Small Talk

The sky is a pale blue and the air is warm on this March afternoon, but I’m lamenting that I can’t run after work. My running partner has an injury and I’m taking him to the doctor. During the post-work hours, I know the wait time will be long, and it’ll be too dark for even my solitary run once we return home.

Sighing as I grab the leash, Joffrey performs jump-turns in the air toward the front door. Hearing the word “ride” he chirp-barks his assent and eagerly hops into the car. Despite his excitement about all car destinations, going to the vet is an ordeal with this goldendoodle. I must tightly hold his leash at arm’s length as we check in, restraining him from hissing cats and scar-faced pit bulls. Then I’ll have to scan the room for our safest harbor, avoiding proximity with other big dogs as Joffrey reacts to them with barking bravado.

Today we settle in between a beagle mix and a Scottish terrier. Being amongst so many dog-people would usually be an instant ice breaker, easily drawing me into conversation. However, I’m also strongly averse to small talk. When it’s clear that a relationship will be limited to a 20 minute wait, my introversion calculator warns me against the investment. Avoiding eye contact, I twist Joffrey’s white spiral curls between my thumb and index finger as I stare at my phone.

“Rusty? Copper? Mittens?” Each name called moves us one step closer to getting out of this room. Finally, it’s “Joffrey?” and we’re off to the exam room. Joffrey is unusually cooperative as the young veterinarian examines the rusty-colored fur on his white paw.  A round of antibiotics is prescribed, and I’m cautioned to give my running buddy a week off from hitting the pavement. We head to the check-out line, which seems to have doubled since our arrival, and I sigh as I pull the leash tighter and join the queue.

High-pitched howls and whines fill the air as two large puppies swarm around their seated owner. Her pre-teen daughter waits in line, glancing awkwardly back at her struggling mother. The woman directly ahead of me strikes a contrast in our scene. Dressed in black pants and a red velvet blouse, she calmly watches this play out with a small smile on her face. She leans toward me and compliments my dog’s comparatively good behavior, and I feel a guilty and rare sense of pride, as Joffrey is not famous for his calm demeanor. We both agree that this mom has her hands full, quite literally, and more prudent planning would have included a pair of leashes. The daughter leaves her position in line to help her mother, and they each grab a puppy and head out the door.

The line shortens, and the woman says she and her husband have always had dogs, but today is she here to “pick up” her dog. My mind processes her sad tone, and I meet her eyes as she tells me that she is picking up the dog’s ashes. They’ve always had dogs, but this one is the last one. Travel. Grandchildren.  And perhaps a few unspoken reasons—such as other trips like this one.  I tell her about taking my pug a few years ago, and how we got Joffrey soon after that. She opens her phone to show me a picture of her recent loss—a coppery brown retriever mix looking up from his blue cushion dog bed. He was adorable. Yes, she agrees, and such a good dog.

The clinic phone has been ceaselessly ringing. Intermittently one of the clerks will answer it with a curt and rehearsed line imploring the caller to hold. There’s a good deal of eye rolling and terse responses as one of the clerks tells a caller that they have “a line out the door.” Even as I understand her ire—she’s not getting paid enough for this—I silently pray she will muster some compassion in her voice for this woman ahead of me.

“Can I help who’s next?” We exchange polite goodbyes as she moves to the head of the line, and I am grateful that she is swiftly moved through the process and is out the door so that she can grieve privately. We’re making our own exit as the mother returns with only one puppy in tow. She’s figuring it out. Some day she’ll be the one in line with the “good” dog. Some day she’ll be the one on a more somber visit. Right now, she’s just getting started.

My Treasure

Glass rectangular boxes with shiny silver frames stand in two rows before me. The chunky metal handles are cool to the touch as I turn each in hopes that a glitch in the system will produce a free prize. Each box tantalizingly displays the most coveted items on the front. Will I receive a pair of tiny handcuffs, a whoopee cushion, or a bracelet filled with sparkling green glitter?

The bottom row is more predictable. A few clicks of the handle pours out a handful of Runts, Reece’s Pieces, or a round ball of colorful gum. This is the sure bet—but I’m not fooled. The anticipation of the loot in the top machines is what I live for on these grocery store visits.

I shift from one foot to the other in my dirty Keds as my yellow ponytail sways back and forth. Already hoping for the quarter that Mom may give to me, I peek beyond the cashier to see how close she is to the end of the checkout line. She sees me watching and nods my way. I smile and just know one of these treasures will soon be mine. My window shopping will not be in vain.

Customers pass by me in the doorway as Mom strains to watch me beyond the passing bodies. I hold her gaze and she becomes reassured as the crowd thins and she turns to pay. I’m still smiling as a woman begins to shuffle past me, her uneven gait causing me to stare longer than a few polite seconds. She has a black leather change purse in her hands, open with the silver knobs pulled apart. Before I can open my mouth to protest she is pressing two quarters into my small hand and nodding toward the machines. She shuffles out the door as I look for Mom, unsure of what to do with this unexpected gift from a stranger. When Mom arrives moments later, her brow furrows and she looks towards the doors in a futile attempt to glimpse my benefactor. It’s too late. She has disappeared into the bright summer afternoon, and now it’s a different head that nods towards the machines.

