Doctor Baxter and Nurse Bonnie

I was telling my neighbor, Ellie, and her fourteen-year-old son, Josh, about my upcoming surgery. Ellie said that Josh had to do a certain number of volunteer hours for a school assignment, and that he could help me out with anything I needed done. “Well…I won’t be able to wipe my butt for six weeks…” I said lyingly. Josh continued looking cool, unruffled, maybe a little bored (I see him practicing this look on his way to school each morning).

Unfortunately, Josh knows me too well to believe anything I say. That wasn’t always true. When his family moved here, Josh was nine. One day, he was in the street with his remote controlled car. “Hey, Snow, look at this,” he said as he rolled the car several times. “Dude, I enthused, “that is like SO TOTALLY COOL that I’m going to try it with my van.” Here I got into the van while Josh looked at me in horror (this was before he discovered the importance of looking cool no matter what). “He’s just kidding you, Josh,” Peggy said. Damn kid hasn’t trusted me since. Go figure.

Peggy will be out of town for two weeks out of the five following my surgery. I wouldn’t mind this so much were it not for the dogs. Friends, neighbors, and lodge brothers are always willing to help out, except when it comes to the dogs which, ironically, is what I need help with the most.

My fantasy is that the dogs will help me. Specifically, Bonnie Blue Heeler would act as my nurse since she would look really cute in a starched white uniform and a nurse’s hat. There are only two things against it. One is that post-surgical odors scare the bejesus out of her, making it impossible for me to get anywhere close. The other is that she won’t wear clothes. At a Christmas party one year, Peggy tied a red ribbon around Bonnie’s neck before Bonnie knew what was happening. Bonnie was so humiliated by the ensuing laughter that she ran from the room and wouldn’t let Peggy come near her for hours. Though this happened ten years ago, it thoroughly discouraged us from ever again dressing Bonnie—that and the fact that she has extremely strong jaws and uses violence as a first response to interpersonal conflict.

My other fantasy is that Baxter Black Schnauzer—being a boy and all—would serve as my physician. He would look cute in a white lab coat with one of those round mirror thingy’s on his forehead, and his Nietzsche-like moustache would accentuate his scholarly appearance. Since he will wear clothes, the dress-up part is doable. The downside is that he’s an all-around idiot (Peggy vehemently disagrees with this assessment) and doesn’t exude an iota of the customary doctorly arrogance.

Such considerations make it clear that the dogs will be a liability rather than an asset. All I can think to do is to lock them in the garage for two weeks, and take them a little food if my head should clear sufficiently between doses of Percocet and vodka. Then again, maybe Peggy could tear open a fifty-pound bag of dog food and dump it on the garage floor on her way to the airport. They would immediately eat it all, throw it all up, eat the vomit, throw that up, and so on until her return. With luck, I wouldn’t have to buy another bag of dog food for at least a year, by which time I should be well enough to carry it home.

Two weeks from today

I am grateful for the kind words that my last post elicited. Your advice was valuable in that it told me of your caring, and because it confirmed that the advice I had given to myself was the best advice available. Sad to say, advice is not necessarily easier to accept because it is good.

Even so, my last entry—and your responses—calmed me remarkably, and allowed me room to think of things other than my fears, things like other people, for example. Self-absorption is like a whirlpool in that the lower I descend, the faster and tighter the maelstrom, and it is good to be out of the middle of that maelstrom, at least for now.

The thing that scares me most about this surgery is that, like all surgeries, it is a violent act. In this case, it is so violent that it will take months to recover from the wound. I recoil in fear. I think that, surely, there is a better way, a way that is gentle and encourages healing rather than treating my shoulders as if they were enemies to be conquered and enslaved. It was with this hope that I cancelled the surgery last September, but I have found no other way. I wasted a little money on herbs, a bit more on massage, a lot more on acupuncture, and a whole lot more on physical therapy. The bitter truth is that some problems don’t respond to gentle methods.

I take my shoulder to the surgeon with the same mind that I take my dog to the vet. I know that the vet might hurt my dog in the short term in order to help it in the long run, but my dog cannot understand this. All my dog knows is that it was afraid and hurting, and that the man I have taken it to is hurting it more. Nothing I can say will make that okay. Like my dog, when my shoulder hurts, it screams, and I cannot reason with it. I want it to know that I am sorry; I want it to know that I am doing my best to help and that I would never hurt it without reason, but words cannot reach it. There is my rational mind, and there is my animal body, and they sometimes seem very far apart.

"Gloom, despair, and agony on me; deep dark depression, excessive misery"

I mowed today for the first time this year. I’ll mow once more before having shoulder surgery in late March; then I won’t be able to mow for months. This surgery takes a year for a full recovery, and I will never regain normal strength and flexibility. What’s more, both shoulders need the surgery, but only one can be done at a time. I’ve cancelled it once, and I’m tempted every waking hour to cancel it again. I can’t say I’m terrified, and I can’t say I’m devastated; but I can say I’m close.

