Saturday, January 1, 2011

Minus one for nukes, plus one for emotions

Thomas D’Agostino says highly enriched plutonium has been removed from 19 countries where it wasn’t secured since Obama proclaimed this a priority in April 2010. There are 16 countries to go. They transferred the material from the Ukraine into safekeeping during a top secret midnight operation over the Xmas vacation involving 4 countries and over 40 different organizations. I passed this good news to Rafi carefully deleting Obama’s (good) name and the exclusive source (Rachel Maddow).

Steven Johnson apparently wrote a book that was discussed on a Nov 2008 edition of radiolab.org that was re-aired today. The psychologists seem to have pretty convincing evidence that the  “stress” of having to memorize 7 numbers is enough to make study participants choose cake when offered a choice of 2 snacks. People that only had to keep 2 numbers in their head overwhelmingly chose fruit. More interesting, they found that people who rely on their  gut feeling  make better decisions than those who overanalyze.  Apparently, the conscious mind gets misled when it attempts to process the excess of available information. In contrast, the subconcious brain is able to synthesize a quick accurate answer by stirring hundreds of tiny personal experiences into one emphatic answer.

Lauren’s rational mind recognizes that it’s tough to maintain a relationship with a boyfriend who is and will be in a different country for the foreseeable future but she KNOWS she wants to marry Carlos. By contrast, she said it was over analysis that yielded her decision to go to Eckerd College. The proximity to family turned out even better than anticipated but the lackadaisical academic environment didn’t work.

Rina was a cheerful, insightful addition to our New Year reunion in Scottsdale this year. Bethany has always been pretty but she stunned everyone with her beauty after Emily made her up. Iris and Rafi acted like sweet lovebirds, to their offspring’s great relief. And Loaded Questions was the perfect game choice. Rafi, Iris, Derek, Bethany, Summer, Emily and I all played, laughing the whole time and actually learning things we didn’t know about each other… Iris would have liked to play TENNIS and the GUITAR. Summer has never cleaned a toilet. Emily has (apparently) done EVERY HOUSEHOLD JOB that exists while Iris freely admitted that she had never cleaned a computer keyboard. Lynelle brought her friends over so they could spend one more middle of the night with Summer after I reinstated Summer’s curfew. And she was kind enough to drive me, Emily, Derek and Bethany to AZ on the Rocks climbing gym. She also drove everyone to coffee plantation. Luckily, I beat the rest by an hour or two and the time to work on my book cheered my up so I was able to enjoy the company of Emily, Bethany, Summer and Lynelle. The plantation people were nice enough to accomadate us even though we only bought 3 cold drinks.

The lame duck congress came through ratifying the nuclear arms agreement with Russia. Rachel Maddow’s greatest fear is nuclear destruction. She’s brilliant so hopefully I’m wrong thinking shortages of fresh water will do us in. (Encouraging that Mike Whitehead also thinks water will remain plentiful).  Solange bought a $4400 mountain bike (will cost $6600 after upgrades) and I kept up with her when she turned the corner from Thompson Peak Road to 100th St. Emily, Lauren, and Andy are all on the Dean’s List at the Univ. of Washington AND my favorite 84 year old pickle ball friend Kurt,  said that whereever I go there should be a piano. The first thing I did on returning home was play Brahms which I love.

Probably the main reason I was in such a good mood today is my run with Levi. This was our first run together since he became completely blind. He nearly fell off the bridge and he bumped into a few branches while sniffing out the perfect toileting spot but he made up for it. Out on the icy sidewalk, he easily stayed right behind me. Off leash at Highland Middle School,  he really took off running  fast on the snowy grass and followed me just fine through the woods. We were both happy to sit in the sun at Ivar’s and take a leisurely walk enjoying the smells of Donuts, Petco, coffee and ethnic foods at Crossroads.  Fully rejuvenated, we happily ran all the way home. When I sat down at the piano, he took his loyal listener spot on the couch. Cherish your blind dog. Emotional trumps  rational.

