Category Archives: Health

The Zen of Kate

Spring                                                                        Passover Moon

700 pixels- punta arenasMonday. Physicals back to back. We do things together, like our physicals and our dental cleanings. So sweet. Very romantic. And it is, in its way. Sort of like dates. We go out to lunch afterwards.

This week is the slow drip after as test results and imaging work reveal their information. So far, generally good news. The usual deterioration occasioned by 70 + years on the planet, not a surprise, but not yet deadly.

The zen of Kate. One of the imaging tests could have returned something bad, but even in the weeks after she learned a second test, a cat scan, would be necessary, Kate didn’t flinch. “Can worrying about it make it different?” she said. A wise woman, my Kate. Of course, that didn’t prevent me from worrying about it, but I’m trying to learn from her on this one.

She’s bouncing back from a three/four month bout of low energy and shortness of breath. Nighttime oxygen (we live at 8,800 feet) and more calories each day have given her more pizazz. She’s also just had her second infusion of Remicade, a drug for rheumatoid arthritis. RA can also produce fatigue so the Remicade may be helping her energy level increase, too.

2011 09 04_1258750The zen of dogs. Over the last few weeks I’ve paid special attention to how the dogs in my life live: Gertie, Rigel and Kepler. We share moments often during the day and at night. A dog is always in the now, ready to take a nap, run outside, eat, get a head or neck scratch, some petting. They remind me of the brevity of life and how precious each moment, each interaction is, not only with dogs of course, but with family and friends. With the mountains, too. The clouds and stars. The snow.

 

A Mighty Fortress is Our Family

Spring                                                                       Passover Moon

kogenateThis weekend focused in part on grandson Gabe though he was absent from it. Gabe has hemophilia.

Many diseases have their own subcultures. Think HIV/aids, Hepatitis B, breast cancer, MS, cystic fibrosis. Hemophilia has its own. On Friday and Saturday Kate and I attended a hemophilia education event in Lone Tree.

A notable defining characteristic of the bleeding disorder subculture is how misunderstood the disease itself is, and how much others don’t appreciate the demands on both those with the disease and their family. I imagine other disease focused groups share this general attitude. While it is certainly true that most folks have never heard of the clotting cascade or what can go wrong with it and we don’t live with the day-to-day strain of possible bleeds or other serious complications, these attitudes create an us against them mentality.

Physicians don’t understand. Friends don’t understand. Grandparents don’t understand. The only ones who get it are those of us directly affected.

FactorTrack3And, ironically, Big Pharma. One of the oddities of the bleeding disorder community is its relationship with big drug companies. In most, perhaps all, other instances, the choice of medication for a particular condition or illness is the physician’s responsibility, often in consultation with the patient, yes, but just as often not. The physician’s job is to understand the patient and, if needed, the application of a certain pharmaceutical to their situation.

Not so in bleeding disorders. Parents of afflicted children and adults with a bleeding disorder have a personal relationship with drug representatives from companies like Bayer or Shire or CHS Behring and Octapharma. They have to learn about how molecular structure impacts the efficacy of a factor product. Factor is short for clotting factors which are missing or weakened in bleeding disorders.  There’s also the issue of half-life. In recent time the choice about whether to use a product produced from human plasma or a synthetic product has tilted now toward the synthetic, recombinant, because human plasma derived products too often carried HIV-but they were all that was available. This necessity to choose among the various factors offered, taking on a role normally filled by a physician, no doubt empowers parents and afflicted adults, but it also makes the circle draw closer, tighter.

All of this reinforces a cult-like insularity. One couple spoke about their children’s grandparents as “clueless.” The laughter in the room indicated that most of those there shared that opinion. How could grandparents possibly understand? Now, you might imagine that didn’t sit well with me, Kate or Barb Bandel, Jen’s mother. There were other ageist moments when our commentary in group discussions were either ignored or diminished. We raised these very children who now see us as unable to understand issues that affect children. This is not only ironic, it’s damaging.