Three years ago, I had knee surgery. Before that surgery, I could hike twelve miles up and down mountains, but my knee would swell a little, so I thought, what the hell, knee debridement is a simple and commonplace operation and, after I have it, I can hike without pain. Since the surgery, I haven’t been able to hike at all, and there are even days when I hurt too much to take the dogs for a walk.

Before having knee surgery, I liked surgical options. My thought was: “If something’s bothering you, don’t beat around the bush, get a surgeon to cut it out—what could be simpler?” I’ve since observed that one kind of surgery can be life threatening yet cause little pain and offer a full and speedy recovery, while another can have a low mortality rate but a significant risk of disability and chronic pain. This realization is similar to one I had as a boy when I would get so sick each winter with colds that I would wonder how, if a minor ailment could make me feel that bad, I would ever be able to hold up against something that might actually kill me. I was relieved to learn that people die everyday of things less annoying than a cold.

Now, I don’t know how I am going to hold up to months of being unable to use one-arm followed by the same thing all over again when I have surgery on the other. A local woman survived having both arms ripped off by a gasoline auger last October, and I tell myself that I should be thanking my lucky stars I’m not her; but reminding myself that I could be worse off never seems to make me feel that much better about how bad off I am. If it were that easy, few of us would ever be put out by much of anything, there being few things so terrible that they couldn’t be worse.

By day and by night, fear rolls over me like a fast train. If it were any greater, I would be hysterical. I say to myself that I am not six but sixty, and sixty is plenty old enough to have become a barbican of strength. I say to myself that I should be limpid, ataractic, eudaemonious, and there is no excuse that I am not. So I say, but berating myself for being afraid only makes me less able to summon my strength.

I feel damned if I do and damned if I don’t have surgery. I’m in pain when I am awake, and pain often awakens me at night. Sometimes, it’s terrible in its intensity, and can stay that way for weeks making it almost impossible to think of anything other than how much I hurt. There have been times when I could scarcely bear to walk because even the gentlest steps were too jarring, and sleep would only come when I was exhausted and would only last for a few minutes before the pain awakened me. Yet, I’m fairly functional most of the time, and the pain is tolerable if I don’t use my arms much.

If the surgery works, I’ll eventually be without pain. If the surgery fails, I’ll be partially disabled, and there’s a 10-25% chance (estimates vary) that the surgery will fail. But if I don’t have surgery, my tendons, which are 80% severed, will eventually break, and the ends will pull apart, making repair impossible.

I had three surgeries last year. Two of them involved biopsies. In the second biopsy, the surgeon went through the front of my throat to get to my vertebra. My fear when I had to get out of bed at 4:30 in the morning to go have my throat cut is beyond my ability to describe. As it turned out, I didn’t have cancer, and I was almost as good as new the next day. Even though my worry then was that I might die, that was preferable to my present fear that I might be permanently disabled and in pain.

Last week, I met an athletic looking man twenty years my junior who had the same surgery in November. He said he was in so much pain for the first two weeks that even Percocet didn’t kill it, and he still can’t raise his arm high enough to shake hands. He looked utterly beaten and demoralized, the living image of my worst fears. Sure, my own surgery could turn out worse than that—I could die—but he represented my worst-case scenario of that which seems easily believable. He even had the same surgeon, not that I’m jumping ship now, this being my fourth orthopedist and the only one I like and trust.

The hysterical seriousness of life

We got the Camry.

“Why?”

Because I told Peggy I would go along with whatever she wanted, and she said she wanted the car enough to ignore the arbitration clause.

“Why were you willing to go along with what Peggy wanted?”

Peggy used to walk to work. Last August, the hospital at which she works moved nine miles away. She tried taking the bus—too long. She tried biking—too far and too dangerous (the streets are busy and she often commutes in the rain and the darkness). When busing and biking didn’t work, she started driving our 3/4-ton van (see photo) but was intimidated by its size. Getting a car was my idea because she works hard at a stressful job (L&D nurse), and I wanted her commute to be happy and relaxing. The bottom-line about getting the Camry is that I value Peggy more than I value standing on principal.

I received four calls from three people from the dealership the day after I walked out of the paper signing. One said that Kendall’s could force me to buy the car. They all said that no one else ever had a problem with the arbitration clause, so I shouldn’t either. They all said that my reluctance to sign implied that I didn’t trust them. They all said that the arbiter wasn’t one they chose but one that was assigned to them by the State of Oregon. I doubted that the State of Oregon assigns arbiters to car dealers, but I called the Department of Justice anyway and verified that I was right.

I will bike to the dealer’s on Monday with a bank check, put my bike in the trunk of our Camry, and drive home. Peggy will be out of town with a friend that day. Taking care of our business affairs is my job. Otherwise, I would have to go earn a paycheck. We’ve lived that way for many years—she makes the money, and I do everything else. The only time it gets awkward is when people ask what I do. Peggy has a title, but what could I possibly offer as my title? Now that I’m old enough to look like I’m retired, I just tell people I’m retired. It’s not true, but it’s easy. Not only do I value Peggy above principal; I value convenience above principal, at least sometimes.

