Weird Times and Guardian Angels

“I don’t know where I am,” I said. “I don’t recognize this place.”

“Well, you did get here. Where’s your car? Did you drive?”

“I don’t know how I got here.” And since I also didn’t know where I came from or where I lived, it was not going to be easy to get home.050910-F-MS415-009

My short-term memory had totally, inexplicably vanished

I had just told the story of my long-ago (1956, to be precise) back-alley abortion at a fundraising event for nonprofit TEACH (Teaching Early Abortion for Comprehensive Healthcare) in a San Francisco theater. One five-minute speaker followed me, and the program ended. When we got up to leave – I was on the second row next to my young friend Alexa and her visiting aunt and uncle – I didn’t know how to get to the lobby. Since I had met with other speakers onstage before the event and had led my guests to our seats, something was obviously weird. We finally did get to the lobby, where we had met and visited before the event, and the above exchange took place. At that point something weird turned into something frighteningly wrong.

Alexa left her aunt and uncle to find their own way back to their hotel, summoned a cab and gave the driver my address. Later I would have a dim fragment of memory about being in the cab, and another fleeting memory of entering our building, going up to our condo and then seeing my husband.

“Something’s wrong,” I said. “I need to go to the hospital.” He and Alexa had long since come to that conclusion. She had been texting with one of my children on the east coast and on the phone with my husband since the exchange in the theater lobby. Finding my car safely in its garage space, she had already called a cab to get to the emergency room.  But after that moment of seeing my husband, the next four or five hours are lost to me forever.

Its official name is Transient Global Amnesia. If you have it, it’s a good idea to be among friends.

Since I come from a long line of stroke victims, that had been the immediate fear. But it only took a few tests in the Kaiser ER to rule out stroke, a few more to rule out other serious afflictions and arrive at the diagnosis of TGA. Sometime around 2 AM my conscious memory swam back to the surface of reality, which was Alexa sitting on the side of my bed. Then, with a little help from some drug they gave me, I fell asleep.Guardian angel

Fewer than one half of one percent of people in the U.S. experience episodes of TGA every year. It is most common in people between ages 56 and 75, with the average age being approximately 62 – unless I’ve now upped that by a decade or so. For the victim, TGA is really no big deal. You don’t remember anything anyway; but there’s no pain, no suffering, no after-effect and no permanent damage. All I do remember is the comforting vision of my lovely friend, who is known as my West Coast Daughter (now additionally Guardian Angel), sitting on the side of my bed. I was visited by numerous concerned physicians and nurses, several of whom said they’d never heard of TGA.

But now we all have! Before sending me home the next day the very cautious Kaiser people did an MRI of my head, and lo, my brain was still there. Actually, it was functioning on remote even while I was malfunctioning. When posing the traditional questions about what year it was (Nope, didn’t know) etc the ER doctors asked if I could say who is the president of the U.S.

“Noooo,” I said, “but I know I don’t like him.”

 

On Preventing the Worst from Happening

The following is offered as a very small and personal side commentary, on the occasion of the leaders of the U.S. and North Korea meeting in Singapore.

Have you met the Ploughshares Fund? If you’re not anxious to see the planet blown away in a thermonuclear flash, the Ploughshares folks are good people to know.

nuclear-bomb-explosion2

by Snoron.com

Ploughshares was founded in 1981 by the indomitable sculptor/activist Sally Lilienthal, who was also a friend of my good husband. When I met her, soon after arriving in San Francisco in 1992, I became an instant fan.

1981 was the height of the Cold War, and Russia and the U.S. were on the brink of thermonuclear confrontation – each having enough nuclear weapons to obliterate this beautiful planet. Ploughshares set about the work of reducing those dangerous threats and has been remarkably successful. Stockpiles have been dramatically reduced – we’re down from the nearly 55,000 worldwide total in 1980 to the current figure of approximately 15,000. Over 90% are in the US and Russia; the rest are in China, France, India, Israel, North Korea, Pakistan and the United Kingdom. There may be fewer nuclear weapons, but there are plenty around to destroy life as we know it.

Which is why the world watched with some apprehension as two of perhaps the most erratic and unpredictable leaders of all time met to – we hope – find a way to avoid nuclear war.

Fran w Joe Cirincione 6.4.18

With Joe Cirincione

I was privileged to hear Ploughshares Fund President Joe Cirincione and Executive Director/Chief Operating Officer Philip Yun talk about the situation in general and North Korea in particular recently with a group of longtime supporters.

