Tag: health

Insistence of Memory

I got chickenpox, mumps, and measles. I had my tonsils out—an operation that required an overnight stay –when I was in 3rd grade because they had been the source of repeated infections. I bounced through cases of flu and other passing illnesses. Years later, I had mononucleosis during the first semester of college. Nothing keeps us from bumping into some microscopic problem. And forget about the web of mysteriously genetic and environmental causes that lead to Parkinson’s Disease or Non-Hodgkins Lymphoma—the two illnesses that plagued my parents—but that was on the distant horizon.

I read Alistair MacLean’s novel The Satan Bug—in which a mutant virus threatens to wipe out humanity—in the 7th grade. In a world that lived under the menace of nuclear war, a biological threat was quieter and almost less tangible, and therefore more insidious. I traced these threats through films and books like The Andromeda Strain, Pursuit, and Rage. Even Close Encounters of the Third Kind used the possibility of a gas or disease outbreak to move the plot along. The insidious unseen nature of these gaseous or microscopic adversaries held my interest.

In my 20s, the HIV-AIDS epidemic galvanized my attention. How could it not? The emergence of a disease that would kill you after sexual intimacy staggered all of us who enjoyed the freedom afforded by birth control and an unshackled moral climate. We felt screwed (and not).

Whether fear or mordant curiosity drove me, I began to study viruses and epidemics with fury. The sudden spread of hemorrhagic fevers that Richard Preston (The Hot Zone) and Laurie Garrett (The Coming Plague) wrote about exacerbated my concern. It was impossible to moralize about what was coming—this wasn’t about sex. Deadly diseases lurked. Diseases have always been half a hair away. In Norfolk, a small park memorializes those who died during an outbreak of Yellow Fever in 1855. I lived a block away.

Still, in my 30s, I read Defoe’s Journal of the Plague Year and Garcia Marquez’s Love in the Time of Cholera.  And then, almost by accident, stumbled on reports of the Spanish Flu Pandemic of 1918. I read Alfred W. Crosby’s America’s Forgotten Pandemic at some point in the late ’90s and then John Barry’s The Great Influenza when it came out in 2004. How could it be that we all knew about the Great War, but not the pandemic that occurred at the same time? We know about this now; Barry’s book made it to the bestseller list in 2020, but the memory of the pandemic faded in popular culture. I was surprised this past year when I realized that Mr. Gower’s son dies of influenza in It’s a Wonderful Life; it was the Spanish Flu. Where else was the pandemic?

So when COVID emerged in the winter of 2020, I was not surprised. After all, SARS and MERS had already flourished in their own specific ways. When it became clear that this would be more serious, I bought masks as soon as possible, kept my distance, washed my hands even more assiduously than usual, and settled in for the count. History provided stern warnings; I knew that a count—of cases and deaths—was coming.

We like to predict what will happen, and strangely enough, we tend to think that the future is unwritten. It is, and yet, for a good indication, look to the past. This is true whether you want to know what the weather will be like on May 14th or if there will be traffic on I-95 tomorrow morning. Yes, there are exceptions and random occurrences that will skew the numbers, but the past is all too reliable a guide. Fifty Million people have not died from COVID as died in the last great pandemic, nor have half a billion people contracted the disease. But our imagination does not need to stretch far to encompass those numbers. 675,000 United States citizens died in the influenza pandemic; that number is all too close to where we are headed this year. Yes, the population was smaller in 1918-19, but did anyone expect this to happen?

Over the past year, I gobbled down the numbers. I felt a strange intoxication with having a sense of where things were headed and seeing them move, painfully, sadly in that direction. Anthony Fauci, and most of the medical community, played Cassandra to a population that wished for another outcome. As if wishing could make it so. But what good did it do to know? What effect did my knowing have on anyone other than me? The numbers were a despairing gruel that neither nourished nor encouraged me. I had to wait them out. Eventually, I stopped reloading the numbers every hour and settled on the grim results that appeared each morning in the New York Times.

So what’s the point? Partly this: when you see it coming, get ready: hurricane, pandemic, or whatever is on the horizon of time and place. Get ready before you see it. You have been sick before; people have been sick around you. We should have known better, and our ignorance cost lives. The obvious is always right there. Yes, while knowledge can be overwhelming, there must be a sweet spot: enough information to teach us and lead us into productive discomfort without flooding us into anxious inaction The only way we learn is by exposure.

