Archive for the ‘Uncategorized’ Category

A Pre-Emptive Subtotal Colectomy?

November 27, 2024

3 different doctors told us my wife’s colon needed to be removed. This ongoing ordeal began last spring when she sent a fecal sample to Cologuard, a company that advertises frequently since the medical establishment has become fixated on reducing deaths from colon cancer. The results found genetic markers suggesting my wife might have colon cancer. The doctor ordered a colonoscopy. This procedure entails sticking a camera up a person’s ass. The doctor also removes polyps to be biopsied, while they are looking for possible cancerous tumors. Doctors normally find 1 or 2 polyps in most people, and most polyps are not cancerous. The doctor found hundreds of polyps in my wife’s colon–too many to remove at once because there would be an increased risk of perforating the intestinal wall. None of the polyps they removed or looked at were cancerous, but the gastroenterologist called them “pre-cancerous,” and he told us there was a “100% chance” she would develop colon cancer. He told us her colon should be removed.

My wife has hundreds of pre-cancerous polyps in her colon. Doctors want to remove her colon because they can’t biopsy them all.

I researched the subject before we decided to follow the doctor’s orders. It didn’t make sense to me that doctors would want to perform such a drastic procedure when they didn’t even find cancer. The average age of a person developing colon cancer is 71, and my wife is only 61. Why go through such an invasive operation before she might even get sick? Serious surgery could make her get sick when she wasn’t sick prior to the operation. I could find no studies that show pre-emptive colectomies (the term for colon removal) decreased mortality rates. Her surgeon later explained to me this data didn’t exist because most people get colectomies when their doctors tell them they need it. I also researched colon cancer, and it is scary. Colon cancer can spread to other organs and cause people to sicken and die within a few years. We consulted with our family doctor, and he concurred with the gastroenterologist. He explained the colon is located so near the liver that cancer could easily spread to this organ. My wife decided to have the operation based on our family doctor’s concurrence, and I didn’t object. Though I am skeptical, I’m not a doctor and I defer to their expertise. If I had this issue, I wouldn’t go through all this medical torture and would be content to take a dirt nap when my body naturally failed me, but I can understand why people fear death. Besides, what if I influenced her not to have the procedure, then she developed colon cancer? How would we feel about that decision? The regret might poison our relationship, and I might become wracked with guilt.

We went to meet the gastro-intestinal surgeon, and he agreed with the other 2 doctors, but he wanted to perform a colonoscopy himself, so he could determine what kind of colectomy would be best. If pre-cancerous polyps were found throughout the entire colon, he would remove it completely, and she would have to wear a plastic bag that collected her waste. Fortunately, he found no pre-cancerous polyps in her rectum and the bottom part of her colon, and he determined he would be able to perform a bowel resection–a procedure that involves connecting the small intestine with the remaining part of the colon. Nobody wants to wear a bag of shit, if it can be avoided.

This is the surgery my wife is going to have. The hospital estimates the cost will be $64,000, but our insurance company is going to cover it entirely. The insurance company isn’t going to pay anything close to $64,000, but if we didn’t have insurance, we would receive the bill in its entirety. What a bunch of crooks.

This is what the surgery looks like. I hope I didn’t ruin your appetite for Thanksgiving dinner.

We scheduled the surgery. It is officially called a hand assisted laparoscopic subtotal colectomy. A laparoscope is used, so they don’t have to make a large incision. Instead, the surgeon makes a smaller incision and inserts a camera that allows him to work without opening her up all the way. A urologist will also perform a procedure to prevent her urethra from being damaged during the surgery. The surgeon will remove most of her colon and suture her small intestine to her remaining colon, probably using absorbable sutures made from polyglycolic acid. The surgery will take 3-4 hours, and my wife will have to stay in the hospital for 3-5 days. The suture between the intestines is known as an anastomosis. The most common complication is leakage at the anastomosis. She won’t be allowed to leave the hospital until she has a bowel movement that proves the surgery was successful, but the opiate pain killers they give her will shut down her digestive system. They will administer additional drugs that will counter this side effect.

The first successful bowel resection was performed by Jean Reybard during 1825, but the Paris Academy of Medicine condemned the risky operation. Until the late 19th century, patients with intestinal injuries were left to die (given up to God, as they referred to it), but with the widespread use of anesthesia, medical science advanced. The surgeon rates my wife’s prognosis as good. Without the procedure he rates her prognosis as “unknown.”

We met a pre-op nurse who gave instructions along with a bag of special Ensure drinks to build up my wife’s immune system a week before the surgery. The nurse seemed a little too delighted. She was thorough, but her syrupy attitude struck me as oddly enthusiastic. It made me wonder what she’s really like at home. The crazy nurse from Stephen King’s novel, Misery, maybe? We have to be at the hospital at 6 am the day before the surgery, so the doctor can mark the spot of the anastomosis with a dye. This requires yet another colonoscopy. The day of the surgery we have to be there at 5 am–literally a nightmare. I’m an old man, and I hate driving in the dark. The sugary nurse told us we couldn’t bring a futon for me to sleep upon, but I am going to try to break that rule. If I have to sleep on a chair for 3 nights, I will be furious. I’m putting this blog on hiatus until next year. Going through this ordeal is going to be all consuming, and I don’t feel like working on it.

Hurricane Helene Knocked Me off the Internet for 2 Weeks

October 17, 2024

Hurricane Helene left >90% of Augusta, Georgia without power including me. Ironically, in my last blog post before the storm, I mentioned it was a below average hurricane season. Maybe the God of irony was punishing me.

