentle wave which rocked him into cat dreamland.

            “Then, in medical school, I had those two dogs, Ocho and Pokey. Ocho, the little one, got gobbled up one day I guess, and Pokey was too stupid to keep. So, I got Gypsy, that shepherd/collie mix, and met you.”

            “And I tried to get a cat, but you refused!”

            “Sneezing! Itchy eyes, throat!” He took a sip of the soup and coughed a little. “Then you snuck this guy in on me!”

            “You like him, don’t you? Are you beginning to understand cats?”

            “He’s OK, I guess. Doesn’t get in the way very much. I don’t like it when cats come and rub themselves on my leg and stuff. He keeps to himself around me.”

            One small step, I thought. “OK”? At least he’s not rejecting the little guy.

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All In All Is All We Are – iii

[First Draft, cont’d]

“Everybody’s talking about where they’re going next year, after graduation.” Al had Jet in a headlock, the Golden loving every second of his master’s attention.

            “And…” I said.

            “And, I don’t know what I want yet. I thought you were going to apply again for midwifery school.”

            “There’s a few I wrote to, asked for applications.”

            He raised his eyebrows. I went on. “Frontier School of Midwifery, in Kentucky? That would be where I want to go. They’ve been around forever, I like the vibe of the place. More natural, helping the poor people in Appalachia.”

            He released Jet, giving him a final scratch behind the ears. “I don’t know…Kentucky…it’s east of the Continental Divide, you know. Humid, no mountains…”

            He stood up and walked into the enclosed front porch. Barefoot, wearing bell-bottom muslin pants, string tie dangling in front, and a matching loose-fitting un-ironed shirt, with his shoulder-length wavy sun-beached hair and mid-summer beach tan, a familiar tug entwined me.

            Why can’t I do what I want, for once? I thought. “Wait,” I said. I hurried after him.

            The morning light, filtered through the porch windows, glittered prismatically on the scraggly plants Al had planted in small rust-colored pots. “There’s also a program in Salt Lake. University of Utah. The only one in the west,” I said.

            He brightened, turning to look down Wavecrest to the beach. “Salt Lake City! That’s where Snowbird and Alta are.”

            My heart began a war with the anger in my stomach, the thoughts of independence in my head. Was I going to let a man tell me what to do once again, take me away from where I wanted to go?

            “Is that a good school, Utah? That’d be really cool if you went there,” he said. “Should we go and look at it?

*******

Flying into Salt Lake one October weekend, the cloudless sky, snow-capped mountains, and blazing orange trees covering the valley floor contrasted with a tang of bitterness I still felt on having my choices restricted. From the middle seat, Al leaned over me and pointed out the window.

“That must be where Alta is, up that canyon! And down there, see the Temple, and the Capitol? Is that the University, up against the hills?”

Friday morning, I had an interview with the program director. I had wondered what we would do the rest of the time, but she scheduled a series of visits. I told her about my interest in Anthropology in college; she set me up with a University professor of clinical anthropology, Madelyn Leininger. I met with some current students, who rhapsodized about their classes, professors, and clinical work in locations at an Air Force base and down in New Mexico on the Navajo reservation. I began to feel as if I could fit in there. There would be friends to make, a new city to discover.

Heading to my meeting with the anthropology professor, I thought about why I was doing this why I wanted to be a midwife. Women having babies is so basic, the start of everyone’s life. At LA County Hospital, I’d seen how women from all over the world, Mexico, Nigeria, Korea, so many places, acted differently in labor.

“But they all loved their newborns when they first held them,” I told Dr. Leininger.

“It’s like that here, too,” she said.

“Really? I thought Salt Lake was all Mormons, having a lot of babies, but isn’t it kind of all the same.”

She laughed. “No, it’s a very cosmopolitan place here. The LDS Church sends young people on missions, to so many different countries. There are little enclaves of immigrants all over the town as a result.”

“I wonder what that’s like, seeing how women from other cultures go through pregnancy, take care of their babies,” I said.

“You’d be coming into a Master’s program here, you know. You’d have to write a thesis to graduate. Maybe that’s something you could explore for yours!” she said.

*******

After Al had finished his post-skiing soup and bread, he said, “Driving home, I heard on the radio about this ice cream place that’s having a sale – they called it ‘a cold day in January’. I mean, really, what is it with this town and ice cream? Baskin and Robbins is a run-of-the-mill place here. Utah has ice cream parlors like other places have bars.”

“Because they don’t have bars?” I speculated. “They can’t smoke cigarettes, aren’t allowed to drink. So sugar is their big vice?”

Al began to write his short summary of the day’s skiing in a red spiral notebook. He closed his eyes as he counted the runs, then jotted down brief details in a line or two.

“I met with my thesis advisor today,” I said.

“Hmmm,” came the response as he closed the notebook.

“When I mentioned I wanted to do a cross-cultural study of birthing practices, we had a great idea.”

“What do you mean, ‘cross-cultural’?” he asked.

