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THE NURSING HOME CONFESSIONAL

The Icarian Posted on June 5, 2026 by adminJune 5, 2026

THE NURSING HOME CONFESSIONAL

By Karen Strickholm

THE NURSING HOME CONFESSIONAL

Here is a powerful nursing home story I will never, ever forget. Please allow me to set the stage for you…

Day-to-day nursing home reality is alien territory for most folks. The early days “on the inside” are a particularly disjointed time. The new “resident” has just come through a medical crisis that spit them out into this strange new land. The psychological vertigo is very real, inviting deep reflection.

Maybe that’s why there can, early on,  be the phenomenon of a “confessional” – a raw telling of one’s life story to another. This event has a formal, structured quality, akin to the telling of tribal tales around campfires of old, or the laying bare of truths with a priest. It is distinctly sacred.

The resident’s role is to tell their story.

My job is to powerfully listen. It can take minutes, or hours.

– more –

THE NURSING HOME CONFESSIONAL


Created special for you, a video of Depression-era photography set to the famed Carter Family song, “No Depression”
My new roommate and I are sitting on our beds in hospital gowns, across from each other. Betsy, an 85 year old Anglo lady, begins to speak. I know what is coming, and settle in.Betsy’s tale is one of triumph over soul-crushing extreme poverty in the early 20th century. She was born into a dirt poor rural southern family in the 1930’s, the heart of the Great Depression. The nation is decimated, the New Deal has not yet rolled out, and Hoover’s tariffs have been an abject failure. It is a dark time in AmericaThe family lurches from farm to farm across the deep south and Texas, working the fields. A step beneath sharecropper and above total vagabond, whites, blacks and Mexicans labor in these backbreaking jobs together, too poor even for segregation. All children help, from the moment they can walk. School is an occasional event. They are rooted to no place, no community. The extended family – more of a fractured clan – is flung across the south and west.

Betsy’s family crams into temporary rentals – usually a run-down shack, procured by the mostly-absent father, who shows up mainly to impregnate his wife and book their next quasi-slave labor gigs.

Mother and eight kids move from shack to shack, sometimes departing in the dead of night, because they can’t pay the rent. There is no such thing as medical care. The pregnancies continue, and when the baby comes, Betsy and her siblings deliver the child. Against this backdrop, Betsy is the most functional one. Even now, all these years later, she exudes a down-to-earth practicality.

Then disaster strikes – her mother dies. How much can a woman’s body take, after all? The children are scattered to the winds, sent to various relatives to live. At age 12, Betsy is sent to live with the grandparents, and a new chapter, a fresh hell, begins.

Trigger warning…

THE NURSING HOME CONFESSIONAL

– more –

The family of a migratory fruit worker from Tennessee now camped in a field near the packinghouse at Winter Haven, Florida, 1937. Photo: Rothstein, Arthur, 1915-1985, photographerUnited States. Resettlement Administration. Library of Congress Public Domain

The family of a migratory fruit worker from Tennessee now camped in a field near the packinghouse at Winter Haven, Florida, 1937. Photo: Rothstein, Arthur, 1915-1985, 
United State Resettlement Administration. Library of Congress Public Domain

Each night, Betsy is required to share the bed with her grandmother. With regularity, the grandfather climbs in, raping first the grandmother, then Betsy. This goes on for over a year. It reminds me of a perverse variation of “droit du seigneur,” in which a lord held sexual rights over his female vassals. The absolute entitlement of it all. It’s staggering, the violence and complete destruction of norms which all too often accompanies poverty in America.

Betsy finally manages to get away when the grandfather falls ill. Barely 14 and lying about her age, she flees, providing her own food and shelter. She gravitates towards clerical work, ending up somewhere in southern California.

One day in that first year out, she doubles over in pain, passes out. She is rushed to the hospital, the first formal medical care of her life. It’s appendicitis. While still recovering from surgery, she learns the grandfather has died up north.

Righteous hatred can be a fuel, and it is thus for Betsy. She yanks out the IV tubes, dresses herself in her pre-collapse clothing, and heads immediately for the train station, an abdominal drainage tube still sticking out of her surgical wound. She makes the hours-long trip to her grandfather’s grave site, arriving in time for the ceremony.

In front of the ragtag assembly of extended family members, Betsy marches to the graveside. In front of them all, she emphatically spits on his coffin, turns on her heel, does not look back. This is her moment of demarcation, her grand gesture, in which she severs her “then” from her “now.” With this act, she has declared to the family and universe that his abuses will not pass unmarked. His sins will not be buried with his body. And her horrific childhood will not dictate her life moving forward.

With that, Betsy begins to fully live her new life. She holds down jobs, meets a good man, marries, has a daughter. But this kind of trauma lingers, an indelible mark is left. It forged her, and it becomes fuel. That is the heart of her life tale.

A bitter-sweet monumental triumph, it is. Betsy is a hero, no doubt. This strong woman has accomplished the near impossible – She has lifted herself out of abject poverty and a life of abuse at a time when there were few choices or models and no such thing as social services. All these decades later, she has chosen to share her life story with me in this sacred retelling. I recognize it for the tremendous honor it is. In this recitation, Betsy is teaching me – life goes on. Next chapters are possible. Good things happen.

