health

Daily Thoughts and Inactivity

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The freedom of procrastination

One of the best parts of retirement, perhaps the absolute best part of retirement is the freedom associated with procrastinating one’s day away with delaying “must be done” tasks until some future unknown time. This tactic is not part of my personality and I rarely delay personal tasks. Debbie’s presence changes this, however, and sometimes I forget to do things. It has become over time a relaxed existence with Debbie in my life.

A heart attack inspires me to relaxation. The cardio rehabilitation classes that I participated in for twelve weeks or so, those are now complete, emphasize relaxation techniques which centered on breathing and yoga-like mental control. I have come to recognize the value of having an external commitment to consistent exercise. Cardio rehab taught me this. Previously I did not see the value of a class-like exercise program. I am autonomous in nature and prefer to operate alone. Competition with others does is not interest me. I do, however, find that a little push does get me moving to exercise.

I have been and am procrastinating about finding another commitment to exercise such as the cardio rehab class made available as part of my heart attack recovery program. Health insurance paid for these exercise classes.

I thought I would be rigorous enough in my pursuit of bike riding. An attainable goal of mine is twenty miles in one ride. Persistence is necessary but elusive. I have discovered a little untruth within me, I tell myself I will ride more, maybe every day but sitting still is easier and some days more satisfying.

I am a member of a local YMCA. In the past Cheryl and I went there regularly to exercise. She to a deep water aerobics class that she selected as her own recovery program from an automobile accident which left her weakened on her left side. Me to the gym to pedal an upright stationary bike and lift a few random weights. I also took a Pilates class that required no special equipment. We did this rigorously for a decade or so. Life happens and she is gone now.

I will start by riding consistently five miles each day.

Maybe tomorrow.

Carpe Diem.

HOA – and other thoughts

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A home owners association is the lowest form of government. In our little group of condos, I accepted the task of president. A lofty sounding office with no pay and occasional grief and I should add a job, position, office and title one cannot get rid of without death or at a minimum sale of one’s own real estate. I wish to do neither.

Recently one of our residents began the process of making application for a home improvement loan from a local bank. The bank loan office is plowing through its own internal procedure for finding out if a condominium is of a certain value and more importantly if the loan goes south what other obligations it has after it takes the property in foreclosure.

Banks and their loan staff are masters at covering their asses. Two times in the form sent to me as President and chief executive officer of the Crestpointe Condominium Unit Homeowners Association Inc. (lofty), they asked the question – Is there a special assessment in place or will there be a special assessment coming soon? – twice.

I wonder why that is important to the loan? If I had a bank officer nearby, I would ask.

I pressed on in my head about other questions; the previous owners did an extensive rehab before selling, what needs fixing? And is there a mortgage? How much equity remains?

Debbie and I discuss often the rabbit holes I fall into as I think about nuances of the various properties we have looked at the past few weeks. She likes imagining a different house and refers to herself as a hobby realtor. (One day we may find a better living situation than the one we currently have but that is off in the future somewhere, hiding where the universe put it.) Those discussions sent me to the county auditor’s website which tells a story about previous ownership. Sometimes it leads me to imagine previous life histories, although the stories can be fictional.

There is no mortgage. The resident paid cash. The previous ownership page does tell a story. I merely have not sussed out the time line completely.

I am still wondering about the resident’s need for a loan to repair or rehab what was done previous to his purchase. The houses Debbie and I look at are often recently rehabbed perhaps to justify a bigger selling price. How much does a $40 can of paint add to the final selling price.

A question for another day.

Carpe Diem.

Red Flag for Cardiac Disease

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ED as a Precursor to Cardiac Disease

Erectile dysfunction is not a trivial symptom and not necessarily normal as men get older. This information for me is new and eye-opening.

After my recent heart issues, surgery and eventual recovery I have spent hours reading various medical articles in addition to my usual Wall Street Journal and New York Times early morning perusal of the newsy items presented there. During one of these excursions I tripped over (my phrase for it) an article about erectile dysfunction which is a topic of discussion every man gets during an annual physical with his primary care person.

In my case it is often phrased – Do you experience erectile dysfunction? And my answer often is – I am a 76 year old man, what do you think? I have often, maybe always, made a joke about it and the young female medical assistant who is filing in the standard questions required by the medical hierarchy laughs along with me.

A few days ago I discovered this gem from the Mayo Clinic. https://www.mayoclinic.org/medical-professionals/urology/news/erectile-dysfunction-a-vital-sign-for-cardiovascular-health/mac-20585074

The 2023 Princeton IV (P4) consensus guidelines bring a game-changing message to clinicians: Erectile dysfunction (ED) is not just a quality-of-life issue but also a red flag for cardiovascular disease (CVD). This multidisciplinary expert panel urges healthcare professionals to view ED as a risk-enhancing marker for silent coronary artery disease (CAD), especially in younger men who appear otherwise healthy. The consensus guidelines were published in a 2024 issue of The Journal of Sexual Medicine.

