Category Archives: Aging

Surgery July 8

Beltane                                           Closing Moon

The consultation with the urologist went well. My cancer has some outside the prostate presence, which makes the situation a bit more dire, but still one within the reach of a radical prostatectomy.

Kate and I both feel good about Dr. Eigner, the surgeon/urologist, and his experience. He’s done hundreds of robotic prostatectomies and hundreds of open prostatectomies. Practice is important.

We discussed the options, from hormone treatment to radiation to surgery. The moderately advanced nature of my cancer, my age and general health (good), make me a logical candidate for surgery. Kate and I had decided that already.

On the irrational side, I want that organ out of me. It’s no longer on my side. On the rational side surgery gives me the best chance of negative margins, a procedure in which all the cancer is removed, none showing at the tissue margins.

I feel good this evening, at peace with the choice, confident in the skill of my doctor and the support of family and friends.

A Yamantaka Moment

Beltane                                                        Closing Moon

Yama
Yamantaka

So. Today is June 11th. I feel a small hole in the pit of my stomach. Not often you meet a day when your life is at stake, but this is one of those days for me. This afternoon we’ll find out the stage (severity & aggressiveness) of my cancer. We’ll also decide on a course of treatment.

It’s been an interesting time since the initial news from the biopsy. Once I absorbed that information and read the Schwartz book on Surviving Prostate Cancer, I’ve let the matter go for the most part, at least at a feeling level. There was a bracket around the time between then, late May and now, mid-June. In that bracketed time no new information could be gained and no action could be taken.

Now that bracketed time is over and the next steps, the real choices are just ahead. My confidence level is still high. Kate’s knowledge and support is essential as is encouragement from friends and family. Dr. Eigner is competent and practiced, and, unusually, open to serious questions and probing. I’ve done my research, have a list of questions.

The appointment is at 2:30. More later.

This. Well.

Beltane                                                             Closing Moon

 

A man in Kirkland, Washington, got his last wish, thanks to the compassion of the local fire district and caregivers at his hospice care center.

The patient, known simply as Ed, had been a forest ranger with a passion for the outdoors. Sadly, his illnesses forced him to stay inside for many years, and he eventually became a resident at the Evergreen Hospice Center in Kirkland. As his health waned, he shared his last wish with the hospice chaplain: To be among nature one last time.

It was important to the staff to make sure Ed was safe on his journey, so they contacted the Snohomish County Fire District to see what they could do. With a little teamwork, Ed caught a ride in an EMS vehicle to some nearby woods.

The EMS team that transported him made sure he experienced as much of the area as he could.

“Together, the group took Ed up and down the trails, bringing him the scents of the forest by touching the fragrant growth and bringing their hands close to Ed’s face,”reads a post on the Evergeen Hospice Volunteers page.

Tightrope

Beltane                                                                         Closing Moon

Realized after talking to Kate yesterday that I have a tightrope I’m walking.  I need to recognize my prostate cancer as potentially fatal, because of that I need to find the best treatment possible. Yet. I also need to find ways to be with that possibility and not sink into the slough of despond. There’s a tension created by the act of staying focused on the medical issues and trying to maintain calm. I’m sure this is not novel to me. Anyone with a lethal agent inside them must face the same dilemma.

One solution is denial. Nope, nothing’s going on. I’m ok. Another is wallowing in the terrible fate. Poor me, why me, oh my. In between these two extremes is a path that sees things as they are, but does not give up living. Of course I swing between the two poles. At certain points I think oh this is no big problem. It’ll get fixed (how is not part of this thought pattern) and I’ll be better and life will return to normal. At other points the disease has already won and I’m planning my last good-byes, writing my obituary, planning my funeral.

Most of the time I’m aware of the disease, know I’m taking the steps that can be taken, and am at peace. Life is not normal. Concentrating for Latin or writing has not returned. Daydreaming seems to have a foreshortened horizon. I no longer imagine long projects like Superior Wolf or translating Ovid, finding a way to go on another cruise or start researching certain facets of Western history. Now my daydreams stop at tomorrow or next week, do not extend into the next decade. This is, I suppose, my subconscious reminding me of the predicament.

I do not feel anxious. I sleep well and, for the most part, am level and engaged, not wandering off to thoughts of doom or what might be. In my opinion I’m handling the situation, if not always well, at least honestly. Not sure what else I could ask of myself right now.

A Dip Down

Beltane                                                                 Closing Moon

NB: Yet another down post. Skip it if you like.

1st Grade Me
1st Grade

Yesterday’s organ was the eye. Glaucoma check-up. Lots of gazing into my eyes. Dr. Repine said, almost as if she were surprised, “Your eyes look good!” She’s very enthusiastic. “And, you have some cataracts, but if they get too big, we’ll just take them out!” I told her my eyes felt good. She seemed to want a response. Back on Latanoprost, from now on, I imagine.

I felt pretty good up to this appointment, though I was beginning to weary of high stakes medical tests, waiting for results. Didn’t realize how weary until, after squinting through my sunglasses all the way home-they dilated my eyes-and getting a headache, I suddenly dropped into a funk.

