On Last Week’s Surgery and this Week’s Surgery

Last Friday (April 8), I had a posterior capsulotomy. This is a laser procedure in which a hole is cut through a cloudy, post cataract surgery lens in order to allow the cloudiness to dissipate. So far, I’m not seeing any great improvement in vision, but the resultant floaters are driving me nuts. They are large and appear to move more rapidly than ordinary floaters. Depending upon where I am looking and how distant they appear, I mistake them for gnats near my face, roaches on countertops, and spiders on walls and floors. Yesterday, I sidestepped what I mistook for a mouse crossing my path. I am told that the floaters will “probably” get better.

Later this week, I’m to have a transurethral resection of the prostate, which is the name of a surgical procedure that’s performed through the penis in order to reduce the size of an enlarged prostate. Death is unlikely (one man in a thousand), but incontinence afflicts ten out of a hundred, five of them long-term or permanently.

I’m up to twenty-plus surgeries depending upon what one counts as a surgery (is a posterior capsulotomy a surgery?), but instead of growing accustomed to them, I dread them increasingly because: (1) the risks worry me more; (2) the care I receive is often impersonal and sometimes egregiously callous or glaringly incompetent; (3) Whether they’re minor or major, somewhere along the line of the many people and departments that are necessary to make a surgery possible, mistakes happen, always; (4) The older I get, the more slowly I heal; (5) I have to be at the hospital hours before I usually get out of bed, and surgery is a crummy way to start the day; (6) I chafe under the limits imposed upon me during convalescence (I’m not supposed to lift more than ten pounds for six weeks following this surgery, which is nothing compared to the limits imposed after rotator cuff repairs and major joint replacements).

I try to reconcile myself to the things I fear or dislike by remembering that, if things go well, my life will be better for having had the surgery, and that I should be grateful to have access to medical care that is denied to most of the world’s people. In the 1950s, I saw my impoverished grandmother go blind in both eyes for want of cataract surgery, and after five hernia repairs, I know something of how miserable and limiting hernias are (I try to put myself in the shoes of a poor laborer whose family will starve if he can’t perform heavy labor, but who is sure to die a horrible death from bowel strangulation if he continues to work). 

A hundred years ago, the average American man died at age 59; today it’s 76, and without modern medicine, I would already be dead. I remind myself of such things, but counting ones blessings can make a person feel bad about himself for complaining at all. By way of comparison, if you try to reconcile yourself to having a toothache by telling yourself that your problem is nothing compared to dodging missiles in Ukraine, not only will your tooth hurt as much, you will hate yourself for being a whiner and a wimp.

 

Update: My speech difficulty being worse in the morning, Peggy  called the hospital an hour ago to ask why we haven’t heard from the anesthesia department (they invariably schedule pre-op tests and a consultation a few days prior to surgery). She was told that the hospital doesn’t have me on its surgery schedule (perhaps the doctor’s office never contacted them). Upon learning this, Peggy immediately called the doctor’s office, but it’s nearly impossible to get them on the phone, and they take hours to call back. I have also called them, but I have no idea if the urgency in my voice will inspire them to act.

So it is that mistakes always, always, always happen, and the patient can never, ever sit-back and trust that what is supposed to be done will be done in the way that it should be done. Instead, the patient can but hope that the mistakes will be temporarily frustrating rather than life-altering or fatal. In this case, if there’s no operating room available, the surgery will have to be postponed, and because I was getting in early due to another patient’s cancellation, I could end up waiting months.

