Nephro Time

October 14, 2019

Our son Michael and daughter Marie traveled long distances this weekend to spend many hours in my beige-blazoned hospital room, as I heaved and gasped with the aftermath of my “nephroureterectomy” which, to keep this relatively at a layman’s level, involves the removal of several body parts. I went through it Thursday. The other two girls called the hospital over the weekend.

It’s not over yet, as I took a couple of wrong turns on my nicely crafted recovery plan, which called for me to be out of here yesterday. Instead I’m waiting for results of an all-upper-body x-ray while staring at the overwhelming beigeness and, out the window, at the tops of trees, now tinted by fall, above this massive hospital’s parking lot. Friends stopped by yesterday for warm-hearted visits. Sandy and the kids are gone, partly because of their schedules and partly at my urging, since I know, having done this before, that hospital patients quickly run out of ideas for playing host to visitors. Haven’t eaten solid food for four days, but now, Sunday evening, I’m well enough to sit up in the bed.

img_20190421_1344480296689041894964698607.jpgThis being Sunday, a guy came by from our parish to distribute communion. I couldn’t take it because I couldn’t say I could keep it down, which hints at my morning. But he read today’s Gospel. We talked a bit about his time at the Naval Research Laboratory and my time at the Office of Naval Research, which funds NRL. Funny coincidence. He left with good words, “God will help you beat this.” Always helps to hear that.

Life will be curtailed when I get home. I’ll be dragging around a catheter for ten days, so no trips, no visiting, no yard work–except brief walks up the block, nothing that involves movement. After that, camping on the couch. Then a follow-up appointment to this adventuresome weekend. The catheter comes out. Then another visit to the oncologist who’s coaching this little enterprise to discuss what comes next. There will be another scan. I’m still wearing the medi-port in my chest.

That will get us into November, which means Thanksgiving, which means Christmas will be blowing in. We’ve already been talking about the THuG running group’s annual Christmas dinner,  probably the group’s only event in which I’ll participate. Sandy will be seeing a neurologist and a cardiologist. So a busy season ahead. An uncertain season.

What I remember, what I always make a point of remembering, are the kind words, even those casual kind words that sign off casual conversations. They gain intensity in late fall as we relive our progress through the year, and that of family members and friends. I hear from time to time of good things people I know are doing for others less fortunate. We may be bewildered or outraged bystanders to the direction the nation is taking.  But maybe our personal efforts are redoubled to do good things, or at least to try to do good things. The Holy Family food pantry where I once worked still is operating.  Others I know are doing important, similar things.

Here at the hospital, these images come together, even on the weekend, when the docs are playing golf or watching football—whatever they do on weekends when they’re invisible at the hospital. The senior RNs, “nurse charge practitioners,” charge nurses, the student observers, are kind and good-hearted and enthusiastic, jumping in not only to take vital signs and administer drugs, but also to change linens, empty various unpleasant things, and take notes from cranky patients.  They smile and wish you well.

If the future is set in the past, the fall is set in the late summer. This one ends for me with a bang, or with a snip—several snips. But we’re stepping out, planning Thanksgiving, maybe something else to look back on happily. But it ends. Then the memories emerge.

The Island

October 7, 2019

We learn, eventually, that memory impels us to act. The memories that matter force us to step forward to discover why we treasure them. Decades ago, early- to mid-1960s, during a half-dozen summers—maybe more—my parents took our family: me, two sisters and two brothers, for two weeks from our northern New Jersey home to eastern Long Island for my dad’s vacation. I marked the location as roughly 130 miles east of New York City. We rented cottages in the East Hampton suburb of Amagansett, about 15 miles from Montauk Point, the tip of the island. The cottages were a hundred yards from the beach—and still are, I discovered.

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Montauk Point lighthouse

Early this week Sandy and I drove up there, a good eight-hour haul. We stayed not in Amagansett but in the humble village of Montauk, which abuts the Point on the bay side, near the harbor that opens to the sea, and where my dad took me fishing from the rocky jetty that protects the harbor from ocean swells. At least once during those vacations we got up before dawn and drove to Montauk to board a party fishing boat that twice daily took a couple of dozen amateurs like us out beyond the Point to bottom-fish with rented poles for whatever was biting.

We arrived mid-afternoon. After checking into the motel we walked on the short stretch of beach next to the harbor and watched the gentle bay surf roll in. Fishing boats puttered on their return to the harbor, trailed by gulls looking for a meal. A few other tourists milled around Gosman’s, the famous, and famously expensive seafood place that my parents remembered affectionately for years.

