Category Archives: Health

Life near the end of Midsommar

Midsommar                                                                   Kate’s Moon

a while ago
a while ago

Jon’s work on the benches for our dining room shows his continuing growth in woodworking. I’ll post pictures when he’s done, but the panels he’s building are cabinet maker good. That’s a pretty high skill level and he’s self taught after an apprenticeship with Dave Schlegel, a renovation contractor in Minneapolis many years ago.

The grandkids were up last night. Ruth’s excited about middle school, “I won’t be in the same classroom all day.” Jon, “That’s good for your teachers.” Ruth, “That’s good for me.” She’s a sweet kid. Gabe wants to be a sweet kid, too, but some misfiring neurons keep pushing him toward ornery. Maybe as the divorce settles and they move into Jon’s new house, achieve a new normal, he’ll come back toward center. But, maybe not.

20170721_172815Kate’s doing a lot of self care. She’s eating more, trying to get her weight up, an irony lost on neither of us. She does facial saunas, sinus clearing saline, pays attention to the development of thrush and knocks it back. Yesterday was her third or fourth infusion of Remicade for her r.a. Her rheumatologist gave her a drug for her dry mouth, a saliva stimulator. She uses the oxygen concentrator at night and sometimes at naps. Its humidifier has been a big help. None of these aggravations are fatal, but they do rob her of energy and sleep, of time, of resilience. Hard. But, she’s a strong, smart woman and able to develop a solid care plan for herself.

In my world I’m rediscovering my love affair with writing novels and my resistance to writing non-fiction. I reread Jennie’s Dead, maybe ten to twelve thousand words. Got excited about entering that universe, finishing it. This one’s about magic, straight up. I’m still going to continue research and general work on reimagining through Samhain, seeing if, as I said the other day on Ancientrailsgreatwheel, I get renewed energy for it in the fall. I am, however, going to look at a few other project fragments and pick one to flesh out, probably Jennie’s Dead, but there are a couple more. I miss the discovery and joy of creativity I experience while writing novels.

Lariat Lodge, Evergreen
Lariat Lodge, Evergreen

Since the visit with my orthopedic surgeon, Dr. Peace, I’ve ramped up my workouts, now aiming for 10,000 steps on the days I don’t do the resistance work, 7,000 on those days. So far, I’m hitting those marks. The new resistance work is good, sufficiently good that I’m considering extending my work with On the Move Fitness so that I can get a new workout every six weeks or so. Keeps things mixed up and I have a tendency to get into a rut with workouts I design myself. Also, my form gets out of whack, or was never in whack to begin with.

Grief

Midsommar                                                                         Kate’s Moon

arid westWe’re grieving. Kate visited her rheumatologist yesterday. She has both Sjogren’s Syndrome and rheumatoid arthritis. Eric told her that patients with Sjogren’s struggle in the arid west since it’s a disease that creates dryness in the mouth and the eyes. The low humidity here exaggerates and reinforces those symptoms. In addition both Sjogren’s and r.a. (rheumatoid arthritis) can sap energy, cause joint stiffness and generally make life difficult. “This is the new normal,” Kate said.

Jon also has multiple significant diseases: type 1 diabetes, hypothyroidism, Addison’s disease (low production of cortisol), r.a. and has managed them very well. He’s 48 now and shows none of the sequelae normally associated with a long history of type 1 diabetes. These chronic conditions take up money, time and a lot of attention, requiring daily, and often more frequent than that, self-care.

grief-quotes-quotes-about-griefLife is different now and will remain that way, that’s what we’re grieving. We had hoped there would be some medicine, some procedure, some magic that would put these insults behind us, but no.

Most of us, by the time we reach our seventies have some cluster of physical irritations and annoyances: hearing loss, kidney disease, bad joints, high blood pressure, generalized anxiety disorder, for example. If we’re lucky, we can absorb these changes, mitigate their problems and live our lives in spite of them. There is, however, always a period of adjustment, of realization that, yes, this body or this psyche has a now permanent malfunction, a condition of dis-ease.