When the nuclear family becomes the stronghold against uninformed outsiders, a whole panoply of possible resources wither up. Parents don’t take time for themselves, at least at first, because who else could know what to do? Children don’t go away for the night, even to grandparents. The strength of the extended family is cut off to the detriment of all parties.

 

 

Meals

Spring                                                                          Passover Moon

Last night Kate and I went over to Marilyn and Irv Saltzman’s home, also in Conifer, but up King’s Valley Road out toward Bailey off 285. We had African themed food cooked by Marilyn, who went to Africa last year, and desserts made by Irv. The food was good and the conversation even better. Two of Marilyn and Irv’s friends also came over. We talked traveling, politics, Judaism and Christianity, those topics so often literally off the table at dinner gatherings.

It was great to have a night out with adult conversation. Though. Going to bed at 8 pm, my practice now since the knee surgery last December 1st, means staying out until 8:30, as we did, makes the next day difficult. I’m deciding I need a rest day after “late” nights like this one.

View of Denver from Mt. Vernon Country Club
View of Denver from Mt. Vernon Country Club

Probably will tomorrow night, too, since we have the Beth Evergreen community seder at Mt. Vernon Country Club over near Lookout Mountain. Passover is the defining holiday for Jews as Easter is for Christians. Both emphasize overcoming. And, due to the Christian formula for determining Easter’s date*, both come in roughly the same time period. Easter Sunday this year, for example, is the 16th of April.

  • In 325CE the Council of Nicaea established that Easter would be held on the first Sunday after the first full moon occurring on or after the vernal equinox.(*) From that point forward, the Easter date depended on the ecclesiastical approximation of March 21 for the vernal equinox.  Easter is delayed by 1 week if the full moon is on Sunday, which decreases the chances of it falling on the same day as the Jewish Passover.

The snow from last week is nearly all melted. The wildfire risk is moderate now, rather than high or extremely high as it was not so long ago.

Kate’s been to the cardiologist this morning for an echo cardiogram. Don’t expect any big news from it.

Scraping Sharp Blades Across My Soul

Spring                                                          Passover Moon

12003381_10153606920344267_720449957253601669_nModulating the call and response occasioned by Trump era politics in my own head has proved daunting. I’m not going on a “news cleanse” or planning to ostrich myself in the several inches of snow we just got. (though that last one sounds sort of good)

I did uncouple from the Idiocy of Donald Trump facebook group. It became too much though the posts were really funny. I also changed the name of my Evernote file where I save material relating to the Trump presidency from Fighting Trump to just Trump. Felt like I was scraping a sharp blade across my soul each time I saved an article.

All that feels right for me, so far. Yet. There is reading the Denver Post and the New York Times, both morning rituals. Today I noticed Trump doomed the planet by weakening compliance with the Paris Accord’s goal to reduce carbon emissions in the U.S. by 30% by 2030. That’s a key number because a global reduction to 50% by 2050, then zero by 2100 is the main hope the world has to stave off dire temperature rises.

There’s also the recent attempt by the GOP, with Trump’s assist, to kill 43,000 Americans a year by denying them even mediocre healthcare. Of course, as a cartoon I saw pointed out, bad healthcare is no problem if the planet gets fried to a crisp.

The lesson for me is this. Shut down the barbed rhetoric, Fighting Trump and the Idiocy of Donald Trump. No need to scrape those sharp blades across my soul. But don’t ignore, don’t forget. Stay aware and be ready. The danger is ever present as the climate change policy reversal makes clear.

 

In the Shadow of Finitude

Spring                                                              Anniversary Moon

700 pixels- punta arenasNo certainty yet on Kate’s malaise though the likelihood of something terminal has receded. Dr. Gidday is good at reassurance, no false cheer, just a reasoned confidence. I remember in the midst of my prostate cancer workup she looked at me and said, “We’re going to get you through this.” I believed her. She’s moving methodically through the possibilities for Kate’s shortness of breath and her fatigue, ruling out the most pernicious first. We’ll know more over the next month or so. I’m relieved right now and want to stay that way.

