Tag Archives: medicine

Monday Musings: Some Hard Truths About Me

I don’t do well with change. You know how little kids have trouble with transitions, how you need to warn them about impending shifts in circumstance? “Sweetie, I know it’s been fun visiting Grandma and Grandpa, but in a few minutes we’re going to have to say goodbye, okay?” Sometimes even fair warning can’t stave off a complete meltdown, but it’s the only tool we have, right?

Well, I’m not much different from a toddler in this respect. I don’t like transitions. The way I see it, I’m close to sixty years old and at this point I have set up my life pretty much the way I want it to be. So, change equals bad.

In the last two months, my dentist and my general practitioner have both announced that they are leaving their practices, and my therapist has told me that due to the fact she’s about to have her first child (truthfully, I am very, very happy for her and her partner), she will be stepping back from her practice for the next half year or so.

It’s me, isn’t it? This is not mere coincidence. I don’t know what I did, but clearly I did something. I shower. I brush my teeth. And even if I didn’t do these things, my therapist and I do tele-therapy sessions, so she wouldn’t know.

All kidding aside, I have been with my GP for close to twenty years, my dentist for more than ten. Relationships like those are not easily replaced. And I really don’t do well with change . . . .

This is one of those Monday posts that’s going to bounce around a lot. It’s not that I have nothing on my mind, nothing to write about. It’s that I have too many things, and some of them are best left unsaid, at least in a public forum. I’m not very good at keeping my mouth shut, figuratively or literally. When I’m pissed off, I tend to say so, and I don’t hesitate to call people out for bad behavior. This sounds admirable in some ways. Really it’s not. It gets me in trouble far more often than not. It rarely makes any situation better.

And so this week, I am looking for things to write and I have lots of ideas. But each one bumps up against my (admittedly underdeveloped) sense of discretion.

In order to avoid creating problems closer to home, I have considered writing about the Yankees and the Mets, my two beloved baseball teams, who are both in the process of blowing massive leads they enjoyed in their respective divisions not so very long ago. But I complain about such things just about every year. If I’m not complaining about them blowing a lead, I’m complaining about them not having a lead. If I’m not complaining about the Yankees, I’m complaining about the Mets. It’s actually a rare season in which I can complain legitimately about both, so I suppose I should be grateful. But let’s be honest: no one wants to read my complaints about two privileged but poorly run New York teams who can’t get their shit together. So, moving on . . . .

I have also considered writing about the upcoming midterm elections, which are looking far better for the progressive-minded today than they were a few months ago. But let’s be honest, midterms usually hurt the party in power, and with inflation high, gas prices still above normal, and the country polarized, things don’t look great. I won’t get into who is to blame for what, except to say that inflation and gas prices are high everywhere, all over the world. The U.S. is hardly an outlier in this regard. In fact, things are better here than in most places.

The problem is, though, politics these days is one of the things that sets off my anxiety in a big way. And since my therapist will soon be unavailable (please refer back to paragraph 3), well, focusing on the midterms is probably not the best idea from a mental health perspective. I used to be able to manage my political anxiety. But the perils faced by our system of government have grown so frightening, so violent, so persistent, that whenever I dive into the topic and confront the existential threat to what I once believed was a stable republic, I kind of freak out. So, I think I’ll move on again.

I am not alone in any of this, I know. Anticipating the many kind comments this post is likely to prompt, I will say that I really am okay. The doctors thing? I’ll find new practitioners, and they will be fine. Better than fine, most likely. The Yankees and Mets? Many of us grow a bit irrational about our sports loyalties. For some it’s soccer, for some it’s basketball, for some it’s American football at either the pro or college level. For me it’s baseball. I’ll get over it. I do every season. And the politics? We are all under threat. We are all invested in the stability of our republic, regardless of ideology or party affiliation. And at some point, I believe, both sides will recognize the threat and turn down the temperature a bit. We will get through this.

But now you know a bit more about me. Not the prettiest of pictures. At least I’m honest, though, right?

Have a great week.

Monday Musings: What Memories of My Mom Have To Do With COVID

My mother’s birthday is this coming Friday, February 5. I’ve written about her before in this space. I’ve marked past birthdays with Facebook posts and the like. But somehow this year, with her birthday approaching, I find myself thinking of her even more than usual.

She would be turning 99 this year, but we lost her long ago — back in the mid-nineties, when my older daughter was just an infant, and my younger daughter was, to resort to cliché, not even a glimmer in our eyes. I won’t bore you with the sorts of general memories I’ve shared in the past — her love of travel and books, her slightly goofy sense of humor, and her passion for progressive causes and social justice.

My thoughts have gone in a somewhat different direction. I wonder what she would be thinking about the pandemic, and the state of our world. I know she would have been devastated by the earliest days of COVID, almost a year gone now, when her beloved New York City was virtually closed, its hospitals strained beyond capacity, its cultural treasures shuttered. I know she would have had nothing but contempt for those who refused to wear masks and failed to acknowledge the seriousness of the disease.

But I wonder what she would think now. The world is entering a new phase with the pandemic, and I’m not sure what to make of it myself. On the one hand, this is a time of tempered hope. The numbers are terrible, but not quite as bad as they were a few weeks ago. We have vaccines from several drug companies. The protocols vary, but the promise they offer — of limited but effective immunity — allows the optimists among us to envision a time when fear of COVID might fade a bit. Since the pandemic began, health officials have warned against comparing this strain of the Coronavirus to the flu. But if the vaccines work, if immunity can be introduced to broad swaths of the population, COVID might become something we can think as we do influenza: as an illness to be feared, but managed.

On the other hand, our hopes in this regard have to reckon with several troubling truths. First, COVID isn’t going anywhere. Regardless of where it came from, it will probably be around pretty much forever. And the comparison to the flu carries a darker implication. It will continue to mutate, just as the flu does. Already new strains have reached our shores from London, from Brazil, from South Africa. No doubt more are coming. Even now, these new mutations are exposing weaknesses and vulnerabilities in the vaccines. Just as flu shots are somewhat hit-or-miss in their effectiveness, future COVID immunizations are likely to be as well. And COVID is far deadlier than the flu; vaccination failures will have tragic consequences.

What does all of this have to do with my mother? A good question, one I’m still trying to wrap my head around.

Part of it might be this: She used to talk to me about the feared diseases of her childhood. As I say, she was born nearly a century ago, in 1922. When she was a child, penicillin didn’t exist. She was in her thirties, the mother of two small children, when the polio vaccine was developed. I remember once, when I was a kid, a friend of mine got Scarlet Fever, and Mom’s first reaction was to tell me how serious it could be. She almost had to remind herself that by then treatments had become fairly routine. I later learned that she had known children who died of it.

The truth was, my childhood, and that of my siblings, had been made far less perilous by the medical advances of the mid-Twentieth Century. Looking back, I believe that era will be looked upon as a historical aberration. Yes, medical advances continue. But we live in a world that is far more interconnected than it was in the 1960s, ‘70s, and ‘80s. The safety conferred by those advances must now race with accelerated exposures and mutations.

I don’t mean to make this a doom and gloom post. I do think that, by and large, the COVID vaccines will work. Our world will find its way, haltingly, to a new normal that returns to us some of the societal freedoms we’re all missing, while also remaining conscious of the novel threats we face. I’m sad to say that I believe my mother would be less optimistic. She would find all of this frightening, and I wouldn’t blame her. These are scary times. We are fortunate to now have in place an Administration that takes the danger seriously, that relies on science and health experts, and that has no political stake in denial.

That, though, only gets us so far. We need to remain vigilant. We need to watch out not only for ourselves, but also for one another. And that means masking, distancing, getting vaccinated when we are eligible.

Stay safe, friends. Take care of those you love. Take care of those you don’t even know. That’s how we overcome even the most pessimistic of scenarios.