Future

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Days vs. Daze

Maarten is going into Day 10 of chemo. Writes Lori,

  He slept a little, and is finally eating something, but I think this has been the toughest day for him physically so far. According to the nurses, tomorrow, day 10, is when his immune system will be at it’s lowest point in the cycle.
  All of your positive thoughts, messages and love are being recieved and keeping him afloat.

Lots coming from here, big guy. I’m out and getting better. You should be too. 🙂

I’m almost old. Sixty-one next month. But old enough for the wear to do more than show. It’s performing now. The trick to longevity at this point is to dodge the complete failure of any one of many systems that are all wearing down. Aging is fatal, and the number of single points of failure is not small. Combined ones multiply that number.

It seems like ten years ago that I was thirty. Life is short at its longest, and it goes fast, especially if you’re having fun.

Which brings me to my point. Almost.

It’s a matter of genetic luck that I’m not a drinker. A little beer and wine, but that’s about all my body can take before it says No More. Been that way since I was young. Drugs have also always been unpleasant for me. Smoking didn’t appeal in any case, but my father’s addiction to it — and the discomfort it caused the rest of us, for example when sharing a room or riding in a car — made me determined never to do it. And all those are reasons I’m alive today.

The other people in this ward, the one I’ll leave after I scarf one last free meal — don’t look so good. It’s a cardiac ward. When I walk past the nurses’ station I look at the screen of EKGs etching their green pulsed lines, one for each patient. None look good, or they wouldn’t be here. Alarms go off all the time. The patients look terrible. Even if they’re not old, they look it. One more reason I want to get out of here is to stop hogging a room that a needy patient could fill.

So I was talking to one of the nurses. What brought most of these patients here? Smoking and drinking, was the short answer. Reminded me of what a doctor friend told me many years ago. “Without tobacco and alcohol, you could close half the hospitals.”

We can’t get rid of stuff that’ll kill us in the long run. But we can choose not to indulge them.

This last week a lot of people have told me that stuff I say is important to them. Sometimes I’m called “influential”. If I can influence one young person to quit smoking or drinking heavily — for the duration — I’ll be happy.

If you’re lucky you’ll all be as old as the folks here some day. And if you’re smart, chances are you won’t be laying in a place like this.

Lasting

I still have three of these, my MRI says. So, for the first time, I’m watching The Last Lecture, with absolute intentions not to give my own Last Anything for another few decades. Highly recommended, by the way.

People have been asking, so here’s the update.

I’m due to start “clear liquids” in the morning. I was allowed to start tonight, but decided against it because if something goes wrong I’m not sure the slim night crew can handle it. (Not a knock on this hospital, just the Way Things Are in the hospital biz.) I have been off food since a week ago yesterday (starting with prep for the procedure that put me here last Saturday). One more night won’t hurt. Also, for what it’s worth, I have not received “food in bags”, but rather various other fluids. The bag closest to me says “5% DEXTROSE and 0.9% SODIUM CLORIDE”. Stuff like that. Yum.

We seem to be past the blown vein problem (blew four in 24 hours, filling my hands and arms with stuff). Both my hands are still puffed up and my right arm is down to about 1.5x the volume of the left.

I have little pain. This is the key, and an important goal. I’m otherwise pretty wasted and very anemic, mostly because I’m already a little anemic in any case and all these fluids have only thinned my blood out more.

My pancreatic enzymes, liver chemicals and other indicators are back in the normal range. For me. I’m not normal, but it’ll do.

And I’m looking to get out of here on Sunday morning. And taking Suzi‘s advice as well, I hope. Her blog, A Pain in the Pancreas, is a big help.

Bonus link: Wierd Al’s Pancreas.

Also a warm shout-out and a big hug for my partner in recovery, Maarten Lens-Fitzgerald, who is now deep in the Tunnel of Chemo. I’m gonna get through this thing a lot sooner. (Though we still don’t know what the “cystic lesions” on my pancreas are. And won’t for another month or more, since I doubt I could tolerate another endoscopy without repeating the last week. Not soon, anyway.)