It was one of those medical days yesterday. After seeing Gidday, we went to Swedish hospital and played find the right lab so Kate could have her blood drawn. We found the lab and it was closed for lunch. We took the hint and went for lunch ourselves at the Beirut Grill. Shawarma, tabouleh, mint tea. Then, back to Swedish.

Kate and me1000cropped“You know, if we weren’t in our 70s, I’d say this move to Colorado was jinxed. But when you take 70 year old+ bodies and move them somewhere else. Well. Wherever you go, there you are.” Kate nodded. We’re in that time when the body comments on its journey in unpleasant ways. The way things are.

This does put us in closer touch with our mortality, but I find this invigorating, clarifying. Life has an end. We know it and it is precisely the thing makes each day so precious, so full-if we can remain mindful. I’m grateful for these reminders of our finitude and for our lives lived in their shadow. Weird, I know. But it’s so.

 

 

Delights and Horrors

Spring                                                                  Anniversary Moon

rumiThe third phase, that phase after the career and nuclear family focused portion of our life has come to an end or is winding down, has its own delights and horrors. Auto-didacts, those with pleasurable, but challenging hobbies, those with adequate funds, those with a close network of friends and family have a good chance of enjoying the third phase more than any other part of their life. It’s a time when the pressures of achievement and child-rearing recede. They may not disappear, but their initially critical significance shifts to the margins.

This leaves the possibility of centering on who you truly are, expressing the soul/Self, the unique you created when sperm hit egg all those years ago. A rich time, filled with creativity and exploration, can be the result. It certainly has been that way for Kate and me. We’ve traveled, gotten closer to our kids and grandkids, gardened, raised dogs, moved to the mountains. She’s quilted, sewn, cooked and finally taken up the spiritual journey she started so long ago with her conversion to Judaism. I’ve continued to write and study, my primary passions. We’ve both nourished friendships from our Minnesota life and begun to develop friendships here in Jefferson County, Colorado.

It is also in the third phase, however, when the body begins to signal its eventual end. Even if there are no presenting issues of the moment, the third phase, by its very definition occurs as our age passes into the mid-60’s and beyond. The implications of this becomes clear when we make the calculation about doubling our life span so far. At 50 it’s just possible to conceive 100; but at 60, 120 is a stretch. At 70 the notion of reaching 140 is ridiculous.

will-testament_audible-wisdom-org_CCWith prostate cancer two years ago and a total knee replacement last year my body has given notice that its sell-by date is approaching. Yes, both of those have resolved well, at least so far, but they are concrete proof that I will not live forever. Something, sometime. Now it seems to be Kate’s turn to face her mortality. She has a cluster of medical issues that are challenging, making her low energy and too thin.

The horrors I mentioned above are not these, these are normal, though disconcerting. We age. Our bodies break down, then stop. Hundreds of thousands of years worth of hominid deaths makes this all too common.

20170310_174900The horrors are the loss of the one you love, the person whose life has become so entwined with your own, not enmeshed, I don’t mean here a situation where life going on without the other is inconceivable, but the loss of a person whose life has been a comfortable and comforting fit with your own, a bond of mutual affection. Imagining life without Kate leaves me with a hollow feeling.

This loss, too, is common. Just read the obituaries and see the list of “survived by.” It is different from your own death because your life goes on with a big hole. I know this feeling too well. My mother died when I was 17. This is horror. Is it survivable? Of course. But life after the death of a spouse is a change none of us who are happily married seek. Yet, it seeks us. It is the nature of two finite creatures bonded through love. One leaves first.

These matters are on my mind today as we try to hunt down and fix what’s ailing Kate. I’m not ready, will never be ready, for life without her. May it be far in the future if it happens for me at all.

