Category Archives: health

To an Athlete Playing Old

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In my mind, I still think I could play third base, could field the one-hopper, hop-step and throw the bullet to first base to get the runner by a step.  In my mind, it’s me and the pitcher, one-on-one and I feel rather than hear the bat strike the ball and I hear the wind whip past my ears as I sprint to first base. I smell the dust.  I hear the voices from my dugout. I know my skin, by the end of the game, will have a light coating of mud—dust mixed with the sweat of sweet effort.

In my mind.

It has been fifteen years since I put the supple black glove in the green bag at the end of a game —I played third in a co-ed game and threw out a runner trying to score on one of those one-hoppers, the ball going over his shoulder perfectly to the catcher who forced him out at home in a bases-loaded situation.  My spiked shoes are in the bag, too, although the soles have pulled away from the tops because dozens of nights of game-sweat eventually rotted the stitching.

I say it was my “most recent game,” not my “last game.”

I know the love of playing the game, a changing game as skills eroded, from that first season of baseball as an 8-year old batter terrified of a 10-year old pitcher (I summoned the courage to swing at a pitch in my last game and singled past the undoubtedly stunned pitcher), to fast-pitch softball, and finally (when fast-pitch disappeared and too many young men found it easier to impress the girlfriends by mashing looper league pitches over fences) slow pitch softball.

It was, and is, the game.  Playing the game in whatever form talent and circumstance allowed.

Many of us now slow of foot, thick of waist, driven by delusions of adequacy, understand when a young—by our standards—major league star finds the game is beyond his competitive capabilities. Or is told the game is now beyond their once-awsome abilities.

NO, we cry.  No!  We can still play!  I can still do this!

But at 60 or 70 or 80, it is easier to admit that no, we really can’t.  Or shouldn’t.  But we will remember.  And we will wish.

It is much worse when you are but 40.

We look at players such as Albert Pujols, old at 41, hanging on or wanting to hang on because the game has a grip on him more than he still has a grip on the game.

It comes to all athletes in all sports.  But for those at the highest levels, the realization can be agonizingly hard to accept.  I can get one more home run. I can strike out one more batter. I can throw one more touchdown.  I can hit one more buzzer-beater.

But others can do more while I’m striving for my one-more. I can be pushed aside.

Most of us common folks who hold regular jobs have the luxury of deciding there are too many other things to do in life than go to the workplace every day. Stepping away is easier, sometimes just plain joyous.

We never have to face the idea that we are 40 and there no longer is a place for us in the world that has been the consuming passion of our lives—all our lives.

The passion is there.  The fire of competition still rages within. But in a world that relies on physical skills, recognizing that ours no longer match our passion enough to stay in the competitive arena is so hard to accept.

As fans of sport, we do not measure our heroes by their age and when we think they are done when they are “only” 40, we realize these heroes are not ageless but are as human as we are—although we don’t have to realize we are old until we are old.

Moments such as these recall for us English Edwardian poet A. E. Housman’s elegy for a young athlete who died before he joined the great mass of those who faded into obscurity as their skills waned. He called it “To An Athlete Dying Young.”

The time you won your town the race, We chaired you through the market place;  Man and boy stood cheering by And home we brought you shoulder high.

The poem later speaks of “the road all runners come,” and “fields where glory does not stay, and early though the laurel grows, it withers quicker than the rose.”

Such is the life of our heroes of the playing field.

We who watch them might realize before they do that “glory does not stay.”  That time comes for all of us but usually not when we are just forty and have spent our lives among an elite few who can do what they have been doing. We sometimes say goodbye to them before they can bring themselves to say goodbye to the world that has consumed their lives.

It is much harder to step aside when you are 40 and a 25-year-old is doing what you only think you can still do, than it is when you are 65 and realize there is something liberating ahead.

Another English poet, from one generation earlier than Housman’s, wrote, “The last of life, for which the first was made…youth shows but half; Trust god: See all, nor be afraid.”

In time the resistance to Robert Browning’s sentiment will diminish.  But it is hard to accept when you are an athlete playing old.

The Constitution and the vaccine: and the danger of selfish people

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Drew Vogel was one of my early reporters at the Missourinet.  He has had a lengthy career as a nursing home administrator in Ohio and since his retirement from a fulltime directorship has held several interim positions.