But there’s something more.

There must be a reason that the pandemic of 1918-19 disappeared from memory. Why and what do we forget? We forget, or remember selectively, and not just about events like pandemics. I’m not aiming at what we don’t retain. As a teacher, I am too aware that students do not retain everything. I wonder why do we forget some things and not others? This is not a reflection just on this pandemic or the last or the run of diseases.  What else have I forgotten? I scramble to instill new habits and new awarenesses or avoid falling down the well of past practices. To borrow from Robert Creely, “[w]hat am I to myself that must be remembered, insisted upon so often”? But more, what have I failed to remember and insist upon?

We resume the remembered rhythms of our lives and return to our old habits and anxieties as if they were never interrupted. Repetition has essential gravity and draws us back. Except sometimes some things should interrupt us. The persistent nudge of discomfort—that we do have something new to learn and some new way to behave—should goad us onto a new course. Except, we stay the course and return to the known, even if it is a life half-lived.

I can (and I suspect that I will) point to the world and shout, “J’accuse! You forgot!” I shout at myself. I must insist that I remember—or that I remember to insist. I write in the face of forgetting, in the face, to borrow once more from Creely, of “the tiredness, the fatuousness, [and] the semi-lust of intentional indifference.” I must return to the hard work of insistence.

The pandemic passes, the lessons must not.

At War with the Virus

Say, you live in Maine, far from the coast, in the softly rolling hills in the part of the state known as “The County.” In Winter, the days are short and bitter with cold. You are not at war with the dark, and the winter wind is not your enemy. You may decide to move someplace warmer, where the sun rises earlier and warms the world even in January, but no matter where you go, The County will be cold in January.

Say, you live in Florida, and for four months each year, you pay special attention to the weather forecast in the morning. You have sheets of plywood stowed away in your garage, just in case. In Winter, the streets fill with license plates from places up North. Hurricanes and snowbirds are the limits of your life, but you aren’t ready to chuck it all and move to Tempe. You aren’t at war with hurricanes—what a futile battle that would be. They pass through, soaking the earth and knocking down trees. At least they aren’t earthquakes—unpredictable and worse than ornery.

My father planned his trips to Bermuda in late May and early June—when the weather was usually warm enough and before hurricane season roared into full flower. Only once did a tropical depression explode into hurricane force. We were still inside the reef, making our way from Hamilton to the customs house in St. George. One of the ferries veered off its routine course to check on us as we were about to depart Hamilton Harbor. My father’s stubbornness was as unrelenting as the weather. It took us a day to power around the island’s northern passage—a trip that usually took scant happy hours. I held the helm as we motored inch by inch into idiot winds. I slept well in an uneasy anchorage that night. By morning, most of the cell had crawled on, slowly dissipating in the pan of the chilly Atlantic.

A sailor, a Floridian, or a Down Easter all understand that weather comes and keeps on coming. Some cycles are reasonably predictable, but day by day, if you are planning a day sail, a picnic, or a ski trip, you better check ahead.

There’s a lesson here, and it’s full of holes. Not everything is like the weather. When we describe people as walking hurricanes or icicles, we make metaphors to explain their character. We know that their behavior did not originate as the result of cold air spinning over warm water, or that they are actually frozen. We alert ourselves to the difficulty of such people because we know that grappling with rain and wind or freezing cold is a fool’s errand.

The coronavirus is more like weather than some “invisible enemy.” We will not “contain it,” or “defeat it,” as much as adapt to it—the way that we put on a heavy coat in the Winter, or attach plywood outside our windows when the storm heads toward us. Yes, the virus can kill us, but it’s not a willful assailant. It did not attack us or declare war on us. It has no strategy learned at war college. The virus just is.

We think of the world in terms of stories. Even the way I began this—weather—is just a story based on my experiences, although I have never sealed a window behind plywood or hunkered out to check fields in the brief sun of Winter. I can imagine such things because I have seen them depicted in the news or heard these stories from people who have done them. Or because my life has brushed close enough to these places and that weather. Besides, these are common enough stories.

But war? A friend reminded me—over and over—how poorly the military was depicted in film and television. The military and war are described to conform to our sense of what they are—to fit the stories we already have. I recall Henry in The Red Badge of Courage, marching off to war with heroic accounts of the Greeks dancing in his mind. And then the battle happens.