What precious prize did I receive from my windfall that afternoon? Was it a disappointing neon green sticky hand that became ruined the moment I dropped it in the dirt? Was it a pack of trick gum that would snap the finger of some unsuspecting friend? My memory has wiped out those details long ago. What has persisted for over 30 years is the kindness of one woman who saw a small but meaningful chance to brighten one little girl’s day. She has given me the gift of a lifetime.

Playing Cards with Jim

The sun peeks through the blinds and casts a striped glow in the room. I casually shuffle the cards and bring them softly together. Jim looks at his own hands and turns them over as he expresses admiration for my bridging skills. He smiles when I say that it was my grandma who taught me.

When the cards are dealt, I say, “Kings in the Corner. Do you remember the rules?” He nods and we begin our game, as I make small talk about the weather and today’s menu. He takes a long pause on his turn and I think aloud, “We need a red two…” or audibly wonder “Where are all the sevens?” After he takes several turns, I lead him into a topic of conversation that results in a story I’ve heard four or five times already this week. My voice belies how well I know these details as I strive to listen with fresh ears.

Short-term memory. Problem solving. Planning. These are the keywords for my goals when I play cards with my patients. They know I’m doing my job. This is where I work. But for most of them, this is their home.  When I visit their rooms, I am offered refreshments. Hilda gives me a Little Debbie snack in the festive shape of a Christmas tree or a pink heart. Dorothy doles out fistfuls of Hershey kisses from a hidden stash in her closet. Bob gives me a cold Diet Pepsi from his mini-fridge. It’s much like visiting a grandparent’s home.

As I first began working with Jim, he would question the purpose of our activities. That’s not uncommon, and I must carefully navigate the truth—that I am working to preserve their mental faculties—while respecting each person’s dignity. Jim’s questions started to fade away to be replaced by familiar greetings in the hallway and a friendly wave in the dining room. We established a routine of meeting in the afternoons. Besides knowing that Jim is not much of a morning person, I purposely wait until the end of my day to see him. It gives me something to look forward to at the end of each work day.

After a few weeks of working together, I arrive at Jim’s room to find a table and chair already set up for our game. I feel a little flutter in my chest as I realize he’s been waiting for my visit. He has prepared his home for our card game, and he’s sitting in his arm chair waiting for me to arrive. Jim cannot remember what he’s eaten for lunch 5 minutes after the meal. He has a sign posted on the door to remind him to always use his walker when leaving the room. But he looks forward to our afternoon visits so much that he has remembered to prepare the room for me.

I’ll admit that I’m trying to throw the game. I’ve already won a hand and I’m withholding plays as I try to secure a win for Jim before the end of the session. Our scheduled time has run out, but I remain as we play out the hand. For the moment, I’m just playing cards with Jim. Faint beeps and voices travel in from the hallway, causing us to glance up occasionally from the table. Finally, the last card is placed and Jim’s hands are empty. He’s won the game. I shake my head in mock disappointment at my loss and announce that we’ll have a tie breaker tomorrow. We hug and exchange “I love you” before I emerge into the bright hallway. Even as I prepare to leave work for the day, I’m already looking forward to my next afternoon of playing cards with Jim.

(*Please note that the names have been changed to protect the privacy and dignity of my patients.)


Many of my thoughts go unspoken. Sometimes this happens because I simply don’t want to add my voice to the cacophony of an already loud world. Sometimes ideas are struggling to find their way to the surface and emerge punctuated by the word “like” when I’m not striving for figurative language. Sometimes insecurity holds them hostage. Unspoken ideas are being mentally stifled by introverts every day.

Sometimes spoken words are simply inadequate. When my friends recently endured trauma and loss I said, “I’m sorry,” when what I really meant was closer to, “I wish I could erase all of the pain from your heart.” There’s emotional power in a strong hug. A meaningful glance connects friends in a crowded room. There’s power in the unspoken.

No doubt, though, I also admire the power of the written word. I’ve been drawn to it ever since I became enthralled by the perils of an innocent piglet being aided by his motherly arachnid friend. When I reached high school and read the words, “I’m nobody. Who are you? Are you nobody, too?” I just nodded my head and thought, ‘Emily, you get me.’

So, why blog? I have been writing on the regular since I was 9 years old. My first diary was pink with ice cream cones and sprinkles on the cover, and it was held closed with an inefficient lock. I’m not sure what deep thoughts emerged from my elementary mind that I was defending from the outside world, but the amount of security furnished by a small, tarnished piece of metal afforded me the courage to put thoughts to paper without fear of judgment. Much of my writing life has been characterized by this attitude. If no one reads my words, they cannot judge my thoughts. I have boxes of journals in my attic which might one day become moth food before they are discovered by some unsuspecting grandchild. While I’m not exactly going to start baring all of my emotions to the outside world, I do want to play some small part in the connective experience of the written word. I’m no Emily Dickinson, but perhaps some of my words might help a person or two to feel less alone in the world.

Well, you’re read this far, or you’ve skipped to the bottom of the post to see what my point was. This was my first blog post, and if only one person is reading this, then I’ve officially increased my readership by 100%.