F’ Cancer

This year I’ve lost two people close to me. Both died of cancer. Their deaths have hit me in different ways. Both were linked to each other and to me through caving.

I obliquely referred to the first in a post earlier this year. Don Paquette was a friend, colleague and mentor. His intensity could easily fill a room. As an instructor, he was quick to let you know where you stood. I know some thought he might be overly harsh or strict or that he might have unreasonable standards. But the truth is, he simply wanted everyone to try their best. He didn’t necessarily expect everyone to be perfect in the skills taught. But if he thought you could do better, he’d push you to do so. And deep down, he cared.

Don was known for judging how well students would lay out the gear cache during training. He felt strongly that a well laid out gear cache was a key part of a well-run and organized rescue. In the last few years of his life, when he couldn’t make it to training, I’d text him a photo of a cache and wait for his grade so I could report back to students.

Don might give this a B on a good day

He also was an advocate of what some might call a “Command Voice”. A command voice was more than simply being louder than the rest, it was a tone that caught your attention, made you listen, and moreover, want to to do what was asked.

And that’s where Cordelia Ross enters the picture, or Cordie as we all knew her. I first recall meeting Cordie at the NCRC weeklong in Indiana in 2009. I was helping to teach the Level 2 class, along with Don, while Cordie was taking it. During much of the week, Don kept encouraging Cordie to be a bit louder and more commanding. This wasn’t exactly Cordie’s style however.

Cordie is on the left

We were doing an exercise in Sullivan Cave. The students weren’t quite as organized as they could have been, but as one of the goals of Level 2 is to teach leadership, we as instructors were sitting back letting things unfold to see how the students would cope and if they’d organize themselves.

And then it happened. From the top of the breakdown pile we heard a loud and commanding voice: “Stop!” Everyone, and I mean everyone, including the instructors, stopped what they were doing and waited for instructions to come forth. I recall looking up at Cordie who then, in a much quieter but forceful tone started to direct her fellow students on what to do next. It took us instructors a second to realize that she wasn’t giving us commands. But her voice had been so commanding for an instant, had she given us instructions, we would have no doubt followed them. We liked to joke that Cordie had found her command voice. But she made it clear, she hadn’t found it, she simply had used the one she had had all along, but held in reserve until the right time. I tend to think she was right. After that Don never again gave her any flack about her lack of command voice.

That episode with Cordie really personified her to me. She was a petite woman, often surrounded by firefighters and cavers twice her size. But she was the mouse that could roar. Many might describe her as quiet, but that wasn’t true. When she did speak, it was with authenticity and power. Many might underestimate her, but never more than once.

In my final visit with Don, we talked about many things, including our times instructing fellow cavers. He reminded me of a time where we played a prank on a set of students on a haul team. He had a deep sense of humor. His death was tough and I grieved and still grieve for him, but also know that having lived into his 70s he had lived a good life. He had seen his kids grown and even watched his grandkids grow up. We often talked about his travels with his family on Amtrak. While I know he would have loved to live longer and had more to do, he expressed no regrets to me. He led a good life.

Cordie’s death though strikes a deeper chord. Her family was just starting. Just over a year ago she had given birth to her daughter, Viola. Her cancer diagnosis was a surprise and sadly didn’t give her enough time in this world. Her husband Wayne now has the unenviable task of being what some might call a “single father”. Technically that may be true, but I know there is a whole community out there that will help him. And much of that community will help Viola know the woman who was her mother. Whereas Don had much to look back on, Cordie had so much to look forward to. Cordie looked forward to being a mother and I suspect far down the road, a grandmother. She had so much she wished to teach Viola. And Viola, sadly will never grow up truly knowing her mother. The world is a smaller place because of Cordie’s untimely death.

Whereas Don and I talked Amtrak and travels, Cordie and I discussed New England (because she had gone to school at Dartmouth) and literature. Both were people to whom I had a connection far more than simply caving or cave rescue. Both are people that I dearly wish I could sit down with at least one more time and talk to.

Both I will miss but in different ways.

And for both, I say fuck cancer.

“What’s your favorite cave?”

Today I had the pleasure of co-leading some incoming freshman to RPI on a caving trip. I was asked a question I’ve been asked before and honestly, I don’t have a single answer for it.

“What’s your favorite cave?”

It sounds like a simple question, but honestly, I can’t easily answer it.

I can say that the cave I was in today, Clarksville Cave, is not my favorite cave. Though, if the question is qualified, “What is your favorite cave to take beginners into?” then Clarksville might be up there. It’s close to the road, easy parking and enough variation in terrain to make it interesting and challenging to almost any beginner.

A cave that ranks near the top of my favorites would be Eagle Cave at Chimney Mountain. Traditionally it wasn’t the easiest to get to, it was about a three-quarter mile hike up the mountain which could be strenuous. But parking was easy. That was then. Now, because some cavers or hikers could not respect the wishes of the folks who owned the parking lot, the landowners no longer allow parking on their land. This has turned the approach into a 5 mile hike. I have not been back since.

That said, the cave is a great one because unlike most in New York, it’s not solutional. It was formed basically by the side of the mountain falling away. It’s very different from most New York caves. But it’s also a 2.5 hour drive from home. So, is it my favorite? I don’t know. It’s got a lot going for it, but also has some drawbacks.

What about Knox? Great cave, I love it. And I’m thankful for the bypass to the Gun-Barrell, or else I’d probably stop going to it. It has a lot of variety and a lot to see. So it’s up there among favorites.

If I look beyond New York, I could add Flowing Stone as one of my favorite vertical caves.

Or I could add Tumbling Rock as it has some awesome features.

But what if I include commercial caves? (including National Parks) Then I might put Carlsbad up there. The large room is still one of the most impressive rooms I’ve seen in a cave.

