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Archive for January, 2024

Turns out, my fear of falling has not subsided. It was only my fear of leaving the house – when ICE is covering everything outside my door – that was on full display last week. But fear has been creeping up gradually; the hesitation, the tenacity when crossing a threshold, looking down instead of up. It seems that overnight I’ve become really really old after falling off a ladder that resulted in an osteoporotic pelvic fracture. You might say my fear is well deserved! But, a generalized ‘fear of falling‘ is bad for your health.

Dr Jim, my psychologist brother, sent me this article from “Life Spark,” a purely wonderful, mid-western company that delivers comprehensive senior care, in home and out:

“Fear of falling is a gradual, insidious spiral,” said Julie Varno, Physical Therapist – Case Manager with Lifespark Home Health. “It might start with a fall, but not necessarily. Either way, you become less active, which leads to weaker muscles and stiffer joints which, in turn, affect your balance and your ability to react. Then an  uneven sidewalk, a misplaced area rug, or an excited puppy can put you at risk  for a fall…. According to some studies, having the fear without the fall is actually more limiting than having multiple falls…”

https://lifespark.com/overcoming-the-fear-of-falling-to-age-magnificently/?utm_campaign=Seek%20On%20Blog&utm_medium=email&_hsmi=290919488&_hsenc=p2ANqtz–6BgMBnXz_u28LZ3is8OMJ5K8pRnDCnkYUElx_Dqsf0zEDIk74cl61-t-PE4VgsMG1HH7aPnqN5W3ObJlGpVGcdf5ROCTjEa2UueYil-YaxnIAa00&utm_content=290919488&utm_source=hs_email

I’ve fallen over Ms Bean. Twice. Once I was carrying a load of laundry and just stumbled right over her, luckily keeping my balance. Did you know that brown fur blends beautifully with wood floors? The other time I was leaving the table on my blind-side, and hit the floor with a plate in my hand. Nothing broke! I’ve fallen off a stair landing in the darkness of dawn after just moving to Nashville. I fell feeding the birds on our Germantown rain-slicked deck. And then, there’s the Malibu fall.

My sister Kay suffers from Meniere’s disease. It is an auto-immune, inner ear problem resulting in vertigo so severe your world could start spinning at any time. She’s had surgery and lost hearing in the affected ear. Pushing 90 years old this Fall, she has had her fair share of falls but she won’t let that stop her. With metal in both hips, and seemingly in her blood, she walks outside with her walker nearly every day, cruising the upper-east-side like a Dowager Empress.

I suppose if I asked Kay if she fears falling she would say something like, ‘I can’t stop moving.’

“I can’t stop moving!” Simple but oh so sneaky. As we age we adapt – we move into a one-level home so we’re no longer climbing stairs, or we put up a grab bar near the toilet so we don’t engage our quads. I’ve been walking more in our neighborhood now that the ice is gone. And I’ve signed up for a T’ai Chi class at Vanderbilt to work on my balance. Plus, I can roll out the yoga mat and go through all the PT exercises I’ve ever learned.

But fear is an emotion. It’s a mind problem, not a physical one. And I’ve read that in order to overthrow a democracy, fear is the first, most potent weapon – fear of others, and fear of the dictator himself. I’ve often wondered what Republicans fear about Mr T, or is it his followers they fear? I heard that a child in a metro school had a swastika carved into his desk. Are we becoming a nation that runs on fear? Fear of good people not voting due to apathy? Fear of being the one guy in the crowd who keeps his arms folded when everyone else is saluting? Does fear make us obey in advance, before being directly told?

Watching E Jean Carroll on the talk show circuit has eased my feminist fears a bit. She hit T where it hurt, 83.3 Million Dollars worth of pain. And when she looked down on him from the witness chair, all she saw was a big, fat “ZERO.” Carroll is my shero. She was afraid to face him in court, but she found his toddler antics and his sycophant lawyers had turned him into an Emperor Without Clothes. My fondest wish is that his followers wake up.

