I’m so wired I don’t need coffee

Surgeons rarely kill people. They might screw them up, but they don’t normally leave them dead as a doornail on the operating table. Anesthesiologists are more likely to do that. How weird is it then that people choose their surgeons but take whichever anesthesiologist walks through the door? I made a big deal today of requesting the same anesthesiologist I had in March. I liked how he dealt with my sleep apnea, and he and Mark (my surgeon) obviously liked one another.

This brings me to another thing to ponder when you’re having surgery. You want to do what little you can to insure that your surgical team works well together because a successful surgery is never a one man affair. This is why I didn’t ask Mark to operate at my usual hospital—the big one where Peggy works—even though Peggy wanted me to. Better for me to be in a strange environment than for him to be in a strange environment.

I went both to the hospital and to Mark’s office for my pre-op today. The lady at the hospital smiled when she said I wouldn’t “have to be stuck” for blood tests. I said I wanted to be stuck, so she stuck me. The negative results were welcome after all these months of heavy medications.

The lady at Mark’s office said he would be in shortly to talk to me about my upcoming shoulder replacement. “I’m not having a shoulder replacement,” I said. “I’m having arthroscopic surgery on my left rotator cuff, which is to include an acromioplasty, a bursectomy, a supraspinatus repair, a glenohumeral joint debridement, articular cartilage restoration, and a few other odds and ends, but no shoulder replacement.” “Since the surgery on your right shoulder went so badly, he wants to go ahead and replace your left one at the outset,” she said. Peggy and I looked at one another. When Mark came in, he said there had been a mix-up.

If I didn’t trust him, I would have needed an explanation, but a good patient needs a good doctor more than a good doctor needs a good patient so I don’t rock the boat unless it matters. Besides, we had a lot to talk about. Like the following, which I wrote for him and will condense for you. It might not look like much, but it contains considerable learning, some of which might be of benefit to you someday.


“Prescription-related challenges and requests”

“Sleeping in a chair while in pain was a major problem last time (I was in that chair for four months), and I fear it will be this time too.

“I’ve learned that a good sleeping pill is often preferable to a narcotic because it: (1) enables me to get to sleep sitting in a chair, (2) enables me to stay asleep through a surprising amount of pain, (3) lasts twice as long, and (4) doesn’t make me itch. I would therefore like to rely on sleeping pills more and narcotics less. The Restoril you prescribed works well, but one can develop a tolerance in ten days, so I did some research and came up with Dalmane as a reasonable companion.

“Ron at Peace Health Pharmacy agreed that Dalmane is my “best bet” as a companion to the Restoril, and added that it has the advantage of being stronger and longer acting. I also have some Ambien on hand, but he confirmed my observation that it isn’t all that strong and wears off quickly. My insurance requires prior authorization for Ambien CR, but I have a coupon for a four-night sample if you see fit to authorize it. I also have a coupon for a week’s worth of Lunesta—which is also a wuss drug compared to Restoril and Dalmane.

“The reason I am so enamored of sleeping pills is that I’ve never had a really great experience with a narcotic whereas (aside from a little day-after grogginess) I’ve never had a bad experience with a sleeping pill. Of course, I’ll never complain that you’re ordering too many blood tests to verify that I’m not inadvertently poisoning myself.

“So, here is what I would request.

“A painkiller. Maybe more Demerol, since it’s the only narcotic that doesn’t make me itch.

“Dalmane (flurazepam hydrochloride). 30 mg is the usual dose. If you specify tablets rather than capsules, I can start with half a dose (I always prefer tablets for this reason). As with everything else, I can get three months’ worth for the price of two, so if you prescribe 90, I won’t need a second prescription.

“I’m set for Restoril and I don't need a prescription to buy all the stool softener that a person could ever want to own.”


Mark gave me what I wanted but not as much as I wanted. Sometimes, he will give me a lot of something, and other times he won’t. I can see no rhyme or reason in this, so I suspect it’s simply a matter of mood or attentiveness, but I never ask about it. These drugs are addictive, and that alone makes it impolitic to ask for bigger bottles. Just asking for a particular mood-altering drug can put a doctor on guard, yet I do it all the time because I’ve learned that I have to be my own authority to an extent. No doctor can know what works for me, and no doctor will spend one one-thousandth as much time as I will focused on what I need. In my experience, most doctors aren’t even that good at pain control. They basically have one or two favorite drugs that they give to everyone who walks through the door. Some doctors even view a patient's request for pain control as a sign of weakness or addiction. They are unworthy of their profession. People in pain need to feel empowered.

I spend so much time thinking about and reading about drugs that I even give them personalities. Vicodin? A skinny little nymph for those days when you need just a whiff of a narcotic. Norco? Vicodin’s big sister (her parents didn’t want a baby back then, and that’s why they gave her that crappy name.) Percocet? Full-figured and cuddly. Demerol? The thinking man’s drug because it makes a man sit and think—even when he would prefer to get up and do something. Ambien? When it’s 3:00 a.m., and I’m not in a lot of pain but I can’t get back to sleep either, Ambien comes like a sleepy-time angel with long white wings and a long white gown. Restoril? A fatherly hand that covers my eyes and drowns my pain in the waters of oblivion.

As I approach this latest surgery, my main comfort is that the things I’ve learned should give me a better shot at sleep and pain control even if this recovery is as bad as the one I started in March—for which I still sleep with ice packs. And, who knows—maybe it won’t be as bad. After a little vodka, I can even think of it as a grand adventure—sort of like a trip to an exotic land, only with a lot of pain and disability thrown-in at no extra charge.

But even if it is as bad, things could still be A LOT worse. Parkinson’s, Alzheimer's, kidney failure, liver cancer, complex regional pain syndrome, amyotrophic lateral sclerosis… Yes, things could be worse. I have no real complaint, but sometimes I get carried away by fear as if fear were itself a drug. I picture it as a big horse with frantic eyes and frothing lips. It keeps running faster and faster, and I struggle mightily just to stay in the saddle because to fall would be unthinkable.

Where am I?

I have given but little time to blogs lately--my own or others--because I am preparing for shoulder surgery in December on the shoulder opposite the one that had been done in the photo. After surgery, I will be limited to using one arm for three months, so I am working to get as many chores out of the way as possible. If something important occurs in your life that you want me to know about, please post it in the form of a response to my last entry.

Why not die?

Three days ago, I got an email from a follower (I’ll call her Jackie) who asked if I could think of a reason she shouldn’t kill herself. I wasn’t surprised that Jackie was considering suicide, but I was surprised that she would solicit my opinion about such an important matter. You see, no one other than Peggy ever solicits my opinion about anything. My opinion is so NOT solicited (or accepted when offered) that I think of myself as like a reverse salesman—if you want to talk someone out of something, just send me to talk them into it. I can’t really say why this is so because my opinions are often excellent. After all, I’m smart, diversely educated, slow to act, a deep thinker, an extensive fact gatherer, and old enough to have experienced a lot of life and seen the results of a lot of decisions.

I was about to rake the leaves when Jackie’s mail arrived, and I wasn’t in the mood for such discourse, but I knew that I couldn’t delay my response lest the day end with my yard clean but my friend dead. Such an outcome might have soured me on yard work permanently. Besides, I was honored that she wrote to ME because—as I said—no one ever solicits my opinion.

I had little thought for what I might say when I sat down to write, but little trepidation either because I am more effective on paper than in person, plus I have given suicide A LOT of thought over many years as a solution to my own problems. Yet, I recognized that I probably had little if anything to say to Jackie that she didn’t already know. One of the downsides of aging is the realization that, aside from information pertaining to specific disciplines, you’re not likely to learn much from other people. This is probably why suicidal psychiatrists don’t tend to seek help. I mean, what could anyone possibly say to a suicidal psychiatrist?

The last time someone told me that she (it was a she that time too) had been thinking about suicide, she put it this way. “I was sitting in the kitchen with the rifle barrel against my chest, wondering if I would really pull the trigger, and then Dale walked in. When I saw the look in his eyes, it scared me, and I realized that I really needed to turn my life around.”

I thought this meant that she HAD turned her life around (after all, she seemed happy). A few days later, she was dead of a self-inflicted gunshot wound to the chest (that’s me, then Dale, and then her at the top of the page). If you really want people to think about you A LOT after you are dead, just tell them you’re thinking about killing yourself, and then kill yourself. If you want them to remember you their whole lives long as if you had JUST died, that will do it. Believe me, they will NEVER get over your death. My friend, Kathleen, has been dead thirty years, and I still haven’t run out of tears.

