Communion Of Dreams


Why yes, as it happens I *am* still alive …

The past few months have been … eventful.

* * * * * * *

A couple of weeks ago I got back to work on St Cybi’s Well. Yeah, the break since I finished Chapter 14 was much needed, as I had hinted in my last cluster of blog posts at the end of May.

Why? What happened?

Well …

… in no particular order:

  • Discovery, and subsequent treatment, of a major cardiac health problem.
  • Completion of a full course of cardiac rehab.
  • A substantial change in our financial situation resulting from the sale of property we owned.
  • A bunch of resultant legal and investment research, planning, and changes which every adult should do but few of us ever get around to actually completing. Something about almost dying tends to focus the mind on such matters.
  • A couple of extended out-of-state trips.
  • My starting to train someone from the MU library staff in proper conservation techniques a couple of afternoons a week.
  • A complete new computer system & software upgrade, with all the fun of transferring archives and working files.

And then there’s all the usual business of living and working. Having a couple of months of my life sucked up by dealing with the cardiac problems & treatment meant a lot of changes and trade-offs … but it sure as hell beats being dead from a massive sudden heart attack.

* * * * * * *

So, a couple weeks ago I went through and re-read the entire text of SCW to date, then started working to pick up the story again and bring it to a satisfactory conclusion. Here’s an excerpt from the next section:

Darnell looked out Megan’s bedroom window, across the little lane into the large field beside the Tanat. The field, where so recently cattle peacefully grazed, was now a small village of tents and temporary structures. Most prominent among them was a large marquee someone had found and brought from a nearby town. Make-shift walls had been constructed of large plastic-wrapped round bales of hay from down the road, their tough skin making them weather and even somewhat fire-resistant. The marquee was the main recovery center, where people would be brought from the church after healing, allowed to emerge from the deep sleep at their own pace.

He turned and looked at his sister, who was sitting on the side of her bed. “There’s no reason for you to get up. We can handle it. Go back to sleep.”

There was a faint blue-white shimmer to her skin which never left her now. It wasn’t like she was glowing, exactly, but more like she had a permanent echo of the healing energy which she had used so much in the past couple of weeks. She shook her head. Darnell wasn’t sure whether it was in response to his comment, or just an effort to clear away cobwebs of sleep. “It’s better if it comes from me. I’m known as the Guardian of the Shrine. That carries some official weight with the Church.”

* * * * * * *

I got my garden in late this year. No surprise, given how things went with spring and the early summer. So my tomato plants were not as far along as they could have been when the first waves of heavy storms hit in June. Since then we’ve had fairly regular poundings of storms. And it looks like the tomatoes are almost at the end of their producing for this year — a full month or so early. But between what I harvested, and extra tomatoes picked up at the farmer’s market, I’ve put up about 60 pints of chopped tomatoes. Not quite as much as I would normally like to have, but not bad considering the situation.

And my habanero plants seem to be doing OK this year. Won’t be a bumper crop, but it ain’t nothing.

* * * * * * *

The past few months have been … eventful.

And a lot of things which normally get done, didn’t. Or were handled in a more superficial way than I would usually do.

But that’s OK.

 

Jim Downey



Spread your wings and … walk?

No, this is not about the ongoing fiasco which is the TSA. But it certainly could be.

Rather, it’s a chuckle I thought I would share about my cardiac rehab sessions. Remember those? I started them about a month ago, with all the expected advice about diet and exercise. Since then, except for a trip to California to visit family early this month, I’ve been a good boy about going to my sessions and putting in the time and effort to meet the goals they have for people who had a couple of stents installed like I had.

Actually, let me amend that: I met all the goals they have set with my first workout session. As in, for where they want you to be at the end of 36 rehab sessions. Today, at my tenth such session I hit twice those goals. That isn’t to say that I am some perfect physical example of athletic prowess; rather, it’s that typically when people have the procedure I had done, it’s usually because they have systemic atherosclerosis with all the problems that entails. I had a genetic defect. And while I am overweight and out of shape, I’ve managed to avoid the real damage of cardiovascular disease.

Anyway, I’ve been going to rehab 2 – 3 times a week, in addition to my regular morning walks and other yard/garden work. Frankly, I mostly hate it. I hate the TVs which are always on, tuned to some inane morning show. I hate the cheery encouragement of the nurses, particularly when they want to go over yet another handout they have about reading food labels and strategies for managing portion control when eating out. And I hate the pap of “motivational posters” featuring lovely outdoor images (which are fine) with mostly trite inspirational phrases in a very distinct typographical style. There are about a dozen of these things on the walls, mixed in with yet more posters about diet strategies and charts showing exertion and pain levels.