There’s a special place in my heart for people who work in nursing homes.  And for those who have been working in the industry during this COVID era, well, I’m not sure I can measure the depth of my admiration. Drew has a blog, too, and last week he let off some steam about people who think it is their constitutional right to refuse vaccinations and put others at risk.

Drew has been on the front lines in the fight against disease.  And we all know that THE front lines have been our nursing home.

He doesn’t mince words about vaccinations and the selfish use by some of the Constitution to avoid the responsibility all of us have to each other.  Listen to this good man.

I have just ended an interim (temporary) assignment as administrator at a nursing home Near Dayton, Ohio.  I have done, without bothering to count them up, something like 13 interim assignments the past seven years.

 I joke that interim work is great because you don’t stay around long enough to get fired!

 In reality, I am lucky enough that I don’t need to work a permanent fulltime job.  But I do need to work – especially since my wife passed away last September.  Work is good for my psyche, my emotions – good for my soul. There is a dignity element also – although no one has ever accused me of being very dignified.

 This recent building was one of my best interim assignments.  The staff was great, hard-working, friendly and fun.  I feel like in those 3+ months I made some friends for life.

 The guys were very positive in their approach to long-term care, in spite of, or maybe because of, the fact that they had been through some adversity.

 The facility was COVID-free in the early stages of the pandemic last year until around Thanksgiving. Then there was a major outbreak.

 Ultimately, 75-100 total people – staff and residents – contracted the disease.  By the end of the year about 15 residents had died.  No staff died, but some got very sick.

 When I arrived in January two employees were off sick with the coronavirus, but the outbreak was pretty much under control. Temperature checks, questionnaires and masks were required to get in the door.  Only people with a purpose could come in. Vendors dropped their goods outside – food, oxygen, supplies – and the staff dragged them inside.

 When visitation resumed, visitors were first tested, masked and confined to a room that did not require entry into the building proper.

 In January, the first week I was at the facility, I received my first vaccination shot – Pfizer – and in February I got the follow up injection.  I was happy to receive it.

 However, even though it was free and had been proven to work, not everyone took the vaccine. 

 It is voluntary almost everywhere in America. In my facility some staff and some residents – or their families – said NO!

 The month of March went pretty well.  Then in April, over a couple weeks’ time, a housekeeper, a cook and a therapist tested positive and were sent home to quarantine. 

 Yesterday, my last day, a nursing assistant tested positive – with symptoms.

 The COVID-19 protocol was immediately initiated.  A text was sent to all staff to come in immediately to be tested; all residents were swabbed.

 As of when I left yesterday afternoon, two more cases had been discovered – both residents.  There may be more by now.

 Six cases in April and NONE OF THEM HAD BEEN VACCINATED! 

 No cases in April among people who had been vaccinated – people working side-by-side in exactly the same confines as the people who developed COVID-19.

 As the saying goes, you don’t have to be a rocket scientist ……………..

 I’ve always believed our Constitution is the world’s greatest document – at least the greatest created by a government.  It contains enumerable individual rights.  But those rights cease at the point they infringe upon the rights of others – like the right not to die because of another’s misconceptions, fear and/or puffed-up ego.

 In other words, I am an advocate of MANDATORY vaccines.  Don’t give people a choice.

 Think about it, we need a license to drive a car.  We need a license to cut hair, catch fish, or be a nurse.  Nursing home administrators must be licensed, so do stockbrokers, real estate salesmen and ham radio operators.

 The licensing list in unending.  So why not issue a license to people to go out in public only if they have been vaccinated.

 Radical thinking?  Damned right it is. And I’m aware it will likely never happen.

 But dammit death, like ugly and stupidity, is forever.

 Amen, Drew.  Perhaps one or two self-righteous defenders of their right to privacy at the expense of the right to life of others will read your words and recognize the selfishness of their attitudes.

 

 

My cabbage crop

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We conclude this week with a short personal note.

Technology enables us to post entries on these pages to be displayed even if we’re not in the office, the home, or even in the world.   Such has been the case these last two weeks.

I got into the cabbage business on Monday, April 12

It’s pronounced “cabbage,” but in medical circles it’s formally CABG—Coronary Artery Bypass Graft.