More: Why ED deserves serious attention

ED often occurs 2 to 5 years before men experience heart attacks. Because the penile arteries are only 1 to 2 mm wide, they’re among the first vessels to show signs of atherosclerosis. In many cases, ED is the earliest — and only — visible symptom of cardiovascular disease.

Wow. Had I an inkling of this connection I would have asked for a cardiac stress test. Or maybe this test referred to next.

The P4 panel recommendations confirm that ED is a strong, independent predictor of cardiac events, even when traditional risk factors such as cholesterol, diabetes and blood pressure are controlled for. In short, ED is the body’s “check engine light” for heart disease.

New guidelines: Reassess risk with better tools

Dr. Kohler and the P4 team advocate using coronary artery calcium (CAC) scoring in patients with ED and borderline (5% to 7.5%) or intermediate (7.5% to 20%) 10-year atherosclerotic CVD risk. This quick, noninvasive CT scan is one of the most sensitive and specific ways to detect subclinical CAD, especially in patients ages 40 to 60, whose risk is often underestimated.

Finding a high CAC score (above 100) can lead to early intervention: statins, aspirin, lifestyle counseling and, in some cases, cardiology referral. This single test can turn a routine men’s health visit into a lifesaving diagnosis.

Too late for me. I found my blockage while riding on my favorite bike trail. I could have found it before that day. I’m complaining about not figuring it out sooner. And perhaps my own complacency is complicit here. PCPs only see their patients once or twice a year and it is up to the patient to discuss the things that are not working correctly. (Men generally are shy about discussing their reproductive equipment. I am no exception.)

Both of my parents had heart problems. Mom had bypass graft surgery in her mid-seventies and lived to be 95.

I miss her whenever I throw away a cardboard box.

Carpe Diem.

Miraculous

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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 28th. 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

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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.

Another Fine Mess

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Here is what happened…. about a week ago I road my bike about 6 miles or so on some great Monday weather in southwest Ohio. I felt an odd pain in my left breast that ran down my arm but to me at the time I thought – Oh you are straining that muscle you hurt last year. The pain went away after I stopped and rested a bit. That should have been a clue but it was not to me. On and off over the next few days it came back. I began to think that maybe I should get it checked out.

Debbie encouraged me to do just that and I made an appointment with my primary care person.

The ache in my left breast and trailer down my arm came back with a vengeance on Saturday while I was starting to put a porch glider together for Debbie. I still thought it was nothing and sat down for awhile and the pain subsided. (I just called it a pain. I did not do that then.) Debbie convinced me that it was not nothing and I should get it checked out.

We went to Jewish Hosp. and on Monday morning they did an angio-thingy to see what the problem was. I will interrupt my story a bit to mention that I was not in favor of visiting an ER on Saturday because no matter what, gray hair and chest discomfort – medical folks like that term instead of pain – will equal staying the night and the next day. I will admit that I should not be so cynical about that but it seems to be the way of our world and what the doctor found was worse that I thought.

I took up riding a bike again a few years ago. I did that a lot when I was younger.

When I retired from my engineering and service career I started walking a lot. Typically five miles or so for a typical trek around the neighborhood. We lived in a community that was perched on top of a ridge and I made a game of walking a long distance without going downhill. Over time I varied my walks to include parks and hills. When I saw my doctor for an annual checkup he said, “you’ve lost ten pounds!” instead of hello. The bike riding was a natural extension of that activity.

It got me through the first summer after Cheryl died. I was outside and in the sun.

According to the surgeon the right coronary artery to my heart is 99% blocked and there is blockage elsewhere. (It is remarkable to me that I don’t have more pain. Now, for example I have none.) The report that I have from this procedure states that the left anterior descending artery is 95% blocked with a couple of the branches 75% and 50% blocked. Doctors like to write stenosis so the verbiage is stenosed.

Yesterday there were a bunch of tests to find the extra tubing and to determine where the calcified stenosis blockages are best detoured around to fix me. Something called a cardiac arterial bypass graft (cabbage) is in my future on Friday.

Wow I thought. I just do not feel that bad.

At this point I am just beginning to understand the value of having another caring person in your life, a person that is not afraid to say to you that you are wrong about some things, that person for me is Debbie. If she had not insisted that I get checked out I might still be at home wondering what that pain was and masking it with Tylenol or ibuprofen or both.

The moral here is if you are having twinges in your chest in your left breast and your left arm is following the dance in full romance get checked out. Or you might check out.

Debbie is with me through all of this. No doubt the universe is unfurling as it should.

Carpe the damn Diem but do not ignore what your body is saying.

Morning News

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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.

Parkinson’s Help

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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

Exercise, Personality and Riding

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I suspect that few reading this will care much but I will tell you about it anyway. In a short little piece this morning on CBS, Tony talked about exercise and matching exercise to your personality. The researchers thought is that if you match your exercise to your personality trait(s) you are more likely to continue it whatever it is. In the Telegraph article that Tony was citing, they used the Big 5 model, a psychological framework, to find participants’ dominant personality traits.

I have been interested in psychology and personality for a long time. That interest was rekindled when I went for my M Ed. A few years ago. Hanging with Debbie has rekindled my interest again.