Now for some late night miscellany.

Things—like this whole weird car-buying experience—go easier when I can think of life as a game because thinking of life as a game takes the edge off. When the stakes are lowered, the outcome doesn’t seem so deathly serious.

If I could go through life on a three drink high, that would be about right. The trouble is that a three drink high doesn’t last long. I’ve often wondered why, if after three drinks, I feel like I would like to feel all the time, I can’t hang onto that feeling when I’m not drinking. It’s like the old hippie belief that psychedelics can lift you to a higher level of consciousness. That might be true, but then they drop you back to where you were. I learned this when I came to the realization that people who did a lot of psychedelics (or a lot of liquor) were as messed up as everyone else, often more so.

I’ve always been flexible about principals. For example, if a store clerk gives me too much change, I might keep it or I might not. It depends upon how I feel about the store. If I respect the store, I’ll return it; if I don’t, I won’t. Whether I was given one dollar too much or a million dollars too much would make no difference (if the amount was a million dollars, I would really hope I was in a store that I didn't respect). Sometimes, I’ve gone to the wall over principals that other people didn’t think were important. Other times, I’ve been okay with doing things that other people thought were wrong.

Today is my birthday. I am sixty. March 1 is the best possible birthday. If you tell someone that you were born on September 23 or January 11, they just nod and look bored. If you tell them you were born on March 1, they say, “RAAAR! RAAAR!” They do this because the sounds in March 1 flow like martial music. Some people will even stomp their feet and drum their hands. One man got so excited that he couldn’t bear the agony of his ecstasy, so he jumped in front of a freight truck (the truck wasn’t actually moving, but he didn’t know that). After this happened, I started being careful about where people were when I told them it was my birthday.

Just as March 1 is the best possible birthday, 1949 is the best possible birth year. I’ve already gotten to live in three half centuries, and that’s the same as being 150 years old. When I was a kid, I felt sorry for people who weren’t born until 1950 because they always seemed so childish. Peggy wasn’t born until 1951, but that’s okay because it means that she will always be a nymphet and men are really into nymphets, in a manner of speaking. Sometimes, I lord it over Peggy because I was born in the half century that preceded hers. I’ll say, “Peggy, I was born in the same half century as two world wars. Your half century just had a lot of piddling little wars; how embarrassing that must be for you.” Peggy never seems much impressed by this line of thinking, which is why I have to keep presenting it to her. I figure that someday, she will get it and say, “Ooooooh, you’re my big, strong man. I don’t think I would have been tough enough to have survived two big wars the way you did.”

I care some that I am getting old, but I wouldn’t be keen on going back either. It’s like everybody says, “I wouldn’t mind being young again if I could take everything I’ve learned with me.”

Now, if old people think they’ve learned a great deal, why do young people hold their wisdom in such low esteem, sometimes even dismissing their opinions simply because they are old? Maybe it’s because old people have also lost a lot, things like the ability to play and to be spontaneous…also the ability to remember quickly…and to see and hear well…and to move fluidly; the list just goes on and on.

This means that young people are right in thinking that old people are an irredeemable mess, but then young people are too, come to think of it. That’s just how people are. You’ve got old and doddery, and you’ve got young and dumb, and you can’t even choose your poison. It would be enough to turn Joan of Arc into an atheist if she had lived long enough. The advantage of dying young is that you get to avoid a lot of aggravation.

Such bummer thoughts are why it’s important to think of life as a game, as something like checkers, say, so that you can enjoy playing it without getting overwrought about whether you’re winning or losing. Life is also like a conveyer belt. We all fall off sooner or later, so why clench your teeth about something that is about to end anyway?

I know why. The reason is that time seems drawn out when you’re suffering. All this stuff about life being a game sounds hollow when you’re lying awake in pain at three a.m., and you have no hope for feeling better the next night, or the night after, or any night in the future. In fact, you worry that you might feel even worse, and you don’t know how you can bear it if you do. Happiness is over in a heartbeat while misery just keeps on keeping on, and misery makes it damn hard to say that life is a game.

But what’s the option? Some might argue that God ordained it all, and so it all has a purpose. Okay, fine. If you can believe that, it might do you a lot of good, but it doesn’t mean squat to me. I don’t think life means anything more or anything less that what any of us thinks it means. Life is not serious unless we think it is, and life is not a game unless we think it is. There is life and then there are our thoughts about life, and we cannot know how closely the two coincide. Even so, we can't not think, and my thought is that the meaning of life, and therefore the worth of life, is entirely subjective. My worth comes from Peggy, nature, my dogs, my friends, my writing, and from those moments when I feel happy or when something touches me so that my heart melts. But all of these things are transitory; I don’t believe in anything that is lasting. Could I be wrong? Yes. Any of us could be wrong about pretty much anything. There’s always room for humility.

http://www.youtube.com/watch?v=AO9dbmJ_2zU