Saturday, March 29, 2008

Off to Merrie Ol'

Tuesday morning, Dear Gentle Reader(s), is the date.  There might not be any postings for the next couple of weeks.

Be happy.  Be aware.

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Friday, March 21, 2008

5th Anniversary

Hie thee, Dear Gentle Reader(s), over to this column by Diana West over at the Townhall muckroom. She's my newest BFF (not really, she truly doesn't know I exist) of conservative pundits. She's the voice of reason and clear vision of the right. She's what Andrew Sullivan should be if he could only get a grip.



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Thursday, March 13, 2008

The Geraldine and Andrew Show

OK, Dear Gentle Reader(s), here are a couple of quotes for you.

This is what Geraldine Ferraro said to The Daily Breeze of Torrance, California, a few days ago: "If Obama was a white man, he would not be in this position," she continued. "And if he was a woman (of any color) he would not be in this position. He happens to be very lucky to be who he is. And the country is caught up in the concept."

Here is a quote from Andrew Sullivan's blog on the brouhaha which has arisen over the comment: My deeper point is that Obama's virtues as a politician - his ability to unite, his capacity for reason, his solid judgment and even temperament - have nothing to do with race at all...Of course, Obama's race is a salient issue. We're human.

Isn't it possible, DGR(s), that Mrs. Ferraro was speaking of the saliency of Senator Obama's race? It certainly doesn't necessarily follow that she's claiming race is Obama's only strong point. What race does for him is to offer an extra fillip to his other quite strong, and quite equally salient, points.

Sullivan, and those who choose to interpret Mrs. Ferraro negatively, do disservice to Obama's unique talents and the enhancement his mixed-race background give to those talents. That background was interesting enough to afford the senator some extra time to learn to hone his presentation into the effective campaign persona he has become.


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Tuesday, March 11, 2008

Piffle

Governor Spitzer should not resign.

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Monday, March 03, 2008

Brachy Chronicles 9--Laxatives, Metamucil, Suppositories, Oh, My!

Surely, Dear Gentle Reader(s), one hopes you never have to experience the "Don't Strain!" syndrome. Should it happen, though, there is good news.

From experience, one is able to say that a combination of suppositories and Metamucil will do nicely. As a matter of fact, the internal swelling seems to have reduced along with the regimen of bran flakes, bran drink, lots of cantaloupe, and, an occasional suppository.

The yuck factor might be high, but this is information which is not clearly available in post-op instructions. Would that it had been.

As a side note, should you ever have to have radiation seeds implanted, expect to note an occasional sensation of warmth. Doubtless that sensation is purely mental, but it's amusing to think that one feels the little buggers doing their job of burning away the bad cancer cells...how they do it without also burning away the good guys is unexplained--actually one suspects they simply burn away, willy-nilly, but what does one know?

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Wednesday, February 20, 2008

Brachy Chronicles 8--Don't Strain!

Available literature about what to expect after this procedure is rife with references to incontinence. For that, one is well prepared.

There were absolutely no references to constipation, except for the stressed: "Don't strain!"

Seems simple enough? Well, here's the problem: There is a virtually constant message to the brain caused, one supposes, by swelling, that constipation is present; and that message is saying, "Do something about this now!"

"Don't strain!" "Fix this now!" Repeated sans cessation. Aaaaugh!

One is ready for the occasional unplanned drip, as well as a deep red ejaculate.

Perhaps one wasn't warned about the "Don't strain"/"Fix this now" dilemma because there isn't any way to prepare?

No. That doesn't compute. A little prior knowledge, even a hint, might be enough to prevent a 2 a.m. panic.

n.b. One gains a more complete understanding of the various pressure points endured by pregnant women. (Mom, I didn't know. Sorry.)

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Thursday, February 14, 2008

Brachy Chronicles 7--Film at 11!


Hmmm. Those black slivers are the implants. 28 needles and 92 seeds.
The wonders of modern medicine. All done without cutting the skin.
Who woulda thunk?

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Brachy Chronicles 6--La Ronde

There's a song lyric which goes something like "everything old is new again."

The "wet spot" once again means something it meant before it meant what it meant a day ago. Alas. Sigh.