All about Peggy: Part 2: Dancing with Bears


Peggy’s first adventure with bears occurred while camped in the Arizona desert (the place was named the Coronado National Forest because of its ten-foot tall trees). Our camper consisted of a bear-defeating aluminum canopy mounted on the bed of a pristine white ’73 Datsun truck named Lolita. I so loved Lolita that I at least sponge-bathed her daily when we were away, including the engine compartment. Such compulsion is burdensome, but I couldn’t imagine driving down the road in a truck that wasn’t sufficiently clean for surgery. Peggy later complained that our photo album contained more pictures of Lolita than of her. This was true, but it was also true that I hadn’t followed-up on my plan to put a wedding ring on Lolita’s cute little distributor cable, and that the only presents I had given her were things like spark plugs and oil filters that Peggy didn’t care for anyway. To make a long story less long…

There we were, in the middle of the night, camped sixty miles from the Old West town of Tombstone, when my young bride suddenly and inexplicably announced that she had to “tinkle.” The park service had thoughtfully provided an outhouse for such troublemakers, but between us and it gamboled a large flock of feisty bears who were pursuing their hobby of emptying garbage cans and demolishing coolers. As Readers’ Digest regularly reminded its readers, what bears most enjoy doing is killing attractive young women—a description that still fits Peggy perfectly despite her advanced years—by hiding in outhouses and ripping-off their arms, legs, and heads before working-up to serious damage.

Aside from sunny and safe Sunday afternoon outings to the Jackson, Mississippi, zoo where the bears are tastefully locked behind stout iron bars so that courageous adolescent boys can impress wide-eyed adolescent girls by taunting them (the bears, I mean), Peggy and I had never laid eyes on an actual, in-the-flesh bear. Worse yet, these Arizona bears were nothing like the Jackson zoo bears in that these bears were looking high and low for innocent young camperettes. What’s more, they had us surrounded, and the moonless night was every bit as dark as a moonless night. 

Despite these unhappy statistics, Peggy remained grimly determined to pee. Such stubbornness represented a side to her that I hadn’t seen, and that troubled me greatly because, as I told myself, any woman who becomes this stubborn over a trivial matter like peeing would be capable of committing any manner of faux pas in the face of something important. 

Having nothing better to do at the moment, I decided to approach Peggy’s problem through the application of intelligent thought. Specifically, I thought about the following: (a) Our bed occupied the entire interior of the camper; (b) The canopy roof was too low for Peggy to squat over a jar; (c) Peggy might find it impossible to pee safely and effectively within the confines of a space that rendered safe and effective peeing impossible; (d) The solution to Peggy’s problem lay in solving for X when X=a+b÷3.14-7. Because I had no idea how to solve for X, or what solving for X would even accomplish, I regrettably concluded that intelligent thought is a waste of time except when boiling popcorn.

However (and it was BIG however), I saw in a flash that the cerebration of the stupidest man who ever lived is so superior to that of the most brilliant woman (Peggy), that I had no choice but to cancel my subscription to Ms Magazine. “What are you talking about?” you ask. I am talking about how a man, any man, could, in three easy steps, solve a problem that had short-circuited the brain of the female genius who lay squirming at my side with yellow liquid sloshing against her teeth. Here are those steps: (a) raise the camper door (this is extremely important); (b) lie on one’s side; (c) pee through the open door!

Irrefutable though my reasoning was, I knew it would be ill-advised to share it with a member of a gender that becomes overcome by feelings of feminine inferiority in the face of male rationality, so I settled for suggesting to Peggy that she tell her bladder to stop whining until the bears had gone to bed. I shed a tear when she promised to do her best because, inadequate though her best would be, not even a man could do more than that. Unfortunately…

As time passed, Peggy’s moaning and squirming achieved the desperation of a sugar cube in boiling water. Between moans, we could hear the bears snickering as they awaited her emergence, but we could tell that some of them had moved to another part of the campground. It was then that a plan presented itself. Peggy said it was time for extreme measures, so she would get out of bed and pee by the back bumper while I stood lookout. “That doesn’t sound like much of a plan to my male brain,
” I said, but if it’s what you want, I’ll lie in bed and protect you,” To my dismay, she made the power-hungry argument that I could best protect her by getting out of the camper for a less obstructed view, and to be on hand to eviscerate criminally-disposed bears. I told her that she sounded arrogant, masculine, and shrill, and it was then that the air became pregnant with tension. 