They are reminders, often not gentle, that someday, sometime, something will end it all. The grief involved in these lesser problems is a precursor to the larger grief, the loss not only of function, but of life itself. If we let them, these short of fatal conditions can teach us how to confront and absorb the larger grief.

Wherever you go, there you change.

Midsommar                                                             New (Kate’s) Moon

travelIf you’re an alcoholic like I am, you learn early in treatment that the geographical escape won’t work. Wherever you go, there you are is the saying. It’s true that the addictive part of my personality follows me from place to place as well as through time. Even so, this move to Colorado has awakened me to an unexpected benefit of leaving a place, especially ones invested with a lot of meaning.

I lived in Minnesota over 40 years, moving to New Brighton in 1971 for seminary. I also lived in Alexandria, Indiana until I was 18, so two long stays in particular places. In the instance of Alexandria, I was there for all of my childhood. In Minnesota I became an adult, a husband and father, a minister and a writer.

Here’s the benefit. (which is also a source of grief) The reinforcements for memories and their feelings, the embeddedness of social roles sustained by seeing friends and family, even enemies, the sense of a self’s continuity that accrues in a place long inhabited, all these get adumbrated. There is no longer a drive near Sargent Avenue to go play sheepshead. Raeone and I moved to Sargent shortly before we got divorced. Neither docent friends nor the Woolly Mammoths show up on my calendar anymore with rare exceptions. No route takes me past the Hazelden outpatient treatment center that changed my life so dramatically.

2011 05 09_0852While it’s true, in the wherever you go there you are sense, that these memories and social roles, the feeling of a continuous self that lived outside Nevis, in Irvine Park, worked at the God Box on Franklin Avenue remain, they are no longer a thick web in which I move and live and have my being, they no longer reinforce themselves on a daily, minute by minute basis. And so their impact fades.

On the other hand, in Colorado, there were many fewer memories and those almost all related to Jon, Jen and the grandkids. When we came here, we had never driven on Highway 285, never lived in the mountains, never attended a synagogue together. We hadn’t experienced altitude on a continuous basis, hadn’t seen the aspen go gold in the fall, had the solar snow shovel clear our driveway.

jewish-photo-calendarThis is obvious, yes, but its effect is not. This unexperienced territory leaves open the possibility of new aspects of the self emerging triggered by new relationships, new roles, new physical anchors for memories. Evergreen, for example, now plays a central part in our weekly life. We go over there for Beth Evergreen. We go there to eat. Jon and the grandkids are going there to play in the lake this morning.

Deer Creek Canyon now has a deep association with mortality for me since it was the path I drove home after my prostate cancer diagnosis. Its rocky sides taught me that my illness was a miniscule part of a mountain’s lifetime and that comforted me.

This new place, this Colorado, is a third phase home. Like Alexandria for childhood and Minnesota for adulthood, Colorado will shape the last phase of life. Already it has offered an ancient faith tradition’s insights about that journey. Already it has offered a magnificent, a beautiful setting for our final years. Already it has placed us firmly in the life of Jon, Ruth and Gabe as we’ve helped them all navigate through the wilderness of loss. These are what get reinforced for us by the drives we take, the shopping we do, the medical care we receive, the places we eat family meals. And we’re changing, as people, as we experience all these things.

Well over fifty years ago Harrison Street in Alexandria ceased to be my main street. The Madison County fair was no longer an annual event. Mom was no longer alive. Of course, those years of paper routes, classrooms, playing in the streets have shaped who I am today, but I am no longer a child just as I am longer the adult focused on family and career that I was in Minnesota.

Wherever you go, there you change.

Organ Recital

Midsommar                                                                      Most Heat Moon

dodge-a-bullet-illusOrgan recital: Kate does not have throat cancer. Didn’t know that was what Dr. James Chain, an ENT, was thinking until he eliminated the idea yesterday. Nothing quite like dodging the metaphorical bullet you didn’t even hear fired. Her sense of smell, adumbrated, and her sense of taste, flattened, however, may not return. Tough for weight loss. If food doesn’t taste-bad or good, it’s not appealing. We’re working right now to figure out what she can taste so we can emphasize them in our menu choices and cooking.

