Category Archives: Aging

Can I hear you now?

Summer                                                                           Woolly Mammoth Moon

Went to the Hearing Rehab Associates shop today for a hearing test, hearing aid cleaning and tune up. An old folks event. First order of business, shine a bright plastic wand in my ear and make my ear drum go owwiiee. Then, into the Scott Pruitt sound proof booth. I felt like I was right there at the EPA, protected from those damned environmentalists.

The booth has two outlets, but I only need one, for my right ear. My other ear goes along, because, what’s it gonna do, but it doesn’t have to participate. That stopped a long time ago. First words. Then, beeps. Finally, staticky sounds with the hearing aid on. Result? Hearing is in the same place as a year ago. Good news. The hearing aid needed some adjustment to clarify higher range sounds. A few clicks of a mouse and that was done.

I also checked in, as I do from time to time, to see what’s new for us single sided hearing loss folks. Since the left ear went dark when I was 38, 1975, last millennia, there’s not been a sufficient advance to make my situation better. “That’s one thing we can’t fix,” said Katie, the audiologist. She did give me information on a BAHA device, Bone Assisted Hearing Aid. Might look into it. Still, she seemed rather doubtful that it would do more than alert me to sound coming from the left. Nothing new.

Also, as long as I’m on health matters, I made an appointment with Lisa, my internist, for a back pain consult. I work out, with work outs from a personal trainer, and have done for a long, long time, but I still tweak my back. Tramadol helps. I’m in a bit of an odd spot since my kidney disease makes taking NSAIDS inadvisable. Don’t want to go to opoids and acetaminophen doesn’t always knock down severe pain. I hope she’ll give me a prescription since I don’t know when it’s going to happen.

Meanwhile, though it’s way cooler here than Denver, it’s still too freaking hot. OK. Rant over.

 

Old, but not dead

Summer                                                                         Woolly Mammoth Moon

20180705_07254120180705_072553Sixth dead tree down. All limbed, the slash moved to the road, and Elk Creek Fire Department notified. They have a new program this year. We put slash within 5 feet of the road and in 5 foot or so piles. They’ll come by and chip it. This is not a small deal since the last slash chipping I had done cost $600. Sometime in the next few days I’ll cut all six of them into fireplace sized chunks and stack them.

Just a few stray aspen in the wrong places to fell and I’m done with tree work for the year. I like it. It’s outside, the smell of fresh cut wood, get to use my body, creates firewood and helps give our property a better chance in a very high fire season. I miss the same sort of work that our large gardens in Andover used to give me, but I have no intention of recreating those here. Too hard up here, other things to do. Well, if we had a greenhouse, I’d get back to it. I miss working with plants, with the soil.

20180704_110235A friend wrote about my life here in Colorado. He is, he said, intentionally simplifying, trying to have fewer obligations, yet I’m taking care of dogs, doing more work around the house, cutting down trees and teaching at Beth Evergreen. Now I happen to know that this same guy, who is older than I am, recently completed a show in which he made posters of all the bridges across the Mississippi in the Twin Cities. He has also found a patron who loves his art, so he’s producing larger art works across various media. Not exactly slowing down in that sense. Life in the old lane does force us to make choices about how to use the energy and time we have, but so does every other phase of life. Now though we know ourselves better so we can get more bang for the time and energy.

His comment did give me pause, wondering if I’m ignoring the moment, the actual state of my life. Kate and I were talking about this a couple of days ago in relation to her diminished energy, occasioned by Sjogrens, arthritis and this damned nausea that afflicts her. When we whack down the nausea mole, I’m hoping the other symptoms will give her some rest for a while, especially since her shoulder surgery has been so successful. Even so, we do have to adjust to our current physical and energetic and intellectual reality, and she’s not likely to go back to the energizer mode of yesterday.

20180704_111915Here’s my situation. I have my chronic illnesses, collected along the way. I don’t hear worth a damn, have stage III kidney disease (stable), glaucoma, high blood pressure, an anxiety disorder (which, frankly, is much, much improved), arthritis in various spots. A repaired achilles tendon and a titanium left knee make my legs not what they were. All these are facts. If you ask me, I’ll tell you, though, that my health is excellent. None of this drags me down, either physically or emotionally.

ancora impari
ancora impari

Having said that, my intellectual faculties seem intact though I admit it’s hard to know sometimes from the inside. I’m emotionally more stable, less reactive, have a more nuanced approach to relationships, much of this thanks to the lessons of mussar at Beth Evergreen and the very sensible approach to life that is Jewish culture. THC helps me sleep better than I have in my life. Writing still excites me, makes me feel puissant and I have projects underway, a novel and a collection of short stories, plus an idea for a novelization of the Medea myth. Kate and I have a great relationship, we do a lot of things together, enjoying the years of getting to understand and appreciate each other. Grandparenting is a wonderful life moment.

