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Consensus

August 13, 2017 by mountainmornings

Yesterday, Bob and I had a scheduled morning meeting to learn all about cohousing in Nashville. We met lovely people of different ages, and I was schooled in the latest feminist lingo; when I asked if a woman’s husband was babysitting, she said, “Oh no, he’s Daddying.” (smile) I made a note to myself to remember that term!

But my heart wasn’t in that room. I had silenced my cell but wanted to check Twitter every few minutes. I didn’t. But I follow a young newspaper reporter, Lauren Berg @laurenbergk who writes for The Daily Progress in Cville. And I knew she was in the thick of it, the Unite the Right rally was just getting underway and I had no idea what would happen.

Now we all know the deadly consequences of hate speech writ large and accompanied by Nazi symbolism, cloaked in national pride. My friend, Lynne Goldman, owns a unique jewelry store on the Downtown Mall. She and I were Planned Parenthood bus mates over the years, and we traveled to the Women’s March together this year in sisterhood. She and her husband came to our Seder in April.

At the cohousing meeting, people spoke of building community. Of planning this in, by designing a parking lot behind the condos so you are forced to walk into a courtyard and pass your neighbors every day. No more driving into a garage and disappearing. Two families do communal dinners once a week, they pay for everything together (roof repair, utilities, etc), and they manage by “consensus” not by our typical way of voting, when the “Ayes” have it!.

Consensus 

noun, plural consensuses.
1.
majority of opinion:
The consensus of the group was that they should meet twice a month.
2.
general agreement or concord; harmony.

I couldn’t stop thinking about Lynne. Everyone else I knew back in my adopted hometown was present and accounted for, but I had seen on Twitter that somebody sprayed Lauren with a chemical and that riot police were staging near the Paramount Theatre. And then the unthinkable happened. A home-grown, white supremacist Nazi thug terrorist drove into a crowd of peaceful counter-protestors… right on the corner of Lynne’s store.

It has come to this. Racism only needs an excuse to spread its evil, twisted ideology, like tearing down a monument to General Robert E Lee. https://www.nytimes.com/2017/08/13/us/charlottesville-rally-protest-statue.html

In Emancipation Park, a few steps from the Bride and Groom’s first home. In my serene and peaceful burg, a blue dot that is rapidly turning the state of VA purple; at the seat of democracy itself, Monticello, built by Slaves and saved and refurbished by Jews. http://www.isjl.org/virginia-charlottesville-encyclopedia.html

Lynne and her husband Steve arrived home safe and sound last night. Lauren is busy Tweeting this morning, gathering facts about the day, reminding us that two VA State Troopers are dead as a result of this tragedy. And Mr T has no plans for the day according to his White House Communications Director, standing by his statement against violence on “many sides.”

This extreme Neo-Nazi side is not my side Mr T, in fact my Father-in-Law Hudson fought in a war so that scum of the earth would never rise again. Stop blustering about nuclear war, and study Hiroshima and Nagasaki. This may indeed be a turning point for our country, and it may be time for all of us to pray and #resist.

Here we were at one of our favorite French restaurants on the Downtown Mall for our last Wedding Anniversary in June. You can see the incomplete Tyvek hotel in the background, just as it was for the Bride’s wedding. Our democracy is incomplete, there is much left to do. Reconciliation and forgiveness will take time, but we must start now. We must listen to each other, and build consensus.

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Semantically Speaking

August 11, 2017 by mountainmornings

Another pundit bites the dust. Jeffrey Lord, a Mr T defender on many CNN shows, has had his contract with the network terminated. I would usually turn the channel whenever his smugly leering mug appeared because he always seemed to me insincere. Nothing worse than a reluctant ideologue. And guess what he said – in a Twitter tirade no less – to Angelo Carusone, the President of Media Matters for America?

“Sieg Heil!” 

“Nazi salutes are indefensible,” a CNN spokesperson said in a statement. “Jeffrey Lord is no longer with the network.” https://www.washingtonpost.com

This particular German phrase is banned in Germany. You can’t put air quotes around these two words and pretend you don’t know what they mean. In English the phrase means “Hail Victory;” in reality, it goes along with the Holocaust and an arm in the air and black shirts.