We strolled a bit farther, the dock area was quiet. A few souvenir shops and restaurants still were open, most had closed for the season. We found a place nearby that served a passable seafood dinner. Unfortunately, two elderly couples a few tables away competed to shock each other with details of medical close calls. Not surprising, not really. For some of us, that’s the excitement left to life. We finished quickly and headed to the motel and turned in.

The next two days were full of meaning. We drove back to Amagansett and walked along Atlantic Avenue and gawked at the two little houses where our family had stayed. They stand side by side. I was shocked that they remain nearly the same as when we rented them more than 50 years ago. One has new siding, the second is utterly identical to my memory of it. The lifeguard station is intact, although it now houses a snack bar. The dune grass swayed in the wind.

img_20191002_083700388_hdr7857425613931576929.jpgWe walked on the beach and watched the waves crash where my brothers and sisters and I had jumped through the breakers. A blustery wind pushed the water up the beach strand, the surf was too rough for swimming. A few sunbathers sat, staring skyward. I said hello to an older couple and a cyclist, explaining quickly why I was there, they nodded politely and looked seaward, away from us.

We putzed around the town of East Hampton a bit, just to say we did. Main Street now accommodates a Starbucks, of course, also a Polo Ralph Lauren, Nili Lotan, Citarella Gourmet, Sotheby’s International, and other places where we don’t do business. Over the years people like us drifted away from East Hampton and were replaced by caricatures of Tom Wolfe’s masters of Wall Street and other sleek places where money apparently is no object, pushing the nightly rate for a local motel room, off-season—that’s a motel room—into the $450 range. We headed east again and snapped some photos of the historic Montauk lighthouse. That evening we broke down and got dinner at Gosman’s–$60 for some fried calamari, a cup of soup and a salad. Oh well.

Thursday morning we caught Mass at St. Therese of Lisieux parish, which sits above the village of bars and tee-shirt shops. I noted the cornerstone, 2006. In my family’s time, the church’s site was a scrub-covered hillside. The design is one of simple, elegant beauty.

A congregation of about 20 showed up, our age group, as usual. I heard the priest, many years younger, speak of joy and perseverance in the faith—but couldn’t help watching the rapt faces of the others. We left, heartened and sustained.

At that moment the memories clicked, things fell into place. I knew why I had come. We no longer needed to be there.

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Jean, North Shore

The rest of trip was a happy visit with cousins Eugene and Jean at their home in mid-Island, not far from where they both grew up. Eugene briefed us on his two-day overnight deep-Atlantic tuna-fishing trip, when he caught the ingredients for his personal sushi recipe. The next day he and Jean took us on a bracing sail on their fast—very fast—outboard-powered fishing boat through the chilling swells of Moriches Bay. That afternoon we drove to the North Shore, where angry waves of Long Island Sound crashed on the beach. Jean, just retired after 30 years of teaching high-school physics, guided us on a drive through the huge but now-shuttered Grumman Corporation Calverton assembly site, where she started her career as an engineer and where the company, now Northrop Grumman, once built Navy combat aircraft. The buildings have been handed to local businesses but are mostly empty, the test runways now sprout weeds.

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F-14 Tomcat, Grumman park, Calverton

Back at their place we took pictures, shared more memories—some hilarious, some sobering, traded stories about family, careers, experiences, our kids and theirs. We played with their dog, ate delicious meals, slept soundly, got up early. Then suddenly our uncompromising schedule reasserted itself. We packed, promised to do it again—Florida, maybe?

Surgery this week. The message from St. Therese, joy and perseverance, tagged along on our journey home–and, we hope, into the future.

Powerwashed

September 30, 2019

Two of our kids suggested, gently, that I hire someone to powerwash the house instead of doing it myself. Our son Michael owns a powerwasher, a sleek blue-and-white Subaru EA190V gas-powered beast weighing at least 80 pounds. I borrowed it from him two years ago and did a section of the house, the driveway, and sidewalk. It’s exhausting work, but I got it done. I was in better shape then.

Because of all the rain last year, everything I had powerwashed was again coated with green mildew. When up at Michael’s place (near Philadelphia) in July I asked him if I could use the powerwasher again. He said sure, adding that he had just hired someone to do their house for about $125. “So that’s an option,” he said.

That sounds reasonable. But I homed on getting it done without looking up contractors, asking for references, discussing rates for square footage, available dates, etc. So I wheeled the powerwasher out to the van and with a deep breath hoisted it into the luggage space. I stumbled backward but stayed on my feet.

img_20190927_1510312821319222652626833899.jpgTwo weeks later, on a mild day, I hauled the powerwasher out of the shed, added some gas, opened the choke, and yanked the pullcord to start it. It ran for two minutes then died. I looked it over, closed and reopened the choke, switched the starter button off then on, and tried again. Nothing. Then again—again, nothing. The pullcord wouldn’t move. Was it locked up somehow?  I added some oil I had bought for our lawnmower. I topped off the gas. On the fourth try the gadget started. I got a small area of the north end of the house done, then quit, my arms aching. I looked at the front and back of the house, dingy with mildew, and the deep-stained walkway and driveway.