Right now, in other words, I am old, 71 is past the three score and ten, yet I’m still eager, still curious, still hopeful, still physically able. So for me, 71 is my age, but decrepitude has not captured me yet. It will, if I live long enough, I’m sure, and slowing down, when it becomes necessary, is something I foresee. It doesn’t frighten me, since death doesn’t frighten me. Until then, I’m going to keep plowing ahead, purpose driven and excited about life and its various offerings.

 

 

 

We came; We zoomed; We parted.

Summer                                                                      Woolly Mammoth Moon

20180616_114748
Paul

Zoomed. We talked for over an hour, Mark, Paul, Bill and me. Each of us was in a different physical location, Paul in Maine, me in Colorado, Mark and Bill in the Twin Cities. This technology is a definite push beyond Facebook, Instagram, Twitter. It is more like letter writing in its length of interaction and interpersonal depth. In that sense it works against the grain of 140 characters, photographs and short posts. It’s more like real life in its immediacy and interactions that includes body language.

Ode
Ode

Even its limits are closer to real life. No e-mail blasts. No dashing off a quick post, then moving on to something else. This is sitting across the room from someone, though in this case the rooms can be hundreds of miles apart. Some of the social niceties are impossible of course. No shared snacks. No hugs. Different weather. It was pouring rain in the Twin Cities, dry here in the Rockies. No offering hospitality of the physical kind. We couldn’t decide to get up and go somewhere else afterwards, or, for that matter, even during the hour. If we got up, it would be as if we left the room.

I liked it. In this mode we can nurture old friendships, share confidential news in private (at least I think it’s private, but who knows really), spark off each others sentences, laugh together. It may not be a trip to Durango or a hike at the

Bill
Bill

summit of Guanella Pass, but it’s not a short typed note either. Can this technology sustain us over time? Difficult to tell. We’re creatures, at least those of us on this Zoom session, of the old, pre-computer days when communication across distances was sporadic and limited to long distance phone calls and letters; for us this way of being with each other is novel to some extent and compares not so much, really, to social media, but to actual, in person meetings.

Me
Me

Whether the digital natives will see in it a form of being with each other that they want to pursue, I don’t know. One of the factors that held me in the Twin Cities so long was the physical presence of and frequent visits with Woolly friends. In the important sense of in depth conversation Zoom and its like provides a very close equivalent. Perhaps it will make distance matter less, allow us to rearrange ourselves physically with less loss. I hope so.

 

 

Sundays are strange

Summer                                                                          Woolly Mammoth Moon

Instagram logoAfter talking with Ruth yesterday I created an instagram account. Surprised to see that several people I know already have one. Probably spells doom for the tweener and teenager use of it. They understandably like platforms without their parents or other adults who know them.

I asked Ruth whether she got more guidance from her parents or her friends, “Duh. My friends. I’m more open with them. They know me better.” See above. This is part of my research for developing lesson plans and her response conforms to what I’ve been told about the psychology of kids this age.

Had a dream last night that I got surprisingly big offers on my two submissions. Really, really big offers. Even in my dream I thought, that can’t possibly be true. Still…

Often on Sundays I feel neither here nor there, wanting to relax as if it’s a commandment, but not feeling like it.

20180624_095233I cut down one more dead tree, making two so far of the six. In spite of my workouts the chainsaw feels heavy and I tire quickly. Which means I’m stopping earlier since I won’t use the chainsaw when I’m tired. Too easy to do serious damage. This is odd to me because I cut, limbed and bucked several trees, well over 40, the first two years we lived here. Recovery from both prostate surgery and then knee replacement must have weakened me more than I thought. I’ll do the work in stages that I can handle.

The grandkids were here from Thursday through yesterday evening and it went well. Gabe stayed all day Sunday. Jon and Ruth went to a wedding in Silverthorne later in the day and came back around 8 pm, then all three left for the city.

 

 

Suspended

Spring                                                               New Shoulder Moon

Still not home. I went over yesterday after lunch only to find Kate struggling to eat a bite of a bacon sandwich. She couldn’t keep that down, water either. Extremely unpleasant for her. Kate hates nausea.

ok, maybe not this quiet, but still...
ok, maybe not this quiet, but still…

When I went in yesterday, the busy M-F buzz of the hospitals had disappeared. There were fewer cars in the parking lot, a guard at the concierge desk, the Ortho small cafe closed. Nobody bustling about guiding patients, taking preop folks back, people with canes or walkers stayed at home. On the third floor, patient rooms, only a scattering of folks remained, three that I counted on Kate’s wing.

It’s disconcerting to have Kate in a place that feels emptied of its vitality, just when she’s having trouble. Being in a hospital over a weekend is not something you choose.

Meanwhile, after a full Sunday of lying around stoned, looking pretty damned unpleasant, Gertie’s tail wags furiously (normal) and she ate. Back to normal after a trip to the late ’60’s. Kep sniffs Kate’s side of the bed.

20180323_075536_001On Thursday, the day of Kate’s surgery, I left Rigel and Gertie outside while I was at Ortho Colorado. Staying outside that long, several hours, is unusual for them. When I let Rigel inside, she ran to the couch, jumped up on it, jumped in the air a couple of times, then flopped down into her usual position. Ah.