I awoke at 4:12 am on September 26th to take a leak and noticed the power was out. It sounded like a freight train outside, and I could hear sticks and tree limbs striking the house relentlessly. The racket prevented me from falling back asleep. I lit a candle, little knowing how long I was going to have to keep it burning. At the time I was hoping the power would be restored by 5:00 pm that evening because every Friday I enjoy getting drunk and stoned while listening to music on my Alexa. I did not know we would be without power for more than 132.5 hours, breaking the 2014 record 5-day power outage at my house caused by an ice storm. I did realize power was going to be out for some time when later that day we went for a drive around town. There were uprooted hardwood trees everywhere, and many pine trees were broken in half. Fallen trees rested on numerous houses. There were no working traffic lights. (Drivers are supposed to treat these as 4-way stops, but most people don’t know this, and I nearly got into several traffic accidents.) Abandoned cars were left throughout the area because there were few open gas stations, and they had run out of gas. The few gas stations that were open had lines a quarter mile long. Many panicked citizens were filling up gas cans for their generators. Power lines were also down all over the place, and fallen trees blocked some roads. We found a Publix supermarket that was open, and we bought a few things we thought we needed. We stayed in line for over an hour. We bought staples, but I was surprised how much junk food people were purchasing.

Some roads in Augusta were blocked for days by fallen debris.

This power line dangled hazardously on this busy road for days.

It’s still humid during early October in Augusta and with no air conditioning or ceiling fans, we sat and sweated. I did have a battery-operated CD player with a radio that picked up a few stations. I got tired of NPR and their “balanced” coverage of the Arab-Israeli conflict when they give equal coverage to Jew-killing terrorists, and the Jewish victims of that terrorism. It didn’t pick up any sports stations, and we couldn’t listen to football games. Being without television and internet was boring. I hated washing dishes with cold water in the dark. We did not have a good flashlight, and I broke some dishes because I could not see, missed the counter, and dropped them on the floor. A stack of dirty laundry stunk up the house. My wife handwashed some of her panties, and I hung them to dry. We tried some uncomfortably cold showers, but mostly we relied on bird baths. The experience totally sucked. Finally, power was restored over five and a half days later, but it took over a week for Xfinity to restore our internet–about 7 days longer than I thought it would. Luckily, when I signed up for Xfinity internet service, I rejected their deal to switch to cable tv or I would have had no television for another week as well. I’m glad I stayed with DirectTV which was available as soon as we got power restored. That was the longest period of time I went without internet since October of 1997 when I bought our first computer.

A pile of dirty clothes stunk up the darkened house.

I didn’t lose any weight during our ordeal. I had leftover baked chicken, coleslaw and rolls prepared ahead of time, so I wouldn’t have to cook during weekend football games. I bought 1 of the last bags of ice from the corner convenience store and put it in the freezer. I moved food from the refrigerator to the freezer and that kept food cool for 2 days, like with an old-fashioned ice box. On Sunday my neighbor let me use his outdoor propane stove to fry fish and hushpuppies, and I saved the only meat left in my freezer from spoiling. We went to the local community center on a whim and discovered a working electrical outlet where we could charge our cell phones. I used an electric skillet here to make pancakes and bacon. Another supper consisted of canned soups cooked on a chafing dish. We also ate a lot of cheese and peanut butter on bread and bagels.

Potato pancakes, tomato salad, and delicata squash. This was the first meal I made after power was restored. The local grocery store didn’t have any fresh meats, dairy products, or lettuce. I only lost about $15 worth of food–a fairly new jar of Hellman’s mayo, a carton of eggs, and some partly used exotic soft cheeses. I didn’t throw out the hard cheeses, and they seemed ok.

The federal government’s response was impressive, contrary to what some ignorant naysayers claim. The army was handing out MRE’s, bags of ice, and big bottles of water, though we didn’t need them. One of my daughter’s co-workers’ lived in a house destroyed by a fallen tree. FEMA provided them with housing in 3 days.

A weird thing happened to me the Friday night after the hurricane. I have a great CD collection that collects dust, since I began listening to music on the internet. As is my tradition, I listened to music while I drank a bottle of wine and enjoyed a THC edible. I rediscovered the James Gang’s Greatest Hits, Elton John’s Honky Chateau album, and I educated my wife and daughter about how Abbey Road by the Beatles should be listened to in its entirety. After they went to the bed, I sat at the kitchen table (as I do every Friday night) and continued to listen to music by candlelight. I got up to take a leak in the bathroom on the opposite side of the house from where my wife was sleeping. It was pitch dark, and I was so stoned, I forgot where I was. I called out to my wife, so I could figure out where I was, but she was asleep and couldn’t hear me. I suddenly began to think I had died and gone to a different dimension. I tried to relax and accept my fate, though I worried what my daughter and disabled wife would do without me. I felt along the wall and kept going until I saw the faint candlelight on the kitchen table, much to my relief. I was not dead after all.

I got drunk and stoned by candlelight. I went to take a leak and got lost in my house.

My Experience with Sildenafil

July 18, 2024

I’m writing this article for fellow old men over the age of 55 years old who are experiencing erectile disfunction and are considering the option of getting a prescription for a boner pill.

I always had a reliable erection since well before puberty, and I rarely had a problem performing in the bedroom. Throughout my late 50’s, I noticed a decline in the frequency of my erections, but I still could have successful performances when needed. I used to joke that old people sex wasn’t as good as young people sex, but it was better than no sex at all. My partner (my wife) and I have enjoyed lovemaking twice a week for decades. I long realized I wasn’t the stud I used to be, but I was satisfied with my sex drive for my age. About 6 weeks before my 62nd birthday, I began having a hard time sustaining an erection. I could get an erection, but it wouldn’t stay hard enough for long enough. Sometimes, I would lose my erection in the middle of intercourse. That was not satisfactory. We would then try mutual masturbation, and sometimes I would ejaculate without even getting hard. That was definitely not satisfactory. I began researching boner pills, now constantly promoted on television advertisements.

Being able to have a reliable erection is important for a man’s psychological well-being. I wouldn’t go to the doctor if I had cancer, but I went to the doctor to get a prescription for a boner pill. I like this song, “Shut up, I have an erection,” because it illustrates the importance of an erection for a man.

I take the generic sildenafil. It’s white and round. The original was blue and diamond-shaped and much more expensive.