Anyway, I sat down to have a go at a response to Jackie based upon my knowledge that people who suffer from cancer, alcoholism, chronic pain, or almost anything else tend to get along better with the support of their peers than with the support of trained counselors. This is because they feel better understood and know that what they are hearing is real rather than theoretical. So, I told myself, I will be real. It’s really all that I had to offer. As I reread what I wrote, it seems woefully inadequate. Maybe you can think of something more.

Dear Jackie,

I’m glad to see from your letter that I’m not the final strand in your last string, but I’m still worried that you’ve sat by your computer all day becoming increasingly despondent as you reflected that maybe I haven’t written because I don’t care about you or because I resent your coming to me. Neither is the case. I simply haven’t been indoors.

As for reasons to not commit suicide, it is a subject that I think about a lot since I am often tempted. In my case, it would be an extraordinary situation in which I would do such a thing to Peggy without her consent, and she wouldn't give her consent unless I was in extreme and hopeless pain or suffering from a terminal illness. You too have relatives who need you to stay alive, so you too must behave responsibly. You must make suicide—when and if you do it—an honorable retirement from life, devoid of shame or failure. It can be, after all, an exemplary act; not an ignominious retreat but a sensible and well-timed withdrawal.

Suicide to me is like a get-out-of-jail-free-card that I take comfort in holding in case all else fails. Even without Peggy to consider, I doubt that I would do it anytime soon because I still have reason to hope that my health will improve, and at least a few things left to enjoy; but even if I were to lose both Peggy and these, there might still be some good that I could accomplish. If nothing else, I could comfort dogs at the pound. Yet, the temptation to kill myself is often with me when I’m in pain, or fretting over the fact that I have lived long but accomplished little, or feeling overwhelmed by the possibility that my health will get worse. I’m not a prisoner without means but a free man with guns and drugs, and I am grateful for them. I’ve rehearsed every detail of how I would make my exit, so it is simply a case of going to the station, so to speak, from which I would book my passage into the Dark Land to which all go but none return.

Anyway, these thoughts are what come without much reflection, but with the conviction that days of reflection would not yield anything more profound. I hope that you can find meaning (or at least pleasure) in your life apart from your family, but if not, you do have people whose own lot would be made miserable without you, and that alone makes your escape untenable.

“When you gaze long into an abyss, the abyss gazes into you.” Nietzsche

Just remember that suicidal thoughts can take on a life of their own. The more you dwell on it, the less frightening it appears, and the more likely you are to deceive yourself into thinking that the very loved ones who are holding you to life would be better off without you. I would therefore ask that you limit your excursions to only the outskirts of that cold land. Think of suicide as simply one of many options, albeit the last.

Finally, there is the wee small chance that there might actually be another life awaiting you beyond the grave, a life that will be made better or worse according to how you live this life. Imagine thinking that you are permanently escaping your pain only to awaken someplace where you are in worse pain and without even the appearance of escape. Such a prospect need not preclude suicide, but it should make us more careful to use it as a dignified retreat rather than a humiliating rout.

With love and respect,
Snow

What's hot; what's not (aka something to offend everyone)

I was leaving the library when I saw her; I did a u-turn. She wore a short skirt with long stockings that had black and white horizontal stripes. The little bit of skin that showed between stockings and skirt drove me crazy. She looked at me looking at her, and it wasn’t a friendly look. I hate it when women dress to attract attention, and then become offended when they attract attention. Maybe if I too had been twenty…

I like women in boots too, but I would lose readers if I alluded to them in the way that Charles Perrault alluded to a cat who wore boots—even though I think it sounds funny. Anyway, I like women in boots. I like them A LOT. Short boots, tall boots, majorette boots, cowgirl boots, I don’t care; I just like women in boots. Only I like them a lot better if they’re wearing shorts or skirts with those boots.

Tattoos? No. Nose rings? Oink no! Eyebrow studs? God forbid. High heels? Only if you consider an ambulatory disability sexy. Make-up? A very little is okay. Skirts over pants? Latter day hippies just look silly and unoriginal. Torn jeans? Only a decadent culture affects poverty as a fashion statement.

What I look for in how a woman dresses is a mixture of funk and creativity. I call it flair. But not all women can pull it off. Some women who wear funky hats, vintage clothes, and oversize jewelry just look like they own a few too many cats. Cat women definitely aren’t my thing, but maybe that’s because I got burned by one. Before her, I didn’t think about cats much. Now, I’m more into women who have dogs, but no more than one or two.

Women with sad eyes—wow. Maybe this is because I equate sorrow with depth and happiness with superficiality, or maybe it’s because I think I can save them. Anyway, women with sad eyes make me crazy. I just want to throw myself at their feet and crawl up their legs, serpent-like. You might say, “Bullshit, sad women don’t have more depth; they just have a hormone deficiency.” Okay, whatever… Fact is, I’m in no mood for objective truth, so I would ask that you bear with me even if I sound stupid. After all, you probably sound stupid sometimes too.

One problem I have (okay, one among MANY) is that I like women who dress with flair, yet women who dress so provocatively that men will fantasy about them for 20 years after a brief sighting in the library are almost certainly extroverts, and I prefer introverts because, again, I think the latter have more depth. Extroverts are like pond skimmers that never really alight, and introverts are like fish that hangout in the mud and gloom at the bottom.

What else do you like?

You really want to know? I mean, REALLY?

I am in such suspense that I can hardly catch my breath.

Which brings me to panting women, which are another major turn-on. As are women who smell like human beings instead of like gardenias or some other crap that comes out of a bottle. It’s a really dirty woman who needs to shower to please me, and I have no problem with body hair either unless it’s so thick that it looks like it should be on a man.

Maturity, depth, and erudition also turn me on, but I’ll tell you the embarrassing truth. A silly and shallow fifteen year old can LOOK awfully good even though my paternal instincts outweigh my prurient ones.

One other thing, and it’s a biggie. I like a woman who has seen it all, and who is damn hard to frighten or offend. Maybe this is because I was raised by a mother who never stopped feigning the innocence of a child and who seemed offended by pretty much everything that had anything to do with sex. This turn-on is one reason that I like older women, although I quit writing off younger women after I read Carson McCullers. The accumulation of years is far less important than who a woman is inside; youth doesn’t have to mean innocence or naïveté, and age doesn’t necessarily imply worldliness.

Blondes are good because they look like they’re wearing halos when they’re in the sunshine, but then long-haired blonde men look that way too from behind, and I always feel cheated when they turn around (in fact, I want to slug them for getting me aroused over nothing). A woman’s eyes and shape are far more important than hair color. Besides, I think of brunettes and redheads as having more depth.

Mental problems and a history of suicide attempts also point to depth because the ability to adjust to this world would seem to imply a certain callousness and superficiality. Yeah, I know. Yet again, I’m confusing depth with hormone deficiencies. But then what ARE we, really? You might be right; it might ALL be a question of hormones, but that makes no difference. We all PRETEND that our lives have a deeper substance, a spiritual reality, if you will. I don’t think this is true, but I live as if it is. Cut us open, and we’re the same as pigs, but we don’t treat one another like pigs.

So, how does Peggy measure up to all this? Not so good, thankfully. You see, I recognize something of a gap between the qualities that look hot and the qualities that make a long-term relationship possible. It’s a little like wanting vodka when what you really need is a good meal. Peggy is the good meal. Besides, she has put up with me for 38 years, and I owe her for that. Besides that, what we lack in our ability to deeply understand one another is more than made up for by our love for one another. I can never again marry a woman when we are both young and stay with her until we are approaching old age, and that means a lot to me.

You want to know what depth is in a relationship? I’ll tell you, my child. It’s not hot sex or heart-to-heart talks. Well, maybe it is. But more than these, depth is when you put someone else’s name on your bank account (assuming there’s anything in it) knowing full well that that person could walk away with everything you’ve worked a lifetime for, yet trusting that she won’t EVEN IF she should come to hate your guts. Peggy looks hot, AND she’s deeply affectionate, AND she has unquestioned integrity. It’s a hell of an attractive combination, yet it has never dampened my desire for other women. The new and unknown is appealing because it is new and unknown, and there’s no depth to such an appeal. It’s mostly—maybe exclusively—a matter of hormones.

Belief-O-Matic

At Belief-o-Matic, you answer 20 questions and get a list of how closely your beliefs align with those of 27 religions and denominations. It gets a tad ridiculous at the bottom where you learn how closely you match up with groups that would like nothing better than to burn you at the stake, but I found it accurate enough at the top. Here’s my top five.

1. Secular Humanism (100%)
2. Unitarian Universalism (96%)
3. Liberal Quakers (79%)
4. Nontheist (77%)
5. Neo-Pagan (70%)

Let me know how you come out. (http://www.beliefnet.com/Entertainment/Quizzes/BeliefOMatic.aspx)

Last visit

I’ve been seeing Mark (my orthopedist—that’s him in the photo) every six weeks since my surgery in March, and I always take a written update in order to better describe any changes. This is yesterday’s update.