My surgeon—an amazing man beyond his skills of repairing the world’s greatest pump—thought I was going to get a triple.  But once he looked at the playing field, he decided I deserved a Grand Slam.

It’s not routine but it’s hardly unique any more. I’m one of about 240,000 people who will become “cabbage farmers” this year in America.  I sat in a chair the next day (Tuesday), taking a brisk walk through the halls of Capital Region Medical Center on Wednesday, a nurse hanging onto my belt with one hand while trying to keep up with a metal stand filled with hanging bags of this or that medication, taking another nurse on a similar but longer walk on Thursday, and back at home a week ago today.

I feel good.  Not good-good.  But I don’t feel bad other than a few aches here and there and a diminished energy level that will come back. For a couple of days or so, I felt bruised. And looked it, too.  And no you’re not going to see pictures.

Some of you have been through this and I hope you’ll agree with saying to those who will go through it that feeling anxious is understandable. But what happens is nothing short of amazing—although somewhat ghastly when the doctor starts removing various tubes.  The most awful part of the experience has been the removal of the dressings taped to my chest. Do not work yourself into a serious state if you are told you need to grow some cabbages

But knock me out first if I ever have to have a chest dressing removed again.

(The cabbages, by the way were parts of the artery in my left leg which has about five small incisions and extensive bruising but works just fine; Nancy and I walked across the street to see some neighbors on Sunday after coming home on Friday) and yesterday I was buzzing all about the house and even made a couple of out-of-the house trips. It’s okay when Minnie the cat wants to sit on my chest.  STANDING on it is a little different.

As odd as it might seem to say, I think I had a pretty good time at the hospital.  I got to know little bit about the nursing staff and found them to be the kind of folks I’d like to know better.  And my surgeon—–a man older than me who has been doing these operations for decades because  he considers it a sacred calling: I won’t get sick again just to talk more with him but I hope we have a chance for more conversations about everything from politics to books and TV series….and more.

See you around one of these days.

 

An Antidote to Uncertainty

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(We might forgive ourselves for feeling uncertain about so many things these days—our political system, our health in a time of pandemic, our personal relationships, our employment future, the uncertainty of our climate, the instability of governments throughout the world—

But Dr. Frank Crane encourage us not to be consumed by uncertainty. He warns against —-)

THE POSTPONEMENT OF LIFE

Many of us are like the boy taking a “run and jump” who ran so far that he couldn’t jump. We spend so much time and strength getting ready to enjoy ourselves that we never enjoy ourselves at all.

We are like businessmen who break down brain, nerves, and body accumulating a fortune to wherewith to take their ease, and when they are at last ready to play they have lost the knack of it.

With too many of us, Today is a fevered compromise, a make-shift something we’ve got to get through with we known not how, something to be forgotten as soon as possible. It is “tomorrow and tomorrow and tomorrow.” We have no joy but for a sort of reaching for joy, no satisfaction but expectance, no comfort but hope.

Would it not be better to give each day some kind of finish as a good workman perfects each ornament of a temple? Every day has possibilities for the perfect exercise of life’s functions. Emerson said, “Every day is a day of doom.” Here are a few hints.

First, remember that the one thing that has most to do with making life worth living is love. Let no day pass without some expression of affection.

Don’t postpone play. No day ought to go by without some moments of diversion. Play a game. Have a bit of a chat with your neighbor. Do something useless each day lest you become an enemy of the human race.

Don’t postpone physical exercise.

It is not the occasional sport that counts in buttressing health and avoiding flabbiness.

Don’t postpone mental gymnastics. No mind should go a whole day without sweating over some knotty problem, some book hard to read, some genuine, solid thinking.

Don’t postpone beauty. The best-known soul food is admiration. Find today some cloud or flower or picture that warms you. Drop in at the picture gallery, or at least pause a moment at the art dealer’s window. Never go to sleep without having seen some beautiful thing since the last sleep.

Don’t postpone work. Produce something useful, something of distinct value to the world, and if possible, something the world is willing to pay for. The sanest thing a person can do is work, and for wages.

Don’t postpone laughter. A day without one good laugh is a bad day. No drug you can take, and no belief you can embrace will do as much good for the health of your soul and body as a real hearty laugh, from the boots up.