There was a singular absence of heroic poses. The men bending and surging in their haste and rage were in every impossible attitude. The steel ramrods clanked and clanged with incessant din as the men pounded them furiously into the hot rifle barrels. The flaps of the cartridge boxes were all unfastened, and bobbed idiotically with each movement. The rifles, once loaded, were jerked to the shoulder and fired without apparent aim into the smoke or at one of the blurred and shifting forms which upon the field before the regiment had been growing larger and larger like puppets under a magician’s hand. (Crane, The Red Badge of Courage)

Of course, this is a little too poetic. Crane gets at the chaos and absence. The overall effect of his novel is the persistent shift from order to chaos and back again. He did not experience war but learned by listening to veterans as he prepared to write. We can learn new stories.

We fall back on stories that we already know. The gravity of the familiar is too powerful for most to escape. We repeat and replicate the stories from our lives with tidal regularity. We do it automatically and insensibly. And that is fine and sensible when what we already know helps guide us back to familiar places. However, when faced with the exceptional, we must learn, quickly, to adapt and revise those familiar stories into something that will suit the present moment. “Must”? Why “must”? We do well enough with the old ways.

Metaphors, which are all that stories are, helpful tools that can open and expand our understanding. In Range, David Epstein writes how Kepler used metaphors to help him discern the motion of the planets. However, metaphors come imbued with values and can ensconce our judgment with moral values that impede clear vision. In Illness of a Metaphor, Susan Sontag points how “[i]llnesses have always been used to enliven charges that a society was corrupt or unjust.”

So, if we are at war with the virus, it must be a foe with corrupt and evil origins. We demonize the virus to create a familiar story of us vs them. We go to war with the virus to stir a sense of urgency; war is the epitome of urgency. The evil enemy must be defeated. Leave out the chaos and unpredictability. The slip of genetic information becomes an “invisible enemy,” the President takes on the mantle of “War President.” Except this enemy does not stand on a field and fight, does not snipe at us from a jungle blind, does not line up or plan or have a General in charge of strategy. There is no Rommel, no Lee, no Hannibal directing the forces. No more than some angry, vengeful force directs the cold wind to gnaw off the fingers of your left hand, or tears trees up by their roots and smashes them down through your roof.

The man who attacks the wind is worse than a fool and doomed to fail. Even if the wind abates, and the serene sun returns like a balm, he did not defeat the wind, and he did not bring the sun.

Still, we feel the need to play the useful if futile part. We must do something. During the pandemic, many will do—and should do— much, as we slowly find out a way to live with this next new virus. There have been other illnesses, and there will be others. We can be sure of that. We will learn this lesson, or forget it and retreat to the familiar old story. The story was there before and will wait for us, as it always has.

The Music of Effort

I start paying attention after 17 minutes or so — the meter on the elliptical estimates that I am burning 24.3 calories every minute. I am about halfway through the current “run,” and I will burn through 720 calories in 30 minutes and well over 800 when I include the five minutes of cool-down time that the machine grants me at the end of the workout. I get pissed because the timer starts as soon as I start moving my feet, and the first 15 seconds are “slow.” I make up for it. After a five minute break, I jump on another machine that allows me to take longer strides, and run for 12 minutes, aiming for 7-minute miles. It’s a workout.

This is not about working out.

I listen to music while I work out. My playlist is a series of hard and fast (mostly) rock and roll songs. If you were in the gym with me, you would see me silently singing along. “Need a little time to wake up. Need a little time to wake up, wake up. Need a little time to rest your mind. You know you should, so I guess you might as well…” Or  “Save the strong, lose the weak—never turning the other cheek. Trust nobody, don’t be no fool. Whatever happened to the golden rule?” Or, “Touch me, take me to that other place. Reach me, I know I’m not a hopeless case. What you don’t have, you don’t need it now. What you don’t know, you can feel it somehow. What you have you don’t need it now, don’t need it now.” Or “We’re going boom, boom, boom, and that’s the way we live.” There are others.

This is not about the music I listen to while I work out.

