Mo Bloggin'

A little o' this, a little o' that

Archive for the tag “dark-eyed junco”

Health update on the lung thing {zzzzzzz}

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The ovine greeting crew when I get home from work every day.  From left, Mungo, Minnie, and Trixie.  Mungo and Trixie are Minnie’s twins from 2014.

So it’s been a few months since my last health update. One reason, as you might have guessed, is that I’m doing better, for the most part. No need to kvetch when you’re feeling well.  The second reason is simply that it’s deadly boring to go on about your health issues, and (something I’ve mentioned here before) it feeds the “unwell” and gives it power. Your illness becomes your story, your story is who you are and how you identify yourself, and you get sicker. Then there’s the old “Attention Whore” aspect, as my delightful niece-in-law put it (she’s dealing with her own very serious health condition with grace and dignity, a great attitude and humor!). Enough already, you know? So I’ve blogged about topics that interest me more – the farm, the birds, my bees. But a few of you may have wondered, so I’ll try and be brief (a challenge for me, Verbosity Queen that I am) and update here.

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Daisy reluctantly helping me test out my new sheep “deck chair” after I put it together. It’s  equipment to help me with sheep maintenance like hoof trims, vaccines, and worming.

First and foremost, I am seeing a new doctor. I went to see this doc as a “second opinion” type of thing back in October 2015, when I was doing well. Then,  just off 6 months of prednisone therapy and a dry, sunny summer, I felt fine, even great. Even so, seeing this pulmonary specialist in interstitial lung disease and a sarcoidosis specialist at the University of Washington (at my own request/initiation) seemed prudent. My higher self looking out for me, perhaps. It was a bit of a hassle to get there, which is why I hadn’t gone before, but my interactions with the pulmonologist I’d been working with so far hadn’t been reassuring or inspired trust.

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The bees bearding on a hot summer night. Basically hanging out on the stoop where it’s cooler, just like you or I would. But without the cold beer.

The visit with the specialist went really well. I had a good rapport and she went over my records (illuminating me further on things that hadn’t been shared before). Since I was doing so well at the time, she suggested a recheck in six months (April 2016). Six weeks later, however, the symptoms returned. I wasn’t as bad as the year before, when all this first started (November 2014), but breathing easily was an issue again. So I went back to the original pulmonologist and had the worst appointment ever. I think if I had been hit by a bus on my way out of the clinic she’d have been happy to be rid of me for good. I wrote about it here, with a promise to update but I never did.

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The junco’s nest I was watching in June/July.  Only one egg (of four) hatched, but the chick was gone within a week, likely a meal for a shrew.  The pair tried again in a new nest location, again with four eggs, but none of them hatched, though the female was diligent.  It looked like they weren’t fertile.  The cats invaded the nest (after it had been abandoned) and broke a few of the eggs – there was zero development.

I struggled along, dosing myself regularly with ibuprofen (3 tablets every 22 hours or so seemed to keep the inflammation manageable) and mostly feeling okay. If I didn’t walk fast, and anything physical was done with lots of breaks to stop and catch my breath, I managed okay. The best way to describe this is I feel like I’ve just run a 400-meter dash when all I’ve done is walk across the driveway to the garage. It’s not like asthma or other bronchial constrictions, where I can’t get enough air in physically, it’s more that when I do huff and puff, the oxygen isn’t making it to my bloodstream. Then, in February, everything came to a grinding halt with a ramping up of tasks and responsibilities at work, and accompanying high stress. The ibuprofen dosing wasn’t keeping up, even when I upped the frequency to every 12 hours. I called the specialist’s office. They set me up with a late March appointment, which sounded fine. A week later I was feeling bad enough (and, frankly, a little worried at how badly I was doing) that I called and asked if they could get me in sooner. My appointment was set for early March.

I went in for a 1:00 appointment, thinking I’d be home by 3:00 or so, but it was after 6 p.m. before I got home that night. First the respiratory therapist come in for my walking test. He hooked me up to the oximeter and we began the six minutes of walking at the fastest speed I was comfortable with – I’d aced it back in October.  Within a few dozen steps he stopped me, thinking the oximeter wasn’t hooked up right and needed adjustment. I looked at the number showing and said blithely, “No, that’s right. That’s what it does.” (I monitor my blood oxygen and pulse rate at home.) It was reading low 80s at that point (which wasn’t as bad as it got while I was feeding the sheep or caring for the chickens). He seemed alarmed and said “You need to be on oxygen.” And stopped the test. “No,” I protested, thinking it was no big deal, “I can just walk slower, I don’t need oxygen.” He wasn’t having it and took me back to the exam room to wait for the doctor.