Of course if I do fall again, knock on wood, I’ve got an outstanding medical team!

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I’ve finally chiseled my way out of the ice palace. Last week the state of TN suffered from an extremely long, sub-freezing, snow event. Every day was a snow day; schools and most businesses closed down and since we live in a western, residential part of Nashville, our roads were free for sledding. I didn’t see a plow until the day before yesterday, 8 days after the first snow. The truck tried going up our small hill, which was a sheet of ice at this point, then it backed all the way down our road, beeping its disappointment.

Climate scientists call these crazy weather events “gray swans,” meaning they are predictable and still unprecedented.

“…the way to think about climate change now is through two interlinked concepts. The first is nonlinearity, the idea that change will happen by factors of multiplication, rather than addition. The second is the idea of “gray swan” events, which are both predictable and unprecedented. Together, these two ideas explain how we will face a rush of extremes, all scientifically imaginable but utterly new to human experience.Our climate world is now one of nonlinear relationships—which means we are now living in a time of accelerating change.”

https://www.theatlantic.com/science/archive/2024/01/climate-change-acceleration-nonlinear-gray-swan/677201/

In other words, the winds will get faster at a certain altitude as the temperatures rise, and these jet-stream winds will accelerate much faster than predicted. I believe our little storm was a gray swan. The south has never had such a prolonged period of extreme cold – single digit days mixed with snow and sleet. Ever since Covid, I’ve hated using the word “unprecedented” but it certainly applies here.

The heat on the second floor of the Bride and Groom’s house stopped working. My friend, Leslie’s heat downstairs also went out on strike, so we spent an afternoon making soup in my warm kitchen. Turns out Leslie has an old fashioned wooden sled that the Pumpkin enjoyed luging down our street at record speeds.

One night, the Grands had a sleepover – we watched Home Alone 3 with Alex Pruitt instead of Macaulay Culkin. After a slow start, the kids were ROFL. The next morning we had fun watching Watson the Frenchie, aka The Little Emperor, try to retrieve tennis balls we launched into the snow. Also hilarious.

Gone are the days of building snow people in the sun. We had enough snow to build an army last week, but single digit temperatures kept us house bound. Plus, Bob reminded me that nose hairs freeze at 15 degrees. Since I’ve been in full-on soup mode all week, I thought I’d share a most comforting winter sweet potato soup

Sweet potato soup.
1 onion, 2 sweet potatoes and 3 big carrots. 1 big tablespoon grated ginger and half teaspoon cayenne pepper 1qt vegetable broth, 2 cups V8, 1 teaspoon sugar and half cup of peanut butter
Chop n Sauté onion and carrots
Add ginger, cayenne pepper a dash of salt
Add broth and V8 and peeled cubed sweet potatoes
Cook for 25 minutes
Add peanut butter and blend w immersion blender after it cools a little.

Thanks to the Bride for this recipe. Today we are warming up in Nashville, and I’m eager to get out and about. My fear of falling has finally subsided a bit. I hope you’ve all stayed warm and safe through our gray swan.

Grilled cheese and soup

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Good morning from beautiful, snow covered Nashville where the temperature is 17 degrees. I looked out at the picnic table in the low dawning light, expecting to see a “light dusting,” but to my surprise there’s at least 6 inches of the white stuff and it’s still squalling. Luckily, the schools were closed for Martin Luther King Day and I’m pretty sure every other business has closed as well.

I don’t want to brag, but this is where the lines are drawn between northeners and southeners. When our kids were little, they’d rush to put on the whole kit and kaboodle – thermal underwear and snow suits complete with scarves, mittens and pom pom hats! Let’s not forget the snow boots. They couldn’t wait to make maple snow and build snow caves with their friends in the Berkshire Mountains. OTOH, I don’t even think our Grands own a sled, or ice skates let alone snow boots, and I know for sure they have never seen this much snow.

