John Clark Pro Se Blog Actor, Producer & Writer

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OLD AGE

Posted in A SPACE FOR NOSTALGIA, A SPACE FOR REFLECTION, COMMENTARY-Passing parade, Links to medical sites

I remember in my New York days sitting on the West side with my friends Milo O’Shea, who recently left us, his lovely wife Kitty – and a one hundred year old man who lived in their building. He was a retired doctor, who had actually made friends with Mark Twain, and got to know him well. I asked him what it felt like to be one hundred years old, thinking I’d get an educated answer from the medical point of view. His answer has stayed with me. He said that when he got into a warm bath, it felt as if his bones were going to explode!

A friend sent me this, call it a guest post. A dissertation on old age, written by a very honored writer and reporter with my old employer, CBC Canada. I pass it on as a service because I couldn’t say it better. This gentleman is 5 years older than I am, but like everybody, I’m headed there and so are you, so be fore-warned! I also take most of the same pills, and have to beware of the inevitable stress that comes with providing this web service. Most of all, I identify completely with his sentiments and observations.

The full-time job of growing old 

By Joe Schlesinger, CBC News

I have a new job. I’ve been a journalist for 65 years. Nowadays, though, my main job is being a patient, seeing doctors and other medical practitioners. Boy, do I ever see doctors!

First, there is my GP, of course. Behind him, an army of specialists: a rheumatologist, a cardiologist, several orthopedists and neurologists, a dermatologist, periodontist, as well as a dentist, an optometrist, audiologist, pharmacist, naturopath and physiotherapist, to say nothing of the trainer who tries to keep mobile what Shakespeare called the “shrunk shank” of old age.

In my case, though, not all that mobile. I’ve worn out two hip  replacements. (Number 3, I’m happy to report, is doing just fine.)

I’ve been held together by slings, stitches and plaster casts,  treated with acupuncture needles, ultrasound devices and had traction devices yanking at my spine and a leg. I also take oodles of pills. Not surprisingly, even as they keep me going these meds can have serious results that are benignly called “side-effects.”

But I put up with them because I know that without some of these medicaments I would not be alive today. Had I been born 30 years earlier I would have been dead at a much earlier age because some of the meds I use had not yet been developed.

Also part of my regime are the old standbys such as the Aspirin pill I take daily to reduce the risk of life-threatening blood clots. Not any Aspirin, mind you, but low-dose baby Aspirin! That dose of baby Aspirin in a way closes the full circle of life as Shakespeare foresaw it some 500 years ago when he wrote about the first and last stages of life in The Seven Ages of Man:

At first the infant, mewling and puking in the nurse’s arms… Last scene of all, that ends this strange eventful history, is second childishness and mere oblivion, sans teeth, sans eyes, sans taste, sans everything.

Balderdash! OK, so I have some false teeth and wear eyeglasses. Yup, I’ve needed the care of nurses at times. But I assure you, no later-life mewling or puking from this quarter. Still, it takes patience to be a patient.

For starters, of course, there is the waiting for appointments and for distant dates for operations, and just twiddling your thumbs in doctors’ or hospital waiting rooms. What requires even more patience is coping with the everyday chores of your debilities. Many of the routines of plain living, from putting on your socks in the morning, as your joints protest, to preparing for bed at night can suddenly take a lot of doing.

But I refuse to let any of this affect my taste for life. If anything, I have a greater appreciation of its joys large and small.

Above all, what sustains me is the love of my family. And that makes everything else tolerable and worthwhile.

The rest? Well, I do have occasional memory lapses but Google and other IT crutches fill in the holes. Mainly, I have trouble walking and staying upright. The remedy for that has been clear for thousands of years ever since in Greek mythology the monstrous Sphinx that devoured those who could not answer its riddle challenged Oedipus to name a creature with three legs. His answer — an old man with a cane — won him the throne of Thebes.

These days, we’ve gone beyond canes, we have wheels. For me, a cane is fine for short distances. For longer walks, there is the walker; you can push it along and use it as a seat if you need a rest. It even has a basket to go shopping with.

Somewhere down the road I’ll probably need a wheelchair. I may even get to drive one of those snazzy electric carts I keep seeing barrelling down sidewalks. That and painkillers should keep me going until, one day, the inevitable moment of oblivion comes along.

In the meantime, there is still much to engross the heart and brain. In my case, a loving family, cherished friends and the treasures of nice dinners, music and reading. Those are the elixirs that make life worth living.

But there is one more thing that occupies my mind, and that is keeping up as best I can with the turbulence of the world I’ve inhabited these 85 years. I have spent my whole life as a witness to history.

