Tag: Heart Health

Salutations from the Slow Lane

I’ve never been an early adopter. I’m more of a late bloomer (better than never blooming at all). A more apt description might be slow mover. If I were a dog, I’d be categorized as a Great Pyrenees (affectionate, gentle, sensitive, occasionally strong willed).

Each morning, I emerge slowly from my side of the bed. Usually around 6:30. Compare that with Tom’s Jack Russell Terrier “I’m-ready-to-go” demeanor (intelligent, energetic, social, occasionally strong willed), and you won’t be surprised to learn he’s usually up and around for at least thirty minutes before I begin to stir.

Moving more slowly doesn’t meant I don’t go places … today I walked 13,959 steps … it just means it takes me longer to get where I’m going than my husband. The inner workings of his clock wind tighter. My circuitry sweeps wider. I find it interesting that Tom is three inches shorter and thirty pounds lighter, yet his strides are substantially longer. How can that be?

These are the sorts of inane observations two sixty-two-year-old men can have as they lumber/saunter down sun-bleached Arizona paths (a slower pace all its own as compared with most of the world).

But these trivialities only spring into our conversation after we’ve dispensed with the more typical aggravating current event topics: the lack of COVID-19 testing in Arizona; the lack of positive stories in the media about people who’ve survived the virus; the lack of leadership in the White House.

If you’re over fifty (sixty, for sure), I imagine you’ll nod knowingly when I tell you a secret: my slowness is only getting slower with age. The blood pressure medication I take doesn’t help my lack of alacrity. Although two tiny pills–one with breakfast and a second with dinner–certainly protect my heart and keep my cardiologist happy.

Still, life in the slow lane isn’t that bad. It’s better than no lane at all (which might have happened if I hadn’t had the wherewithal to tell Tom to pull into the ER entrance at Barnes-Jewish Hospital nearly three years ago in St. Louis as doom and breathlessness washed over me).

I suppose moving more slowly is the right speed, too … the right sensibility … for this COVID-19 world, this alternative Alice-in-Wonderland universe we all seem to have fallen into. It’s better to deliberate about our next steps in society than to run back out of the rabbit hole carelessly and into the streets impulsively.

I’m not slow in every way. I’m actually itching wildly to get back to the gym sometime this summer. Starved for more socializing with my Phoenix-area friends again. Ready to reestablish those connections and circles in whatever ways I can. (Sorry, Zoom doesn’t do that for me.)

I’m also resigned to the fact that my love for choral singing … someday again standing side-by-side on stage with my mates in the Phoenix Gay Men’s Chorus rather than having makeshift rehearsals online … will require a much slower reentry process.

It will be a longer wait–something sad this slow poke will have to endure as I stare wistfully back through the looking glass–until this blissful escape in my artistic life resurfaces and I can once again raise my voice without a care in this unforeseen world.

 

Just One More Measly Treatment

CrossCutCanal_012020

Arizona’s Crosscut Canal connects Scottsdale, Tempe and Phoenix. Depending on the day and the immediate weather, it can carry a trickle of water or channel a deluge of monsoon storm drainage into a network of other canals that irrigate surrounding communities in the Valley of the Sun.

One stretch of the canal winds between Camelback Mountain on the north and the east-west artery of Indian School Road on the south. It’s just steps from the office of Omni Dermatology where, since December 9, I’ve been meeting Amanda (and Claudia, her holiday replacement) three times a week for superficial radiotherapy treatments to bombard the invasive squamous cancer cells on my left hand.

Today was treatment nineteen. I’ll be happy to see it end Thursday morning with session twenty. Certainly, I was ecstatic to hear Dr. R tell me yesterday that my hand has healed beautifully. Still, I’ll admit a strange sense of sadness is creeping into my soul. That’s because I will no longer share stories and perspectives with Amanda.

During each session, we’ve chatted as she applied gel to the back of my hand, rolled a detection device across my skin to monitor the regeneration of healthy cells, taped a square of metal with a hole in the middle over the suspicious spot, placed the blue flak jacket, matching collar and protective goggles on me, and lowered the radiotherapy “gun” until it was secured against my skin.

In the grand scheme of things, perhaps Amanda’s stories were designed initially to distract me from the real reason I was there, the real anxieties I felt at the end of last year. But, over time, we’ve gotten to know each other intimately.