Here’s a URL, from Live Maps, that goes http://maps.live.com/default.aspx?v=2&FORM=LMLTCP&cp=qtd9g08ttwy7&style=b&lvl=1&tilt=-90&dir=0&alt=-1000&scene=23698570&phx=0&phy=0&phscl=1&encType=1.

Twitter does a nice job of shrinking URLs to tinyurls, but chokes on that one.

Digression… For what it’s worth, that’s the WABC/770 transmitter in Lodi, NJ. The signal it produces looks like this. I grew up a few blocks north of there. The signal came in on every TV channel when you turned the volume down, and even when the TV was off. That was the old MusicRadio WABC, which dominated Top 40 in New Yawk from the early 60s through the 70s. By day you could get it far up the Hudson, all the way out Long Island, all the way down the Jersey Shore, and nearly to Baltimore. And at all the summer camps out on the lakes in the mountains of New Jersey, New York, Pennsylvania and Connecticut. Nothing like that now. The old beast is just another AM talker.

A sure sign I’m getting better: craving food. My wife mentioned taquitos a few minutes ago and my mouth watered immediately. I wanted to walk over to Jose’s right then, barefoot in my hospital gown.

We won’t start until tomorrow, my GI doctor told me yesterday, no matter how good I felt. That’s cool. What’s one more wait after eight days of starvation?

Not everything has gone perfectly. I’ve had three IVs “infiltrate”, and my right arm is still swollen to odd dimensions, filled with fluid that should have gone in a vein. But I slept last night without drugs, which was cool, and I’m clearly on the mend. Can’t wait to gtf outa here.

Finally ready to listen to a little radio. I gotta say that it’s pretty freaking hard to beat WERS. “Music for the independent mind.” Yes indeed. I’m not familiar with most of the music they play, but I like a helluva lot, especially since I’m sure I’m 3x the age of many of its programmers and listeners.

Right now it’s Yo La Tengo with “Take Care”. Take care not to hurt yourself. Be ready to ask for help. Thanks for that. Right now it helps. Before that it was Thao with “Bag of Hammers”. David Bowie’s outstanding “THV 15” ran before that. Was that Dr. John on piano? Before that Coldplay with “Speed of Sound”. Now it’s Gnarls Barkley: “Who’s Gonna Save My Soul”. They’ve been playing that one a few times. Deservedly. And now, for geezers like me, Van Morrison with “Caravan“. Radio. Turn it up. So you know. Radio. Takes me back. Keeps me up. From the Moodance album. 1970. Also The Last Waltz. Gives me chills. Progressive rock stations loved to play that song, mostly because it spoke from original dream of radio. What it was, and what it will be again, better than ever. Thanks to WERS for holding the flame high.

Man, this goes on. Now it’s Leonard Cohen with So Long, Marianne”. Another perfect oldie. Followed by Cat Power, “Aretha, Sing One For Me”.

[At this point I got a call from Steve Gillmor, and we recorded a brief impromptu podcast. I’m fading now, and heading for bed. Night, all.]

I have three bags hanging from a rolling pole next to my bed here at the hospital. These Y down do a pair of IV needles, one in each arm. The two big bags are for hydration. The third? I dunno. (The nurse just told me it’s magnesium.) Since visiting Amsterdam two Wednesdays ago, I’ve shed a lot of liquid, to be polite about it. Now I can’t take in any liquid, or food, at all, which is one way they calm my innards and stop my pancreas from freaking out, which is what it did yesterday morning as a delayed reaction to the endoscopic retrograde cholangiopancreatography (aka ERCP) exam I had here at the hospital the day before.

One in twenty endoscopic probings of a pancreas results in pancreatitis, and it was my misfortune to hit the bulls eye. I woke up with Xtreme hunger-type pain in my belly yesterday, without the hunger. Nausea came later, and a visit to the emergency room not long after that. Now I’ll be here until the pain stops and hunger returns. Those are the Good Signs. So far, not even close. In fact, the pain remains bad enough that morphine doesn’t do the full job. It just reduces the pain to a point where I can do some of this. Which I’m doing between working on some writing assignments. We’ll see how it goes.

