Category Archives: Health

Climb the Mountain, Find the Sea

Fall and the New Moon

Later in the day, Monday.

Drove carefully down Shadow Mountain, down 285 to 470. 470 was clear to South Denver Cardiology. When they called Charles, two of us got up. Charles Collins was the one they wanted. I sat back down.

Ellen came out ten minutes later. Charles II, me.

Back in the room she asked me if I’d ever been on a treadmill before. Yes, I own one and have used it for years. Take off your shirts, please. It’s easier to hook you up to the EKG. She rubbed my chest with a lotion to help the EKG pads stay on, then carefully separated the eight leads and clicked them into place after placing the pads all over my chest.

We waited for an initial EKG to run. A baseline. I stood there in the slightly cool room draped with long plastic cords attached to my body, feeling mildly ridiculous and science fictiony at the same time.

The treadmill was nothing special. Not as nice as mine. It goes up automatically Ellen said. In speed and elevation. On the wall ahead of me was a sign showing numbers and exertion levels. Fine to extremely difficult, 10 numbers. We’re heading to 126 beats per minute. I can do that. I just did, Saturday morning.

That’s arrived at by the quick and dirty way of subtracting your age from 220, then multiplying by some percentage (it varies according to your age, gender, physical condition). Age from 220 gives maximum heart rate.

I stayed on for a bit over 8 minutes. Felt I should I go past 7 minutes which was the average. Ego. We ended with the treadmill at 3.6 mph at 15% elevation. That’s way harder than my usual workout which right now is at 3 mph, going up to 6% elevation. I could have gone longer, but Ellen said she had enough data, so she set the treadmill to cool down.

When I was off, she had me sit on a table, still attached to the EKG. Time back to normal heart rate is a sign of fitness. Not so good as it used to be for me. After a fourth blood pressure reading, she said I was done.

Part of the angst I felt yesterday morning was about the medicalization of my life. Another test, another chance to find something new wrong. I’d like to get back to annual physicals. Might not happen.

A while ago I read a Barbara Ehrenreich (Nickled and Dimed, et al) short essay on why she’s not doing anymore medical tests at all: Why I’m Giving Up on Preventative Care. Her point is that she’s sensed she’s old enough to die. Good article. Just read Dr. Stephen Mile’s Testament. It’s his equivalent of a medical directive. He’s very, very clear about what he doesn’t want, most of it bring me back from the brink sort of interventions.

Death might be making a come back. Why not own our mortality? The tree dies. The dog dies. The human dies. Yes. The cycle finishes for the individual while the species lives on. Our individual existence has never been the point anyway, procreation is about the species, not about the individual, though paradoxically individuals are required to sustain the species.

Here’s something I found that gives another perspective on this conversation:

Only when you drink from the river of silence shall you indeed sing.
     And when you have reached the mountain top, then you shall begin to climb.
     And when the earth shall claim your limbs, then shall you truly dance. Kahlil Gibran, On Death.

Real Winter

Fall and the new moon (Heshvan)

Stress test today. Oh, boy. Hope they don’t catch it all. Feeling a bit down.

The combination of the COPD diagnosis, my stress test at 11:30, the very nasty road conditions between here and South Denver Cardiology in Littleton. Found myself reluctant to shovel the back deck and the stall mats. Achy. You know. Stuff accumulates. (no pun intended.) Did shovel the deck and mats though. Felt better.

Walked out to the paper. Nope. Snow stops the Denver Post. Only rain, sleet, hail, snow, and gloom of night prevents that sturdy carrier from his rounds.

This is real winter, pre-Halloween. Temp of 5 right now, headed down below that tonight and tomorrow night. Maybe 4-5 inches of new snow, more on the way.

Don’t want to start slogging through the slough of despond. Only makes matters more difficult. Looking for simcha in the beauty of the snow, the bounce of the dogs out the door in the morning, the reading I’m doing for Chayei Sarah.

Feeling it for the folks in California. The pyrocene, indeed.

Ruby’s Home

Fall and a thin crescent moon

Ruby, the cherry red 2018 Rav4, has come home. She’s sitting below me as I write this, in her stall for the first time in over two weeks. Her lift gate sparkles, the crumpled back bumper is smooth. She’s whole again.

