Category Archives: Health

A Dull, Gray Day

Summer                                                           New (Most Heat) Moon

It is what my Aunt Roberta would have called a dull, grey day. For my Aunt Roberta, Aunt Barbara and Aunt Marjorie most days were dull and grey. All three had a bipolar diagnosis. Aunt Barbara remained hospitalized for most of her life. Aunt Roberta was in and out of the state hospital as she got older and after her divorce from Uncle Ray. Aunt Marjorie starved herself to death after a career as a dietitian and a life long reputation as the family’s best cook by far.

(where the grocery store used to be in Aunt Roberta’s tiny community of Arlington, Indiana)

This is the set up for my vasectomy story which I’ve recounted briefly here before. It was 1973 and the feminist movement had begun to flow through academic institutions like the wave at a baseball game. When it hit United Theological Seminary, where I was a second year student, I was already committed to women’s liberation. (And, yes, I know I still carry my sexist upbringing with me and make my slips.)

This was also before I went through treatment at Hazelden’s outpatient program so drinking was still part of my life, as were the exaggerated mood changes that go with it. As a result, I wondered then about my own sanity, though after treatment it was clear the mood changes were chemically enhanced.

Being sexually active (this was still the 60’s culturally) and aware of the imbalance between women’s responsibility for contraception and men’s tendency to exploit it, I began to consider a vasectomy.

What made the decision sensible to me, even though 26, single and childless, was the history of bipolar illness in my mother’s family. I saw then and see in the same way now no need to pass those kind of genes along in the collective pool. Neither did I have then nor do I have now any need to reproduce my self, the selfish gene be damned. It was then that I committed myself to adoption if I ever wanted a family, though having a family felt unlikely at the time.

My decision was made without consulting any one else. It was my responsibility and I would see to it. A clinic on Rice Street in St. Paul found time on their schedule and I went in around 4 o’clock on a spring afternoon. The procedure is simple and was so in my case save for too little anesthetic as we began. Which a quick indrawn breath and a wince remedied.

Since that time 41 years ago, I have been functionally infertile. I’ve never regretted the decision though I did try to have it reversed in my mid-30’s. My second wife wanted a child of her own. The reversal failed and we reverted to the adoption plan which had been my preference since 1973.

(I put this in for our dogs.)

It’s not something I think about very often though it does come up. It surfaces usually when I recall the agony of my three aunts, how much I cared about them and how little the family’s love could do to quiet their inner life.

 

Jon

Summer                                                             Summer Moon

Boy. Medicine. Trying to come to grips with Jon’s possible pulmonary hypertension. This is not a diagnosis you want. Even with advances, and they have been considerable, the fate of those with the disease have, to use Jon’s phrase, shortened horizons.

Just finished reading a 2006 article replete with medical shorthand, acronyms and formulas. I finally got it. This is a disease of the circulatory system of the lungs. Due to a variety of initial causes (and they are important in prognosis, but not diagnosis) the blood vessels in the lung become compromised, requiring increased pressure to push blood through them for its necessary oxygenation. The right ventricle of the heart pushes blood into the lung after it has been deoxygenated in its journey through the body. To produce the pressure required to pump the blood through the compromised lung circulatory system the right ventricle has to work harder (pump harder).

Due to the lung’s normally highly efficient circulatory system, the right ventricle has evolved a thinner wall than the left ventricle which pushes oxygenated blood through the body which requires greater pressure. As a result, when a diseased lung forces the thinner walled right ventricle to push harder, it eventually widens under the pressure, which makes its pumping less efficient, which makes it work even harder, which increases the dilation until the left ventricle becomes involved as the widened right impinges on it. This process defines the phrase vicious cycle. Then, at some point, the heart itself cannot produce enough pressure to effectively circulate the blood and heart failure ensues.

Treatment regimens are complex, only a few aimed at the actual problem, the circulatory system of the lungs, and all of those drastic. The advanced therapies (I don’t understand this use of the term.) are all symptomatic, that is, they reduce the load on the right ventricle by dilating blood vessels and improving circulation within the lungs, for example, but they don’t go to the problem itself and therefore ultimately prove inadequate.

So much about survival depends on etiology and we don’t know that in Jon’s case. Yet. Nor do we know to a medical certainty that he has the disease. An echocardiogram on July 1st will provide more information though catheterization of the right ventricle to determine it’s health is the final diagnostic step.

We’ll proceed as a family, figuring out what we can do for each other.

Spring Holds Out For a Better Contract

Beltane                                                                         Emergence Moon

Great line from Paul Huttner at MPR’s Updraft blog:  The season formerly known as spring… The plants in our vegetable garden really want to grow. I can tell. But the temperatures aren’t giving them much of a chance.

While at the Woolly retreat this weekend, the transplants from Seed Saver’s Exchange will probably come.  The timing is right; or, at least the timing should be right. But, we may have to shelter the plants awhile until the soil warms up a bit more.

Did my workout this evening, at least the high intensity aerobic part, and my back has calmed down. I’m glad this isn’t a week or week + long event.

Beltane                                                                   Emergence Moon

A combination of back pain, percocet and melancholy has dulled the mind. It’s like thick gray wool packed in at the temples, crowding thought, squeezing it into channels too narrow. Concepts and ideas get clogged, adhere to each other, don’t come apart, so writing is more like picking cotton than fly fishing in a cold running stream. And, my fingers tremble a bit, unable to collect the bolls of thought, at least ones that might go together.

Hell might be such a state permanently in place, where the ideas and the concepts, the feelings are there, somewhere, but so difficult to access, to string together. It erodes the sense of self, makes character a matter of chance acquisition rather than moral choice.