When I was a swimmer—in high school, college, and after—there was no music in the pool—at least no music that wasn’t already in my head. I had a much shorter playlist then—just a four or five songs any given day that I played over and over again in my head while I churned through mile after mile. I had a little hortator pounding away, beat after beat, distracting me from the pain in my shoulders and knees, guiding me through the agony of hard work. When I took swimming back up, there was a waterproof mp3 player that took over that task, but by then, I felt swum out — besides, it’s hard to sing with your face in the water. Drowning.

Seriously, this is not about music and workouts.

Several years ago, I tipped my hat to loud music in a sermon that praised the virtues of Rock and Roll as a way to access the spiritual. I noted how Coldplay’s “Sky Full of Stars” worked up to and encouraged a communal moment of dance/rave. I pointed to U2’s “The Miracle (of Joey Ramone)” as a memoir about the discovery of the Ramones by someone “young, not dumb, and wishing to be blinded.”  It might as well be my memoir. Or yours. Rock and Roll has the power to blind us, the way a flash of lightning blinds us. There are times when we need to be blinded, when we need to erase all the sordid images of the day from our mind’s eye so that we can start fresh, and see with new eyes, hear with new ears, and feel with newly opened arms. Or something like that.

When I work out, I play music that beats back the exhaustion of the day, and that transports me into the steady hard effort that burns an extra few calories and raises my heartbeat to 170 beats a minute. I don’t want much—just a kind of blindness. And yet, I’m not blind to any of it. I feel all the effort—I love it—every ache, every heartbeat, every drop of sweat. The music helps me break through the “tiredness, the fatuousness, the semi-lust of intentional indifference.” I sweat “with a decent happiness.”

I play music while I write. Listening to the same piece helps me reenter the dream with the same mood. Unlike Annie Dillard, who demands a Spartan silence while she works, I need the wall of sound. Maybe this is because I spent years with a sound in my head while I sped through the pool in repeated max-effort swims. I have an affinity for noise and the distraction of the world. After all, I am, always, writing about the world—how could it be a distraction? Yes, there are moments when the actual world fades, when the world made of words engulfs me, and when I get blinded, properly and completely blinded by the work.

I wish that experience for any and every writer. Whatever it takes to get you properly and completely consumed by the world that you strive to create, do it. If silence gets you there, find a quiet place. If noise and distraction get you into the state of mind that produces all the words, then find that noisy place and work it.

As I revised my novel, I discovered that my book needed a scene or two—how did I leave THAT out? (I know why. I wasn’t ready to write it, not yet.) And so, knowing that the magic of Gorecki’s Symphony Number 3 was not going to generate the energy that these scenes needed, I dug into the catalog and pulled out Led Zepplin’s “When The Levee Breaks,” because weeping and moaning were ahead. And, yes, that song is on the workout playlist. When it plays, I feel the story coming from the muscles in my arms and legs—not just my head. I breathe deep, my heart races, and the words flow like sweat. Fortunately, I like to sweat.

If it keeps on raining, levee’s goin’ to break. Let it break, I’m ready for the onslaught—bright and loud.

 

Hurt, Pain, and Agony (swimming and writing)

At the end of a day at work, I had a low grade fever on Monday, and so I had a choice to make—go home or go to the gym.

When I was in high school and college, I swam competitively. I was a good swimmer, not a great one, but I had made myself a better one and took pride in the effort. I enjoyed practice, in spite of the fact that practice hurt. The predominant swim coach of my youth was James “Doc” Counsilman. He prescribed—preached, really—the progression of hurt, pain, and agony as the single lane toward improvement. I gobbled up his Science of Swimming, and pushed myself into agony and better results. I never became an elite swimmer. I came to the sport too late and without the technical proficiency needed to excel beyond my willingness to work to the point of physical failure, but I did become a much better swimmer.

I hated to miss practice. I went when I had a fever. I went my my shoulders felt shredded. I went if I had the flu. I pushed my body hard enough to compromise my immune system, and plunged my body into a staph infection that ravaged me for a month. I kept at it.

I briefly considered quitting when I was in college. While Swarthmore was a place to be committed to study, most of the swimmers on the team joined to be fit, or to explore the sport. I was maniacal, and therefore, felt more often than not alone on the team. I missed the hard driven team of my high school. Also, I was not used to being out ahead of everyone else. This is not a boast, just the nature of the circumstance. There were other teams on which I would have not made the cut. I knew that.

I rejoined the team, refocused my effort, and pushed on.