About 30 years ago, scientists were working on developing a new medication to treat high blood pressure and chest pain. They invented sildenafil, a drug in the class of phosphodiesterase-5 inhibitors. Ph-5 is an enzyme that prevents men from having constant erections. Researchers discovered 1 of the side effects of taking this medication was improved blood flow to the penis. A slightly altered form of sildenafil is used for treating high blood pressure, but the drug company realized the market for treating erectile disfunction was potentially much more lucrative because there already were many blood pressure medicines but nothing for treating erectile disfunction. The FDA approved sildenafil (known as Viagra) in 1998. Several other PH-5 drugs have been approved since including tadafil (Cialis), avanfil (Stendra), and vardafil (Lenitra). Studies show these drugs work better than placebos by a statistically significant margin, though men taking placebos often respond positively as well, showing erectile disfunction can be a psychological issue. Another study found no evidence men develop a tolerance for these drugs and need ever higher dosages, so they are not physically addicting like heroin.

I was concerned some evidence suggests these types of drugs can cause vision problems. A study of 213,000 health insurance claims found men who regularly took boner pills were almost twice as likely to develop vision problems. A case study was published of 17 men who took boner pills for the first time and experienced vision problems that lasted for as long as 3 weeks. Men who take these medications were twice as likely to suffer retinal detachment and 44% more likely to experience ocular vascular occlusions. High risk groups include people with high blood pressure, men who have low blood pressure when they sleep, and men who inherit the risk of getting retinal pigmentosa. Men who suffered heart attacks were 10 times more likely to develop vision problems. I decided to take the risk because it was small, and going blind wouldn’t be the end of the world. I planned to learn how to play the xylophone and figure out how to do housework while blind, if I did become sightless. I made an appointment with my doctor’s physician’s assistant because she could see me sooner than my doctor. When I made the appointment the secretary told me the physician’s assistant was a woman, and I had to assure her this wouldn’t bother me. I wanted to try the drug, but I wasn’t going to order a medicine this important from some dodgy online source. The physician’s assistant gave me a perfunctory exam and classified it as a wellness visit, so the insurance company would pay for it. I described my condition in detail, and she told me it was not unusual for a 61-year-old man to experience erectile disfunction. She prescribed 100 milligrams a day of sildenafil, but suggested I take half a pill (50 milligrams). The generic pills are cheap–$1.25 each–and are definitely worth the price.

I’m very careful when taking drugs, and I take 50 milligrams before lunch on Wednesdays and 25 milligrams on Sunday mornings when I awake. (My partner and I have had a regular twice a week schedule for decades–Wednesday afternoons and Sunday mornings.) I respond well to sildenafil. I start to feel it working after about 15 minutes. All I have to do is think about something sexy, and I have an erection that lasts as long as needed. For some time before I started taking sildenafil, I wondered whether I was simply tired of my partner. We’d made love ~3,148 times, and I thought maybe I just couldn’t keep it up for the 3,149th time. I can now banish that thought. When I have a strong sildenafil-induced erection my partner seems more desirable. The drug exceeded my expectations. I only wanted to turn the clock back by a couple of months, but now I can screw like a 30-year-old porn star. The refractory period is shorter. I can get a 2nd erection after resting for 15 minutes or so, though it is harder to ejaculate–I’m still a 62-year-old man. I’ve experienced no failures so far and have taken the pill over 20 times. However, my partner knows I can perform better, and she expects more from me. She’s a very demanding woman.

Side effects are minimal. My vision does get a little shady with a bluish tint, but nothing close to an impairment. I get a little congested–a side effect I also experience when starting to drink wine. I feel like I need to burp a little–pretty mild, if a person considers this indigestion. None of these symptoms last more than an hour or two.

The last time I made love before I began the medication, I had a successful performance, and I wanted to try unmedicated sex before writing this article. This didn’t happen because I saw no reason not to bring my A-game with boner pills still in my medicine cabinet. I’m going to keep this prescription filled for the rest of my life. I noticed many years ago that I also had better performances when I was hungover after a night of binge drinking, and I wonder if alcohol withdrawal creates a similar biochemical response as a PH-5 inhibitor.

I’m too lazy this week to add a reference section to this article, but there are dozens of studies about PH-5 inhibitors that are easily found and accessible online with a simple google search.

A Short Biography of Dr. Arthur Gelbart Chapter 1

January 24, 2024

A History of Dr. Arthur Gelbart’s Ancestors

Dr. Arthur Gelbart (1930-2014) was an Ashkenazi Jew born in the small town of Buczacz (pronounced Buchach) when it belonged to Poland. Today, Buczacz is in the Ukraine. Genetic studies of Ashkenazi Jews are contradictory, but the best study that used the largest sample size suggests they are an admixture of Middle Eastern Jewish men and southern Italian women. As early as 400 BC Jewish merchants began traveling around the world. They were seeking better economic opportunities than could be found in the kingdom of Judea which was repeatedly overrun and destroyed by expanding empires. Though Judea achieved some measure of independence for a while, the expansion of the Roman empire ended the existence of the Jewish state for almost 2000 years. The Romans ethnically cleansed Judea beginning in the year 37 AD when King Herod, a Jewish puppet of the Romans, conquered Jerusalem and exiled thousands of Jews throughout the Roman Empire. 

After King Herod’s death the Romans made Judea a province of Rome. The Jews rebelled from 66 AD-73 AD, but the rebellion was crushed, and Jewish men were enslaved and distributed throughout the Roman Empire. According to the Jewish historian, Josephus, 97,000 Jews were removed from Judea and enslaved. The Bar Kohba rebellion (132 AD-136 AD), an even more brutal uprising, was also crushed and more Jews were enslaved and exiled throughout the Roman Empire. Crusaders who invaded the region in 1096 AD produced more Jewish refugees from the remnant population of Jews.

Evidentially, Jewish merchants and freed Jewish slaves married southern Italian women and converted them to Judaism. The genetic evidence is an ironic twist because in Jewish tradition there is the belief a person isn’t Jewish unless their matrilineal line of descent is Jewish. There may have been a shortage of Roman men during this time period because so many Roman soldiers were killed or away on duty when the Roman Empire battled across Europe, North Africa, and Persia.

