Filed under: Bipolar, Brave New World, Connections, Depression, General Musings, Health, Predictions, Survival | Tags: atherosclerosis, bipolar, blogging, brick walk, cardiac stent, construction, creative process, darkness, depression, exercise, genetics, health, jim downey, luck, medicine, mental health, predictions, privilege, society, stent, technology, Wikipedia, writing
As I’ve noted previously, I’m mildly bipolar, with my ‘natural’ bipolar cycle running about 18 months. I had noticed the start of a psychological downturn three or four months ago, following the intense boost that came with the discovery and correction of my cardiac artery blockage and subsequent recovery. Since I don’t usually realize that I have taken a downturn until it has gone on for a while, I’m guessing that I’m approaching the bottom of the cycle.
* * * * * * *
Some 50 years ago, my father-in-law (who I never met — he passed away before my wife and I knew each other) put in a simple brick walkway around two sides of his garden. OK, that doesn’t sound like too big a deal. But his garden was almost a full acre in size, and the walkway more than 100 yards in length. Yeah, it really is that long.
After his death, the garden was reverted back to lawn. And slowly the brick walkway was reclaimed by that lawn.
But since the house remained in the family, memory of the walkway wasn’t lost. Some time back the walk was uncovered, and for the last decade or so we did a pretty good job of keeping it clear and used. Here’s a pic of some of it:
Note the box turtle in the patch of sunlight in the upper part of the pic.
* * * * * * *
I sent this in a message to a friend this morning who had asked if I was feeling more healthy these days:
I do feel a lot stronger and more … vital. But I really don’t want to be one of those ’50-something year old guys who discover the power of exercise!’ At best, it’s annoying to most people. At worst, it’s obnoxious able-ism. My situation, both my peculiar genetic problem and my lifestyle permitting me to get a LOT of exercise time in, is extremely unusual, and not something I can claim as being due to my own effort.
Yeah, I think a lot about this.
* * * * * * *
For a couple of years we’ve talked about rebuilding the brick walkway, because while we’ve been able to keep it uncovered, it is nonetheless ‘sunk’ relative to the surrounding lawn. Meaning that it collected grass clippings and mud, tended to puddle, and retained ice and snow for a prolonged period. Plus there were sections which had been damaged by construction and heavy trucks which came into the yard to do utility and tree work.
But redoing a 300’+ length of brick walkway is no small task. To do it correctly would require a lot of work and a fair amount of expense for proper landscape edging, landscape fabric, gravel/chat, and sand. And if we were going to go to the trouble of redoing it, we wanted to do it correctly and expand it a bit.
About two weeks ago we ordered the first four cubic yards of chat, got some of the other materials, and got started. Since the edging material we’re using comes in 60′ lengths, we decided to use that as the operative size of each ‘section’ of the walkway. The first step was to remove the old brick walk:
Then expand the bed, take it down, and level it out:
Then put down the base layer of chat on top of the landscape fabric:
And then start putting down brick. Here’s how far we’ve gotten as of yesterday afternoon:
With luck, we’ll finish getting the rest of the bricks laid in this ‘section’ today or tomorrow. Then we’ll be about one-fifth through the whole project.
* * * * * * *
As I’ve noted previously, I’m mildly bipolar, with my ‘natural’ bipolar cycle running about 18 months. I had noted the start of a psychological downturn three or four months ago, following the intense boost that came with the discovery and correction of my cardiac artery blockage and subsequent recovery. Since I don’t usually realize that I have taken a downturn until it has gone on for a while, I’m guessing that I’m approaching the bottom of the cycle.
One of the things I learned long ago is that doing something constructive helps me cope with the depressive part of my bipolar cycle. By focusing on something in discrete chunks, I can slowly ‘walk’ out of my depression, since I can see tangible progress happening on something.