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The male dark-eyed junco singing from the red huckleberry stump last month.  None of the songbirds are singing now – nesting season is over – so my  much loved Swainson’s thrush serenades are over until next May.

A few minutes later she came in and sat down.  After the initial greetings she said “I was thinking about you recently.” (Moi? I was more than a little surprised.) “You weren’t originally scheduled to come in today, were you?”

Well, this was a “You had me at hello” moment for me.  I saw her one time, five months previous, and if she even remembered who I was it would have been enough. This, though, had me glowing with a “you see me” warmth. “No,” I replied, “my appointment wasn’t for another two weeks, but I haven’t been doing well so I called to move it up.”  And off we went. I told her how I’d been doing, my symptoms, how they’d gotten worse, what I thought was going on (job stress), what was (or had been) working, etc. Then she told me how it was.

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The fruit of a manroot vine (Marah oreganus) along the driveway, looking very Dr. Seuss-ian.  A Northwest native, the fruits are about the size of a plum, the “spines” soft and fleshy. It’s a relative to cucumbers and gourds.

First of all, the reason she’d been thinking of me is because she had another patient with symptoms very similar to mine, who was also a referral (i.e., also already diagnosed when she came in). Like mine, the other patient’s symptoms and tests didn’t add up and when they looked into it further they found that, no, this other patient didn’t have sarcoidosis but rather hypersensitivity pneumonitis (HP).  Hmm.

So she ordered up all my slides and pathology from my previous doctor/hospital and planned to have the UW pathologists review them. And she recommended more testing. We did a CT scan that day.  The results showed no change from the one done a year ago (meaning no worse, which is a good thing, considering how poorly I felt). And she also ran some antigen tests. An antigen is a substance that your body reacts against, such as molds, dusts, and chemicals. Last year I requested allergy testing – partly to buy time (the previous doc only seemed to really want to do the bronchoscopy) – which is a different thing (IgE vs. IgG).  Everything on those allergy tests last year came back normal, which wasn’t a surprise, but it ruled out things I was worried about (the dogs and cats). I don’t have allergies, and only very rarely react to something I’ve eaten or in my environment.  Antigen testing though is testing to see if I had things I was reacting to via antibodies (proteins that your body creates in response to antigens). This, if you’ll remember, was more what I was thinking was going on back in February 2015. Specifically with moldy hay and a condition called Farmer’s Lung. There are many antigen variances of HP – farmer’s lung, bird fancier’s lung, wine grower’s lung, woodworker’s lung, etc., and I asked the doc about testing in the home (I’ve been very concerned about potential molds in the crawlspace) and she supplied me with a list of companies that tested for home toxins. This felt like real progress, for the first time in a year!

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The flock is down to 10 and the freezer is full. The meat is excellent (from 4-year-old sheep).

And then she had me redo the walking test with oxygen. And I was a-mazed at the difference.  For weeks I hadn’t walked faster than a snail’s pace without running out of breath.  With the oxygen (turned up to twice the normal flow rate) I was almost back to a normal pace.  Wow!  It felt incredible! I guess they’re right {joking} But it unfortunately meant she wanted me to have oxygen at the house again. She was unimpressed with my fancy respiratory mask and the care I take (covering my hair, etc.) when feeding the sheep and insisted I get someone to feed them for me, and to keep my contact minimal. I understand her concern and insistence, but felt that until there was conclusive proof they were an issue, I would continue to take precautions and protect my breathing around the hay feeding.

The bottom line is the doctor feels that I probably don’t have sarcoidosis – even the radiologist’s report of my CT scan last year had zero mention of this as a possible diagnosis. I remember my last pulmonologist discussing the diagnosis after the bronchoscopy procedure (an abbreviated visit, where the doctor was talking fast and was very short with me—because I was 10 minutes late, I guess—and indicating the results weren’t entirely conclusive as sarcoidosis but that’s what they were going with for my diagnosis and treatment. Wait, what? Ookay. (?!) But now, this specialist pulmonologist was taking the time to go the extra mile and do some actual research into my case, and ME.  Again, this felt incredible. (Before this, with the other doctor, I felt like I was the only one doing any research into my case.)  And with this research, plus the further testing , she felt the much more likely diagnosis was HP for me. This was a good thing. I think?