“You know at County, how the women from different countries all acted different during labor?”

“Yeah. Of course, there was a lot of ‘Ai, doc-tor!’. But Korean women, they were so silent, enduring, holding it in. And I remember Nigerians, they would snap their fingers and click their tongues,” Al said.

“I want to expand beyond labor. That’s all we saw at County. But there’s so much more to being pregnant, before, during and after. And not just what individual women do, but the whole societal attitude towards mothers, and pregnancy and everything.”

“How can you do a thesis about all that? It’s so broad,” he asked.

“That’s what we talked about. There’s a community of Tongan women…” I started.

“Tongan?”

“Yeah, Tonga. It’s an island in the South Pacific.”

“Never heard of it. Like Samoa, or Fiji?”

“I guess,” I said. “Anyway, she knows some of them, could get me into their church or something, and I could start meeting them, interviewing them.”

“What’s the thesis? What are you trying to prove?” Al asked.

“Not prove anything. The point would be to document how their pregnancy, especially their birth experience, differs between here and Tonga. Find some women who had babies there, and then came here and had a kid. Interview them and look for common threads, I guess. Document the differences.”

Dylan jumped up on the table and started sniffing Al’s soup bowl. Instead of shooing him away, or, even worse, picking the cat up and tossing him on the floor (something he’d done a few times until I demanded he stop), Al began to gently scratch him just above the tail, then rubbed his head softly from the nose up between his eyes, to a final ear scratch on either side.

“Look, you’re not sneezing or sniffling!” I observed.

“Yeah, that nose spray really works,” he said.

“What’s it called again? I asked.

“Nasalcrom. It prevents the mast cells from releasing the stuff that causing the symptoms, the itchy eyes and nose. I got it cause I’m allergic to spring, but it’s good for the cat as well.”

I’d always had a cat, but when I moved in with Al, he said he was ‘horribly allergic” to them. I’d thought that was another thing I’d have to give up if I wanted to live with the man, like going to school east of the Rockies.

After we bought the house in the Avenues, I moved from my little apartment down the hill. He was still in Manhattan Beach at Gary and Karen’s, and I needed a companion, a daily reminder of who I was. I found a little fluff ball and introduced him to Al when he came up for Thanksgiving. I was fearful he’d erupt, complain about his allergy. Instead, he offered the name “Dylan”, and took to the little guy right away.

Posted in Memoir, Salt Lake Stories, Salt Lake Stories | Comments Off on All In All Is All We Are – iii

All In All Is All We Are — ii

[First draft]

It’s a job for him, this skiing. Every day around 8 he heads back to the garage on the alley and disappears in his yellow VW bus. He comes back at 4, 4:30. The routine is reassuring. He heads downstairs, hangs up his ski clothes by the boiler, then comes up to share his day. When it snows, that’s when he’s happiest. Today, for instance…

            “Nine inches!” he beams. “And snowing an inch an hour when I left. Hope I can make it up again tomorrow, they don’t close the roads.”

            “Don’t you need a day off?” I asked.

            “Not yet.”
            “But what of the road is closed?”

            “Then I’d go up Big Cottonwood, to Solitude or Brighton.”

            “What are those like?” I asked.

            “Not so good. They’re not as steep. When the Snowbird road is closed, and I go up there, it usually means it’s snowed two or three feet.” Al replied.

            “That’s good though, right?”

            “No. The snow is so deep, that it slows you down, you almost stop. It’s not fun. If it were steeper, like at Snowbird, then it would be great.”

            He took a can of soup out and heated it on the stove, then rooted around for some bread. He went on, “The best days, a perfect day, is when it starts snowing in the night, maybe a foot or snow, I get up there, and it keeps snowing and they close the road for avalanche work. Nobody can get up it’s still snowing, your tracks are covered every time you go down and back up, and there’s almost nobody there making new tracks. Powder all day.”

            “I don’t like powder; it’s too hard to ski in, I’m always falling or getting twisted around.”

            “There’s a secret to powder – it’s actually easier to ski in than other days. Especially when it’s steep. Get your weight centered over the middle of your foot, the friction of the snow on your legs slows you down. You reach a terminal velocity. Then, you just sort of sit there, lean a little left, then right, and make those ‘esses’ all the way down.”

            He poured the soup into a bowl and dipped the bread in it. He doesn’t even know how much he’s eating. He’s eating all the time. I guess he’s working so much, he just burns it up. He’s certainly not gaining any weight.

            Having him around again helps me in school. Four months now, and I’m starting to feel I can do this, I’m going to do this, I’m going to be a midwife. When I got into Loma Linda’s midwifery school, a couple of years ago, I didn’t know if I was ready. Al was all eager to tie us up, said he wanted to get married. That scared me, doing both those things at the same time. I didn’t feel ready, not to be a doctor’s wife, Mrs. Truscott, and not to be a midwife, responsible for bringing babies safely into the world.