But …

… I noticed this one, lost in among all the others:

20160525_090230

It’s a little hard to read, with all the reflection/distortions, but it says: “Limitations. Until you spread your wings, you’ll have no idea how far you can walk.”

Er, what?

Turns out (as one of my friends noted on Facebook) that this is actually a DEmotivational poster. Yeah, one mocking the usual trite inspirational phrases ones.

I think that this is absolutely hilarious.

I don’t know whether it was slipped in there by someone as a joke which no one else has ever caught, or it was seeded among the others to give cynical bastards like me a chuckle, but it works. I get a laugh out of it every time I go to rehab. It makes the grim process of exercising slightly less annoying. And I think that is wonderful.

 

Jim Downey

 



The virtuous heart.

I got an object lesson in privilege yesterday. My privilege.

I went in for my first session/assessment for cardiac rehab, following the stent procedure I had two weeks ago. The RN who did my assessment had been a cardiac surgery nurse, and knew her stuff. She also had all of my medical records pertaining to my procedure, and was completely familiar with my overall health and particularly my cardiac health (which, as I have mentioned previously, is actually really good).

We went through what is the normal procedure for such things: I got hooked up to a heart monitor, she checked my blood oxygenation, my blood pressure, my pulse. All were excellent. Then we went through my exercise and dietary habits in pretty thorough detail, discussing the few points where my eating habits deviate from ‘accepted medical recommendations’ (which are actually just ‘outdated medical recommendations’ such as limiting how many eggs you eat in a week to just one or two) according to the forms she had to fill out. All that was routine, and the same material I had been over with at least half a dozen other medical professionals in the last month.

Then we got into discussing just exactly what the condition of my heart now was, and what was recommended to help me improve it, post-procedure. She started out with the model heart on the desk, relating it to how my own chart compared, and complimented me again on the fact that I basically have no other evidence of atherosclerosis or plaque build-up anywhere in my heart other than the one problem section of my RCA that they stented. She said something to the effect of “genetics plays a role, but undoubtedly your regular walking every morning for the last decade has made a huge difference.”

“I’m lucky. I’ve been able to arrange my life so that I could take the time out to do that, for the last dozen years or so,” I said.

She nodded. “A wise choice.”

“Well, not one a lot of people can make. Most people can’t just schedule an hour for daily exercise. Like I said, I’m lucky. Very lucky. ”

“True,” she said. “But I always tell people that whether or not to exercise is a choice they make.”

I paused, considered, then nodded. We went on with the rest of the assessment.

Why did I hesitate? Because in that moment — in her statement of my ‘choice’ — lies a perfect summation of my privilege.

I’m a ‘virtuous patient’, in the eyes of most of the medical community. I’m a nice guy, who is well educated, professional. I exercise regularly, eat (relatively) healthily, don’t smoke at all, and rarely drink to excess. I maintain good social integration, and work to have a happy marriage and a good support network of friends. I even floss more than is probably average.

So, since I do all those things, in their eyes the quirk of a fault that is my kinked coronary artery isn’t really my fault. It’s just a small bit of bad luck. A small bit which can be forgiven, because I make a lot of ‘good’ choices about how I go through life.

But while I have indeed made a number of choices which can be considered to be virtuous, my privilege lies in having been able to make those choices.  Realistically, how many people who are earning minimum wage are able to plan to go walking through their neighborhood (or at the local YMCA or city activity center or mall) every morning? How many people living in a food desert have access to plenty of fresh fruit and vegetables? How many people who are actually obese (I need to lose a good 50 – 60 pounds to be at my ideal weight), would be perceived as being lazy rather than working to maintain good health? How many people have the formal education and time to stay on top of modern medical research and discussion of best practices such that they can discuss the nuances of diet and exercise and the role it plays in cardiac rehabilitation?

I could go on and on. But I’ll refrain. For those who are already concerned with such matters, it isn’t necessary. And for those who seldom or ever consider how privilege affects health, it won’t be sufficient. However, perhaps a few people — you? — will take the opportunity that my privilege has presented to realize that how we judge the choices of others comes mostly from how we perceive them as people.

 

Jim Downey

 



Everyday miracles.

This is a follow-up to my previous post.

I just sent the following message to my primary care doctor:

Dr M,

I wanted to take a moment and thank you. Your recommendation that I take an echo stress test likely saved my life.

You’ll probably get the cardiac cath results from Dr W, but it may not include an observation he made when he first examined me: that had I come to his practice for a routine exam, presenting the same symptoms I told you, he probably would not have suspected such a serious condition. But the echo stress test clearly demonstrated that there was a major problem. And that the cath procedure showed just how bad it was: 95-99% blockage in the lower part of my RCA.

