When Caring for Your Aging Self Takes You By Surprise

The albatross around my neck (the herniated disc between the C-6 and C-7 vertebrae) has opened me up to a plethora of new experiences.  In the past few weeks I have:  had acupuncture for the first time, courtesy of my friend Dave.  It was quite pleasant;

had my first MRI, bearable because they let me listen to Pandora.  Listening to the medley of Jason Mraz’s “I’m Yours” and “Somewhere Over the Rainbow” was very soothing.  “Landslide,” not so much.

taken up power walking, and discovered a host of interesting radio programs to keep those walks interesting;

This is one of my new favorites, courtesy of NPR.

Most importantly, I’ve learned what it means to be a patient living with chronic pain and uncertainty.

If, as I do, you think of yourself as a healthy person who rarely needs a doctor, it can be a shock to be ushered into the world of medical procedures.  When you are used to living an active lifestyle, it can be a shock to have your activities curtailed in the short-term, and an even bigger shock to face the possibility that in the long-term, you may have to give some of them up.

You sit in the waiting room of your doctor’s office or the radiology clinic with your spouse beside you and fast forward twenty or so years to when the two of you are elderly and waiting rooms and test results and fighting with insurance companies will be the norm.  But at least you have each other.  Statistics show that approximately one-third of adults between 46 and 64 are divorced, separated, or have never been married, and that this will reshape old age.  Jane Gross, author of A Bittersweet Season, Caring for Our Aging Parents and Ourselves, who I often cite in this blog, wrote of her recent experiences with eye surgery and her realization that she couldn’t go it alone, couldn’t ask so much of her friends and needed to hire a home health aide. You can read Part I and Part II of “When I Needed Help,” courtesy of the New York Times blog, “The New Old Age.”

We live in an era in which some of us (in particular the affluent and well-educated) believe we can control our health through diet and exercise.  I certainly feel that way and, in the weeks since my diagnosis, have been trying to will the inflammation out of my body by eating every healthy, anti-inflammatory food I can get my hands on.  You can imagine how popular this has made me at dinner time.

I bet Sasha and Malia eat brown rice without complaining.

After we evaluated the MRI results with the doctor and determined that medical intervention was in order, I came to view my lack of success at curing myself naturally as some sort of moral failure on my part.  Jeff tried to talk me down. “No amount of broccoli is going to fix this.”

In that case...

Each morning, as I eat my bowl of homemade granola and non-fat Greek yogurt, I remember my grandfather, who ate Grape Nuts, prunes and skim milk every day for breakfast and continued playing tennis and swimming until the day he died.  I think about my mother, a healthy eater, who prided herself on looking, acting and feeling younger than her years, and so, was taken by surprise when terminal cancer hit.  I think about my mother-in-law, who has resisted taking medication for her osteoporosis because she fears the side effects, and my father-in-law, who has suffered from spinal stenosis for years without permanent relief.  I think about my sister-in-law, the same age as me and equally active, who has been felled by a foot injury and has no one at home to help her.

The other day, while on my walk, I ran into my friends P. and A.  We exchanged pleasantries and I told them about my herniated disc.  P, who turned 50 six months before I did, told me: “I’m on my way for a colonoscopy.” We smiled knowingly at each other.

I’m off to take my walk now and after that, Jeff will drive me to the radiology clinic, where I will have an epidural shot of steroids in the neck.  It’s a shot in the dark (actually it’s a shot involving a fluoroscope, which uses  X-rays to visualize the local anatomy and target the inflamed area, thus minimizing exposure of the rest of the body to the steroids). I’ve heard mixed results about steroid shots and you can only safely have a few of them. I am willing myself to believe that it is going to work the first time.

I want to be my young, healthy self for a while longer.

Here’s an interesting link, courtesy of the New York Times “Well” blog: “Getting Fat But Staying Fit?”

When Life Gives You Lemons…

One of my “day jobs” is education reporter, a role I fell into by accident.  As the mother of two school-age kids, I spend a lot of time thinking, talking and yes, complaining about public education (Jeff can attest to this.  In addition to boring people at parties with talk of fish oil, don’t get me started on the middle school math curriculum).  Because it matters so much to me, I’ve decided that in addition to volunteering in the schools, the best way for me to be part of the solution, instead of merely bitching about the problems, is to write objectively about efforts to improve our imperiled public education system and the people who are working hard to make a difference.

Some have called this the civil rights struggle of our time.

When my mother was dying and I was fighting to make sense of her convoluted Medicare coverage, I became an impassioned advocate for Medicare reform and especially for people of my generation — the sandwich generation — to educate ourselves about the harsh realities of elder care.

If all politics is local, maybe all activism is first and foremost located in our hearts.

Two years ago, I sat in a Starbucks at the Plantation Towne Square shopping mall in Florida with my childhood acquaintance and neighbor Beth.  I hadn’t seen Beth since high school, nearly thirty years before, and had only heard snippets about her life from my mother, who was the human embodiment of a social networking site long before Mark Zuckerberg’s birth, able to provide a status update on pretty much anybody from our hometown.