You, too, will find yourself in a similar circumstance in your own journey into aging. Your role will be to attentively receive the tale, with open ears and open heart, recognizing you have been endowed to receive and mark this sacred telling. It seems that when we carry a piece of it, the burden is eased for the teller. “I was here. This is what happened. By speaking it aloud, I confirm it. Remember with me.”

Thank you for allowing me to share. With much love, Karen 💞🥰💞

PS: Here is your Amuse Bouche – a riveting interview with the godfather of AI and Nobel Laureate winner Geoffrey Hinton, who shares his perspective on this norm-shattering new capacity.

Next Episode:

Previously:

Dying… Or Not. Better Days

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Posted in Blog, health, history, Karen, writers, writing | Tagged blog, confessional, COVID, Emotional Support Chickens, Great Depression, health, Healthcare, history, Karen Strickholm, New Mexico, Nursing home, Pituitary, Santa Fe, Skilled nursing facility, Truth or Consequences, writers, writing

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Previously

  • THE NURSING HOME CONFESSIONAL June 5, 2026
  • Dying… Or Not. How People Die. Better Days June 5, 2026
  • Long Covid-19 Made It Through! A Bed In Roswell June 5, 2026
  • Covid-19 El Paso Quarantine Death On The Ward – 2020-08-25 June 4, 2026
  • COVID-19 In El Paso The Plague 08/02/20 June 4, 2026
  • Karen Strickholm: A Will To Live When Health Issues Take Everything June 4, 2026
  • Martin Robison Delany: An Extraordinary, Sometimes Contradictory, Figure May 24, 2026
  • Harriet Beecher Stowe – Uncle Tom’s Cabin: Books That Killed Their Authors May 24, 2026
  • The Dog: Childhood Trauma And Our Nation’s Government Sponsored Cruelty May 11, 2026
  • The Dubious Triumph Of Perception As Reality April 27, 2026
  • Honoré de Balzac On Coffee – A Terrible And Cruel Method February 19, 2026
  • Miller And Goebbels: A One-Sided Love Story October 29, 2025
  • The Coming Subprime Car Loan Collapse October 17, 2025
  • Martial Law Would End America As We Know It October 16, 2025
  • Honoré de Balzac – The Human Comedy: Books That Killed Their Authors #8 September 9, 2025
  • Lammas or Lughnasadh? Let The Harvest Begin July 31, 2025
  • Flag Day 2025 June 15, 2025
  • Moron Trade And Tariffs – Economic Sabotage Or Just Stupid? May 4, 2025
  • My Global Normcore Men’s Clothing – Countries Of Origin May 2, 2025
  • What’s Going On With Shipping? Better Watch Sal April 30, 2025
  • Split Size Shoe Orders and Tariffs – Beating The Tax On My Feet April 15, 2025
  • 56 Hours In The Emergency Room – Suffering On A Mass Scale April 4, 2025
  • Truman Capote – Answered Prayers: Books That Killed Their Authors #7 February 2, 2025
  • The Last Weekend Of The United States January 18, 2025
  • Design For Disaster – The 1961 Bel Air Conflagration January 17, 2025

The Icarian On Mastodon

Added BlueSky compatibility to Wallflower. All your Mastodon and BlueSky posts in one (quiet, restrained) place.
https://thewallflower.app

5 June 2026 @ 1:28 pm

Testing cross posting between Mastodon and Bluesky with Wallflower.
https://thewallflower.app

4 June 2026 @ 6:33 pm

I *think* its a compliment that I added a "Feedback" link to Wallflower (right now web-ui Mastodon client) and immediately got several emails asking for an iOS/macOS version.
https://thewallflower.app

4 June 2026 @ 3:47 pm

RE: https://esq.social/@andrew/116691740730869234
And this - no infinite scroll. There is an "end" if you want to take it.

4 June 2026 @ 12:05 pm

When I referred to https://thewallflower.app as "opinionated" - this is an example of what I meant. I don't want my columns jumping all over the place. Tell me I have new messages and I'll get to them when I'm done with what I already fetched.

4 June 2026 @ 12:04 pm

RE: https://esq.social/@andrew/116687090475607835
If anyone is interested in alpha-testing a very early proof of concept.
https://thewallflower.app

4 June 2026 @ 12:39 am

My latest steam blow-off side project: Wallflower, a *very* opinionated Mastodon client with the aesthetic of PIVOT that will likely appeal to no one but me.

3 June 2026 @ 4:21 pm

Income tax != wealth tax. That's it, that's the post.
https://news.bloombergtax.com/tax-insights-and-commentary/states-should-avoid-using-wealth-tax-rhetoric-for-income-taxes

2 June 2026 @ 3:29 pm

I have a new monthly segment at Yale JREG Notice & Comment, highlighting significant regulatory actions in the previous month. The first edition is up!
https://www.yalejreg.com/nc/recent-rulemakings-reviewed-april-2026/

2 June 2026 @ 3:27 pm

https://www.nytimes.com/2026/06/01/opinion/artificial-intelligence-bernie-sanders.html
I
agree, Bernie!
https://news.bloombergtax.com/tax-insights-and-commentary/alaska-is-a-model-for-taxing-ai-as-an-extracted-natural-resource

1 June 2026 @ 9:00 pm

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