Archive for the 'Health Care' Category

Starvation Palace

I weighed 135 pounds this morning. Four pounds less than a week ago.

A week since the crowded Amtrak train pulled into the downtown San Diego station after nearly six hours on the rails. As the train ground to a halt, I looked for her through the window. And there she was, wearing that floppy black and white hat that reminds me so much of Jackie Kennedy. Only this time it was Jackie Sherman, the woman I love.

The doors opened and I stepped onto the platform. Like a soldier returning from the front, I took her in my arms and kissed that sweet face. I had sorely missed her and was glad that my time away from her smile was finally over. It had been a long week.

I stowed my bags in her car and we took the fifteen-minute trip to Optimum Health Institute in Lemon Grove, a town that is the antithesis of its San Diego neighbor and sorely in need of an interior decorator. It was my third time at the OHI health retreat and I found myself unexpectedly looking forward to my visit.

My first OHI visit two years ago was filled with apprehension. The recurring thought during my seven days there was, “What am I doing here?” I had felt surrounded by people who wanted relief from real health challenges or who simply wanted to drop unwanted pounds. Neither of which seemed to match my needs. Regardless of the goal, the principal solution professed by the institute was the same; a change in your eating habits. Coupled with meditation and non-denominational faith, the solution seemed obvious.

Careful to avoid claims of miraculous cures of incurable maladies, OHI simply focused on the elimination of much of what I enjoyed. Salt, sugar, oil, animal products, alcohol and caffeine topped the list of the greatest offenders. In addition to the acceptable foods, a strict protocol prescribed the way in which they should be combined during mealtime so not to offend each other as they proceeded from your mouth through your gut.

Wheatgrass juice is a staple component of the OHI diet. Its legendary benefits are accepted by all and we are expected to slug down a two-ounce serving twice a day. We process the wheatgrass in a room specifically designated for that purpose. Great handfuls of what appears to be Kentucky Bluegrass in need of mowing are carefully run though a juicer that could, if one is careless, add some human protein to the mix; an OHI diet no-no. One’s juicing skills are honed over time and the process takes on an almost religious bearing. Drinking the juice takes some practice as its taste has been occasionally compared to motor oil and other unmentionables. As for me, I love the stuff.

After three visits to OHI, I consider myself quite adept at the processing of the grass. As an added benefit, extracting the liquid leaves behind a poultice that has, by itself, been deemed to cure aches, pains and a plethora of sexual inadequacies. But then, I wouldn’t know anything about that.

The elimination of tasty foods and the imbibing of the holy juice are intended to cleanse one’s system which contains rotting food and other nasties that have lived in us for years. They hide in secret, otherwise unreachable, places in our gut, especially in our colon. Toward that end (no pun intended), multiple colonics are a featured component of the cleansing process. Generally unmentionable in polite company, OHI participants are gleefully verbose about the process and its benefits. Four ounces of freshly processed wheatgrass juice are a vital element of the colonic. Only this time the magic elixir is squirted up one’s butt to lay down a coating that is sure to destroy the pests that have been living quite happily somewhere in the dark. Those campers who are seen toting the precious liquid in a see-through plastic container are readily identifiable as being on their way to the very popular colonic ladies.

The OHI carte du jour features a basic assortment of simple food that would be familiar to anyone who has spent quality time in a Siberian gulag. Raw vegetables are featured at breakfast, lunch and dinner. Occasionally, something composed of raw vegetables tries, without success, to appear tasty. But like kosher bacon, one is not fooled for long. Six salad dressings of different colors are available; however, lacking oil and salt, I was hard pressed to taste the difference between them. Cooking vegetables is prohibited as anything heated beyond 105 degrees is determined to be substantially lacking in nutrition.

The elimination of anything that might cause fluid retention, such as salt, results in the elimination of prodigious amounts of body fluid.  Multiple trips from one’s bed to the bathroom becomes a nightly occurrence. Banging into unfamiliar furniture and the inability to find the correct light switch only adds to the festivities. Drinking four quarts of water during the day exacerbates the nightly adventure. I often believed that I would become totally dehydrated, much like that misbegotten bad guy who drank from the wrong cup as he searched for the holy grail in that Indiana Jones movie. Needless to say, I lost weight.