I took a deep breath. How much of all that could I get done for $125?

August became early September, stifling and choking-hot. No powerwashing or any other outside chore. But last week the heat abated. Powerwashing time. I bought four gallons of gas, guessing at how much I would need.

The next morning I zipped up my water-resistant jacket and waders, dragged the powerwasher out again, and gassed it up. I yanked the cord. It started. I grabbed the wand and started washing, more or less where I had quit the previous month. Five minutes later the machine stalled. I dropped the wand and looked it over. I had done everything correctly. I checked the oil, it looked okay. I turned off the choke, then turned it on. I turned off the starter and reset it. I tugged the cord. Nothing. I went through all those steps again. Again, nothing. I ground my teeth. Do I need to top off the oil? I didn’t have any more, I’d have to schlep up to the supermarket.

Just then the phone rang inside, Sandy answered. I kept fiddling with the machine, Turned the choke off, then on, reset the starter. Tried again, then again. What’s that line about doing something over and over exactly the same way and expecting a different result? I stood there, glaring at the machine. Did I break it? How much would it cost to repair it?

Sandy came to the back door and announced, “Marie said, why don’t you just hire somebody to do that?” I looked at her but said nothing. I recall Marie telling us she and Mike, like Michael and Caroline, had just had their house powerwashed by a pro.

What they’re thinking is: why is a 70-year-old guy looking at surgery in two weeks struggling with a heavy, temperamental powerwasher? Is he that cheap? Does he even know how to powerwash while balancing on an extension ladder?

And grumpily I tell myself—all reasonable questions. What’s my answer, besides the obvious one that I’m investing sweat equity instead of cold cash? After all, I’m not working, I don’t have to fit the job in among other errands on a weekend.

We can afford to hire a professional powerwasher, really, we can. Why go through all this hassle?

I wonder. Maybe it has to do with my own outlook on work over the years. If something looked doable, I’d try to do it. When I was publishing my newsletters I did my own proofreading and copyediting rather than hire someone. That can be risky—but by making mistakes I polished my skills. When the issue came back from the printer, I was satisfied that it was entirely my product.

Same with powerwashing. No cost for the machine—it’s Michael’s, the guy who owns every power tool that exists. The only cash outlay is a few bucks for gas. Getting the thing going is complicated, but I know that if I tinker with it, I’ll figure it out.

And I did. Eventually I learned to keep the starter button in “warm start.” It then fires right up and purrs along smoothly until it needs more gas. I refuel and keep working, moving the wand back and forth in four-inch strokes. I get the sections of the house I missed earlier. I get the concrete porch. Hours pass. The sun gets hot. I finish the driveway. Then the sidewalk. The dirt disappears, the clean siding and pavement emerge. I then go back over the streaks I missed. Would the hired guy do that?

So I burned up a couple of afternoons. I made myself useful, got some fresh air—hot and humid air—and focused on positive things. While gripping the wand to blast away the mildew and grit I never thought about insurance or prescriptions, the business side of our life, which distracts us from dreams and bright ideas about our future.

Still, it’s true—I could have been reading a good book while sprawled in the backyard swing, mixing oil paint for a landscape I’ve started, or taking a nap, while a professional powerwashed our house. Instead I worked up a drenching sweat and a serious backache. But I got it done, my way.

The Walk

September 23, 2019

This past weekend marks two months since Sandy’s stroke. We think it happened Friday, July 19, when she experienced numbness in her left arm as we drove to Pennsylvania. The next day she went to the ER, was admitted, and spent six days in the ICU. Since we’ve been home we’ve tried sporadically to walk, but the heat and general tiredness usually got to us. Each morning she checks her blood pressure—it’s up, then it’s down.

We’ve moved forward. This week we got out nearly every day, around 5:30 AM. It’s pitch dark. I wear a headlamp, she carries a flashlight. We head up our street, past the homes of neighbors we know and then those borderline-shabby rentals at the far end of the block.

