Emergency Medicine Then & Now

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The author and sister Mimi, circa 1940

We were, I think, about six and eight. My sister Mimi and I came home from somewhere, hot and tired and thirsty. We leaned our bikes against the side porch and ran up to the French door – which was stuck tight, as often happened on muggy days. I gave the door a mighty wham. But I missed the wood frame I was aiming for and my hand crashed through the glass pane. I stood there saying “Oh my! Oh my!” until Mimi, who was wise beyond her years, reached through the hole, turned the knob and shoved the door open. I think I was still “Oh my!-ing” while Mimi lead me through the living room, hallway and dining room to the kitchen, splattering blood along the way. We grabbed dish towels, tied them around my arm, returned to our bikes and headed for the offices of our friend Dr. Enos Ray.

Like most small-town doctors’ offices in the 1940s, Dr. Ray’s office consisted of several rooms adjacent to his home – about 8 or 10 blocks from our house. He stitched up my wound, after listening to the story and rather cleverly asking if we had left a note of explanation for our mother. Oops, hadn’t thought of that. Mrs. Ray obligingly started calling around to see if she could find our mother before she encountered an unexplained bloody scene on coming home from somewhere Mimi and I didn’t remember. Dr. Ray probably sent our parents a bill for $5.

Scar

The scar survives

My memory of the entire  incident ends with the bike ride home, all beautifully bandaged and hoping we would see a lot of friends on the way. But the scar (now getting pretty dim amidst the blotches and mottles of seven+ decades) is a constant reminder of my days with the World’s Best Big Sister and a current reminder of the changes in healthcare over those decades.

 I was re-reminded recently. I am fond of remarking at the slightest opportunity that I still, in my golden octogenarian years, have all my original parts – give or take a few teeth. Two of those unoriginal teeth are in the form of very expensive crowns attached for the last 15 years to a far more expensive (not to mention painfully acquired) implant. Not long ago, they decided to swing slightly outward, without so much as a by-your-leave. After a moment of horror (and gratitude that this happened at breakfast with no one but a sympathetic husband at the table) I realized I could nudge them back to where they belonged. I took to chewing on the other side. I called my good friend, longtime neighbor and fine dentist Richard Leeds. He said I should make an appointment with his implant friend Dr. Chin. “You’ll really like Dr. Chin,” he said. “It’s kind of like going to see the mad scientist. But he’s the best.” So I waited until Dr.Chin returned from vacation. And indeed, despite the very proper and competent staff who welcomed me, there was something of a mad scientist to the good doctor. “Let me just peeeeeer around here,” he would say, reaching for strange radar-beam lights and x-ray machines, studying my jaw from every conceivable angle.

 Eventually, he said, “There’s good news and bad news. The bad news is that you’ll Grinprobably need an expensive new crown. The good news is that the implant is just fine so you don’t need surgery, so you don’t need me.” Whereupon he shook my hand, said it had been a pleasure, and no, there was no charge.

 Later, summoned back to Dr. Leeds’ office – and anticipating future appointments for expensive new crowns – I thanked him for sending me to the charming mad scientist. He said he had a few not-so-mad-scientist ideas of his own. Whereupon he gave me a crash course in types of crowns and types of implants now in use, and explained that he thought he could screw my errant teeth back to where they belonged. The explanation was accompanied by several rather vehement maneuvers, and followed by extensive fiddlings around, bite-checking, tooth-filing and what have you. And lo, I am back to where I started with the non-original teeth and their original compatriots. Dr. Leeds will send a bill for considerably more than $5, but probably thousands less than a new crown would have cost. I could not help remembering the days of the de riguer family doctor and family dentist.

Sadly, it should be noted here that Dr. Ray has long since gone to his rewards, and Dr. Leeds is no longer accepting new patients. But given the precarious state of healthcare in the U.S., I can only be grateful for the extraordinary emergency care (Kaiser Permanente included) this middle-class American has been blessed to receive.

Would that healthcare were such for everyone.

The Joy of Unplugging

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“Almost everything will work again if you unplug it,” my good buddy Annie Lamott famously said, “including you.”

Heeding Lamott’s excellent advice, this writer has recently unplugged from a bunch of things. Huffington Post’s blogger roster. The list of ushers at 10 AM church services. Automatic evites to a bunch of meetings & gatherings I don’t really, really need to attend every month. Happily, this means simultaneously unplugging from a zillion email lists. Email lists for activist groups like MoveOn, Indivisible, Stand Up San Francisco, etc etc etc etc are something to tackle another day.