Sometimes I wonder if I was just imagining walking through tightly packed snow tunnels on the streets of Massachusetts. Did we really get Nor’easters with a couple of feet of snow on a regular basis? That time Bob’s car flipped over into a snow bank on the way to his hospital in Northampton, was that real or just part of a narrative I’ve told myself so many times? The Bride was sitting in her highchair and I was feeding her oatmeal when Bob walked back into the house covered in snow. I didn’t hear a car coming up the driveway; hadn’t he just left for work?

Cognitive dissonance isn’t enough to describe such a feeling but I’ll bet it’s imprinted on us for life. It’s what some patients describe after a dose of ketamine for a procedure – like they are there…but not there. Like the time we heard that Hillary lost the 2016 election. We had to ‘suspend our disbelief’ for the next 4 years, we had to get comfortable with chaos, followed by a tornado and a pandemic. It was a lot to ask, and some of us did better than others.

I thought we’d be talking about Iowa today, but the snow has cocooned us and dampened the GOP. I thought we might look back at the legacy of MLK, Jr, but memorials have been cancelled. When I heard that the principal of an Iowa school had succumbed to his injuries from a school shooter, I was ashamed that I barely remembered the massacre. But I do remember the Covenant School shooting here in Nashville.

When I saw that our own TN Democratic representatives, the Justins, were sanctioned and silenced in the State House because they wanted to talk about gun reform, I was infuriated. Now, Republican-led members have changed the rules for public entry to the people’s house. Getting a ticket to sit in the balcony now, unless you are a lobbyist, is harder than getting a seat at a Taylor Swift concert. That is their scheme; the pleas of Covenant parents to protect their children be damned. Someone once said, “Cruelty is their point” and I’m starting to believe that maliciousness runs in their veins.

As a card carrying Democrat, I was proud to be called a “snowflake.” And I’m just as proud to call myself a Yankee. We know how to deal with a little snow, and we know how to start an avalanche.

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Happy New Year to you! We’ve been getting off to a good start this year. There are no resolutions to feel guilty about – “I am enough” may be my next best mantra. The Bride and Groom have returned unscathed and refreshed from a trip to New Zealand and Australia with the Grands. And the Rocker and Aunt Cait returned from the East Coast, totally missing that rogue wave in Cali. And if you’re wondering what book is on my 2024 nightstand, it’s a nonfictional look back at the Golden Age of abortion.

I’m not talking about the 60s. I’m currently reading “MADAME RESTELL: The Life, Death, and Resurrection of Old New York’s Most Fabulous, Fearless, and Infamous Abortionist,” by Jennifer Wright. Madame Restell, who lived and worked in the mid-1800s, would advertise her services in all the New York newspapers. She had learned to compound a pill to regulate the menses with a mixture of essential oils and paint thinner. And if that didn’t work, for $100 she could terminate the pregnancy with a whalebone. Surprisingly, her patients lived! But male doctors at the time, who were still using leeches, were threatened by her success and fame.

Madame Restell was not a surgeon, in fact she wasn’t even French. She was an immigrant, a widowed mother from Britain who didn’t want to go into service for a wealthy family (and thereby have to give or sell her child away) or become a prostitute, often the only two choices of the day for women alone. She was an entrepreneur who wasn’t afraid to flaunt her wealth with a carriage decked out in the finest livery. The moral crusaders of the day found such arrogance and lack of shame intolerable. And so Restell found herself in court often, even serving a year in Blackwell Island’s notorious prison.

Ah, the good old days of a medical procedure that is as old as the oldest profession. And since SCOTUS overturned Roe, physicians in some cases are having to reevaluate their care of pregnant women. In other words, The Bride, who is practicing Emergency Medicine in a red state, may have to choose between saving a woman’s life and being exposed to liability, including criminal charges and loss of license. How could that be true? Enter “EMTALA;” a federal law that was passed in 1986 and is the bedrock for Emergency Medicine physicians everywhere. Surely this law would save my daughter from criminal prosecution?