My mother came to visit me after the birth of my second child bearing Table Toppers, the disposable stick-on placemats that she told me Beth, a lawyer and now mother of three, had invented so that mothers trying to feed their toddlers in public places didn’t have to fret about germs.

To be honest, though I’d always liked Beth, I wasn’t interested in hearing about her innovation and applauding her entrepreneurial spirit.  I was in the full throes of an identity crisis that had stemmed from leaving my prestigious international career to be a stay-at-home mother.  Unlike Beth, I hadn’t crafted a creative new identity that merged my professional skills with my new role as parent. I didn’t want to be reminded that there were other women who, after giving birth, had managed to find fulfilling ways to blend career and family.

I came to Florida to care for my mother, who was scheduled for some outpatient surgery. But when I got there, her condition was much worse than I expected.  Our relationship, which had been strained over the years, was awkward, and so to make her feel better and to pass the time, I let her tell me about people we knew in common, including Beth, who lived nearby.  There had been a tragedy, my mother said.  Beth’s oldest son had contracted leukemia at age 11 and hadn’t survived.

I think it was more than cabin fever that led me to break free of my mother and arrange to meet Beth for coffee.

We sat across from each other and commented on how much we both resembled our mothers.  Beth’s chipper high school class president demeanor now had a careworn veneer, but I noticed she also had her mother’s softness and warm, quiet eyes — qualities I had always admired.

We caught each other up on our lives and the people we knew in common, and then we talked, mother-to-mother, about the unspeakable loss she had suffered.  It wasn’t the cancer that had killed Ian, Beth explained, it was the treatment.  Ian had been diagnosed with T-Cell Acute Lymphoblastic Leukemia (ALL) , a form of cancer that can have a 75-80% recovery rate. But his immune system had been so compromised by the toxic cancer treatment, that, though cancer-free at the time, he was unable to survive the meningitis he had contracted while the “cure” was underway.

Along with frustration over the futility of Ian’s death, Beth and her husband Brad were haunted by Ian’s own feelings about his treatment, which had been painful, isolating and humiliating.  Ian often asked why the “cure” had to hurt so much.

“After Ian died, I felt like I was going through the motions as a parent,” Beth admitted.  “Before his death I had thrown myself into parenting, yet I hadn’t been able to prevent something terrible from happening or been able to shield Ian from pain.  Afterwards, it was hard to get excited about birthday parties and school events for my other two sons.”

But Beth is a more than a turkey-maker, she’s a lemonade-maker. She and her family threw themselves into another innovative, entrepreneurial project — the creation of the I Care I Cure Childhood Cancer Foundation, which raises awareness and money to fund gentler treatments for childhood cancer. To date, the foundation and its partners have raised hundreds of thousands of dollars for cutting-edge, targeted therapies for pediatric cancer.

In addition to its ongoing fundraising, the Florida-based foundation hosts a 5K run and family fun day, so that activism can be a family affair. The fifth annual event will be held on February 12.  There is also a network of I Care I Cure Service Clubs for kids across the country, to share Ian’s commitment to community service with his peers, and new efforts to develop teen service learning projects.  You can learn more about these opportunities on the foundation’s website and/or “like” it on Facebook.

Three months after Beth and I met for coffee, my mother died and a year after that, Beth lost her mother. We live on opposite sides of the country and probably won’t ever see each other again.  Since I don’t have my mother to keep me up-to-date, I’ll have to rely on Facebook to follow Beth’s activities.

There’s a saying that books broaden your perspective because they enable you to lead a thousand lives different than your own. The same can be true of your encounters with other people.  I’m grateful for what I learned from my mid-life reacquaintance with Beth, just as I’m grateful every time I get to interview someone for an article and learn what motivates them.  We can’t always and don’t always want to walk a mile in someone else’s shoes.  But we can listen to them share their experiences.

I’ve had a recent bump in readership and subscribers and I want to thank you all. Through this blog I have reconnected with old friends and have made new ones too.  One such person is Ken Rivard, who with his wife Jody Adams, writes the wonderful food blog The Garum Factory.  During my musings about the feasibility of mid-life activism, Ken, who I think of as a wise older brother, commented, “I think the hardest thing, the older you get, is to shake yourself out of the habitual rut of your own life, your own perceptions, etc. and remember when the world was wide open.”         .    

When life gives you lemons, you make lemonade.  When the situation is not so drastic, say on a gray weekend morning when you are waiting for snow, do yourself a favor and make these Lemon-Bay Scones with Currants, courtesy of the Garum Factory.  When you look at the recipe, you might initially be daunted by the effort involved in making and freezing bay leaf and Meyer Lemon-infused brown butter.  Don’t be.  It sounds harder and more time-consuming than it actually is.  And, like activism, once you set your mind to it, you’ll be glad you did.