Sandy has gotten stronger, now able to climb the Paxton Street grade without stopping. We turn right onto Colby Drive, the main street through this neighborhood. During morning rush-hour drivers cut through from Old Bridge Road, the six-lane east-west artery, to Minnieville Road, the north-south spur, so they can jump on I-95.

img_20190921_174356551_burst000_cover_top6678364819899014444.jpgOn Colby we can hear the whooshing of the fast movers in the I-95 high-occupancy toll, or HOT lanes. As we walk, traffic is light but steady and fast, no one actually drives 25 MPH. They don’t want to see pedestrians. We’d like to hike the street but stick to the sidewalks.

Walking is recommended for older folks as a way of maintaining basic fitness, losing weight, or just airing out brain cells. It burns fewer calories than running or more intense fitness programs, but let’s face it, walking is easier. You don’t need special gear or even sneakers. You can walk on a treadmill at a gym, which quickly gets monotonous, and no one sticks with monotonous exercise. It’s better outside.

When you walk you can talk. We rehash last week’s trip to Georgia and South Carolina, what we enjoyed, what we didn’t. The subject of where we would go if we fixed up the house and sold it always comes up. We visited Easley, S.C., a cute place with a nice downtown and its own walking trail, but otherwise another spot on the map that didn’t grab us.

I mention Educated, by Tara Westover, which our daughter loaned me. I finished it in two days, it’s that kind of book, the memoir of a young woman raised in a fundamentalist Mormon family who didn’t go to school but haphazardly educated herself enough to pass the ACT and get into BYU. She earned a PhD at Cambridge, but over time became estranged from her possibly disturbed parents. The book has won rave reviews, but also raised some questions: after all, a memoir may settle scores, but still is only the author’s view. Then I ask: how do you write a memoir at age 32?

I’m still running. On Saturday I volunteered at a 12-hour trail event at Prince William Forest Park, near Quantico—runners follow a 6.5-mile trail course as many times as they want for as long as 12 hours. I signed people in, then ran a nice loop myself. On Thursday I went six road miles with our THuG running group. We start together but they move out ahead, I chug along. I could train harder, but my mind is on other things.

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Eugene’s and Jean’s card

After a half-mile we make a turn onto Minnieville, the traffic roars by. We got onto our favorite topic, ideas for going somewhere after my kidney surgery, now set for October 10. We talk about leaving town almost as much as we talk about doctor’s bills. We’re invited to a cousin’s wedding in Virginia Beach on the 26th. Then I want to visit my cousin Eugene and his wife Jean, who live on a farm on Long Island, N.Y. Just this week they sent me a jar of their homemade strawberry preserves with a card: “Take care of yourself and each other. Love and God Bless.” Meant a lot to me. We started eating the preserves. Exquisite.

So we’ll look at that. Then I got the idea of driving to Niagara Falls. It would be about eight hours, probably nine for us. Or Baxter State Park in Maine, where we could see the northern terminus of the Appalachian Trail; my idea of symmetry, since we saw the southern end two weeks ago. That would be around 15 hours, or several days round trip, the way I drive. But it’s already fall, driving into snow country in late October might not be smart.

Dawn starts to paint the sky as we move up Minnieville. The earth still is dark, but the trees and houses on the east side of the road are silhouetted sharply against the pink horizon. The sky above is deep blue, the moon still is bright, but the blueness fades to a pastel as it meets the early sunlight. The early chill is gone, we’ve probably gained ten degrees. Sandy ties her jacket around her waist, but I’m still in my hooded sweatshirt.

We pass the commuter parking lot at Tackitt’s Mill, where the “slugs” gather to catch rides to the Pentagon and Crystal City, heading for their cubicles. Cars are lining up. I “slugged” for something like 25 years, Sandy for five. Those are bittersweet memories. Retirement is a financial rat race, but it’s infinitely nicer than the rat race in the bowels of federal contracting. We pick up our pace.

We cut across the Tackitt’s parking lot and turn onto Old Bridge to face rush hour head-on, a parade of hundreds of cars, headlights in our faces, inching up the hill. Our talk shifts a bit, how are we doing, what’s the plan for the day. We hardly ever have one, but the chores pile up. Some days we get to Mass. I have to weed-whack the backyard, maybe paint the bathroom cabinet—little things we used to put off. The big thing: we got the walk done. Tomorrow, another chance to walk—to think, plan, maybe make life better.

School Lunch

September 16, 2019

Stumbling in the front door yesterday after 10 days away, we fell on the sofa and took a breath. Later that day, I rehashed the past week. We achieved our goal or, I should say, my goal of getting to Springer Mountain, the southern terminus of the Appalachian Trail, in northern Georgia. Then we spent a couple of peaceful days with Sandy and Glenn, old friends who live near Atlanta. We went to lunch with grandson Noah, our kindergartener, at his elementary school in Greer, S.C.