            What if something went wrong, I thought. We’d been living together for two years, sharing a refrigerator, sharing a bathroom, sharing the beach and the dogs, sharing a bed. We went to movies, went to shows. I’d taken a job away from County Hospital, so we weren’t seeing each other there. Could we share our lives if I didn’t have one of my own? 

            He’d come crashing into my life at the precise point when I had just begun to take the steps I’d planned, to be on my own, dependent on no one but myself, not my parents, not my boyfriend, not any random guy. I was a nurse, had passed my boards, had a real job, a car, an apartment. And then he appeared, a whirlwind who always had something planned, always deciding what we should do. And then he said we should get married.

            I was happy with him, felt safe, protected with him. The Siren song of marriage held a powerful allure. I didn’t say, “No,” so he assumed that meant “Yes.” He started telling our friends, the other residents he worked with. Everyone acted like it was the correct next step. A few even gave us wedding presents. I got pulled along in the excitement, like one of Buff’s sticks getting sucked out past the waves when Al threw it for him to fetch.

            Then I got into Loma Linda, and we started talking about how that would work, how he could stay in Venice, and I’d be in Redlands, and we’d see each other on weekends, and be married…the thoughts overwhelmed me.

            “But we’re still gonna stay together, right? I mean, it’s only a couple of hours to Redlands. You’ll drive back here on the weekends, right?”

            “Um, I think the classroom stuff happens there in Loma Linda, but they’re doing the clinical work at County. That’s the second year. Only nine months I’d have to live out there.”

            “I can do that. We can do that. I’ve done it before, had a long-distance relationship, 120 miles apart. Remember?”

            I remembered. His super-smart girlfriend, the one who went to Radcliffe. I looked away.

            We went out to Loma Linda the next weekend, looked at student housing. “A dorm, a cinder-block dorm”, I mumbled as we drove back. “I can’t do that again. Not out here. Let’s come back next weekend and find a real apartment, OK?”

            A few days later, I got a call from the nursing department chief at Loma Linda. “Cheryl, I’m calling all the incoming midwifery students today with some distressing news. ___, the director of the program, was killed in a plane crash. We’re going to have to find a new director. We may have to delay the start of our midwifery program until we can get organized again. I hope you understand.” Relief flushed through my chest; my heart felt open and free. “I hope you can wait until we have all that finalized.”

            Al was on call that night, and I worked the next day, so I didn’t tell him until a day later. I had thought about what I wanted to do next. When we first met, Al had told me a story about driving from Cincinnati back to Los Angeles five years earlier, in 1972. He’d been driving all over the American West that summer, the last he would have free before his final two years of medical school and four years of residency.

            Camping in his car, staying with friends or family, he tried to visit all the places he remembered from family trips when he was young. Near the end, in mid-August, he took a detour back to Cincinnati to see his parents and then stopped in Chicago to watch the Olympic Trials for swimming. Heading west, he found himself in Iowa late in the evening. The sun had set, yet the air was still hot, a damp muggy humidity oppressing him. He had a sudden thought, I don’t ever want to go east of the Continental Divide again.

            “Why?” I’d asked.

            “The air is different here. Even in LA, in the summer, the evenings, nights are cool. And in the mountains, out in Colorado, it’s drier, no humidity. I’m not going back.”

            I knew I wanted to be a midwife. It gave me purpose, even more than photography or living with Al. And yet, I didn’t want to leave him either. There were very few places to train as a nurse-midwife; the one I’d heard most about was in Kentucky the Frontier School of Midwifery. I imagined long-haired, make-up free hippie girls in an Appalachian valley, long dresses, flowing tresses tied back colored yarn. I might fit in there.

            But would Al follow me? It was so close to Cincinnati, a place he’d said “was great for raising kids, but I wouldn’t want to live there.” When he talked about his dreams, where he might want to practice, it was never LA, never back east but “somewhere I can get to skiing easily, where the weather isn’t hot and muggy, and in the winter the snow is soft and fluffy. Colorado, San Francisco, Idaho, Seattle…”

            When I told him Loma Linda had closed, I wouldn’t be going there, he nodded, straight-faced. “Are you going to apply somewhere else?”

            “I think I need another year, work in the ICU, learn more about serious illness and trauma. I want to know more, not be afraid when something goes wrong, you know?” I hesitated. “There’s one more thing I think I’m not ready for.”

            “What, you don’t want to leave LA?”

            A pounding started in my chest, a bubble forming just below my heart. I looked at Al, his hair, his eyes. So much like the little Golden Retriever puppy we’d bought in Diamond Bar. Now full-grown, Jet still had boundless energy, always eager for our walks to the beach.

            “No…no…”

            We were in the kitchen, wondering what to make for dinner. He opened the refrigerator, reached for the Hawaiian Punch he always kept there. Grabbing a can-opener, he punched two little triangular openings in the top, and drank straight from the can as usual. Disgusting, I thought, but also why I love him.