“Until ten days ago, the pain in my right shoulder was worse than when I last saw you, and the pain in my left shoulder had increased to the point that both shoulders interfered greatly with my sleep. They hurt similarly, as if someone were jabbing them with broomsticks. Percocet only quieted the pain enough for me to sleep an hour or two at a time, and it made me itch considerably even with the Benadryl. My middle back below the shoulder blades continues to hurt day and night, and I can’t sleep comfortably in any position.

“I had long feared that the shoulder pain would become bad enough that I would have to sleep in a chair again. I dreaded doing so, but was glad to know that I at least had a way to escape the worst of the pain if all else failed. All else did fail so, two weeks ago, I returned to a chair only to find that the pain in both shoulders was as bad there as in bed.

“I saw no change after my thirty days on a raw food diet, so I stopped both it and the acupuncture three weeks ago, and started taking SAM-e, MSM, glucosamine, and raw ginger. I am also drinking an extra gallon of water each day and have doubled my intake of fish and fish oil.

“Ten days ago, the nighttime pain in both shoulders began to decrease, and I have since been able to sleep three or four nights without medication, although I still use ice packs all night every night. During the day, my right shoulder, at its worse, still hurts as if a bee were stinging me deep inside the joint with the pain radiating down the outside of my upper arm. At its best, the joint itches so badly that I feel compelled to scratch it, although scratching does no good. The left shoulder feels slightly stiff during the day but is seldom painful.

“The following is a comprehensive list of factors other than arthritis that can cause continued pain after tendon repair. I’m enclosing it on the off chance that you might have overlooked some rare problem.”

“Brachial plexopathy, Cervical radiculopathy, Long-thoracic neuropathy, Neoplasm, Reflex sympathetic dystrophy, Spinal-accessory neuropathy, Suprascapular neuropathy, Thoracic outlet syndrome, Adhesive capsulitis, Articular cartilage defect, Bicipital tendonitis, Instability, Lateral tears, Acromioclavicular arthropathy, Deltoid insufficiency, Rotator cuff defect, Subacromial impingement”


The fact that the right shoulder seems to be improving precludes a joint replacement on that side—the side he operated on in March—and only in my worst moments do I contemplate one anyway because, once the bone is gone, it’s gone forever, and the replacements just aren’t that good. The 70% tendon tear in the left shoulder doesn’t justify the risks of sewing it up in the absence of significant pain or disability. I have had both, but since they seem to be lessening, Mark suggested that we hold off, and I happily agreed. We didn’t schedule another visit.

I left his office with mixed feelings. Although he hasn’t been able to do anything to help me—other than narcotics and sleeping pills—since my surgery on March 27, I took comfort in having at long last found a doctor I could trust and talk to, and I feel a little lonely now that I can no longer say, “I’m under the care of a physician.” Or a physical therapist for that matter. I’m entirely on my own, and I fear that I still have a long way to go. Fortunately, what I have already gone through has made me stronger on the inside even while debilitating me on the outside.

Something of substance

When I was a Mississippi teacher in a school that was half black and half white, nearly all of my black students and half of my white students qualified for free lunches. In a school where no one was rich, picture one quarter of the student population having to buy that which the other three-quarters get for free. Now, picture the parents of that one-quarter having to pay for their own children’s lunches and, through their taxes, for the lunches of the other students. Such situations build resentment. When I asked in a previous post why it might be that the very parts of the country that have the poorest people are also the parts that so vehemently oppose a national health care system, no one answered. I think that one reason is just such resentment. The South contains a lot of seriously pissed-off people, and I can’t bring myself to put them down too harshly because I’ve seen the world through their eyes.

I support national health care because I also see how miserable and hopeless my own precarious health situation would be if I were to lose my private insurance in a state that has a waiting list for Medicaid. If you become too sick to work, you lose your job, and when you lose your job, you lose your insurance. You can’t buy more insurance because you’re sick and you have no job. What is the message in this? That your life is worthless aside from your ability to earn money with which to buy insurance? I would be astounded if you could find a single person who is desperately ill and can't afford treatment who opposes national health care. If I am right, what you have here is a situation in which those who have their own needs met simply don’t care a whole hell of lot about those who don’t. Perhaps, they blame them for having the problem.

I have been corresponding with a man named Aaron who opposes national health care, and I promised him that I would address the issue here for the simple reason that I feel better about spending inordinate amounts of time writing for my blog than I do writing letters. Aaron’s argument is that private charities should take on the problem. When I pointed out that they’re already unable to do this, his response was that government is to blame, not just for their failure, but for the soaring cost of medical care. He offered two primary reasons for this. First, by pumping taxpayer money into Medicaid and Medicare the government guarantees healthcare providers an income. This stifles competition, and no competition means higher prices. Second, government sets standards for medical facilities, procedures, personnel, and so forth; and the necessity of meeting these standards also runs prices up.

I spent five hours in McKenzie Willamette Medical Center last March for outpatient surgery, and I was comforted to know that my caregivers met government standards. Those five hours cost $18,695, and that didn’t include the surgeon’s bill, the anesthesiologist’s bill, or anything else. When medications, x-rays, blood tests, follow up doctor’s visits, physical therapy appointments, three MRIs ($1,300 each), and so forth, were included, that one outpatient procedure cost more than $40,000, and the bills are still coming in because I’m still needing follow-up care.

Let’s say that Aaron is right, and that if government stopped paying for any medical care for anyone and got out of the business of setting standards for doctors, drugs, procedures, and facilities; health care costs would drop. He didn’t give a percentage, but for sake of argument, let’s imagine that they would drop by two-thirds. Instead of $40,000, my bill would have been $13,333. If I were among the many who work a 40-hour week for the minimum wage of $7.25 an hour, I would have to work almost a year (46 weeks) to pay for that one surgery. Since I’m in worse shape now than I was before the surgery, I would be unable to work at all if I were a manual laborer, and no work would mean no income and no income would mean no insurance.

Under Aaron’s proposal, I would be obliged to appeal to private charity for help. This would mean filling out applications for one or more charities and going through what would surely be an extensive screening process. Would I go to one charity for health care assistance and other charities for food, heating oil, and help with the mortgage? And if approved, would I be approved for whatever was necessary, or would I have to have every procedure, every drug, and every office visit to every specialist approved separately and in advance? Would the charity then comb through every bill and negotiate a lower price with the provider as insurance companies do? Would there be a yearly—or a lifetime—maximum that they would—or could—spend?

Now, let’s multiply my problem by the millions who would need help, and let’s imagine that instead of being sixty and needing shoulder surgery, I’m eighty and suffering from dementia and kidney failure and need round the clock nursing care and weekly dialysis. Talk about health care rationing! Talk about death panels! How else could it play out? Private charities could no more pick up the tab for health care than they could pay for building roads or maintaining the military.

Just think of the millions of people who are chronically ill or aging, thousands of them unable to even seek help on their own behalf, and tell me that a network of charities could work. A fundraiser was recently held at a pizza joint here for a little boy who was severely injured when a drunk driver hit the car he was in, killing everyone but that child. $10,000 was raised. Think of it. $10,000 for a severely injured child who might need a lifetime of care. How many pizza feeds would Aaron propose and for how many children? And what would become of people like the old man with dementia if no one wanted to hold fundraisers for them? Under Aaron’s plan, they would die. Those who were on top in our society would still drive their Lexus’s and live in their 5,000 square foot hillside mini-mansions with the five car garages, while those who were less fortunate would be left to suffer and perish, literally by the roadside. When we Americans talk about how much a person is worth when what we mean is how much money does he have, we’re not speaking metaphorically.

Yet, I do not think believe that my friend Aaron is heartless, or else I would not call him my friend. I actually think he is an idealist who sincerely believes that laissez faire capitalism would lead to a better world for everyone. I also suspect that he is a bit of an ideologue, but maybe I project. I was once a devotee of Ayn Rand because she made it all look so good on paper. In her books, the capitalists were creative and hardworking visionaries of uncompromising virtue; the socialists self-aggrandizing manipulators devoid of integrity; and there was no middle ground. Then I read about the Industrial Revolution, a time that came nearer to her vision of unrestrained capitalism than any other era. And what happened? The very few got very rich upon the backs of the very many. Human beings were treated like machine parts that were so cheap and plentiful that their welfare was not worthy of consideration.