“We have a very simple philosophy,” Cirincione says: “prevent the worst from happening.” Re North Korea and the recent summit, “There might be some surprises. Trump could stumble into a good deal.” Pointing out that “we support policies, not presidents,” he said Donald Trump “could give North Korea something that Democratic presidents could not.”

This group, progressives to the core, swallowed hard. If you want not to see the planet wiped out in a thermonuclear frenzy, keeping North Korea from starting such an event trumps all distaste for our president.

Yun offered some history lessons and insight; he is a scholar of Korean affairs who has long been involved in U.S./N.Korea negotiations. “The North Koreans like symmetry,” he said. Any movement toward denuclearization “is going to have to be phased. (But) there are a lot of moving parts that could make us safer right now.”

Those were just several snippets of a conversation that was wide-ranging and in many ways encouraging. The fact that the Ploughshares people, and the people with organizations it funds, are working every day to keep the worst from happening is encouragement enough for now.dove of peace

So this writer, who watches in horror the environmental destruction and loss of human rights going on every day thanks to the policies of our current administration, swallowed hard and wished Mr. Trump & Mr. Kim every success in avoiding a thermonuclear planetary disaster.

On Earning a Five-Star Rating in Life

My all-time favorite female keynote speaker/comedian Jan McInnis recently wrote the following piece in her regular ‘Humor News’ publication The Keynote Chronicle. (You may want to get on her mailing list.) I thought it so much fun — and simultaneously profound — that I’m sharing it here, with her permission.

What $19.99 Will Buy You

comedian and keynote speaker Jan mcInnis

Jan McInnis

I like hotels. I stay in a lot of them, and most of the time I stay in really nice ones. You know, where the bathroom is big enough for ballroom dancing, and there’s a TV embedded in the mirror? I guess if I want to feel like I’m a beautiful newscaster, I look at that instead of my reflection.

And as nice as these hotels are, they’re still worried about making a good impression. After my stay, they always send a survey so I can rate everything: did you use the internet? Yes? On a scale from 1 – 99, how was it? Did you use the gym? Yes? On a scale from 1 – 99, how was it? Did you use the toilet? You get the picture. I check “no” to all of it; otherwise there are more questions to answer. Nope, no gym, no internet, no toilet. . . I didn’t even sleep under the covers. Stop! Your hotel is nice, ok!

funny hotel article

Jan’s room in Africa

I’m still a fan of cheap hotels, however, because they kept me afloat in my early comedy years. Back then, it was kind of a crapshoot as to what you’d get with some of these hotels. There could be a TV in the mirror, but only because some drunk guest threw it there. Occasionally the bedding could be a little sketchy. I toured with a sleeping bag.

One of my first big gigs was at a major comedy club in Chicago. I was very excited, but I had to get my own hotel room. Plenty of really great comics live in that area, so no one was gonna put up an out-of-towner. No problem! I found an excellent hotel about an hour away in Portage, Indiana. . . and by “excellent,” I mean cheap: $19.99 a night!

The manager was a very nice older lady, and I explained that I was a comedian on tour. We had a pleasant chat, and I got my keys. The room was kind of what I expected: no TV smashed into the mirror, but I did have to wear my socks while walking on the carpet. . . and in the shower. But the week at the club went well, and at a little under $140 for my room, I could still go home with some money.

Funy picture

Hotel bed decoration — “To make me feel welcome, I think”

When the club booked me again a year later, I had the same hotel dilemma, so I headed over to my friends in Portage. But there was a different woman at the front desk, and the price had gone up dramatically: $29.99 per night! (Probably due to paying for new TVs and mirrors.) That $70 extra bucks was gonna break the budget, and I didn’t know what to do. This was back before cell phones and wireless internet; finding another place would be time consuming!

As I was discussing dropping the price to no avail, the manager popped out. She must have seen the panic on my face because in a moment of true kindness, she turned to the desk clerk and said, “I remember her. Give her the old price.”

Relief! I could kiss the ground (almost. . . the carpets were still the same). I had never been so happy to unroll my sleeping bag in a bargain bed. I thanked her profusely.

I’m sure she doesn’t remember now how much she helped me then, but I do. It probably wasn’t a big deal to her, but it was a huge deal to me, and she did it simply because she could. She had the opportunity to help someone, so she did. Without any fanfare, without any expectation that I’d give her a good review, without anything: she did it just because she could.

Jan & crowd

Jan onstage, well rested

There’s always an excuse to not do something: “It’s not my job,” “It’s not our policy,” etc., and many people hide behind that because it’s the easy route. (Yes, you, Mr. Airline Gate Agent who wouldn’t put me on the earlier flight recently, because you said it would be too much of a hassle.) But, I think doing things that are in your control to help someone is how you earn a five-star rating in business and in life.