 

The Masque

Imbolc                                                                          Anniversary Moon

By I, Sailko, CC BY-SA 3.0,
Franz Messerschmidt, sculpltor, (photo) Sailko, CC BY-SA 3.0,

 

Masks. The sample session about kabbalah has had me focused on masks I wear. Here are a few: grieving son, angry son, abandoned son, skeptic, philosophical analyst, anxious son, anxious man, friend (I think each friendship might prompt a different mask), loving husband, anxious husband, devoted and loyal husband, protective husband, father, proud father, step-father, grandfather, cousin, brother (again, a different mask for Mary and Mark), dog lover, grieving dog lover, gardener, beekeeper, greenman, mountain man, 60’s radical, weary 60’s radical, writer, anxious writer, fearful writer, reader, blogger, Celt, German, Minnesotan, Hoosier, Coloradan, member of Beth Evergreen, anxious member of Beth Evergreen, hiker, traveler, traveler for fun, traveler for self-knowledge, meditator, translator, Latin student, mussar student, fellow traveler of Judaism, driver, angry driver, meditative driver, commuter man, docent, art lover, art critic, poet, exerciser, reluctant exerciser, healthy man, dying man, sick man, indulgent man, poor eater man, healthy eater man, home maintenance scanning man, home maintenance securer, worker supervisor (home maintenance), father-in-law, theater and movie goer, chamber music lover, jazz lover, politically dutiful man. Well, it’s a start.

maskThe idea here is to know your own masks without judgment, then order them from core masks to peripheral. What masks can you not take off without removing some skin? Those are core (actually near core) and the most resistant to change. The core itself, the I am, is pure awareness and has no mask. I have an issue here with the kabbalah, not sure how a soul, a self, the core of me, can put on a mask. The donning of a mask seems contradictory to pure awareness, how would the motivation to mask up occur? How could it be actuated? This is important to my philosophical analyst mask though, as Jamie pointed out, the practical application of these ideas doesn’t require an answer.

The ultimate goal is to be able to take off and don masks appropriate to each moment. To do this, of course, we have to be self-aware, we have to know what mask we have on. This will take practice.

 

Jittery

Imbolc                                                                         Anniversary Moon

aloneBeen experiencing an unusual phenomenon, at least unusual for this period of my life. I’m getting all kinds of anxiety signals from my body. My feet rest on their balls when I sit down, not flat on the floor. My gut has this hollowed out and tense feeling. My jaw has small aches as my teeth grind unconsciously. This also makes facial muscles twitch. When lying in bed, I’ll notice that my legs are tight, again an unconscious contraction.

What’s weird is that I can’t identify any source for these unsettling signs. My best guess right now is that they’re the product of a combination of things: the ongoing upset from the divorce and its aftermath, the exhilarating yet internal compass spinning immersion in Beth Evergreen, the two year plus loft finishing as well as our still evolving life as Coloradans, and the various medical challenges we’ve both encountered since moving here. Why the physical signals right now if that’s the right analysis? Don’t know.

images (3)When we had our couple’s escape at Tall Grass Spa, I first noticed these physical manifestations. It was during the relaxing, 80-minute massage. As certain parts of my body felt calmer, others, like my legs and my gut, began to call out to me.

As I’ve said here before, I’m an anxious guy with the diagnosis to prove it. Zoloft and the patience encouraging benefits of aging have seen an end to the gross physical manifestations of anxiety until now. That’s not to say I have had none, but this combination of multiple instances has me feeling like I did in college and much of my life thereafter. Not something I want back. I peg the bulk of the anxiety I’ve experienced over the years to my reaction to my mom’s sudden death and the follow-on impact of a soured, then estranged relationship with my father. And, again, I have 18 years of on and off Jungian analysis that says I know what I’m talking about here.

images (2)A follower of gestalt therapy in my younger days, I learned to pay attention to and interrogate a jumpy stomach, a twitchy foot. These are not disconnected from my psyche, to the contrary they reveal things occurring in that inner world hidden from view to my Self.