Peggy finally said that I could do as I pleased, but that if I stayed in bed, she too would stay in bed, and her side of the bed would most assuredly remain dry. Dry from what, I didn’t know, but her tone sounded ominous, so I offered to accompany her. We knew there were no bears behind the truck because there was no noise behind the truck, so I exited first—Peggy was insistent on this point—and chivalrously helped her to exit. Once on the ground, it was my job to stand beside her as I leaned from one side of the back of the truck to the other so that no bears could sneak-up on us.

As I was heroically occupied in doing my job, Peggy busied  herself by keeping a bone-crushing grip on my calf while tinkling as fast as she could go. Simple though these tasks were, she performed them admirably, although I later found it necessary to chide her for bruising my shin and calf. I also took issue with the fact that she had peed on my foot. “How could this have happened?” you ask. It happened because I had been so dedicated to doing my job properly that I took no notice of Peggy’s failure to do the same, the result being that when warm liquid ran across my foot and made mud pies inside my dusty flip-flop, I didn’t immediately divine its source. The situation could have been worse, of course, had the bears found the odor so maddening that they charged us like Crazy Horse charged Custer. 


What I learned about peeing that night was that, on the one hand, abject terror can make peeing impossibly unavoidable; on the other hand, it can make it unavoidably impossible. Such considerations notwithstanding, Peggy stuck to the task at hand. When she emerged victorious, I said that, in the interest of companionability, I too would pee, and that, in the interest of chivalry, she would guard me as I had guarded her. When she didn
’t respond, I looked toward where she had been and found myself alone in a moonless wilderness.

I naturally concluded that bears had martyred my beloved, so imagine my dismay when I happened to glance into the camper and found that she was cleaning her facial pores with witch hazel. When I, too, had returned to our snug fortress, I respectfully inquired, “Had I been massacred, Dear, would you have pulled my corpse to safety or left it for the rangers to stumble upon while you toured the Grand Canyon?” Snores prevented her from answering, so I broached the subject again over breakfast, adding that she should have informed me of her proclivity for snoring before we were married, so I could have decided upon the advisability of a shared future. I also asked if she had withheld other fatal flaws, but I regretted my cruel words a moment later when her pretty face reflected the anguish of a sensitive soul who was too remorseful to speak. I have no idea why, but everyone else on earth mistakes the expression for boredom.

Part Two

After moving to Oregon, Peggy and I camped every other week in pretty weather, staying out for 2-3 nights at a time in areas so remote that we seldom saw anyone (in Oregon, such places are easy to find). When sleeping in Lolita became uncomfortable for my beloved’s constantly aging joints, I magnanimously surprised her with a vintage 3/4 ton van with almost no dents and a high ground clearance for traversing rutted logging roads. On this occasion—as on many others—she was so overwhelmed by gratitude that she went through four stages of self-expression. 

Stage 1: Peggy is unable to make a sound. 

Stage 2: Peggy makes sounds resembling speech, but no one knows what they mean.

Stage 3: Peggy jokingly asks if I can get our money back.

Stage 4: Peggy jumps up and down in her characteristic happy dance; smiles her grimace-like smile; and pours out her gratitude with such playful teases as, “I hope you bought me a parachute so I won’t break a leg getting out of the _____ thing.” Many people claim that Peggy’s childlike humor is her most endearing quality, and that they hope to experience it someday. 

By happy coincidence, Oregon’s black bear population abounds alongside salal, currants, gooseberries, raspberries, blackberries, salmonberries, huckleberries, and hazelnuts. On the joyful day in question, we were biking down an abandoned coastal logging road when I spotted three bear cubs not twenty feet away. I threw on brakes and exclaimed, “Sweetheart, bride of my youth, look, oh look, at the darling little bears!” I naturally interpreted her silence as the product of unspeakable delight, so imagine my dismay when I turned toward where she had been, and found that I had been speaking to a tree. I naturally assumed that a bear had eaten her and was busy accustoming myself to widowerhood when I chanced to see a woman who resembled my late wife receding into the distance as fast as her pretty legs could pedal her sexy red bike. Because I knew that Peggy would want me to love again, I set out after the mysterious “woman on red,” but a race horse couldn’t have caught her.