In the meantime it's spring-like in Palm Springs.



All's well when the jonquils will not be denied.

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Wednesday, February 13, 2008

Brachy Chronicles 5--Clippety Clop Clippety Clop

Ah, Dear Gentle Reader(s), there's a good deal of...um...er...voiding associated with brachy therapy. At 4:00 p.m. on the afternoon prior to the procedure, one is instructed to ingest 10 ounces of Citrate of Magnesium (n.b. It's a lot easier to take than the Milk of Magnesia my mother used to use with draconian mein, "I'm tired of standing here. DRINK IT! NOW!!!"). Then one waits.

A nurse said to expect results in 12 hours; it began to "work" in 8. It continued for 3. Oh, well. Consider the alternative.

The first stop at the pre-op room was a pleasant young woman who issues the uniform of the day, assigns a "facility" in which to change clothing, and, as a parting gesture, says, "Oh, by the way. You'll need (her voice dropped to a whisper [Really! She whispered! Why?]) a Fleet enema. Do you want me to help you?"

"No."

The procedure for brachy therapy itself is rather uneventful. At least for the patient. Some major z's. Afterwards, though, more voiding fun awaits.

First, the bladder doesn't realize that the plumbing down the line is temporarily skewed. It continues to send signals which don't get a response which causes more signals and more no responses and then the signals become rather frantic. As an observer of all these signal/response back and forths, one is at first amused, then bemused, then slightly frantic as well.

Drip. Drip. Dropdropdrop.

Drip. Drip...

A 1/2 second prrrrrrt becomes a "consummation devoutly to be wished."

And so it goes for 24 hours.

Then one is encouraged to partake of some over the counter voiding assistant--to prevent the necessity for "strain"--which ultimately produces a perfect storm in a 12 hour process. It begins with a gentle nudge, then there is a recession, then another nudge, another recession, then a veritable hurricane of super nudges, which lasts for hours before receding, slowly, and not without a moment or two of additional terror, to a mere rumbling.

Oh, DGR(s). What joys await the aging. Bette Davis was so on the mark with "Growing old ain't for sissies."

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Sunday, January 27, 2008

Brachy Chronicles 4 -- The Next Step

After some three weeks of waiting for Kaiser's approval of the brachy treatment, word finally arrived that the procedure is scheduled for February 11.

Let the games begin.

Preparation includes lab tests: EKG, CHEST X-RAY, CBC, PT/INR, PTT, COMPREHENSIVE METABOLOIC PANEL, SGOT. (SGOT? What the heck is SGOT? For that matter, what is CBC, PT/INR, or PTT? Ah the things we learn as we shift chairs here in God's Waiting Room.)

Two weeks prior to the procedure, no intake of any of the various blood thinner, pain relievers and other assorted goodies such as aspirin, etc.

On February 5 there will be a Pre OP Visit at the Arnold Palomer Prostste Center, no less, which is followed hard upon on the 6th by a Pre Surgical Interview by phone with the hospital.

A clear liquid diet begins the day before the procedure; a ten ounce ingestion of Citrate of Magnesium is ordered for 4:00 p.m. on the 10th. (Ugh!)

The Seed Implant begins at 7:15 a.m.

On the 12th there's a Post Op Visit at the APPC.

On March 11 there will be a Ct Scan.

In the meantime, no children upon the lap. Stay 1 meter away from pregnant women. (That'll be easy. There are precious few pregnant women in my senior citizen circle here in Palm Springs.)

And there, Dear Gentle Reader(s), you have it.

As a side note, many people who have heard my tale of the original physician's suggestion for preventive maintenance against prostate cancer (an orgasm a day keeps the doctor away--more or less) scoffed, smirked, or sniggered at the suggestion. Here's another anecdote related by a different doctor, some several years later:

The good doctor (name withheld in case I could get him or myself in trouble), upon hearing of Dr Keith's (I don't mind naming him; he has passed on, alas--charming man) recommendation, said that he agreed. He then told me of one of his patients, to whom he had made the same suggestion, who was a devout Catholic. It seems the good doctor had to write a note for the patient's confessor in order for the confessor to grant absolution during the sacrament of Confession. (n.b. Unbridled Onanism is considered a significant error by some of the RC persuasion.)

