Category Archives: Aging

Mystic Chords

Beltane                                                                               New (Running Creeks) Moon

The mood here. Still subdued, still gathering the reality of Vega’s death around us. When Mom died, now 52 years ago, the ongoingness of life surprised me. Cars still rattled down Canal Street. Lights went off and on in houses. School was open, teachers teaching and kids squirming at their desks. The sun rose and set. Dogs barked. We needed sleep and ate breakfast.

This no longer amazes me. The feelings of absence, of missing, of longing do not disappear however, though they can get submerged in the running creek of life. I still miss my mom, not in that acute, gut twisting way of 52 years ago, but longing for her, for her presence remains.

Abraham Lincoln called these threads of feeling and remembrance, their resonance, the mystic chords of memory. Yes. Part of their function, a paradox, lies in the quickening of our daily life, jimmying us out of the cracks and ruts we fall into. We realize a life time has bounds.

As the writers of the Hebrew scriptures often said, this background music is a blessing and a curse. It can become a cacophony, a dirge we cannot shut off. A mental tinnitus. Yet, it is the dead, as much as the living, often more, who shape us, create us-sometimes to our exasperation, other times to our joy.

With Vega the only source of pain is her sudden absence. The rest, the memory of her, the mystic chords she sets off, are joyful and loving. And those will persist.

 

Too Much Salt?

Spring                                                  Wedding Moon

Ruthandgabeuppermax300The snow has been less than predicted, a good thing. Still, it’s the wet, heavy, slushy stuff that makes snowblowers clog up.

Jon, Ruth and Gabe are coming up tonight. Jon and Ruth will go skiing tomorrow and Gabe will stay with us. Ruth and I plan to take in a Fiske Planetarium (Boulder) show on black holes this evening. Kate’s making Mississippi Pot Roast. This is the sort of thing that, no matter how much we might have wanted to do it, was impossible when we lived in Minnesota.

Got rid of 4 bookcases bought long ago at Dayton’s warehouse in Minneapolis. They’d seen me through the house on Edgcumbe and in Andover. Most of these got sold off in Minnesota, but the remaining four held some books while the built-ins were under construction. That opens up space in the garage. It’s a priority as soon as the weather warms up. Would’ve been last year if it hadn’t been cancer season over the summer.

saltOK. I have a confession to make. I’ve been putting too much salt on my food for years. Big surprise, I’m sure, to all of you who have witnessed it. In fact, I was following an approach suggested by my internist, Charlie Petersen. His opinion was that once you passed a point where a problem, blood pressure in this instance, required treatment, you didn’t need to modify your behavior if the treatment worked. And it did. For many years. But, not now.

Over the course of the trip to Asia I stopped adding salt to my food. My blood pressure, which had been labile before the trip, suddenly fell into line. Damn it. Empiricism is such a bitch. And, not so small side benefit. It’s easier to sleep through the night since my fluid retention has significantly decreased.

Yamantaka 13 Deitykat1

There is no doubt that I have a self-destructive homunculus in residence. Smoking and drinking took me several unpleasant years to put into the past. Just why this little guy is so interested in my demise, I don’t know. Maybe he’s the death wish that Freud believed we all have. He doesn’t give up. If I start one of these activities again, I quickly go back to the maximum use. I learned this while quitting smoking, several times.

It’s tough getting him to just sit still. You would think that, having visited Yamantaka (the slayer of death) many times over the years, he would calm down. Yamantaka is the Tibetan God of death itself. To worship him one thing you can do is look your own death straight in the face, imagine yourself dead, meditate on your own corpse. In this way Yamantaka helps us to accept death for what it is, a natural and not to be feared part of human existence.

Seems like that would get this homunculus to quiet down. Oh, it’s going to happen anyway and it’s ok, so why do I have to speed things up? But, no. Doesn’t appear to work that way.

One Year Ago

Spring                                                                                   Maiden Moon

Had blood drawn yesterday for my third post surgery PSA. Right now they come every quarter, routine surveillance. The first two have showed .015 which is the clinical equivalent of none. Since the results have followed the best hoped for pattern, I’m experiencing no anxiety about them.

Today is my second annual physical with Dr. Lisa Gidday. This physical revisits a key moment from cancer season. The start of the season. It was last year at my first physical in Colorado when Dr. Gidday found a suspicious hardness in my prostate. I count cancer season as having begun with that physical on April 14th and ending in late September with my first follow up PSA.

It was a short time compared to my image of what cancer is typically like. It went: initial suspicion, see urologist who confirmed Gidday’s finding, biopsy, diagnosis, decision on treatment, surgery, recovery, first PSA after surgery. All this in six months.