Wednesday, November 3, 2010

Not Rick Scott

Floridians chose the man responsible for the largest scam against Medicare to be their governor?  I burst into tears while cutting carrots. I thought the transfer of taxes into Wall Street was as blatant as it could get  with the direct Treasury to Goldman Sachs TARP funnel  but now we might as well sell  Floridians to the   “healthcare” companies. Just like the Alfred Hitchcock episode Eric and I watched last night where a rich, highly esteemed medical professor routinely had his fellow citizens murdered to maintain  a steady supply of cadavers. Bill Clinton tried to stop it by asking the Democrat to step down and allow Charlie Christ to win. Obama is trying to save our country but hatred, greed, ignorance and propaganda are teamed up against him We blue people have  let our sense of helplessness flatten us into inactivity.

I called my uncle before moving from carrots to onions in dinner prep. He’s going to cut news out of his TV viewing habits and hang on to his condo in Buenos Aires. We discussed University of Oregon footbal team’s  no huddle offense to avoid total despair.

Even Jon Stewart can’t take the intense idiocy. He’s targeting the media instead of the corporate puppets who pretend to represent the American people. Rachel Maddow will hold onto what’s right, hopefully without getting so emotional that she loses half her audience.

Had sauteed veggies over couscous with egg sauce along with chili casserole for dinner. Summer, Emily, Lauren, Andy, Eric and I were all there with 2 dogs waiting patiently for leftovers. Played piano, worked on book. Newspaper and NPR will have to wait.

Saturday, October 30, 2010

True

Be true to yourself. Even if it takes your whole life.

In one of his books Obama said your actions must reflect your thoughts and feelings.  In The Audacity of Hope, he discusses his inner conflict. Should he take public transportation, opening a door to encounters with everyday people? Or accept flight on a private jet along with a financial boost to  his campaign ? What if your sense of self was irreparably corrupted?  Say someone who’s all powerful  committed actions that permanently made you a bad person. Would you then reaffirm this self identity by abusing yourself?

Today, my patient I’ll call Nadia said that for each pound she’s overweight, she’ll assign and write about one stressful life event. She’ll then address each item in turn. She proposed a big bonfire at the end to get rid of them all…I suggested she publish her work instead. (The delusions of a lonely blogger).

In The Family That Preys, Tyler Perry writes in  a minor character who wants to start his own business even though his best friend, wife, and multiple bankers try to pound his dreams and ego into the floorboard. His “blindness” to the “truths” around him lead to….his own business. According to Hollywood expert Emily June Hanson, Tyler Perry was abused by 3 different people.  He seems to be searching for his self identity by playing multiple roles in his own movies….movies which portray right and wrong in bright lights.

Emily and Andy had to rank order the severity of 13 crimes in their sociology class at the University of Washington…crimes including murder, rape, suicide, embezzelment, treason and adultery. Our instructors in med school would have never assigned such an  exercise. If they did, I’m absolutely sure, the class would have protested strenuously. I know this because a simple deviation from the multiple choice test format created an uprising. (We’re  training to be doctors, not writers!). 

My friend, Tom, started off as an accountant in his father’s business. His inner voice suggested an entirely different path. When he followed his own instincts, his family disowned him but he  earned a long, gratifying career of his own. As a psychoanalyst, he now helps others discern their true images from the mutilated distorted collages that cruelty previously cemented  onto their canvasses.

“That was true,” I said to myself   today when I hit the pickleball fast, just over the net, and far into my opponents backhand yet within the boundaries. Can you believe, I posted this whole long blog just so I could immortalize that shot? The blog has nothing to do with the fact that my mother is  partying  in South Beach for Halloween.

Sunday, September 19, 2010

Connections

Rabbi Fine said that David Eagleman explores what it means to be human in his book “SUM” with vignettes about the afterlife. The first vignette recalls that Dr. Frankenstein’s monster went out of control because he badly wanted a relationship and things weren’t going well.