Lava tubes? I can’t say I remember the names of too many, but there are some cool ones out there.

I guess I can’t say I have a favorite cave.

But I can say I have a least favorite one: Park’s Ranch Cave. No offense but…

And even then I have some fun stories to tell of it.

One Semester Down

My final exam of the semester was yesterday (Wednesday morning) at 8:30 AM. It was our 5th exam of the semester in Anatomy. I’m not sure why, but stuff wasn’t really clicking for it. I did about as well as I estimated I would do, but not nearly as well as I would have liked. But I’ll live with it.

I’m waiting for two final grades that represent 35% of the grade in a 2 credit class. I expect them to be decent and assuming no surprised, that means I’ll finish this semester with a 3.2. In a previous post I mentioned we need a 2.7 or better to continue So I’m good on that. That said, it’s not the 3.7 I thought I was looking at mid-semester. I should be happy and proud, but honestly, I’m still a bit stressed. My last two anatomy exams definitely had a bit of a drop and two of my exams (including one of the anatomy ones) that I thought I did really well on, I didn’t.

I’ve mentioned this to a few folks, but needed to elaborate a bit. It’s not the grade per-se that bothers me. It’s fact that I thought I had done much better than I actually did. I’ve walked out of one or two tests (including this last anatomy exam) not feeling great about it, and the final grade reflected my feelings. But when I think I did great and didn’t, that’s another whole story. It’s giving me a lot of self-doubt.

But my advisor and other faculty have assured me not to worry. But, I will.

That said, I’ve been analyzing some of the reasons for not doing as well on the exams as I would have liked. Some is simply “this ain’t easy.” I didn’t expect it to be and some of it is rote memorization and that’s honestly harder for me. Don’t ask me about all the muscles in the lower leg and foot and their innervation or vasculature.

Some of it, I honestly was trying some different study techniques that didn’t work. I honestly should have taken my own advice and gone back to what I wrote about here. I had started to rely a bit too much on using ChatGPT in a particular way (basically a “quiz” mode) that I ended up being a bit biased in what I felt confident one. That I think explains a lot of the issue with the two exams where I walked in really confident but didn’t walk out with a great grade. I’ve gone back to some of my basics and also modified how I work with ChatGTP. While my last anatomy exam wasn’t nearly as high as I’d have liked, I think it was far better than it would have been had I not adopted these changes to my study methods.

My advisor and mentor and our didactic coordinator have been great. They’ve given me some good advice and guidance. A common them I’ve heard is that while the work gets harder in some ways (and more of it, 25 credits vs 18), there’s less memorization and more integration and honestly, I think I’m better at that. So we’ll see.

I should note, nearly one-third of those credits is Medicine 1, an eight credit class. So a lot is riding on me doing well in that class!

I think if I can make it through the second semester, then I’ll be set. Not to say it’ll be easy, but I’ll be that much closer.

My biggest stress about my clinical year will be the logistics. But that’s about nine months away.

That said, the other emotion running through my head is, “I should be studying.” I’ve spent pretty much every waking hour of the last 10 weeks studying. Not having something immediately study for is really wreaking havoc on my brain. I’m trying to get a bit more into “relax” mode and having difficulty.

I wouldn’t exactly say it’s trauma, but in a sense it is. I haven’t really been hyped on adrenaline for the past 10 weeks, but it does feel a bit like withdrawal.

So I’m home for about 10 more days. What am I going to do? Pick up some shifts in the ED. Partly for the money, partly to keep my skills sharp, and really honestly, to catch up with my coworkers. I honestly miss them.

I’m going to take a bunch of incoming freshman at RPI on a caving trip.

And I’m having a pool party.

And then at 9:00 AM on August 25th we start fall orientation. That’s of an hour and then it’s straight into our first lecture: “Evidence Based Practice.”

Near the End of the First Semester

Well, the first semester is almost over. It’s been over a month since my last blog entry. I had hoped to blog more often, but well honestly I haven’t had the time or energy. To give you an example, this past Saturday I never left my apartment. I spent pretty much the entire day studying, and most of that for a single exam which was this morning.

And to be honest, I’m not sure I did as well on the exam as I had hoped. And a week ago, I walked out of an anatomy exam, thinking I had aced it, only to discover the next day I had barely passed it. By far my lowest grade yet.

I’ve tried to tell myself, “it’s only one grade” but truth is, it’s rattled me a bit. Scratch that, a lot. And not knowing this morning’s exam grade has me on tenterhooks.

Compound with that this Wednesday is another exam that I definitely do not feel prepared for. And strangely, I wouldn’t say it’s necessarily the hardest subject or even hardest exam, but it’s perhaps the most objectives we’ve had in a single exam. So after taking a short break, I’ll get back to studying for it. I’ve already spent close to two hours on it today and will spend at least four more today and probably eight tomorrow. And even with that, I know it won’t be easy.

But enough of my complaining. I wanted to share something else.

While I sit here and question my life choices between two hard exams, I thought I’d share one update.

I blogged earlier that when I got accepted at Arcadia, their program was on “Accreditation – Probationary”. This was a bit concerning because in theory their accreditation could have been yanked and I’d be out money and time.

But, I talked to a couple of faculty and staff and chatted online with one of the students at the time. No one could make any guarantees, but their comments and answers did give me a good feeling. So, between that and the honest fact no other school was willing to take a risk on me, I accepted and obviously am now attending.

Well about two weeks ago we finally got an update. Arcadia is now “Accreditation-Continued”. This is excellent news. This means barring a catastrophe (like the entire faculty coming down with Ebola at once) when I graduate, I can set for the PANCE (our certification exam). So that’s one bit of good news.

So I’ll close on that.