Imagine. A note from your doctor excusing you from punishment for masturbation!

Agape. Be in good health.

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Sunday, January 20, 2008

Just about 1 year from now...

exactly, the United States will have a new president.

Tempus fugit! (It is to be devoutely wished!)

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Tuesday, January 15, 2008

The Grey Lady's Step to Redemption

Over at Trust but Verify, and Take That, RWNS, there has been an effort to take The New York Times to task for various editorial decisions which are felt, Dear Gentle Reader(s), to be deleterious to the health of the body politic.

Today one must laud the Grey Lady for publishing a column by Bob Herbert, "Politics and Misogyny." In it, Herbert delineates the various ways in which women are dehumanized in our society and the boorish and criminal behavior which such dehumanization fosters.

It is a must read.

Money quote, "We’ve become so used to the disrespectful, degrading, contemptuous and even violent treatment of women that we hardly notice it."

Herbert offers evidence of quotidian misogyny and invites a national discussion about the problem.

Kudos to Herbert and to The New York Times.

Let the national conversation begin.

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Sunday, January 06, 2008

Words, Words, Words

Dear Gentle Reader(s), take the phrase "African American," (please). What think'st thou upon first hearing it?

For me, the first thought is that it is a direct descendant of socially acceptable terms used to modify citizens of the United States whose ancestors were brought over on a slave ship in the 17th and 18th centuries. (A superficial search indicates the slave trade was outlawed in 1808.)

If that particular lineage is most commonly used, then what does one do with Senator Obama, whose mother is a white woman from Kansas, and his father a Kenyan?

Isn't the disconnect a worthwhile element in the senator's current (as of 1.06.08) political successes?

Obama is a living example of the "bridge" between the racial issues of the past and the present cultural shift.

This cultural abridgement is very seldom discussed in specific terms. One wonders why.

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Saturday, January 05, 2008

Brachy Chronicles 3--La Ronde(s)

The ads on television ("Gotta go!" "Getting up in the night") have a lot more meaning when one knows, really knows, the subject matter intimately.

When the problem is "double voiding," one eventually learns the steps of the danse pissoir. It's rather exclusive, so you might not, Dear Gentle Reader(s), know of its intricacies. Ergo, the lesson of the day:

What to do? What to do? The electric tingle has subsided, but it has not vanished. Should one stay? Should one leave? Should one hop on alternate feet? After a few years, one decides to acknowledge the lessening of the tingle to a vague, slightly, but only slightly, unpleasant reminder of pressing problems by taking a short walk then returning to give egress to the hydraulic pressure on the tingle's switch.

A close friend handles his dance step by waiting in place and humming a slow tune, which soothes the savage beast within, thereby allowing the hiatus to pass, which, in turn allows the tingle to pass.

Which, one might wonder, is the most efficient? One argument is that staying in place and marking time is an efficient use of body energy. Another argument is that the walk away allows another to step in and dance for a moment, with the proverbial wide stance, thereby making more efficient use of the context, or the ballroom, if one will.

Ah, la danse!

Il est heureusement; il est malheureusement. Mais, il est necessaire! Tant pis.

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Sunday, December 23, 2007

Um...What?!?

'Tis the season for all sorts of madness (not that there's a specific season set aside for madness), but small items in the back pages of the print media sometimes makes one stop, Dear Gentle Reader(s), to catch a breath.

For instance in the 12.23.07 edition of the Los Angeles Times' Real Estate section, we find this jewel of a story by Ruth Ryon: "Hip-hopping out of his Hills house." It seems Kanye West is selling his "house in the flats of Beverly Hills at $8,699,000." So? You might ask. Well, he bought it "earlier this year for about $7.2 million." In this market? A $1.2+ million profit? Hey, if it works...

Now, DGR(s), you might be wondering, yourself(selves), "Is there a point?" Yes. It turns out the property "is considered a teardown."

Teardown?!? Pay that much money to tear a house down? Madness.

'Tis the season to be jolly... but not frugal or even wise with money.