(Rigel yesterday hunting for voles.)

I hope Kate comes home today. Having her in the hospital, uncomfortable, makes this whole process feel suspended. When she’s home, I know her shoulder will be recovering, right now its her system adjusting to the insults of surgery. Not where we wanted to be right now, but what is.

Relieved

Spring                                                                             New Shoulder Moon

Update. Just spoke to Kate. Feeling much better. Home after lunch sometime. I’m heading in around noon. Relieved.

Kate Still At Ortho Colorado

Spring                                                                            New Shoulder Moon

Kate, costumed for Purim
Kate, costumed for Purim

Kate had break through pain yesterday and nausea that they couldn’t control well. So, she’s still at Ortho Colorado. Plenty uncomfortable, but problems that seem, at least to me, manageable. Unpleasant sequelae from the meds and the cutting. I imagine she’ll come home today. Still convinced this was the right thing and that her care has been very good.

A strange sense of exhilaration with all the changes occasioned by Kate’s surgery. I find myself whistling on the way into the hospital, generally feeling good. It’s as if the additional load is something I needed. Weird, eh?

As also happens in these situations, often enough to be predictable, a lapse in the daily routine led to Gertie consuming a substantial number of Kate’s thc edibles. My fault. Gertie is, right now, pretty stoned. We had a similar incident with Kepler a couple of months ago and he slid down the stairs, looking confused. Apparently all mammals have a cannabinoid system and cannibis receptors. Gertie seems very unhappy, I imagine because her left leg makes her unsteady to begin with and the mary jane? Adds to it.

Beloved community dr-martin-luther-king-jr-quote-beloved-community-09.16.15-v2-1800Beth Evergreen has reached out to us in several ways. Individual members have offered to bring food or otherwise help. Leah, the executive director, called, wanting to know if we needed anything. Several folks from our mussar group responded to my e-mail on Thursday with love and concern. For both of us. A thought that keeps going through my mind: beloved community. Christian churches aspire to this, Beth Evergreen achieves it. I’m proud to be a member of the congregation.

One other thing I noticed. Both Kate and I were worried about her dying during surgery. Why? Well, it happens. Rarely, but it happens. Jeff Glantz, a member of Beth Evergreen, had a successful operation to remove a malignant brain tumor, then four days after surgery, he died. This was a couple of weeks ago. Jeff’s situation was on our minds, too.

I mention this because neither of us owned up to this concern until the surgery was over. By not talking about it before, by letting the death taboo keep it hidden, we lost a chance to console each other, to go a little deeper into our relationship.

 

 

Rituals of the Medical Kind

Spring                                                                               New Shoulder Moon

ritual
Ritual, an album by Yeti

No Kate in the bed last night. Kep was there, though. Medical procedures upend regular life in so many ways. Kate had to stop most of her meds, use special cleansing soaps, sleep on clean sheets (yes, that was a requirement), stop eating. Then we have to leave our home, drive in to the hospital early, always early. Once there the ritual of checking in and paying, followed by pre-op disrobement, placing of iv’s, lots of conversation about medical history, warm blankets, lying in hospital bed on your back connected to various machines with many different numbers: O2, blood pressure, heart rate among others.

This is a gradual relinquishing of control that culminates in anesthesia and allowing someone, paying someone, to violate one of the most persistent taboos in our culture, the literal integrity of your body should not be disturbed by another. The surgeon cuts into the skin, goes inside where we never see, into the most private and intimate of spaces. And, in this case, takes out bone and cartilage, sets aside nerves, and installs titanium in a location known before only to flesh and blood.

Portrait of Dr. Samuel D. Gross (The Gross Clinic) Thomas Eakins
Portrait of Dr. Samuel D. Gross (The Gross Clinic) Thomas Eakins

The process begins to reverse in the recovery room as questions about nausea and pain depend on your answers for treatment. Modest control returning. Once in your room you begin to eat again, determine your pain medications, walk, use the bathroom. Finally, if no complications arise, the wheel chair ride to transportation home. Even at home the post-op plan governs a lot of your life. How much and how long of course depends on the procedure. Not sure quite what this looks like in Kate’s case yet, we’ll learn that today.

We agree to all this because we trust, more or less, the institution of medical care and the people who make it work. Of, if we don’t exactly trust, then we realize our options are few if we want the painful right shoulder to stop hurting, become useful again.

resilience-Disaster-risk-reduction-Climate-Change-Adaptation-guide-english

As a physician and a former nurse anesthetist, Kate knows the parts of surgery usually invisible to a patient due to anesthesia. This is, as the Bible says, a blessing and a curse. It’s a blessing in that there are fewer unknowns to give anxiety, but a curse in that surgery does not always go well and she knows that from personal experience.

I look forward to picking her up today, bringing her home and helping her through recovery. As Schneider’s interviewee said, then she can live on and give on.