~ To be continued~

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Gratuitous cuteness: Pal, in one of his rare moment of stillness (to be fair, he’s a doll in the house, calm and easy – it’s just outside that he runs and runs).  Note the gash under his eye, where he ran into a lone fencepost during a case of the zoomies.  He’s normally super agile, but it was dusk, and the fencepost is a leftover from fencing my vegetable garden  – ow! Heart this little guy!

A good grass year

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Everything is still green and juicy.  Can you see the bird dog on point?

It rained again last night.  We’ve been having an unusually wet July so far, and though I’d normally be complaining, I’m totally good with it this year.  After last year’s drought, and the year before not much wetter, not to mention our freaky, end-of-times heat wave this past April, it feels good, even soothing, to have what is essentially a normal weather year. And yes, it’s great for grass growing on my shade-challenged little hillside. Last year the grass was done by the end of June. Once solstice passes, the whole growth thing shifts. Everything seeds out and if there’s no water the grasses just go dormant. I don’t have the well capacity (or hose capacity!) to do much more than spot watering so these rains are welcome. The sheep are still getting plenty of graze considering the time of year and the flock size. To that end, I’m managing the sheep differently than in previous years, partly because of the number – I just don’t have the grazing capacity, given the aforementioned shade challenges, to run much more than 5-head. And until two days ago, I’ve been running 11. Now it’s down to 9 (my freezer will be full in a week) and that will ease the pressure. So I feed hay pretty much year round, just less of it when the grass is growing. I’m still making decisions with the flock, and hope to breed this fall – it’s been a few years since my last lambs – and I’m culling for both fleece quality and temperament. After Minnie’s twins turned out to be as friendly as two puppies (and have remained so, two years later, bringing their mother along), I discovered how delightful it can be to have easy, approachable sheep. And seriously, on this small setup it’s crazy to do otherwise. So the wild, untamable ones are slowly being weeded out. I still have a couple more out there, but one will likely stay until her natural end (sentimental, plus she’s an excellent mother who produces babies that are not as wild as her) and the other one, well, we’ll see.  After she lambs she may be easier, plus I culled her dam, and I’m hoping without that freak-out influence from her mother she’ll follow the lead of the rest of the flock and at least get close enough to nose-touch my outstretched hand.

The songbird season has also shifted since solstice, with babies seemingly everywhere. And the song is changing. The Swainson’s daytime song has decreased as nesting goes into full swing. It’s one thing to mark your territory with song, it’s another to attract potential predators with them, and setting females and then the hatchlings and nestlings are very vulnerable. Plus the territories are well established now as everyone’s nesting.  The evening song is still magical, though I’ll miss it when it ceases altogether in another few weeks. I can guess where certain species are in their nest cycles by their song: the black-headed grosbeak had been insistent and melodic the last week, so are probably on  nest/brood number two now); the robins are still melodic but slowing down, with probable nesting number three underway, for the last of the season before it’s time to bulk up for winter migrations. The tanagers and western wood peewees are intermittent as well. Everyone is too busy to sing, with all those mouths to feed. And here the rain is helpful too, as it keeps the insect populations bountiful as well, so feeding the babies is easier. The drought last year was hard on everyone, from grass to invertebrates to feathered and woolly residents.

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Still filled with song in the evenings.

I saw a fat baby robin fly after its parent down the driveway as I was leaving for work one morning. And the other day I came home to a juvenile crow hopping and poking around the driveway as my car followed it slowly up to the gate. It finally flew up to the gate rail, then up to a low cedar branch when I got out of the car. There weren’t any screaming parents around, or any other crows at all, which was odd, because although it was fully feathered, it shouldn’t have been alone. I wondered if maybe it got bonked by a car as it flew too low across the road, and maybe lay stunned long enough that the parents left it for dead. Even that would be odd – crows are excellent parents and don’t give up easily. I was bringing the yard waste and garbage bins up from the road, and he watched me nervously from his branch. I picked some thimble berries from along the driveway, and pulled a little bit of meat off the rotisserie chicken I’d just purchased at the grocery on the way home, and put these on top of the yard waste bin, close to where he was perched, and left him there to go up to the house and unload the groceries. An hour or so later I went down to check. He was gone, and the meat and berries still on the top of the bin (Farley was right there for the meat). I hope he found his way back to his crow family.