Bah! Humbug!

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Thursday, December 20, 2007

O Tannenbaum! Ave, Maria!



The winter solstice is a wonderful time of the year to decorate the house with trees and statues, isn't it?

Deck the halls!

Silent Night!

Enjoy!

Agape.

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Brachy Chronicles 2

A video showing the various stages of and treatments for prostate cancer can be bracing as well as teensily unnerving. Regardless, decisions must be made.

Early detection makes decisions somewhat easier. There's always the most invasive option--removal of the entire gland. Early detection, at least in the present context (location, location, location), gives the far less radical choices of freezing the gland or "nukeing" it.

In the end, the possible side effects really make the difference: with the freezing procedure, there's a possible side effect of losing bowel control. The radiation might cause some bladder control problems. Now there's a balancing act...temporarily walking around with a sensation of wetness, or...what?...pastiness? Hmmm. Urine or feces? Number 1 or Number 2?

Decisions Decisions Decisions. What to do? What to do? What to do?

Your chain, Dear Gentle Reader(s), is being pulled. Not for a second is any option other than nuking the little scamp considered.

There will be a "mapping" session via sonogram. Then there will be the procedure itself, the insertion of radiation seeds--the size of a grain of rice--via a small incision, and Voila!, the deed is done and the patient is back home the same day. A picnic in the park (albeit with an ant bite of some significance).

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Tuesday, December 18, 2007

Pobrecito Andrew

Andy Sullivan, Dear Gentle Reader(s), just can't let go.

Sullie saw absolutely nothing wrong with invading a non-threatening country and inflicting horrors upon its populace, but the thought of a Hillary Clinton presidency drives him bonkers.

From a recent blog entry: "Which candidate has evoked the most adamant hostility, the largest number of people who say they would always vote against him or her? You know the answer. 53 percent of men under 40 would cast their vote against Clinton rather than in favor of anyone else. I know how they feel."

Well, DGR(s), you know how I feel: Andy might "know how they feel," but he has yet to articulate exactly why he feels that way.

Language, Andrew, is your strong point. If you can't use it to describe, clearly, why you feel a certain way, perhaps the way isn't the way, after all.

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Sunday, December 16, 2007

Oh, Christmas Tree...

Dear Gentle Reader(s), don't be fooled by statements such as this excerpt, taken from an editorial in The Desert Sun (published in Palm Springs), "...the Christmas tree, while rooted (no pun intended) in Christianity..."

Pun or no pun, the "Christmas" tree is a direct descendant of various winter solstice festivals ranging from the Egyptians to the Romans to the Druids. There is even a mention of tree usage for festivities in the Bible. It is not, in any event, "rooted" in Christianity.

Trees, or boughs from trees (is there a bough from any other source?), have been used as decorations for the winter solstice for more millennia than from its first Christian use.

There's a wonderful web site, religioustolerance.org, which will give you some information as well as the Biblical citation.

The editorial writer in The Desert Sun might better have written that the tree was appropriated by early Christians for their own purposes. The legend of St. Boniface is especially entertaining.

Rather than to decry the use of "Holiday" tree, the ed writer should have decried the non-use of "Solstice" tree.

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Saturday, December 15, 2007

Brachy Chronicles 1

A year or two prior to 1988, the specialist recommended a maintenance therapy of adding force to the orgasm ("try to strain"). The referring GP recommended "an orgasm at least every other day for the rest of your life" in order to preclude prostate cancer.

Neither of those recommendations is as easy as one might suspect.

There is a great deal of assumed contortions associated with the first--sometimes to the alarm of a partner, or, should one be somewhat adventurous, partners. The second becomes a matter of obeying a mandate whether or not one wishes to obey. (It takes a certain amount of the fun out of the activity.)

Alas, while the procedures perhaps delayed the inevitable (well over 90% of male cadavers of men over the age of retirement have prostate cancer, as indicated by post mortems), the inevitable, after all, proves to be inevitable.

Twenty-odd years later, then, the result of all this is "Pathology Report: gl 6 in 10-20% cores on left side."

Thanks, however, to a brachydactylic physician, the early prognosis is favorable.

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