My knee. Well, in short, nothing wrong. Dr. Peace, he of the elfin ears and round face, said, “Ligaments feel good, strength is good. You have more flexibility than 90% do at this point. You’re good.” Kate asked, “Can he kneel to weed?” “Oh, yes.” Me, “Oh, no.” This because I have significant pain when I kneel on my left knee. “For some reason,” Dr. Peace said, “50% of knee replacement patients report pain on kneeling. 50% don’t. We don’t know why.” Oh.

Dr. Peace says that short of blunt force trauma: ski accident, automobile crash, a bad fall I can’t hurt the prosthetic. “It’s designed for you to be active.” That’s good news because it means I can challenge it as much as I can stand.

Knee X-ray image after a total knee replacement operation. The diseased knee joint is replaced with artificial material (White parts). Frontal view and side-view.
Knee X-ray image after a total knee replacement operation. The diseased knee joint is replaced with artificial material (White parts). Frontal view and side-view.

It was my knee prosthetic’s moment on the big screen. The x-ray screen. In scales of gray and white I could see the anchoring bolt dug deep into my tibia and the large lunette window shaped chunk attached somehow to my femur. Glue was mentioned. Say what? Most weird of all though, my knee cap floated free, a sort of slightly flattened disc which looked as if it wanted distance from the rest of this oh so necessary joint.

In short, good news all round. We celebrated with a meal at RICE Sushi and Bistro not far from Dr. Chain’s office. The temperature was a Minnesotan frying 95 degrees, but as we climbed the mountains of the Front Range we got down to a more bearable 77 at home.

Altitude: A Blessing and a Curse

Midsommar                                                                       Most Heat Moon

visionaire-5-oxygen-concentrator-airsep

Living at altitude in the arid West has its challenges. So far we’ve decided that the blessings outweigh the curses. Kate did come back from her 55th reunion trip to Iowa healthier. Part of that was a treatment for thrush she began before she left, but a part of it, too, was being much closer to sea level (better O2 stats) and much more humidity. We joked about taking the oximeter and the blood pressure monitor on a drive around Denver to find a place we could live that would be healthier for us. The oxygen concentrator is a better solution for us right now.

Tibial-Keel-Punch-Protocol-Render.In other health news an x-ray of my left knee (total knee prosthetic imaging) raised a question. On Monday I see Dr. Peace, my orthopedic surgeon, for a follow up. Kate thinks and I hope he will say nothing’s wrong. I will use the time to ask again about how much I can challenge the knee. Can I, for example, kneel? It’s painful now, yes, but does it actually harm the prosthetic? Is hiking up a mountain trail too stressful for it? Why do I still have pain seven and a half months after surgery? Are my high intensity workouts too much? I don’t want to be too cautious, neither do I want to be cavalier.

Jon’s waiting on news about whether the seller of the house he’s purchasing will replace galvanized piping. Could be a deal breaker. Possible bummer alert.

 

 

An Earthquake

Midsommar                                                                 Most Heat Moon

Kabbalistic_creatorKabbalah. It’s trying to pry off the empiricist covering I’ve put on my world. I say trying because I’m a skeptic at heart, a doubter, a critic, an analyst yet also, and just as deeply, a poet, a lover of myth and fantasy, a dreamer.

Last night’s conversation at Beth Evergreen was on miracles. As is my wont, I looked up miracle in the OED. The first definition, considered most important and most normative,  says a miracle is an event that defies nature and is therefore the act of God or another supernatural being. Its root though is the Latin miraculum which simply defines miracle as something amazing, wondrous. The Hebrew word for miracle, nes, means banner, flag, trial, test, as well as miracle.

Rabbi Jamie, and kabbalah, pushes us to broaden our definition of miracle, or perhaps, deepen it. What is a miracle? Several budding kabbalists offered answers. The human body, animal bodies. Anshel, who has an identical twin, says their relationship is a miracle, “I can feel her pain. And she lives in Florida. We pick out identical birthday cards.” I said life, the ineffable animation of the inanimate.

plate_tectonicsRabbi Akiva says that nothing in nature is less miraculous than the rarest exception. This means, for example, that the water in the Red Sea (or, Reed Sea) is as miraculous as its parting. Or, for that matter, the Hebrew slaves pouring across it are, too.