Unplugging even extended to regular blogging on this esteemed franjohns.net. But it’s still a joy to post when something worth posting comes to mind and time can be found. It’s also a joy to hear from readers who still read. (Most of all the email from someone I’ve never met who asked when I would be posting again on franjohns.net. Thanks, and here you are!)

Unplugging, though, is tricky. Technology still confounds. Much of life in today’s world must remain plugged in and operational: computers, printers, TV remotes, modems, iPhones and assorted other too-smart devices, home security systems, garage doors, you name it. For technologically challenged people like yours truly, having the passcodes for all these plus a lifetime of data stored in a cloud in the ethersphere for safety’s sake is a source of great comfort. One does not ever want to unplug from The Cloud.plug.1

Meanwhile there are the wasted hours on phones tapping through menus that, should you get to an end, lead to a recording that says “We’re sorry, but the office is closed. Please call again tomorrow.” And the wasted hours on the computer tapping through Help links that eventually lead to articles you do not have time to read, written by frustrated others who had a similar issue but probably nothing to say about yours.

Every now and then, though, one encounters a simple solution to a simple problem. This occurred recently when my lovely Surface computer blinked confusedly at me and went blank. The horror.

I dearly love my Surface. But I am a certified geezer and technologically inept. I did know I simply needed to shut it totally off & restart it. With my old laptop I did this by unplugging, and  removing the battery. But my svelte little Surface has nothing so old school as a clunky, removable battery. I called the Microsoft number with fear and trepidation, figuring I’d be writing off the morning.Surface

Within two minutes I reached an utterly charming young man. “Hold the Start button down,” he advised. “Keep holding it. Now we’ll just talk for a little while. You think 30 seconds isn’t very long, and it’s hard to figure out just how long it is.” Whereupon we had a pleasant exchange of several sentences about the fog in San Francisco. “OK,” he said then, “We’ve actually been talking for just over a minute. If you need to do this another time, just keep an eye on your watch. If you hold the button down for 30 seconds it will shut completely down.” This is valuable information.

And lo, when I pushed the Start button again, all was well, It just wanted to unplug.

Don’t we all.

Throw-Away Culture v The Planet

Building 2.16.17

Built in late 1980s

The very lovely, 12-story building in which I have lived for four+ years – along with 90 other condo-owning geezers, sometimes more delicately referred to as “retirees” or “seniors” but let’s face it – is about to embark upon an exterior repair job that will run upwards of $3 million. Repair. Not build, or upgrade, or renovate. Repair. This building is slightly over 25 years of age. (Its owners average generally at least three times that; are WE getting $3+ million repair jobs? We wish.)

Our building exterior is a material known as EIFS, which stands for Exterior Insulation Finishing System. According to its Wikipedia page, EIFS is “a general class of non-load bearing building cladding systems that provides exterior walls with an insulated, water-resistant, finished surface in an integrated composite material system,” in case you care. I am on the Homeowners Association board of directors. For a writer whose undergraduate degree was in Art and who was born essentially without a left brain, I know more about EIFS than I ever wanted to know; I can absolutely promise you that.

EIFS is still quite commonly in use. But I think they have figured out something that early EIFS people overlooked: using paper in an exterior building material is a very bad idea. Guess what happens when the sealant shrinks and water gets in and there’s paper involved. Our EIFS people hadn’t figured that out yet.

3965 Sacramento April '17

Built in 1905

Oh, well. What’s $3 or $4 million to fix a 25-year-old building? I do have to mention that the 4-story house we sold in order to move into this lovely building was itself built in 1905. Throughout a century or so of earthquakes and California rainy seasons (about half of which time it belonged to my husband  and/or the two of us) our exterior repair ran to a few thousand dollars in repainting every six or eight years. It is hard not to mention that I grew up in Virginia, where 18th century buildings (still doing fine) dot the landscape.

No offense to the building industry, but what’s wrong with building buildings to last more than 25 years without 4’ by 8’ panels falling off (yes, two of them did, in a bad storm earlier this year) in the middle of the night?