OHI leaves any claims of miracle cures to the participants, many of whom are all too happy to let everyone know about them. During my first OHI visit, I was highly skeptical of the entire proceedings. However, unwilling to be ostracized and banished from my sweetheart’s loving arms, I avoided snarky smirking as I sat through the classes and the testimonials of those who had been cured..

My second trip to the institute was easier. I knew what was in store for me. The classes were a bit more advanced and the food regimen unsurprising. Forsaking any hope for a more pleasing diet led me to clandestinely bootleg a daily cup of Starbuck’s dark roast and create a room stocked with bananas, peanut butter, grapes, nutritional shakes and chewy power bars. Careful to maintain appearances, all these were in addition to the OHI supplied Bugs Bunny diet of raw greens. I lost more weight.

And so now we come to my third and most recent trip. I found myself looking forward to it; a revelation in itself. Now an upper classman, my apprehension was gone. The food was no better, but it met my low expectations. Starbucks was still on my diet along with the other frowned upon supplements. What did change dramatically was my understanding and acceptance of the health improvements attested to by my fellow campers. I no longer smirked. I listened attentively. I heard them praise the program and describe the changes that had improved their lives. These were sane, intelligent people. And I thought, who am I to judge them? Who am I to demean their beliefs? Who am I to doubt their truthfulness?

And who am I to risk missing another trip to Lemon Grove with the beautiful lady in the black and white Jackie Kennedy hat?

What did you say?

What did you say?

I’d been doing more of that lately. Sitting in restaurants and trying to have a conversation was a challenge. I might as well have been talking to myself.

Casual conversation, even when there were only two of us, was hit or miss. I would have been better off with the kind of signal flags they used to wave at incoming F-14s on an aircraft carrier.

Turning up the volume, either through shouting or groping the TV remote, did as much good as farting in a windstorm.

Volume wasn’t the problem. I heard loud and not-so-loud things but I still couldn’t decipher what was being said. I spent most of my allotted time saying “Pardon me, what did you say?” Or “Come again, I didn’t hear you.” Or I’d pretend I could hear and stupidly say yes, no or maybe so. Turned out it didn’t matter much which expression I picked so long as the question didn’t include religion, politics or my sexual habits.

When any of those sensitive topics was at the core of the conversation, I’d use a different approach. I’d simply nod knowingly. Not up or down as in yes or no. It was more of a shoulder shrug coupled with a slight oblique shift either left or right that seemed to satisfy the listener’s needs. God knows what I had agreed to in the many years I had used this method that I had dubbed the Nodge.

Jackie seemed to tire easily as our evenings together wore on. Our conversations were heavily punctuated with what, huh, and come again? In no uncertain terms, she eventually said “You need a hearing aid.” Unable to resist such an eloquently worded request, I promised to call for an appointment—right away.

In a vain attempt to slow down the inevitable, I decided to do some research. Googling hearing aids produced as many hits as the search term, porn, might have. My initial reaction to scanning the hearing sites that Google had kindly delivered was one of sticker shock. My next reaction was one of bewilderment. Unable to discern obvious differences between various manufacturers and models, I turned from the saturated world of the Internet to my friends.

“You should go directly to Costco. They’re cheaper than anyone”, said Ralph. “And you can spend your wait time cruising the aisles eating the free samples.”

Mike demurred. “Sure they’re cheaper, but they just take a really good hearing aid and dumb it down. Besides, you probably need to buy a dozen of them.  All wrapped in bullet proof plastic that defies you to open them.”

Like a voyeur, I began looking behind people’s ears. Men were easy marks. Women, with their long hair, were a mystery, just like everything else about them. Since much of my time is spent with old people, it seemed as though everyone had hearing aids. The aid-less seemed to be an exception. I began to stop and talk to strangers who seemed quite willing to discuss their march from “What did you say?” to “You don’t need to shout. I can hear you quite well.”