            “No…I don’t think we should get married. Yet.”

            “Yet?”

            The lump below my chest swelled, the pounding just above crescendo’d. Now a little dizzy I went on, “It’s all too much. Not getting into school, made me think.”

            “Think?”

            “How I’m not ready, not ready for so much all at once. I need to slow down. First find somewhere to go, to know I’m going to be a midwife. Then, there’s your residency. You’ve got another year, your senior year. I don’t think we can…don’t think I want to do all that, all that at once.”

“I can’t do it,” I said.

            “Can’t do what?” Al asked.

            “We can’t do it. Can’t get married.”

            His face went blank. For once I’d taken control, set the direction for our life. Powerful, in charge, I went on, “Maybe after, maybe when I graduate…” This is it, I thought. This is when he tells me I’m scared of commitment.

            His unreadable face stared at the can of Hawaiian Punch.

            “OK,” he said.

            “OK?”

            “Yeah, I get it. As long as you don’t leave, as long as you’re around, it’s all OK.”

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All In All Is All We Are — i

[First draft]

It’s a job for him, this skiing. Every day around 8 he heads back to the garage on the alley and disappears in his yellow VW bus. He comes back at 4, 4:30. The routine is reassuring. He heads downstairs, hangs up his ski clothes by the boiler, then comes up to share his day. When it snows, that’s when he’s happiest. Today, for instance…

            “Nine inches!” he beams. “And snowing an inch an hour when I left. Hope I can make it up again tomorrow, they don’t close the roads.”

            “Don’t you need a day off?” I asked.

            “Not yet.”
            “But what of the road is closed?”

            “Then I’d go up Big Cottonwood, to Solitude or Brighton.”

            “What are those like?” I asked.

            “Not so good. They’re not as steep. When the Snowbird road is closed, and I go up there, it usually means it’s snowed two or three feet.” Al replied.

            “That’s good though, right?”

            “No. The snow is so deep, that it slows you down, you almost stop. It’s not fun. If it were steeper, like at Snowbird, then it would be great.”

            He took a can of soup out and heated it on the stove, then rooted around for some bread. He went on, “The best days, a perfect day, is when it starts snowing in the night, maybe a foot or snow, I get up there, and it keeps snowing and they close the road for avalanche work. Nobody can get up it’s still snowing, your tracks are covered every time you go down and back up, and there’s almost nobody there making new tracks. Powder all day.”

            “I don’t like powder; it’s too hard to ski in, I’m always falling or getting twisted around.”

            “There’s a secret to powder – it’s actually easier to ski in than other days. Especially when it’s steep. Get your weight centered over the middle of your foot, the friction of the snow on your legs slows you down. You reach a terminal velocity. Then, you just sort of sit there, lean a little left, then right, and make those ‘esses’ all the way down.”

            He poured the soup into a bowl and dipped the bread in it. He doesn’t even know how much he’s eating. He’s eating all the time. I guess he’s working so much, he just burns it up. He’s certainly not gaining any weight.

            Having him around again helps me in school. Four months now, and I’m starting to feel I can do this, I’m going to do this, I’m going to be a midwife. When I got into Loma Linda’s midwifery school, a couple of years ago, I didn’t know if I was ready. Al was all eager to tie us up, said he wanted to get married. That scared me, doing both those things at the same time. I didn’t feel ready, not to be a doctor’s wife, Mrs. Truscott, and not to be a midwife, responsible for bringing babies safely into the world.

            What if something went wrong, I thought. We’d been living together for two years, sharing a refrigerator, sharing a bathroom, sharing the beach and the dogs, sharing a bed. We went to movies, went to shows. I’d taken a job away from County Hospital, so we weren’t seeing each other there. Could we share our lives if I didn’t have one of my own? 

            He’d come crashing into my life at the precise point when I had just begun to take the steps I’d planned, to be on my own, dependent on no one but myself, not my parents, not my boyfriend, not any random guy. I was a nurse, had passed my boards, had a real job, a car, an apartment. And then he appeared, a whirlwind who always had something planned, always deciding what we should do. And then he said we should get married.

            I was happy with him, felt safe, protected with him. The Siren song of marriage held a powerful allure. I didn’t say, “No,” so he assumed that meant “Yes.” He started telling our friends, the other residents he worked with. Everyone acted like it was the correct next step. A few even gave us wedding presents. I got pulled along in the excitement, like one of Buff’s sticks getting sucked out past the waves when Al threw it for him to fetch.

            Then I got into Loma Linda, and we started talking about how that would work, how he could stay in Venice, and I’d be in Redlands, and we’d see each other on weekends, and be married…the thoughts overwhelmed me.

            “I can’t do it,” I said one day.

            “Can’t do what?” Al asked.

            “We can’t do it. Can’t get married.”

            His face went blank. For once I’d taken control, set the direction for our life. Powerful, in charge, I went on, “Maybe after, maybe when I graduate…” This is it, I thought. This is when he tells me I’m scared of commitment.