Much as I appreciate having her back to normal it’s frustrating to have to go through all this stuff and the payoff is the vehicle we purchased. Not Kate’s fault. Yet we had to do the usual dance routine with insurance adjusters, rental car companies, and the collision repair folks. A lot of sturm and drang to arrive back where we started. Hope those folks are having a good time in Denmark.

Before I went in to pick up Ruby and bring her back to her forever home, Kate and I went into Swedish. She had a second PFT, pulmonary function test. Very tiring. Literally, a lot of huffing and puffing, some of it in an air tight clear plastic chamber. She came out looking exhausted.

A second CT scan on November 4th will produce another data set for Dr. Taryle, pulmonologist, and Dr. Gruber, cardio-thoracic surgeon. They’ll be looking for any change in the bleb found a month ago, plus any changes to her interstitial lung disease. Closing in on a diagnosis, prognosis, and treatment. Aiming toward the lung biopsy on the 18th of November. That should resolve this now over a year long search for the reason behind her breathing problems.

And, just to show this is not an all Kate, all the time medical show, I go in on Monday for a stress test. Looking at my heart. This stems from my COPD diagnosis a few weeks ago. Shortness of breath is a medical red flag, not only indicating possible pulmonary problems, but cardiac problems, too. Possibly, congestive heart failure.

Since the spirometer showed breathing impairment, and, since Lisa diagnosed me with COPD, this is probably unnecessary, but you never know. Should tell me some interesting things anyhow.

Warm day today. Cold tomorrow and next week. More snow, too. The transitional time. Ivory gets her snowshoes on Friday. Not sure when Ruby will get hers. Not feeling so urgent about them for her right now.

Winter. Pause. Winter.

Fall and the Crescent Moon

10-12 inches yesterday. When it snows here, it can get serious, fast. This was overnight with the snow tapering off on Thursday morning. I don’t have snow tires on Ivory, our 2011 Rav4 (Kate’s name), or on Ruby, the 2018. Gonna get them on between now and next weekend. Over the last four years I haven’t put the snow tires on till well into November, but this year is pushing out snow early.

All slash and fire mitigation work is now covered under snow. It should melt away today and tomorrow. If I can get the chainsaw fixed soon, like today, I can get back out there Saturday. The seasons keep us alert.

Oh, and in Colorado that means more snow starting Sunday. Snow and cold. So, there’s a short pause in the winter where I might get some work done.

Kate has a pulmonary function test today at 10:45. Into Swedish again. Also, Caliber called. Ruby might be done today. That would be great since her traction with AWD and new all-season tires makes her safer. Still gonna put the snowshoes on her asap.

Lot of moving parts to our lives these days. I thought work was busy. Geez, try retirement.

The Wild World

Fall and the Sukkot Moon

A scrim of clouds played with Orion and the Sukkot Moon, revealing and then hiding, hiding and then revealing. The walk to the mailbox is short, but as I take it my mind whirls up to the distant stars, to Greek myths, to the peak of Black Mountain faintly illuminated by the moon. It is a delightful way to start the day, quiet, usually no cars, still a bit early for commuters.

Scattered clouds change the night sky, creating mystery. A lesson in the occult. If you’re an early bird and can see the sky, I recommend this consciousness expanding morning ritual. It places the day in context. The universe observing itself through my eyes. A quiet joy.

We drove down the hill yesterday in the early morning, out of the house at 6 am headed for Corneal Consultants. Kate’s first cataract surgery. On the way she asked me, Do you know why Kirby Puckett was such a good hitter? No. He batted right, but had a dominate left eye. Oh. I see. I was a good hitter. I have left eye dominate and bat right handed. The stuff you learn about someone.

In case you got to wondering, as I just did, about the relationship between eyeball and river uses of the word. Latin cataracta waterfall, portcullis, from Greek kataraktēs, from katarassein to dash down, from kata- + arassein to strike, dash Merriam-Webster. I’ll have to check the OED later.

It went well. She’s wearing a clear plastic eye-shield and the dark pupil of her dominate eye gives little space for the beautiful blue green of her iris. Drops every two hours. A visit to the doctor today.