The seriousness of that condition was masked by my overall/otherwise heart strength. But it could have *very* easily resulted in a serious M.I. or even death. Had you not picked up on the subtle indications we discussed, and taken the prudent step of recommending the echo stress test, my true heart condition may not have been discovered until it was far too late.

So, thank you. Your intelligence, education, and experience probably have added decades to my life.

Why am I sharing this?

Because I got extremely lucky. And I want others to benefit from that luck, and my experience, if possible.

As it turns out, the overall condition of my heart is remarkably good. The strength and efficiency of that muscle is at the very top range for normal healthy people, or at the lower end you’d find in a serious athlete. Furthermore, there are no other indications of atherosclerosis or plaque build-up.

However, due to either a genetic or developmental defect, the lower part of my RCA is badly kinked/convoluted, creating a situation where eddies in the blood circulation form, and allowing what plaque I do have in my system to accumulate, like a sandbar will develop as a result of a bend in a river. In my case, that accumulation had progressed to the point where just the slightest additional clump of plaque could have closed off the artery completely, allowing a part of my heart to die. That’s a classic heart attack, folks.

But the strength of my heart overall was such that it almost completely masked the condition of my RCA. It wasn’t until I was up to about 90% of my heart rate maximum while taking the stress test that indications of the problem surfaced. And even then, just how bad the situation was wasn’t fully known until the cath procedure was done. But when the cardiologist went in and directly observed the condition of my coronary arteries, he saw the problem. And with about 90 minutes of hard work, corrected it with a couple of long cardiac stents.

That was just three days ago. I actually left the hospital the next morning, and have been playing catch-up on things since then.

Think about that: for 90 minutes, a team of medical professionals were playing roto-rooter with the inside of a major artery of my heart. I was completely awake and unsedated through the whole thing. The next day I left the hospital, walking on my own without difficulty. This morning I got in my usual morning walk of a mile. For about another week I have to take it a little easy, to let the puncture site in my femoral artery completely heal, and for the next year I need to take blood thinners, but otherwise I don’t need extraordinary care.

That’s pretty miraculous, in my opinion. One of the everyday miracles which surround us, and which we seldom give due consideration. Stuff that not too long ago would have been considered science fiction.

Anyway, here’s my advice, though you’ve heard it before: pay attention to your body. Don’t succumb to toxic masculinity. Or, if you’re a woman, to the illusion that you’re immune. If you think that something is going on, get it checked out. A little embarrassment at being wrong beats dying.

 

Jim Downey



Shorter of breath, and one day closer to death.*

“Well, I’d hate for you to have a heart attack,” said my doctor. She was standing against the wall in the small exam room, arms folded in a classic body language message of being skeptical about what I had just said.

* * * * * * *

I wrote this in September 2007:

And as I stood there at the sink, washing the dishes, thinking favorably on the option of having a heart attack, it sunk in that I was done. I mean, I’d been considering that a heart attack might be the best solution to my problems. Yeah, a heart attack. Hell, at 49, I’d probably survive it. It’d come as no surprise to anyone, given the kind of physiological and psychological stress I’m under. No one could blame me for no longer being a care-provider for someone with Alzheimer’s. Hey, it might even get someone to think about noticing my writing, since a tragic character (whether alive or dead) always gets more notice as an artist than does someone who has their life, and their shit, together.

That was a few months before our care-giving journey ended, and Martha Sr passed away. For those who don’t know the story, I was able to re-center, and continue with my role as a care-provider the next day. The following year was spent recovering from the stresses of that role, and getting my shit back together. Because in spite of the perspective indicated in the final sentence of the passage above, my hold on things wasn’t nearly as solid as I thought at the time.

Such is often the case. I think it’s a defense mechanism, with more than a little toxic-masculinity.

* * * * * * *

Did I say toxic-masculinity? Why yes, I did. Such as in this timely article:

Men, in short, are less likely to seek preventive care than women and more likely to put off seeing a doctor when in need of medical care. They also prefer to seek out male doctors, but they tend to underreport pain and injuries to male doctors, thereby compromising the chances of receiving optimal care. And all of this, it should be said, is particularly true among those men who prescribe to masculine ideologies.

“Masculine men tend to not go to the doctor, and when they do, they tend to pick male doctors whom they then underreport their ailments to,” Sanchez said.

* * * * * * *

We recently had a change in our financial situation, thanks to the sale of some property we owned. That, combined with the protections of the ACA which mean you can’t be as easily penalized for a pre-existing condition, made it a lot easier for me to make the decision to having something checked by my doctor.