            “OK,” he said. “Yeah, you’re right. But we’re still gonna stay together, right? I mean, it’s only a couple of hours to Redlands. You’ll drive back here on the weekends, right?”

            “Um, I think the classroom stuff happens there in Loma Linda, but they’re doing the clinical work at County. That’s the second year. Only nine months I’d have to live out there.”

            “I can do that. We can do that. I’ve done it before, had a long-distance relationship, 120 miles apart. Remember?”

            I remembered. His super-smart girlfriend, the one who went to Radcliffe. I looked away.

            We went out to Loma Linda the next weekend, looked at student housing. “A dorm, a cinder-block dorm”, I mumbled as we drove back. “I can’t do that again. Not out here. Let’s come back next weekend and find a real apartment, OK?”

            A few days later, I got a call from the nursing department chief at Loma Linda. “Cheryl, I’m calling all the incoming midwifery students today with some distressing news. ___, the director of the program, was killed in a plane crash. We’re going to have to find a new director. We may have to delay the start of our midwifery program until we can get organized again. I hope you understand.” Relief flushed through my chest; my heart felt open and free. “I hope you can wait until we have all that finalized.”

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Snowbird Tram

[Final Draft]

Sliding down towards the Snowbird Mall at 2 PM, I skidded to a stop, the snow spray blown to my right by a stiff wind howling upvalley. A mini tornado of food wrappers swirled nearby as I unclipped from my skis. After six trips to the top on the tram that day, my legs were rubbery from the final descent on Peruvian Gulch – Silver Fox. Four days without snow, after a two-foot dump, and the bumps resembled a tilted parking lot of white VW Beetles.

Five weeks of daily skiing the steeps had delivered an epiphany: if I kept my shoulders perpendicular to the fall line while my ankles and knees absorbed the sudden transition from peak to trough, I was able to string together four or five turns without stopping. As my legs pistoned faster, time slowed and my future route appeared through the chaos before I had a chance to think. One more trip would cement the kinesthetics of that lesson.

This would be my seventh ride up the tram that day. Seven had become my daily measure of success. 21,000 vertical feet a day, 6 days a week, and I was becoming an accomplished skier. The combination of periodic deep snow falls and subsequent transition to treacherous moguls honed my skills, building a base of confidence that would last a lifetime.

Heedless of the signs of the impending storm front, I snapped my poles onto my Olin VII skis, shouldered the package, and clomped into the ominously empty loading area. Each step across the metal platform echoed off the concrete and glass walls. Up the mountain, the red cable car glided down as it passed the upward bound blue. During the 3 minutes it took to arrive, several stragglers joined me, all regulars I recognized from my daily trips to the top.

The Snowbird tram holds 120 skiers when full, all standing in a steaming mass holding their skis upright. I’d learned the drill: LIFO, Last In, First Off. Stand next to the pole at the downhill end of the sliding door and scoot off as it opened. Beat the crowd to whatever powder patch seemed least skied on the way up, Great Scott or its cousins in the Cirque.

At the uphill side of the door, the tram operator wielded his controls. Most of the time, there was little to do except throw a few switches to open, or close the door, and start the ascent with a firm push of the lever controlling the cable motor. Let the autopilot do its thing, and slow down when near the top. During that final glide-in, turn on the microphone and repeat the warning to watch for obstacles and follow the recommended route down, “Chip’s Run”. It was always Chip’s. By now I’d ridden up so many times that I gave little thought to the nuances of this work, which appeared to be as simple as that of the now anachronistic elevator operators of years gone by.

Until today. Most of the weekday crowd had been dissuaded by the failing, fading light of an overcast sky, the lack of fresh snow and the capricious wind. A perfect time to call it a day. Except for the die-hard dozen filing in who each found a spot to rest our hips on the rail under the windows.

“It’s getting windy. Are they going to shut down early?” one asked the operator.

“It was OK coming down. I think we can make it one more time,” came the response.

The cable car travels 2,900 feet from the mall, taking the shortest route up. Four massive towers guide its cables, with a long dip in the ride between each. If the tram stops between towers, a vertical oscillation begins, bouncing upwards, dropping down in ever shorter cycles. The operators know to start up again at the bottom.

Sometimes a downslope headwind impeds the upward progress, slowing the cabin to a crawl. On this day, as we crossed over the lower ridge 1000 feet above the mall, the car shuddered as the wind hit harder, this time coming not head-on, but from the side, up the canyon from the Salt Lake valley 5,000 feet below.

Without its usual load, the car began to sway from side-to-side. At first a gentle drift, but as we passed the second tower, an unspoken chill rose among our band. All eyes turned toward the third tower, rising on the rock outcrop at the base of the Cirque. We all sensed this unusual back and forth path would bring us directly into it.

“Um, what do you do about that?” someone asked the operator.