For instance, we’ve engaged in conversations about her son’s ski team excursions to northern Arizona, the identifying southern lilt in her voice that came from her Georgia roots, her part-time job as a real estate agent, my passion for writing and staying relevant in my sixties, and her hope to celebrate her approaching fortieth birthday in Hawaii with her husband. Just today, she told me she purchased my first book From Fertile Ground and was excited to read it.

Shortly after her book-buying revelation, Amanda excused herself for a minute. She left the room. Left me to my devices. Hit the radiotherapy switch. Then, forty-five seconds later–after the quiet hum of the machinery had ended–she reentered the room.

“Just one more measly treatment,” I muttered as she gathered my protective gear.

“It’s so funny you would say that,” Amanda laughed. “Measley, with an additional “e”, was my maiden name.”

At this juncture, I realized the connections before me. The mystical and idiosyncratic language of our lives. The canals in the desert. The tributaries that run through our human interactions without us really ever understanding how and why.

I felt the same synchronicity in St. Louis on July 6, 2017. That’s when Jacob, an EKG technician at Barnes-Jewish Hospital, ran a device and cool gel across my chest. As he performed his duties to determine the magnitude of the obstruction on the left side of my heart, I felt safe in Jacob’s hands. Evidently, he felt secure too, because in the following thirty minutes that day he shared his life story with me … that of a new father protecting his infant son and trying to adjust to a sleep-deprived schedule.

Perhaps because I’m more aware of my mortality in my sixties, I’m predisposed to pondering these present moments … what it felt like to connect with Jacob with my life hanging in the balance … what it will feel like to meet Amanda for just one more “measly” or “Measley” superficial radiotherapy session.

No matter the reason for my acute awareness, I’m ready to put this cancer scare behind me. I’m grateful for what lies ahead along the canal that trails through my desert life.

 

 

December, Dermo and Dormancy

DesertRoses_120319.JPG

You might think that excellent reports on a Monday from my cardiologist (“your blood pressure is good; your heart is strong; come back to see me in eight or nine months”) and gastroenterologist (“the polyps we removed during your colonoscopy were benign”) would be cause for celebration. You would be wrong.

At the end of the first Monday in December, I didn’t feel happy or relieved. I found myself in a funk. That’s because my dermatologist called on the same 3D-December Monday (cardio, gastro and dermo, oh my!) to confirm “the biopsy showed that you have  a patch of invasive squamous cell carcinoma on your left hand.”

Oh well, two out of three ain’t bad.

After I got off the phone with a skin cancer specialist, who explained the treatment options and assured me that my condition isn’t life threatening, Tom held my hand. He told me more of what I needed to hear. That everything will be okay. That we will get through this latest blip together. That it’s nothing compared with what happened in St. Louis on July 6, 2017. All for the chance to start a new life in a warmer home. To explore our sixties in the wide-open west of possibilities.

After all of this Monday mayhem, I needed to salvage some semblance of normalcy to the day. I needed to feel the fresh, creosote-laced air racing through my lungs. So I took a long walk alone. Along the cross-cut canal. Past the Papago buttes. Five thousand steps on a sunny-but-gauzy day restored my hope. It gave me comfort to see that none of the elements (not sun, not wind or rain) had affected these giant boulders. They were here long before me. Skin cancer or not, they will stand long after I’m gone.

In a separate attempt to rescue my day, I returned home to move our desert roses (aka adeniums). It was time to bring them inside to prepare for dormancy. I do this every December. I suppose, unlike the buttes, all of us living creatures need a little protection from the elements on certain days. Time to retreat. No water. No sun. Time to rest. Time to heal and rejuvenate.

Now it’s Tuesday. December continues in the Sonoran Desert. The sun is casting long shadows at sharp December angles. The adeniums are beginning their winter slumber in our sun room. Their leaves will fall soon and their branches will be bare. But new leaves will reappear in the spring after I carry my favorite desert flowers back outside to feel the warmth of the sun. To grow and bloom again.

Next Monday I will begin my own version of winter dormancy. It will be flecked with cancer treatments and holiday gatherings. Rather than surgery, I’ve opted for twenty pain-free sessions of superficial radiotherapy over the next several weeks. The procedure has a ninety-five-plus percent cure rate.