Children were chained to work stations twelve hours a day seven days a week. Their emaciated bodies shivered wretchedly in thin rags in the winter and dropped from heat exhaustion in the summer. They became stooped from overwork; they got rickets from bread and water diets; they lost fingers, hands, and sometimes their lives to noisy and dangerous machinery. They died from breathing noxious chemicals or absorbing them through their skins. Laissez faire capitalism meant no fire codes, so they perished by the hundreds in burning factories. And when workers died because of the negligence of their employers, their families got NOTHING but poorer, sadder, and more desperate. Meanwhile, the children of the rich partied before moving from their city mansions in winter to their country—or European—mansions in summer, all while gaily dressed in the furs of slaughtered animals and the plumages of endangered birds. They might as well have gone all out like those Nazis who made handicrafts from the skins of laborers who died of exposure and exhaustion.

America then was like many of the so-called “Developing Nations” are today, and it would take a stretch of the imagination to imagine anything more cruel. But that’s what unrestrained capitalism looks like; a few ruthless men (mostly men) making more money before lunch than hundreds of their employees will earn in their short miserable lives. Whatever the evils of socialism, in theory at least, it holds human life as more valuable than limitless wealth amassed without regard for how many people are ground to dust in the process. Ayn Rand was wrong. There is a middle ground, and it starts with insuring that people aren’t left to die because they can’t afford to be treated.

And he spake unto them in parables saying, "Verily, a fag, a broad, and an infidel goeth up to the House of the Lord..."

I attended church for the last two Sundays after an absence of several months. Most churches don’t have much in the way of Sunday school during the summer, and since Sunday school is the only reason I go, I hung out with Buddhists instead. All they did was to sit silently, a practice that appeals to me more in theory than in practice. I didn’t go for the meditation though so much as for the people, particularly a man with whom I hoped to be friends. It doesn’t look promising. He suggested that we go for a beer; I proposed a date; the date didn’t work for him; and he never proposed another.

I think he has some mental health issues that are holding him back, but they were what caught my interest. I haven’t had a “normal” friend since childhood. I’m not even sure such people exist…well, I guess they have to because otherwise normal wouldn’t exist, and what kind of sense would that make?

Anyway, church. I went to First Methodist. I hadn’t been there in two years (I’ve been going to First Christian and First Congregationalist—no second rate churches for me), so it surprised hell out of me when one of the ministers said, “Hi, Snow,” before I even put my nametag on.

Nametag?

Yeah, I get one for every church I go to as quickly as possible. Otherwise, a dozen people a Sunday ask such predictably boring questions as, “What brings you here today?” “Have you lived in Eugene long?” “Do I detect the hint of an accent?” If I have a nametag, they still don’t know who I am, but they think they should, so they pretend they do. The preacher today was friendly but didn’t try to engage, and I appreciated that. I’m not going to contribute (much) to his salary; I’m not going to "find" Jesus; and I’m not going to join his church. I’m just there because I enjoy studying the Bible, and will jump ship in a heartbeat if another church offers a more interesting class.

First Methodist recently combined its traditional service with its contemporary service (due to falling membership, I suppose), and Sunday school starts right after it ends. I like to sleep in, so this will work well for me. I will get there early enough to pour myself a cup of coffee and select a good seat in the classroom. Then I will read. About the time I get comfortable, the doors to the sanctuary will open, and the people will file out to the strains of some New Agey hymn or another. Since they are all the same sugary pap, it hardly matters which one.

The only good thing about them is that they inspire pretty women in charismatic churches to sway back and forth while holding their hands above their heads. This elevates their breasts most appealingly, and when you add to that the fact that they’re in their best clothes, moving their lips ecstatically, and wearing expressions of orgasmic bliss…well, I find it inspiring to be sure. If I were a minister in such a church, I would sooner or later conclude my sermon with, “Let us lift our breasts to the Lord in prayer,” and my career would be over. I don’t know whether Methodist women lift their breasts in prayer, but I seriously doubt it.

First Methodist welcomes gay people, and I quickly spotted two gay couples, both of which were somewhat past middle age. One of the gay men asked insightful questions about the Bible, and I was touched by this, although it struck me as ironic since the Bible offers him nothing but stoning and hellfire. But then the preacher who led the class was a woman, and the Bible doesn’t have much good to say about them either. Finally, there was me (or is it I?), a nonbeliever who enjoys the Bible. What a group. But at least the church welcomes women and homosexuals just the way they are, whereas it views people like myself as needing a little work. Okay, a lot of work. But, you know, the Methodists of a hundred years ago would look at the Methodists of today and think they are all hellbound, so change is a’coming. Someday, the church might even live up to its motto:

“Open hearts. Open minds. Open doors.”

Friends and families

I just heard a poet on the radio read a loving poem about his dead mother, and I wished I could write a loving poem about my dead mother. When she passed away 23 years ago, I grieved intensely for sixteen months. Every night, she would come in dreams, and we would know such happiness as we had never known in real life. Then I would remember that she was dead, and she would recede into the darkness, leaving me to awaken in tears. After those sixteen months, the anger came and never left. It is still my only connection to her.

Peggy had told me years earlier that my mother treated me badly, but I couldn’t see it. Or rather I could see it, but I had spent so many decades telling myself that she didn’t mean the hurtful things she said, that I couldn’t let myself believe it.

While the poet was on the radio, a caller said that her own mother died in 1971, but that the grief is as fresh as if she had died yesterday. People often say that you should get over your grief in twelve months, but I don’t think it ever ends. It might morph, like mine did, but I hardly feel “over it.” It just takes up less of my time. After my mother died, three months passed during which I never felt a moment of joy. Then I was touring the Duluth, Minnesota, train museum one wintry day when it hit me that several minutes had gone by during which I hadn’t felt sad about losing my mother. The realization taught me that I still had the capacity for joy, and that I could expect to feel it for longer periods.

The good thing about your parents dying is that you don’t have to put up with them anymore. The bad thing is that everything that bothered you about them is frozen in time so that, if you work it out, you work it out alone.

I have a half brother who doesn’t want to know me, and a half sister to whom I am a mostly a penpal. I also have a full sister, but I haven’t spoken to her in the fifteen years since our father died. She abandoned him, so he left her out of his will. She expected me to share his meager estate anyway, but I would have burned it first. The truth of the matter is that we never liked one another, so it isn’t my sister I miss but the idea of having a sister. The same is true of my parents.

My half sister, Anne, envies me because I grew up in a home that had two parents, while she was raised by an uncle who treated her like an object of charity. I meanwhile, envy Anne because she was at least raised by people who didn’t hate one another, and because she had an extended family of other aunts and uncles who loved her and for whom she has fond memories. Oddly, some of my fondest “family” memories are of those very people, yet I was only around them for a week one summer.

I had but one uncle and one aunt of my own. The uncle, I didn’t know, and the aunt and her brother—my father—disliked one another, so her six children consequently disliked me. Things would have been easier had they not been the only other children in my rural neighborhood.

When I was a young man, I imagined that I would create a family from among my friends to supplement my own small and troubled family, but what I found about friends was that when holidays rolled around, they spent them with their blood relatives, leaving Peggy and me alone—unless, of course, she went away to see her own parents and sisters in which case I was really alone. True, my friends might talk about their relatives as if they were the worst people in the world, but when holidays came they went to them, and this made me wonder how close we really were. I also noticed that friends have a way of moving across the country and losing touch.

I turned to dogs for family with some success. The best thing about dogs is that they won’t abandon you. The worst thing is that they’re like perpetual children that need taking care of their whole lives long without ever being able to take care of you. Bonnie and Baxter became significant liabilities after my recent surgeries because they still needed their daily walks and grooming even when it was cold and muddy and my belly had been split open, or I couldn’t put on my coat because my arm was in a sling five inches in front of my body.

Another attempt I made at family was the Masons and the IOOF. There is much to be said for such fraternities, but the people you meet there are no more likely to care about you than are the people you meet anywhere else. My fraternities were founded for the express purpose of serving as extended family, and the members even call one another brother and sister, but it is a mistake to take these things too seriously.

I would feel worse about my inability to maintain close ties with family or friends over the decades if Peggy didn’t have the same problem. I can’t see how it is her fault, and this leads me to think that life is just that way. I’ve known people who I imagined to have a lot of friends, but when I became their friend, I learned that I was wrong or that their friends, like my own, tended to drift away after a few months or years.

Right up through college, friendship came easily. But maybe that was because I didn’t mistrust people back then. Now, I never assume that a relationship will last.

Some news stories keep me awake nights because I understand them; others because I don’t

(May my readers in other countries pardon my use of the word "we." It just seemed too weird to write "the United States" over and over.)

Is it by accident that we are fighting “for freedom” (ours and theirs, presumably) in the oil-rich Middle East while ignoring slavery, starvation, and genocide in the jungles and deserts of Africa? What if those people had oil—or were even white? I mean, we did finally get it together to intervene in Bosnia, yet only thousands died there as opposed to over a million in Rwanda.