First, as a boy who, during the Second World War, lost his parents in the Holocaust and was pushed from pillar to post, from country to country, a refugee first from Nazism, then from Communism. That experience led me into journalism and a career of traveling the world and reporting, at times, on its triumphs — such as the fall of the Berlin Wall — though more often on the travails of wars, revolutions and other disasters.

Once upon a time I used to do things like jumping out of a helicopter in Vietnam as it hovered over a landing pad under enemy fire, climbing a sacred mountain in North Korea, crossing the famed Khyber Pass on foot from Pakistan into Afghanistan, and riding an elephant with an army patrol chasing Khmer Rouge troops through rice paddies in Cambodia. (I fell off the elephant, but never mind.)

I can no longer do these things, but, thanks to the internet, I can get around to distant places and events by letting my fingers do the walking. And I do. Whether it’s my old homeland, the Czech Republic, or Chile or China, I feel a need to keep up with what’s happening there.

That need is fed in part by a sense of belonging, a feeling that since I was there at turning points in the history of these places I have a stake in their future. What’s more, I fear that if I let them drop into the memory hole I would diminish myself to a teller of old irrelevant tales. Besides, the mind needs exercising as much the rest of the body does.

One of the best ways to give the brain a thorough workout is to try to unravel the complexities of the politics of countries such as Israel, Iran and Italy.

So I keep on exploring what’s happening in distant parts of the world, often saddened by the turn of events and outraged by outbursts of brutality, but now and then also delighted by the triumphs of the human spirit. I have, in a way, the whole world in my hands, the world of all that is near and dear to me as well as much of what lies far beyond the horizon.

All this thanks to a lot of doctors and all those pills I swallow.

Parental Alienation, Syndrome or what?

Posted in COMMENTARY-Passing parade, Links to Courts & Judges, Links to medical sites, Links to new justice

URGENT UPDATE

December 14, 2012:
With the terrifying news out of Newtown Connecticut this morning, it is now more clear than ever that psychological profiling of any student demonstrating possibly dangerous behavior be ordered, and to hell with their personal right to privacy. When lives and guns are involved, emergency methods must be taken. It seems that these perpetrators are seeking closure of some kind. When that involves mass killing and the taking of their own lives, society is at risk, remains unprotected, and learns nothing.

It’s time the American Psychiatric Association got its act together. Let the ruling body immediately review the latest DSM-5, and “clean it up” to the extent of including a requirement that any individual inflicted with the pain of Parental Alienation (PAS or whatever)  HAS A FORM OF MENTAL SICKNESS. Until this is done, students wracked with overwhelming conflicts lurking in their inmost family relationships will continue to seek relief. It is worth noting that the first victim of this latest outrage by a twenty-year old male student was his sleeping gun-loving mother, and then on to the elementary school to take down teachers and babies. This happened in the peaceful Connecticut countryside community of Newtown. 28 people have died, including himself, and still counting!

[Piers Morgan on CNN publicized his opinions on gun violence, and incredibly, the NRA is asking for his eviction from the shores of the USA! This column appeared in MailOnline on December 30, the end of the year. He says it better than I could have done]

December 13, 2012:
I see in an article in the current Time Magazine (Dec. 17), a report on the new guidelines for Mental Illness. It summarizes the Diagnostic and Statistical Manual of Mental Disorders (DSM), used by doctors for their purposes and insurance companies, on which to base their decisions. The new features of the DSM-5 have just been approved, and will be published in May 2013. They’re just “cleaning it up” until then.

The article tells us that in the world of mental health, the Diagnostic and Statistical Manual of Mental Disorders is more or less the bible. Doctors use the DSM’s definitions to diagnose depression, stuttering, fetishism, schizophrenia and more than 300 other conditions. Insurance companies use it to justify reimbursements; without a DSM code, mental-health patients usually don’t get a dime. And the manual carries enormous cultural heft: when it stopped listing homosexuality as a mental disorder–after a 1974 psychiatrists’ debate in which being gay was deemed sane by a vote of 5,854 to 3,810–gay rights received a crucial boost.

Among the many conditions listed, those with affects caused by Hoarding, Bereavement, Binge Eating etc. are allowed; Aspergers and Autistics is a maybe, and Parental Alienation Syndrome is definitely not in.

Much has been written and much has been discredited in the efforts of Richard Gardner, who came up with it back in the early 1980s. But I’ve had personal reasons to revisit and rethink the case of Parental Alienation, and whether it rises to the level of a syndrome. There is a storm of controversy attached to it.

But first, what is a syndrome? Wikipedia comes up with this definition:

In medicine and psychology, a syndrome is the association of several clinically recognizable features, signs (observed by someone other than the patient), symptoms (reported by the patient), phenomena or characteristics that often occur together, so that the presence of one or more features alerts the healthcare provider to the possible presence of the others.