This course of action will allow me to continue my normal day-to-day activities … writing and exercising … and sing in two holiday concerts with the Phoenix Gay Men’s Chorus on December 14 and 15. Being on stage and performing alongside my gay friends will bring me joy. Tom will be in the audience. My son Nick will be too, along with his girlfriend Aida, her two children and about a dozen other friends I didn’t know in 2017.

Late in January 2020, I expect to receive good news from my dermatologist. Something positive and life affirming. Something like what the cardio and gastro folks have already told me. Perhaps that the Superficial Radiotherapy Treatments (SRT) have fully eradicated the skin cancer cells on my left hand.

Whatever transpires, I am a fortunate guy. Tom and I will begin a new decade in our Arizona home. Faithfully smearing on sunscreen and wearing broad-brimmed hats. Continuing to follow all of our doctors’ orders. Writing, healing and growing together. Watching our desert roses bloom and fade in our less-than-certain sixties.

What more could I ask for?

Cardio and Dermo and Gastro, Oh My!

ArizonaPines_072819

It’s a frightful moment from the classic 1939 film, The Wizard of Oz. Dorothy and Toto are flanked by the Tin Man and the Scarecrow. The new friends are stepping ahead. Walking down the yellow brick road. Making their way toward Oz. Preparing to cross a dense forest. Suddenly aware of previously unforeseen dangers. Lions and Tigers and Bears, Oh My!

I can’t imagine a more perfect metaphor for life in your sixties. You’ve earned every bit of progress along the yellow brick road with the ones you love at your side. You can see the trees before you on the path you’ve chosen. But collectively the tall, sturdy and majestic trees form a dense forest. It’s often beautiful. Sometimes daunting. It can cloud your ability to know what’s coming next. Without notice, you find yourself fending off all sorts of maladies. Cardio and Dermo and Gastro, Oh My!

Quickly, you discover how important it is to build trusting relationships with crackerjack doctors and specialists. In my case, this happened in a new city. I still remember the first step. Tom and I had just left St. Louis in July 2017. While he drove us to our new home in Arizona, I sat on the passenger side with two fresh stents in the left side of my heart and a brand new cell phone in my right hand.  From somewhere in Oklahoma, I was calling potential cardiologists in Scottsdale, Arizona. Searching to find the right person to help me recover from a mild heart attack.

That was just the beginning. Eventually, I found the right guy. He was covered under my new insurance plan through the Affordable Care Act (thank you, Barack Obama). I see him (not Barack … my cardiologist) and my primary care doctor every six months.

But I don’t like playing favorites. Since then, I’ve also found a dentist, ophthalmologist, dermatologist and gastroenterologist to round out my preventive healthcare SWAT team, poke me in uncomfortable ways on a frequent basis, and brighten my days. I believe they are all doing their best to keep me healthy for another day. Another year. Hopefully two or three more decades of moving down the yellow brick road in Scottsdale.

You can see why I identify with Dorothy’s dilemma. Of course, I try to relax, remain optimistic and mindful in the face of a family history of heart disease and the latest colonoscopy results. That’s why, beyond the positive effects of my regular exercise routine (walking, hiking, treadmill, stationary bike, elliptical, swimming) Tom and I participate in a “gentle yoga” class every Friday morning.

This morning, when I approached the mirror on the wall in the room at the Scottsdale Senior Center where the yoga magic happens, I saw two familiar faces on either side. Nancy, one of my new Scottsdale friends, on the left. Tom, my husband, on the right.

We each stretched our muscles. We assumed our tree poses. We did our best to stand tall in the unknown forest. To find our edge against all odds. To push our limits without wavering on the yellow brick road of life.

 

 

Bavarian Bliss

DSC08361 (3).JPG

Munich  (“Home of the Monks”) is much more than beer and pretzels.

The capital of Bavaria and the third largest city in Germany has deep roots. According to the Encyclopaedia Britannica, they wind and trail back to the Benedictine monastery at Tegernsee, which was founded in 750.

Nearly twelve hundred years later, more than forty percent of Munich’s buildings were destroyed by Allied bombing raids during World War II. Today the city is a hub in the banking industry and home to the annual two-week Oktoberfest celebration, which ends on the first Sunday in October.