Now, isn’t one day with a dash of all those ingredients a pretty good affair in itself? Think of it! A little love, a little play, a little bodily and mental exertion, a little work, a little laughter, a ltitle wonder; what is that but a whole life in a nutshell?

Love, as the carpenter might say, by the day and not by the job. For after all, life is too much for any one of us, but a day, well, we might manage that perhaps, if we would.

The First Day

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This is the first day of the week for most of us after the day of rest on Sunday, the seventh day, in the Christian tradition.  This week will have two “first” days.

Nancy and I will get our first Pfizer COVID-19 immunization shots Thursday morning.

I don’t think I’ve written much personally about this pandemic in all these months but as I went back and looked at the first few entries in what I call “The Journal of My Pandemic Year,” starting in March that it’s obvious this has been a tense time because of the uncertainty that has pervaded our lives—what do we dare do about relations with friends and relatives; when can we go without masks (never, when we‘re going to be indoors with others), a daily  unspoken question about whether we might have picked up the virus somewhere and were soon to be sick, the whole business of—in effect—living only with ourselves day in and day out, week in and week out, month by month as we watched the calendar change and saw only chaos in our national leadership on this and other subjects.  And now we’re only days away from becoming immune.

We’re not down to counting hours yet; that won’t come until we near the date for our second shot. But making it to that first shot after all this time, all this uncertainty, all these days with all spontaneity removed from life, all the game nights we missed playing Five Crowns, or Rummikub or Labyrinth, or Quiddler, or something else with friends; all of the fellowship from church and other events gone—-just getting here while 400,000 other Americans didn’t—

I suppose some folks might feel almost guilty that they made it and so many more did not. I don’t think we do.  Asking, “Why me?” is, I think, a waste of time.  Why NOT me?  I don’t think the uncertainty of life has ever been more present, other than for a few minutes at a time, than it has been in these ten months when it has been part of every hour of our day.

And now I have “Pfizer shot 945 Cole Cty Health Dept 3400 Truman Blvd” written in my Day-Timer for next Thursday, February 4th.

All we have to do is just hang on for a few more days.

Today.

Tomorrow.

Wednesday.

Thursday morning, 9:45.

And then the other shot on the 25th.

That shot Thursday morning will be part of what truly will be the first day of the rest of our lives.

 

 

 

Things seemed so normal then

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Remember how normal things seemed the last time we gathered on a chilly Monday on the south front of the Capitol lawn for the inauguration of a new governor?

Eric Greitens, a young Republican populist, riding the wave of the Donald Trump-led populist surge nationally, was sworn in as governor in what he referred to in his opening remarks as “our republic’s most revered ritual: the peaceful transfer of power.”

Greitens, who saw the governorship as one step in his eventual trip to the White House, promised to “be loyal to your needs and priorities—not to those who posture or pay for influence.”

Former sheriff and former senator Mike Parson, days removed from open-heart surgery, surprised some of us by being on the platform, taking the oath as Lieutenant Governor.

Jay Ashcroft, son of a former state auditor, attorney general, governor, and U. S. Senator John Ashcroft (only Mel Carnahan matched him by holding four statewide offices in his career), was sworn in as Secretary of State.

Former Senator Eric Schmitt became the new State Treasurer that day.

And University of Missouri law professor Josh Hawley took over as Attorney General after a campaign in which he vowed he would not use the office as a stepping stone to something higher.

Nobody wore masks that day, four years and two days ago.

Eleven days later, another inauguration saw Donald Trump rise to the Presidency, a surprise to many in the Republican establishment and a frightening possibility in the eyes of many who were not his deepest believers.

How normal things seemed even then—despite the uneasiness many felt about the tenor of the campaigns that put Greitens and Trump in office on those days.

A few months after that bright but chilly January day, Greitens was gone, resigning before he could be impeached after refusing to reveal records of his campaign and ongoing finances, and being dragged through the headlines generated by a sex scandal.

His resignation triggered unprecedented chair-swapping in state government.  Mike Parson moved up to governor and appointed term-limited Senate leader Mike Kehoe as the new Lieutenant Governor, an appointment later ruled legal by the Missouri Supreme Court.