Some might say that Peggy, unlike her husband, behaved rationally given that mother bears tend to annihilate anything that comes near their cubs, trees included. I would respond that there is not a single record of a single black bear killing or injuring a single person to protect a single cub (although their predilection for human flesh often inspires them to peel people like bananas). What black bears are on record for doing is running rapidly away from their little ones at the merest hint of danger. Therefore, if you should someday sneeze while walking through the woods, you should immediately recite whatever prayer you remember (“God is great; God is good; let us thank God for our food” became favored by many after a news report claimed that
no one who used it reported being killed by a bear) because you are in grave danger of being flattened by one or more fleeing bears...The image of a female abandoning her loved ones brings my thoughts back to Peggy.

“Why,” I demanded, when I finally found her cowering in her bedroom closet two days later, “did you abandon me to certain death?” “I didn’t abandon you,” she mumbled while staring at the floor. “Like you, I wanted to get all drippy while schmoozing with Pattington Bear
’s mother, but because I love you, I gave up what I wanted in order to get help for you in case she turned out to be half grizzly.”

The realization that my wife held my physical prowess in such low esteem that she didn’t trust me to protect her from a buttress of brutal bruins hurt my feelings twenty times worse than had she proclaimed me a bear-destroyer
par eccellenza, but I was too scared to tell her that, so I rhetorically asked, “My gentlest darling, was that really why you rode away as fast as your wrinkled legs could pedal your sexy red bike?” “How could you have doubted it?” she cooed. “After all, Snowie darling, you know what grizzlies are like because we almost saw a whole gaggle of them on that trail in Canada. If those hikers we met hadn’t told us that there were bears ahead, and if we hadn’t run to the car and stampeded back to Montana without even stopping at the border station, you would have shown those Canucks what you were made of, and it wouldn’t have been pretty.” “You’re right, my brown-eyed nymphet. If I hadn’t gotten homesick for the Home of the Brave, I might have pixillated every bear in Canada because I’m so intimidating that there are days when I don’t dare look at myself in the mirror. It was here that she kissed my cheek. Most people mistake Peggy for a total hard-ass, but she can be half nice when she puts her whole heart into it.

Next time All About Peggy: Part 3: Peggy Abandons Me to a Flurry of Hawaiian Wolverines

All about Peggy: Part 1: The Tumor

 
By September, 1971, Peggy and I were engaged. On the memorable day in question, we were in my parents’ backyard petting my little dog, Wolf (I grew-up naming all of my dogs Wolf, Sassy, or Tippy). I had just stepped inside for a glass of water when I heard Peggy emit an anguished cry that erased all thought of thirst. I ran to her side where, with trembling fingers, she pointed to a large, gray, marble-sized sphere on Wolf’s neck and, with the solemn reserve of one who has tragic news to convey, said softly, “Wolf has a tumor.”

I then did the last thing she expected a sane person to do upon learning that his dog has a tumor so aggressive that it wasn’t there the previous day. I laughed. I think I might have laughed until I cried, but 51-years is a long time to remember such details. When my laughter subsided, I grasped the hideous gray orb between thumb and forefinger, “unscrewed” it from Wolf’s neck, and crushed the blood-gorged monster between two bricks that I carried for the purpose. Peggy was beside herself with admiration. In fact, she was floored, flummoxed, and no less addled than a goose with a skull fracture. Her face paled; her eyes bugged; and she looked at me as if afraid to look away. Then, almost imperceptibly, she started sliding her pretty bottom in the other direction. Perceptive young man that I was, I knew that she did these things because she was humbled by the knowledge that, only in America, could a woman with beauty, brains, but no money, marry such a man.