A brown creeper nested in the loose bark of a cedar tree along the driveway.  I couldn’t get a good shot of the parent bird coming in or out, but coming out the view was akin to someone trying to get into their skinny jeans, as she squeezed out of this impossibly small space to go get more insects for the babies.

And then there are my dark-eyed juncos, a.k.a. Oregon juncos. In early June I was trimming some overgrown salmonberry branches I’d cut from behind the fence line, walking over to dump them into the pasture for the sheep, when a bird suddenly flitted from underneath my feet. I looked to see a junco on the fence, tsking madly at me. I turned to where I’d just walked. Juncos are ground nesters, usually tucking their perfect little nest beneath a fern or hidden in a bit of weedy overgrowth.  But there was nothing nearby…or was there?  It was all grass, but I saw a larger tuft of grass and walked back and…sure enough. This seemed extreme, even for a junco. But really, what better camouflage then  “in plain sight.” The only problem with this, aside from the fact that I’d nearly flattened it walking to the fence, is it was perilously close to Pal’s flight path – he runs down the driveway multiple times a day at breakneck speed (Farley too, though he’s not as fast as he once was), in the grass just to the right of the driveway tracks. If he didn’t find the nest with his mad bird dog skillz, then surely he would trample it by accident. And the sheep run down there too, grazing on the grass and sometimes galloping and leaping and tossing their heads in sheepy exuberance, sometimes being rounded up by an exuberant Daisy. No one would see this nest in time. So I added this bit of attractiveness to the landscape – the junco kiddie corral. (click on the photos for captions)

Judging by their size and feathering, I figured them to be a few days old when I first found them. They fledge (leave the nest) in 14 days, so it wasn’t too long before they were gone, off with mom and dad to the safety of the pasture and woods, with their little calls a zippery sound that’s hard to describe; it almost sounds like tiny chains being dropped. The male kept watch, flying and singing his song, helping feed the kids and warning them of any dangers.

A week or so later another pair were up by the house, the male trilling loudly from the corner of the roof, boisterous and animated, and, with a little anthropomorphism thrown in, one could say proudly. And the female was nearby, letting me get remarkably close as she hopped around the driveway, picking up bits of dried grass and dog hair so she looked like she was sporting a bushy, 1880s-style mustache. She’d fly off furtively and disappear with her beakful of nesting material, but I knew it had to be close. I finally was able discover its location by watching from inside the house. The pair would land on the railing of the back porch frequently, setting the cats to chittering at the window in feline excitement. So I hid in the door of the closet to watch them and saw the female duck behind a tuft of grass at the bottom of my retaining wall. Voila!  I checked it for several days in a row – the sheep ate a large fern leaf that was providing much of the cover – dang. First it was just the nest, looking completed, but no sign of the pair, no scolding. Maybe they abandoned the site? The next day there was one single egg there. The following day, a second egg, and a day later, egg number three and then she was setting on them. Time to put up the Junco kiddie corral again. This one would have to protect against the chickens too. The first nest was further down the driveway than they usually wander this time of year (plenty to eat up by the house), but this nest is within a few feet of my back door and if the chickens found it the eggs, or hatchlings, would be quite the delicacy (the chickens love stuff like this and regularly eat the cats’ abandoned hunting trophies: shrews, mice, small voles).

The fence against the wall would deter all but the cats. I could add some netting over the top, to prevent the most obvious access (the wall is about 4 feet tall here), but the cats can squeeze through the bottom openings of the woven wire fence too. I could put up chicken wire around the bottom (and with all this construction, I worry about disturbing the juncos enough that they abandon the nest). So the solution is total cat confinement for the next few weeks. The female began setting on June 29, which means the babies will hatch around July 10th (nothing so far) or 11th, and they’ll be fledged by July 25 at the latest. Then the cats can start going out at night again. Maybe. In the meantime it’s a bit of a circus keeping them from darting out the door every time I open it. They begin to get stir crazy after a while. All my area rugs are bunched up in the mornings, as they attack them and chase each other around at night, batting found objects around (something clicky/draggy last night – have no idea what it was). I found their cat carrier pushed across the floor of the loft one morning – not sure who was doing what up there, but sometimes living with cats is like living with monkeys – they get into everything and everywhere, sometimes literally climbing the walls, but certainly the window screens and clawing up the furniture.

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One of my favorite field guides.  My ex-mother-in-law gave it to me many years ago, and I reference it often this time of year.

 

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