Kayleigh McEnany, another Mr T media consultant left CNN recently. She is now the RNC’s spokesperson, working for Mr T’s very own network. You can’t make this stuff up, in fact I wish I was making it all up.

Let’s skip over to Google shall we. James Damore, an engineer wrote some of his thoughts in a company memo on the reason we see nearly 75% more men in the tech industry and in leadership positions, and then he got sacked. His words of choice were “Biological Differences,”  which seems pretty tame on the surface. After all, we women are the ones giving birth and nursing if we so choose. That can sometimes put a dent in a woman’s career.

But we are not back in the 60s when women could be asked if they planned on having children in a job interview. On a deeper level, Damore was implying we’re not FIT for such complicated, intellectually stimulating and challenging work. Remember, initially we didn’t have women astronauts because of that little “time of the month” problem. No, it’s actually 2017 and young girls are encouraged to pursue Stem careers (science, technology, engineering and maths) – just ask my niece Lynn!

But I have to admit that censorship of any kind scares me. In fact, the ACLU is taking up the case of Milo Yiannopoulos’s free speech rights. He is that ex-Brietbart editor who was drummed out of speaking at a California campus, a British citizen who is ‘dedicated to the destruction of political correctness,’ an alt-right agitator extraordinaire. The Washington, DC Metro removed Yiannopoulos’s ads on their trains for his new book…now a train system is a utility and I guess they don’t have the right to discriminate. Right?

And believe it or not, I’m glad the ACLU is doing what it’s supposed to be doing – protecting our rights! When “Hate Speech” collides with “Free Speech” we have a fundamental question that speaks directly to our democracy and may end up at the feet of the Supreme Court. This is an essential thing that differentiates us among many nations, we don’t ban words or burn books, our only admonition is not to yell “Fire” in a big, crowded public room.

Yesterday I spent much of my time pointing out to a certain two year old, who loves his new Superman cape, we need to use our “inside voices.” We teach our children about tone and decibel levels effortlessly, we want them to grow up in a civilized world. Unfortunately, we have a President who needs someone to manage his Twitter speech, to explain to him it’s like yelling “FIRE” at North Korea, in an “OUTSIDE” voice.

This was my view yesterday morning on my way to the Zoo. Nashville has sent out the Bat Signal because we need a hero!

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Hunting For Holidays?

August 8, 2017 by mountainmornings

We are inching closer to Labor Day, with lazy summer days getting shorter and shorter. If you haven’t packed up for a family vacation yet, now’s the time. In Europe, people flee their city homes in August searching for some rest and rejuvenation. We Americans have picked up the habit of leaving later in the season, packing up the Subaru with iPads full of movies and cinching our wee ones in their car seats for multiple hours on the road.

So I was wondering, what’s your ideal summer holiday? Would you like to check into some posh resort to ride around on a golf cart chasing a small ball? Or do you much prefer standing shirtless in a small river fly fishing?

When our children were little, we headed off to Martha’s Vineyard in the Spring, dogs in tow. We shared a house in June on the wild side with my BFF Lee, who is a fierce attorney. There was no internet and no such thing as a cell phone if you can remember back that far. I had a cassette tape of Cinderella I could play in the car while the Bride turned the pages of a book…

We laughed a lot, we dug for clams, and Lee baked bread almost every day. She didn’t have a cell phone and home computing wasn’t really invented yet. In other words, she left her work behind her and was present with our families. This is the gift, the actual present we need to give ourselves when we search for a holiday.

A new friend of mine, Mary, has packed up her vintage Volkswagen bus, tricked out with lots of power and a pop-up roof, and is heading for Yellowstone and Grand Teton National Park, and then Devils Tower – almost 6,000 miles on the road. She’ll be camping and hiking for the month with her husband, her son and her 4 year old grand son! She is fearless and takes the most amazing wildlife pictures.