My yoga instructor gave me a candy flagged with “relaxing with friends is the best way to unwind after a long day.”  And the NYT reported that the researchers who found that obese friends increase risk of obesity are now finding that the opposite is true. Hhmmm hanging out with healthy types could be good for your health. (makes me think about Jim Hammond and Iris…)

Anyway….I got lucky Friday night. Three friends came over even though decaf tea and watered down (scoreless) Scrabble were the only draws.  We had the best time just talking.  But I kind of dreaded Sunday night.  In one my my excessively good moods, I had the idea of inviting 2 families with young kids who I thought would enjoy meeting. LITTLE KIDS….What was I thinking???  But for once, I was right. The husbands were talking so intently , I had to practically drag them to the table for lasagna. The wives, both former clarinetists, did hit it off and Lauren and Summer  entertained the 6 and 7 year old and the 7 year old did a beautiful job with the darling one year old.  I had fun at my own dinner party for once.

Best of all, Emily very considerately took the dog to the dog park and shopping during the party and then stopped me from piano to talk to me.  With Andy at her side looking adoringly, she informed me that she plans to exercise when she’s pregnant and she’ll attend an ice cream social for the business school (NOT IN THAT ORDER). She also says she’s going for straight A’s her 2nd quarter at UW. (I had to blurt out that Peter Orzag singled out UW in today’s NYT because of its Medicaid driven  budget cuts:  26% this year and next. But adversity worse than that can be overcome. )  Emily and Andy are so happy and I’m confident and motivated- I’m confident they’ll have a successful quarter.

What does it mean to be buman?  Maybe it’s our  yearning to weave connections  with generations past and future  and our computers….ooops I mean our  family and friends. 

Monday, August 23, 2010

Shambles or perfection?

The Arctic ice is melting quickly.  Slow moving dark  waves creep ominously through large gaps between ice fragments in waters that used to be strictly contained by  solid ice. Next year’s ice will be even more fragile due to the heat absorbed by the black water.  How successful will humanity prove when starvation and water shortages are exacerbated by the catastrophic flooding and crop upheavals that could result?  What if the gulfstream turns the British Isles to ice?  Am I joining  legions of insane predicting that the end is near?  Or falling victim to a culture that awards undue credit to miserable pessimists?

“Our mission is not to see what lies dimly in the future but to do what lies clearly at hand.”

Annie found her way into my office today. I last saw her 2 years ago when she used her given name, “Fang” and spoke almost no English. She has long black hair, a girlish face and figure, and wears a spirited jacket over distressed jeans, polka dot socks and high heels.   She could easily pass for 20 even though she’s 35.  “I just want a check up. Nothing’s wrong,” she chirps. She has a thick Chinese accent but otherwiese surprisingly good English.  “How’s Samuel?” I ask about her husband after admiring photos of her 18 month old son.  She turns away from her i phone for the first time and faces the wall.  “Not well,” she chokes out. “Terrible. He passed away. “  I gasped.  I had never met her husband but had spoken to him several times.  Years ago, he meticulously arranged care for his Japanese wife by phone.  Then more recently he translated by phone for his younger Chinese wife. A successful Jewish American, he travelled for work and seemed to have an affinity for far eastern women and languages.

“What happened to him?”

“He had depression. He hurt himself.”  Luckily, Annie was seeing a Chinese speaking counselor and was thankfully looking forward to things like her son’s education.  Aside from trying to speak English with her son “since Samuel’s gone,” she seemed to be making good decisions.  I had another patient waiting as I drew her blood and finished her review of systems: “…and do you ever feel unsafe?”

“Oh yes,” she understood very clearly. “That’s why I want to move. A man in my neighborhood helped me feel better after Samuel died but he’s not a good person.  He knows where I live. He knows where my son goes to school. “  She had requested I test her for everything possible  during her exam. 

Later, a young French woman, Francoise,  said she wanted to drive straight through crowded downtown Bellevue streets without moving her steering wheel to end her own life. She stopped herself because her 3 young children were sitting in the back. Her children save her life every day as they’re the only reason she’s gotten out of bed for the past 3 months.  If only Samuel’s baby son  had the same power to  pull Samuel up.  Samuel spent 5 months of his brief time with his son in his pajamas in bed.

The privilege of trying to assist my patients sure saves me. I had to put the NYT editorial page aside quickly to get to work and I didn’t think about melting ice once all day. Because I’m in family practice,  I was able to diagnose Francoise’s bipolar type 2 with major depression during her baby’s vaccine appointment. It was gratifying to see Annie enjoying a cascade of photos of her  beautiful little boy knowing that I”ll follow up with her next week to make sure she has no sexually transmitted diseases and that Eastside Domestic Violence is helping  her escape an unsafe environment.