Ashkenazi Jews left Italy during the 9th century and settled in the southern Rhine valley region of what is now Germany where they developed the Yiddish language–a combination of Hebrew and medieval German. Many were merchants and skilled artisans, and the nobility, large landowners who used peasant labor, wanted Jews on their estates to improve local economies. Whenever economic times turned bad, the nobility often used Jews as scapegoats and unleashed ignorant peasants on them. Jews were forced to escape the wrath of the superstitious peasants who viewed them as nefarious outsiders. Throughout history, many Jewish communities were destroyed, long before the holocaust took place. A majority of the world’s population still holds an irrational hatred of Jews today. Most of the world still thinks it is a war crime when a Jew defends himself. 

The Catholic Church and their royal allies forced Jews to leave England, Germany, France, and Spain during the Middle Ages, but King Casomir of Poland invited Jews into Poland during 1343. The Polish nobility were seeking a boost to their local economies. Many countries did not allow Jews to own land, but by the 19th century, they could own land in Poland. By then an estimated 80% of the world’s Jewish population lived there. I can trace Dr. Arthur Gelbart’s ancestry back to some of his great grandparents–Osias Gelbart (1850-1913) and Nettie Gelbart (1845-1936). Dr. Arthur Gelbart’s grandfather, Markus Gelbart (1866-1943), was a farmer who raised bees and made mead from the honey his hives produced. He made his living selling mead delivered from his horse and buggy to taverns. He was a judge of local disputes, and his word was respected. He was also a famous poet, and the emperor of the Austro-Hungarian Empire, Franz Josef, invited him to recite his poetry at the royal court. (During this time period Poland was part of the Austro-Hungarian Empire.) Markus married Nettie Shneier, an orphan, and they had 6 children. She was an older woman with the same first name as his mother. Markus and Nettie were killed by the Nazis in 1943. I am his namesake.

Photo of Markus Gelbart, one of Dr. Arthur Gelbart’s grandfathers.I am named after him.He bears a striking resemblance to Arthur Gelbart.

Isador Gelbart (1899-1983), Dr. Arthur Gelbart’s father, was the 6th and youngest child of Markus and Nettie Gelbart. He was born in Zaleszczyki when it was part of the Austro-Hungarian Empire. Markus Gelbart couldn’t decide what kind of career Isador should have because his youngest son was physically small, and the kind of farm labor Markus performed was too difficult for him. Then, World War I raged across Europe, and the Austro-Hungarian Empire allied with Germany against France, England, and Russia. It’s unclear whether Isador enlisted or was drafted into the Austro-Hungarian Army, but he was in the cavalry by the age of 16 or 17, and he seemed to be headed for a career in the military. He recounted 3 incidents about his experience in the war. On 1 occasion he blundered and rode his horse behind enemy lines by accident. Instead of shooting or capturing him, an enemy officer turned Isador’s horse around and sent him in the right direction with a good kick on the horse’s hindquarters. On another occasion Isador found himself pointing his rifle at an enemy soldier at point blank range, while the other soldier held him at gunpoint as well. But neither soldier could pull the trigger. For some reason they could not fire, and they just stared at each other. Finally, Isador’s commander shot the other man in the leg, and they captured him. By astonishing coincidence, Isador met this same man many years after the war, and they became good friends.

Isador was promoted to captain, but the war ended the following day. At the time Isador considered this a great tragedy and contemplated suicide. However, he recovered and opened a shoe store in Buczacz, Poland that he managed until World War II. He married Regina Klarreich (1900-1985) and had 2 sons–Josef and Arthur.

Isador saved his immediate family during the Holocaust but lost his parents and all his surviving siblings including a brother and 2 sisters (2 older brothers died long before the war). The details of how Isador saved his family are the subject of a later chapter. After World War II the U.S. Army appointed Isador as a civilian administrative official in Germany. Despite losing most of his family to the Nazis, he protected former Nazis from vigilantes who wanted revenge. This put his own life in danger, so he quit this job. The C.I.A tried to recruit Isador as a spy. They wanted to drop him behind Russian lines using a parachute, but he declined this job opportunity. Instead, he moved to Germany where he met his 2nd wife–Elsa. (His divorce from Regina is also the subject of a future chapter.) He worked during the day and went to school at night and became a lawyer at the age of 60. He owned an apartment in Munich and a vacation home in Switzerland. He died in Lugano, Switzerland at the age of 84.

Isador Gelbart (2nd from the left) with his grandchildren (Susan, Elizabeth, and Mark) along with Dr. Arthur Gelbart.This photo was taken about 3 years before his death.

Regina Klarreich Gelbart was born in Nadvorna, now part of the Ukraine. Her parents were Samuel Klarreich and Henie Krenmitzer Klarreich. She was a generous woman who invited homeless bums over for every Shabbas dinner. She prodded Arthur to invite them back for the following week’s Shabbas dinner after they finished eating. As a young child, Arthur found them disgusting and smelly with snot stuck in their long beards. Nevertheless, he always followed his mother’s orders and invited the poor men to return on the next Friday night. Regina was an excellent cook and often made chicken soup, chopped chicken liver, fish court bullion, and meatballs in brown gravy.

Regina Klarreich Gelbart.She was a generous woman who fed homeless bums.

Regina had relatives living in the U.S. and was determined to leave Europe after the Holocaust. After the war she separated from Isador, but they reconciled. However, the reconciliation was short-lived, as I will discuss in a later chapter. Regina and Arthur moved to the U.S. during 1947, while Isador and Josef stayed in Germany. Regina and Arthur settled in the Bronx borough of New York City where she worked as a restaurant cashier. She was a tough old lady living in a bad neighborhood and often had to play tug of war with her purse in the apartment elevator. During 1972 a Puerto Rican teenager stabbed her and shoved her down a flight of stairs. Following this incident, Arthur moved her to a condominium in Hallandale, Florida where she lived out the rest of her life. She died on a bus ride to the store in 1985. She never learned how to drive a car.