I once heard Tony Robbins say that we should look at everyone on the planet as being on the same team, and I agree. So be on the lookout for ways to help out your “team members” with the things that are within your power. You’ll make a great lasting impression on them. . . without the 99 question survey.

(Jan has shared her customized humor keynotes with thousands of associations and corporations, and is the author of 2 books: “Finding the Funny Fast” and “Convention Comedian.” She has also been featured in the Wall Street Journal, the Washington Post, and on Huffington Post. I’m proud to be a fan.)

 

 

 

 

Cloud Appreciation. It’s free!!

Clouds 4.26.18

Clouds around (& above) Salesforce Tower

Here is one universal, guaranteed, free way to lift your spirits in these often dispiriting days: look up. Stare at the sky. Notice the clouds. Once you start noticing clouds – which are up there just quietly asking to be admired, after all – your passport to lifted spirits is issued.

Clouds - Ferry Bldg 5.17.18

Wisps around the Ferry Bldg

My passport number is #45,662. That is, this message comes to you from Cloud Appreciation Society member #45,662. My membership number came with an official certificate proclaiming that I joined this society on 13th May (it’s a very British society) and “will henceforth seek to persuade all who’ll listen of the wonder and beauty of clouds.”

So that’s what this essay is about. You can quit reading if you don’t want to be persuaded.

One thing the Cloud Appreciation Society brings you (via email) is the Cloud of the Day. Imagine starting your day – before you even look up, perhaps – not with news of wars and corruption and presidential vulgarity, but with the Cloud of the Day. Which on most days is stunning.

Clouds 12.23.16

Sunset from our window

I have been hooked on sunsets ever since moving into a seventh floor condo with one large window that looks directly west toward the Pacific Ocean. But my path to cloud appreciation actually started with the lovely, gently persuasive book A Sideways Look at Clouds by Maria Mudd Ruth. Ruth, author of the award-winning book Rare Bird, became curious about clouds on moving from the east coast to the rugged, foggy northwest. In Sideways she combines that daunting intellectual curiosity with a persistence few of us share. I mean, slipping into a frigid lake at dawn to experience fog? I have never met the author. But I’m a very longtime friend and fan of her famous father Roger, and her late mom was a poet – which leads me to understand that Ruth comes by her writing gifts honestly. The book is a winner.

Clouds 9.15

Clouds from airplane window seat

In addition to my Cloud Appreciation Society membership certificate and sky-blue cloud pin, I am now the proud possessor of the Cloud Selector wheel, identifying the 10 main cloud types. You thought there were just puffy white things? Wrong. The ten main groups are divided according to altitudes and shapes, whether they’re made up of clumps, continuous layers or wispy streaks. You probably know Cumulus (Cu.) The Cloud selector tells you what to look for: “Cauliflower tops, flattish bases, crisp edges;” typical altitudes (1,000 to 5,000 feet;) whether there’s precipitation (None, unless very large) and offers a picture just so you know you’re right. How better to be an instant cloud expert?

Cloud appreciation, though, is not about expertise; it’s about pure pleasure. Given the high cost of movies and ballgames, this space is pleased to recommend cloud-watching as a viable alternative entertainment. You can also buy A Sideways Look at Clouds for less than $20, or you can become a bona fide member of the Cloud Appreciation Society for $23.25/year plus a $13.29 sign-up fee. (You can also become a CAS Friend, for free, and receive their Somewhat Occasional Newsletter.) After that, you’re on your own.

The planet may be in a mess, but the skies above are filled with wonder. Cloud wonder.

Clouds1 4.27.18

Clouds from the top of Post St, unspoiled by overhead wires even

 

 

Gag Rule Harms Millions of Women

Can you muzzle a million women? Really?

Female symbol

Unfortunately, that’s exactly what the Global Gag Rule seeks to do. Reinstated by President Trump two days after the Women’s March on Washington (take that, women of America,) the Global Gag Rule stipulates that non-U.S. nongovernmental organizations receiving U.S. family planning funding cannot inform the public or educate their government on the need to make safe abortion available, provide legal abortion services, or provide advice on where to get an abortion. Thus, every one of the organizations working to provide critical, comprehensive healthcare to women around the globe who desperately need it must either promise never to mention the A-word, or lose the funding that allows them to continue. We’re talking nine billion dollars.

Never mind that Marie Stopes International has estimated that without alternative funding – not easy to come by – Trump’s GGR between 2017 and 2020 will likely result in 6.5 million unintended pregnancies, 2.2 million abortions, 2.1 million unsafe abortions, 21,700 maternal deaths and will prohibit the organization from reaching 1.5 million women with contraception each year.