Josh Hawley, forgetting his promise not to use his office as a stepping stone, rode the continuing Trump wave to victory over Claire McCaskill two years later, leading Governor Parson to appoint State Treasurer  Schmitt to replace Hawley in the Attorney General’s Office. The House budget chairman, Scott Fitzpatrick, was appointed to become the new Treasurer.

Only Jay Ashcroft remains where voters put him four years and two days ago.

Today is far different from that day four years ago.

Our capitol has emerged from months in a giant plastic cocoon in which workers cleaned and replaced stone put in place more than a century ago, ended serious water leakage problems, and even restored Ceres, the patron goddess of agriculture, to the top of the dome so she once again welcomes those attending today’s ceremonies.

Mike Parson is being sworn in for a term of his own as governor, bearing the scars of dealing with a pandemic, a state economic collapse it caused, and the pain of the budget cuts he had to make–all in an election year.

Eric Greitens’ wife left him; he reportedly is hoping he can rehabilitate himself to seek public office again, although his thoughts of a presidency might be much dimmer than they were when inauguration day was HIS day full of hope.

Josh Hawley, with his own dreams of White House glory, is under intense criticism from former supporters in the public and present colleagues in Washington for his attempt to capitalize on Donald Trump’s conspiracy theories that have led to one of the most alarming political incidents in our lifetimes.

Donald Trump is isolated and increasingly alone, living the bitter final days in power he fears giving up, the idea of a peaceful transfer of power completely foreign to him.

And today we wear masks, our nation still under siege from a terrible virus that has forced us to withdraw from friends and family.

Oddly enough, a sentence from the inaugural address of Eric Greitens on January 9, 2017 comes to mind.

“This state in the heart of America has proven that the worst in our history can be overcome by the best in our people.”

Let us hope and fervently pray that on that, at least, he will be correct.

 

Us vs. It—part XII What’s next?

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It’s been a while (August) since we had a Us vs It entry but with vaccines starting to go into people’s arms, we have reached a new stage in this siege.

Even as we remain absorbed by the fight against the Coronavirus, we must start thinking of what comes after.

We will be different when we emerge from this plague. We will see in a glaring spotlight the shortcomings in our American system of doing things.  The list of issues, which must be addressed in ways that bridge a chasm of partisanship, will be long and should be inescapable.

Tough and thorough evaluations need to be made at the federal and state levels of the conditions of our readiness in the current situation and our preparations for readiness for the next wave. The evaluations are too important for Congress or for state legislatures. We need the brutal honesty of something like the Kerner Commission of the late 1960s.

Given social unrest that has flared during this time of the plague, it is good to recall the Kerner Commission not only to prove the point of this post but to highlight what it said more than fifty years ago that is tragically too close to life today.

Many, if not most, of those who read these entries might be too young to remember the commission appointed by President Johnson and headed by former Illinois Governor Otto Kerner. It was formed after disastrous racial violence in 25 cities that far exceeded anything we saw in Ferguson a few years ago or that we have seen in some cities more recently.  The commission’s final report was brutal. It warned that this country was so divided that it was on the verge of becoming two “radically unequal societies—one black, one white.”

We won’t discuss here how accurate that forecast might still be—because we are talking about a different issue that deserves the same tough examination and, if necessary, the same brutal honesty in its assessment.  There are many who think the Kerner Commission’s report, and its severe final assessment, fell on deaf ears. The assessment of what our state and nation need to do in the face of massive threats to our health and to our economy deserves the same severe approach but certainly not the same outcome.

We might need new laws and new regulations to make us better prepared in the public and the private sector for the next pandemic.  It would be unwise to dismiss such things as once-in-a-century events.  Our world has changed and is changing and it’s clear that nothing seems to be constant anymore. And we do not know if our changing world produces a climate more susceptible to new and deadly viruses.

Even now, we recognize the failure to find ways to keep rural hospitals open and the inadequacy of internet communications in many areas (that provide telehealth services, in particular) can no longer be ignored and tolerated.  We are learning that science cannot be dismissed and that those whose roles involve anticipating the next sweeping illness or the next world outbreak must regain their numbers and their status.  We are learning that our healthcare system always must be prepared, staffed, and equipped for the worst—and must not be in a position of determining who lives or dies based on personal financial standing.