My husband and I toured Munich on September 15. It was a quiet Sunday about a week before all of the beer-laden and oompapa festivities of Oktoberfest. All of the shops were closed, but that didn’t faze us. We were content to ogle stylish Oktoberfest apparel through storefront glass and soak up summer temperatures. We couldn’t have ordered a more perfect day to navigate the normally bustling Marienplatz on foot.

We craned our necks skyward when the Glockenspiel in the New Town Hall played promptly at 11 a.m. Afterwards, we discovered a charming cafe and dined outside. We filled our bottles with fresh water streaming from a city fountain. Next, we were ready for a defining moment: climbing to the top of St. Peter’s Church for An Unobstructed View of the city’s historic skyline.

At this point, I realized how far Tom and I had come. I’m not talking about the actual distance from our home in Scottsdale, Arizona, to Munich, Germany, via a congested connection through Montreal with a sea of tired travelers. I’m referring to our personal journey.

After my cardiac event in St. Louis on July 6, 2017, the notion of climbing 299 steps skyward anywhere (much less in a tight space with few opportunities to pause) seemed implausible. Yet, without fanfare, on the last Sunday of summer in Munich two years later, Tom and I paid three euros a piece to an attendant for the experience of saying we had done it. We entered the church for the pleasure of mounting steep and circuitous steps. We joined a trail of able-bodied adventurers, who flowed up and down around us.

To the top of the church spire we climbed. Fifteen minutes later we arrived at the pinnacle. We took a deep breath or two and stepped out into an open-air observation area, where steel bars shielded us.

Together we wrapped our way around the circumference of the tower. We gazed across the horizon. We took a few more extended and grateful breaths. We captured a series of photos of a storied city.

Without the effects of beer or pretzels, we found our Bavarian bliss.

 

 

The Little Red Wagon (Part Two)

boy in brown hoodie carrying red backpack while walking on dirt road near tall trees
Photo by Pixabay on Pexels.com

I’m traveling during much of September. While I’m away, I hope you’ll enjoy this story (divided in two parts) about a different sort of journey. The Little Red Wagon first appeared in Tales of a Rollercoaster Operator, a book I wrote and published in 2017 about the ups and downs of my early years in St. Louis, Missouri.

***

… I wanted to believe Dad, but his recovery was slow in spite of his desire to regain his previous vitality. When he returned home in mid-October, he was depressed and agitated. He wasn’t able to return to work.

As the bills mounted, Mom felt the financial pressure grow. She could see that it would be months or years before he was able to resume working. So she began looking for a full-time job to begin replacing his lost income. Five months later, she found one as a stenographer at the Aeronautical Chart and Information Center, earning $4,000 a year.

During the next several years, I was filled with anxiety and uncertainty as I watched Dad struggle. I could see he had lost his bearings. He was drifting away physically and emotionally. But I also observed my mother’s resolve and resiliency under duress as she worked to balance her life at work and home.

In the summer of 1963, our ’59 Plymouth sedan died. Our family couldn’t afford to buy another car for several weeks. Fortunately, Mom was able to get a ride to and from her job with a coworker, but we were left without any conventional transportation to go to the store on weekends. That didn’t stop us. Mom realized we had another set of wheels parked beneath the house that could serve us in a pinch.

While Dad was convalescing at home on Saturday mornings, Mom, my sister Diane, and I pulled our slow-but-steady Radio Flyer — our little red wagon with four trusty wheels — behind us for a mile each way down and up the hills to Yorkshire Plaza. It was at the corner of Laclede Station Road and Watson Road. Our destination was Jansen’s IGA.

Jansen’s was the closest place to our home where we could buy meat, milk, eggs, fruits, and vegetables. It was an ordinary supermarket in a strip mall just off Route 66. After we bought a few bags of essentials for the coming week, we loaded them into our wagon and walked next door to the Kresge’s five-and-dime department store. Mom bought shampoo, soap, paper supplies, and other inexpensive household items there.