References:

Boher, D. et. al.

“The Matrilineal Ancestry of Ashkenazi Jews: Portrait of a Recent Founder Event”

American Journal of Human Genetics 78 (3) 2006

Costa, M. et. al.

“A Substantial Prehistoric European Ancestry Amongst Ashkenazi Maternal Lineages”

Nature Communications October 2013

Gelbart, Isador Personal Papers

Nobol, A. et. al.

“Y Chromosome Evidence for a Founder Effect in the Ashkenazi Jews”

European Journal of Human Genetics 13 2005

Potok, Chaim

Wanderings: A History of the Jews

Fawcett Publications 1978

Excerpts from my Memoirs, The Living Crutch: My Life as a Long Time Caregiver Chapter 7

October 19, 2023

Culture Shock

I experienced culture shock when we moved from Niles, Ohio to Athens, Georgia. Before moving to the deep south my experience with the racial divide in this country was nil. As I noted earlier, Niles was a sundowner town until 1924. In the school I attended including kindergarten through 9th grade, there was 1 black child. There were more black people on the other side of town, but they literally lived on the other side of the tracks. The schools I attended in Athens, Georgia were maybe 30%-40% black. Though integrated for about 10 years, black kids and white kids did not sit next to each other in the cafeteria. This surprised me, and I could not understand why there was so little social interaction between whites and blacks. (This was during the mid-1970s. I know the situation is much better now in most Georgia schools.) During daily gym class when the gym teacher didn’t have a lesson plan, gym was more like recess. The white kids played soccer and the black kids played football or basketball. They didn’t even play together, though on 1 occasion the leaders of the white kids proposed a “salt vs pepper” rugby match with the leaders of the black kids. When informed of the potential for violent racial interaction, the gym teacher put a stop to it.

I could understand the southern accents spoken by the white kids, but I could not understand a single word the black kids were saying. It was like a foreign language to me. Nearly 50 years later, I now understand this language, partly through experience and partly because regional language differences are disappearing. Dialects are becoming more homogenized due to television and movies. I found certain phrases interesting. A common phrase was “I’m going to hit you upside the head.” I’m not sure exactly where “upside” is. Instead of saying, “I’m going to put the book away,” they would say, “I’m going to put that book up.” Also, in the south they don’t say, “I’m about to go to work.” They say, “I’m fixing to go to work.” My sisters were speaking southern dialect within weeks, but I never imitated it. To this day, I encounter people who think I talk funny. They think I have an English accent.

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The natural history of Georgia was quite different as well. In Ohio oak trees prevailed. Most of Georgia’s landscapes consisted of abandoned cotton fields that by the 1970’s became 2nd growth pine forests. Originally, Georgia’s piedmont hosted oak, hickory, and pine, but when we lived in Athens our neighborhood was almost entirely pine. Oak woodlands were so rare that a UGA botany professor who lived a few doors down from us, specifically picked his house because it sat in the middle of a stand of pure oaks.

There was a beautiful pond within walking distance of our house. I believe it was manmade, but the outlet was a pretty little waterfall that led to a chain of beaver ponds nestled in a bottomland hardwood forest. It looked like wilderness. There were centuries old oaks on the edge of the pond. I went fishing with my friend from Texas, Mike Scott, every Saturday. He was my best friend during this time period and lived next door. Like most Texans, he was obsessed with guns and went around shooting birds with his pellet gun, even after his father warned him not to shoot songbirds. His father was a soil conservationist who worked for UGA. We almost never caught anything. So, when I caught an enormous catfish but lost it on the string I put it on, nobody believed us when we told them we caught a huge catfish. Another time, we were about to give up and leave, and as a joke Mike cast an unbaited hook with his back turned to the pond. He caught a crappie.

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There was 1 thing in common between northeast Ohio and the Deep South–football. The Niles Red Dragons high school football team had a 43-game unbeaten streak between 1959-1963 and still fielded good teams during the late 1960s and early 1970s when we watched them play. Football was so important the steel factory town of Niles had a stadium that seated 12,000 when the population of the whole town was 19,000. I decided to become a Georgia Bulldog fan when I learned we were moving to Georgia in late 1975. The first game I watched as a Georgia Bulldog fan was when Georgia scored 42 unanswered points in the first half against Georgia Tech. For a football fan that is a pretty good start. I attended several games during the 1976 SEC championship year. As a staff physician for the students, my father got free tickets and was busy during some of the game treating passed out drunks and old fat fans who suffered heart attacks from the excitement. The roar of 60,000 fans was awesome, though not as loud as today since the stadium now seats 90,000. Sanford Stadium had not yet been enclosed, and southern hippies sat on railroad tracks on a hill overlooking the field where they smoked pot and drank beer during the game. I listened to road games on the radio and learned to like the late Larry Munson who had a different style than the radio announcer of the Niles Red Dragons. Football was important in Ohio, but I’m not sure it is such a religion as it is in the Deep South.

Hippies sat on the railroad tracks watching Georgia games before Sanford Stadium was enclosed.

Excerpts from my Memoirs, The Living Crutch: My Life as a Long Time Caregiver Chapter 6

October 12, 2023

My Earliest Memories

“It’s a girl.”

“It’s a boy.”

“It’s a girl.”

“It’s a boy.”

The story of my life begins the day my mother brought my youngest sister home from the hospital in November of 1965. I was 3 and a half, and I have no memories of any events that happened before this month. Doctors didn’t use sonograms to determine the sex of the baby in advance back then, and my sister, Susan, and I were arguing over whether it was going to be a girl or a boy. I wanted a baby brother, and she wanted a baby sister. I don’t remember why having a baby brother was so important to me–I was just little kid. Susan was 2. My mom’s mother, Grandma Ruth, was taking care of us. The phone rang.

“It’s a girl,” my grandmother reported.