Susan Wood IWHC

Susan Wood

Other statistics are equally mind-boggling. Ibis Reproductive Health data shows the harmful effects of the GGR around the globe. HIV prevention efforts suffer. Health clinics close. Rural communities lose access to healthcare.

This dangerous foolishness started with Ronald Reagan, who enacted it by presidential decree in 1984. Since then, every Democratic president has rescinded it, and every Republican president has reinstated it.

Two women with long experience and a deep understanding of the GGR and complex issues involved spoke at a recent event in Marin. Susan Wood, Director of Program Leaning and Evaluation for the International Women’s Health Coalition, and Caitlin Gerdts of Ibis shared the extensive bad news above – and a glimmer of good news:

Caitlin Gerdts-Ibis

Caitlin Gerdts

A bipartisan (though predominantly Democratic) group is behind a bill which would permanently end the Global Gag Rule. Senator Jeanne Shaheen (D-NH) and Representative Nita Lowey (D-NY), along with an unprecedented number of original cosponsors, introduced the Global Health, Empowerment and Rights (HER) Act. The Global HER Act would remove dangerous eligibility restrictions on international recipients of U.S. foreign assistance and would ensure that U.S. foreign assistance prioritizes women’s health.

The Global HER Act would also:

  • Allow foreign organizations receiving U.S. aid to use non-U.S. funds to provide safe abortion and other medical services that are legal in the U.S. and in the respective countries.
  • Promote safe, ethical medical practices by removing discriminatory restrictions on essential health care services.
  • Support and encourage democratic participation and freedom of speech abroad.
  • Nullify any existing U.S. law or policy that interferes with these provisions.

After decades of yo-yo-ing U.S. political whims, this bill would finally put the health and safety of women around the globe on a steady footing. Miracles happen.

 

 

 

 

 

Death, Dying and a Few Questions

Third & final report on a few highlights of the global conference ‘The End of Life Experience: Dying, Death & Culture in the 21st Century’ in Lisbon, March 2018

Question markWhat are the tough end-of-life questions facing the people of Australia? Pretty much the same as those facing the people of the U.S. Or the U.K., or Canada, or Portugal. A few of those discussed at the recent End of Life Experience interdisciplinary conference in Lisbon would include:

How, exactly, do we define death after all? Iona College Professor Vincent Maher, who holds a variety of degrees and whose career has included broad based legal, health care and non-profit sector experiences, presented a paper on the complex case of Jahi McMath. McMath was declared brain dead following surgery to correct a sleep apnea condition at Children’s Hospital, Oakland CA in 2013. She was 13 years old. Her family refused to accept the declaration of death and insisted she be kept on a ventilator. “Court interventions, news and social media exposure ensued,” Maher explains. “Fingers were pointed. What should have been a difficult but straightforward medical decision became a management, ethical and legal fiasco.” Eventually the family succeeded in having Jahi flown to New Jersey, one of two states (New York being the other) which follow a family’s definition of death. This policy was designed to accommodate Orthodox Jews, some of whom believe that the presence of breath signifies life. Jahi remains on a ventilator and feeding tube, with 24-hour care covered by Medicaid; her family still hopes to bring her back to California – where the coroner issued her death certificate in 2014.Grim reaper

Set aside the ethical, racial (McMath is African American,) financial and other questions, what is death? When the heart stops? When breathing stops? Or when the brain is dead? Medical technology can now keep a body functioning after brain death – organ donation is benefiting from this – but at some point, death takes over.

Can we keep control of our lives as they are ending? Increasingly, no, says Dr. Peter Saul, Senior Specialist, Intensive Care Unit, Calvary Mater Newcastle, NSW, Australia. “Dying in the 21st century in a wealthy country,” Saul says, “is now dominated by elderly people with significant disability, sometimes cognitively impaired, faced with making complex end of life care choices.” And those choices commonly follow “standard (medical) protocols and (are) in line with family wishes regardless of preferences recorded in advance care directives.” Australians, like the majority of people everywhere, would choose to die at home, Saul says; but “the entire structure and funding model of Western medicine greatly favors tertiary and hospital care over that provided in the community.”

Saul suggests that “the medical system at all levels would need to become proactive in creating genuine opportunities for choices to be available. This means asking more, offering more education, taking choice seriously and pushing back against a legal system that favors defensive medicine and over-treatment even in the same breath as pushing ‘patient autonomy.’”