So, I felt under the weather on a Monday. Let me put this into context. Nearly every day at my job, someone calls out sick; I have enough free time in my schedule that I am able to cover other people’s classes. I do not understand being sick and missing work. I know it happens—I have had migraines, back spasms, and bronchitis in the past fifteen years. I had knee surgery fifteen years ago (torn meniscus). I get it. Illness happens. I admit to being stupidly judgmental about this.

For many recent years, I worked seven day weeks. If I got sick, my body, as if on cue, waited until I had a break in the school year. And then, I somehow avoided being ill on Sunday; I worked for a church. It just happened that way. The little stuff—a headache, some intestinal discomfort, a low fever—was just part of the day. Buddha might have said that desire causes suffering, but it seemed to me that a small amount of suffering was simply part of life. Swimming had taught me that.

I claim that swimming taught me that lesson, but I am not so sure, because there were—are—aspects of my life that suffering has upended. While I could fight through a workout, or endure lengthy stretches of difficulty in a relationship or job (perhaps endure too willingly and for too long), when it came to my writing, I backed away from the agony. Agony for writers, I think, is a bit different from agony for swimmers. Muscle pain and, what? brain pain—I hesitate to call it heart pain—are different creatures. Physical pain ends—for most. Certainly the kind of agony I courted in the pool stayed mainly in the pool, at least until my knees needed surgery. Mental pain permeates the day—you can stop writing and still feel the agony of an unsuccessful scene—anything less than glowing prose. And when even the good writing does not find a reader, then the agony feels for naught.

Writing does not quantify the same way swimming does. More writing does not necessarily guarantee better writing (There is a correlation, but it’s more slippery) the way that more (more yards, more effort) swimming leads to faster times. Nor does it compare well with work, where improvement and accomplishment have monetary results. Does a higher salary indicate a job better done—or for that matter a more valuable job? I guess that depends on how you ascribe value.

Maybe because good writing—whatever that means—is dependent on the reader, if one seeks to write well, one either needs a fairly reliable ability to dissociate from the absolute creative process and read one’s own work as a stranger might, or have a reliable enough reader to sort through her—or his—work. But more than that, one has to engage the work almost without a thought for oneself. There is a second dissociation—and this is like swimming: one must be attuned to the pain and the pain cannot matter.

For instance—and this is an insight into my judgmental brain—I described a character whose skin turned browner while he worked for weeks and months outside as “brown as a berry.” This is an old cliche, and one that I first overheard in the British Virgin Islands while sitting at dinner. Some old man—I was 12 or 13, everyone was “old”—described me in his British accent as “brown as a berry.” I did not know then that it was a cliche, and the phrase stuck, because my experience of berries tended to berries of red and blue and possibly black—the blackberries that grew wild on bushes near my home. It felt foreign and I enjoyed that the phrase had some unexplained—for then—British origins. The phrase dropped into my work, and I knew it was hackneyed when I wrote it—a minor disaster, I suck as a writer—and when I revised, I took it out. I knew that I would. But I had to move on while I was writing, I could not spend five minutes, let alone twenty-five, figuring out some turn of phrase. In the end, I let it be simple: “his arms turned brown by the sun.”

Does that sound like agony? Sucking as a writer is agony. The realization that my work would not please everyone—and that I still had to do the work—was not easy to accept; secretly, I believe that the whole point of writing workshops is to learn to ignore critiques as much as to learn from them. How does one know when the work is “not good”? Or, for that matter, “good”? Rickie Nelson sang, “You can’t please everyone, so you’ve got to please yourself” (more hackneyed advice from my childhood). There is agony in those questions.

And so, on Monday, I headed to the gym. I shortened my workout, burning down 500 calories in 23 minutes. It was shorter, not less arduous. I was in various forms of discomfort through the first half of the week—my insides disagreed with something I ate. I kept at the gym anyway. And then—always and then—I read the first chapter of my novel out loud at an open reading on Friday, and sent off the first set of query letters to agents on Saturday. The book, for now, is done. I wrote this. And I started the next book.

I am prepared for the work, even if it hurts, even if I am in agony. I have trained for this all my life.