There is the question of a cure. Does this mean I have no more prostate cancer? Did the end of cancer season mean the end of the cancer threat? No, it does not. Things look good, very good, but the clinical reality is that a few cancerous prostate cells could have escaped and are dormant right now. My gut says no, that is not the case. I feel rid of the traitorous bastards.

In fact, I feel very healthy right now. Yes, I have this damned knee, lower back and shoulder, but they’re nuisance level. Yes, I have chronic kidney disease, but it seems stable. In fact the numbers that gauge its severity actually improved in my last blood work done in October. Yes, I have insomnia, but it’s just one of those damned things.

My point here is that aging means an accumulation (for most of us) of chronic conditions. We can choose to focus on those as ongoing problems, become obsessive about them and drown ourselves in anxiety or we can recognize their inevitability and, if not embrace them, at least accept them with grace. Most of the time.

The anxiety is unnecessary. That is the point of Yama, the Tibetan deity. To worship Yama we envision our own death, see it coming, embrace its part in our story. When we can truly accept the reality of our own death, anxiety about what may deliver it to us becomes redundant. We may not know the particulars, but we do know the outcome of our life. It’s the same for all of us.

 

Knee, Snow, Travel

Spring                                                                                         Maiden Moon

The knee, 20 hours later. Feeling pretty good. Almost normal. A bit creaky, a little twingey, but otherwise, pretty damned good. The cortisone effect can last from weeks to months. I’m hoping months. The big issue with the knee, beyond Asia, is my regular workout. High intensity workouts, which I’ve been doing for a while, require some speedier, more stressful moments on the treadmill. The cortisone will make them easier for now. Worth it.

In other news here on Shadow Mountain we’re getting what may well may be another foot of snow. And this stuff is wet. And therefore heavy. Of course it’s Wednesday, when the trash goes out. Gonna get the yellow Cub Cadet out, but if it plugs up all the time, I’ll wait for the solar snow shovel or find somebody to plow us out.

Up here the forecast can change quickly if a system moves a bit further north or south. Last night the forecasts were for 2-7 inches. But in reality.

Today, and maybe tomorrow, is going to be largely trip related. Finish photographing our stuff. Get necessary information onto a flash drive for portability. Open a dropbox account to put my writing in the cloud. Get our emergency box of important papers put together. Sign up for international cell phone plans. Figure out how folks can contact us when necessary. Fussy stuff.

 

Sabbath

Imbolc                                                                          Valentine Moon

Sunday’s occupy a different reality. Time slows down. Ambition flees. A good thing. In spite of my now long absence from the Christian faith the notion of a Sabbath, lifted from Judaism, has always appealed to me.  A seventh day when God rests. And us, too.

The notion of a divine creator soothing the chaos before speaking the world into being has faded from my belief system. The idea, however, of a time for setting aside work, domestic and otherwise for a reflective day every week still makes sense to me.

The sabbath can be seen as a form of radical hospitality for the self, a day when shaping our lives to the demands of others gives way. On a sabbath we could read, view art, listen to music, cook, play games, visit family.  The third phase of life, after we have set aside work and at home parenting, can be a sabbath phase, much like the last of the four Hindu life stages.

Something to consider.

 

 

Cherish the Time

Imbolc                                                                   Valentine Moon

Vega bayingcroppedAn emotional week with Vega’s cancer diagnosis, then her radiography, ultrasound and chest x-ray yesterday. We got the best news we could have. The radiologist found no sign of metastases in her lungs or in her liver. This does not mean they’re not in her body somewhere, but it lowers the likelihood. It also means that amputation of her left front leg, where the tumor has grown near her foot, gives us a reasonable chance at a cure.

We’re still mulling our options, but we’ve scheduled the surgery for next week on Wednesday. She’s 7, so not a young dog, especially for a larger animal, but she probably has another 2-3 years, maybe more. She is, as Palmini, our vet, says, in great shape, not overweight and strong, so she should adapt just fine to three legs. Amputation sounds drastic, and it is of course, but dogs seem to get over the change quickly and get about their life.

feed me2There is a great and important lesson about human dying here. While waiting for the diagnosis and radiology results, we’ve been being with Vega as usual, perhaps a little more attentive. The lesson is this: she’s alive now. We can be with her now, love her now, cherish this time with her now. And, if you consider it, now is the only time we have to love each other. Our time ends. We know that. Just as we have confronted with Vega over the last couple of weeks. So, whomever you love, if they’re alive now, cherish the time.

Vega

Imbolc                                                                          Stock Show Moon

Vega500Vega has cancer. A rare form of osteosarcoma, bone cancer, that, thankfully, is much less aggressive than the usual forms. Still, it is cancer and more aggressive than we had hoped. She’ll have radiology work done next week to see if the cancer has metastasized to her lungs or liver. If not, we’ll amputate the leg. Vet says because she’s lean and athletic that she’ll do fine. Except for stairs. Not the best news, but not the worst either.