We accomplished all these concrete things, and a few others, pushing ourselves on towards whatever comes next in these senior years, which are up to us to fill. The medical stuff is a separate story. But I’ve learned not to waste time thinking and planning. I did that for years. The lesson: step out and do what you’ve talked about doing.

We actually visited the Springer Mountain parking area—the true start of the AT is a mile farther south. Through-hikers get dropped off near the trailhead and hike in; the parking area has a 14-day limit. We got there by pushing our rented compact on a nerve-wracking slog up a seven-mile-long, winding, unpaved Bureau of Land Management road that at times took us flush against a steep drop. The nearly hour-long teeth-rattling climb, and then the descent, had Sandy gripping her seat and gasping, me white-knuckling the wheel.

But we got out at the top and looked around. Check.

A couple of vehicles were parked there, but we saw no one. It was just us, a couple of old folks alone in the woods. The silence calmed us, offering the peace one finds in a Benedictine chapel, where one encounters the presence of the Lord. That peace, on a Georgia mountainside, eased the tensions of the storms we face.

I walked a short distance up the trail, following those unique white blazes that mark the full 2,100-mile-plus length of the AT from that place to Mount Katahdin in northern Maine. Is that next? Who knows?

At the kids’ home in Greer we entered their world then, at our daughter’s suggestion, ventured into an alien space: public elementary school for the kindergarten lunch break. I think I may have had lunch with our kids at school at some vague point in the distant past. Noah’s school, a mile from Marie’s and Mike’s neighborhood, is a happy, if highly structured institution of something like 700 kids and the requisite number of teachers, aides, administrators, other staff people. It struck me that the parking lot was nearly full. Did students also drive? I kept my bad joke to myself.

img_20190912_1049429458876936191127275522.jpgI enjoyed the cheerful sloganeering above the walkway to the front door: “Synergize!” “Be Proactive!” “Sharpen the Saw!” Sharpen the saw? Remembering this is elementary school, I had to ask about that one. It means be cheerful, have fun, I was told. To be admitted to the school we handed our licenses to an aide, who scanned them, printed nametags, and simultaneously checked our names against a sex-offender database. That wasn’t done when our kids were in school.

The walkway slogans also hung on signs from the ceiling of the cafeteria. We were a little late, the kindergarteners already were seated, crammed into long tables with their teachers. No talking is permitted for the first ten minutes of the 30-minute lunch period so the kids will eat their lunches. Then we chatted with Noah about his day. I looked around. The walls featured paintings of the new seven wonders—great wall of China, Christ the Redeemer, Taj Mahal, and so on.

The 30 minutes was suddenly over, we said goodbye, the kids lined up and filed out, making room for the first graders. “Eyes straight ahead,” an aide commanded as she marched them back to their classrooms.

It was a happy and enlightening half-hour. The school, no doubt like elementary schools everywhere, works hard on attitudes, judging by the signs: “Win-Win,” “Put First Things First,” “Begin with the End in Mind.” I guess that’s a good thing. Going back a very long way, I recall near-perpetual fear of the nuns at my parochial school; that was the depths of the Cold War, when we practiced air-raid drills. It was the same for Sandy. Our kids’ first schools, both Catholic and public, pushed a happier school experience. I guess it worked, to a point.

It was sobering though, to pick up Noah at the bus stop later. Parents have to meet their kindergarteners and show an identification card that matches a badge on their kids’ backpacks to retrieve them. No ID card, no student—if the adult doesn’t have the card the child isn’t allowed off the bus. No happy, tired piling off and heading for the playground. Horror stories about kidnappings have had a sad impact.

Schools have come a long way: sunny, cheerful, pushing positive thinking and, as with the license check when you visit and the ID check at the bus stop, responsive to the nightmares of modern life. This is America today. We seniors see some of it in the headlines and in the annoyance of airport security checks, but are mostly left alone. We’re baffled by urging to be “proactive,” and “synergize,” or I am, anyway.

People with impressive degrees are trying very hard to think up ways for the schools to protect, and meanwhile educate, the nation’s kids. It strikes me, though—why the stiff dose of happy think? Why are things like this? My grade school didn’t have signs hanging in the cafeteria. Just a giant crucifix. What did I miss? The nuns were strict and sometimes terrifying—but maybe we—and society—were a little less nervous, a little less paranoid, even with the air-raid drills. And we’re reasonably normal, I think.

I know I’m a grump about these things. I didn’t like my grade-school days. Lunch with Noah was fun. It did take us a long way from that other world, the sublime peace of the forest of Springer Mountain. But both convey meaning, and lessons about our lives. We’ll be back to visit them again, I hope.