Door Number One, Two, or Three?

I was scheduled to have an angiogram to examine my heart. The recent stress test I had showed an area that needs to be examined further.

They said there are three possible outcomes:

Outcome 1) the angiogram will show everything is normal, that it’s a false alarm. In that case it will be an outpatient procedure and I should go home without being admitted for a hospital stay.

Outcome 2) there is some reversible blockage they can fix with angioplasty and a stent. In that case they will likely keep me overnight in the hospital. That would require a week of recovery.

Outcome 3) there is extensive blockage requiring bypass surgery. That option would put me out of commission for a while.

Okay. I choose outcome number one!

Unfortunately it doesn’t work that way. They won’t know until they are in there which of the three outcomes it will be, and litigation potential liability prevents doctors from hazarding a guess to calm my fears.

So I thought of the old TV game show where contestants had to choose between door number one, number two, or number three to determine whether they won or lost the game. The audience would wildly scream “choose one!”, “choose three!”, or choose two!” as if they had any clue what was there.

Thankfully, in my case, I couldn’t choose. The choice was in Hands bigger than mine. And He chose door number two: a stent with a week to recover.

Laying in the hospital bed the day after the procedure I am grateful for the outcome. Now I can go home and sleep for a week. Cool.

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Abnormalities that Facilitate more Testing

As a speech major in college my professors were always pushing me to choose words that accurately communicated the thoughts I put forth. One careless word could place the entirely wrong picture in my hearer’s mind.

Each profession, it seems, has its own vernacular way, with pet phrases, acronyms, and alphabet soup. Whats more, as complex as the English language is, it is sorely wanting in some situations.

So when the nurse called me late Friday afternoon to schedule a follow up appointment to my heart stress test, her choice of words left me a tish befuddled. She said she was calling to tell me that “there were abnormalities in my test results that facilitate additional testing.” She politely told me I needed to come see the doctor soon, and that until I did I should avoid any strenuous exercise and anxiety. She said that either the doctor or a nurse practitioner would go over the results with me and answer my questions when I came in for the appointment.

“Abnormalities that facilitate additional testing.” It almost sounds like additional testing is something I wanted or could look forward to. With my engineer’s mind I thumbed through the cobwebs in my gray matter to remember facilitate means to make easier, or less difficult. It means to free from impediment – to make something possible. So after I hung up the phone I’m sitting there thinking why in heaven’s name would I want to make having more tests easier or possible. I don’t want any more tests. Yet the nurse sounded like she was bringing good news. “You’ve won the lottery!”

It turns out that doctors use a different dictionary than engineers. Facilitate in the Medical Dictionary means “to increase the likelihood, strength, or effectiveness of…” So, translated, the abnormalities in my stress test results mean it is quite likely additional testing will be required – and that the additional tests will be effective. One might say the additional testing will facilitate some procedure or repair – that that may facilitate healing – and the healing may facilitate feeling better and restored health.

Now we are getting somewhere. Perhaps the nurse should have just skipped all the middle parts and told me “there were abnormalities in your test results that may facilitate feeling better and restored health!” That sounds much more like “you’ve won the lottery!” than what she said. And she could have skipped the part about anxiety altogether.

Alas, back to reality: heart stuff is important. No one likes hearing that there is something amiss with their heart. I certainly don’t. I’m not too worried about death. Pain, however, is a terrible mistress. Convalescing in dependency on a caregiver is not my cup of tea. And as for the medical tests: I’m sure someone stays up late at night trying to figure out how to make them more intrusive, embarrassing, and more difficult in general. I mean you have to wonder how in the world someone thought of some of the concoctions, posing positions, and/or physical intrusions used in today’s modern medicine. And why can’t one of them figure out how to create a gown that ties in the font and covers your bum?

Well, there ya have it for today. I’ve been facilitated. I can’t wait to hear what’s next.

A heart beats about 100,000 times every day. That’s 35 million times a year and 2.5 billion times in an average lifetime (whatever average is). With such a large number of beats you would think they’d all get meshed together or lost in the crowd. As it turns out, though, we can all find the single most important individual heartbeat out of the 2.5 billion beats in less than a second. The most important beat is the next one…

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May Gray, June Gloom

When I lived in Southern California the locals had names for the ocean fog that appeared in May and June. They called it “May Gray” and “June Gloom”. Indeed, after a few days of overcast skies and cool breezes I found that my psyche and overall disposition were sometimes affected by the gray. Matters got worse when my late wife Sharlene died the day before Mother’s Day, May 12th, five years ago. I find I fall into a depression funk on the anniversary of my late wife’s death. A good cry is always therapeutic.