It’s hard for me to articulate how this changes me. There’s a stubborn I will not be moved part of my psyche (I know. You know this already.) that keeps me from changing my perspective without a lot of thought. Good and bad. Makes me resolute in the face of adversity, but also mulish in terms of new ways of thinking. Reason can take me up to the wall, but will not push me past it. So I entertain a lot of new ideas happily, but absorb few of them There has to be an emotional component, a combination of reason and feeling.

The emotional/psychological element involved here is big.  And, it’s not only about an attitude toward miracles, nor even toward kabbalah itself, but about an inner tectonic plate, one that needs subducting but that I have not been able to move for decades. This core substrata of my Self supports a continent and that continent is my productivity, purposefulness, agency. Messing around with it scares me.

caveIt is anxiety. I believe it infested my life in two early stages. The first was polio, a young boy’s physical experience of our human finitude. It happened once; it could happen again. The second was the death of my mother when I was 17. It happened once, to Mom. It will happen to me and could happen quickly.

Now, I believe anxiety has its purpose. It makes us attend to matters that might harm us in some way and it encourages us to resolve them by poking us psychically until we do. A good thing, in my opinion. Yet, when everything or many things seem harmful-like life itself-then anxiety becomes crippling, closing down joy, play, eagerness, and yes, the miraculous, too.

I can feel that plate beginning to grind its way under more positive parts of my inner world, kabbalah is one of the forces impelling it. So is, oddly, Kate’s health issues and my own, coupled with increasing age.

Seems contradictory, right, at least these last two? Yes, but here’s how that works. Both polio and my mother’s death have left me with a sense of impending catastrophe, not immediate, not right now, but…soon. And, of course, that’s both wrong and right. The sense of finitude that both put into bold face type on my inner sign board is real. I will die, there will be some final illness even more destructive to me than polio. That’s the right part.

timeThe wrong part is that it doesn’t matter. I don’t have to worry about it, fear it, be anxious about it. It is. Or, rather, will be. Maybe in the next ten minutes, maybe in the next ten years, maybe longer. I know this by reason, have known it for a long, long time, but I have not been able to displace the irrational fear in spite of that knowledge. That’s why I say reason can take me up to the wall, but not past it.

The shuddering that’s affecting my innerworld, a sort of psychic earthquake, is accepting the finitude, leaning into mortality, even embracing it. The wall that keeps this from happening is built of tangled vines. Will I work? Will I care about my projects? Will I just relax, sink into the hammock and never roll out of it? Cutting a gate through this wall to whatever lies on the other side feels like indulging myself, separating myself from the motivator/motivation that keeps me moving forward. That’s the resistance that anxiety has constructed in my soul.

the-secret-garden-kewYet, increasingly I find myself wanting a way through this. I can sense, and here kabbalah is playing a critical alchemical role, a different world, a better world now hidden from me. I can peek through the vines at times, can see the secret garden beyond. It’s this wall that holds up the substrata, keeps it from being ground other parts of my Self. This wall has its roots sunk deep into this tectonic plate, is a barrier to its movement. But I can feel the vines withering, their complicity in the substrata’s effect on my psyche weakening.

What lies on the other side? I really don’t know. That’s sort of the point, but it feels like a healthier, happier place. Perhaps soon I’ll find out.

 

 

Sluuump

Midsommar                                                                Most Heat Moon

slumpBack to exercising yesterday. Yeah! Still a bit foggy in the am and my energy level remains subdued. Might be a summer slump occasioned by the heat or I might need a vacation. It’s been a stressful time period since December 1st, when I had the total knee replacement. That in itself was plenty but Jon’s divorce and Kate’s health tripled down on our resilience. It’s pretty good, I think, but the challenges this last few months were severe.