He said nothing. Eyes fixed on the ominous tower ahead, he pulled the lever to slow our speed, attempting to time the sway so we passed the obstacle as far to the left as possible. Up the hill, the final tower loomed. Easing the throttle, now slower, now faster, he again timed our passage to perfection.

Awed silence consumed the cabin. But one more challenge awaited. Even at the slowest speed, we still drifted side-to-side. Ahead, the tram station’s Erector Set skeleton allowed little leeway to fit the giant gondola into the platform. Rubber bumpers on both the car and the landing protected against a slight miscalculation, but without a precision entry, either the metal girders or the tram itself would be crunched.

Slower, slower still, the tram inched its way to the platform. Instead of the usual rustle towards the door, we all remained glued to our perches, gripping the rail we sat on. With two feet or so remaining, the operator waited for the tram to center, gave one final nudge, and docked us securely at last. An audible collective sigh flowed through the cabin as the driver opened the door.

Filing out into a wind blasting against our faces, we were greeted by a whistling through the girders, screeching from the strain. A few skiers were still on top, backs to the gale, struggling to snap their boots into their bindings.

The last one off whispered, “Thanks, man.”

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Snowbird

[First Draft…AI says, “To improve engagement throughout all parts of the narrative, incorporating more personal reflections or sensory details could enhance reader interest.” I’ll give that a try tomorrow.]

Sliding into the Snowbird Mall at 2 PM, I saw a mini tornado of food wrappers swirl towards me as I unclipped from my skis. After six trips to the top on the tram that day, my legs were rubbery from the final descent on Peruvian Gulch – Silver Fox. Four days without snow, after a two-foot dump, and the bumps resembled a tilted parking lot of white VW Beetles. Five weeks of daily skiing the steeps had at last delivered an epiphany: if I kept my shoulders perpendicular to the fall line while my ankles and knees absorbed the sudden transition from peak to trough, I was able to string together four or five turns without stopping in the middle of a mogul field. I wanted one more trip to cement the kinesthetics of that lesson.

And to get seven rides up the tram. That had become my daily measure of success. 21,000 vertical feet a day, 6 days a week, and I had started to become an accomplished skier. The combination of periodic deep snow falls and subsequent transition to treacherous moguls was honing my skills, building a base of confidence that would last a lifetime.

Heedless of the signs of an impending storm front, I clamped my poles onto my Olin VII skis, shouldered the package, and clomped into the tram loading area. It was ominously empty. I looked up at the cable lines and noticed the red car had just passed the upward bound blue. During the 3 minutes it took to arrive, several stragglers joined me, all regulars I recognized from my daily trips to the top.

The Snowbird tram holds 120 skiers when full, all standing in a steaming mass holding their skis upright. The daily riders knew the drill: LIFO, Last In, First Off. Stand next to the pole at the downhill end of the sliding door and scoot off as it opened. Then head for whatever powder patch seemed least skied on the way up, usually Great Scott or its cousins in the Cirque.

At the uphill side of the door, the tram operator wielded his controls. Most of the time, there was little to do except throw a few switches to open, then close the door, and start the ascent by restarting the cable motor. Let the autopilot do its thing, then slow down gently when near the top. During that final glide-in, turn on the microphone and repeat the warning to watch for obstacles and follow the recommended route down, “Chip’s Run”. It was always Chip’s. I’d ridden so many times by now that I gave little thought to the nuances of their work, which appeared to be as simple as the now anachronistic elevator operators of years gone by.

Until today. Most of the weekday crowd had been dissuaded by the failing, fading light of an overcast sky, the lack of fresh snow and the capricious wind. A perfect time to call it a day. Except for the die-hard dozen who filed in. We each found a spot to rest our hips on the ledge under the windows.

“It’s getting windy. Are they going to shut the tram down early?” one asked the tram operator.

“It was OK coming down. I think we can make it one more time,” came the response.

The tram rises nearly 3,000 feet from the mall, taking the shortest route up. Four massive towers guide its cables, with a long dip in the ride between each. If the tram stops suddenly, a vertical roller ride begins, first bouncing upwards, then dropping down, gradually reducing the distance. The operators know to start up again at the bottom of the cycle.

Sometimes a downslope headwind impeded the upward progress, slowing the tram to a crawl. On this day, as we crossed over the lower ridge 1000 feet above the valley, we began to feel the wind hit us, this time coming not head-on, but up the canyon. Without its usual load, the car began to sway from side to side. At first a gentle drift, but as we passed the second tower, an unspoken chill rose among our band. All our eyes turned toward the third tower, rising on the rock outcrop at the base of the Cirque. At our current speed, it looked like our sway would bring us directly into it.

“Um, what do you do about that?” someone asked the operator.

He said nothing. He pulled the lever to slow our speed, attempting to time the sway so we passed the tower as far to the left as possible. Beyond that obstacle, the final tower awaited. Gently throttling, now slower, now faster, he again timed our passage to perfection.