Not everyone can take a whole month away, but what we plan for on a vacation, and what we actually do once we get there, says quite a bit about us – as a person, as a family. Do we want to gaze out to sea at the horizon and put our feet in some sand, or do we want to learn something new and traipse around a different city?

Mary’s trip, immersing her family in the Wild, gives me serious FHE (family-holiday-envy). I will look longingly at her social media pictures, and listen to her recount the things her grandson said on a trail through wildflowers. I know this is not healthy, and that she is not your average grandma.

My Nana pickled vegetables and stored them on shelves leading down to the cellar in Scranton, PA. I have a vague memory of the Dutch kitchen door, and her black stockings and shoes, her continual love and hugs. I wonder what the Love Bug will remember about me? I know the Bride remembers the Flapper and her condo on a MN lake. She gets her grit and determination from my Mother I’m sure.

Lake house, beach house, whatever you have planned before the school year begins, I wish you safe travels. But a word of warning if you’re headed toward the Jersey Shore, avoid a certain Trump National Golf Club in Bedminster. Some people take “working vacations.”

Here are the Grands on their FL beach holiday with the Groom’s family last week!

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A Delicate Balance

August 4, 2017 by mountainmornings

Last weekend, as we were rolling into our new home in Nashville, we heard about the death of Mayor Meghan Barry’s only child Max. Her son died of an overdose at the age of 22 in Colorado. I have to give Mayor Barry credit for being honest and open about his death; drug addiction is an insidious disease, an equal opportunity killer. Too often parents feel shame regarding this issue, and the stigma only grows in the dark.

Bob has always said, “There are no fifty year old addicts.”

“Our family would greatly appreciate your thoughts and prayers, and would respectfully ask for privacy as we mourn the loss of our child and begin to understand a world without his laughter and love in our lives,” the Mayor said in a statement.

Almost every American family has been touched by this epidemic. If you don’t have a family member who is suffering or recovering, you most certainly will know someone who does. And when I told the Bride about Meghan Barry’s tragedy, she was shocked and saddened. They met at a medical conference just last year and she has a lot of respect for the Mayor. .

My daughter is currently on a beach vacation and not in Nashville, so lucky for her she’s been media-free. She asked if it was opioids and I didn’t know; the fact is an addiction is an addiction, is an addiction. Heroin, pills, alcohol? In my mind, your drug of choice is secondary to the disease. Although politicians would like to blame the current opioid crisis on the health system, I think we need to dig deeper.

While we were discussing the rain in Florida and the grandbabies, the Bride told me about a book she’s reading, “The Gifts of Imperfection,” by Brene Brown. The author is a story teller and a researcher, her area of interest is what makes a person’s life authentic? And what does shame have to do with it? To reference my previous post – how does one remain real in this world?

“Participants who were living “amazing and inspiring lives” reported embracing imperfection and vulnerability and being grateful and authentic. As Brown writes, they talked about these things “in a way that was completely new to me.” These participants were living life and loving with their whole hearts.”

Before you tell me this sounds like a jewelry commercial, think about it for awhile. Once you have a child, you will become as vulnerable as a newly hatched soft shell crab. You will wake to a whimper, sit up all night with a fever, and foolishly try to shield your child from the rough parts of life. If you had a child who had to learn from his own mistakes, you know what I mean. But protecting a child too much can interfere with their growth. It’s a delicate balance, parenting.

Brown talks about cultivating three things –  courage, compassion and connection. Once we send our children off to school, these qualities may become elusive in our Kardashian culture. I just heard of parents in NJ who are suing a school system for not addressing the bullying their daughter was receiving. Instagram and Snapchat were weaponized by her peers. The 12 year old girl eventually killed herself. https://www.washingtonpost.com/news/morning-mix/wp/2017/08/02/after-months-of-bullying-a-12-year-old-new-jersey-girl-killed-herself-her-parents-blame-the-school/?utm_term=.ffbf01eb5a92

This was SIXTH grade, in the town right next to our hometown.

I don’t know if Max Barry was bullied in school. I don’t even know if he suffered from a mental illness. But I can tell you this parents, if you keep those lines of communication open, if you can manage to stay connected to your children, they might just stand a chance. Disconnect from your cell phones and don’t worry about being the “perfect parent,” there is no such thing.

