Category Archives: Health

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.

 

 

Kate and a wandering Woolly

Midsommar                                                                        Most Heat Moon

Back ouching yesterday, still this morning. Annoying.

20170405_152848Drove the hour out to Denver International to get Kate. Found Scott Simpson with her at the arrival gate. He’s on his way to Carbondale to see his son. We took him to Union Station where he planned to board a Bustang for the rest of his trip. Scott’s reading Homo Deus right now and says it’s rocking his world. Good to see him.

Kate hopped up front after we dropped him off. Well, hopped might be a bit too spry. Moved up front. She looked great, the vacation agreed with her health. She’s a flatlander and a child of the humid east. Her dry mouth was much better in Minnesota and Iowa as was the O2 concentration.

She and Anne drove to Nevada, Iowa, both having reunions, 55th and 50th. They had a good time. On her return to Minneapolis Kate stayed with her long time friend Penny Bond and caught up with her lunch lady friends, Mary Thorpe and Jane West.

Good to have her home.

 

 

Flight for Life

Midsommar                                                                  Most Heat Moon

What looked like a nasty fire season in March and early April has become moderate, even subdued. First we had heavy late season snow, then rains and now cool weather. None of this rules out fire, but the fuel is moist and the temperatures are not exacerbating the low humidity. There are still emergency preparedness items to check off, however. Need to get that safety deposit box and figure out how to handle the times when one of us is away from the house with the car. A bit less urgency than we’d anticipated.

crowhillcafe01The go-go girls, Rigel and Gertie, joined me on a breakfast outing to Crow Hill Cafe. Crow Hill is the steep, 7% grade, that takes Hwy 285 down into Bailey. On the way there, from the western edge of Conifer, the continental divide defines the horizon, peaks until recently covered with snow. They allow us, who live in the mountains, to see the mountains in the same way folks in Denver can see the Front Range, as distant and majestic.

We experience the mountains daily, going up and down them, around their curvy two-lane roads, beside their creeks, outlets for snow melt, modulating our speed for the wildlife that refuses (thankfully) to acknowledge our presence as a limitation. This in the mountains travel finds our views obscured by the peaks that are close by and the valleys that we use to navigate through them.

French toast and crisp bacon, black coffee and the Denver Post, a window seat overlooking the slight rise beyond which Crow Hill plummets toward Bailey. I love eating breakfast out, don’t know why. Something about starting the day that way once in awhile. Rigel and Gertie got a saved piece of french toast each, happy dogs.

20170625_180842Back to Conifer and the King Sooper. King Sooper is a Kroger chain upscale store, one listed as a potentially threatened species by newspaper articles about Amazon’s purchase of Whole Foods. With the rapid concentration of certain retail activities we may need an endangered business protection act. King Sooper does deliver though we’ve not made use of that service. Those of us on Shadow Mountain don’t expect to see drones with celery and milk anytime soon.

Although. We did have confirmation yesterday of a premium asset related to our location on Black Mountain Drive. Two Jefferson County sheriff black and white S.U.V.s followed an Elk Creek Fire and Rescue ambulance past us in the late afternoon yesterday. About 30 minutes later Kep recruited Rigel and Gertie to defend the house. When I went to check, there was a line-up of stopped vehicles stretching from the curve where Shadow Mountain Drive turns into Black Mountain Drive.

20170625_180848Neighbors and their dogs were on the sides of the road. Cell phones (pocket digital cameras) were out and aimed at the curve. The chop chop chop of helicopter rotors was evident, but the helicopter itself was not in sight. Then it was, slowly rising from the road, Flight for Life spelled out along the yellow stripe leading back to its stabilizers.

It’s very reassuring to know if Kate and I ever end up in a medical emergency we won’t have to rely on a 45 minute ambulance ride to the nearest E.R. The E.M.T.s  could just pop us on a gurney, wheel us down the road a bit and into the ‘copter. Then up, up and away.

Today is back to working out, more reimagining prep, this time including reordering my reimagining bookshelf, checking the old computer for reimagining files. I’ll also be studying for kabbalah tomorrow night and possibly taking a trip over to Sundance nursery in Evergreen looking for lilac bushes.

 

 

Reunion Weekend

Midsommar                                                                    Most Heat Moon

20170423_090148We had a light frost the other night. The weather has been generally cool since Kate left which is ironic. Friday and yesterday were her 55th reunion, today she drives back to the Twin Cities to stay with longtime friend Penny Bond. Monday the ladies who lunch will gather to include her again while she’s in town.

Kate’s made contact with many Coloradans, at first with the Bailey Patchworkers, then with the Needleworkers and now with Beth Evergreen. During her recent Sjogren’s flare all of these groups expressed concern about her. She’s only been here a couple of years but she has integrated into the community. Good to see.

Jon and the grandkids have walked the Great Sand Dunes, driven to the ancient dwellings at Mesa Verde and will head north to the Dinosaur National Monument before coming home. Jon invited me to come to the Dinosaur National Monument and meet them there, but this is Kate’s reunion weekend and I’m the official dog guy. Otherwise, I’d have done it. It’s one of the many places in Colorado I want to see. It’s a bit unusual in that it is in Colorado and in Utah, following the course of the Green River.

20170618_082145I’ve been speculating about my knee, about how hard I can push it and not have to replace it too soon. Tough since I want to keep my cardio work up. My decision so far has been to privilege my heart over my knee, reasoning that heart health has longer term benefits, but I don’t want to be stupid about it either. Decided last night that I want to see my internist, Lisa Gidday and get some guidance.

Today is mundane: groceries, laundry, groom Kep. Work on reimagining. No workout today. Going back to Sunday as a rest day for now. I prefer to workout, but there’s that nagging thing about the knee. A bit of caution right now.

Hallelujah

Midsommar                                                                                     Moon of the Summer Solstice

Kate a year ago
Kate a year ago

Kate, thankfully, is feeling much better. Susan Braun, a physician’s assistant to our internist, Lisa Gidday, correctly diagnosed thrush and prescribed an antifungal that has beaten it back. Kate’s eating more easily, in less constant distress and has an overall better mood. Combined with the increased dosage of omeprazole, recommended by James Chain, an ENT, the sore spot in her throat has also diminished. Even some of her taste is returning.

Sjogren’s Syndrome has many faces and the troubles in Kate’s mouth and throat are among them. This was, apparently, a flare in this chronic condition, one that we now understand better and will know how to treat more effectively-and earlier. The struggle to get some solution, some relief was difficult, but it does feel like we’re a good deal further along in understanding how to care for the symptoms. It’s not going away, so that’s the optimum.