Miraculous

Miraculous Pain in the Ass (a Diary)

Debbie made this comment the other day about my recent myocardial infarction/ angioplasty/ cardio arterial bypass graft activity. I have to agree. I have complained to the medical folks steering my care that I am personally amazed that I do not feel worse than I do. The whole process has been a miraculous pain in the ass (or chest – but I felt little pain in my chest after all the chest tubes came out.)

March 19, 2026 – Sun shining, high of 70 or so. A good day to ride the bike and get used to the trail again. Pain in my chest and left arm that I wrote off as winter stiffness and out-of-shapeness, was not to be ignored. I did ignore it for a bit. I stopped at my “turn around” point and sat on a bench along side of the trail.
March 20, 2026 – a little pain here and there but nothing of note but distracting enough that I could not ignore. Debbie insisted I make a doctor appointment. I did.
March 21, 2026 – Pain in my chest and left arm with a vengeance while I was beginning to assemble a porch glider that was purchased online a few days before. I sat down. Debbie looked at me while I insisted that I did not need anything other than to sit for a bit. The look on her face told me that I should be taking this more seriously.
March 21, 2026 – I drove myself and Debbie to the hospital and walked into the ER at Jewish Hospital part of the Mercy Health system in Cincinnati. I announced that I think I am having a heart attack. They brought me a wheelchair and things happened quickly.
People work in the hospital on the weekends. This destroyed my theory that nothing would happen before Monday. Nevertheless a cardiologist ordered several diagnostic tests all aimed at discovering why I was feeling what I was feeling. I was put on a hepron drip and aspirin to keep me from plugging up before the eventual solution could be executed.
March 22, 2026 – About 5:15 in the afternoon I sent this email message to the stock club membership. — Hey guys; It is unlikely that I will be at the meeting tomorrow. Sorry about the last minute notice but I’m in the hospital. Denny has my proxy. Paul
March 23, 2026 – Monday. Early in the morning I had an angioplasty diagnostic test to determine what was wrong. A stint or two was not going to fix me. As previously reported one artery was 99% blocked and another was 95% blocked.
March 23, 2026 I was trucked (literally) over to Mercy Anderson where they specialize in cardiac arterial bypass graft surgery (CABG). I took my hepron drip with me.
March 23, 2026 – This was the week for CABG surgery. I had to wait for my turn which was scheduled for Friday. I needed it but I was in too good of shape to go first. No one ever said this out loud but the thought was there. I settled into the cardiac care ICU room C221. Debbie stayed with me overnight the night before the surgery.
March 27, 2026 – Three days of the cardiac diet in the hospital got me here. The food is not bad it is just boring. Days go slow in the hospital. A cardiac burger has little maybe no salt involved in its cooking. Otherwise it is perfectly edible. “Worth his salt” is a comment from Roman times. Nothing to eat past midnight. I did not miss it.
March 27, 2026 – In the late morning Becky a nurse practitioner with big hands joined us in C221 to chat about what was coming soon. The first surgery of the day was going quicker than expected. They would come get me soon. Debbie and I waited. David showed up to wait with me. Sarah showed up to wait with me. They did not come to get me soon. It was more like two hours later.
March 27, 2026 – Early afternoon Becky reappeared with another nurse to push me to the operating theater. I scooted onto the operating table. The anesthetist remarked to Becky that I was too high up the table. She grabbed my feet and said she was going to move me down. She did. Big hands. Moments later it was lights out.
March 27, 2026 – about 9PM – Wendy from the breathing department said to me, I’m going to do a little suction and then pull the breathing tube out. I was still a little groggy but she did what she said. I was breathing again on my own. Debbie had left my phone and my glasses with the night nurse after peeking through the C221 glass door. I could talk which surprised me a bit. At 9:30PM I called Debbie to report that I was still alive and kicking. I called her first because I knew she would be worried overnight otherwise. We always – since we met – call each other at night to say good night. I actually slept that first night.
March 28, 2026 – about 3:30AM – a lab technician showed up to draw blood and make sure that I was awake.
March 28, 2026 – About 5AM – two NPs showed up with their very own portable bedside x-ray machine. They sat me up to take a chest picture to be sure I was still screwed together. The My Chart report says yep, all good. They left to go wake up the next patient. The night nurse helped me to sit up in my chair about 6AM. This became my morning routine for the next four days or so.
March 28, 2026 – a little after 7AM – rounds. Several bright cheery young women appeared to take over the day shift and find out from the night shift any important stuff about the patient – me. Another morning routine began.
March 29, 2026 – 3, 5 & 7AM – pretty much the same as March 28^th. The times may be off slightly but the 3:30AM blood draw was very consistent as was the morning x-ray. On this day I think I got a shower in the morning by Austin, Austin is an incredibly gentle nurse on the night shift. Austin stayed in my room overnight March 27-28 after my surgery. He monitored my numbers and laughed when I told Debbie after I woke up, “I’m still alive, baby!”
March 29, 2026 – physical therapy folks appeared to get me going and walking a little bit in the room. Occupational therapy showed up to ask a lot of questions about my home and to offer suggestions about staying in the tube.– which is their way for saying do not use your arms for anything like pushing up out of a chair.
March 30, 2026 – 3, 5 & 7AM – pretty much the same as March 28 & 29. Either a nurse or a PT person showed up every couple hours to walk me around the hallway. There are practice steps overlooking the hospital lobby. The more I walked, the closer I came to going home. I was feeling better. I found some underwear to put on in my backpack that David had brought. No longer was my butt hanging out for all to see when I walked around.
March 31, 2026 – discharge day. Taylor, the day nurse, came in with her trainee, Emily, to go through this book I have been filling in for several days now at home. Scott and David and Zachary came to give me a ride home. Emily went to find a wheel chair to give me a ride to the front so that I could get into my car. Scott had left his car at my house and drove my car to the hospital. I rode home in the back of the car. The medical folks were concerned about the airbags. Zachary went home with Uncle David.
April 1, 2026 – April Fools Day – I am home. I do not feel too much from the surgery. A little sore here and there. Debbie came over to stay with me for the next several days. David also stayed with me for a week. Sarah came and made soup. It was heavenly.
April 2, 2026 – People came to feed us. Debbie cooked her award winning and legendary meat loaf. Denise, Debbie’s sister, made her special scalloped cheesy potatoes and ham. It was much better than green eggs and ham (Sam I am.) There was a lot of it so Debbie and I ate it for lunch and dinner for a couple days. I think I ate the last of it a week or so later.
April 3, 2026 – Kristin, a work friend of Debbie’s, brought her special soup also called Paula Dean’s chicken noodle soup. It was excellent even though Kristin made it without the alcoholic beverage in it. In case you were wondering – see below
- For the Stock;
  - 2 1⁄2 to 3 pounds broiler-fryer chicken, cut up
  - 3 1⁄2 quarts water
  - 1 onion, peeled and diced
  - 2 teaspoons Italian seasoning
  - 1 teaspoon lemon-pepper seasoning
  - 3 garlic cloves, minced
  - 4 bay leaves
  - 3 chicken bouillon cubes
  - Kosher salt, to taste
  - Freshly ground black pepper, to taste
- For the Soup
  - 7 cups sliced carrots
  - 2 cups sliced celery, leaves included
  - 2 1⁄2 cups uncooked egg noodles
  - 1 cup sliced mushrooms
  - 3 tablespoons parsley, chopped
  - 1⁄3 cup cooking sherry
  - 2 teaspoons fresh rosemary leaves, chopped
  - 1 cup grated Parmesan cheese
  - 3⁄4 cup heavy cream, optional
  - Salt and pepper, to taste
  - Crusty French bread, for serving
April 4, 2026 – I found the ice cream in the freezer. This is the beginning of 4 long weeks of no driving and depending on my kids and others to drive me around. Debbie kept telling me how good I was doing. I think she meant that I was not complaining about my lot in life.
April 5, 2026 – Easter Sunday. I stayed home. Although I was feeling better each day, I did not feel up to church. I thanked God for Debbie and her persistence at chasing me to the hospital to be checked out.
April 6 – 10, 2026 – Debbie went back to work. David hung on for a couple more nights and ultimately moved home. I was on my own for a few nights.
April 10, 2026 – Debbie returned for the weekend and to be sure I did my exercises. Over time she has arranged her working schedule so that she has a 4 day weekend. During this time in our relationship she has cleared her grandmotherly duties to take care of me. For that I will be forever grateful. On this day we resumed our charcuterie board lunch and planning session for the rest of the weekend.
April 11, 2026 – It was a great day for a walk in the park so we did just that. We chilled for most of the weekend.
April 13, 2026 – Debbie returned to her grandmotherly duties during the day. We went to dinner in the evening.
April 14, 2026 – Debbie returned to work. The physical therapy sessions continued and the visiting nurse came to assess my progress. Rhonda laughed when I told her that Debbie referred to her as the exercise nazi.
April 14 – 17, 2026 – I continued a routine of taking care of myself. Showering everyday and gently washing my chest wound. Monitoring my blood pressure and heart rate. Getting up to walk in the parking lot. I did not do this as much as the log book wanted me to do that but it is a boring activity and occasionally I napped instead.
April 19, 2026 – Sunday. Debbie and I went to the Kenwood Theater to see “Hail Mary” a peculiar movie about some sort of star eating bacteria and one man’s quest to solve the problem. Entertaining but an odd story line.
April 22, 2026 – Wednesday – The anniversary of Cheryl’s death. Scott, Zachary and I went to visit Cheryl’s columbarium niche. Her flowers are in full bloom.

Debbie remarked that this has been a miraculous pain in the ass a couple days ago and she is right. It still feels strange to me that I am feeling so good after the surgery that was performed on me. I had two bypass grafts added to my heart plumbing by Dr. Lynn Seto who is, apparently, a skilled heart surgeon.

Dr. Seto, thank you and your team for your excellence.

Carpe Diem.

Days Four and Five

Posted by AdjunctWizard

Fourth day and Home

Open heart surgery – cracked open my chest – the whole thing – has come a long way since Mom had it many years ago.

I woke up about 9pm after surgery on Friday. The breathing specialist took the plastic tube out of my mouth and lungs. A little one, two, three and its out. Wow I am hoping to never have that experience again. There were four other drain tubes still in. two around my lungs, two around my heart. And to keep with the twos I had a double bypass.

I could talk so the first thing I did was call Debbie when the night nurse whose name was Austin gave me the phone it was great to hear her voice and I knew she would sleep better knowing that I was still my annoying self. I thought she would spread the word that Paul was back.

What a long slog this will be. The nurses and physical therapy folks – Emma and Amy – don’t leave you alone. The first day was simply sit in a hospital recliner chair until its too much. And they talked about keeping my elbows near my body, move in the tube is phrase that they use to help you remember. When they cut your pectoral muscles and your breast bone apart, your body tells you. There is that little pulling sensation in your chest that says – hey, hey, hey we are are healing down here – that will remind you to be careful.

On the Fifth day

What a remarkable feeling it is to sleep in one’s own bed. There is the added bonus of not getting poked in the arm somewhere at 3:15AM because they need another blood test. The chest x-rays at 5AM were also reduced to none at home.

I am truly amazed at my own progress.

I think I will stop here but God taught me two things; exercise is good for all recovery and do not ignore chest pain. I do have a greater appreciation of life.

Carpe Diem.

In a Dream

Posted by AdjunctWizard

I do not think I have told this story here before.

I have told it to others, just not here.

I am not a big believer in dream experiences but several months after Cheryl left this existence she visited me in an early morning dream. The dream was so vivid it stays with me as a memory something that I lived through. I did not but my brain did live through it and it is still with me many months later. I remember it upon occasion to reinforce the connections between the neurons.

Here is what happened.

There was a gathering at our church. My memory of why we were gathering is unclear even now but that is not the important part of this story. For this particular gathering, however, we had been instructed (requested?) to bring our own chairs. I remember thinking in the dream that this was an odd request because our church had just replaced all the pews. They were relatively new. Still shiny with new varnish there were few sticky spots where the small children had been. But that was the need expressed so we took our newish recliners with us to the church that night.

My memory of how they got there is foggy at best. It involves something about the car which I think morphed into a moving van just for this excursion.

The scene that is vivid in my experience is this one. The service and gathering was over and we sat up to go. We had been reclining which was why we brought the recliners with us. Many others had brought their recliners also. As we were organizing ourselves to leave, Cheryl announced, “I have to go!” which I took to mean – go to the ladies room. For the previous couple years every time we left a restaurant or any event she felt the need of a toilet. I had visited many public “Women” in many restaurants as she bumped her way into the restroom and stall and occasionally got stuck in one. It did not occur to me that “go” meant any other meaning to her. My response to my wife of five decades was, “okay I’ll wait here until you return.”

I stood and watched her mingle with the rest of the crowd who had by this time started to exit with their chairs. The crowd generally swirled around our spot as they made their way to the exit. The lady’s room was near the exit but out of my view. Cheryl was moving really good. She was moving without the aid of a walker or a cane. She was moving like her old self. She was moving with determination toward what I thought was the toilet. She was shuffling between people and chairs towards the exit. She was not touching anything and she did not hesitate.

Still in the back of my thoughts I was not certain she could find her way back. Sometimes she was unaware of her surroundings and lacked direction. In restaurants and stores I would hover near the restroom door and occasionally open it a crack and ask her if she was doing okay. She had been gone long enough that I thought she might be in that predicament.

I started to maneuver the chairs toward the exit and hang around near the restroom door. As I was beginning this process a young man that I had not met before approached me and asked if He could help me with the chairs. At first I thought to say no. I was sure Cheryl could help when she came back. She was moving really well that day. But He was persistent and I explained that I was waiting for Cheryl to return from the lady’s room and she might have difficulty finding me if I took the chairs all the way to the car. He looked at me with a face full of compassion and sympathy and responded with, “She is not coming back. She has left. She is doing okay. I will help you.”

This dreamy experience comes to me at odd times of the day, not every day but often. Today as I sit here in my office writing this post I can see this scene. She has just disappeared around the corner into the crowd and a small anxiety shows up to make me worry that she cannot find her way back to where I am. A young man with curly frizzy hair approaches to help me. Who is this guy?

Cheryl had been struggling with cognition and awareness for sometime before she eventually succumbed to dementia and disorientation. I helped her into and out of the car, into and out of church, into and out of the restroom, into and out of bed, into and out of the doctor’s office. Who was this young man? Over many recalls of this image at the end of whatever happened in church, I have come to believe that he was Cheryl’s guardian angel. She sent him back to me to tell me she was okay now. She was without any pain or disorientation or other encumberment. She was where she belonged. I did not need to worry or be anxious about her. I am not.

I awakened that morning in my lounger in the living area of my house. Sometime during the night I had trouble sleeping and had moved to the living room to read for a bit and await slumber to return. Most likely the shape of the lounger cradling my body triggered the dream but that image is very vivid. I could then and still can hear her voice. “I have to go!” she said. I have let her go. I do not see the young man except in this context but imagine angels differently. I see her angel in other people.

I have come to believe with conviction that she visited me to convince me that she is okay and happy where she is now. Why else would she visit me in a dream?

Carpe Diem.

Mister Squirrel is Back!

Posted by AdjunctWizard

I thought of it as a trail camera and I was shopping for the deer that walk by but a squirrel apparently likes to sit on the stump of half of the tree that I attached my Moultrie camera to look at the path through the woods. I think of it now as “squirrel cam”.

I think it is the same squirrel that comes and goes from this stump but I have several pictures and I find it to be fun to examine its little body and any features that might distinguish it from other squirrels. I often see two scampering around the trees out of my living room windows.

It is windy today and later Debbie and I are going out. For now I am watching the squirrel cam.

Carpe Diem

Morning News

Posted by AdjunctWizard

Coffee

This morning on the CBS news they reported on a piece about an association with drinking coffee and a resistance to dementia. Good News! Us coffee drinkers will not be demented – later in life? Ever? Only in our nineties? Oh wait. She said association. That term has a very specific meaning to statistical studies.

This study was based on the female participants in the Nurses’ Health Study (NHS; n = 86 606 with data from 1980-2023) and male participants from the Health Professionals Follow-up Study (HPFS; n = 45 215 with data from 1986-2023) who did not have cancer, Parkinson disease, or dementia at study entry (baseline) in the US.

You have got to love those numbers. Health care workers have been drinking coffee for forty-three years. And recording it.

Journal of the American Medical Association (JAMA): https://jamanetwork.com/journals/jama/fullarticle/2844764

From JAMA — Conclusions and Relevance: Greater consumption of caffeinated coffee and tea was associated with lower risk of dementia and modestly better cognitive function, with the most pronounced association at moderate intake levels. (I want to say, “Hell yeah!” here.)

Association — Association refers to the general relationship and is normally used for studying relationship between two nominal/categorical/ordinal attributes;

Correlation — whereas correlation refers to a linear relationship between two quantitative attributes. It would not be out of context to mention here that the relationship between two quantitative variables can even be a nonlinear as well such as curvilinear or exponential.

[from https://journals.lww.com/cmre/fulltext/2021/11010/understanding_statistical_association_and.7.aspx%5D

Causation — Causation means that a change in one variable causes a change in another variable.

So, to conclude, not drinking coffee does not cause dementia. It might cause those sleepy “whaat?” looks that teens display in early morning classes but the WL study is incomplete at this time.

I am interested in statistical analysis. The math is attractive to me. I am deficient at recognizing patterns but I do recognize my wakefulness after coffee in the morning.

A shot of whiskey in the evening seems to aid in sleepiness at bedtime too.

Carpe coffee Diem.

The Holidays Can Be Joyous (And Tough)

Posted by AdjunctWizard

Link to NYT article

I read this article in the New York Times. It is a guest essay. It spoke directly to my heart.

In the fall of 2023 I faced up to the fact that I would be unable to care for Cheryl on my own. I sought out information and decided on a nearby senior care facility with a memory care wing with which we we were both familiar. Both of our mother’s had stayed there at the end of their lives.

It is a tough decision to make. It is hard for anyone who has been in a loving relationship for five decades to recognize that they cannot do it all. The slowness of the care giving to a partner with a chronic disease initially deceived me into believing all would be well.

Then her dementia came.

My children and I moved Cheryl about two weeks before Thanksgiving that year. For those two weeks prior to the big meal at my son and his wife’s house, I spent every day with her talking about what a great time we would have and how all the grand kids were doing. I thought she understood it all.

On Thanksgiving she did not want to leave the facility but eventually I convinced her it would be alright.

We stayed for about two hours at the dinner. Cheryl seemed confused about all of it they entire time we were there. She wanted to leave abruptly after the dinner of which she ate little.

Care giving (care partnering) does change your perception of those around you.

It allows you to love unconditionally.

Carpe Diem

At Christmas

Posted by AdjunctWizard

It is Christmas time

so let us eschew

conflict anew

and remember a rhyme

of a quiet night

and a holy night

to climb

above our difference

Merry Christmas. Everyone!

Parkinson’s Help

Posted by AdjunctWizard

I had a long conversation with a member of our Parkinson’s support group today. She called mostly to talk about her husband who has Parkinson’s disease (PD). And the struggles she was having as a caregiver with Parkinson’s disease care management. We talked for a long, long time. Maybe half hour, 45 minutes she was on the phone. She was pretty forthcoming, with lots of things that she was dealing within her life, I was surprised by the call and I don’t know why but I am glad she reached out and I was able to give her an ear. Afterward it made me feel good. It made me feel sad for her.

It made me think…

Think a lot about Cheryl and how I dealt with helping her deal with her disease. She had a lot of the same issues Bev was talking about. Her stories were remarkably similar to my memories of that time in our life.
Bev is dealing with it (Parkinson’s in her husband) right now. With her husband her description is very, very similar to where Cheryl was maybe 2 years or so before the end of her life. The parallels are really striking. Bev was telling me that they moved into the condo that they are now living in about 5 years ago. (Same for us.) Mostly because it was getting harder and harder for her husband. He always, you know, mowed the lawn. And he did the maintenance kind of activities that you have with the house.

She went on and on to tell me lots of stories about things and I think I’ll have to think about them for a while. But the but the whole story line is so remarkably similar and so sad and well, maybe not sad, but but frustrating, you know, the disease just kind of consumes your whole relationship with with your spouse, they’ve been married a long time too.

They’ve been married about 35 years. They were together 3 or 4 years before that. Cheryl and I were married 53 years and we had been together for 4 years before that, it’s just incredible how similar the stories are.

Anyway, I needed to take time away from what I was doing here in my class management at the Mason campus of Sinclair College. I had to go have lunch somewhere where I could sit quietly and think about things and grade papers and take my mind off of that phone conversation and the memories it conjured. That was such a debilitating part of my life and Cheryl’s. It was so all-consuming. I think that’s what gets missed when people talk about care. Giving it is so all-consuming, slow moving, frustrating and then people will still say, “Well you’re blessed to have her or your blessed to have him. There’s no fucking blessed going on in that whole Parkinson’s/dementia thing.

Just.

Not.

Happening.

Bev did tell me one other useful thing. Her family doctor told her that she needs to go outside and take a walk everyday. No phones, no music, no nothing, you need to go out and listen to the birds, enjoy the sunshine. If there is no sunshine, enjoy the rain, if there is rain take an umbrella, but for 30 minutes a day, you got to just walk away from everything, get rid of the stress, let it go. That is absolutely the best advice I’ve ever heard anybody say to anybody else about this horrible disease of Parkinson’s. It truly is a horrible disease. I remarked to her that it was the best piece of advice I had ever heard. (I got away to ride my bike whenever I could.)

Not only does PD make it so that you can’t get around easily. It’s a brain disease, so lots of times the brain goes wacko. He or she becomes a whole different person. Bev was actually talking about that too.

She and I commiserated for a bit; they like us have been married a long time. All the early on things that they and we had. They had a really good life up until just a few years ago, when she thinks he really went downhill in a hurry. But that kind of story is just so common, and somehow doctors aren’t able to describe the signs to the care partner. It seems almost like you would need to have a psychiatric version of Parkinson’s doctor. PD is a movement disorder, so one seeks out a movement disorder specialist but probably one also needs a brain specialist or its psychiatric personality disorder specialist, in other words, a brain guy to to talk about some of these issues. The sad thing is the person with Parkinson’s disease doesn’t recognize what is actually going on. The person helping a person with a dementia issue, of course, is struggling to do the right thing to get the best care. Those around him or her (the family) without the lived experience, those that aren’t dealing with it on a day to day basis, they think that everything is generally okay, because the PD person the demented person is able to actually keep it together for an hour or 2 or whatever it takes to get through the party or the social activity, and so, those people, that part of the family who is not living there does not get to see the whole picture.

They think everything is fine or mostly fine.

Whoever it is, is obviously ill with PD and can’t move so good. Maybe they look old and got arthritis…

So many things are invisible. They cannot be seen. Or we choose to not see.

Carpe Diem

Retirement

Posted by AdjunctWizard

Daily writing prompt

What have you been putting off doing? Why?

View all responses

Retirement. That is retirement from any income producing employment. I have selected January 1, 2026.

Why did I wait? Why did I not pull the trigger? The answer is shear inertia. I simply had not thought about it. How many other things do we keep doing simply because?

Carpe the rest of the diems.