EMTALA is short for the “Emergency Medical Treatment and Labor Act.” Think about it, most doctors in their offices require insurance or payment up front before your appointment; this law requires ER doctors to treat everyone and anyone who walks through their doors – or rides through on a stretcher – regardless of their ability to pay. Ever since the Bride was a young girl, EMTALA has been the law of the land, just like Roe v Wade. ER docs are quick thinking, fast acting specialists who are not willing to wait for a team of lawyers or administrators to decide if a patient is worth saving because she happens to be pregnant!

SCOTUS is scheduled to rule on this “contradiction” in April… I refuse to hold my breath. Texas has already taken the lead in banning emergency abortions, so sorry, if you find yourself carrying an ectopic pregnancy in TX. Your state has sentenced you to a death penalty already if something should go wrong.

“In the early years of Madame Restell’s business, abortion was classed only as a misdemeanor if performed before quickening, around 20 weeks. Over time, the punishments grew, along with the risks. Madame Restell advertised not just her services but her belief in their necessity. Lifting passages from the social reformer Robert Dale Owen, she likened abortion and contraception to a lightning rod — an invention that was “unnatural,” perhaps, but sensible and lifesaving. She published letters from grateful clients, who proclaimed, “God bless you dear madam, you have taken off the primal curse denounced upon Mother Eve in Eden.”

https://www.nytimes.com/2023/02/28/books/review/madame-restell-by-jennifer-wright.html

Lightening rod indeed, from the 19th to the 21st Century and women are still left dying by the hands of red legislators. Today, a third of our country, religious zealots for the most part, because of certain SCOTUS selections, may get their way. It’s not enough for them to ban abortions and outlaw morning after pills as if it were the early 20th Century, now the GOP wants to prosecute the physicians. It’s not just the Ob-Gyns, it’s the ER doctors who are being asked to violate their Hippocratic Oath, and EMTALA.

Here is a throwback to the 80s with my little Bride in her Daddy’s ER.

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Happy New Year! Looking back on 2023, I wanted to list the roses and the thorns – the high points and the lows:

1 The HIGHEST point of the year was our visit to the Rocker and Aunt Kiki in LA! Hiking, cooking and living the good life in the Golden State…. The LOWEST point of the year was visiting the Bride’s ER with Bob after his fall. He was wearing socks on the new wood floor and slid into a corner hitting his head. Luckily, he’s alive and well!

2. HIGH: Having my big sister, Kay, visit this past summer. We had a good time and if I’m not careful, we could turn into “Little Edie and Big Edie” and have a Lifetime movie made about us…. LOW: Losing Ms Bean was heartbreaking. She was as sweet as sugar and put up with the little Emperor’s visits because she knew I loved her best. I still expect to see her little Homer Simpson face whenever I open the front door.

3. HIGH: Lake mini-vacations with family and friends! Wildwood and Lake Barclay were wild and wonderful getaways even though I remain a devout ocean/beach person for life. LOW: The unfortunate and very painful incident of a certain little French Emperor named Watson breaking my finger. After surgery and rehab I’m the proud owner of three tiny screws in my right ring finger, although this is nothing compared to my siblings’ hip hardware!

4. HIGH: Finding a new friend right next door who insisted I continue my aqua therapy for osteoporosis in her pool!! I didn’t think I could make many new friends at my age, but we instantly hit it off and she has a grand dog we can walk together! LOW: As much as I love my new neighborhood, we did have to clean swastikas off the side of another neighbor’s house one day. So many people showed up to wash away the hateful images it turned into a block party and cancelled the hate with love.

5 HIGH: There are so many delightful instances that happen because Bob and I live so close to the Bride and Groom; stopping by for a walk with their old dog, cooking together, dropping off freshly made bagels, and of course the unexpected visit of a grandchild – those are the very BEST! LOW: We had a family of squirrels trying to squat in our attic and one even fell down into a bedroom wall. Bob hired a professional squirrel wrangler to set traps and “relocate” the critters. I stayed out of it for the most part!

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