When no one was looking, I’d stand in front of the mirror at the athletic club and stare at my not inconsequential, Dumbo sized ears and wonder what I’d look like with a canoe positioned in what would never again be just a space between my ear and my skull. Being a handsome, debonair bald men, I could not depend on shaggy hair to mask my otolaryngology disability.

Further research seemed useless and Jackie was getting wise to my game. So I decided to end things quickly by offering myself up to our local hearing aid provider. A kind young man in an austere setting took me under his wing. Wanting to justify the upcoming sale of the latest in hearing aid technology, Wayne administered a hearing test.

Feeling much like the Alexandre Dumas character Edmund Dantes in the Chateau d’If prison, I was herded into a not-so-quiet padded cell. Wayne placed a set of headphones long rejected by iPhone users on my head and left the cell. What followed was a series of beeps, some spoken words and a vain attempt on my part to cheat and pass the test. I later learned that no one passes the test.

Never once saying “You need a hearing aid”, Wayne proceeded to dissect the elements of my hearing test. Ten minutes of gazing at graph lines proved that I had lost about half of my high-end hearing capability. Big surprise. The little cilia sensory cells had departed my inner ear and, much like fingers and toes, would not return.

Wayne offered me a selection of devices whose price differences seemed indecipherable. They all looked the same and all seemed capable of Blue-Toothing their way through the world of audio connectivity. With the latest technology, I was but an iPhone app away from nirvana.

Available in various hues of black and white, I selected one that would come closest to my skin color. Like it would fool anyone with half a brain. Special order, of course. Thoughts of running away during that waiting period flitted through my mind. Bending to the inevitable, four days later I returned to Wayne’s place of business where the devices were installed in my receptive ears.

Later that day, I visited my attorney in Ventura. We were alone in his conference room when I heard a phone ring. He seemed to ignore it so suggested he answer it. “Answer what?” he said. It took me awhile to realize that it was my iPhone ringing through my hearing aids. How cool.

Last Sunday twenty of us went to the Disney Concert Hall in downtown Los Angeles. We sat in the nosebleed seats and listened to the LA Philharmonic play Gershwin and Ravel. From ten thousand feet, I could hear the piccolo, a small chime and the clicking of a stick on a block of rosewood. It was so magnificent that I teared up and felt like I did years ago at the opera

All twenty of us went to dinner at an Italian restaurant. It was family style and we passed simple but delicious platters of food around, drank inexpensive red wine and talked freely about the day’s events. I listened and heard the words. I neither nodded nor shrugged.

We got home at nine and Jackie, seeming less tired than usual, said “Thank you for hearing. I love you.”

Pot Parade

You’ve come a long way, baby.

When I was much younger, the thought of smoking pot was very exciting. That I might be arrested and jailed for possession of the forbidden substance made it an adventure. Keeping it secret from friends and relatives only added to the enjoyment of what was, at most, a once a year habit…I swear.

My buddy Ralph and I would enjoy a joint and, when we had more time for the body to recognize the drug, ingest it baked in a brownie. I remember the first time we ate one of the forbidden desserts. We were sprawled on the floor of his den waiting for our stomachs to absorb the drug and deliver it our brain.  After ten minutes, I said “I feel nothing.”

“Me neither” he agreed. Twenty minutes later, as we were about to call it a day, I said “I feel a itty-bitty tingle in my left elbow.” And then the world turned itself on for us.

Once legally unavailable at all, clearer heads eventually prevailed, and the drug was provided to those who could conjure up a medical prescription. Thankfully, California voters in 2018, having seen the light, legalized the sale and consumption of pot, weed, grass, dope, herb, reefer and joints. As expected, a raft of regulations accompanied the burgeoning pot parade.

The California Bureau of Cannabis Control is largely responsible for promulgating and enforcing the regulations. The first paragraph of the regulations gives you some idea of what’s in store for anyone wishing to make a legal buck supplying the masses with the mind-altering substance…

  • A temporary license is a conditional license that authorizes the licensee to engage in commercial cannabis activity as would be permitted under the privileges of a non-temporary license of the same type. A temporary licensee shall follow all applicable rules and regulations as would be required if the licensee held a non-temporary license of the same type. (b) A temporary license does not obligate the Bureau to issue a non-temporary license nor does the temporary license create a vested right in the holder to either an extension of the temporary license or to the granting of a subsequent non-temporary license.