Meanwhile, the good news is that This Too Shall Pass. (Better it than me.)

Alas, I shall miss Supernova, and perhaps more than that. We’ll see. I still hve high hopes of flying west midweek or so, although that seems mighty ambitious from where I sit (actually recline) right now.

I didn’t really know Maarten Lens-Fitzgerald before this last week, except by emails and a delightful interview he did with me at in December. But I fell in love with the guy after he and his associates brought me to Amsterdam to talk at Mobile Monday and do a couple consulting gigs there (which he set up for me). Besides being a smart guy and a great host, Maarten is just a good dude and a true mensch. Gracious, caring, upbeat and much more. You can see it in these two photosets from MoMo. Maarten, his family and whole social network made my visit to Amsterdam a joy from start to finish. It’s a great city anyway, but it’s lucky to be graced with folks as good as this whole bunch.

On Wednesday, the day I flew home, Maarten went to the doctor to check out a coughing problem. Turns out he had a tumor, bigger than his heart, right in front of it. Since then he’s not been far from my own heart, as well as my mind.

I wasn’t going to write about it, because I didn’t know how private Maarten wanted to be. But it turns out he’s both tweeting and blogging what he calls his new journey. So is his wife, Lori. So we’re together with him on this thing. Such is the nature of what Twitter calls following.

He’ll find out more about the tumor tomorrow. I’m praying hard it’ll just be an oddball thing they can cut out and be done with.

Frank Paynter writes,

  Putting the ME in. That’s what this thing is about. So I have my personal secret plan… (not evil, like gapingvoid’s is), but the sustainability piece is missing…. monetizing…. business model… cash… shekels… ducats… does it have to be an advertising magnet? They’re not really talking about that here.
  More seriously they’re talking about the media role in the Iraq war. Amy Goodman, Phil Donahue, Norman Solomon (moderating), Lennox Yearwood (“Make Hiphop, not war”), Naomi Klein, Sonali Kolhatcar… a lot of this is preaching to the choir. The people here already get it. Many of us knew it in 2002. The administration manipulation of media from 2002 forward was a certainty. What we need is for the libertarians like Doc Searls and his ilk to get exposed to this information and find a certainty they’re willing to declaim.

Well, politically I’m a registered independent, though I do have some libertarian sympthies, to the degree that I like business and think we make too many laws and have too many regulations. But I’ve also called myself a “defective pacifist” and have come out squarely for Barack Obama. Also, I’m not aware of having an “ilk”, and I don’t like being accused of having one. But, whatever.

I don’t think I have any areas of disagreement with Frank here. What’s more, I haven’t been silent about it. Look up searls media iraq war and you’ll find plenty.

Among those items is some recent pointage to a talk Forrest Sawyer gave at UCSB last year. I think I reported on it at the time, but I can’t find it. Still, I do appreciate being prodded, because Forrest’s talk is one of the best indictments I’ve yet heard of mainstream media capitulation to the Bush administration’s railroading of the nation, and the world, into a war that was flat-out wrong and dumb to begin with. Forrest also does a great job of stressing the importance of other streams besides the main one. So go watch it. One quote…

  Over the past six years we have seen a failure of the tradiional media to live up to its obligations of oversight and challenging the government, greater than any we have seen in the nation’s history… Those who have not yet come to feel ashamed will feel ashamed of their performance and their letting down of the American people.

(I might be off by a word or two there. Transcibing from YouTube is no bargain.)

Also, for what it’s worth, at we also have some ideas for Frank’s “sustainability piece”. I can’t imagine anything more reforming of media than giving it an easy non-advertising-based business model driven by listeners, viewers and readers — in alliance with journalists and artists on the supply side — rather than ever-more-targeted advertising.

I also recommend hanging at while it’s still going on. Great conference. Wish I were there.

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