Building damage 1

(After the storm)

This essay started out to be all about planned obsolescence. EIFS buildings perhaps are not deliberately designed to become obsolete in a decade or two; ours just happened to fall into that category. And the above just came to mind as I was starting to write. But about planned obsolescence. It has its own Wikipedia page. According to that page, it “tends to work best when a producer has at least an oligopoly” (which also has its own Wikipedia page.) It was inspired not by the building nightmare but by my recent experience with my beloved Epson printer/copier machine.

My beloved Epson WF 3520, age four years, took to printing in weird colors. After extensive cleaning of the print heads and performing other bewildering actions in the Systems menu, I persuaded it to resume printing photos (for instance) in absolutely true colors. But now it’s inserting disconcerting lines across peoples’ faces and stuff. Not good. I made a trip to the local Office Max where it was purchased four years ago to ask what else I might do to make the lines go away. The following conversation ensued:

Me: “Is there another Systems thing I can try?”

Office Max clerk (age 20-something): “Did you clean the print heads?”

Me (proudly): “Yes.”

OM: “And the nozzle?”

Me (hesitantly): “I think so.”

OM: “How long have you had it?”

Me: “About four years. I bought it here.”

OM: “Oh! That’s a pretty good run.”

Me (an aside that was totally lost on OM): “Clearly you weren’t born in 1933.”

But come on now, folks. Four years is a “pretty good run” for a $400+ machine used by a little old lady who doesn’t print out much beyond an occasional letter or a short story every now and then? God help us.

Old-time sales & service shop

The DiMele Bros repair shop in NYC

In the olden days, which are getting more olden by the day, there were places called Repair Shops. There was often one titled Mr. Fix-It. Alas, one does not repair anything much in this brave new day – one simply tosses it away and buys the latest new model. In San Francisco we do have a spot beloved by many, Phil’s Electric. (This is an unpaid plug.) If you have something electric that Phil’s can’t fix, you’ve probably worn it out over too many decades.

Things electronic, however, are another matter. You don’t wear out an iPhone 4, you discard it for the 5 and then the 6 and then the 7 and now maybe the 7S. Can you wear out a FitBit? Or an Apple Watch? Or any item gently referred to as a “device?” Nahh.Funky cellphone lady You can, without undue effort, lose them to theft, ineptitude or malfunction. In the latter case – see above re my lovely Epson – the good news is that function can actually be restored in some cases.

Having just done an internet search I find there are more than a few electronic repair places in San Francisco, so perhaps all is not lost. There’s even one near Phil’s Electric.

Two good books you’ve not heard of

Discovering great new books is always fun – but when they’re written by friends or family it’s joyously so. Friend and former neighbor Donna Levin has a new novel, There’s More Than One Way Home which I’ve ordered but not yet read; it involves a mother and her autism spectrum son, a theme explored by WordPress blogger friend Antoinette Banks of Tailor Made Life.

Literary talent in the family, though, what special fun. Here’s a story of two very different, very interesting books you’ve probably not heard of – but may want to check out.

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Iceland: bucolic, and enticing

Adam Nichols, who is married to my niece and thus I claim him as nephew, is co-author of a fascinating new book, The Travels of Reverend Olafur Egilsson: The Story of the Barbary Corsair Raid on Iceland in 1627. It’s a tale familiar to Icelanders for centuries, and now making its way into other countries. It’s also a tale that can make you think perhaps the perils of the 21st century aren’t so bad after all.

The Corsairs, when in need of either ransom money or cheap labor or both, simply took off from Africa in pirate ships, swooped down on a likely community and carried off the citizens to sell in the Barbary Coast slave trade. In between times they intercepted ships on the high seas and made off with whatever they found. Human rights were a long way off.

Barbary Corsairs

Barbary Corsairs in action

In 1627, such a raid took place in the Icelandic village where Rev. Olafur was a Lutheran minister. A few villagers escaped, some were killed, and the rest – including Rev. Olafur and his wife and children – were taken off to be sold as slaves. At some point the good reverend was released and sent on his way to raise ransom money from the King of Denmark. No spoiler alert: the tale won’t be followed any farther here. To history’s benefit, Rev. Olafur kept a diary, carefully noting details of his journeys and somewhat dispassionately relating what happened to his friends and family. It is that diary that translates into The Travels of Reverend Olafur Egilsson.