Awed silence consumed the cabin. But one more challenge awaited. Even at the slowest speed, we still drifted side-to-side. The tram station loomed above, its Erector Set skeleton allowing little leeway to fit the giant gondola into the platform. Rubber bumpers on both the cabin and the landing allowed for a slight miscalculation, but without a precision entry, either the metal girders or the tram itself would be crunched.

Once again, he timed it perfectly. He opened the door, and we filed out. Wind whistled across the girders, which screeched with the strain. A few skiers were still on top, struggling to get into their bindings.

The last one off whispered, “Thanks, man.”

Posted in Memoir, Salt Lake Stories, Ski Stories | Comments Off on Snowbird

Salt Lake Stories – Chapter 1, Just Like Starting Over

[Final draft]

“Let’s go back to that one in the Avenues,” Cheryl said to the burly real estate agent driving us around the Salt Lake valley. We’d been touring pleasant homes in Sugar House, built twenty to thirty years earlier soon after World War II.

As we drove north on 700 East, Eric swept his hand in a semi-circle in front of him. “Notice how the streets up here are all so wide? Brigham Young insisted they be this big, even though back then when he was laying out the town, there wasn’t any traffic. People say he had a vision, from God or whatever, that Salt Lake would grow and be so busy, the roads would need all this space. Whatever, we’re glad now he did that.”

Crossing Temple, he jogged left and continued up hill on I Street. Turning left at 7th, he pulled up in front of a small brick house halfway down the block. We got out and walked up the concrete steps, cracked and crumbling in several places, to a covered porch. As Eric fumbled with the lock box, Cheryl and I turned around and absorbed the view from 577.

The entire valley spread out below. To our right, at the end of 7th, the Capitol Dome gleamed back at us. Panning left, the Oquirrh Mountains ran from the Lake to the open-pit copper mine, marking the western limit of the valley. Due south, a slight rise hid Provo and Utah Lake from view. Circling back along the eastern rim, the Wasatch Front rose 7,000 feet, its summits sparkling with fall’s first snow fall. I counted five canyon coursing into the mountains, Little and Big Cottonwood, Millcreek, and City, with Emigrant Canyon emerging through the University due east of us.

“OK, got it,” Eric said, waving the key. “Let’s go in and take a look.”

The heavy wooden door, painted white on the bottom half, featured a leaded glass window on top. We entered a room stretching the width of the house, leading into a dining area and the kitchen beyond. On the right, the only bedroom featured an interior brick wall, a small closet and an adjoining bathroom. As we passed through the dining area, Cheryl pointed to a giant box hanging outside, filling up the entire window.

“What’s that?” she asked.

“Swamp cooler,” Eric said. “That’s what we use here for cooling. Load it with water, run the fan, works great ‘cause it’s so dry here in the summer.”

“Only one floor?” I asked.

“Well, there’s a basement and an attic. Downstairs is…this door, I think,” Eric said.

Below, a washer, dryer and utility sink were dwarfed by a giant iron furnace occupying most of the center of the single room. Eric examined the massive structure rising almost to the ceiling. Behind it, a chute led from a small window near the ceiling and ended just above the concrete floor.

“Hmm…Looks like and old coal furnace, converted to electricity.” Silver metal pipes led from the top in all directions, disappearing into the ceiling. “Must be about twenty years old,” he said.

Swiveling to face one of the walls, he pointed at the neatly labeled shelves. “Here’s where they stored their year’s supply.” I examined the labels: “Beans”, “Water”, “TP”, “Flour”, each shelf ready to hold its required staple.

“Why would they do that? There’s a big pantry upstairs, in the kitchen.”

Eric laughed. “Mormons. They tell us to always keep a year’s supply of food available. My mother had a little chart, telling her what to buy, when to rotate it. I always knew it was time when we had beans and canned tomatoes for dinner.”

“That must be exhausting, keeping up with all the rules,” Cheryl said.

Eric laughed. “Not if you don’t follow them!”

“You’re a Mormon, but you don’t do all that?”

Eric shook his head. “I guess I’m what you call a Jack Mormon.”

“Jack Mormon?” I echoed.

“Yeah, I got baptized and all, but sort of fell out with the whole thing when I grew up.”

Cheryl and I lingered on the porch while Eric walked down the steps to his car. The house was empty of furniture, but someone had left a wicker two-seater sofa outside. We sat there. Cheryl began, “So what do you think? I like this area, it’s just up the hill from my place. The U’s a mile over there, it’s so close to downtown and everything. Can we afford it?”

I gazed at the front lawn, browning from the lack of rain in October. Cottonwood trees along the avenue had started turning gold and orange. A faint hum drifted up from the city spread out below us. I looked southeast, to Little Cottonwood canyon.

I pointed. “There’s where Alta and Snowbird are. I want to ski there all winter!”

“Can we afford it?” Cheryl asked.

“Didn’t we figure our upper limit was $72,000? They’re asking seventy-seven. We can make an offer at seventy and see what happens.”