And have courage if your firstborn is starting Kindergarten this month!  IMG_1031

 

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To Be Real

August 1, 2017 by mountainmornings

When the Rocker was in high school, he’d often say goodbye like this, “Peace out.” With his heavy/metal/grunge band in our garage, it really was peaceful when he left for school. And I’d remember the Flapper telling me that I will miss all that commotion when I’m old and grey. She was right.

Another catch phrase of the turn of the last century was, “Keeping it real.” It seemed to be the motto of his generation: be true to yourself, don’t be a poser, do the right thing. My son was voted the “Most Changed” in high school, probably because he started out looking like the rest of his class (beach/boy/prep) and ended up with dreads, on his way to rock stardom imho.

He was keeping it real, he was growing and changing. Some people I’ve found, never quite climb out of high school. Others learn to transcend its harrowing halls.

I listened to the podcast This American Life on the car ride to Nashville yesterday, titled “To Be Real.” It spanned a few topics, but the one I found most interesting was about North Korea – how we don’t seem to take Kim Jong-un seriously with his photoshopped ears and Russian hats. It links you to an informative podcast about nuclear proliferation  http://www.armscontrolwonk.com/podcast/ A nuclear physicist wants us to pay attention!

So what is real and what is superficial? Ira Glass explored magic and the bespoke porn business next. Yes, you heard me right, it seems that with all the free porn online, the film industry has adapted itself to create custom videos for its customers. Who knew?https://www.thisamericanlife.org/radio-archives/episode/620/to-be-real

Is this the real life?
Is this just fantasy?
Caught in a landslide
No escape from reality
Open your eyes
Look up to the skies and see

Tomorrow Queen, or whatever is left of the original band, will be playing in Nashville at the Bridgestone arena. American Idol alum Adam Lambert has replaced Freddie Mercury but nothing can replace his lyrics. He was an original.

And today is the Rocker’s birthday! Thank you for being in this world, for bringing us love and laughter, and music only you could see and play. For being a tolerant little brother and exceptional son. We hit a few speed bumps along the way to maturity, but you handled them with grace. I had an abiding trust in your character and your talent.

Marrying your beautiful bride this year was the icing on your birthday cake! You have always made me proud, and scoring the Dunkirk trailer, working for Christopher Nolan, made my heart explode exponentially. http://www.dunkirkmovie.com

Happy Birthday DJR, and thank you for always being real.  DAVECAITLY-056 2

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Getting the Skinny

July 28, 2017 by mountainmornings

Stripping away the mandate for people to purchase healthcare, chopping healthcare down to the bare bones of a “skinny” bill that would have thrown millions off Medicaid, with a simple assurance of replacing the ACA in the future, was unacceptable to three Republican senators. And thank the Lordie for that!

Now we can return to our summer fun with a side-eye on politics, waiting for this administration – and NOT our healthcare – to implode. If you’re in the market for a good beach/lake/pool read, here’s what’s on my revolving nightstand (a bookcase in the form of a table).

I just finished reading one of Parnassus Bookstore’s Special Editions, “Do Not Become Alarmed,” by Maile Meloy. It’s a thriller, with three families on a cruise ship to South America when their children are suddenly swept away by a tide during a botched shore excursion. I approached this read half-heartedly since I didn’t need to be depressed in my fictional life, but I was swept away by the prose. Full disclosure, I didn’t finish the book at night since I was afraid it would have left me sleepless!

I’ve joined a virtual book club that has another Nashville connection. I adore Reese Witherspoon, probably because I can see her playing the Flapper in the movie version of The Novel, and she just started her own book club on Twitter: https://twitter.com/RWBookClub  She gave her followers three choices, and the winner is  “The Alice Network,” by Kate Quinn. The year is 1947 and although I’ve only just started, I’m in love with the main character. Based on the true resistance network of brave women and men who had gone behind Nazi lines in France, I’m anticipating a wonderful ride.