Why did conservatives continue to defend the War in Iraq after it became clear that George Bush invaded the wrong country on spurious grounds, yet they are now outraged by Obama’s efforts to insure that everyone has medical care? I could better understand their outrage over the one if they were also outraged over the other. As it is, what is the message here, that killing people by mistake is okay, but saving lives isn’t? Or that anything a conservative president does is acceptable, whereas everything a liberal president tries to do must be defeated?

Conservatives demand to know how Obama plans to pay for health care reform. It is a good question, but why have they never asked this about our two wars in the Middle East, wars that have been going on for seven years at a cost of $915.1 billion?

Residents of conservative states are the poorest and least educated people in America, and they are also the least able to afford medical insurance. Yet they are the very states in which opposition to healthcare reform is strongest. Why is this, do you think?

Pfizer was recently ordered to pay $2.3 billion in fines and penalties for fraudulent advertising. It was Pfizer’s fourth conviction in seven years, yet no one will go to prison, and the fine only represents three weeks of corporate profits. Every major pharmaceutical company has run into similar problems, but since the profits exceed the fines, they keep at it.

Ronald McDonald runs charitable residence houses near hospitals for the families of seriously ill children, yet Ronald doesn’t insure his own rank and file workers—or their children. This enables him to look like a philanthropist even while dumping sick children on the taxpayer’s doorstep.

The Supreme Court is expected to abolish corporate spending limits for political ads before the end of the year. Imagine how it would affect the current healthcare debate if those in favor of reform had to compete with the likes of Merck and WellPoint for attention. Through their lobbyists and political contributions, such firms already exert an undue influence on legislators. When the day comes that they persuade legislators to outlaw free speech on the Internet (to protect us from terrorists, no doubt) their control of information will be complete.

Another fairly recent Supreme Court decision that dispossessed the individual in favor of the corporation was allowing local municipalities to take away the homes and businesses of individuals and give them to corporations. A third was ruling that corporations have the same free speech rights as individual citizens.

The irony of such decisions is that the raison d'être of the Supreme Court is to interpret the Constitution, a document that was supposedly created to protect the rights of the individual.

Yet another example of our government working overtime to screw the individual is that lawmakers denied Medicare and Medicaid the right to negotiate drug costs as do private insurers. Drug companies were said to be exceedingly grateful.

Such things go almost un-noticed by the press, as if to imply that they’re not relevant to our lives. So, Michael Jackson’s death is relevant?

The problem is that the press provides us with the information we want rather than the information we need. For example, thousands of people—including 191 Americans—have been killed in Afghanistan since January, yet Michael Jackson’s death in June has gotten more press coverage this year than that entire country. Given our apathy toward the things that matter to our welfare, the question becomes one of what we, as a country, deserve.

When a person joins the military, it would be well to tell him or her that, oh, by the way, if you should die for your country, your country won’t even notice, and absolutely nothing good will come from your sacrifice. In fact, the war in which you die will probably just fizzle out eventually, and, like the war in Vietnam, be judged by historians as a waste of time and resources.

No one doubts the mass corruption of the governments in Iraq and Afghanistan, so the only reason for protecting them is that they’re on our side whereas their enemies are not on our side. It was the same with the Shah in Iran, Batista in Cuba, and the Contras in Nicaragua. I don’t remember a time when my government didn’t support evil regimes—even when those regimes overthrew elected governments—as long as we thought they wouldn’t turn on us.

Did you know that private charities hold fundraisers to pay for plastic surgery on disfigured veterans from Iraq and Afghanistan? If the government doesn’t care about the “heroes” who were supposedly injured while “fighting for our freedom,” why should we think it cares about us?

Conservatives say that we should support the troops even if we despise the war. The problem is that troops make wars possible. If those who will join the military today took the trouble to become informed beforehand, they probably wouldn’t join. The most that can be said for them is that they’re awfully young, terribly naïve, and woefully ignorant.

The thing that I find most distressing about my country is its smugness. Even though we are the most obese, the least fit, and one of the most debt ridden nations on earth, and even though our scores continue to drop in regard to education, longevity, vacation time, infant mortality, and other lifestyle standards; we still congratulate ourselves on being “the greatest nation on earth.” Greatest how? That’s what I would like to know.

Three things

First Thing

I saw an abandoned rubber tree by a curb a few days ago. It was big, ungainly, and in a broken plastic pot. I didn’t want it, but I was touched by how tenaciously it clung to life, so yesterday I biked back to see if it was still there. It was still there all right, still on its side. As I stood looking at it, I thought, what the hell, I’ll just bike it home. Having to hold so much weight in one hand was a problem, but wind resistance was an even bigger problem.

I live in an area in which large loads are often seen on bikes, but never have I seen anyone with a rubber tree. No one else I passed had either, I suppose. First their mouths would drop open, and then they would laugh. There IS something funny about a rubber tree, even when it’s not being taken for a bike ride. “Oops, there goes another rubber tree.”

Second Thing

I went on a raw food diet six days ago. I ate mostly raw foods for years in the ‘90s, but I eventually got bored and went back to a regular diet. Now that I am in pain all the time and looking at multiple surgeries in addition to the four I’ve had in the past 18-months, I decided to go back to raw foods for a month and see if I can tell any difference.

It’s hard to eat enough raw food to keep weight on, so I’ve dropped from 169 to 163. I also feel positively stoned. It’s like looking at reality from a different and more interesting angle. I used to feel the same way when I fasted. Fasting brought me in touch with an inner purity that made it hard to eat again.

Raw foods aren’t exactly effervescent, but they do sparkle in my mouth.

Third Thing

Yesterday, I went to see Mark, my orthodpedic surgeon, for my six-week appointment. I’m 5 1/2 months out from surgery on my right shoulder, but still in pain. Here’s part of what I wrote to him by way of an update.

The pain is such that I can no longer exercise even with three pound dumbbells.

The pain is appreciable at night and mild during the day (most days the joint just feels a little stiff; other days, it hurts all day). The pain becomes worse the longer I am in bed.

The left shoulder also keeps me awake at times, especially if I’ve been active. My middle and upper back also hurt a great deal. I bought a Temper-Pedic type mattress, and that seemed to help for a couple of months, but now the back pain is worse than ever and bothers me no matter what position I am in. I anticipate a move back to the recliner if it gets worse.

I need two prescriptions. One for Percocet [oxycodone and acetaminophen] and one for Restoril [a sleeping pill]. I take two to three Percocets most nights, and I change ice packs every 1 1/2 to 4 hours. I also take Benadryl for the itching caused by the Percocet, but it still interferes with my sleep. Since acetaminophen now appears to be a greater health risk than formerly believed, I would prefer straight-up oxycodone.

Both the Percocet and the Restoril have the added benefit of helping me to avoid going into a funk when I wake up in the middle of the night and brood about my shoulder problems.

He blamed arthritis for the continuing pain in my right shoulder, injected it with cortisone and lidocaine, and said I will need a joint replacement within anywhere from a few months to a few years. I said I still wanted to have surgery on the left shoulder this year, and he said that would be fine if we can get rid of the pain in the right one—otherwise, he’ll operate on it instead.

Mark seemed to be leaning toward a full-joint replacement because the partials have a 20% chance of failure within two years. He said he wouldn’t consider a full replacement as a first option if I was twenty years younger. I told him not to consider it now either.

Mark has a new baby and said he was sleepy. I hope he’s getting better rest before my next surgery. Peggy said not to worry because medical people—she’s a nurse—are used to rising to the occasion no matter how they feel. I found little comfort in this, partly because mine will be a complex surgery. The bottom-line though is that I trust Mark. I don’t care how dire a situation is, if you trust your doctor, it makes it seem about half as bad. If you don’t trust your doctor, you’re screwed, especially if your doctor pool is limited.

The way I see it

When Sarah Palin spoke of her affinity for the “Joe Six-packs of America,” I envisioned the millions of people who believe that an opinion expressed by besotted barflies has a better chance of validity than one presented in a doctoral thesis. Their premise is that anything beyond rudimentary knowledge overcomplicates decision-making, and that the resultant loss of clarity leads to liberalism. I heard it presented in church from the time I was in diapers. “Better to be poor all you life than go to a secular university, read the godless filth that godless professors call literature, study their godless science and their godless philosophy; and lose your soul.”