Let’s assume that you are a divorced or separated parent, and that your kid is firmly alienated towards you, one of the parents, and there is no underlying reason! By underlying reason, I mean that you, the alienated parent has no history of abuse, violence, or drunken behavior, and instead your behavior has always been loving and steadfast and caring, and, even better, you have always provided financial support for the kid without protest. And in fact, used to have an excellent relationship.

I believe that the condition has become hard-wired into the child’s mental processes, and is therefore a form of clinical sickness capable of being rectified.

Well, the DSMs say that, nevertheless, it is not an insurable condition. It may require medical intervention, or it may require counseling, but it’s only if you go along with their opinion and it’s your choice. As far as the courts are concerned, it doesn’t exist as a syndrome, or an identifiable medical condition, and will probably refer to the DSM protocol.

It is my view that, lacking any other probable cause, a syndrome IS operating. Professional intervention is not only advisable, but, bearing in mind the kid’s future workplace career and college education, should be required by any licensing authority, and even ordered to be tackled by the medical profession, the schools, and the courts. The official view seems to be that the individual’s and family’s right to privacy comes first, and the public’s right to be safe and protected comes second.

Whether the other parent, the one conditioning the child towards alienation, should be punished is a different issue, already in hand. That parent may well go to prison if the other one pushes for it, for the courts frown on that behavior. But if that happened, even such an order most probably will not release the child from his or her frozen mental state, might even make it worse (“So you put my Dad/Mom in prison? I HATE you”), and therapy will still be needed. Please, do everyone, and your child, a favor.

Drugs from Canada

Posted in Links to medical sites

Just got off the phone with a customs official at LAX, trying to get my Pradaxa delivered to me from a Canadian pharmacy. Pradaxa is a blood-thinning drug which has largely replaced Warfarin (Coumadin). Made by a Swiss firm, it is hugely expensive in the U.S. The drug is marketed in Canada under the name Pradax, and is half the price.

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Not Yet Time To Go

Posted in Links to medical sites

It’s been "time out" for me for a while, I’m afraid.  After my heart attack almost a year ago, I’ve been medicated and exercised and dieted and monitored within an inch of my life, and then unexpectedly went into atrial fibrillation, fortunately while I was under observation at the hospital.

A short trip to the ER, a few days to settle down while blood clotting problems were dealt with, and then a pacemaker was installed, on this date, December 13. Another tentative Christmas to look forward to.

I feel better now.  A twice daily cocktail of strange looking pills, daily walks, and the knowledge that the blood flowing in my veins has been watered down with Cumadin. aka Warfarin, which in case you didn’t know, is used to kill rats. No comment.  Please!

I wish they’d installed a GPS along with the pace-maker. Then I’d feel comforted, knowing I’d never get lost. And maybe, come to think of it, an iPhone.  . . All kinds of junk would fit in there.

MEDICAL SITES

Posted in Links to medical sites

O.K., so lawyers hate me. Now perhaps some doctors will hate me too, because I am going to recommend things connected to your health, yes major things, where I believe a patient may do better than just asking your regular M.D. for advice.
HERNIAS
First off, I have had 4 hernia operations. The first was in New York in the early sixties, and I was startled to find that there seemed to be no settled method to surgically fix these things. Some do it in the office with a local anesthetic, some put you in the hospital, and they all sound very sincere and expert in their opinions. I auditioned for a doctor then, and wound up with a Dr. Lazarus (!), and he put me a hospital room next to the old Madison Square Gardens, the same room where Rudolph Valentino died. He did his thing, and, well, I didn’t die, but the operation failed.
Next, the other side popped when I was living in Dublin, Ireland. I had that fixed by Dublin’s top surgeon. That failed too.
It seemed to me that hernias were problems for a specialist, and the trouble is many doctors fancy they have the ability to make the effort and a quick buck at the same time. Then I found a place where the surgeons do nothing else all day, up in Canada.
Both of these hernia operations were repaired for (so far) ever, guaranteed not to fail again or a free re-do, and I’m more than happy to give them a plug here. The Shouldice has you up and walking immediately, and normally out of there within three days. But let them speak for themselves.
Shouldice
There, that’s all they do, and have done since the second world war, which started them off. You will find that their price, plus the cost of airfare (it’s just outside Toronto) will beat any hernia price down here in the States.
MEDICAL TREATMENT PLUS A VACATION!
Now this is worth considering. If you have some pending expensive elective surgery, and especially if you have no insurance like me (other than Medicare), think about a location trip to Bangkok, and an appointment with the folks at Bumrungrad Hospital.
No, haven’t done this yet, but it could be next on my agenda. And I hear their cost is about one eighth what it is here in the U.S. of A.
Check out their website:
Bumrungrad Hospital