I refused to believe I could be wrong.

“It’s a boy.”

“It’s a girl.”

“It’s a boy.”

“It’s a girl.”

It didn’t matter in the end. My sisters and I played together amiably on the floor above my dad’s doctor’s office located on busy Robbin’s Avenue in Niles, Ohio. Early pictures of me look like the person taking the photo could barely make me hold still because it appears as if I’m about to take off running. My dad’s office was an old home built in 1909 and previously owned by another physician. It was a really nice place for young children to play. There were outdoor stairs leading to a fenced-in backyard where fruit trees grew–a leaning summer apple, 2 Italian prune plums, a Bartlett Pear, a cherry, and a concord grape vine. I swung on monkey bars and climbed the leaning apple tree. A patch of clover grew in the yard. One day, a goofy older kid who lived nearby showed me how to catch honeybees by the wings without getting stung. I mastered this skill quickly but wondered what would happen if I picked one up by the stinger. The bee stung my thumb, and I cried all the way up the stairs and told my mom, “Alfie said it wouldn’t sting me, if I picked it up by the feathers.” Ha. I knew how to shift blame at the age of 4 or 5.

On the back deck we watched fireworks and ate homemade ice cream on July 4th. My mother’s parents visited on this holiday. My grandfather, Hinton Bailey, was a nice hardworking man, a foreman at a machine shop that made excavators. I convinced him to pick me up and put me on a flat part of the roof. I wanted to look over the edge 2 stories down. I promised not to walk over there but of course I did. I think I got him into trouble with my mom when I did walk to the edge and peeked down. I didn’t stay long but I freaked out my mom. I don’t recall my mom ever being irritated with her father, except for this incident. I could be a little devil even at this young age. Life got revenge when I was teaching my daughter to drive, but that’s a subject for a later chapter.

The inside of the home was nice too. I remember the red carpet, the old-fashioned radiators, and the incinerator in the basement. Wintertime weather in Niles was harsh–cold and short days, and during the mid-20th century there was snow on the ground until late March. Deep snows fell every once in a while, and school closed when snowfall became 3 feet deep. The top layer would melt during the day and turn to ice overnight. The next day, walking through snow with a top layer of ice was tough. It scraped ankles and hurt. The snow was pretty at first, but northeast Ohio was so polluted then it didn’t take long for it to turn into an ugly black slush. We stayed inside longer during winter. We opened the back window and threw stale bread on the flat deck-like roof and watched black birds eat. Perhaps this sparked my interest in natural history.

This is a photo of my sisters and I when I was 4. My mom was trying to take a nice picture of us, and I was not cooperating. If I remember correctly, I was faking a sneeze in this shot.

My father’s practice was successful and lucrative, and it grew rapidly. By 1970 he moved us into a newer nicer house on Hogarth Avenue. When he began his practice in 1963 he made house calls for $5. My 6th grade teacher, Mr. Rock, didn’t believe me when I contradicted him and informed him that my dad still made house calls. He wrongly claimed doctors didn’t make house calls any more. Some of my dad’s patients couldn’t afford to pay him in cash, and they would give him bags of vegetables they grew in their gardens, including tomatoes, cucumbers, and beets. Once, a patient who hunted gave him a ring-necked pheasant. I know that kind of payment wouldn’t get through the modern medical bureaucracy. He took patients who did not have insurance, and many paid him back long after he sold his practice and moved to Georgia.

He worked long hours, often not returning home until after 9:00 pm. His secretaries irritated him because they would overbook. When I was little, he didn’t have much time to spend with me, and on Sunday when his office was closed, he’d want to watch football. I wanted to play instead, so once I tried to discourage him from watching the game when he came home from his rounds at the hospital, and I said, “the Cleveland Browns are losing 5-0.” I was about 5 years old, and I thought that was a big number. Every Friday night was Gomer Pyle and popcorn. We’d laugh together. He did spend more time with me when I was older.

My mom was raising 3 little kids by the time she was 27. This was not unusual during the baby boom era, but it is less common today. Today, people are getting married at a later age, and many women are career oriented. I was not a clingy preschooler and could entertain myself for long periods of time. After breakfast I would wander off to the playroom and stack blocks. Nevertheless, when I was eating a breakfast Poptart, my mom informed me I was to start nursery school. She made it sound exciting, but to be contrary I cried. The sole event I can remember from nursery school was when a couple of kids threw blocks at me causing some tears. Years later, these kids (Jerry Parise and John Mateo) became good friends, and we all laughed about the incident.

I began attending Washington Elementary in 1967. It was an ancient 3-story school building built of yellow brick in 1920 and situated on a big hill. Elementary classes were on the 2nd story, junior high was on the 3rd story; and kindergarten, the gym, cafeteria, and a few additional elementary and junior high classes were on the first floor. During fire drills loud bongs occasionally jolted me from my head to toes. Like all schools, it smelled like 300 kids’ butts. This was still the age of “duck and cover” paranoia about the threat of nuclear war, and there were signs inside the building indicating the school was a place of refuge in case of nuclear attack.

Political divisions are nothing new. On the day of the 1968 election the entire elementary class (and I mean every single kid from 1st grade to 6th grade) lined up on either the Nixon side or the Humphrey side, linked arms, and ran into the other side, while chanting the name of the President of their choice. I didn’t understand a thing about politics when I was 6, but I chose the Nixon side because I liked the name. Usually, we played kickball or football. Kickball is played just like baseball, except the big ball is rolled and kicked instead of a little ball pitched and hit with a bat. In 5th or 6th grade I became a member of “the undefeated team.” The undefeated team consisted of 6 kids who played football or kickball against the other 24 boys in the class, and we always won because we were more organized than they were. Originally, I was 1 of the other 25, but 1 day I got knocked down, and a member of my own team stepped on my leg. Harry Nidel, the leader of “the undefeated team” used this example to criticize the other team, and he told me to stand to the side where I could be their rooter. Eventually, they let me play on “the undefeated team,” and when they really wanted to embarrass the other team, they would hand the ball off to me on a sweep, and with their blocking I’d score a touchdown. In elementary school I happened to be the smallest kid in the class.