On the way into Evergreen last night to pick up pizza at Beaujo’s an emergency vehicle came out of the fire house, cutting through the rush hour traffic which lined both lanes of 73. While I drove as close to the slight drop off as I could, an Elk cow looked in at me. Neither Gertie nor Rigel went nuts. Thankful for that.

In a front yard on the other side of Cub Creek nine or ten of her sister cows laid on the grass, eating their cud, looking very relaxed and at home. During the rut and into the winter the elk are more present in Evergreen. Not like Estes Park where they wander into businesses, but still visible.

Today Alan and I have brunch at 11:00. The first time I’ve seen him since my bagel table in late September. Kate had a bad couple of weeks and he had acting in Cabaret, singing at the High Holidays, and the Rotary Club’s recycling day. Looking forward to catching up with him.

Kate’s friend from both Bailey Patchworkers and CBE, Jamie Bernstein, has agreed to take her to her follow-up appointment so I can see Alan. Thanks, Jamie and Kate for setting it up.

Simcha

Fall and the Sukkot Moon

Over to Aspen Roots. No, not a nursery, our hair stylist Jackie’s place. We’re as beautiful as we can get for a couple of days. Thence to King Sooper for soup ingredients: golden leek and potato. Picked up fresh sage, fresh thyme, leeks, Yukon Gold potatoes. And, some pita chips while Kate went to the bank.

Back home to cook. Simple, but labor intensive. A pound and three quarters of potatoes halved and sliced thin. Garlic sliced thin. Leeks washed and, yup, cut thin. Made a bouquet garni. Cheese cloth with the sage, thyme, bay leaves tucked in and tied up. Fun, but I find it tiring to stand so long. Maybe an hour plus.

The soup went with us to the mussar evening group. It was enjoyed. I’m always a bit nervous taking my cooking outside our house. My cooking style is innovative, not always to the recipe.

Kate presented on joy, simcha. I read Wendell Berry’s poem: Before Dark. We discussed the barriers to joy, how to cultivate, recognize joy.

Rabbi Jamie had to leave the group early. The second or third kid who drew swastikas on cars at a school parking lot came in for a talk. With his very dressed up parents. Jamie does this every once in a while. Last year he spoke to a kid who didn’t believe in the holocaust, an active anti-semite. He said the kid came around in the conversation. This kid and the others had followed along. Still pernicious, of course, but different.

Home in the behemoth. We have a Nissan SUV that looks like a gun boat and drives like an RV. It was the only thing they had at the Enterprise agency last Friday. The new Rav4 is at Caliber Collision having its rear bumper and rear door repaired. Kate’s accident a month ago or so.

Leaving early this morning, about 6:15 for Corneal Consultants in Littleton. Kate’s having her first cataract removed. The next one in two weeks. Hope to get some mitigating in later today.

Guy Card

Fall and the Sukkot Moon

So my guy credentials are more or less intact.

More. Got the chainsaw to work, cut down one tree. Mitigation started. The starter rope was cranky, not dysfunctional. Means I got it all put back together correctly except for that one little hose. Over the next few weeks I’ll gradually cut down the trees that the guy from Elk Creek Fire marked.

After I limb them, the slash will need to be moved to the front so the Elk Creek crew can come chip it. Much cheaper ($0) than the the six hundred bucks I paid for my first big slash chipping in 2016. A sign will go up in the front offering my downed trees to neighbors who heat with wood.

Right now I’m planning on paying somebody to put the landscape cloth and river rock down. Seems like too much work and I don’t think I’d do a good looking job. Whether it gets done this year will probably be down to the weather.

Less. The lupron continues suppressing my guy hormone. Hot flashes have lessened, as Sherry said they might. A lupron influenced mood swing now and then. Fatigue and sarcopenia are the major side effects right now. I’m working out, but not advancing as much on the weights as I’m used to.

Cardio is harder, too. That might be the copd (or ashtma, I’m a bit confused on this right now.) or it might be the fatigue and sarcopenia. Or, it might be that I’ve not pushed myself enough. This is important to figure out. Cardio is one of those key non-medicinal elements in fighting whatever brand of lung disease I actually have. Resistance, too, because chest muscles have a lot of influence on breathing.

