The Organ Recital

Beltane                                          Closing Moon

Drove back from the echo cardiogram on Interstate 70, turning off at Co. 74 into Evergreen. Rock mitigation had US 285 one way and after my 4pm appointment I would have hit it at rush hour.

Instead I ate at Sushi Win in Evergreen, overlooking front range mountains, some of which looked like old shield volcanoes. Looking at them while I waited for my spring roll and sashimi deluxe, I scrolled through (in my mind) the living images of my heart that I had just seen.

Yes, for the second time this month I had a major diagnostic exam, first the prostate biopsy and now the heart echo. Noah, my sonographer, was a hip looking guy in black scrubs, spiky but neat hair and a pleasant manner. He talked to me throughout the exam.

Awe. That was my heart, beating at that moment. I could, for those 25 minutes or so, look inside my own body. Think about that. The body remains sealed, even to those who inhabit it. Looking inside is a taboo. I read a book by a surgeon who said that overcoming that taboo was necessary to surgical training.

The valves looked so tiny, so frail fluttering away in a steady rhythm, pumping my blood, taking it in from the venous return and pumping it back out, oxygenated by the lungs to the rest of the body. It’s miraculous, I said.

Yes, Noah said, that organ amazes me each time I do this. Everybody’s is different.

7-10 days from now I’ll get a call from my primary care doc, Lisa Gidday. She’ll relay the findings after Tatiana Tsvetkova, the cardiologist, reads the echo. Then you’ll get an official diagnosis, Noah said.

Not done yet, however. I still have to wear a holter monitor. I get fitted for that another time. More fun with organs.

Encouraging and Unsettling

Beltane                                                                      Closing Moon

Since I’ve begun letting folks know about my prostate cancer diagnosis, a curious and, while encouraging, a somewhat unsettling thing, too, has happened. One friend wrote, “Don’t despair. I faced this ten years ago and am doing fine.” Another, “Because of my age (80’s), I have seen more than 50 men go through this and most of them are doing fine. Many over 10 years later.” Another, “We have three friends going through this right now.”

That so many report good news obviously buoys me up, makes me feel more confident about the path ahead. I’m very glad to have personal testimony about the power of current treatment protocols.

But. I compare the general awareness among men about prostate cancer with the broader and much more public awareness of breast cancer among women and realize something is out of joint. The pink ribbon, the runs, the NFL sneakers, the celebrities have all made breast cancer information broadly available. Women are keenly aware of the warning signs, the tests for its presence and the treatment options if faced with a diagnosis.

Why don’t men have the same level of awareness? I imagine it’s a combination of things. Prostate cancer doesn’t strike, typically, until men are older. The average age at diagnosis is 66. The prostate is a less well-known organ that has a little understood function, even by men. Men have not had their feminist movement moment, so there has not been a broader cultural push for health related to men’s reproductive organs.

Men have a stoic reputation when it comes to reporting health issues. I don’t know if that reputations bears up under scrutiny, but it does serve to obscure conversation among men about health matters.

Then there’s sex. Our society has a confused, contradictory and tangled attitude toward matters sexual and the prostate is in that mix. We don’t know much about it to begin with and what we do know we don’t want to talk about.

Is it time for all this to change? At one level, yes. Of course. Just makes sense. On another, no. It isn’t happening and doesn’t seem to be happening. What would it take to create a more general and healthy understanding of prostate cancer? I don’t know.

Summer’s Gateway

Beltane                                                                  Closing Moon

Beltane marks the start of the growing season and the Celtic summer on May 1st. Meteorological summer doesn’t start until June 1. The summer solstice isn’t until June 20th/21st. Even so, we have just passed through our cultural gate to the summer season: Memorial Day and the Indy 500.

Yesterday bike riders began to show up in greater numbers, a fact that encouraged a lot of barking here on Shadow Mountain. There goes another one. Woof. And another one. Woof. The doggy equivalent of OMG.

Decoration Day, as it was called when I was a kid, was also the end of the school year. 12 years in the Alexandria, Indiana school system left me deeply imprinted with its meaning. First, we had the last day of school. The student’s equivalent of OMG. Then, we had the Decoration Day parade which ended at the cemeteries on Highway 9. After that, bliss.

Each year since, even today, the day after Memorial Day feels different. Lighter. My heart fills up with possible small adventures: hikes, road trips, movies, long evenings outside with friends. Too, U.S. history becomes more important to me, so I often pick up a Civil War book or something about slavery. This year I imagine they will be about the West.

So, let’s go play!