My best friend when I lived in Niles, Ohio was Jerry Parise. I still send him Christmas cards. In 1970 when we moved to our new house on Hogarth Avenue we lived 2 houses down from his family. He was a foot taller than me, and he could kill me in every sport except tennis and pie-eating. On hot summer days after tramping around town playing tennis or riding bikes, we’d go to my house, lay in front of the air conditioning vents, and read Mad Magazine. During fall and winter we’d play street football, complete with shoulder pads and helmets, against teams from other streets. Despite my small size, Jerry made me the center because he liked the way I snapped the ball. He played quarterback and was a big fan of Roger Staubach and the Dallas Cowboys. His older brother, Kenny, used to torment him. When Kenny played football with just Jerry and I, he would be the quarterback, and I would be matched up against Jerry. When I was on offense, Kenny would throw me the perfect pass, and I’d score a touchdown. But when Jerry was on offense, Kenny would throw the ball too high, too low, or too hard, so Jerry couldn’t catch it. This made Jerry so furious. Kenny went on to be the head football coach at every high school in Ashtabula, Ohio.

My father had a health scare in 1975 when he discovered he had malignant melanoma–a deadly form of skin cancer. He decided to take an easier job with less hours as a staff physician for the University of Georgia. I didn’t want to move and leave all my friends, especially Jerry who was like a brother to me, but we had a family vote, and I was outvoted 4-1. My father sold his practice and both houses, and we moved to Athens, Georgia where my father bought a house and had a tennis court constructed in the backyard. His fear that he didn’t have long to live was unfounded, unlike most people diagnosed with malignant melanoma. The cancer did spread to his small intestines, and he had to have a section of it removed a few years later, but that was the last time he ever had to cope with it.

A staff physician for college students was not a challenging enough career for my father. He complained all he ever saw were patients with the flu or VD. After less than 3 years he took a job as the medical director of the Georgia War Nursing Home and as a professor at the Medical College of Georgia, and we moved to Augusta, Georgia where I still live.

I have pleasant memories of Niles, Ohio. The kids and adults were for the most part friendly. I’d be curious to see what it looks like now that I am an adult, but I don’t like to travel. However, I looked at a satellite photo, and it appears to be a nothing little town. It’s also a bastion of Trump supporters. I think he gets close to 80% of the vote here. Until 1924 Niles was a sundowner town, meaning African Americans were not allowed to be in town after dark. This changed after a conflict between Italian and Irish Catholics against the KKK. The Catholics protested a KKK march, and it turned into a riot with running gun battles and fights with clubs and knives. The governor called the National Guard to quell the riot, and they stopped a trainload of hillbillies who were coming from West Virginia to reinforce the KKK. The Catholics asked black leaders from Youngstown for support and in return they were promised the right to buy property in the town, ending the sundowner policy. Niles has been integrated for 100 years, but they still overwhelmingly voted for a racist like Trump. This kills any urge I have to revisit the site of my earliest memories.

Excerpts from my Memoirs, The Living Crutch, My Life as a Long Time Caregiver Chapter 5

October 5, 2023

When Daphne Went to Grade School

A blonde-haired mother sat cross-legged on the floor, clinging to her 5-year-old child. She looked like she was about to cry. I felt the same way. It was the first day of school at Mcbean Elementary located right around the corner from our house. All the first-time students including 4 classes of kindergarteners had been herded into 1 room where some parents, like me, never before separated for any length of time from their child, waited for that dreaded moment. I kept reminding Daphne that I’d be there at the end of the school day to get her, so she wouldn’t feel as if I’d abandoned her in some cold institution full of strangers. We both had stiff upper lips when that moment came. I felt lousy leaving her as I walked through the busy hallways filled with teachers and more experienced children who knew where they were going, though I saw 1 young child sitting on the floor. Apparently, his parent left him at the front door, and he gave up trying to find his destination. He collapsed and cried. A teacher stopped to help him. Our separation wasn’t the worst. Another girl howled hysterically as she ran out of the school and after her mother’s car. I noticed this child repeated this performance every morning for at least 2 weeks, and I felt sorry for her mother who had to cope with such aberrant behavior.

I knew I needed to get used to the new situation–Daphne would be with strangers for the first time in our lives, but she needed to expand her horizons beyond mommy, daddy, grandma, and grandpa. She had no brothers or sisters or friends. Learning to socially interact with kids her own age was just as important as getting an education. Still, I didn’t like leaving her in the school room full of strangers. It was a traumatic experience for me, a delayed one that would have happened years earlier because our plan was for her to be placed in daycare had Anita and I been able to work. The night after the first day of school, Daphne seemed confused. She sat in the bathtub and kept repeating over and over, “we went to the wrong room.”

It didn’t take long for Daphne to blossom, and her kindergarten teacher, Ms. Blackwell, was delighted with her. They placed Daphne in a remedial class because before school started, they tested her knowledge, and she completely froze, unable to even tell them her name. But she surprised the teacher when she showed she already knew the alphabet. She loved school, and Ms. Blackwell enjoyed her enthusiasm. One evening, I was correcting her table manners, and I said, “we don’t want to do that, we want to be high class.” She said, “I don’t want to be high class, I want to be in Ms. Blackwell’s class.” Daphne breezed through kindergarten and the next 2 grades.

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“We’re releasing early,” Daphne’s 3rd grade teacher told me over the phone. I told her I’d be there in a few minutes. Her 3rd grade teacher was a curly brown-haired woman who assigned too much homework.

An ice storm struck in the middle of the school day, and the whole city of Augusta shuts down during ice storms. I left Anita in her lounge chair and told her I’d be right back. It was a 5-minute drive to McBean Elementary, and normally I’d be back in about 15 minutes. I put on my raincoat and hopped in my red Ford van. A fallen tree blocked Hephzibah McBean Road, but it was a short walk from there to the school. I parked the van on the side of the road and trudged past the blocked traffic while pellets of sleet bounced off my waterproof slicker. The skies were gray and the wind was cold. I entered the school parking lot and saw kids getting in school buses that had been called in early before the roads got too icy for normal passage.