Anyhow this will all settle down over the next month or so. I see Lisa again for a followup on the lungs, November 11th. I want to know exactly what I have, copd or asthma. Is there a difference?

I also want a better handle on what I can do to stay healthy. Example: pine pollen. I moved 900 miles west and 8,800 feet up to discover I have an allergy to pine pollen. Initially annoying, but with the lung disease it might be a real problem. Probably see an allergist.

Not to mention I want a prognosis. Is this mild or moderate? Does it have to progress or can I slow it down, stop it?

November 5th I see Anna Willis, Dr. Eigner’s P.A. In case you haven’t kept a scorecard handy Eigner is my urologist. He did the prostate surgery in 2015 and he ordered the radiation and lupron.

I have two main questions for her. 1. Does the .03 PSA mean the radiation didn’t work? See a few posts back. 2. How long do I have to stay on the lupron?

In spite of this post and the others on medical issues I don’t spend much time thinking about them. I’ve done what I can with the prostate cancer. It doesn’t worry me though there are questions I have. The lung stuff is a little more up front for me. That’s because it’s new and I don’t understand it well yet. Even so most of my day and my nights (I’m sleeping well.) are unencumbered.

As buddy Tom said, chop wood and carry water. Where I’m trying to be right now.

Wandering. Bored. That’s me.

Fall and the Full Sukkot Moon

Made shawarma yesterday. Not bad. Used both my cast iron skillet and the instapot. Seared the chuck roast in the pan, deglazed and put it all in the instapot. An hour or so later, done. This is a favorite food for me, so I’ll work to perfect this. Also made tabbouleh and bought some hummus. A real Middle Eastern meal. Put some of the leftover meat in the borscht I made for Kate a week or so ago.

Kate, a much better cook than I am, backs me up, gives me the benefit of her knowledge. On Friday, for example, I wanted to make french toast from a baguette that had dried up. It had to be easy, I imagined, but I still didn’t know how. Instead of using a cook book I asked Kate. Vanilla in a beaten egg, coat the bread, fry them. Cinnamon and sugar on them while they’re cooking. And it was so.

Both of us have less of an appetite in the evenings so I made this meal for late lunch, Sunday dinner.

Still bored. I guess that’s the feeling. Don’t wanna do this. Don’t wanna do that. Wandering around. Tried the chain saw, get started on fire mitigation, Round II. Starter rope won’t pull. Guess I really fixed it when I took it apart and put it back together. Going to the chain saw e.r. today.

Had some success yesterday with wu wei. When I cooked, I cooked. When I ate, I ate. When I painted, I painted. But I got back to wandering around. Felt like I was waiting for Godot.

In that mood I decided to mess around with my webhost. They’re the folks that provide a server and security for Ancientrails. Got right in there and changed my PHP settings, then added SSL. Closed out AncientrailsGreatWheel and CharlesBuckmanEllis. Don’t use them, no need to pay for them.

Felt good about all that. Clicked on Ancientrails to see if things had changed. Ah, they’d changed. Ancientrails had disappeared! OMG. So I messed around a bit more. No joy.

Knew that this was not a matter to settle while I was tired, so I waited until this morning. It was baaaaccckk. Why? I don’t know. But, I’m glad.

Still not able to load images. Gotta get on that in a more disciplined way.

This whole year plus, since last September 28th, has been a transitional time for both of us. At first the transition focused on Kate’s health, especially her malnutrition and her bleed. Then, while in for her pneumothorax in April, a pulmonologist thought he saw lung disease. That got added to the cart.

In February, I had the flu and my annual physical. PSA 1.0. Too sick to recognize it for what it was. But you know what happened when I tumbled to it. Radiation, lupron. Ongoing. Last month I went in to see Lisa about some tightness in my lungs. COPD. Oh, damn.

The transition has forced us both to acknowledge that our lifespans are probably not as long as we imagined. Sobering. But, o.k. They were limited to begin with. Death is not an optional experience. Or, as an Arab saying goes, Life is an inn with two doors.