The first dozen pages of the regulations are devoted entirely to guiding one through the arduous process of filling out an application to sell weed. Notwithstanding the not insignificant regulatory obstacles thrown in the path of anxious sellers-to-be, the demand for licenses has surged ahead with as much determination as one seeking cheap tickets to Hamilton, the musical.

There are now three pot dispensaries in Ojai. All are located on Bryant Street along with the humane society, a self-storage facility, a veterinary hospital, a fitness center and a clandestine mobile home park. If we could coax Trader Joe’s to take up residence, one might never need to leave the cozy confines of Bryant Street.

On Saturday, Jackie and I were finishing up a $43 lunch of two salads and an order of fries at Ojai’s newest touchy-feelie restaurant when she said, “It’s such a nice day. Why don’t we walk over to Bryant Street and visit one of the pot palaces.” Excitedly throwing caution to the wind, I quickly ate my last fry that I had dipped in something that pretended to be mayonnaise and leapt to my feet, ready to take on a brave new world.

No one walks down Bryant Street on Saturdays. It has no views, no trees, no sidewalk and a host of buildings that look like temporary facades put in place by a Hollywood movie crew. A perfect place to hide a pot dispensary from public view.

We arrived at 408 Bryant Circle, Unit C, the home of the Sespe Creek Collective. Unassuming from the outside, I entered expecting to find a host of shoeless young people adorned with pierced noses, eyelids and other desecrated body parts. Tattoos were sure to be front and center. Harleys were certain to be their conveyance of choice.

We found ourselves in a waiting room overseen by a very large security guard, and two normal appearing people seated behind a desk. The large guard asked me to remove my hat so that the overhead cameras could have a clear view of my smiling face. I fully expected to find myself emblazoned on a wanted poster in the next episode of HBO’s True Detective.

The acceptance process included electronic registration into Sespe’s database. No more hiding from the Feds for me. Anonymity was no longer an option. I was sure that a call for my apprehension would soon deliver the FBI to my Upper Ojai doorstep.

We waited for a few minutes. A door opened and a smiling young woman greeted us with “Hi. I’m Cathy and welcome to Sespe Creek. Come with me and I’ll give you a tour of the dispensary.” We entered a showroom that was modern, clean and tidy. A dozen customers milled about. Of various ages, none sported visible tattoos or extraordinary skin punctures. In short, they looked a lot like us.

A myriad of products met our gaze. I must have looked as wide-eyed as the kids who entered Willy Wonka’s chocolate factory. Paying close attention to Cathy, I learned that there are two basic types of compounds produced by the cannabis plant. One is THC (tetrahydrocannabinol) which is the substance ingested by Ralph and me that produced various flights of fancy as we sprawled on the floor of his den. The other, CBD (cannabidiol) has no hallucinogenic properties and therefore no fun; it does, however, have purported medical benefits.

Impressed by Cathy’s abundant fact base and hoping for some improvement to my left knee, I bought some CBD infused salve that promised to reduce pain and swelling. But just in case the salve didn’t work, I bought some THC infused mind-altering bite sized licorice packed in really cool individual wrappers.

Cathy took my credit card like any other establishment would and placed my goodies in a cute paper bag that was imprinted with various cautionary statements that I dismissed out of hand. Happily, we left the facility looking forward to using our new-found goodies.

Here’s hoping my knee aches.

Yoga is fun, so they say

Went to a yoga class last night.

I decided to try it again after some gentle encouragement from Jackie. She is a yoga fanatic. Much like my daily habit of visiting the athletic club gym, Jackie lives and breathes yoga. A day without it affects her much like a coffee addict who has failed to meet her daily quota of caffeine at Java and Joe…only worse, much worse.

Our first date was a private yoga class at Jackie’s house. I struggled to achieve poses that for her were second nature. It was as though my aging ligaments had been replaced with inelastic twelve-gauge wire. My back hurt. My ego was bruised. I was a failure looking for a graceful exit. A tough first date.