It seems fitting, perhaps even appropriate then, that the past week has found the skies on the east coast gray and gloomy where I live. As I’ve written in the past few posts I’ve been buzzing through a to-do list trying to check off some healthcare related things I’ve put off since moving here in 2008 (Dentists and medical Specialists). A couple weeks ago it was the dentist. Early this week there was a stress test to satisfy a new Cardiologist who will watch after that closet of my life. Now there is the waiting period to find out the test results. Even without their help, my allergies and age-related aches and pains get my conscious thought sometimes. May Gray.

What’s more, I am a creature of routine. I like my days and weeks to be predictable. September’s back to school ritual is particularly enjoyable for me because the summer vacation lack of routine, trips, graduations, late night bedtimes, are all over. Now that’s something I can get excited about! Today’s date on the calendar is about as far away from September as you can get. May Gray.

Somehow life continues during the month of May. And life is unfair, to say the least. For whatever reason there can be a disproportionate flood of unexpected expenses and maintenance challenges when Spring warms things up. Lo and Behold, it appears that teenagers can spin their best drama in the Spring, cars break down, roofs leak, pets get sick, and on and on. May Gray. Kind of depressive, don’t you think?

Then when my head leaves the room my feet are standing in, I run forward down the path a little too far speculating what lies ahead and boom! I fall down. June Gloom!

STOP. Enough already. Be still. breathe in, breathe out. May Gray be gone! June Gloom don’t even plan to visit my universe next month! Your spell is broken. I won’t succumb to the external flood of crud. God’s in charge of today. God doesn’t make mistakes. Today has no mistakes on its schedule. It is going exactly the way He intends it to. It’s not May Gray – It’s a May Bouquet! It’s not June Gloom. It’s June Bloom! Beauty and Growth.

So life, what’s next? Bring it on!

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Getting Old ain’t for Sissies

Part of getting old responsibly is keeping up with your healthcare. Leaving all your healthcare professionals behind when you move to a new place doesn’t help any.

When I moved here about four years ago I left behind a squadron of specialists I had accumulated over the years. Neurologists, cardiologists, urologists, and of course the dentist and my regular general practitioner.

Not long after I arrived here I found a new general MD who would refill the various meds I was taking and look after whatever owies I had. And a couple of problems I brought with me required me to find a neurologist and urologist during my first year hear. That all worked out well and my troubles were minor.

But you know what they say: “if it ain’t broke, don’t fix it”. So I kind of ignored the things that didn’t seem broke. I didn’t go to the dentist or the cardiologist. Now it seemed like a good idea to find new ones out here. And so I did.

As you read previously, the dentist visit produced its own reward: a year long effort to get repaired. And Monday I saw the cardiologist. And of course he was a good one. So he groused about how high my blood pressure has gotten, and since its been five years he wants me to undergo another stress test with their nuclear imaging. More rewards.

The biggest thing that nags at me is the ol’ “what if they find something?” question. I have heard many horror stories from my friends about angiograms. Quite frankly I can forego that pleasure. And hopefully I will. But then again, I have a week to worry.

Wish I could let it all go. There is a saying that begs the question: if you pray, why worry? And if you worry, why pray? Guess I should choose one and stick with it. Then again, maybe I need to let go of the one I’ve chosen and try the other one for a while?

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Do you want that in White Porcelain or Stainless Steel?

So the question of the day was “do you want that in white porcelain, or stainless steel?” It’s been a hard week. The path has lead to one thing after another. I’m tired, and the whole process is wearing thin. But of one thing I’m certain: my pretty wife likes stainless steel. So stainless steel it is.

Both porcelain and steel are durable. And they both look nice in the right setting. Functionally they both do the job. I tend to lean toward porcelain though. Not sure why. Maybe it is because stainless steel shows its scratches and wear more. I guess you can say it “makes memories”.

It rained all weekend last weekend. A leak in the roof developed over the laundry room. So we got that fixed. It wasn’t too expensive and the repair guy went the extra mile and cleaned out the dryer duct while he was at it. With my personality, though, the time between discovering the problem and when the problem was fixed was quite stressful. That was probably because I learned early that whatever was broken or damaged in the house needed to be fixed quickly, and it would cost money. And my experience has been that required repairs usually don’t show up at a convenient time, nor do they follow the script that I would write for them. Often one thing leans to another and when it rains, it pours.