Teed up and ready to read are two more books: J Courtney Sullivan’s “Saints for All Occasions,” and “Hunger,” by Roxane Gay.

Who wouldn’t love Sullivan’s exploration of family and faith? I read her novel, “Maine” months ago and it had the ring of truth to this lapsed Catholic. Here is what Ron Charles at the Washington Post had to say about “The year’s best book” – “Saints for All Occasions:”

“This family has a way of forgetting what it doesn’t want to know,” Sullivan writes, and Nora depends desperately on that common predilection. “She wondered how much longer she could keep up the lie, even as she understood that she had committed herself to it for life.” The most fascinating element of the story is watching a daring act of deception coalesce into the solid-seeming shape of history.    https://www.washingtonpost.com/entertainment/books/j-courtney-sullivans-saints-for-all-occasions-is-this-years-best-book-about-family/2017/05/08/3a57acd8-30ca-11e7-9534-00e4656c22aa_story.html?utm_term=.d32d5c3a3b0f

And getting skinny is somehow not on and always on the mind of memoirist Roxane Gay. In “Hunger,” another First Edition’s pick, she chronicles her childhood rape and her reaction to that trauma by overeating. In her own words: “I grew up in this world where fat phobia is pervasive,” she says. “And I just thought, ‘Well, boys don’t like fat girls, so if I’m fat, they won’t want me and they won’t hurt me again.’ But more than that, I really wanted to just be bigger so that I could fight harder.”

Whether you get your books in the mail from Nashville, download them on your tablet, or visit your local bookstore or library, you may want to peruse the Man Booker Prize long list: http://themanbookerprize.com/news/man-booker-prize-2017-longlist-announced

And if you are lucky, you may light upon a free book in a public place. Yes, I did say free so keep your eyes peeled! The talented Emma Watson is an official book fairy, but you could sign up to deliver books too! All you have to do is clap your hands, and visit their site, truly. http://ibelieveinbookfairies.com/

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Women’s Work

July 25, 2017 by mountainmornings

Today Republicans will be voting on healthcare. Apart from a last ditch effort to blame their inability to “repeal” OR “replace” the ACA on Democrats, at least one Congressman from Texas believes the gridlock is a “repugnant” result of his female colleagues.

“Some of the people that are opposed to this, they’re some female senators from the North East… If it was ‘a guy from south Texas’ who was generating so much discord in the party, I would ask them to settle their differences in a gun fight,”  Blake Farenthold said. One woman senator is from Alaska, but I guess if you count West Virginia with Maine that makes it 2 -1

So it’s High Noon on the Hill?

While it is true that three GOP women profess they will not vote on any bill they haven’t seen or don’t understand, they may also be slightly peeved that they were excluded from the bargaining table in an infamous photo of an all men panel. Or maybe their reticence indicates a deeper truth – that women and children will suffer if Medicaid is cut:

“According to the Kaiser Family Foundation, about half of all births are now paid for by Medicaid, ranging from 72 percent in New Mexico in 2015 to 27 percent in New Hampshire.” Oh, and it also pays for about 62% of all nursing home residents, most of whom are women. So the party who calls itself the party for LIFE, would like to cut the life line of those women most in need of health insurance.

In fact, all their so-called “crisis pregnancy centers” will most likely have to close. The irony of it all…and since Planned Parenthood is under attack, your guess is as good as mine as to where our country will fall on the world’s Maternal Mortality Rates. Oh wait,

U.S. women are more likely to die during childbirth than women in any other developed country, leading the U.S. to be ranked 33rd among 179 countries on the health and well-being of women and children. Women in the U.S. face a 1-in-1,800 risk for maternal death, the worst among the developed nations surveyed in Save the Children’s 16th annual State of the World’s Mothers report http://www.modernhealthcare.com/article/20150506/NEWS/150509941

In 1979 when the Bride was born, the entire hospital bill was $2,600. That included a day in the NICU, which I’d rather not explain since I’m sure that doctor would not like my story. We paid for that bill ourselves because we didn’t have insurance at the time. Due to an ancient and unheard of practice, all my pre-natal visits were free, ie “professional courtesy.” Today, the cost for a C-section (I had a breech birth) is most likely tens of thousands of dollars!