During the last year I have tried to redeem myself. I participated in Robert’s yoga class at the club. Robert is an excellent trainer who teaches yoga to punish people like me who think they can master the art. He takes no prisoners. I spent the better part of his class watching others do things that seemed second nature. Attempting to emulate their contortions left me several minutes behind the thirty more experienced participants. I drew menacing stares from the women on either side of me as I violated their space, awkwardly fumbled with bolsters, blocks and straps, and made impermissible contact with their body parts. I was the poster boy of yoga, reaching out for help and release from a self-imposed sentence. It was the longest hour of my life. I promised myself never again.

Like all other resolutions, events conspire to make a mockery of them. The athletic club houses a bevy of yogis, predominantly women, who enter the facility with their personalized yoga mats tucked under their arms. They are serious about their yoga; especially their lungs.  For them breathing is not just a way to stay alive, it is a religion that puts one in spiritual contact with mind and body. Failure to breathe properly dooms one to eternal purgatory.

Over the last seven decades, I have developed some familiarity with breathing. Never thought about it much. It either happens, or it doesn’t. That laissez-faire attitude began to crumble when Robert became my trainer. Lifting weights on Tuesday and Thursday required a change of thinking. Breathing is no longer a mindless exercise. Lift and breathe in. Relax and breathe out. In through the nose, out through the mouth. Or is it breathe in through the mouth when lifting and out through nose when relaxing? Sorting through these choices occasionally causes me to hold my breath and black out, making further yoga participation highly questionable.

Yet I have ongoing exposure to yoga in every form, necessitated by the coordination of my schedule with Jackie’s. It would be easy if her sessions were limited to one yoga venue. There are a multitude of yoga studios in Ojai. Add Ventura and it multiplies ten-fold. Selection of the studio-of-the-day is further compounded by the choice of yoga instructor within the studio. Evaluations of the various instructors are at times as intense as the awarding of a Nobel Prize. The focus of the chosen instructor’s class is the final ingredient in the selection process. Healthy Joints, Yoga RX, Postural Restoration, Yin Yoga and Chakra Flow (in multiple levels) hardly scratch the surface of the available flavors of the day. A recent arrival, particularly appealing to someone with lizard-like skin, is Hot Yoga. Locked in a room super-heated to 110 degrees, yoga takes on the punishing characteristics heretofore only available on Devil’s Island.

When not doing yoga, one is often seriously absorbed in discussing it. Community newcomers offering their own unique specialties are often the subject du jour. The reasons causing the departure of old studios are often dissected and, at times, lamented. Yoga instructors are microscopically investigated and, at times, discarded as over the hill, out-of-touch and attitudinally defective. Others are embraced on the same order as the messiah.

So, much like the pastor’s wife, I am involved with but not participating in yoga. However, being immersed vicariously tends to wear away my resistance. Always seeking ways for self-improvement, and with Jackie’s continuing search for the holy grail, I found a Start Yoga five session course at Ojai Yoga Shala. Session one was last evening.

I arrived and was welcomed by the instructor, Alana Mitnick. She scanned her attendance sheet and identified me as Fred. Not difficult, as I was the only male in attendance. Four women rounded out the class, none of whom had yoga experience exceeding my own. I was also the oldest participant, giving me a built-in handicap in the event that I messed up. This was going to be my coming out party.

I collected my equipment, mats, bolsters, blocks and straps. So far so good. On to breathing, something I had practiced in anticipation of the class. Moving my hands up and down my body, while erotic, did little to reveal the mysteries that surely lay ahead. Lifting my tailbone, thrusting my pelvis and arching my back seemed all in a day’s work. Feel anything yet, like a revelation?

Leg and arm stretch, bending and kneeling, balancing and rocking. My ability to earn an A+ was only limited by my ability to hear Alana’s instructions. A lovely young lady with Mother Teresa’s warmth, she was blessed with a gentle voice. A voice that limited hearing much of what she was saying. Surreptitiously spying on my neighbors’ poses filled the gaps.

Alana’s long day at the mats revealed itself when she regularly praised the group without opening her eyes to look at us. Despite this chink in the armor, her lithe movements made me yearn for similar results, knowing full well that I probably would not live long enough to emulate her.