The Big Five model further divides each of the 5 into two as follows:

1) Conscientiousness – industriousness (a self-disciplined and efficient attitude) and orderliness (tidiness and a routine-based lifestyle). I make the bed every morning.

2) Extroversion – enthusiasm (friendly, sociable outlook) and assertiveness (an ambitious and socially dominant attitude) I greet total strangers with a smile.

3) Agreeableness – compassion (caring for and about others) and politeness. I care about how my kids are doing and I like to open the car door for Debbie.

4) Openness to experience – intellect (competence and quickness to understand) and general openness (a creative, imaginative and reflective outlook) Debbie and I have been to many different restaurants and are exploring various soft serve ice cream stands. We call them field trips.

5) Neuroticism – withdrawal (feeling discouraged and self-conscious) and volatility of mood. Sometimes in the afternoon I take a nap. Naps are healthy.

Two qualities, enthusiasm and positive thinking, in other words, scoring low on the withdrawal aspect of neuroticism were the key factors for happiness. The traits most strongly linked to numerous measures of well being include; life satisfaction, self-acceptance, and a sense of mastery and direction in life.

What’s this have to do with exercise? The study sample size was small. Less than 200 participated. In addition, only 70% or so of the initial group completed the follow up survey at the end. So proof! Any meaningful data dissipated rapidly but Tony talked about it anyway. His graphic showed a bicycle rider. The picture reminded me that it is my favorite exercise. I wondered if it fit my personality traits.

I became interested in this so I found the Frontiers in Psychology website and started looking for the article itself. I couldn’t really find the article but it was a very small study. I found this reference to it in the Guardian. I misheard Tony. It was a University College of London study of 132 folks who were invited to join in a survey. The article is humorous.

I still like to ride on the bike trail by myself. Others like to ride in groups. I listen to music or a book or a podcast or the birds while I ride along. I prefer the aloneness of riding. When I was caring for Cheryl it took me away from the heartache of that activity. The summer after she died, it took my heart to a different place much like meditation. This summer it is hot but it has developed into a hobby and an interest that simply gets me outdoors.

I do not think I am neurotic. (I hope the Guardian link works.)

Carpe Diem.

Toaster Ovens

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Far be it from me to criticize the American appliance industry but I often wonder what jumped into the engineering head of folks who decided a toaster oven was a much needed appliance.  Having a small oven is handy in its own way but why call it a toaster? Why temp us toast lovers with the ability to get warm morning toast when one actually gets the stale bread a week later.

Indeed toasted bread can be achieved in several different ways with one critical ingredient, great heat applied for a short or relatively short period of time. Toaster ovens are unable to do either. Generally they fit into the vast category of “Almost A Great Idea” or AAGI (aw-gee) for short. At one time in the past we owned a toaster oven which also had the ability to roast a chicken. It had a built in rotisserie gizmo to spear the chicken with and rotate through the meager heat source. (aw-gee) After much trial and error we determined that the timer needed to be able to set itself to much more than the 45 minutes on the dial. The heat source warm up is include in this time since it is not instant on. (Alas and aw-gee)

Many devices fit into AAGI. Instapots and Airfriers might be two more. But often it is fun and necessary to use a device with a small heat source that supplies invaluable cleaning expertise and practice.

Microwave ovens supply this valuable expertise as they are able to rapidly take water from liquid to gas in a rice-sized pocket spreading soup or any other suitable substance over the entire inner surface while keeping the rest of the bowl at the temperature of a standard refrigerator. They are remarkable devices. If you ever require rubberized eggs for any recipe, a low wattage microwave is just the perfect solution.

All of these thoughts came to over the past several days as I pondered another stale bread morning in my nephew’s beautiful, quaint and cute little bungalow in Port St. Joe, Florida. My sister and my girlfriend and I spent three wonderful days there this past week.

We drove in my car so we did not have the wonderful packing experience of making everything fit into one suitcase. We took our time. We stopped occasionally to look for best toilet facilities. We visited Bukee’s in Alabama. No soft serve ice cream at Bukee’s which is a sad state of affairs. (aw-gee) We stopped at the Shrimp Lady which claims to be restaurant-ish on Google Maps. It is not but we bought 2 pounds of shrimps as big as my thumb that came off the boat 20 – 30 minutes previously. Over the next couple of days we ate them as shrimp and cheesy grits, and shrimp with garlic, onion, green pepper and spaghetti with marinara and generous Parmesan cheese.

Did the two most important women in my life just bring me along to cook and drive the car? It was a great trip.

Back to the toaster oven. It is a fine device in its own way but entirely unsatisfactory for making toast in the morning. The Nespresso Virtuo, however, makes excellent coffee one cup at a time, every time, as long as the special pods and a water source are nearby. Foamy luxurious coffee.

We are back home in Ohio. The forsythia in the back is just opening itself. The daffodils are poking up and wondering what the forsythia can see that they cannot. The forest view through my window is greenish against the browns and grayness.

Daylight saving? Time is here. And as Debbie says, “the light is returning to the planet”

I am off to ponder a method of saving the daylight and fold the laundry from the trip.

Carpe Diem.