Samuel made a big mistake. But to avoid falling into his abyss, maybe we should stick to Hollywood gossip shows and Pets 101,  focus on  tasks at hand and try not to dwell on the overwhelming urgencies that  Paul Krugman and Thomas Friedman convincingly present.

Or we could always create a utopian piece of fiction. Found a good movie set in a happy  future: The Fourth Element.  And someone made a book recomendation: Stroke of Insight where a left brain stroke helped a neuroscientist achieve  the same goal:  Less analysis and more imagination.

Sunday, August 8, 2010

Letting go

“You’re going to have to let us age,” my 72 year old mother-in-law directed me. Ouch. What a way to start a one week adventure in Guadalajara and Nueva Vallarta. Luckily, she went on to try yoga for the first time, conduct a cooking demonstration and go out late at night after early morning walks on the beach. She also reached new heights in expressing anger when she disagreed with my mother and my scrablle rules.

My own mother kept tugging us into the future. Mexican and Chinese husbands would be an asset…except marriage is such an outdated idea. And she correctly saw beauty in everything-the bus trip from Guadalajara was more beautiful and safer than a trip from Phoenix to San Diego. The coastline in Puerto Vallarta reminded her of the Amalfi coast in Italy. The pools overlooking the Pacific Ocean looked even more inviting than her pool at the beach. She could identify a lot of the palm trees and sea birds. We especially loved the frigrates which sat still on a large sculpture in PV. Also, the grand pedestrian boulevards in Guadalajara were lined with imposing buildings hundreds of years old. Fruit trees had plenty of breathing room in open air courtyards. Iris and I used well worn tricks in furtive scrabble games so as not to bother Carol. I forget which Mexican magic she attributed it to but my mother’s radiation burns healed quicker than expected.

How about letting Carol and Iris be ageless. That’s what I’d prefer for myself.  But letting kids go into adults is a great idea. Lauren will major in English and SHE will get her book published. Emily will major in business and figure where to go from there. I still want to help Summer study for the SATs …we’ll see if she lets me. We gave them our credit card last night and after hours in the mall, Lauren, Emily, Summer and their bag handler, Andy, returned with 6 large bags of new clothes and shoes for me from Bellevue Square. Their style is my casual and party style and Grandma and the Air Force provided my preferred work style. Lucky for me to have this guidance.

Eric and I biked  to HBs today where we met HB s parents Lilah(?) and Shel and enjoyed SeaFair for the first time. HB found the pilot’s frequency on his radio gadget (CB?) and we could hear the lead pilot. He actually hummed to keep 4-6 jets in tight formation, said “pull”  to coordinate their climb and calmly directed “smoke on” and “smoke off” during their 200 mph stunts over Lake Washington.  Focused practice that utilizes your talents makes the nearly impossible look easy. Summer runs like she’s competing for state in daily track and cross country practices.“Look out",” the lead pilot said amiably as 4 jets aimed straight at HB’s deck. “And up,” as they veered upwards at the last minute.  Lynelle could float a stunning painting or photo into existence as a child. But every single day she strives for photos that soar higher. “Hello down there,” the lead pilot greeted hundreds of land and water locked people beneath him. It felt like a  part of each of us  flew with them as all six pilots  rocketed straight up in formation and on hearing “delta break” showered out in their own directions.

Wednesday, July 7, 2010

Lauren’s book…

She printed 2 copies that Iris, Summer, Lynelle, and get this, RAFI fought over during our recent 1 week vacation at Iris’ 4 star hotel. It’s marvelous and she’s sending query letters to agents now. If anyone has questions on FALLING IN LOVE, they’ll need to read her book. It’s also a great illustration of how a teenager can calmly and competently deal with depression, disappointment, and friends trying to go the wrong way. Yahoo says “how was your day?” is an unpopular question with teens. This book helped me get to know my wonderful daughter better than all our past question and answer sessions combined.

She just needs a title!!! Lynelle has been elected. Lynelle, help!!!