Sen McCain will be returning to vote on some form of a healthcare bill that would affect up to 69 million Medicaid patients – there was an increase in 11 million after the ACA passed. This means 15 million people may lose coverage by 2026. It would have a devastating effect on women, on the elderly and disabled, and patients undergoing opioid addiction services. Is that what the heartland wanted when they elected Mr T? http://www.npr.org/sections/health-shots/2017/06/27/534436521/from-birth-to-death-medicaid-affects-the-lives-of-millions

I’d like to think that just like Gary Cooper, who played the marshal in High Noon, McCain will stand alone and face down evil. He will exhibit compassion by doing the right thing. The producers of the iconic western in 1952 were being pressured by McCarthy’s Red-baiting fears to fire the writer and blacklist Carl Foreman, who was Cooper’s friend. John Wayne was leading the charge against Foreman when Gary Cooper said, “If Foreman goes, Cooper goes.”

“They’re making me run, I’ve never run from anybody before,” Marshal Will Kane said to the neophyte Grace Kelly.

Today is the day to get up and move, to call your senators people. Here are my grandchildren under a wishing tree; what will these senators tell their grandchildren?

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Brain Games

July 21, 2017 by mountainmornings

My heart goes out to Sen John McCain, 80, who was recently diagnosed with an extremely aggressive brain cancer. His glioblastoma was found “incidentally” in medical parlance, in that doctors were removing a blood clot that was associated with this condition when they found the culprit. It’s the same kind of tumor that killed Sen Ted Kennedy and Joe Biden’s son, Beau.

It’s the same cancer that killed my Father.

My Father was a pharmacist in Scranton, PA. He had survived the Great Depression and was raising five children with the Flapper. At first, it was only headaches, but later he lost the use of his left arm. My sister Kay had to help him actually grind medication in a mortar at the back of the drug store while her younger brothers read comic books up front. Psychology was a relatively new field at the time; a psychiatrist told my parents that they should have another child because my Father had “lost the will to live.”

I am that sixth child and I wouldn’t be here if it weren’t for his glioblastoma. The Flapper always joked that I was the only child she had planned! My Father’s friend, an ophthalmologist, noticed his bulging retina and sent him back to the university hospital where they operated on his brain right before Christmas 1948. I was three months old. He died in April the next year, he was only 47. Our Year of Living Dangerously was just beginning.

Although I may not have agreed with Sen McCain’s policies over the years, I have always considered him a true patriot. And unlike many politicians, he didn’t couch his words in innuendo. He played it straight and tried to be fair and work across the aisle. His daughter, Meghan, Tweeted:

“It won’t surprise you to learn that in all this, the one of us who is most confident and calm is my father. He is the toughest person I know. The cruelest enemy could not break him. The aggressions of political life could not bend him. So he is meeting this challenge as he has every other. Cancer may afflict him in many ways: But it will not make him surrender. Nothing ever has.”

But this type of cancer is a very cruel enemy indeed. Survival rates are devastating – only 14 months average with 5-10% alive five years after the diagnosis. Will he choose to fight with chemotherapy and radiation, or will he choose to battle Mr T on the Senate floor? Looking at his recent statements to Sen Lindsay Graham, I think he may do both!

Something happens to us when we are reminded of our mortality, when time begins to shrink. Bob said after his cervical surgery, he had less patience with hospital shenanigans and employee’s misbehavior. Before surgery he may have forgiven a surgeon’s harassment in the OR, for example. After surgery, not so much.

McCain is a war hero, and he is already criticizing Mr T’s strategy, or lack thereof, in Syria and Afghanistan. But if you recall, that other Lion of the Senate, Ted Kennedy, was instrumental in getting President Obama’s ACA passed while he was battling this same cancer. If John McCain were to bring both parties together to salvage healthcare in this country, his legacy would be outstanding. I wish him well on this battlefield.