 

 

Here’s how the funk went. Moved to Colorado. All that. Then on April 14th a physical. Since then negative findings, consultations, biopsy, diagnosis, echocardiogram, glaucoma check and more to come. Consultation on the 11th about prostate cancer. Treatment, probably surgery, recovery. Holter monitor installed on Tuesday, wear that for a month. What’s causing my shortness of my breath? Not why me. No, not that. But the constant drip of this negative, that one. Of people probing, poking, peeking inside, evaluating, deciding. And waiting. Waiting. Wondering. I was, too, tired.

This morning I’ve decided I need to stay at home, get some stuff done around here. Go easy. Maybe catch a movie today or tomorrow. Better rested this morning I feel better, too. But I need to let my body and mind and my spirit rejuvenate, refresh. This is a marathon, not a sprint.

 

 

 

death cannot defeat life, only end it

Beltane                                                                            Beltane Moon

The hits just keep on comin’. Now, in addition to the biopsy this Thursday I have lowering oxygen saturation. This is not good. It can and does destroy brain cells and my brain is my favorite organ. So, I have an appointment with Lisa Gidday sometime in the next three weeks. Geez. This all converges with long standing, but well-managed issues (right now) like high blood pressure, cholesterol levels too high or too low, stage 3 kidney disease and others like left ventricular hypertrophy.

Now, I choose to see this all in a positive light. I have some chronic conditions that are common to many people and the dietary and pharmaceutical solutions to them have been successful so far. The kidney disease and left ventricular hypertrophy (LVH) are not good, but they both seem stable.

Unless. The LVH ends up reinforcing the lowering oxygen saturation. That’s for the follow-up to my appointment with Lisa.

My sense of myself, in spite of all this, is that I’m healthy and strong. Doesn’t feel like denial. I know about each item here and its implications. My choice is to take positive and aggressive action where I can and to accept the limitations or ultimate consequences in those instance where no action can be taken.

Two different streams of thought have lead me to a calm place. The first, experienced immediately after the beginning of the prostate journey, involved facing my actual mortality. We maintain throughout most of our life a subtle innocence about the probability and even the possibility of our own death. In my opinion this attitude is the reverse of unrealistic. In fact it is protective of our need to get on with living in the face of an inevitability about which we can do nothing.

The prostate findings lifted that protective innocence from me. There was death peeking over my shoulder, the agency of its coming perhaps revealed. This shook me. Hard. Finding my way into it, not running away, took the better part of a week and a half. Then, I realized that, if not this, something. If not now, sometime. With that frame and the palliative effect of taking the actions I could take, I became peaceful again.

The second thought involves living until I die. This has always been intention, not to run away from life or problems but to embrace them. Make choices. Take action. If I see a problem that affects me deeply, my tendency is to move toward it, see if I can do something. The realization here is that no disease, no condition can stop me from living until I die. I will, in other words, continue doing those things that matter to me. As I have done. Death cannot defeat my life, just end it.

So far these two thoughts: something, sometime will kill me and death cannot defeat my life, have helped me see that I am in no different situation now that at any other time in my life. Nor will I ever be.

 

Lucky We Live the Mountains

Spring                                                        Mountain Spring Moon

Lucky we live the mountains. Yes, Minnesota is a beautiful state, but the exurban chunk of it in which we lived and the areas in which I usually traveled, south toward Minneapolis, only occasionally reflected the wonder of the northern part of the state. There was the Mississippi, the lakes in the city, the green belt of parks. There was little Round Lake on Round Lake Blvd. That was about it. The rest of it, the beautiful part, including northern Anoka County with its high water table, marshy and wooded terrain, had to be sought out by driving.

Here the 3 mile drive home from highway 73 up Black Mountain Drive winds past a valley filled with grass and pine on the south side of which rises Conifer Mountain. To the north Shadow Mountain gradually pulls the road higher and higher, rocks jutting out, ponderosa and aspen dot the slopes and mule deer sometimes browse. Each morning when I go to the mailbox to retrieve the Denver Post Black Mountain is on my right, guarding the west and the eventual sunset.

Anytime we leave home, whether to go into Evergreen for our business meeting or into Denver to see the grandkids or south toward Littleton for medical care mountains and valleys, canyons and gulches grace the roadways. Small mountain streams run next to the roadways, swift and right now, often violent. Walls of sheer rock alternate with wooded mountainsides. Always the journey is up or down until we get past the foothills onto the beginning of the great plains where the Denver metroplex takes over.

This was my thought while driving home from the doctor yesterday. How short is a human life span. Not even a tick of the second hand to this rock. These mountains have been here for millions of years longer than the human species itself has existed. They will probably be here millions of years after we’re gone. What is one lifetime? What is a few years here or there? Compared to these. This was a comforting thought.

Wasted Years?