Led by conservative talk show hosts, the Joe Six-Packs are on the ascendancy. Sean Hannity, Bill O’Reilly, Michael Medved, Lars Larson, and Michael Savage, are well known to me because I used to listen to them for hours each day. I quit because, despite their appeal (commercial talk radio is based on personality; public talk radio on issues) and their entertaining theatrics, there was no attempt at fairness. Their tactic was to trash the enemy, no matter how blatant the illogic or skewed the facts. If you believe your listeners are morons, there’s no need to make sense; and the fact that such talk show hosts are immensely popular implies that their assessment of their audience is largely correct. NPR at least tries to represent all sides, giving them time to answer questions, and prohibiting them from talking over one another.

Yesterday, I heard the leader of the Christian Coalition, and, as with a great many conservatives nowadays, I felt embarrassed for him. If there is any intelligence or integrity on the part of the most vocal segment of the right, I’m unaware of it. They seem to believe that democracy is great as long as they win, but if they don’t win, all bets are off. Then it’s time to “take back America,” and this would appear to leave room for pretty much anything—except working for the common good. Other than hysteria, I don’t know what the right has going for it. Unfortunately, hysteria seems to be serving it well, and that is a hard lesson to swallow.


After I wrote the above, I visited a blog in which the owner was bemoaning the lack of compassion on the part of those who oppose health care reform. One reader wrote that she was among them, whereupon there was unleashed against her the most vituperative torrent of abuse I have ever seen on any blog. Another reader and I spoke against it, thinking that, surely, others would join us. They did not. In fact, they joined in the name-calling, ending any possibility of a rational discussion. Even though the dissenter gave up after being called a parrot and a hate-filled bitch, one reader complimented the forum on its openness to opposing viewpoints—after all, no one had been physically beaten.

Experience has taught me that it is a rare day when either side to a debate has a monopoly on righteousness, yet how much sadder is that lesson when the worse cruelty is inflicted by those who claim to be on the side of compassion? Islam calls itself a religion of peace, yet how many people will be murdered today amid screams of Allahu Akbar? The second tenet of Christianity is to love your neighbor as yourself, yet how many millions of their neighbors have Christians killed, tortured, or ostracized? So would it be, I fear, with “compassionate liberals” if they had the power. The worst atrocities are always inflicted by those who think their side represents everything good and the other side everything evil.

Where my species is concerned; no enlightenment is possible, and no lasting good can ever come. For every gain there is a loss, and we extol the Gandhis and the Kings loudest when they are dead and can no longer threaten our smugness. Our lives are so very, very short that I should think we could do better. Perhaps, we are still too evolutionarily primitive. Perhaps, the truly compassionate are but aberrations. I cannot think it otherwise, and I despair.

What happens to a fantasy come true?

At night. Late. Quiet. Alone. In bed. I ponder the daylight world of color, shadow, music, plants, people. They don’t seem real in the darkness. They seem like a drug trip. I think, “Maybe this is what death is like; awareness without stimuli, as if the world were a long ago dream.”

Lately, as I lie in the darkness, I ponder Marit Larsen. I want to be Marit Larsen when I grow up.

Why?

Because she’s young, rich, healthy, intelligent, talented, beautiful, famous... Okay, I’m intelligent too, and I’m talented too (not widely appreciated for it, but talented nonetheless). But I’m also soooo old; I don’t know what my first sixty years were about, and I don’t know what to do with my last twenty. If I were Marti Larsen, life would be soooo good. Or not. I’ll admit it; I don’t know her; I just know about her.

I saw Edie Adams in an old movie last week, only I couldn’t remember her name. I just knew that I knew her. Turned out she was the woman who did the Muriel Cigar commercials in the ‘60s. Women don’t come any prettier. Then, she got old and not so pretty. No, not so pretty at all. Grace Slick was the same way. I feel cheated when women do that. Women create life—right? So what the hell are they doing getting old and dying? I expected better from them.

I worshipped them (the pretty ones anyway) from my earliest memories. It could even be that my earliest memory is of a woman who visited my family, and with whom I wanted to sleep so I could absorb her magic. I wasn’t allowed, and I screamed in protest. There it was, infinite joy right in front of me, and I couldn’t have it. I didn’t know about sex, but I knew that the universe could be mine if only I could press my body against hers in the lonely darkness.

Now, Peggy won’t sleep with me (I snore, I kick), but Peggy can’t give me eternal bliss anyway, so I can live with it. The only women who have that power are the ones who exist solely in my imagination—even though they’re based on real people. Nothing kills a good fantasy like having it come true.

I continue thinking as I lie in the darkness: Okay, if I could be Marit Larsen, what would that look like? Well, I couldn’t just be me in her body; I would have to be her, and this means that EVERYTHING that is, was, or ever will be me would be destroyed. Would I still do it? No. I wouldn’t. I say to myself:

“She too will die. I know that. I look at her, so young, so full of life; but, no matter, she will grow old, and she will die, and then she will be no more. Odds are, it will happen forty years after my death, but what is forty years in the scheme of things?”

Still, she looks like a goddess. I know better, but the little boy in me can never completely give up the old fantasies. Reality is simply too hard to look full in the face. Yet, in the wee hours, I DO look reality full in the face, if only because I can’t turn away. I hate the wee hours.

The thing that is both sad and grand is that I have at least rationally given up on magic. Women can make me feel damn good, but they can’t save me; they can only distract me. Why is such knowledge grand? Because to look to women for salvation was a heavy burden to lay upon human flesh. Men sometimes kill when their goddesses fail them.

When I was young, and I knew guys that were old and rich, I envied them because I knew they could get women that I couldn’t. Now that I’m old (and not really rich, but not poor either), I too could get women that I couldn’t have gotten on charm alone when I was young; but I don’t want them. Funny that I ever thought I would.

Now, even if I could get them on charm alone, I wouldn’t know what to do once I had them. I could fuck them, for a while longer anyway, but what would we talk about? Funny I should keep coming back to that. Peggy and I can talk about 38 years of shared experiences, or we can talk about the years that we didn’t share but that we did both experience. Marit Larsen is a 26-year-old Norwegian.

Me: “So, Marit, did you ever see that mermaid statue thingy in Oslo?”
Her: “Herregud!!! What is it with Americans and geography? The Little Mermaid is in Copenhagen. Me and my Mom saw it a long, long time ago, like in the 90’s.”
Me: “I first saw it in a book in the 50’s.”
Her: “Wow! My parents weren’t even born yet.”
Me: “Hey, I’ve got some DVDs of Have Gun Will Travel. Do you want to watch them?”
Her: “What kind of music do they play?”

Whatever shot I might have ever had at Marit Larson is gone. Watch her video. Try to see her as I see her. She looks angelic, but she’s not an angel. I know that, really I do.

P.S. For best results, double click on the video to watch it on the YouTube site.

Careers, affairs, and other marital considerations

Peggy holds the most respected job in America, and I the most despised. Registered nurses outrank doctors and professors. Househusbands fall below politicians and car salesmen. Indeed, most people don’t believe househusbands exist; they think we are simply men who mooch off our wives. Such was how my mother saw it; she called Peggy my “meal ticket.”

I got the job in 1978 after I built our house in the Mississippi woods. The plan was for Peggy to work and for me to do everything else, which at the time included gardening, preserving foods, adding finishing touches to the house, and working part-time as a writer, carpenter, candle-maker, and housepainter. After we moved to Oregon in 1986, I continued being the houseperson, but I also continued taking outside work, although Peggy never liked it because she had to help with the chores. My last job was as an on-call handyman for an office suite; when my boss left in 2001, I did too.

A major part of my househusband tenure has been remodeling the houses we’ve owned, and this points to one of the awkward aspects of my job. Namely, it doesn’t have an adequate label. Househusband implies cooking, cleaning, and doing laundry; but not remodeling, yard work, investment management, and car care. When I am asked what I do, I either have to go into a long description or offer an inadequate title. Now that I’m sixty, I just tell people I’m retired. Not that they ask much anymore because they assume I’m retired based upon how frigging old I look.

Women who understand how much I do for Peggy often ask her if they can borrow me for awhile—or they tell me that they would like to take me home with them. Peggy doesn’t know how to scan a credit card because I do the shopping. She doesn’t know how to look up a library book because I get them for her. She has no idea how to go anywhere because I either take her, or I go with her and give her directions. I set my mental clock each night so she won’t have to wake her up to an alarm. I make her bed; I cook her breakfast; and when she comes home, I have her supper ready. If she needs an appointment, I arrange it. If she needs business transacted, I do it.

I went to the dentist with her on Wednesday and held her hand while she was having her teeth cleaned. On Thursday, I sat by her side during her bone density scan and learned as much I could about osteoporosis. Later that day, I went to the doctor with her because she had a blocked salivary gland—I did most of the talking. Prior to these visits, I filled out her medical forms and printed an updated copy of her medications. Afterwards, I took her home, and then I picked-up her prescription.