So it was this week. No sooner than we got the roof leak fixed than there was a new puddle of water on the laundry room floor. And, believe it or not, it wasn’t from the roof. It was from the washing machine. Of course figuring this out took moving the appliances, cleaning the floor, and drying everything up at the first puddle, then putting everything back, firing up the washer, and sadly seeing the second puddle (my first evaluation of the problem was that the water had probably been left over from the roof leak and wasn’t created by the washing machine). The second puddle also required that the appliances get moved and the water cleaned up. But of course this came later in the evening when my response cut into my sleeping time. Then again, I was stressed out enough over all of this that sleep wasn’t a quick option anyway.

The idea of finding a laundromat to do laundry for a family with 5 kids was enough to push me to look for a quick solution. And my best friend and helper – my wife – carried the torch today and shopped for a new washer (and of course a matching dryer). The old set we have is in porcelain white. The new set she ordered is stainless steel. It will match our new kitchen appliances. And this is how the question got stuck in my head: Do you want that in porcelain white or stainless steel?

Since my late wife died 5 years ago I’ve been living life differently, changing more and more it seems all of the time. The old way was certainly in porcelain white. I loved to be able to clean everything up and let the white cover over the memories. New stuff without dents appealed to me. And porcelain white matched what everyone else had.

My new life is probably better suited for stainless steel. Living forward is good, and accepting where the path goes is better. But the finger prints and scratches left behind on the stainless steel mark the memories. Life has its weeks. It can be difficult. It can also be fast and carefree. Nothing changes but a few days time. And my attitude. Scrubbing Comet on white porcelain to erase last weeks memories isn’t what I want anymore. A scratch or dent here and there is so much more real. To that extent I think stainless steel is alive. It remembers better.

So… Life. I’ll take it in stainless steel. If my set isn’t different and unique from everyone else’s, give it a week. It will be. And my memories will be easier to see and longer lasting. I like that.

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One Tooth Less

Rather than leave you hanging after my last post I am writing today to say the rumors of my demise have been greatly exaggerated. I’m still alive and kicking – with one tooth less.

The trip to the oral surgeon began with the scary forms. And then the noise of cutting the bridge and a tooth extraction. And then we were done, for now. I have to go back in a month or two and move forward with the sinus lift and post implants. So, there is something to look forward to.

Yes, it was a painful weekend. The worst was the blues and borderline depression. I suspect that had as much to do with the pain medicine they gave me as it did with facing my age-related dental challenges.

So I just kept praying “Thank You for today, I’m watching for Your hand, I’m accepting where it goes.” When I couldn’t find my way out of the blues I just went to sleep. And I woke up thankful for a patient and wonderful woman who is my best friend.

So… one less tooth and one more day. And the best friend a guy could ever have. I am truly blessed.

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What a Pain

I have written before about my daily prayer: “Thank You for the day, I’m watching for Your hand today, and I’ll accept wherever the path goes today.” Often I rattle it off in ritual without spending any great time on the details. But today I paused, held back by my concerns for what awaits for me tomorrow.

The past few weeks I have had trouble with my sinuses. This for me is a common malady during the pollen season, which in this part of the country runs pretty much 8 months out of the year. Last week we were out of town for a few days in the Shenandoah Valley – and the pollen over there was much worse than it is here. My reaction included a fever and some pain. My doc said it was a virus with allergies, but this week my teeth bothered me enough I decided to see a dentist. Yesterday the dentist told me to go to an oral surgeon. And tomorrow I begin the unpleasant work of removing a failed bridge and perhaps having a “sinus lift”, whatever that is.

I’m a wuss when it comes to pain – especially tooth pain. So hearing I have to have a 4 tooth bridge cut, an extraction, and surgery on my sinus cavity, makes me cringe. I’ve been through oral surgery a few times and about all you can do is grin and bear it. My experience has been that it is not uncommon to endure pain for a few weeks following such a procedure. Then of course there are those scary release forms you have to sign. Sign them and if you are fortunate, in a couple of hours you are in the car headed home in terrible pain wondering how you will make it through the weekend.      Ow.

And somewhere in the very dark recesses of the mind is that nagging realization that things could go wrong, and that this may be “it”. At my age you just can’t take any day for granted. They are all a gift. Especially the ones when you sign scary release forms.