“All that financial stuff is so confusing to me” Cheryl said. “The mortgage payment is only $395 a month? That’s less than our rent in Venice!”

“It’s about what we’re paying now for our two places between us.” Cheryl had moved into a month-by-month duplex down the hill in the avenues, on 3rd. I was living in Manhattan Beach in a tool shed behind the rented home of Gary and Karen. Gary had been one of my junior residents until my graduation in July. Since then I’d been working as a mercenary, a medical gun-for-hire, for Kaiser in West Los Angeles. Most mornings, I’d ride my bike for a half hour along the beach path, then drive my orange VW van to work up the San Diego Freeway and La Cienega.

Kaiser had been growing so fast in the ‘70s that the specialty center and hospital they’d erected was already overflowing, with the Ob-Gyn department relocated into an unused patient ward. 12 of us shared six patient double rooms, each of which had a private shower and toilet. My roommate was Dr. G–, recently arrived from Brooklyn. While we all were paid the same salary, depending on our tenure, I overheard him boast on a phone call that “I cut myself a great deal here”. Whatever that deal was, it allowed him to afford a home in Beverly Hills, south of Sunset. I’d decided if he could swing that, I could surely swing an 80-year-old place in the Avenues of Salt Lake.

“If I work until Christmas, we should have enough to last us through the summer. I’ll ski all winter, look for work next spring, and go from there.”

We were all grown up. We’d been living together the past four years. I was a full-fledged doctor, a specialist who was “board-eligible” in Obstetrics-Gynecology. Cheryl had started a two-year training program in Nurse-Midwifery, all expenses paid courtesy of Federal legislation designed to increase the number of medical professionals needed for the “baby echo” which was starting as the Baby Boomers began having families.

“Wait a minute. How can you ski if you’re not working?”

“I’ll buy a season pass. At Snowbird or Alta. There’s a ski expo this weekend. I saw in the paper you can buy a local’s pass there.”

I first skied in Sun Valley, Christmas 1967. Lift tickets were $5 a day then. Over the next decade, inflation flared, fueled by the “guns and butter” tactics of the US, and two oil embargoes by OPEC. For example, gasoline went from about 31¢ a gallon to $1.20 by 1978. So it was a bit of a shock – a pleasant surprise – when I arrived at the front of the line for the Snowbird booth.

“No, we don’t have season passes. But we do have our annual locals’ deal here at the export – buy all the day passes you want for $5 each.”

I took a hundred.

My plan was to drive my van daily from the Avenues along the “bench” at the base of the Wasatch Front, 20 minutes or so to Little Cottonwood Canyon, then 20 minutes up to Snowbird. But first, we had to buy that house.

“What’s this mean here, under our names?” I asked the officer at the bank who was helping us through the process of signing papers for our mortgage. Underneath the line where we were to append out signatures was written “Al M. Truscott, an unmarried person” and “Cheryl A. Hanna, an unmarried person.” I felt an unspoken disapproval of Cheryl and I, who were living together without the imprimatur of matrimony.

The bank agent stammered, “Well, it’s just…”

Cheryl interrupted, “If there were just one on the loan, would it say that?”

A cough, then, “Um, if it were your hus…If it were Al, alone, there’d be no need.”

“What if it were just me?.”

Again, a hesitation. “The law is different for…”

I hurried to sign it, and indicated Cheryl do the same. Driving back to her apartment, I said, “That was weird, that “Unmarried Person” thing.”

“It’s a different culture here. At the swimming pool, at the U, you’re not allowed to wear a two-piece swimsuit.”

“What, a woman’s belly button is forbidden? It’s like a Boy Scout camp!”

“What do you mean?”

“Everybody is so ‘courteous, kind, obedient, cheerful, thrifty, brave, clean, reverent’, all that stuff in the Boy Scout Law.”

“I thought that was ‘Be Prepared’?”

“That’s the Motto. The other stuff is the Law. And there’s no women, girls, in the Boy Scouts. That’s what this place is like. Everybody’s got a smile on their face, so polite, but if you don’t follow the code, you’re a Gentile, an outsider.”

Cheryl touched my shoulder. “Then why do you want to come here? Just keep flying back and forth every week or two, stay with Gary and Karen, save a lot more money.”

“Well, first of all, I want to be with you. And when else am I going to be able to ski every day in such a great place, only 45 minutes away? And the price! Can you imagine what this would be in LA – twice as much, I bet. We stay here a couple of years, the way prices are going up, we can then afford a bigger house somewhere. We need to do this now. I need to do this now.”

“And go where,” Cheryl asked?

“I don’t, I’ll have to look for someplace after I ski. In May. The season ends April 30.”

“You…what do you mean, you’ll ‘look for someplace’. Don’t I get to decide where we go?”

Oops. “Well, sure, we both have to decide. What I mean is, you’ll still be going to school, I’ll have to go someplace to interview, I’ll need to have a job by summer; I’ll run out of money by then.”

         “Where?”

“I don’t know, I don’t know.”

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