Lessons from Sailing: Patience and Course

We gathered a twice a day to listen to the nautical forecast, usually in the cockpit, but when the weather was execrable, in the cabin. For days on the ocean it was the only external information we had, and the computerized voice that intoned the zones and conditions annoyed and entranced us. My father never explained which particular slice of the forecast we should heed. If there was one, it was his secret. We did get a general sense: the information could reveal a significant change from the forecast with which we headed onto the ocean. For the most part, the weather we encountered was weather we could see.

Besides, what did the weather matter? We were going into it one way or the other. If something sudden arose—and in a storm, wind and rain could change direction in a moment—we had one rule: change course. At 3 a.m. on a Monday morning, Saturday afternoon’s destination could wait. That lesson only took one stern delivery.

I think I became an atheist on the ocean, or at least a pragmatist. If there is a god, it answered my prayers for relief with a simple, “You put yourself out here, jackass. You are going to have to get through it on your own.” At the same time I learned to believe in and respect a power much larger than my desire. Only a fool raises a fist against the weather or the ocean and then dares an impossible course. We had our foolish moments. On particularly bad days, my father would simply decree, “This is shitty.” If it was, we sailed through it.

In this way, we learned a sensible passivity on the ocean. Our single dare was the initial impulse: sail. After that we trimmed sails, corrected course, vomited, slept poorly, ran the engine through flat days, cursed the diesel odor, and gloried. We were sailors.

Every so often, the moment called for essential courage: tying down loose sheets at the bow while the boat bucked through night storm. I could hold onto nothing while grabbing the clew of the working jib and the sheet (line) that whipped back and forth, having worked itself loose. “You get that,” my father said, in a tacit admission that his Parkinson’s Disease would prevent him from ever again wandering forward in less than pleasant conditions. “It’s shitty, but we have to get that.” He didn’t even need to add that proviso. I had hooked my tether to the line that ran from bow to stern and was scrambling ahead—cursing, as is one’s right, and scrambling.

One learns not to wish for courageous opportunities. Danger is not a reward, even if it frees the soul from, what? complacency? On the ocean, complacency is death.

I knew about my father’s illness because, on the ocean, every limit will be tested, but it is essential to acknowledge those limits. You do not ask a first time sailor to take the helm in a gale, nor do you ask uncertain hands to tie a bowline. Few are those who ask for something hot to eat and a place at the helm in any weather. And my father’s illness was a limit–he wanted, desperately, to be the one who managed every danger; after all, he was our father. When he could not, we had to know it, and keep him safe.

Even while waiting on the ocean, one never stops being on alert, ready to absorb the next challenge—and boredom (bored in a week? Bah!) must be one of those challenges. But, who gets bored between the sun, the sky, and the endless blue?

Still, I wonder about the lesson—prepare and wait. It is easy to forget that while I waited, I was on board a 36’ sailboat that made steady and infernal forward motion—through all kinds of placid and idiotic weather. Yes, wait, be patient, but for the love of all that’s right, keep going. Even if the pace is a mere 6 knots, keep going. Even if a storm causes a momentary reversal, there is a destination, perhaps on the other side of the world. Keep going. And be prepared for what comes. It is, it will.

Stay Out of Cold Water

I have had a splendid relationship with the cold. I grew up traveling to Maine and swimming in the chilly Atlantic (a past time I maintained until my last visit a few years ago). I lived in Binghamton, NY and started my foray into running during the winter. I put in my 5 miles three or four days a week in snow and ice and temperatures that registered in single digits.

This past winter I started getting a bright red rash on my hands on cold days that I shoveled snow or spent time outdoors. It bugged me, and I chalked it up to who knows what. Internet searches were inconclusive.

So today we went to the beach, and Virginia Beach, mind you, and after about half an hour of grown up frolic in the waves, I got out. Within a few minutes my body was covered by that winter rash and small welts right up to where the water reached below my shoulders. Add to this the histamine shock that followed, but I got to the towel and rested until my pulse settled to its normal.

When we came home, there, as plain as day, was my ailment, which is just as stupid a condition as one could imagine and with no apparent cause. Can I say, “Cold Urticaria. Really?”

At some point we just accumulate miles, and stuff happens. Contact with the world brings all sorts of expected and unexpected pleasure, despair, and annoyance. So, right now, annoyance (at the same time: great joy: Daughter’s first visit to the beach!). If I stay out of the cold, there’s nothing to see. Or I can take a handful of antihistamines and plunge away.