I take care of Peggy like she is a cross between a child and the queen of England. In return, I don’t have to deal with the hassles of pleasing an employer, and I can schedule my time pretty much as I wish. Other than societal disrespect (which really isn’t an issue anymore) my job only has four downsides. One is that I am dependent upon Peggy for my income and my health insurance, so if she should die or lose her job, times would be hard. The second is that I do all of my work alone and miss the feeling of being part of a team. The third is that my work hours aren’t clearly defined, so I always worry that I’m not doing enough. The fourth is that Peggy is my de facto employer, and she can be a hard woman to please.

For example, she recently had a Corian top made for a table in her bedroom, and I mounted it from below with four bolts and nuts. Peggy got down on the floor and, by moving her head from side to side, noted that the sides of the nuts were not lined up with the walls of the room. Most people would consider me a careful craftsman, but I never feel that I make the grade with her. It’s not that she gets upset or gives me a hard time; it’s just that she can’t let go of something until it meets her standards. Her hobby is collecting antique clothing buttons and arranging them on perfectly laid out cards, for god’s sakes. Extreme detail is her idea of relaxation; it is my idea of torture.

The more in touch I become with my own mortality, the more I try to teach Peggy things that she would need to know if she were alone, things about our finances or how to do stuff on the computer, for example. But Peggy is incredibly resistant to such information. Even though I’ve repeatedly shown her how to get to the dentist, her best guess this week would have landed her two miles away. It’s as if she thinks she can keep me alive by making me indispensable.

I’m just the opposite. I assume that she could die at any moment. I worry about her driving to work. I worry about her riding her bike. I worry about her flying across country to visit her family at Christmas. I worry about her skiing each winter. And I really worried about her climbing mountains. Yet, I have no control over these things.

Despite what might sound like a lot of hovering on my part, I never even try to say no to anything Peggy wants to do because it’s not my place to run her life; it’s my place to assist her in running her own life. She gives me the same freedom. If I decided to spend the next month camping alone in Montana, Peggy would support me. In past years, I’ve been gone twice that long and traveled thrice that far, but I’ve since lost all desire to leave home. Everything I value is right here.

Does this mean you regard Peggy as your soul mate?

I would say both no and yes. No, in that it’s a flawed concept. How many people did any of us get to know well enough to consider marrying before we chose the person we did marry? I had precisely three girlfriends after age 18 and before I married Peggy at 22. All three wanted to marry me, but Peggy was the only one I wanted to marry. How many women did I fail to check out before I married her? Millions. And what are the odds that I might have gotten along better with at least one of them? Probably thousands.

The way I see it, the goal isn’t to find the best woman in the whole world (whatever that means), but to find a damn good woman and love her as best you can. Sure, I’ve had girlfriends since I’ve been married (which means that my best hasn’t always been that good), and I’ve sometimes wondered if I wouldn’t be happier with one of them, but I always came back to the thought that Peggy is a woman of kindness, loyalty, intelligence, and integrity, whom I know well and with whom I am highly compatible in important ways. Ergo, how much sense would it make for me to run off with someone whom—in all honesty—the main things I know about are that she’s pleasing to look at, fun to talk to, and hot in bed? A new girlfriend always looks better than an old wife precisely because she is new; I know Peggy too well to build endless fantasies around her.

I could find half a dozen “soul mates” this afternoon alone based upon the wonders I saw (or imagined) when I gazed into their eyes. Lots of women look perfect, but it’s like the seasoned trail boss (Eric Fleming) used to say to his romantic young ramrod (Clint Eastwood) on the old TV show Rawhide!: “Rowdy, just because a woman looks like an angel; it don’t mean she is one.” I’ve found it difficult to wrap my mind around this concept, and the only reason I’m getting any closer is that my testosterone levels are on the decline.

Now for the yes. Inasmuch as the concept of a soul mate is valid, she—or he—is both born and made. I’ve been with Peggy for almost two thirds of my sixty years. Even if I should meet a woman with whom I felt such oneness that she seemed like myself in another body, she still wouldn’t know me the way Peggy knows me, and I still couldn’t give her my unreserved trust because I wouldn’t know her. It’s one thing to know what I’ve got, and quite another to know what I would hope to gain, and in this, as in all things, I live by the adage that, if something looks too good to be true, it probably is.

You might say that I’m not being very romantic, but I’m not writing about romance; I’m writing about what I’ve found to work in life. If I lived by romance alone, I’d probably be on my fifth marriage by now. Romance is like dessert wine. It’s great to enjoy but bad to get drunk on.

By the way, the picture was made in 1971.

Some people scrounge; others just collect

Yesterday was a good day for a scrounger. First, I ate a piece of toast that someone had left in a restaurant (I dunked it in my coffee); then I found a pair of perfectly good socks under a park bench (socks were actually on my shopping list); and lastly I spotted some votive candle holders on a curb (I’ll use them for shot glasses).

“People who have class don’t scrounge,” Peggy objected.

“Ha!” I said. “In my family, they did. In my family, the ones without class went straight to the dump.” THAT’S low class. Finding stuff around town is serendipitous. (I don’t really think it’s low class to get stuff from the dump—I think it’s damn efficient—but I was trying to impress Peggy.)

“Hey, you didn’t tell me the light changed!” Peggy yelled as a car barreled past. She was prying a penny from the asphalt as we spoke, and I was standing on the curb where I was supposedly warning her of oncoming traffic.

“Shit, Peggy, don’t you go hollering at me. It’s not like you got run over or something!”

This reminds me of a funny story about Peggy—after 38 years together, I could tell you A LOT of funny stories about Peggy.

Peggy abruptly stopped her bike one day when she saw a penny in the bike lane. The biker who rear-ended her was pretty upset, so Peggy lied about why she stopped. Another time, Peggy was going somewhere with Shirley when she saw a penny at a gas station. She had Shirley drive round and round through the pumps until she saw it again. Naturally, the station’s bell kept going off, which, for some reason, seemed to piss off the man whose job it was to answer it.

Peggy isn’t a scrounger though; Peggy is a collector. A collector only picks up things that aren’t good for much, things like beads, pennies, matchbox trucks, and squished rings from Cracker Jacks’ boxes. A scrounger picks up things he can actually use. I especially like baseball caps because I wear one almost every waking moment. Peggy worries that I’ll get head lice—and give them to her—but the risk seems worth it.

I think that what is really low class is waste. I would even say that waste is worse than low class. I would say that waste is a sin. I went to a talk about mysticism at Unity Church last week, and the leader gave out ten-page single-sided handouts. I was horrified. Not only does double-sided printing save resources; it saves filing space in the event that anyone wants to keep the handouts. I was also horrified because Unity claims to teach a better way to live. Well, duh.

Another time, I was in a writing group when a woman read an essay in which she trashed loggers. She gave everyone single-sided copies of her essay. What was she thinking—besides how superior she felt to all those damn loggers?

My Dad was a scrounger, only it got out of hand when he was old. He would bring home things like broken baby cribs, things that took up a lot of room and didn’t even have parts that could be used in other things. When I moved him from Mississippi to Oregon in 1992, I spent weeks getting rid of it all. Everyday, I would take one truckload to the dump, one truckload to the junkyard, and set aside another truckload to sell. What upset me most were the scores of worthless (to him anyway) magazines that he had paid money for, magazines like Mademoiselle and Working Mother. He thought they would give him a better chance to win the Publishers Clearinghouse Sweepstakes. When Ed Mahon—Johnny Carson’s sidekick who advertised for Publishers Clearinghouse—died last month, my only thought was that I hope there really is a hell, and that Ed Mahon is in it.

To waste means to hold in contempt. The problem is that we all do it. I live in a 1,250 square foot house that has a double garage and sets on a fair-sized lot. All of the houses in my neighborhood are about the same size, and most were occupied by families of three to six people when they were built in the 1950s. Now, most of them contain widows or divorced people. I’ve asked several people who raised their families in my neighborhood if the houses seemed small back then. They all seemed surprised by my question, yet today, anything less than four bedrooms and two baths would seem small.

There really is no end to how much we want, because as soon as we get one thing, most of us start thinking about how nice it would be to have something else. I think 1,250 square feet is too big for a couple, but Peggy disagrees. Ten years ago, I talked her into at least looking for something smaller, but everything that was smaller was in a rundown neighborhood. People who couldn’t afford big houses apparently felt too discouraged to take care of the houses they could afford. Yet, when you think about it, the smaller the house, the easier the maintenance.

I think that, as a culture, we’re going to remain wasteful until something from outside stops us. Here’s why I think that way. Take the average overweight and under-exercised person. If that person develops serious health problems that can only be cured by weight loss and exercise, he or she is probably screwed. Now, extend the unwillingness of the individual to deal with problems that imminently threaten his existence to those problems that will threaten society as a whole a generation from now, and tell me what the odds are of voluntary change.