So, ready or not… tomorrow is coming. And, I’ll wake up to say “Thank you God for the day. I’m watching for Your hand today. And, I’m accepting wherever the path leads me.”

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Let it Go

Indecision is an enemy of mine. Fortunately my week follows a pattern of sorts so many of my daily decisions are sort of pre-made, I just repeat what I did the day before. I find that is very helpful during my daily activities before my first cup of coffee.

I’ve always said that before my coffee I’m kind of like one of those old-time toys that drives forward until it runs into a wall, backs up, turns 90 degrees and goes forward again. So there is not a lot of heavy thinking when I first get out of bed in the mornings.

Of course there are many decisions that must be made each day that require careful thought and evaluation. And when it has to do with something I am knowledgeable about making a decision is rather quick and painless. On the other hand, let something pop up that I know very little about, and the process is much more daunting.

Generally a few times each year my routine is put on its ear and I have to make plans to travel out of town for business or pleasure. That can be difficult enough by itself, but when the trip is to a place and situation I haven’t been to before, all bets are off. My whole system goes into shutdown.

The process goes completely bankrupt when the trip’s plan relies upon some one else’s dependability and changing schedule. Trying to sort through all of the scheduling dates, times, and expenses – particularly where airline tickets are involved – is completely maddening.

But alas, such can be the case in a blended family when you rely on someone else to live up to their commitments. It can seem unimportant to another person if a few thousand dollars are lost on non-refundable airline tickets.

But with five school-aged children trying to find a willing babysitter for a few days is quite impossible. So it comes back to the reliability of an outsider. And that is where it all falls down.

One of the mantras my beautiful wife has hammered into me when things seem to go haywire is “let it go”. And that’s a good line to remember when I get too caught up in all of it, and it is just not time to decide. Let it go.

So this past weekend when our dinner plans to celebrate our first anniversary all fell apart I heard “let it go”. And when our Spring Break trip west couldn’t be planned because it was too expensive as we had to wait until the last minute not knowing for certain where the kids would be, again I heard “let it go”.

Decisions that are urgent are often truly unimportant. And decisions that are important can often wait. So when indecision is all I can find I need to calmly let it go. And… Be very very grateful to have a wife that is really okay with letting it go.

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Writer’s Block

I have always enjoyed writing. It is one of my favorite things, whether for work or for personal enjoyment. So the phenomenon called “Writer’s Block” has been an interesting hiccup when it occurs. Yet I notice it has been quite a while since I’ve written here, and the knee jerk answer is “writer’s block”.

Today I see evidence, however, that writer’s block is not the result of a lack of material or subject matter. Quite the contrary. In the past days we have experienced solar flares unlike any we’ve had for 10 years; my 12 year old son has been to the emergency room to have an Airsoft gun plastic bb removed surgically from his head; my first year wedding anniversary is coming up Monday; the broadcast industry is upside-down with some efforts by federal regulators to change the landscape of many long held procedures and policies; and I have been working on some personal growth with specific challenges. So you can see there is no shortage of material for the pen.

The words appearing on my screen this moment as I type this are testimony to the fact that I have time to write. I cannot blame my busy schedule for robbing me of the opportunity. I’m rested and alert, so that’s not the problem. And, I’ve seen the Almighty’s hand in my life during the past week, so inspiration is not lacking.

It must be Writer’s Block. What else could it be?

Perhaps the dormant time between epistles is no more than a writer’s nap, or a night’s sleep? I don’t beat myself up for enjoying a long night of sleep after a busy day.  In fact I accept it as entirely necessary for my health and survival. Often my best work is done when my mind is fully refreshed. Maybe Writer’s Block is just a good snooze?

With that, I’m gonna roll over and go back to sleep. See you in the morning…

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The Sun Kings

I just completed reading “The Sun Kings: The Unexpected Tragedy of Richard Carrington and the Tale of How Modern Astronomy Began”, by Stuart Clark. It is an excellent book.

The intrigue of the book centers around the massive solar flare of 1859. And the way it is written I was captivated from the first paragraph. The book documents decades of the history of the study of the sun. It evolves into even more detail about the early study of the earth’s magnetism. I learned a lot of new details I never knew about how we came to know what we know today, and perhaps more interestingly: I learned that we really don’t seem to know much.

Life as we know it is precious. Each day is certainly a gift. It probably isn’t that noteworthy that the earth could end with a simple burp of the sun. The true miracle is that our universe is even alive and functioning at all.

God, Thank you for today.

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