The summer slump notion may explain it all. As with Sundays, I have a conditioned response to the summer. It’s a time for relaxing, for kicking back with a good book or going on a road trip. Oddly, I no longer believe this, preferring the fall for travel and I read all year round, but my body and my mind carry this memory, ingrained by years of education where the main business went on from September to May. A learned part of me wants to slow down, smell the pines and the fresh running streams, but the rest, the conscious and choiceful part, wants to continue working, getting things done. The frisson between these two states is contradictory, conflictual.

Today is a Sunday and a summer Sunday at that so my strong inclination is to watch sports, go to a movie, read the Sunday paper. Which is funny since I don’t watch sports and rarely make it to a movie. I don’t even read the Sunday paper in the thorough way I used to. Yet at 70 the past remains, lodged in subtle cues which call up attitudes shaped by the culture, by happenstance, really. I’m not a slave to them, hardly, but their pull, their unconscious rightness does affect me.

Today, this summer Sunday day, Kate and I will have a business meeting and attend a birthday party, a 70th birthday party, for Marilyn Saltzman, a friend from Beth Evergreen.

I’ve got that I have to rethink, repurpose my time and energy feeling. It usually comes over me when things get muddy. Sometime in the next few days I’m going to seriously rearrange my week, reassert priorities I’ve chosen like Reimagining, kabbalah, getting some projects done around the house. But I’ll be thinking of myself as lying in a hammock, sipping mint tea and reading Faulkner.

An odd week

Midsommar                                                                     Most Heat Moon

shakyamunithangka2It’s been an odd week. I felt physically down for three days, not awful, as I said below, but enough to make me stop exercising (very unusual) and thinking was hard, maybe not unusual in itself (I mean, thinking can be hard, after all.) but in its persistence and its type, sort of a muddy feeling in my mind that made the thought of mental exertion seem too much effort. When, for example, I had to consider e-mails to three new Muslim contacts for our first Evergreen Forum event in the fall, I set them aside. Same thing with fixing some ongoing computer issues, none remarkable in themselves.

Seemed to lift yesterday and today (Saturday), too. I take thc edibles at night to get to sleep and it has dramatically improved my getting to sleep. That means 7 or 8 hours of sleep has become my new norm. And I love it. But. Is the THC leaving a residue that’s interfering with my day? Don’t know. I also take a muscle relaxant for my shoulder at night. It also has a soporific effect and I take it in the middle of the night as sort of the second installment of sleep aids. Could the combination be a problem? I sure hope not because getting to sleep and feeling comfortable in my gut has a very positive effect on my daily quality of life.

This is more by way of keeping health notes for myself, but if this informs you, good.

Jon news. Big.

Midsommar                                                      Most Heat Moon

Two big events yesterday. Jon got a house! He moves in September 7th. He also, in two separate appointments for Ruth, was in Jen’s presence. No meltdown. Just ordinary time. Though very uncomfortable. These are huge for our family, for Jon. He’s come a long way since last June when things got so scrambled up.

Kate and I went on yet another trip to the doctor. Big fun. We see Lisa in tandem sometimes. She’s very good. Kate talked about Sjogren’s and its recent effects. I wondered about my knee prosthetic, could I hurt it through exercise? Apparently not.

We bought our own oxygen concentrator for Kate, then drove up I-25 to Hampden Avenue and ate lunch at the New York Deli. Kate loves their chicken noodle soup with a huge matzo ball. I love Deli food, had Hebrew National hotdogs. Kate rolled her eyes.

91 in Denver. By the time we hit Aspen Park it was 68. Gotta love the mountains.

 

What was that?

Midsommar                                                                     Most Heat Moon

earThe hearing world (or, better, the not hearing world) in which I live. I’ve not written about this before, at least I don’t recall it if I have. It’s a profound disability, but invisible, often even to me. I’ll explain.

My left ear went deaf in my late 30’s. The hearing loss happened suddenly, over the period of about six months, and resulted in several visits to an ENT and an MRI to look for possible brain tumors. No brain tumors. No reason (maybe genetic), but my left ear was gone as a sense organ. Permanently. The heavy wings of mortality brushed against my soul, sending me into a temporary depression as I realized, again, that my body would eventually stop functioning altogether.

