Wednesday, March 25, 2026

Inch Three: Past and Present

The past slipping in through the back door


Sometimes the past comes in through the front door, plopping on the couch and catching up on the local news.

And sometimes it slips in quietly through the back door, and you suddenly come face to face with it and exclaim, "Oh, there you are!"

The past few days have held each of those moments.

Through the front door? As of this morning, I am back on Metformin, a standard out-of-the-gate medicine for diabetes. Now, I have had diabetes since 2018, and was on Metformin from July 2018 to about 2020, when my A1C, the gold standard for tracking diabetes, had stayed at 6.6 for months and my then PCP took me off of it. Given my, frankly, more demanding medical issues—from the myeloma to the MDS to the hospitalizations in 2023 and 2025—the diabetes was not the most important player in my medical panoply. But now it is standing in the front row, demanding some attention. Given my age, my genetics, and the beating my pancreas took in 2023, neither I nor my doctor is surprised. And my PCP Melissa takes a good, no-nonsense approach to it all: "Let's get you on Metformin and see if we can bring that number (8.4) down." She is not making me do finger sticks and I loved her frank comment about that: "Why would I make you stick yourself twice a day? To what end other than bruised fingers?" Melissa knows that I walk several miles a week, and I noted I could be a little more diligent about my diet, which is decent but not strict. She nodded on that: "Just live your life, April."  I will have my labs repeated in three months and we will go from there.

As for the back door, the past entered the house through a letter from my dear friend Tani. Tani and I write several times a week to one another, with our letters crisscrossing in the mail regularly. Last evening, I opened the one that had just arrived and out slipped a photo. A very old photo. A photo of our oldest two children: Wolf, maybe 18 months old (I just wrote Tani asking her for Wolf's age) and my Ben, all of seven months old. July, 1986. 

Oh my. 

I stared at the photo, tears in my eyes, and put my hand to my heart.

Oh my.

My 70th birthday is fast approaching and Warren asked me this morning if I "wanted to do anything" for it. We famously are low-key celebrators, so no, I did not want a party or a big feast or presents. Warren has a rehearsal in Columbus the next morning for an Easter Sunday service, so I mentioned that will impact the day (more than likely picking up a trailer, then loading the timpani that evening). I will make my own birthday cake, probably the Depression-era cake I did in 2024, and that will be plenty. 

Besides, I already got my present: that piece of the past in Tani's letter. Those children are long grown. They are in the present, as am I. But that tug from the past?

Priceless. 

5 comments:

SAM said...

How sweet to have the letter and picture arriving as you prepare for z milestone birthday. Good lu k on your current medication journey. Not at all the same but now Im needing to manage for diabetes for my dog.

Laurie said...

It sounds as though you have a compassionate PCP. I hope your birthday brings you joy, along with yummy cake. Sweet letters from a friend... what a lovely, simple pleasure.

April said...

Sam, other than I can "choose" my diet, I'm not sure there is a whole lot of difference between me and your dog! lol

April said...

I love writing letters and have 3 friends who share that love. Tani and I take it a step further: no waiting when we have something to say. We each have had days when one of us receives 3 letters from the other!

Out My window said...

I love coming across old photos like that, it just gives the heart strings a tug and makes you grateful for life.