We do doggy hospice well, you might even say we’re experts at it, so if her situation turns out to be more dire, we’ll go that way.

On the positive side she’s eating, playful, romping outside with the other dogs.

One thing I’ve not written about is how aging has made me feel much like a fellow traveler with our aging dogs. Cancer, even.

Vega has the wisdom of doggy age. She talks now, most of the time clearly. We have our mutual language and we know what to expect of each other. She’s calm when the other dogs get rowdy. She began mellow, even when she was a puppy, and has matured into a sweet, kind, empathetic animal. A joy.

65-79 Happy

Imbolc                                                                     Stock Show Moon

People aged 65 to 79 ‘happiest of all’, study suggests  BBC news

Here’s another argument for being clear about how we feel as seniors. It’s fun. Setting aside the workaday world (if you have), seeing the kids well launched or at least responsible for their own lives, aware of your Self, not yet suffering from debilitating illness (if you’re not), what’s not to enjoy?

Getting old is not a trial, it’s a release into full humanity. Think of what this says about work and even raising a family. The unhappiest group, according to the same article, are those 45-59. And, no, I don’t know what happened to the 60-64 group. Just dithering in between I suppose.

We need to get the word out that aging has substantial personal rewards. That it’s not all anguish, wrinkles and hospital corridors. Hardly. It’s a time when that person you’ve been waiting to become can finally emerge. Now, if you can pull off that chrysalis snapping change before 65, far out, as we used to say. But if not, getting that medicare card may be just the moment to do it.

OMG

Yule                                                                                       Stock Show Moon

My 2015 summary from SecureHorizons, our AARP medicare advantage plan, shows all you need to know that our healthcare system is broken, badly broken. In 2015 I had prostate cancer and as a result had a surgical procedure to remove my prostate, so it was an expensive year with biopsies, diagnosis, procedure and follow-up. I also had a series of physical therapy sessions for an arthritic neck and its left shoulder, elbow and hand sequelae.

Total billed to Securehorizons for the year: $101,000.

Total paid by Securehorizons for the year:    $12,000.

Our share:                                                                   $850.

First reaction might be, really good news! Look how little you had to pay, Charlie, for such an enormous bill. Uh huh. Look more at how little Securehorizons paid for such an enormous bill, about 1/8 or 12% of the total billed. This vast-$78,000-discrepancy says nobody knows what healthcare costs. Nobody knows what’s fair.

Take my very small piece of the total healthcare expenditures in 2015 and extrapolate these ratios. Say hospitals and physicians and other therapies billed $10,000,000,000 to insurance companies. Following the ratio in my 2015 report insurance companies would pay to those vendors approximately $1,200,000,000. That would leave a discrepancy of $7,800,000,000. What happens to the supposed expenses covered by discrepancy? Do hospitals and physicians and therapists go out of business? No, they live to bill another year when the whole sorry mess repeats.

It takes no analytical subtlety to smell the rot. We need to get out from under all these private insurance companies and their administrative rules, their negotiated deals.

Kate’s hair-dresser, to illustrate another problem with this mess, went to the ER when a partially removed splinter in her hand created swelling that made it impossible for her to use her scissors. No work, no money. She had the self-employed persons typical high deductible policy. An E.R. doc removed the splinter. Bill: doc=$1,500, e.r. admittance=$1,800. She refused to pay $3,300 for a splinter removal, stayed resolute and got an 80% reduction in her bill.

Colorado will have a referendum this year to create the first single-payer health plan in the United States. I’m voting for it.

Eudaimoniac

Yule                                                                          Stock Show Moon

Slowly. Slowly. Latin back with regular work. Learning the west by reading articles about the occupation at Malheur and its deep background. Just started Wallace Stegner’s “Beyond the Hundredth Meridian: John Wesley Powell and the Second Opening of the West.” Considering a book length writing project(s). Working more on Reimagining Faith, perhaps a new novel.

The fire mitigation awaits as a rhythm changer. Kate located a custom boot fitter. It happened to be next to Wooden Spools, a quilt shop. I plan to hike much more this year and when I’ve got a good sense of my boots, I may use these folks to put some orthotics in them. The workouts, both hi-intensity aerobics and regular physical therapy exercises, happen 4-5 times a week, enough for me. Now the Tai Chi.

This sort of mix, one with self-care and personal agency, is the platform for my life. Family and friends put it into the social context. Both are critical to my eudaimonia, my flourishing. Only when I’m flourishing am I able to be my best self for others, for political work.