We probably won’t be able to finish the full 300’+ of the brick walkway before winter sets in. But that’s OK. Being able to spend a couple of hours working on the walk each day (when the weather permits) helps. It’s good exercise for my body. And it helps to keep my mind from falling too far into the darkness.
Filed under: Book Conservation, Brave New World, Connections, Emergency, Failure, Faith healing, Gardening, General Musings, Health, Predictions, Preparedness, Promotion, Psychic abilities, Religion, Science Fiction, Society, Survival, Travel, University of Missouri, Wales, Writing stuff | Tags: atherosclerosis, blogging, book conservation, bookbinding, Communion of Dreams, excerpt, faith healing, finance, gardening, Habaneros, health, heart attack, jim downey, Legacy Bookbindery, legal, luck, miracles, MU, myocardial infarction, predictions, psychic abilities, religion, science, Science Fiction, St. Cybi's Well, stent, survival, teaching, technology, tomatoes, University of Missouri
The past few months have been … eventful.
* * * * * * *
Why? What happened?
… 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.
Filed under: Connections, Failure, Feedback, Health, Humor, Society, Survival | Tags: atherosclerosis, blogging, choice, diet, exercise, health, http://despair.com, humor, jim downey, Limitations, luck, motivational, penguins, science, society, stent, technology, Wikipedia
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.
… I noticed this one, lost in among all the others:
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.”
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.
Filed under: Emergency, Health, Preparedness, SCA, Survival, Violence | Tags: cane, cardiac stent, D.I.Y., defensive, health, Preparedness, SCA, self-defense, survival, violence, walking stick
(So, been a while, eh? Yeah, it has. But no worries, things have been going very well, through a lot of minor and not-so-minor changes. More about all of that will emerge as I get back into regular blogging — you’ll see.)
A few weeks back a friend posted a question to a discussion group along these lines: what was a good, basic self-defense item which you could have under most situations which would be innocuous yet effective?
But after a bit, a general consensus which emerged was that a walking stick or cane would fit the bill. And people posted links to various such items, ranging from the very basic to the traditional to the ultra-modern. There are a HUGE selection of different options out there, if you just do a search for one. Looking through a bunch of different choices, I got to thinking that it should be pretty easy for anyone with minimal woodworking skills to make their own walking stick to their own specs, for a lot less than most of the items was seeing cost.
So I set out to see what it would take. And I set my goals:
- The stick should be made from readily available materials, with minimal tools.
- It should be completely free of all metal, so as not to arouse suspicions when being scanned.
- It should look and function as a real walking aid, not just a disguised cudgel.
- It should nonetheless be an effective defensive tool.
- It should cost $25 or less.
I stopped by a local home improvement store, and found the following:
That’s a 1.125″ rubber foot for about 50 cents, a wooden (oak) decorative cap (finial) that was about $4, and a hickory replacement handle for a sledgehammer or axe for about $14. Here’s another pic:
I chose hickory because it is well known to be a hard, dense wood. Next pic:
I removed the metal screw from the finial, then used a spade bit to expand the hole to about an inch. I used a wood rasp to make the mounting end of the replacement handle likewise about an inch in diameter.
Then I added some wood glue, and tapped the finial onto the replacement handle.
I did the basic shaping of the finial into a knob suitable for my (large) hand.
Here’s the top of the finial. I inserted a bit of .375″ dowel into the hole with some wood glue, then allowed it to dry. When it was dry, I rasped the whole thing down to a smooth hemisphere about the size of a tennis ball.
That’s the overall stick. It’s about 37.5″. Note that it is no longer quite the same size or shape of an axe handle — I spent an hour or so with the wood rasp, and took it down a fair amount. There it’s smooth, mostly uniform (no longer has as much of a swell in the wood up by the head), and about .25″ narrower and thinner.
This just shows the finished width of the handle — about 1.5″. It’s also just about 1.25″ thick. Both of those dimensions are a little larger than your typical commercially-available cane, but it no longer looks like an axe handle. After I was done with the rasp, I smoothed it out with some 60-grit sandpaper, then some 120-grit, then some 220-grit. I wanted it smooth and ‘finished’, but wasn’t worried about it being super smooth.