And check out the Google Doodle today. It’s celebrating the 106th birthday of Marshall McLuhan, who coined the phrase, “The medium is the message.” He predicted the internet but I wonder what he would think of Twitter. It was a key factor in Mr T’s election, and has taken the place of greeting cards as our politicians send heartwarming thoughts to McCain in 140 “characters.”

I don’t know which brother’s arm is sticking out behind the Flapper, but this is one of the few pictures I have of my Father.    IMG_0991

 

 

 

 

 

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Health Virtually

July 18, 2017 by mountainmornings

You’ve all seen them while running through an airport. The giant ads – no, not the picture of the Parlor Mob at JFK – pictures of doctors in white coats, smiling in front of computers. Why wait for hours at your local Emergency Department? Can’t get an appointment with your actual doctor for months? Maybe you’re too sick to drive, and just too busy to take an Uber to an Urgent Care?

Well, the Virtual Doctor is in!

The first time I saw my very own Dr McDreamy at UVA I was slightly disappointed. Like many women, I had never had a primary internal medicine doctor before…ObGyns sure, and specialists to repair meniscus tears etc. Whenever something was seriously wrong, I always had Bob to remind me this was just a virus and it would get better with time. But a real doctor, this was something new to me.

Let’s go over the best parts first: the waiting room was almost empty; he was on time; his nurse was efficient, I was blessed with some very good genes so my medication list is mostly vitamins; his resident asked all the right questions; and finally, when I saw the doctor, he sat and talked with me for a very long time. I was in love!

And now for the not so good parts: I had to drive 40 minutes to park in a gigantic cement parking garage I would later get lost in; the walk to his office was well over a mile; and the worst part of all, he never actually touched me. I never got undressed and jumped onto an exam table clinging to a paper robe. No physical exam…I left his office with appointments for tests like blood work and a mammogram.

Let’s skip ahead to that week between my fall off the steps in Nashville, and our trip to the South of France. I called my Primary Care doctor and he was away and they couldn’t fit me in. I called my Orthopedist and his office said since I didn’t break any bones, he doesn’t do muscles! I didn’t bother trying to see my Dermatologist. I wondered aloud, is this what it’s like for everybody? When you finally really really need to see a doctor, like you can barely walk and you’re about to get on a plane, they are nowhere to be found?

Well folks, I think Bob may have found his retirement second act. Emergency docs have to know a little bit about every disease and a whole lot about the ones that will kill you. And isn’t that what we all want to hear? You don’t have a terminal illness. It’s just a cold, get over it! Well, maybe they will say it with a bit more finesse, into their monitor.

Dr Ali Parsa, founder and chief executive of digital healthcare app Babylon, sees the (remote physical and mental) health trend as an undoubted force for good.
“It’s time to do with healthcare what Google did with information – using the power of technology to democratise access for all, and put a personal (digital) doctor in everyone’s pocket regardless of geography or income,” he says. http://www.bbc.com/news/business-40629742

Bob’s been doing this for years already with our relatives and friends. People send him pictures of rashes, x-rays of broken bones, brain CAT scans. He’s functioned as our collective consultant at seders and dinner parties. “My foot’s just not getting better.” Or, “Will you just take a look at all the drugs I’m taking?”

I’m pretty sure I wouldn’t want an App or a Bot to speak to about my medical condition, but having a real, live physician on FaceTime or Skype? Sure! And the doctor or the patient could be in Katmandu, so long as the WiFi is working – this takes boutique medicine to the next level.

Lots of hospitals do this already. Did you know in most rural parts of the country, smaller community hospitals have critical care ICU docs checking in via monitors from their big city university hospital? At night, radiologists in other countries read X-Rays that are sent  digitally from the US. This has been going on for years.