Travels of Rev Olafur cover

Cover photo

 Adam Nichols, a longtime English teacher and author of nine books of fantasy fiction, lived in Iceland for several years. He worked with co-author Karl Smari Hreinsson to create this edition, published by Catholic University of America Press, which is exhaustively annotated to help 21st  century readers follow this 17th century tale. Adam, who is also #1 errand-runner/ taxi driver/ general assistant to my 89-year-old sister, is working on a new book about the Barbary Corsairs, a biography of one of the leaders of the 1627 raid.

Jumping several centuries forward from the Barbary Corsairs, a tale of the 20th century “Greatest Generation” is told by my niece Leslie Sinyard, in her new book Don’t Look. . . Just Jump: The Life of Olive Hammons Weathersby. Far more than an oral history, Don’t Look. . . Just Jump brings to life not just the subject – who died shortly after her 93rd birthday in April, 2013 – but a generation and a kinder, gentler time. Olive’s sweetheart, who would become a widely recognized entomologist/professor and her husband for nearly five adventurous decades, sent letters from the battlefields of World War II wishing they could go out for a Coke date. If either of the couple felt really strongly about something, a ‘Darn!’ might enter the conversation.

Don't Look Just Jump

But the Olive Weathersby story is no timid tale. The title refers to the time when she was the first civilian to parachute from a crashing airplane, and the adventures the couple shared were anything but bland. His work took them to Egypt, where they lived on an island in the Nile; to Tehran, where she first experienced living in a Muslim community; and to Japan, where her kitchen window featured a view of Mt. Fuji in the distance. Eventually they settled in Athens, Georgia to raise their two adopted sons in the turbulent times of the late 20th century.

Leslie Sinyard, who shared a deep Christian faith with the woman her children called their “Athens grandmother,” spent six years interviewing “Miss Olive” and tracking the story. For someone whose career was in business and finance, she turns out to be a remarkable literary storyteller – with a remarkable story to tell.

Signs of Our Marching Times

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The March was intended to be about women’s rights – workplace rights, immigrant and minority rights, the right to make our own reproductive decisions, all those rights that suddenly seem threatened. It turned out to be a celebration of the spirit.

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It was hard to separate rights & purposes from our new president, and hard to ignore the mean-spiritedness that most marchers hope at least to diminish. But it turned out to be a celebration of everything he disdains.

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This writer has traditionally drawn the line at protest marching. In the past I’ve done talks, workshops, phone calls, emails, office visits and the occasional vigil; this year felt like it called for showing up. So along with several friends from the geezer house where I live, I struck out into the rainy San Francisco late afternoon along with a few hundred thousand others. Estimates vary, but we spilled into so many adjoining streets that 50,000 seems a minimal number.

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The signs say it all. Or a lot of it.

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If anyone’s spirits were dampened by the cold rain, you couldn’t tell. What you can tell, from the smiling faces among the umbrellas, is how it felt. Most of all, it was just heartening to be among all of the above, and among the many scattered signs saying “This Is What Democracy Looks Like.”

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Yossi Gurvitz on Flicker

A similar sign was photographed by Yossi Gurvitz in St. Paul’s Square during the Occupy London movement several years ago, a darker view of that phrase. But with enough joyful, celebratory gatherings such as those all around America on January 21, perhaps democracy will survive its current challenges — and look like government by the (sometimes jubilant) people.

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Immigrants, Refugees, Human Beings

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“It would just be like my life ending,” he said. He was an attractive 20-something with piercing black eyes and a neatly trimmed beard. “I was a Dreamer,” he added, “but now I just have nightmares. I’ve lived here since I was 8. I did really well in high school and am halfway through college. But I could be sent back to a country I hardly know, to a very dangerous situation. I’m afraid for my whole family.”

His name is Antonio, and he is an undocumented immigrant. He is one of at least 11 million people in the U.S. today who go to bed with the fear they might wake up to their worst nightmare, deportation. It’s a fear that will be multiplied many times over with installation of an administration that came to power with more than a little help from ripples of xenophobia.

Immigrants. Refugees. Migrants. Humans.

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Worldwide, well over sixty-five million people have been forced to flee their homes, with one source reporting that 24 people were displaced from their homes every day in 2015. By now, most of us have an overload of images in our heads – Syrian children fleeing war-torn cities, terrified people clinging to the sides of capsized boats, acres of tent cities housing human beings facing an unknown future.

Some hope for the hordes of migrants and refugees in Europe lies in the countries and organizations – UNICEF, Save the Children, other nonprofits – that provide shelter in the form of “temporary” camps. The people there, many of whom spend years of their lives simply existing, at least receive food and minimal care. But it’s hard not to consider how little the U.S. is doing (and how much less we’re likely to do in the coming years)

Among the organizations working to ease the burdens of undocumented immigrants on our own soil is the Interfaith Movement for Human Integrity. Senior Program Director Rev. Deborah Lee was speaking of her group’s work at the interfaith event where Antonio told his own story.

“What is our unique role, as religious communities, and how can we put it into practice?” Lee asked. “Does our faith require us to provide sanctuary for those who feel threatened?”

The IMHI maintains the answer to that latter question is a loud Yes. “There is a growing need for faith communities to be a part of the (sanctuary) map,” she says, “which already includes college campuses and cities around the country – responding to God’s law of offering protection to the vulnerable.”

Her organization, Lee explains, hopes to enlist one (or more) “sanctuary congregations” in cities across the U.S. where someone facing final deportation orders can find protection. There are also migrant families arriving in the San Francisco Bay area, Lee says, “who are seeking protection from deportation and applying for asylum, but who are without official refugee status and resettlement services.” For these, IMHI seeks congregations that can provide either support or hospitality housing.

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The idea of sixty-five million+ people forced to flee their homes looks like a tragedy too big to consider. But listening to Deborah Lee talk about how every human being is sacred, or having coffee with Antonio, puts a face on possibility.

Age, Agility and National Stamina

It is a little known but verifiable fact that this writer is a graduate of Circus 101. Well, I completed the course, that is, some five or six decadespast my turning-cartwheels-in-the-backyard days.

The author and sister Mimi, circa 1940

The author and sister Mimi, circa 1940

This comes to mind because of all the recent stamina talk. At the time of my circus experience I was several years younger than the current candidates for president of the United States. I am still the age of Ruth Bader Ginsberg, and frankly, Justice Ginsberg and I (I am not officially authorized to speak for my 1933-babe sister) resent the stamina talk. She, of course, is making her debut (speaking only, opening night) with the Washington National Opera this year; I’m afraid opera performance is not on my bucket list. But still.

Stamina-wise there is at least the circus thing. As I recall, my late-life circus experience began with an article in the San Francisco Chronicle about a class offered by the San Francisco School of Circus Arts (now Circus Center) titled Circus 101. It sounded interesting, and at least worth undertaking for a good story. So I called the Circus School.

“Could a reasonably flexible 60-something woman be eligible to take your Circus 101 class,” I asked the nice lady at the other end of the line? She replied, essentially, if you’ve got the money we can work you in. “You can set your own limits,” she said.

So I showed up for the first class, raising the median age by two or three decades, and quickly learned my limits: upside-down is not for 60-somethings. Oh, I could still do upside-down, headstands with my feet on the wall or the occasional cartwheel; but then I tended to get dizzy and throw up, which is not in the curriculum. I found I was very good, though, at balancing the peacock feather on my chin and at being part of the human pyramid; I always got to be the top of the pyramid because nobody wanted to step on the little old lady. I was also quite good at the Ooze – a sort of backward roll-over with a collapse at the end.

In my class was a lovely Chinese-American girl named Yvonne, who measured approximately 24-18-24 and could juggle three balls before we even started. By the second class her husband Ken had been talked into joining. Ken and Kit, another husky young man who showed up at the same time, could perform great feats of strength and skill, but because they had all those muscles getting in the way I could beat them at grabbing my ankles and doing bend-overs and such that they couldn’t even approximate – which made me feel initially quite superior.

Rola-bola performer, not the author

Rola-bola performer, not the author

All feelings of superiority quickly disappeared. We learned the egg roll, the diablo and the rola-bola, that last being a balancing act on a board set on a large pipe, which when circus people do it looks easy as pie. It is not. (Nor is juggling four balls.)

I did discover that I really shone at the human caterpillar. This begins with a base person on all fours (hands and feet, not knees.) The next person rests on top of the base person, feet crossed, hands on the floor, and additional caterpillar people are similarly arranged. The rear legs and all hands move in unison, theoretically, until somebody giggles.

Is any of this relevant to today’s world, nearly two decades later? Well, it provides food for thought and some great metaphors.

One can only hope that everyone on the political spectrum will have the stamina – not to mention agility – required for running the country at all levels and branches of government. And that our collective community can master the rola-bola without turning into one great Ooze.