The session ended well beyond its advertised time. I did not celebrate its end like someone who can’t wait for a bad movie to be over. I had neither soiled nor disgraced myself. Neither had I found Nirvana. But I had found enough to bring me back next week.

I stopped for some borscht

My sweet neighbor, Sue, called me a couple of days ago to tell me that she had just made some beet borscht from local, organically grown beets. Sue does stuff like that and is always sure to call me with an invitation to partake in her latest culinary masterpiece. Borscht is just the half of it. Her other delights include warm, fatty chicken soup, designed to nourish the soul as well as the body.

“Come on by anytime for the borscht” she said. I finished driving the Help of Ojai bus around noon that Friday and, remembering her offer, decided to stop by Sue’s on my way home. I sent her a text message that announced by imminent arrival.

It was warm and sunny when I got to Sue’s. I knocked on the door twice but got no response. It was unlocked. I looked through the glass in the door and noticed a beckoning pint bottle of borscht sitting on the kitchen counter. I opened the door a crack. “Hi Sue, it’s Fred, come by for the borscht.” All quiet. Thinking that Sue had left it for me, I stepped in, snatched up the deep red bottle of cold elixir and drove home. Visions of a dollop of sour cream floating on top of the borscht flew through my mind.

I carried the bottle into my house. The phone rang before I could set it down. “Hello Fred. Did you take the borscht?” I told Sue that I still had it in my hand. Then she said that she had been home, but had been tending to Ralph, her husband. He had fainted and fallen. Now in bed, Ralph couldn’t remember how he got there. Fearful of what might have caused the episode, it prompted a trip to the emergency room. The usual tests, accompanied by the emotional tension of waiting for the results, revealed nothing that rest and chicken soup couldn’t make right.

Ralph is two months older than me. That fact is not lost on me as I consider that there, but for the grace of god, go I. And I’m already well beyond my biblical four score and ten. My friends are aging and experiencing problems similar to the one suffered by Ralph. Although I can logically understand the arrival of these maladies, it’s a shock when it happens.

Minor events, an ache, a pain, a spot on my skin that appears overnight, a stomach that behaves oddly, all give rise to concerns that are overblown and, yet, disturbing. The plethora of TV ads including pills, elixirs, catheters and other medical equipment including walkers, scooters and escalators that ferry one up the staircase were, at one time, of no interest to me. Now I pay a bit more attention, glad that I have no steps in my home.

This flies in the face of how I feel. My endurance has increased as evidenced by schlepping up and down Ojai’s Shelf Road trail. My strength has increased as demonstrated by my newly acquired Charles Atlas biceps. I can, if I wasn’t such a scaredy cat, qualify for the light welterweight boxing division. I have no debilitating chronic illness. And, not to brag, my sexual prowess is legendary…sort of.

A number of years ago while driving the Help of Ojai bus, I delivered a wheelchair passenger to the hospital. As I was putting up the chair lift, a local physician stopped to chat. He commended me for volunteering for this work. And then he reminded me that we all walk down the same path. His admonition has remained with me as a reminder that time is fickle and limited.

I know that today’s good health can become tomorrow’s burden. That my ability to tie my shoes can be delegated to another. That my trips up the Shelf Road trail can be traded in for a scooter trip to Rainbow Bridge. That the Help of Ojai bus may come for me.

And that’s why I have little sympathy for those who wonder why I’m in a rush. Why tomorrow isn’t good enough. Why procrastination is my enemy. Why what I shoulda done is not in my vocabulary. But sometimes I forget and look back on a week that flashed by much too quickly. A week that had no defining moment. And then I’m reminded of Ed Scanlon.

Years ago, when Ed was a passenger on my bus, I had decided to take photos of my clients. One Friday I pulled up at St. Joes where Ed was living. When I asked Ed’s permission to take his picture, he readily agreed and asked me for a copy. I asked about the purpose of the copy and he said it was for his obituary. Strange request, I thought. I took his photo. It sat in my camera for several weeks. I’ll print it for Ed tomorrow, I thought.