I went inside the 1 story school building and headed down the hallway where Daphne’s room was located. I saw her head peeking outside the door, while her teacher stood in the hallway. Daphne was 1 of the last kids left in the class. I took her with me back to the van walking through worsening sleet. I turned the van around and encountered another fallen tree–this 1 blocking the way home. Now, I was concerned. I didn’t want to leave Anita alone for a long period of time. She couldn’t even go to the bathroom by herself. I turned the van around again and found I could drive around the other fallen tree. I took another route home but discovered a fallen tree blocking that way as well. I had to take a much longer route home–it took over an hour–and I was so worried we’d get stranded, and I’d be unable to help Anita. The thought of her being stuck in her lounge chair with no one to assist her made me sick with anxiety, and I knew she must have been worried about us too. (I didn’t bring our cellphone with me. It would have eased the anxiety.) Fortunately, the ice still melted when it hit pavement, and we finally made it home safe.

Anita was upset, but I explained the circumstances. She had called my mom who was about to brave the ice storm and drive across town to be with Anita during the emergency. Anita called her back to tell her we were fine. To this day being separated from Anita for any significant distance is a nightmare because she is so dependent upon me. I never drive more than a few miles away from her, so even if the car breaks down, I could jog home and be back in no time.

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By 3rd grade Daphne wanted to ride the bus to school, but I thought this was unnecessary because we lived right around the corner. I stood by this decision even after the ice storm. It took 2-3 minutes to drive to her school. Why should I anxiously wait at least 30 minutes for her bus to arrive? My decision was a tearful disappointment for Daphne, but I promised I’d let her ride the bus in 5th grade to get her ready for school bus riding in middle school. Hephzibah Middle School was a 20-minute drive and that would have been a great inconvenience to have to take her and pick her up every day. Though the bus ride to Mcbean Elementary School was short, I still waited anxiously every school day when Daphne was in 5th grade. I’ve always had separation anxiety. When I was a child my parents rarely went to parties, but when they did stay out late, I stayed awake in bed, imagining the worst, until they came home. Every time Daphne’s bus was 10 minutes late, I panicked and imagined Son of Sam had hijacked the bus. A few times she was an hour late, and I nearly had a heart attack. On one of these occasions the bus driver was turning around and backed into a transformer, knocking out everyone’s power in the neighborhood. I called the school and the principle assured me everyone was safe. Despite all this, I steadied my nerves for the longer bus rides from middle school the next year.

Sure as shit, on the first day of middle school, Daphne got on the wrong bus when she was leaving school. My blood pressure skyrocketed when she wasn’t on the bus as it drove by the house. A kid urgently shouted out the window, “Daphne never got on the bus.” I called the school, and the bus dispatcher’s office. All I heard in the background of the dispatcher’s office was confusion. A bus driver relayed over the radio, “a kindergarten kid doesn’t know where he lives and he’s crying for his mama.” They didn’t know which bus Daphne mistakenly boarded. I paced the floor in panic. Finally, a school bus driver called us and told me where to meet her. She had Daphne on board after meeting up with the bus driver from the wrong bus. Her name was Ms. Norton, and she became Daphne’s bus driver through middle school and for the first years of high school. She used candy to reward kids for good behavior, and she usually brought Daphne home at the exact time every day, easing my anxiety. If she was late, I knew the bus likely broke down. I could use Anita’s disability to avoid paying property taxes, but I do not. I want that money to go to school bus maintenance. School buses and school bus drivers are just as important as teachers.

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Daphne had perfect attendance throughout elementary school. She loved school so much, she never wanted to miss a single day. Fortunately, the few times she was sick enough to stay home from school, the illness occurred on the weekend. Near the end of 5th grade, we realized she would likely get an award for perfect attendance from kindergarten-5th grade. But on the first day of the last week of elementary school, she caught a stomach flu bug. She wanted to go to school, but she kept puking, and I didn’t let her. She didn’t like middle school and high school as much as elementary school, and occasionally played hooky. I never made her go to school, if she didn’t feel like it.

With every grade Daphne advanced, I was reminded of my life when I was her age. The next few chapters are my memories of my younger years.

Repurposing My Blog

September 4, 2023

I’ve decided to start publishing new material on my blog again. The ads are less intrusive than they were 4 months ago, though occasionally the WordPress monkeys still stick one in between paragraphs, much to my annoyance. I tried to contact them to see, if they would compensate me, but I discovered it is not possible. It isn’t like the Wizard of Oz. I pulled the curtain back, and there was no one there. I sent a letter and got a return to sender notice.

I can’t even contact the people who own WordPress. Incidentally, that is my Yiddish studies in the notebook underneath the letter.

I’ve been working on my memoirs all summer. The title is The Living Crutch: My Life as a Longtime Caregiver. I am no longer self-publishing my books, and I hope a literary agent who wants to promote me discovers my work. That is the main purpose of this blog now, but I still have an interest in natural history and will sometimes write articles on that subject too. Most of my blog, however, will be devoted to releasing excerpts of my memoirs.

During the pandemic, publishers and literary agents were inundated with submissions from bad amateur writers who wrote about their experiences in isolation. They begged people to stop. I think I am better than most, but I am not a celebrity, and I can understand why not many agents or publishers would believe in the potential of my memoirs. I think it is too much to ask for an agent or publisher to pick out my manuscript when they are tired of reading through a slush pile of shit all day. Besides, my printer doesn’t work, and paper and ink are expensive.

I first published this article in April of 2021, and it has 110 views. This is the last of my summer reruns. I’m repurposing my blog. Most future articles will be excerpts from my memoirs, but I will publish an occasional natural history article.

August 31, 2023

I first published this in December of 2020. It has 311 views.

August 24, 2023

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