This morning the gray wool packing has diminished, though the mixed metaphors here may not show it. The back’s better, though still stiff and painful. I can’t imagine Kate’s life where a certain amount of this pain never leaves her. The pain distracts me, at times it’s all I have energy for; yet, I know it will pass. For her, it is resident.

 

 

Flare For the Obvious

Beltane                                                                           Emergence Moon

File under duh:

BOSTON — The death rate in Massachusetts dropped significantly after it adopted mandatory health care coverage in 2006, a study released Monday found, offering evidence that the country’s first experiment with universal coverage — and the model for crucial parts of President Obama’s health care law — has saved lives, health economists say.

Significant People Update

Spring                                                                                 Bee Hiving Moon

Update on the unusual spate of hospitalizations I noted a couple of weeks ago.Gabe at 6

Woollies recovering:  Tom, thumb.  Frank, back. Bill’s good after his day of needles and scans. Granddaughter Ruth who smashed her foot under a teeter-totter, mending.

Today is Grandson Gabe’s 6th birthday.  He’s an earthday kid. We’re going to see him for his birthday party which is this Saturday. I’m looking forward to traveling with Kate.

 

The Organ Recital

Spring                                                                    Bee Hiving Moon

News from folks I know.  Tom’s thumb is now hidden beneath protective layers and will remain so for a while.  He reports things went well, but he’s wondering where his right forearm went.  He used to have one.

Ruth is 8 and has ridden in a car with no car seat.  This is a milestone birthday for her. She Ruth's 8thhas a boot for her foot hurt in a teeter-totter accident. Too, she gets her own bicycle which she told me she could ride over to Grandma’s.  Jen’s mother is moving to Denver in July.

Bill and I play sheepshead once a month and the hospital trend continued when Roy called up to say we couldn’t play because Judy, his wife, had to be under observation after a procedure earlier in the day.  She’s doing better now.

Kate’s battery and can (pulse generator) replacement incision has healed nicely and the bandage, an itchy thing, has come off.

Frank’s up next on Monday.  Back surgery.  Here’s to him continuing the streak of positive medical news.

Battery Check

Spring                                                       Bee Hiving Moon

Up early and in to Abbott-Northwestern.  Kate had a battery replacement in her pacemaker.  Her doctor, the yoda-like Dr. Tang, was efficient and clear in his explanations.  No complications and now plenty of percocet. (update:  Kate wanted me to say that the battery replacement includes the pulse generator, too.  This is standard when replacing the battery.)

Driving in at 6:30 was easy, the traffic not too heavy and the closer we got to the city the lighter it got.

Everyone’s talking about the snow storm on its way.  We’ll see if it interferes with sheepshead tonight.  Hard to tell from the forecasts.

Increase the Flow of the Water

Spring                                                            Bee Hiving Moon

A major reason for doing the Intensive Journal Workshop was to restart my meditative practice and I’ve done that, now meditating in the morning and before bed. In its emphasis on integrating inner and outer work the journal itself  is a spiritual method fit for a humanist to practice though it is agnostic in its essence.

In the workshops I’ve attended many attendees have been Catholic and I can see why. This is a way that puts a premium on regular introspection and openness to the movement of the underground stream.  And, it insists on bringing that work into daily life.  This would feel familiar to someone who knows the monastic spiritualities.

It also has a distinctively Quaker feel with its emphasis on being led by the inner life (what Quaker’s call the inner light) and working in silence.  Though I never became a Quaker I’ve always felt close to their way.

Perhaps the point of closest connection between my own philosophical position and Progoff’s comes through Lao Tse.  A parable Progoff often uses sounds Taoist to me. When we come to an obstacle, imagine a large boulder, in the stream of our life, we have several options.  We can try to go around it.  We can climb out of the stream and attempt a You can’t control the Universe. You are the water, not the rockportage.  We can probe for a way under the obstacle.  Or, we can remain stuck behind it.

Progoff offers an unusual strategy. Increase the flow of water in the stream.  Then, we can simply ride over the rock, carried by the extra water.  How do we do this in our life? By identifying the things that are working and emphasizing them.  As we increase our activity in the things that are working, we increase the positive flow in our life and any obstacles diminish, in fact, we may be able to float right over them.

Progoff offers this approach as an alternative to the problem oriented strategy of most therapy.  I like this idea, which is essentially the goal of Jungian analysis, too.  In my troubled late twenties and early thirties, I sought therapy, including doing outpatient alcohol treatment through Hazelden.  I went through a number of therapists, all well-intentioned, kind and compassionate, but each focused on my problems.  As I focused on the problems in therapy, then tried to work out the solutions in my life, it seemed my whole life was problematic.

It wasn’t until I found John Desteian and his Jungian approach that I began to appreciate my virtues.  Though I continued to grapple with anxiety and depression, I dealt with them as a whole person experiencing debilitating symptoms, rather than as a “depressed person” or an “anxious person.”  This insight, which came over years, allowed me to increase the flow of water in my stream so I could metaphorically rise above them.  That is, I continue to experience melancholy and anxiety, but as episodes in a full life, rather than as definitive of my life.

The Progoff work underscores and reinforces this understanding.

 

Hospital Visits

Spring                                                                      Bee Hiving Moon

Hey, Bill. If you’re reading this, I hope you’re doing well. Friend Bill Schmidt has taken a room at Casa Methodist for observation.  Maybe they’ll have dancing nurses.

Bill wasn’t the only person in my life in the hospital tonight.  Granddaughter Ruth missed the stirrup on the teeter-totter and had her foot smashed.  X-rays didn’t show a break, but she did get a boot.

Life is temporary.  Any reminders can put a highlighter over live now.  Even at almost 8. (That’s Ruth, not Bill.)