Howso? Well, our income has never been huge. In fact, it’s always been pretty modest, though in recent years it has gotten better and become more stable. But still, if I had something turn up which required me to miss a significant period of work, or which came with a large insurance co-pay for treatment, we would have lost what progress we had made. And not having to worry about having a documented ‘serious health issue’ mess up my insurance coverage in the future is a huge relief.

In other words, I’m financially stable enough to get sick. Hell of a system, isn’t it?

* * * * * * *

“Well, I’d hate for you to have a heart attack,” said my doctor. She was standing against the wall in the small exam room, arms folded in a classic body language message of being skeptical about what I had just said.

Which was that I was reluctant to go see any medical specialist, since the way the system works it’s almost guaranteed that they would find something which needed ‘treatment’. After all, none of us are walking perfect models of health. And, as the old adage goes, never ask a barber if you need a haircut.

But I nodded my head, sitting there on the exam table.  I had my shirt back on after they had done the in-office EKG, which showed that everything at present was OK, but that there were possible indications of problems in the recent past. And the very mild symptoms I had recently were possibly indicative of a coronary arterial blockage, and it runs in my family on my father’s side. “Yeah, me too. OK, go ahead and book me for a stress test.”

She nodded, we chatted some more, and she left.

I had the stress test last Friday. Got the call with the results yesterday.

No complete blockages. But some constrictions which need to be addressed. So yeah, sometime soon I’ll be seeing a cardiologist, and we’ll discuss options from there.

It’s not good news. But it’s not horrid news. After all, this is one of the most common medical problems around the world. So we’ll see what happens.

But I’m glad that I’m lucky enough to be in a position to have it found, treated (to whatever extent possible), and not worry about it completely ruining our financial situation. And I’m also glad that I’m not quite macho enough to think that I should ignore the classic symptoms, as mild as they were.

 

Jim Downey

*Of course.

PS: if you feel the need to post a political comment related to the ACA … don’t. I’ll just delete it.



The Storytellers.

You should read this: Born to Be Conned. Seriously, it’s a very good examination of the human tendency to construct narratives to explain the world around us, and how that trait can easily be manipulated and used against us. Here’s a good passage, explaining why we’re susceptible to grifters of every sort:

Stories are one of the most powerful forces of persuasion available to us, especially stories that fit in with our view of what the world should be like. Facts can be contested. Stories are far trickier. I can dismiss someone’s logic, but dismissing how I feel is harder.

And the stories the grifter tells aren’t real-world narratives — reality-as-is is dispiriting and boring. They are tales that seem true, but are actually a manipulation of reality. The best confidence artist makes us feel not as if we’re being taken for a ride but as if we are genuinely wonderful human beings who are acting the way wonderful human beings act and getting what we deserve. We like to feel that we are exceptional, and exceptional individuals are not chumps.

The piece also reminds me a lot of Carl Sagan’s The Demon-Haunted World, because of this insight:

Before humans learned how to make tools, how to farm or how to write, they were telling stories with a deeper purpose. The man who caught the beast wasn’t just strong. The spirit of the hunt was smiling. The rivers were plentiful because the river king was benevolent. In society after society, religious belief, in one form or another, has arisen spontaneously. Anything that cannot immediately be explained must be explained all the same, and the explanation often lies in something bigger than oneself.

I don’t mean to pick on religion here, just to point out that this is a very human trait. In fact, I have often wondered whether it is a defining human characteristic, something which could easily set us apart from other intelligent species. It’s fairly easy to imagine how intelligent, sophisticated, technologically-advanced civilizations could be constructed by species which don’t have this human gift for storytelling. You can, after all, have curiosity and scientific inquiry, art and poetry, even narrative and historiography, without having something like literary fiction.* I think that it might be interesting to write a science fiction story/series based on the premise that humans become the storytellers of the galaxy, because of our unique ability to create explanation narratives unrelated to reality.

How very meta.

 

Jim Downey
*Of course.



And you thought Skynet was scary …

Three billion bank accounts ended on August 29th, 2016. The survivors of the monetary collapse called it Judgment Day. They lived only to face a new nightmare: the War of the Billionaires. The cartel which controlled the money, Ca$hnet, sent several Terminators back through time. Their mission: to leverage the buyout of the remaining political system. The first Terminator had taken the form of Donald Trump, who quickly moved to consolidate power in the Republican Party. The second Terminator was known as Micheal Bloomberg, who sought disruption and control of the Democrats. By the time Terminators Gates, Zuckerberg, and Buffett showed up, the working republic which had struggled for decades was finished.

Then the Billionaires began to war among themselves …

 

Jim Downey

(With apologies to James Cameron.)
[I can’t believe I just said that.]