Maybe I’ll finally get back to meditating. That helps, I know.

The All Clear

Imbolc                                                                          Valentine Moon

20170129_112922Kate’s clear, up and down. Endoscopy and colonoscopy show no problems. That’s a relief. When we came out of Swedish hospital (I know, the Scandinavian touch was right for these two former Minnesotans), the day was one of those gifts Colorado gives frequently bright blue sky, luminous sun, even a bit warm. As in the weather, so in our hearts.

Now, a short rant. Televisions. Every damned where. Waiting rooms, airports, bars, the cafeteria at the hospital. They’re a drug. And, they’re loud, not to mention filled with drivel. Muzak became ubiquitous, too, but noisy colorful images positioned in places where I want peace is an invasion of my inner world and not a welcome one. OK. Rant over. Well, not quite. Plus now most people are looking at their phones while the tv blares. I left the waiting room for a much quieter seat in the hallway. The hallway!

20170204_181447Jon’s grown weary of all the moving, as well he might. Moving stuff carries a physical cost, but even more, it carries a psychological cost. There’s the velveteen rabbit in reverse grief, the burden of baggage, the repetitive actions, but most of it comes from the constant reminder of a huge change. Even when the move is voluntary, the psychological cost is high. When the move has the additional overlay of divorce and animosity, the cost can sometimes exceed our capacity to absorb. That can leave us depleted in heart and body.

Ruth has a phone. She got her dad’s old one when he replaced it. This means I can reach her by text now. She and her friends have a group text that they use a lot sending selfies, pictures of their meals, comments about their day. This is the world of the digital native and it’s different than the one in which I grew up. The communications 20170129_110437aspect of it is a cultural transition similar I imagine to the introduction of the telephone in its impact.

But, oddly, instant communication often interferes with the personal, the immediate, as even when they are together, heads and hands are all too often directed towards the phone and away from the flesh and blood presence. Not sure what the implication of this is, but it feels icky to me.

We’re already getting prepared for the Renaissance Fair. We all plan to go in costume. Ruth’s working on her’s. I’m growing my beard and hair so I can be a credible wizard. The Colorado Renaissance Fair is in mid-summer, so it’s a ways away, time for the sewing to get done and my beard to extend.

 

 

You know, daily life.

Imbolc                                                                      Valentine Moon

Sundays still exist out of time for me, as if they’re not quite real. They are my rest day from exercise and I usually read, watch TV or movies, do something outside the house. This is psychological residue from years as a Methodist, then Presbyterian. I often worked on Sundays, but just in the mornings. Now, with a pagan sensibility, that old imprinting, the mood of Sundays, still prevails. Seems odd to me, but it happens anyway.

Today is Kate’s colonoscopy. She’s been prepping since 6 pm yesterday. For those of you who’ve had one, you know that’s the fun part. The actual test itself, tinctured with some conscious sedation, is not a big deal, unless of course it reveals some precancerous polyps or actual cancer. They’re relatively quick, over in a half an hour. Then, a good lunch.

Ruth, here for a day of President’s Day skiing with her dad, got sick yesterday afternoon. She spiked a fever in the late evening. “I want my daddy!” Daddy was in Denver finishing up the move I mention below. He did finally get home and things took a turn for the better.

Red flag warning tomorrow, high winds and low humidity mean real and present danger of wildfire. Time to find the pole saw and get to work. The next phase of fire mitigation, which I didn’t finish last year, involves trimming branches on the lodgepoles up to 10 feet above the ground. Branches lower than that potentially become ladder fuel, allowing a grass fire to climb up the ladders into the tree itself.

Well, time for my workout. I’ve successfully shifted them to the early morning, mimicking my appointment times at physical therapy. It will be better in the summer months, too, when the heat builds in the afternoon and mornings are still cool.