I have a friend who says that the problem isn’t waste per se, but the ever-growing number of people who are doing it. In his view, this excuses him from changing how he lives. I would consider waste to be an act of contempt if I was the only person on earth, but he’s probably right in a purely practical sense. Yet, I think we’re obliged to do what we can to better the situation we are in rather than to simply bemoan the fact that a better situation doesn’t exist.

There used to be a story that circulated the Internet about a little boy who was throwing stranded starfish back into the water (I don’t remember how they got out of the water—maybe a hurricane). A wizened old man came along and pointed out that, given the thousands of starfish that were stranded, the little boy wasn’t making a big difference.

“I guess I made a big difference to that one,” the kid said as he threw yet another one into the water.”

That’s the way I see it. I didn’t scrounge a pair of socks or a set of shot glasses. I respected them by rescuing them from the garbage. It wasn’t much, but it was something, and I treasure such finds far more than anything I could buy.

What do I care?

A woman was sobbing loudly and screaming at invisible people in front of the library today. I had been out all morning and was looking forward to getting home and eating peanut butter with homemade Parmesan crackers, so I walked on by. When I reached my bike, I looked back and saw that the only other person in the area was an adolescent boy who was beating a hasty retreat.

“Damn, I’m stuck,” I muttered. “Any other minute of any other day, and there would be a hundred drunks, druggies, pimps, whores, punks, Goths, hippies, skinheads, panhandlers, and homeless people standing around with their sleeping bags and pit-bulls admiring one another’s tattoos and nose-rings.”

“I’m having a panic attack,” she said when I asked how I might help. This didn’t fit with what I had witnessed, but I still felt relieved that she might not be out and out psychotic. She calmed down remarkably fast, so fast that I wondered if her hysteria hadn’t been a ploy to get my attention.

She sat on the edge of a concrete planter, and I sat beside her while she told me her sad story. To wit: her “boyfriend” neglected to tell her that he has AIDS, but she loves him anyway although he lost all interest in her after they had sex. Her “partner” doesn’t know about the affair, and she doesn’t plan to tell him because he would beat her up.

“Lady, you are just too stupid for words,” I thought. Still, I couldn’t bring myself to leave, at least not yet. I had decided to help, and, by god, I was going to do it—for five more minutes anyway.

She said she had walked for miles hoping to work the virus out of her system before it put down roots. She asked if drinking a lot of water might wash it out. I said I doubted it, and I then made an unforgivably practical suggestion about going to White Bird Clinic to be tested, and I tried to console her with the thought that she might not have AIDS anyway, but even if she does, people nowadays live for years with the virus.

When I finally got up to go, she thanked me sarcastically “for making fun of a serious situation.” I hadn’t done this, so I figured she was just trying to provoke me into staying, but I honestly didn’t care. The fact is that I never cared. I had done my duty as I saw it, but my heart was at home eating peanut butter on homemade Parmesan crackers.

Maybe you would have cared. Maybe you would have listened without passing judgment, but I can’t imagine how. I really can’t. The only way I can feel warm and fuzzy toward my fellow human beings is to not be around them very much. Still, if you would have cared, I hope it’s you who stops to help on the day that it’s me standing in front of the library screaming at invisible people. Not that I am given to such theatrics. No, not me. I realized when I was a little boy with a screaming sister that screamers get all the attention but none of the respect, and I came to hate them on both counts.

Chronic pain: is it for you?

Here’s how I see chronic pain. Let’s say you take it into you head to help the poorest people on earth, and you are sent to a city dump in Cairo or Mexico City. An hour after you fold the seat-table on the 747, you are standing amid Third World filth, smelling the overpowering stench and looking at the emaciated children with maggot-filled sores, and you think, “My God, I can’t take this.” But you discover that you are stronger than you thought and, after a few months, you get used to it. You still hate it, but you get used to it.

Today, I went to see Shan, my number one physical therapist (I see three in all). If I don’t have less pain in the next two weeks, Mark will want to do a joint replacement on the same shoulder that he did the decompression and tendon repair on in March, so Shan suggested a drastic approach. His “drastic approach” was to stick needles deep into my muscles and tendons. This made them twitch so violently that I bent some of the needles. Every time I thought that he surely must be finished, he would have me change positions and stick me some more. Sweat poured off me, yet the pain still wasn’t as bad as much of what I experience everyday. I tried to carry on a normal conversation. “You handle this better than anyone I’ve ever seen,” he said, and I took it as a better than average compliment. Afterwards, I was sore but a lot more limber.

I realized some time ago that if I want medical people to take my pain seriously, I have to hang tough when they hurt me. As an ob-gyn nurse, Peggy often gets patients in early labor who claim that their pain level is a ten on a scale of one to ten. Peggy will say, “Ms Babymaker, you need to pick a lower number because you’re not leaving anything for later.” I always try to leave something for later. Not that I would act any differently otherwise; I’m too macho for that. Sometimes, macho is good. Of course, emoting is good too. It’s just a question of when. I cry easily (real easily) when I’m touched or grieving, but never when I’m hurt or angry. That’s just how I am, and I like it.

The last time I cried because I was hurt or angry, I was in the fifth grade, and got into a fight with a former friend, Jack White, after school. Jack brought three other friends to the fight, and when they saw that I was winning, they penned my arms so Jack could beat me up. Only he never threw the first punch because I began sobbing at the recognition of such treachery as I had never thought possible. Aghast, they let me up without a word spoken, and I walked home still sobbing. My best friend, Grady Green, was sitting on the porch, and he consoled me. I’ll never forget that, although I don’t even remember what he said. For all I know, he didn’t say anything. That afternoon contained one of life’s saddest moments followed by one of its sweetest. I wish I had a male friend like Grady today. But I digress.

I was dizzy when I left Shan, and that wasn’t good since I was on my bike and a half hour from home with a lengthy errand to do en route. I knew it would be better to skip the errand and go ice my shoulder, but macho kicked-in again. When I finally got home, I iced my shoulder for ten minutes and then ran another errand, followed by more ice, and finally a third errand. If not for ice, I don’t know how I could bear the pain. I try to limit narcotics to the nighttime, yet I still have to get up every two hours for a new ice pack. Demerol, Vicodin, Percocet, Norco, Dilaudid; none of them are sufficient without ice. It’s quite the experience to be passed out on narcotics and sleeping pills, only to be instantly awakened by a pain that comes screaming through the darkness like an arrow out of nowhere. Fortunately, I can usually get by on either the one or the other as long as I supplement it with ice.

A lot depends on how bad the pain is, and that varies, but I would say that what annoys me worse than hurting all the time is not being able to do so many things. Even small things like running the vacuum cleaner. I’m still hoping that I’ll be back to normal in about a year, but if I have to have my right shoulder operated on again (before I have the left one done), it will be closer to two years, and there’s even the possibility that the left shoulder will require two surgeries too since it and the right one look like mirror images on an MRI.

I wish I could have avoided all this, but it hasn’t been a total loss, although I can’t think of much good to say about it either. Really, the only thing that comes to mind is that it has shown me that I’m tougher than I thought—and more adept at suffering. I might hope that it has also made me more compassionate, and maybe it has.

Despite my toughness, I think about death, a lot. It all comes down to how much pain and disability a person is willing to tolerate. I’m not near my limit because I still have hope, and I also have Peggy to consider. Death does seem like an easy way out though. I think that, well, what if I lose hope that things will ever get any better? What if I come to believe that I will always need someone to mow my fucking yard and vacuum my fucking floor, and what if I conclude that I will never pass another day without significant pain? That would be a hard row to hoe, but I could do it. I just hope I won’t have to.

I roofed a dentist office in the early ‘80s alongside Jack Tindall, the sixty-year-old man who owned it. Out of the blue one day, Jack turned to me and said, “You’re a master, and I’m a past-master.” I thought it was a strange thing to say because he was a rich man, and he didn’t have to be on that roof if he didn’t want to. Now, it’s Jack’s turn to be dead, and my turn to be a past-master, and the fact that I have the money to pay someone to mow my yard and vacuum my floor isn’t enough to compensate. Money seemed more magical when I was young and strong. Now it’s mostly good for paying medical bills. That still makes it my best friend, because without it I would be left to suffer and die like so millions of others in “the greatest nation on earth.”

If all I had to look forward to was a continual downhill slide, health-wise, I wouldn’t want to live that way, and if I didn’t have Peggy, I don’t know that I would. Some days, it’s hard to see the point, and my fantasies turn toward how I might escape. I’m only sixty though, and I do have hope for a better tomorrow, if not next year, maybe the next.