I’m feeling hopeful today after the Senate saw fit to drop their misguided bill to “fix” the ACA and throw millions off Medicaid. The sheer irony of Sen McCain delaying the vote because he was busy having a surgical procedure his insurance covers illustrated their sinister deliberations. http://www.cnn.com/2017/07/18/politics/how-the-republican-health-care-bill-fell-apart/index.html

I hate that we politicize health care in this country. Until we see fit to have Medicare for all, maybe technology will help restore access and autonomy to the doctor/patient relationship. And at the very least, we would know if we need to go sit in an ER because our neck is tender and we must rule out meningitis. The doctor is on deck!IMG_0846

 

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Let’s Get Transparent

July 14, 2017 by mountainmornings

People are always asking Bob what’s retirement like; do you miss doctoring, what do you do all day? For an old codger he remains pretty busy. He just started flying again, and will have to study and practice to get his instrument rating up to date. After all, who doesn’t want to fly through clouds? And he packed up a U-Haul truck with some of our furniture, drove it over 500 miles to Nashville, and is currently reupholstering some chairs!

Now, if you were to ask ME what his retirement is like, you might get another story. A therapist once told me that he explains it this way to the men he counsels: “Imagine you’re still working, and your wife comes into your office and sits down by your desk every day. And never leaves.”

Is that transparent enough?

The first time I heard the word transparent to describe people and not paper, or windows, was from my psychologist brother, Dr Jim’s lips. Years ago he was talking about people from California, because he’d married Anita in Big Sur and chose to live and work there among the tomato and wine vineyards. In general, he was describing  someone who is happy in their own skin, who is not guarded.

Think of Woody Allen movies, where the lighting is so scorchingly bright on the West Coast, and diffuse and dark on the East.

The next time I heard about transparency was while writing for The Berkshire Eagle. I learned that reporters could access any and all public records. You may not remember this, but back in the day when women had to be married to get birth control and credit cards, many records were sealed, including our own medical records! And then we the people passed “Sunshine Laws!”

Through sunshine laws, administrative agencies are required to do their work in public, and as a result, the process is sometimes called “government in the sunshine.” A law that requires open meetings ordinarily specifies the only instances when a meeting can be closed to the public and mandates that certain procedures be followed before a particular meeting is closed. The Freedom of Information Act (5 U.S.C.A. § 552) requires agencies to share information they have obtained with the public. Exceptions are permitted, in general, in the interest of national security or to safeguard the privacy of businesses. http://legal-dictionary.thefreedictionary.com/Sunshine+Law

The Freedom of Information Act was passed by Congress in 1966 and not surprisingly was spearheaded by California Congressman John Moss. If you’d like to look up a Citizen’s Guide to Using the Freedom of Information Act and the amended Privacy Act of 1974, you will find the following quote from our 4th President who lived right over the hill at Montpelier:

“A popular Government without popular information or the means of acquiring it, is but a Prologue to a Farce or a Tragedy or perhaps both. Knowledge will forever govern ignorance, and a people who mean to be their own Governors, must arm themselves with the power knowledge gives.”  James Madison

So we should arm ourselves with knowledge. That. Bears. Repeating. I’ve been thinking alot lately about how this Russian thing is a “Prologue to a Farce,” or perhaps even a tragedy in the form of treason.

Now the third time I thought about transparency was after being elected to a school board. Because it really wasn’t until I found myself on the other side of the table, the side that held closed meetings to discuss policy and personnel, that I realized there is a Yin and Yang, a dark and a light side to everything. Of course we didn’t want to disclose “on the record” why a teacher wasn’t getting tenure, and of course that teacher’s union could appeal to an administrative law judge, but in reality Due Process takes time…

These are the times that try our souls. Mr T has been celebrating Bastille Day, which is like our Fourth of July, in Paris. He was parading around, shaking hands a little less forcefully, while still defending his dear boy Donald Jr from the “Witch Hunt” of “Fake News.” One glaringly inappropriate, if not sexist, remark to Brigette Macron, the First Lady of France, stands out. Looking her up and down he said:

“You’re in such great shape,” then Mr T turned to her husband Emmanuel Macron, nodding approval and delivered one word, “Beautiful.”

Maybe he hasn’t seen many 60+ year old women in his tower, after all he’s traded in trophy wives a few times. We have a lecherous ex-Miss Universe owner for a President who is running our country like a reality show. To quote Olivia, “Let’s get physical, let’s get into physical. Let me hear your body talk.” Is that transparent enough?

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