We need to be ready at the state level. But pandemics have a tendency to overcome even the best state preparations and financial capabilities. A national crisis requires national leadership, national empathy, and national cooperation with states. It is unfortunately true that states can’t print money but the federal government can and money is a gigantic factor in fighting pandemics all the way down to the smallest communities.

Our experiences might teach us new things about distance learning and suggest some significant changes in our country’s elementary and secondary (and collegiate) education systems.

The economic paralysis should teach us to look more closely at a trend in jobs that we have noticed but to which we haven’t given enough attention—-the growing tendency to use independent contractors instead of having fulltime employees.  The independent contractors often get no fringe benefits and that can have some long-term impacts on retirements but especially (as in times like this) on healthcare.  The number of people who live on commissions and tips who have neither opportunities to create retirement plans nor the money to buy health insurance will grow as our economy changes and their lives should not be imperiled when our country is next ravaged by a new pandemic.

Likewise, the pandemic-caused work-from-home operations will have taught us things about large offices and the need for them.  The entire business model of large buildings for a single business, or single floors in a large building for one company might change because of what we have learned about working away from a central headquarters. The sweatshop still exists in our country but it is rare because of labor laws, fire safety codes, unions, and minimum wage laws that have curtailed those conditions.  Will the Coronavirus doom cubicle farms tomorrow?  Will is lead to a rise in union activity?

What will all of this mean in terms of society—-social gatherings, organizational memberships, business-employee relationships, civic clubs, churches?

We will be remiss if we do not anticipate tomorrow’s society based on what we are learning from today’s pandemic.

Our world is changing in so many categories—climate, economics, education, health, communications—that we cannot continue to have society as usual.

If it takes new laws and new regulations to do something as simple as making sure our healthcare institutions and services maintain adequate supplies of protective apparel, equipment and facilities for treatment,  let’s have them.

To those who would say such positions represent government overreach, there is a basic response.  Government has a role when the private sector abuses its liberties or fails its responsibilities. There is no lack of discussion in these times that such things have happened.  There also is no lack of discussion about how government, itself, has failed to meet its responsibilities to the people who entrust it with their well-being.

All of these issues and more need to be addressed so we know what will come after the virus has gone away.  That’s why new Kerner-type Commissions are needed at the state and federal levels. We are at a point in our existence where the blunt findings are needed and cannot be put on a shelf.  And we, as people, cannot be afraid to address the issues that will be forcefully put in front of us.

Here is a key point:

These commissions should not include elected officials as members.  Partisan Foxes do not belong in Pandemic Assessment Hen Houses.

We appreciate the work our public officials are trying to do in difficult times. It is time to work on the instant issue without wasting time casting blame.  But it is time also to start thinking of what comes after, and what comes after must be an unblinking hard assessment of what is present and what is needed to deal with the next health or economic or health/economic crises that will visit us. We cannot be afraid to do what is needed.

It might make no difference to our generation if we fail to act.  But other generations will sicken and die if we don’t.

HAPPINESS AWAITS

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(All of us can make long lists of reasons to be unhappy in the backwash of a political campaign, the uncertainty of a pandemic, the lack of job and food security, the potential for holidays apart, and more. In these conditions, it seems almost an insult to be happy. “Not so!” exclaims Dr. Frank Crane as he encourages us to find our—-)

HIDDEN HAPPINESS

Happiness is rarely visible to the multitude, says a shrewd observer; it lies hidden in odd corners and quiet places.

Happiness is a shy thing. Grief is blatant and advertising. If a boy cuts his finger he howls, proclaiming his woe. If he is eating pie he sits still and says nothing.

If you ask a man how he is, he searches himself to find a pain to report. If he has nothing but happiness he hates to mention it, and says, “Oh, not half bad.”

We conceal happiness as a vice.

We are rather suspicious of it, and if we feel particularly well, or have exceptional good luck, we knock on wood.

The fact is that happiness does not come from big events of life, but is made up of innumerable   little things.

Ordinary every-day happiness is composed of shoes that fit, stomach that digests, purse that does not flatten, a little appreciation and a big of this, that, and the other, too trifling to mention.

The big things, such as someone giving you a million dollars, are not only rare, but they do not satisfy when you have the neuritis.