I was entertaining similar thoughts myself, but instead of rejoicing, I was wondering if I shouldn’t find myself a bride with beauty, brains and money. Regrettably, my innocence and naiveté enabled the 20-year-old San Antonio rose to lure me into the grim matrimonial pit from which I continue to gaze helplessly at a tiny wedge of distant sky. When I tell her of my bitterness each morning over yet another bowl of cold, unsalted gruel, she cruelly retorts that while a gigolo looks to his woman to make him rich, a real man looks to himself to make his woman rich. So much for feminism! So much for a bride taking responsibility for ruining her husband’s life! So much for women
’s cruel indifference to non-pecuniary genius! But let us return to that long ago day in Mississippi, a day so long ago that the world was still in black and white…

As Peggy continued to scoot her pretty bottom away from me, I shouted: “Peggy, my love, Wolf’s ‘tumor’ was a blood-bloated tick that would have latched onto your eyeballs had I not killed him when I did.
I only laughed because it had never occurred to me that you didn’t know what a tick looked like.” She couldn’t have been more impressed had I rescued her from a ‘possum. I knew this because she persisted in silently opening her mouth in sexy resemblance to a freshly-caught catfish. Although the heavenly vision she conveyed was impaired by her lack of a catfish’s gray skin and whiskers, I tried to put aside her failure in that department just as I tried to put aside her failure in the money department. Unfortunately, fifty-years of looking up at a tiny wedge of sky has made my neck hurt and left me depressed, especially when the sky is clear but also when it is cloudy. When I consider the joy that might have been mine had I been born a gay Icelandic ailurophile, I just want to retch. In fact, I think I will.

Next time:
All about Peggy: Part 2: Why a Woman Who Hates Cats has Five Cats

Of What Good is a Cat?



Peggy and I were married in late ’71; our friends, Lynn and Christy, in early ’72. Soon afterward, Christy got a kitten that she adored. After giving birth, she said that her eyes had opened, and she realized that her beloved pet was, after all, “only a cat.” Maybe the same fate will befall the woman who insisted that her cat understood every word she said and loved her completely. This hints at the power imbalance between humans and creatures whose existence requires our love and loyalty. Cats, being solitary animals, might not understand that their lives are in the hands of an unstable species, but perhaps dogs do, and that’s why they’re desperate to please us.

I think most people marry a delusion, but time reveals the reality, and perhaps the same is true of my love for my cats. But again, how would I know when it comes to a creature so otherly? Dogs are easier to understand because, like us, they are a social species. Call a dog, and she comes running; call a cat, and the cat might or might not amble in, that is unless I have food in which case all five cats appear without being called. Count on it, when the cheese is unwrapped or the butter dish unscrewed, there they are.

I remember a day when our fifteen-pounder, Brewsky, was relaxing on the floor one moment and inside an open cabinet six feet off the floor the next. Such things must be seen to be believed, and even then it’s hard, but that’s the magic of cats. They’re little thin-boned predators that are easily injured, have no aerobic stamina, are impossible to know, and force me to accommodate them because they sure as hell won’t accommodate me, but they’re also loving, mysterious, have keen senses, and make Olympic athletes look like couch-potatoes.

Every night at 10:00, the cats and I pile into my twin bed where I spend the next two hours reading. While I read, they sleep; bathe; roughhouse; crawl under the covers; crawl out from under the covers; leave the room; return to the room; go crazy when a fly passes overhead; and sip water from the bowl I keep amidst my many potted plants. I sing to them, praise them lavishly, insult them cruelly, and tell them about my reading. I also introduce sundry conversational topics concerning the meaning and nature of Felis catus. Last night, I asked how they can stay so damn beautiful on a diet of corpses. The cats who happened to be looking in my direction continued to look in my direction; the cats who were looking in another direction continued to look in another direction. When I saw that my question was going nowhere, I asked how they are able to instantaneously go from deep relaxation, to leaping two feet in the air to kill a fly, to deep relaxation. There followed another awkward silence during which I became embittered by the suspicion that they were simply reviewing my words in the hope of finding a reference to butter.

So, you wonder, why do Peggy and I keep our butter in a stout container with a screwable lid? It is well you should ask. The reason is that our first-born, Brewsky, discovered that he could get all the butter he wanted by shoving the glass butter dish off the counter and breaking it. We objected for various reasons, among them the possibility of vomit everywhere and a 3:00 a.m. emergency surgery. He hotly insisted that our concerns were asinine, but when he broke another butter dish, we got a cat-proof container. He was livid but powerless.

