Another Fine Mess

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

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.

Habits, Routines, Small Adjustments, Change and Growth

This morning I restarted my morning chair yoga exercise routine. This morning I restarted morning meditation. Two things I notice: I have a pleasant gentle ache in various muscles from the stretching exercise, I did not hear the tinnitus in my ears while focused on breathing. These came to me as I sat across the room to revisit that short experience and my sense of time passing so slowly dissipated while I did these activities. My timer seemed to announce completion after a mere ten milliseconds instead of minutes from when I started it.

Time compressed. Where am I going? What am I hunting for?

Good health and peace in my soul is my spontaneous answer to the second question. Does going mean physically moving and travel to somewhere? Or is it internal? Some of each? Neither?

When Cheryl was still alive and with me here at home, I began to worry that my own health and well being suffered because I was totally focused on her health, what she ate, how much she ate, her mobility, her balance, her attention, her memories, her perception, her moods, her bowel urges. I rejected concern for myself.

Much of that concern then is useful for me now. Now I am focused on my health, what I eat, how much I eat, my mobility, my balance, my attention, my memories, my perception, my moods, my bowel urges. I think older folks focus too much on bowel urges. At the same time it seems important to note what foods that used to be favorites no longer seem to be tolerated as well as they once were.

When Cheryl was still here I began and kept up for many months an early morning routine of chair yoga. I bought a book. (I am always hunting for the manual.) I found the book back this morning after I finished my ten minute scheme to start. The exercises are simple and directions have illustrations. (YouTube has plenty of these but as soon as one gets into the zen, the calm, the mood, some extra-volume political message appears and phffst, just like that zen is destroyed. For an unreasonable sum, YouTube is ad free.)

Facebook shows me advertisements for an app with some 90-something guy with great abs doing chair exercises too. Those are amusing and laughable and less obnoxious and quieter. Welcome to the world of zen and social media.

I am not hunting for perfect abs. I remain uninterested in protein shakes.

I am interested in losing a little weight because my pants would be a bit looser. Most of that weight is hiding out on the front of me. I see it every day in the mirror.

I like meat. Meat has protein and tastes much better than a protein shake. Peanuts, nuts, eggs, oats, seeds and wheat have protein and all of those taste better than a protein shake. If it isn’t broccoli or celery, there is some protein in it. Broccoli has better taste than a protein shake.

Where am I going? That remains to be seen and felt. I strive to find a deeper meaning within myself.

For most of the spring and summer months I found something in pedaling my bike along the bike paths around town. I found an inner peace. I learned to focus over time on the piece of the trail immediately in front of me. I looked far ahead only to anticipate obstacles and plan maneuvers around them.

I returned to our church. Cheryl was much better at religion than I am. I am more questioning. I returned to church not for the religiosity. I returned for the community. I sit in a different place. (Everyone seems to have their place in a church.) Cheryl had a place that she liked to sit and of course I sat with her. I sit in a different place now. Just me.

I am going toward the next thing. That thing is right in front of me. It is not way out in the distance.

“Winter is coming”, says the head knight staffing the wall in Game of Thrones. It is indeed. Prepare for it. Dress for it. Do not be anxious. Anxiety serves no purpose.

Carpe Diem.