We are so cantankerous by nature that we are usually able to spell happiness only by holding it before the mirror and reading backwards. Leonardo da Vinci used to write that way; that may be why he could paint “The Joyous One” with so enigmatical a smile.

For if you seek to analyze contentment you got at it negatively. To feel well means you do hnot have a headache, toothache or toe ache, you have no dyspepsia, catarrh, gout, sciatica, hives, nausea, boils, cancer, grippe, rhinitis, iritis, appendicitis nor any other itis. And to determine your joy you must reckon by checking off and eliminating the factors of possible pain. Answer—happy, if no pain discoverable. So elusive is joy!

Someday try reversing this process. Note all the pleasurable things. For instance, a good sleep, a delightful snooze in bed after you ought to get up, a delicious bath, the invigorating caress of cold water, a good breakfast, with somebody you love visible across the coffee-cups, half-hour’s diversion with the newspaper, the flash of nature’s loveliness outdoors as you go to work, interesting faces on the street car, pleasures of your business, pleasant relations with your fellow workers, meeting old friends and new faces, the good story someone tells you, and so on—you’ll fill your notebook—and you can get your disappointments and grievances into three lines.

Happiness, they say, is scant in this wicked world and hard to find.

One way to find it is to look for it.

 

Fat

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(Dr. Frank Crane wanted to help people be better through positive thinking and in his writings he took that responsibility seriously. But Dr. Crane was not a man without humor. Our Centers for Disease Control says we are a nation of fat, that the prevalence of obesity was 42.4% in 2017-2018, the most recent year the CDC has weighed the facts and the facts show we’re plumping up. The Centers say that in 1999-2000, only 30.5% of us were, shall we say, overly insulated against the cold. As we are now into the season of over-indulging, we call upon Dr. Crane to offer some light-hearted positive thinking about this heavy topic.)

THE FAT MAN

Every once in a while, said the fat man, somebody comes along with some medicine or treatment or system of exercise or plan of starvation to reduce my flesh.

What do I want to reduce it for?  It all feels good.  And every time I lose weight I get peevish.

What’s the matter with people, anyhow, that they can make fun of fat folks?

They are the salvation of the race. They keep humanity cheerful.

Optimism is mostly a matter of adipose tissue.

Fat people like to eat and drink. They don’t have food fads. They enjoy breakfast, dinner, and supper, and a bite between. And that’s the kind of people mother likes to cook for, and the rest of the family like to live with.

People with appetites are human.

Human folks are those who make joys of life’s necessities. Must we eat? They make eating a celebration.  Must we drink? They adorn with songs the inserting of liquid into one’s anatomy. Must we labor? It shall be to music. Must we exercise? It shall be a game.

It’s your fat men that keep humanity form dying of the dry rot. They make existence a poem. They see the jokes of destiny.

Fat men have the sources of humor in them. Some lean persons have been funny, but what would they have amounted to had there been no fat persons to laugh at them?

Your skinny ones take themselves too seriously. They are reformers, prohibitionists, revolutionists, suffragettes. Their gospel is: Whatever is, is wrong.

Why do men admire slender women? They nag.

Slim women are neat, orderly, everything-in-its-place. They are good housekeepers, meaning that they keep the house fit for everybody but the husband and children.

And why do women admire slim men, with no girth? Such men are fit for treasons, stratagems, and spoils. They beat their wives, if they are vulgar; and persecute them more subtly, if they are cultured.

Take it from me, girls. Pick out a nice, large, round, juicy man, that likes to feed, and whose conscience is not wormy, marry him and, as the Good Books says, “let your soul delight itself in fatness. “

It doesn’t follow that because a man’s fat he’s a slob. Napoleon was roundish. Samuel Johnson was obese, and so was Boswell, who write about him.

The world and an overcoat, it was said, could not contain the glory of Victor Hugo. And believe me, he was some eater. Here’s one of his meals: veal cutlets, lima beans, oil, roast beef and tomato sauce, omelets, milk and vinegar, mustard and cheese, all swallowed rapidly with great draughts of coffee.

They called Rossini “a hippopotamus in trousers,” and for six years before his death he couldn’t see his toes.

Alexander Dumas could eat three beefsteaks to any other man’s one; and Balzac looked more like a hogshead than a human being.

Besides, added the fat man, if everybody was fat, there would be no war.  It’s the lean men that fight.

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We are all one big county

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(Normally, we try to have some positive thoughts from Dr. Frank Crane on Mondays but some recent comments on the pandemic seem far more important today)

I suspect the people in this house on this quiet street are not the only ones who are scared today. We responsibly wear our masks whenever we leave the house to go anyplace where there are other people—the YMCA, the grocery store, the bookstore downtown, church (we are back to watching services on the First Christian Church webpage now that the weather has cooled off enough we can’t meet in a park pavilion or in our parking lot and services have moved to our gymnasium).  We wash our hands.  We’ve been “nosed” twice.

But every day we look at the Health Department’s COVID dashboard and we see the numbers of new cases and deaths and the daily record hospitalizations.

Last Friday, Dr. Alex Garza, the head of the St. Louis Metropolitan Pandemic Task Force pleaded for state officials to go beyond asking citizens to be individually responsible. It is time, he said, for a statewide mask mandate and other steps because this virus is pushing our healthcare system to its breaking point—not just in the St. Louis, but everywhere.  “We’re at war. And right here, right now, the virus is winning that war. It will take significant and decisive action through individual acts and determined public policy to get us through,” he said.

The Post-Dispatch posted a video of his remarks with its web story.  We found his thoughts so important that we transcribed them because we are, frankly and honestly, scared about what is and what is likely to be, we hope you will read what else he said:

For months we have talked about a time, a time when we would run out of options, a time when we would run out of space to care for sick patients and our options would be limited when the virus is hitting us so hard that the healthcare system that we have would be unable to address the people’s needs. That terrible time gets closer with each passing minute, each passing hour, and each passing day.

 The number of people with the virus is skyrocketing in our region. The number of people so ill that they have to go to the hospital is nearly three times what we described as a sustainable level. The number of people with COVID in our intensive care units is higher than ever.

 The real peak of this pandemic has yet to come. At the pace we’re on right now we could easily—easily—double the number of COVID patients in our hospitals within about two weeks. At that point we will not have the capacity we need to sufficiently care for our patients, not just COVID patients but all patients.

 Unfortunately, as has been painfully obvious to even the casual observer, we are past the time when individual behavior alone can address this disaster. Healthcare systems across Missouri need Governor Parson and the state to take additional actions to prevent unnecessary illnesses and deaths.

 When it comes to the virus, we are all one big county now.

 Every day COVID patients are crossing county lines to go to hospitals.  The lack of a mask mandate in one county has implications for residents and healthcare professionals in other parts of the state. The spread in cases is blanketing the state and no locale is safe anymore.

 Secondly, let me be really, really clear on this. A statewide mask mandate is needed to save lives across the state. 

 Secondly, we are also asking the state to work with our system’s emergency managers to start planning for what will happen WHEN the healthcare system becomes overwhelmed. 

 Our healthcare heroes have fought valiantly day after day but we have no reserves. We have no backup that we can suddenly muster to come in and save the day. If we stay on the path we’re on, even just two more weeks, we will not have the staff we need to care for patients. It’s now just a numbers game. We are danger-close.

 Finally we are asking for a statewide safer-at-home policy. Such a policy would limit the face-to-face interaction and decrease the spread of infection. This policy would instruct residents to stay home except for specific things such as schools, going to the store, seeking medical care, among other things. This would greatly help slow the spread of the virus by eliminating social gatherings that we know continue to be the avenue for sustaining this great pandemic.

 Some counties have had only a few deaths and a relatively small number of cases. Should those counties be required to do the things Dr. Garza thinks need to be done statewide?  Their experience might argue for local control, not a statewide mandate. But even in those places, if someone becomes seriously ill, where can they go if the rural hospital that served their area is one of the dozen or so that has closed in recent years, or if that small hospital remains but its small staff operates on a thin capacity margin and can’t treat them?

A vaccine is on the horizon. But we are months away from its general availability. The virus is here. Now.  It won’t wait.  And we do not know where it is lurking, despite the individual precautions we are taking.

“We are all one big county now,” Dr. Garza said. We think he’s right.

We’re too scared to think otherwise.