If my cats weighed fifty pounds, they would eat all the butter they pleased, and if a mad scientist exploded them to 200-pounds, I’m not sure but what they would eat me too. But doesn’t this contradict my belief that they love me? It’s not their love I question; it’s their inherent wildness. In the mad scientist scenario, I can imagine the following sequence of events: cats tentatively toy with frail humanoid who once towered over them; cats’ paw-swipes knock humanoid to floor; humanoid bleeds; cats become excited by the combined odor of blood and hysteria; cats’ pupils become black saucers; cats flatten their pointy ears and lay back their long whiskers; humanoid tries to dial 911; cats knock phone from humanoid
’s hand; humanoid’s broken bones impede his desperate attempt to crawl to safety; cats take turns swatting humanoid; humanoid lies still; cats dismember humanoid; cats agree that humanoid tastes terrible; cats bathe themselves and one another; cats sleep in a kitty-pile; cats have happy dreams; cats sup on cheese and butter. That’s one possibility. Another possibility is that they would show humanoid the same gentle affection that cats have lavished on chickens, rabbits, and other prey animals with which they were raised.

But doesn’t the fact that large dogs treat their humans gently suggest that large cats would too? I think not. Dogs are a social species that have lain beside our fires for 23,000 years, during which time we
’ve genetically transformed them from dignified hunters into groveling slaves who would starve on their own. Cats are a solitary species that entered our lives a mere ten millennia ago, and have largely resisted our attempts to make them into freaks. Dogs love us because we’ve molded them that way. Cats love us because we mold ourselves.

How can we mold ourselves so cats will love us? First, we must provide food, shelter, toys, and treats, although these things alone can no more buy the love of a cat than they can buy the love of a child. It is therefore necessary to: move slowly, speak softly, touch gently, behave predictably, and be quietly affectionate. But how do we know that cats are even capable of loving humans? We know it because they offer us affection; seek our support; warn us of danger; grieve when we die; and sometimes risk their lives to save ours.

Dog lovers have allowed dogs to set the standard for what an animal’s love is supposed to look like. Dogs say, “What you love, I love. What you hate, I hate. Even if you abuse me, I will steal for you, kill for you, and, if I could, I would write bad checks for you.” Cats say, “I love you, but I have my own life to lead, and if you force me to choose between death and slavery, I will choose death.” 

I feel a commonality with cats. To illustrate. If I’m reading in bed and no cats join me, I’ll call them. If they don’t come, I’ll go looking for them. Like as not, I’ll find them sitting about the house, in the dark, staring at walls. I am hurt by the thought that they prefer doing nothing to spending time with me. Yet, there have been hundreds of times when I was staring at the computer, and it suddenly dawned on me that a meowing cat had left the room because I hadn’t heeded his repeated requests for attention. Might not such a cat be as hurt by my inattention as I am by his?

Ailurophiles praise cats for being clean, beautiful, polite, funny, honest, independent, honorable, and affectionate. Ailurophobes insist that cats are vain, stupid, cowardly, selfish, tyrannical, sadistic, and altogether disgusting. They argue that while dogs are out guarding children, guiding the blind, herding cattle, warning of intruders, sniffing out bombs, digging for avalanche victims, finding lost hikers, subduing criminals, alerting people to cancers, and making themselves indispensable in a thousand other ways, cats are home licking their asses and hoping for something to murder. While it is true that few cats serve a practical function, few dogs do either, yet we love them and other “useless” things (sports, TV, and babies, for instance), so why not love cats? Then too, how well does our species measure up to the unselfish standard by which we praise dogs? Given the number of unloved dogs that live miserably, die horribly, and are killed in shelters, not terribly well. I would even say that dogs and cats are better people than we are, but then that
’s not saying much.

Chevrolet is doing a series of highly realistic television commercials that feature a cat named Walter whose strength, courage, leadership, energy, fortitude, alertness, intelligence, and loyalty are, like those of most cats, ignored by his oblivious human. In closing, I will offer the most recent Walter ad for your elucidation, and perhaps, your edification: