Guns as art and in the world

At my granddaughter’s art school, student work features what struck me as an awful lot of weapons: handguns, automatic rifles, daggers. “Well, Gran,” she replied to my comment on this high degree of angst, “we are teenagers.”

OK, I know it’s been two generations and at least 70 light years since I was a freshman art student myself, but I do miss the landscapes, still lifes and quiet figure studies. And I lament the angst.

I draw NO parallel, absolutely NO parallel between the excellent training and remarkable students at today’s art schools and the angst-level of terrorism. It is still both unsettling and heart-wrenching to pick up today’s New York Times and be greeted by a front page photo of a pretty,  baby-faced, all-innocence young girl pointing a gun upwards behind her head while in the casual embrace of her boyfriend, who is holding a larger handgun.

The boyfriend, as it happens, is a handsome young Russian who was killed by government forces a few months ago. The young woman, hardly more than a child, blew herself up in a Moscow subway on Monday, killing a lot of other innocent human beings. What is striking, among all the other ironies and tragedies of this picture, is the wealth of warmth and promise that seems to shine out of those two faces… if you cover up the guns. But those faces, and the bodies to which they were attached, are now dead.

I am holding onto my Brady Campaign membership.

How not to get Alzheimer's

Of all the Big Fears, for aging parents or our aging selves, Alzheimer’s probably ranks #1. So what if we could stave it off?

A new project, the Cognitive Fitness and Innovative Therapies, or CFIT, is trying to keep people at risk for Alzheimer’s intellectually and physically fit with quizzes and other cognitive challenges to see if onset of the disease can be delayed, perhaps indefinitely. The program, which is being advised by many famous names in Alzheimer’s research and treatment, also promotes diet changes and maintaining a social life to try to slow cognitive decline and lower the risk for Alzheimer’s.

Try some problems some people practice to delay the onset of Alzheimer’s.

The Wall Street Journal’s invitation to try a few of these Alzheimer’s-prevention exercises seemed tempting for this reporter, so I clicked on over. It should be noted here that although I hold undergraduate and graduate degrees from reputable institutions, they are in Art and Short Fiction. These exercises are not for the faint-hearted, or the right-brained. (Actually, after following a few more links and trying another quiz it was determined that my right brain/left brain dominance is split 16 to 16; this may be the problem.) Maybe they are for the MIT alumni.

Kenneth S. Kosik, co-director of the Neuroscience Research Institute at the University of California, Santa Barbara, launched CFIT with a center in Santa Barbara last year. Dr. Kosik recommends that individuals start efforts to prevent the disease in their 50s.

“By the time someone walks in my door with symptoms of the disease, it’s too late” to stop it, says Dr. Kosik, who plans to open four CFIT centers in New York and California. The idea behind the new research is that lifestyle interventions may delay or prevent the disease before symptoms appear—or slow the progression of Alzheimer’s once they do manifest.

The CFIT exercises seem to go a step — or perhaps a leap — farther than the SharpBrain exercises, which are also recommended by all sorts of people who understand brain function. (And seem, I have to say, a lot more like fun and less like Alzheimer’s prevention.) Any of them will keep you awake, and quite possibly stave off dementia.

The shift in thinking has been bolstered by public health efforts to prevent cognitive decline and delay or prevent Alzheimer’s disease, which affects some 5.3 million Americans. A 2007 report by the Centers for Disease Control and Prevention and the Alzheimer’s Association, a nonprofit group that funds research and supports advocacy and education, called for implementing findings on exercise and diet into actions people can do to maintain cognitive health. A CDC review of the scientific literature is expected to be released this year. The groups have been working together to gather data from individual states on the extent of cognitive impairment and meeting with state health officials to develop public campaigns to promote brain health.

Scientists don’t know exactly what causes Alzheimer’s, a progressive brain disorder that accounts for the majority of dementia cases, although genetics and age likely play a role. There are only four drugs approved for the disease, but these just treat individual symptoms and don’t stop the relentless course of the illness. New medicines are in testing but are likely to take years before they reach medical clinics.

This space highly recommends that you get started right away. We all want to believe it’s not too late.

Ways You Can Stave Off Alzheimer’s – WSJ.com.

If you happen to be in Omaha

This is going on in Omaha? Omaha Nebraska? Indeed.

No one should really be surprised. My friend Ward Schumaker, a gifted artist and not exactly your run-of-the-mill conformist, comes from Omaha. He and the similarly-describable Vivienne were visiting family there once when they up and married, sending word of the event with a notation in tiny print at the bottom that read ‘Forgive us.’ I think his mother was in her eighties when she started an innovative Midnight Basketball program to help keep Omaha kids off the streets. Innovation happens in Omaha.

This morning a notice arrived in my Inbox about an open position for an intern with Project Interfaith in Omaha. Project Interfaith is, as explained below the job description, a non-profit organization dedicated to growing understanding, respect and relationships among people of all faiths, beliefs and cultures. You might want to apply.

Project Interfaith, started in 2004, is one of the younger such groups around the country with these goals. (I would be in big trouble if I failed to single out the San Francisco Interfaith Council, on whose board I serve.) There’s even an organization of organizations, the North American Interfaith Network which covers organizations and agencies in Canada, Mexico and the U.S.  Some of the others might be looking for interns too, but don’t go there if you want to get rich, other than in spirit.

Is this news, even in Omaha? Probably not. But it is worth noting, at a time when the need for understanding and respect among people of different beliefs and cultures is at an all-time high.

When Mom & Dad stay home — and need care

Years ago when my grandmother was dying — a process that seemed to consume her for a very long time — her children took turns having their semi-invalid mother live with them for a period of months. Grandmother was not an easy patient. She spent most of her days talking about how everyone she loved was dead — which used to make me wonder where my sisters, my long-suffering mother and I stood with her. But Grandmother’s decline was before technology complicated such events, and pretty much all that was needed was to put a borrowed bed somewhere, try to keep her comfortable and entertained and call the doctor if she needed anything. Most of her six children had at least one at-home family member who could handle Grandmother’s care for a few months without straining the family budget or everyone’s patience and good humor.

Caring for aging family members today is not so simple. Few families have a stay-at-home member able to juggle regular routine with patient care, such  care now often calls for high-tech equipment and/or high-cost drugs and interventions, and doctors don’t make house calls every other night.

In an informative and enlightening ‘Encore’ feature, Wall Street Journal writer Anne Tergesen follows the adventures of several families wherein siblings have become caregivers to aging parents.

Family cohesiveness is a tall order at any time of life. But as parents grow frail, brothers and sisters often encounter new obstacles to togetherness—at precisely the time they most need to rely on one another. Sibling rivalry can emerge or intensify as adult children vie, one last time, for a parent’s love or financial support. And even as parents grow dependent on children, the desire to cling to old, familiar roles can create a dysfunctional mess.

Today, with the economy and household finances in disrepair, such strains are more pronounced. According to a recent report by the National Alliance for Caregiving and AARP, about 43.5 million Americans look after someone 50 or older, 28% more than in 2004. In comparison with 2004, a smaller percentage—41% versus 46%—are hiring help. And more—70% versus 59%—are reaching out to unpaid help, such as family and friends.

Experts say it’s crucial that families figure out ways to work together, to work through their differences, for the common goal of caring for a parent. If they don’t, their parents will suffer—and so will they.

“Family caregivers are the backbone of the long-term-care system in this country,” says Francine Russo, author of a new book about how siblings can cope with aging parents, “They’re Your Parents, Too!” Siblings who work together, she adds, can help preserve not just one another’s health and sanity but also a “last link to their first family.”

There is, fortunately, a lot of support for family caregivers, through sources listed above, the Family Caregiver Alliance and other local or national groups. There are also helpful tips, many of which are outlined in Tergesen’s article: use new technologies, seek help, be flexible, keep lists, and laugh a lot.

The latter was what saved my family from collapse during Grandmother’s stays in our home. Grandmother would today be easily identified as clinically, chronically, severely depressed. My sister Mimi and I devised a game, after the first few days of jockeying for position as the one not to have to spend the afternoon with Grandmother. Whoever came up with the most hilarious joke to tell and see if we could make her laugh, or the most bizarre question (“Did Uncle James really go to jail, like we’ve heard?”) to prompt a family story, would win. I don’t know if this technique has real merit but it worked for us. We laughed a great deal, and Grandmother got to tell a LOT of previously untold family stories. Some of them were even true.

Siblings Overcome Conflicts to Care for Aging Parents – WSJ.com.

Moving Mom & Dad – but to where?

With the over-5o population expected to grow from 100 million this year to 130 million in 2030, the question of how and where to house these older adults is one that’s not going away. And it is not just a question of quantity and variety — enough houses, apartments, retirement communities — it’s how to ensure that needed services will be accessible to all.

A new report just released by AARP’s Public Policy Institute and authored by the Center for Housing Policy offers a comprehensive look at a complicated picture. Insight on the Issues: Strategies to Meet the Housing Needs of Older Adults and is designed to help state and local policy makers understand the needs of this growing population segment.

All of these Boomers, who are now beginning to swell the ranks of the Seriously Senior, have specific wish lists: independence, security, and above all avoidance of the N-word — the dreaded nursing home. The wish lists change almost by the day, but some things stay the same.

“With the population of older adults on the rise, this report helps to identify the essential housing policy strategies that can help them to balance their increasing needs with a desire to continue to stay closely connected to their families, communities and society,” said Center for Housing Policy Chair John K. McIlwain, senior resident fellow and the J. Ronald Terwilliger chair for housing at the Urban Land Institute.

According to Susan Reinhard, AARP Senior Vice President and Director of the AARP Public Policy Institute, “These resources will be invaluable for policymakers at the state and local levels as they adapt to the changing needs of an aging population.”

If you, or your parents or grandparents, are over 50, chances are you have already had The Talk. Where in the world will Mom and Dad go, and how in the world will they stay there? What’s going to be comfortable? How will we afford it?

Nine fact sheets accompanying the newly released report are divided into three sections. It all makes the task of plowing through the talk a little easier, especially if local and state policy makers are paying attention at the same time.

This space will be looking at the different points over the coming weeks. Your comments and personal stories are welcome.

Medical marijuana: a painful issue all around

Courtesy of http://prospect.rsc.org/blogs/cw/?p=655She is 46, a breast cancer survivor for four long years, a regular user of medical marijuana. She told me — as we were introduced by a mutual friend and she was updating the friend — a horror story too ridiculous even for an ‘Only in California’ tale. Her name is not Emily, but I’ll call her Emily to protect the innocent.

Emily has a solid career in social services with a California nonprofit. For years their funding has come partly through federal grants. This has been fine with Emily’s regular use of medical marijuana, which is legal in California and which keeps her chronic pain — a result of cancer and several other issues — under control. She smokes one joint in the morning, and four at night. (An editorial caveat here: I’ve not tried marijuana, which is wise since I’m addicted to anything that comes down the pike, so I know from nothing about dosages, etc. I’m just repeating what she explained.)

Not long ago, a new project was offered Emily’s organization and she was named as its head. Only problem? Everyone would have to take the federally-mandated drug test. Only solution? get Emily off of the weed for six weeks in order for her to pass the test. She had done that, finishing it all and passing the test and starting the project, a few months earlier. It was not fun.

“In order to get through all this,” she said, “I was prescribed a total of six different pain-relief drugs which I took every day. They were expensive, but the only way I could have made it. So for six weeks I poured six different toxins into my system at an obscene cost, both financially and physically. But hey, you do what you have to do.”

Emily is now back to growing, and smoking, her own.

California voters, thanks to a ballot issue certified yesterday by our secretary of state, will decide next November whether to legalize marijuana for any adult use. The issue is being rather hotly debated elsewhere on True/Slant and I frankly have no idea where I’ll come down when the dust settles and I read the whole business. Friends tell me it’s fine, others tell me it’s addictive, the state needs the money, who knows where legalization and regulation could lead? Neither does much to curb alcohol abuse, but then, I quit drinking years ago so it’s easy to be holy about alcohol abuse; some of us can handle the booze, some of us can’t.

But all of us need pain relief. Marijuana is a proven pain-relief drug. Why in the world it should be denied those who need it boggles this increasingly boggled mind.

Moving in with mom and dad

Waiting lines at the bathroom? Overflow in the kitchen cabinets? Welcome to the suddenly multi-generational family home.

Yesterday a friend of mine was alternately laughing and crying (I mean, literally) over the tales of her once comfortable, now overstuffed home. Her daughter and son-in-law, both unemployed for an extended time and overwhelmed by mounting debt and loss of health insurance, recently moved in with the older generation. With them came three grandchildren, ages 3, 8 and 11. It could make a great sitcom pilot. “My husband was so desperate to get into one of our two and a half bathrooms the other day,” she said, “that he suggested getting one of those take-a-number things they have in hospital waiting areas. The kids put labels on their snack bar boxes, but now I can’t even find which shelf the boxes got stuffed into or what they’re hiding behind.”

Welcome to the brave new world of extended-family housing.

The extended family is making something of a comeback, thanks to delayed marriage, immigration and recession-induced job losses and foreclosures that have forced people to double-up under one roof, an analysis of Census Bureau figures has found.

“The Waltons are back,” said Paul Taylor, executive vice president of the Pew Research Center, which conducted the analysis.

Multigenerational families, which accounted for 25 percent of the population in 1940 but only 12 percent by 1980, inched up to 16 percent in 2008, according to the analysis.

For the rapidly growing 65+ segment of the population, there’s good news and bad news in this. Loneliness is often cited as a great fear among the aged. At talks and workshops this writer often does on end-of-life issues (advance directives, end-of-life choices, etc.) the response to any “What do you fear most?” question is never “death,” almost always “pain,” “isolation” or “loneliness.” When younger generations move in, loneliness is unlikely, but other problems may well take its place.

The analysis also found that the proportion of people 65 and older who live alone, which had been rising steeply for nearly a century — from 6 percent in 1900 to 29 percent in 1990 — declined slightly, to 27 percent.

At the same time, the share of older people living in multigenerational families, which plummeted to 17 percent in 1980 from 57 percent in 1900, rose to 20 percent.

While the pre-World War II extended family may have been idealized as a nurturing cocoon, the latest manifestation is too recent and a result of too many factors, positive and negative, to be romanticized.

“It calls to mind one of the famous lines in American poetry, from Robert Frost: ‘Home is the place where, when you have to go there, they have to take you in,’ ” Mr. Taylor said. “I don’t know that I can offer a value judgment of whether it’s good or bad. It reflects our time.”

The decline of extended families coincided with an exodus to the suburbs, where many young adults preferred to raise their children, and the enactment of Social Security and Medicare, which made older adults more financially independent.

A lot of factors combine to create the more than 49 million adults currently living in multi-generational homes, the census figures show. We’re living longer, getting married later, getting divorced more often, losing jobs and losing homes. One ray of good news is that the homes now housing multiple generations tend to be larger than a generation ago. Two and a half bathrooms for three generations still beats the olden days of one bathroom for a family of five. But not many families get along as well as the Waltons did. “We love the kids and the grandchidren,” remarked my stressed-out friend mentioned above, “but my son-in-law’s first paycheck is going to go for the down payment on a new apartment.”

Households With Extended Families Are on the Rise, Census Shows – NYTimes.com.

Homeless & still grinning

President Obama’s proposed budget for FY2011 includes a broad range of programs addressing homelessness, from provision of new services to the “Zero Tolerance” initiative for homeless veterans; I wish them all well. Aside from national efforts, most of us struggle with our personal relationship to the growing numbers of homeless citizens: Look the other way? Drop coins in cups? Buy snacks? Volunteer with the Food Bank? Most of us try to give something.

Occasionally, we get something more. This is such a story.

My friend Kevin left our neighborhood park in December, bound for Bakersfield in California’s central valley. “The Saint Vincent de Paul bought me a ticket,” he said. I worried about who would look after him. In our neighborhood he could sit in the sun and watch the birds on the lake, the joggers and strollers, and children on the playground. On rainy days he could sit on a corner bench inside the library. He never asked for money, but many of us gave him a dollar or two whenever we met. “Oh, I think he’ll be okay,” said one of the dog-walkers who is also among the Mountain Lake Park regulars. “He’ll find a meeting, and they’ll help him. He’s been doing really well with his drinking.”

Turns out it was not really Kevin I was worried about, but myself. Things were not the same. I would finish the hop kick on my loop around the parcourse fitness trail, and Kevin was supposed to be there. Instead, I would encounter an empty bench, or a disinterested stranger preoccupied with someone at the other end of a cell phone line. I missed the “How you doin’?” or the “Where you been ?! I ain’t seen you in a long time!” The occasional pause to sit beside him in the sun and pay attention to the feasts of nature everywhere.  Most of all I missed the wide, semi-toothless grin and the parting “Have a guht one!” that sent me brightly on toward the push-up bars just around the next bend in the trail. I was bereft.

Then a couple of weeks ago, headed from the chin-up station (I wish), I spotted a vaguely familiar figure walking slowly toward me. Decked out in a puffy new jacket (Kevin’s fashion tastes lean toward multiple bulky layers) and a new, bright blue cap, his beard somewhat trimmed, I did not recognize him until the great, toothless grin broke across his face. I ran down the trail, catching myself at the very last minute to restrain the hug I felt – this, I think, would’ve been too much for Kevin to handle – but grabbing both of his mittened hands.

“Kevin!” I said. “I thought you’d left us, gone off to Bakersfield forever!”

“Naw,” he said. “It’s too wahm in Bakersfield.”

So there it was. We were redeemed by the perpetually mild weather of the San Francisco Bay, where it seldom gets too warm and on rainy days one can find refuge in the library.

Did he have a good time in Bakersfield? “Oh, yes.” Did he get to see family? “Mmm.”

I still don’t know all the answers, or whether one day I’ll get to the hop kick station and find him gone again, for good.

What I do know is that for now the universe is proceeding as it should. And that one man with seemingly nothing to celebrate has brought the spirit of celebration back to Mountain Lake Park. It’s a great gift.

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