One Saturday morning I turned to page two of the Ojai Valley News. The page where they display the obituaries. And there was Ed. His photo was unceremoniously clipped from a group shot and was so awful that, at first, I couldn’t believe it was Ed. But it was. If only I had promptly done what he had asked, Ed would have looked dashing instead of like yesterday’s toast.

I have no more time to procrastinate or worry about when my health will begin to falter. I know it will and I will deal with it then. But now I’ll eat my borscht with a dollop of sour cream. I won’t let it spoil, like some dream.

A Look Inside

My annual physical is usually uneventful. A little high blood pressure partnered with an aging prostate have been my only close, chronic companions for many years. But this year a new friend came calling.

If you’re old enough, you’ve probably done that little test that involves the toilet, a flip card with three distinct slots and some wooden sticks like the ones that remain after you down a cherry popsicle. It’s a routine exercise that looks for suspicious characters who can wreak havoc in your colon.

A call from Barbara in Dr. Halverson’s office began the adventure. “Hello Fred, it’s Barbara. We found some microscopic blood in your stool and Dr. Halverson wants you to have a colonoscopy.” Barbara makes the calls that you’d rather not receive. She does it so well that at first you think she’s inviting you to a birthday party. And then it dawns on you. This is no party. This is serious business. Oh crap, I said without thinking of the possible pun. Images and scary thoughts floated through my head at lightning speed. All were X-Rated.

I called Dr. Covington’s office. The doctor and my colon have been close friends for about twenty years. He’s peered inside of it twice during routine colonoscopies without discovering anything of concern. But this was different. You need a preliminary office visit after which we can schedule the procedure. The impersonal voice on the phone wasn’t concerned about my colon and booked me for a visit two weeks hence. I thought Two weeks. Too much time to think. Too many scenarios to ponder.

But, like time will do, two weeks passed and I presented myself to Natasha, Dr. Covington’s physician assistant who took my blood pressure and scrolled through my medical history. “Yes, you should have a colonoscopy”, Natasha announced. It was comforting to know that the medical establishment was of a common mind. The procedure was etched into Dr. Covington’s schedule and I continued to consider possible outcomes, the most probable of which would not be found in a Dr. Seuss book.

The night before the procedure is laughingly called prep time. The Medicine Shop had kindly provided all of the essentials. Two six-ounce bottles of ghastly liquid, a sixteen-ounce plastic mixing container and a set of instructions and no-no’s that I dutifully read several times. Some years ago, before cooler heads prevailed, I had the pleasure of downing a silo full of liquid intended to wash out the colon. That grueling experience would have been adopted as an Olympic event had it not been replaced by the more innocuous six-ounce bottles. On this occasion, the current, less onerous procedure proved quite effective.

In the morning, my good friend and neighbor Yoram drove me to the colonoscopy center. The parking lot was full, populated by cars whose owners had empty, squeaky clean colons. The waiting area, behind a fortified door fit for a bank, was packed with apprehensive patients and their keepers.

Looking at the rows of glum faces, I spotted my friend Alan and his wife, Margo. “They’re running about a half-hour behind schedule.” Settling in for the long haul, I made idle chit-chat with Margo while Alan waited for his call to duty. His turn came and he walked the green mile through the double doors and into the preparation area.

My turn came about thirty minutes later. Lifting myself from the chair, I followed Nurse Ratched into the prep area where I removed my clothes, dutifully slipped beneath the sheet and waited. My personal assistant, a lovely RN, arrived and poked my arm with a probe seeking the fountain of youth. Or, save that, a working vein. Failing to do that, she then focused on my hand and deftly slipped the needle into the most sensitive part of my arm and announced, like Ponce de Leon, Eureka, I have found it.

My friend Alan, having completed the expedition into his colon, lay next to me. We spoke of the grand and glorious things that had been revealed by his colonoscopy, the current state of politics in this country, and the benefits of old age…which did not take very long.

We were one hour behind schedule when I was wheeled into a room that looked like it needed redecorating. Two lovely assistants made sure I knew who I was and told me that this would be over quickly. They donned outfits complete with face masks that reminded me of the costumes worn by the nuclear reactor bad guys in the James Bond movie Doctor No. I felt a little apprehensive, as all I had on was a K-Mart bed sheet.