Spring                                                Mountain Spring Moon

Wondering about retirement, about the third phase, not from an abstract notion of this journey now, but from within it, on the path. I notice things like this. A weather blog I follow talks about the decadal oscillations (Atlantic and Pacific) that have a determining effect on drought patterns in the U.S. When the author says these may not change their influence until 2035, I quickly calculate. 92. That means I may live in the forest fire red zone knowing only drought conditions.

Work. I commented here about work, about Latin and writing, gardening and beekeeping as work. And it’s true that I experience them that way. When I call them work though, I sometimes find myself confused. Am I retired or am I working? Yes seems to be the answer. Perhaps I need a new paradigm.

What came to me as I wrote that last sentence was the Hindu notion I mentioned a while back, action without attachment to results. From within that idea it doesn’t matter, working or retired. Both. The doing, the acting carries the meaning, not the end. Related I think to the idea of the journey as the destination.

Yet, I admit that the culture comes up inside me, makes me wonder about the wasted years, all that time since leaving the church, now 25 years. What have I done? Which really means, of course, besides being alive how have you contributed to the world? I was taught, in that it’s obvious, it’s the way it is manner that culture defines for us, that work means results. A man is his attachment to results and the results make the man.

Results mean new law, building affordable housing, organizing citizen based power to balance philanthropic concentrations of wealth and to alleviate the pains of vast unemployment in Minnesota. Those were results a man could claim and in claiming lay down evidence as to his worth.

But. What if the novel doesn’t sell? What if the effort to market work is so weak that it never really has a chance? Does that invalidate the writing, the patience, the persistence necessary to conceive, execute, revise? Then, if the action does not have the expected result, does it come crashing down on the man, rendering him less a man?

Some days it feels like the answer is yes. If there is no book on the shelf with my name on the cover, then I am less of a man. If in writing, I have taken energy away from the political work which gave me tangible results, then I have contributed less than I could have. Have I allowed fear to dominate my marketing work over the last 25 years? Fear that I would be rejected time and again. Possibly. Does that erase the novels and short stories I have written? Or, to put it in the most blunt way possible, has it called into question all the “work” I’ve done in the past two decades and a half?

Some days it feels like the obvious answer is no. What is the result of loving a woman? What is the outcome of raising a child? Where is the success in a flower bed or a dog? All these most important actions rely not on the actions of the man, or at least not solely. Loving a woman does not make her a better woman, does not create an achievement. Raising a child, though important, does not make the child. Children make themselves, influenced no doubt by the parent, but still, the responsibility is theirs. The same with grandchildren. Flowers and vegetables grow, too, again perhaps aided by the gardener, but it is their task to produce a bloom or a fruit or vegetable. Dogs live their lives in the orbit of the humans who love them, but their life is the result and who can claim ownership of life itself?

Another angle. The taking in of knowledge, developing understanding, all the reading and attending to cultural artifacts like art, theater, chamber music, movies, what does that amount to? What is the result, the thing that matters? Is there any point to it all?

Not to mention that I have made almost no money for the last 25 years. Not none, but not enough to count.

As I write this, see it laid out on the page, though, I’m inclined toward compassion, toward acceptance of the man who has done what he has done with as much energy and passion as he has, a man who has stayed faithful to his wife, his son, his stepson and his family, dogs, gardens, bees, who has remained constant in following his inner path regardless of the outcomes.

Bill Schmidt’s find of this poem says what I feel better than I express it myself:

Love after Love

 

The time will come

when, with elation,

you will greet yourself arriving

at your own door, in your own mirror,

and each will smile at the other’s welcome,

 

and say, sit here.  Eat.

You will love again the stranger who was your self.

Give wine.  Give bread.  Give back your heart

to itself, to the stranger who has loved you

 

all your life…

 

And Then Is Heard No More

Imbolc                               Black Mountain Moon

Let’s paint the same message as below, but with a different brush and color. Gray fading to black dominated the last post. Let’s use blue fading to dark, dark blue here.

Life is the time between the first rays of dawn and the last, bruised hours of twilight. At its brightening life comes with expansiveness, light revealing first this and then that, all new. These are the hours of Heidegger’s being thrown into the world. We see first a soon-to-be familiar face, then faces. Realize at some point a home, then the home in a particular place. That place is in a larger frame which sometimes takes a while to come into focus. At some point we know that the 1950’s, this time of childhood is neither, say, the the 1930’s of our parent’s time nor is it the middle ages with knights and castles and it is not, either, the future. Not 2000. Not 1984.

Over the next few years we learn that our unique self will have its hour upon the stage over a certain span of time, not any we wish, but this one and this one alone. Who we are to become, what we are to do must fit into these years, years that have their own shape, their own special challenges, their own significant opportunities. We choose this path, that person, those places. They fit or they don’t. If they don’t, we choose again.

As the years accumulate and our hour ticks down, the choices become fewer, narrower. Our own history now shapes our future. This is a time of reaping, of being the person you have chosen to be, the unique mixture of your Self and the times into which you have been thrown. When the reaping is finished, our hour is up.