Not long after losing my hearing I visited Bogota, Colombia and while crossing a divided highway almost completed that thought. There were four lanes of traffic divided by a boulevard and I crossed the first two lanes, looking carefully to my left since I knew I could hear nothing on that side anymore. After walking across a wide space planted with trees, flowers and decorative shrubs, I came to the next two lanes, looked right, saw nothing and walked out into the road. And horns blared, brakes screeched. Jesus! What? Turns out in Bogota this set of four divided lanes all ran the same direction. I’d assumed otherwise, checked in only one direction, then gone ahead, confident I was fine.

deaf_in_one_ear_button_crib_sheet-r495cf41b36714c5e84d71dad0109ad27_x7j3i_8byvr_324This was an early and extreme instance of a situation I encounter daily. Since I don’t hear anything from my left, if some noise happens over there, for me it’s as if it doesn’t exist. And even now, over 30 year later, I still forget. I am much more cautious about crossing streets, fear will do that, but in other situations, the absence of noise is, of course, just that. It means even if it’s there, I don’t know it. Basic epistemology. If I can’t hear it, it doesn’t enter my world. What’s the sound of one person speaking to me, if I don’t know it? Silence.

Now having scooted past 70 this year, the hearing in my one good ear has begun to deteriorate. This time it seems to be plain age related decline, but it does create special demands. I increasingly find myself in situations where I can’t hear clearly at all. If there’s a fan or wind or a fountain or other people speaking, or I’m situated poorly, that is with my left ear in the general direction of conversation, it’s a strain to listen. Often, I simply can’t understand and have to just accept it.

In more intimate situations like home I can no longer understand if someone speaks to me from another room. Often, even in the same room, I don’t understand the first instance of someone speaking to me. Just ask Kate. This is maddening to others and frustrating to me, too. I get very tired of having to ask for a repeat, and others get tired of having to repeat themselves.

Yes, I have a hearing aid. Just one. It helps, sometimes. In quiet rooms, at home, in a space without other noise sources, the amplification makes a difference though it can’t compensate for frequencies I can no longer hear. If there is a wind, or a copy machine running (as there was this Thursday at mussar), then the amplification adds to the problem.

Recently, I’ve had another problem, too. An underwater sort of interference occurs at certain frequencies, rendering speech unintelligible, even if I can hear it. Doubly frustrating, as you might imagine.

Often I believe I’ve understood a conversation when in fact I haven’t. All of us with substantial hearing loss know the situation of being in a conversation, missing parts of it, scrambling to guess what was said and replying on the basis of that guess. A blank look, or even shock, clues us into a mistake.

A monk I met at a Benedectine Abbey in South Dakota, recounted the story of meeting a parishioner after a service. “I’ve just come from my sister’s funeral,” the parishioner said. “Oh, I’m so glad you had a chance to see her,” the monk said, smiling.

Hearing loss is a lesson in the fallibility of the human sensorium. We know it doesn’t pick up the whole electromagnetic spectrum visually, infrared and ultraviolet, for example, exist just outside our human visual faculty, yet they are real and always present. Hearing is the same with certain sounds being either too faint or too low or too high for our ears and auditory nerve to process. And in those cases we don’t find anything odd in our inability to sense them.

As hearing changes, though, we do think it’s odd, even somehow wrong, that we can no longer pick up sound that is, to others, clear and available. This is not something I spend much time thinking about on a daily basis. I go about my life, usually unaware, even for myself, that I’m not hearing things that others are. I mean, how could it be otherwise? That’s the epistemological riddle here. How can we be aware of that of which we are unaware?

I’m not saying this well, at least not as well as I want. I don’t feel disabled, yet I am. And often my disability is not apparent even to me. Until it is. This creates an odd world where I operate as a normal person, appear to be normal, yet am actually impaired. Often, perhaps most often, it’s of little consequence, but also often, it’s isolating, frustrating.