The wandering and the boredom, I think, comes in here. A month ago I was imagining beating prostate cancer and living into my 90’s. Now? Not so sure. What does that mean? A foreshortened life span? Maybe. And what would that mean? That’s where my ikigai got lost, I think. Unclear how to live into this reality.

So, wandering and bored it is. Except when I engage. You know cooking, shopping, doctor appointments, fire mitigation. Getting the new Rav4 repaired. At some point a new direction will emerge. Perhaps it will simply be what I’m currently doing, but I don’t think so. Just don’t know.

Ikigai gone

Fall and the Full Sukkot Moon

Each morning Orion is a bit further to the west, hunting must be better on the other side of Black Mountain. That’s where he’s headed. This morning the full Sukkot moon lit his search for game, hanging in the west over the northern most peak of Black Mountain. Seeing Orion, Cygnus, Draco in the early morning sky makes me joyful. Visiting old friends each time I go out for the newspaper. A reminder of how non-earthcentric our galaxy and the universe are.

Trying to reach down inside, find an ikigai. Hard right now. My usual pattern of working daily on a novel or the garden or fire mitigation has disappeared. Not been seen for months. Yes, I get Ancientrails done each day, and I’m glad for that, grateful I have the early morning time.

Rabbi Jamie talked about loneliness in his erev Rosh Hashanah sermon. Embrace it, David Whyte counsels. Lean into it. What I’m experiencing is not the same as feeling alone, lonely, but I sense I’d do well to lean into this defocused state. It’s similar to loneliness in that it involves distance, but in this case I’m not feeling distance from others, but distance from a self I’d come to appreciate.

I’ve chosen, so far, to feel uncomfortable about this. Why aren’t I getting anything done? Why has my writing stopped? It’s not like I don’t have time, I do. But when I have time I could use, I wander around, not sure what comes next. Sometimes I paint. Sometimes I read articles on the web. Sometimes I read a little. Could read a lot more. I say I want to.

What if instead I decided to go with the schedule I have rather than the one I want or think I need? What Self would emerge then? Taking the pressure off to be something, someone else? That would be the wu wei move. Let life be. Flow with it, don’t force it.

My old Tao Te Ching teacher, I took a series of online Taoism classes several years ago, says forcing things is a Westerner’s style. When I read that, I thought of my choosing to take arms against a sea of troubles and by opposing, end them. Guess I’m a Westerner.

Actually, I’m more bi-cultural. Strong forcing, yes, but also a willingness to let things take their course, to emerge, to flow with them. Right now feels like a wu wei moment. Perhaps for a good while.

Seeing Dr. Guber

Fall and the Sukkot Moon

Kate had a much better day yesterday. She decided to conserve her strength for the appointment today so we missed Yom Kippur. The parking at CBE gets problematic on the High Holidays and walking much distance creates breathing difficulties for Kate.

On to Harvard this morning. Harvard Avenue that is. Denver has a small cluster of streets with names like Yale, Vassar, Bates, Cornell, Dartmouth. In or near them is Denver University and Iliff Methodist Seminary. Also, Porter Adventist Hospital and its campus with the offiices of Dr. Gruber, the cardio-thoracic surgeon.

Kate’s seeing him for a consult on the lung biopsy and assessing the new nodule found on her lungs. The lung biopsy involves taking many small samples of cells from her lung tissue. Diagnosing what kind of interstitial lung disease she has depends on the relative amount of scarring (not treatable) and inflammation (treatable). It also allows pathology to look at the specific types of cells.

Once diagnosed she can get treatment and a prognosis. The problems? Well, taking the samples collapses the lung. This means a chest tube to reinflate it. The chest tube is painful even after the anesthetic wears off. There is also the risk of pneumonia and/or ending up on a ventilator.

Here are some positives. Kate’s in much better physical shape overall than back in May when Ed Smith put the feeding tube in. She’s had a prednisone burst which improved her breathing and made her feel better.

Then there’s that new nodule. Will require a biopsy, too. How to do it? That and whether she’s fit for a lung biopsy is the purpose of this consultation.

Just to add a bit of interest the temps dropped wildly from yesterday. And there’s snow! 15 degrees right now.