Our last stop at the strip mall — and my favorite on our weekly little red wagon tour — was Lubeley’s Bakery. It was a pastry-lover’s paradise. When we stepped through the doors of Lubeley’s, it felt as if we left our money worries and Dad’s illness behind. I was immediately swept away by a warm wave of freshly baked bread, gooey butter cake, sugar cookies, and yummy glazed donuts. Lubeley’s made such a positive impression on me that I recall saying to Mom late one morning, “I think I want to be a baker when I grow up.”

Mom pondered my revelation. With all the love and restraint she could muster, she confided, “Honey, you’ll have to get up awfully early if you want to be a baker. She knew I loved glazed donuts. She also knew how much I loved to sleep.

Eventually, we completed our Saturday shopping. We left Lubeley’s, Kresge’s, and Jansen’s behind. We climbed the hills of Laclede Station Road. We returned home with our little red wagon filled with groceries and a few waxed white paper bags. One contained two fresh loaves of bread. Inside the other was something you might consider non-essential for a family struggling to make ends meet: a half-dozen delectable glazed Lubeley’s donuts.

I firmly believe those heavenly baked goods kept our family afloat. We were hungry for security beyond the scope of our wagon. The donuts gave us hope that Dad would feel better, that he really did have a lot of living to do, and that one day we would see order restored in our lives.

We all craved the peace we deserved and the goodness of a glazed escape with a hole in the middle.

The Little Red Wagon (Part One)

boy in brown hoodie carrying red backpack while walking on dirt road near tall trees
Photo by Pixabay on Pexels.com

I’m traveling during much of September. While I’m away, I hope you’ll enjoy this story (divided in two parts) about a different sort of journey. The Little Red Wagon first appeared in Tales of a Rollercoaster Operator, a book I wrote and published in 2017 about the ups and downs of my early years in St. Louis, Missouri.

***

It was my second week of kindergarten and I was just beginning to adjust to a new routine. On a warm and breezy mid-September afternoon in 1962 — September 13 to be exact — I left my Mesnier School classroom and stepped aboard my regular bus for the trip home.

Within ten minutes, the driver arrived at the top of South Yorkshire Drive. She opened up the door and several of us scampered down the stairs. I waved goodbye to a few remaining classmates still on board. The driver closed the louvered door and pushed ahead. I meandered home. It was no more than a five-minute walk up our block and our driveway. Then, in an instant, a breathtaking late summer day transformed into an early fall for our family.

I saw my mother standing just beyond the backyard gate. She was wearing a sundress, lost in thought, uncoiling clean, damp towels and sheets from a laundry basket. Happy, our beagle-mixed hound, was out of reach too. He was sniffing the ground and frolicking miles away, it seemed, along the backyard fence.

“Your father’s had a heart attack.” Mom recited her words slowly and deliberately, like a woman treading deep water searching for a longer breath.

I didn’t comprehend what she had to say. But it couldn’t be good news, I thought as she plucked wooden clothespins from a pouch. She was working to keep her ragged emotions and the flapping sheets in check, preparing to clip wet linens to parallel plastic-encased clotheslines that stretched east and west across our yard.

Soon we walked into the house with our empty white-lattice basket and I learned more. Dad had become ill on day two of his new job as a porter at McDonnell-Douglas. He was helping a coworker lift an airplane nosecone. Suddenly, he felt a sharp pain in his chest. He was rushed to Deaconess Hospital on Oakland Avenue near Forest Park. That’s where he would recuperate for the next month.

During the next thirty days, my mother, sister and I visited Dad several times each week. I remember boosting myself up to sit on the edge of his bed. I swiveled my head to watch portions of unidentifiable westerns and night-time dramas on a grainy black-and-white TV mounted high above on the facing wall across the room.

Every few minutes, the nurses trooped into Dad’s room to adjust his bed, prop him up higher on his pillow, bring pills and water in paper cups, and deliver trays of bland food and a bonus cup of ice cream Dad wasn’t allowed to eat. Instead of throwing away the ice cream, he gave it to me as a treat.

Each time we visited Dad, he was bedridden. I couldn’t comprehend what could keep my father lying in one location for so long — unable to toss horseshoes, fly kites, or drive us to parades or ballgames.

But, Dad insisted he would rebound. Like the popular song from Bye Bye Birdie that played on the transistor radio near his bedside, Dad told me, “Son, I’ve Got a Lot of Living to Do.”