So, is there anything hopeful on the horizon for the end-of-life experience? Definitely. Ottowa, Canada psychologist Morry Appelle and his wife, therapist Christine Appelle presented a paper on a discussion group they started five years ago “in an attempt to address more consciously and formally our own concerns of death.” They were surprised to find eager participants who became faithful, regular attendees, and who agreed to allow videos of some of their meetings to be shared. It is a remarkably effective way to confront mortality.

Planet earthThis writer left Lisbon urging the Appelles to publish a book about their novel idea, but you don’t really have to wait for the book. A group of friends or strangers willing to meet together for an extended period of time and simply talk through everyone’s fears and concerns offers an invaluable way to face, and embrace, life’s end. Such an experience could well lead to the patient autonomy and personal choice currently under threat in wealthier nations around the globe. It would undoubtedly help to have someone like Morry &/or Christine Appelle as facilitator. “Mostly,” they said about their experimental group, “we wished to look more intimately at the mystery of life and death, thereby dispelling some of its associated anxiety and fear. To the extent we could live out this life as fully and consciously as possible, we proposed that lifting the veil on death was a reasonable place to begin.”

The Lisbon conference did a lot of veil-lifting. Also lifted up? Questions worth pondering, wherever on this fragile planet we happen to be sharing our fleeting mortality.

Robert Reich is Optimistic

(A third & final report on the Lisbon End-of-Life conference will be coming around next week; I’m interrupting that sort-of series to write about hearing one of my heroes, Robert Reich.)

Robert Reich 4.24.18Robert Reich, a giant intellect who is slightly shorter than this 5’2” writer, took the stage at a recent sold-out Commonwealth Club event. “You can tell,” he quipped, “that Trump has really worn me down.” When the cheers and laughter subsided a little he added, “Last time I was here, wasn’t I about five foot ten?”

Reich, Professor of Public Policy at the University of California, Berkeley and Senior Fellow at the Blum Center for Developing Economies, served as Secretary of Labor in the Clinton administration and, among other accomplishments, has written fifteen books. His latest, The Common Good, was published earlier this year. In classic Reichian fashion it argues for a return to “moral imagination” and the common good, and leaves you hopeful. “We have never been a perfect union,” he writes at the end. “Our finest moments have been when we sought to become more perfect than we had been.”

Respect – remember that once-common element of the public discourse? – was Reich’s first talking point at the Commonwealth Club. He spoke of the days when legislators commonly had friends from the other side of the aisle, lamenting the current atmosphere that makes it virtually impossible for, say, a Democratic senator to socialize regularly with a Republican colleague. Reich dates this change to the time when Newt Gingrich, the hyper-partisan, combative Republican became Speaker of the House of Representatives in 1995. He told of entering his office while serving as Secretary of Labor to find a group of people going through his files, saying they had permission to do so. “What are they looking for,” he asked an aide. “They’re looking for anything,” the reply came, “that they can use to get you.”

As a child, Reich was diagnosed with a bone disorder commonly known as Fairbanks disease, which results in short stature. Because this often left him the target of bullies, he sought the protection of older boys – one of whom was Mickey Schwerner. When Schwerner and two others were murdered by the Ku Klux Klan in 1964 for registering African-American voters,  Reich says he was motivated to “fight the bullies and to protect the powerless.”

Asked to name the one thing he feels is most critical today, Reich says it is “to get the money out of politics. Money distorts the process,” he says – in what might be considered a mild understatement. Reich also told his audience that “the best way of learning is to talk with people who disagree with you. It forces you to sharpen your argument. You listen to other points of view – and just possibly some of them are correct.”

Robert Reich 4.24.18

Author, fan & new book

The anger he saw in places like Toledo and Kansas City when he was Secretary of Labor Reich says is still very much there. “People are working harder and harder, and getting nowhere.” Even as we bailed out Wall Street, he adds, people are saying “the game is rigged, and it’s rigged against us.” When he visited those same cities – and others like them – prior to the 2016 elections, Reich was surprised to hear many people say they planned to vote for either Bernie Sanders or Donald Trump. “How can you even say those two names in the same sentence?” he asked. “And they would reply, ‘Either one will shake things up.’”

But despite being worn down by the present administration, Reich proclaims that he is optimistic.  “It’s when we are losing something,” he says, “that we recognize its value. People are recognizing their responsibility is not just to vote but to be involved. And secondly, I look at my students, and students from Parkland and Stoneman Douglass high schools (which drew audience applause.) They are committed, engaged, idealistic and determined. There are so many people determined to save our democracy.”

“Your engagement and involvement,” he said to a receptive and enthusiastically pro-Robert Reich audience, “is critically important.”