I then gave it three coats of urethane stain (dark walnut), sanding lightly between each with 600-grit sandpaper. Then I added the rubber foot and a simple braided leather lanyard.
Another detail of the head.
Holding it with the lanyard around my wrist.
That’s it. Simple, effective cane/walking stick. Nothing metal or high-tech about it to alert someone that it is anything other than a walking stick. Total cost under $20, since I already had some simple tools, sandpaper, and stain on hand. And a total of a couple hours of labor.
Something I want to note: the handpiece/finial is not intended as a striking surface. You don’t need any additional bulk or weight there for this to be a very effective defensive tool. It’s more like the pommel on a sword. In fact, the overall length, heft, and other measurements is very similar to the rattan broadsword used in SCA combat. As such, I know full well just how effective such a tool can be against another opponent in even confined spaces. And now that I’m an old guy with a couple of cardiac stents in place, I need a good walking stick with me no matter where I go …
Filed under: Brave New World, Connections, Failure, Feedback, General Musings, Health, Predictions, Preparedness, Science, Science Fiction, Society, Survival, tech | Tags: atherosclerosis, blogging, choice, diet, echocardiography, electrocardiography, exercise, health, jim downey, luck, privilege, science, Science Fiction, society, stent, technology, Wikipedia
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.
Filed under: Brave New World, Connections, General Musings, Health, Predictions, Science, Survival, tech | Tags: atherosclerosis, blogging, echocardiography, electrocardiography, health, jim downey, luck, music, Pink Floyd, science, Science Fiction, stent, technology, Wikipedia
As of Thursday, I had passed the week-long “don’t exert yourself” mandate following the cardiac stents installation. There wasn’t any worry about how my heart would do, just that I needed to let the puncture in my femoral artery heal completely.
And as I resumed my normal activities, I realized that things had, indeed, changed. Significantly. For the better.
Which was a little confusing, initially. Because as I had noted, I wasn’t feeling particularly poorly or limited prior to the procedure. In fact, as I said in my previous posts, there were no real indications that I had much of a problem. That was because overall my heart was very strong, and was perfectly capable of dealing with the blood demands of my body in almost everything I had wanted to do. It wasn’t until the very upper end of the stress echocardiogram that there was objective evidence of a possible blockage. The ultrasound imagery showed that the lower part of my heart wasn’t doing much work — the upper 2/3 of the heart did almost everything. That was because of the 95%+ blockage of the lower part of the RCA.
But what has become clear to me in the last few days, as I upped my exercise activity significantly, is that having 2/3 of my heart handle all the work of the whole heart meant that it was working harder all the time, if only just to push enough blood into the lower heart muscle to keep it alive and healthy. And now it no longer needs to do that.
The result is I feel a lot more energetic, and less tired at the end of the day. I feel, already, like I am ten years younger. I suspect that as the virtuous cycle continues to build on itself, that even that situation will improve. Exercising (walking every morning, doing yardwork for 60-90 minutes several times a week) takes less effort, and is more productive — which will help me lose weight and strengthen the muscles in the rest of my body. I recover from those exercise sessions faster, and can get more accomplished overall.
While I didn’t realize it while it was happening, I had been increasingly constrained and drained of energy. That constraint is now largely gone. Amazing what a couple of inches of steel mesh tubing can do in the right place.
Filed under: Brave New World, Connections, General Musings, Health, Science, Science Fiction, Society, Survival, tech | Tags: atherosclerosis, blogging, echocardiography, electrocardiography, health, heart attack, jim downey, luck, masculinity, miracles, myocardial infarction, science, Science Fiction, stent, technology, Wikipedia
This is a follow-up to my previous post.
I just sent the following message to my primary care doctor:
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.