Dr. Covington appeared and introduced himself for the third time in twenty years. I excused his lapse of memory for faces, since he normally focuses on the opposite end of his guest’s body. He said “Here come the meds.” And the next thing I knew I was standing by my gurney putting on my shoes.

It was all over but the shouting. Friend Yoram relayed the news from Dr. Covington. No bleeding, one small polyp removed. Nothing to worry about…except the seven days’ wait for the biopsy results. I sent some text messages. All is well and the usual stuff you add to relieve the stress. We had a hazy lunch at a restaurant that I will never be able to find again.

That evening I went to bed early. Awaking around 3am, I tried to reconstruct the last fifteen hours. I vaguely recalled Yoram’s prognosis but I questioned the accuracy of my memory. Had I really heard the findings as I now recalled them or was I hallucinating? I remembered the text messages and got out of bed to check my phone. There they were…including one that reminded me of the seven days of waiting for the biopsy results. Like opening an old scab.

Is life at my age a series of medical events, each one with the potential to seriously alter hopes and dreams? Does one live life fullest between annual physicals? Does time pass too quickly, with a cloud hovering over us like Al Capps’ Joe Btfsplk?

Seven days passed and I was able to push the biopsy to the furthermost corner of my mind. Not completely forgotten, but not preeminent.

Tuesday the phone rang and I missed the call. A message had been left by an 805 number I did not recognize. I listened to the call.  Hello, this is Doctor Covington’s office… Time stopped and I reviewed the possible second sentence scenarios at warp speed. I thought the rest of the message would never find its way to my ear. But it did. The polyp was benign. See you in five years.

The clouds lifted. It was time for a song. One that celebrates life and makes us live it while we can.

Sweetie Died

My one and only Sweetie died last week. She wrestled with Alzheimer’s for seven years and it finally took its toll.

It’s like peeling an onion. The first piece is your short-term memory. You will ask the same question over and over. Next comes a jumble of long-term memories. We’ll remove your ability to enjoy music, movies and live entertainment. Crowds will be your adversary. Your appetite will diminish and you will forget how to use a knife and fork. Your sweetheart will cut your food into bite size pieces. You’ll eat a lot of chocolate ice cream but not much else.

We’ll make dressing yourself a chore that takes more precious time away from living. You will forget how to tie your shoes. Along the way we’ll even add a few things, like headaches and pain. Or wild dreams that cause you to sit upright in bed and yell at the dark intruders. You’ll constantly repeat the same stories and create ones that are more fantasy than fact. You will visit the hospital ER several times and stay in the hospital some nights where you’ll rail against being there.

We’ll make you think you live someplace else other than your home. And wonder if your parents are still alive and do they know where you live. People will arrive who want to take care of you but you’ll swear at them and tell them to get the hell out of here or you’ll call the police. Your sweetheart will try to cope but he will feel much of your pain and anguish. Your sole entertainment will be getting in the car, driving into town, turning around and going home. Getting out of the car in your garage and walking to the house will become a terrible adventure.

Your sweetheart will turn his back for an instant and you will fall in the bathroom. And then you will fall a few more times. He will call the fire department to come and lift you from the floor, and you will tell them to mind their own business. You will finally get to bed, the paramedics will leave and he will wait for it to happen all over again.

You’ll sleep a lot on the chair in the sun room, the soft one in front of the fireplace and the couch in front of the TV. In a lucid moment, you’ll sit on the edge of the couch and say “I can’t do this anymore.”

Eventually you’ll have a caregiver because your sweetheart is exhausted. The hospice nurses will visit every day. They will bring a hospital bed, a walker, a wheelchair and other things that you thought you would never need. They will know things about life and death that only come from doing it over and over again.

You’ll fall asleep for days. Then, without warning, you will be gone. And your sweetheart will feel his heart bursting from his chest. And he will be alone for the first time in fifty-seven years.

And everything will remind him of you. He will fill his time by crying. And he will love you more than ever.


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