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Sunday Thoughts and Book Review
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Today is Sunday. A new life is beginning. I will have more free days starting this week and for the rest of my retirement years.
It is 5 AM and I just spent an hour checking out Facebook which is not a bad way to start my day, especially when I see pictures of beautiful locations, beautiful lifestyles and great ideas. I still get trapped in some sordid videos and skits that aren’t worth watching because of their irrelevance to my life. These posts are mostly meant for the new generation and they are outside my interest.
I am more prone to check the quiet and meaningful posts; I also like posts that inspire me. Gone are my days of pulpit bullying on the Internet, trying desperately to convince readers to adopt my point of view in life. It is hard convincing people, especially those who already have settled with their own beliefs. That doesn’t mean I’d stop engaging with a potential kindred spirit. Somewhere along the way, there is one or maybe two who agree with me. But that is not because of my power of influence. There is a likelihood that those who read my tedious writing have preconceived notions that happened to agree with mine.
I love reading and writing, that is the main issue. To indulge in a task you love is already a reward by itself. But I need to be grounded. To love something doesn't mean I am the best at it. A professional who retires and starts painting in watercolor doesn’t mean he is the best in watercolor. Or another retiree who starts an ice cream parlor doesn’t mean he’s an expert in that specific business. There is a chance of failure in whatever ventures we attempt. But to be a smart retiree, you need to mitigate risks, you learn to accept the limits, you prepare yourself to indulge in another hobby once you lose interest (or fail) in the current one. The point is to keep trying in the spirit of Ikigai.
- Do I love doing what I am doing?
- Is it useful for me and the others and the community?
- Can I monetize it someday?
If none of these apply to your venture, it might not be worth it. In the first place, one can only indulge in his free interest if he has sufficient passive income or retirement savings to allow him to indulge in an enterprise that may or may not make money. If one thinks he needs to make money from his new venture to support his retirement, then that venture is work. It is still possible to succeed but also to fail. The final question is -
- Is it ok to fail without affecting the stability of my retirement?
It is no longer feasible for me to take risks at my age. I could not afford to fail because it would be a disaster to start all over again when you are over 60 years old. It is more dangerous for someone like me who lived alone most of his life and my family support, though available in theory, may not be reliable when push comes to shove. Wisdom however is on my side. I have spent my entire life doing what the society expected of me. But I have drawn some lines though. The world told me to get rich, obtain power and be famous. I detested all that. I only wanted to have enough to live by, be unknown to allow me freedom, and heck, having power means dealing with people and politics, the most toxic and anathema to me. My personality isn’t people oriented and despite all my scientific inclination when it comes to learning, I keep my personal belief in God so that makes me different. I remain grounded. I prefer to be unknown. I don’t want to have anything to do with power.
I am blessed with simple desires. I do not like spending on what others consider as normal expenses. I don’t go to restaurants or movies or cafes or vacations. I have a few friends that are just as unsociable as I am. I have a large extended family although my separation from them throughout my life have rendered me estranged, and I don’t mean this in a bad way. You see, if you meet a nephew or a niece who was still in the belly of your sister or sister-in-law when you went away and now he is a father himself, or a mother herself, you’d probably be tentative and a little shy in dealing with them. There is politeness, respect, and careful conversations but being familiar and open-book doesn’t come naturally when you meet them the first time. We will eventually get closer in time but not today.
So what piques my interest as I am entering the door of retirement? I have worked physically all my life, in healthcare to be exact. My working life is nothing but serving sick people, patients who needed to be assured, moved, walked, rehabbed; my job was all talk and action that left me exhausted at the end of the day. It is quite odd, given my tendency to be solitary, to have developed a specialized skill of dealing with patients for 34 years. And the patients were of variable personalities. I dealt with some of the most difficult people in my lifetime. Patients who hated being in a hospital, or those who have psychological defects, manipulative, dramatic, aloof, a few racists, yet I stood my ground and got out intact and stable.
As I am about to retire, I am excited to have all the free time in the world to read books and blog about anything that interests me. Perhaps this is my last attempt to pursue the real profession I wanted before I went to healthcare (for financial survival). I always wanted to be a writer. I don’t really care anymore if I am good at it or not, if I have readers or not, if I am published or not. There is always a desire in me to share my thoughts, and as I said previously, writing is hard to do. It’s goal is to convince and influence whoever reads you. And that is the hardest job one could have. You create characters, settings, situations, conflicts, resolutions with the aim of convincing a reader about the point you are trying to make. It is purely mental.
And one cannot be a writer without reading books first.
(to continue)
BOOK REVIEW
I finished reading my current book and later received the book by Marcel Proust. I am beginning to love works by men using the stream of consciousness method of expressing themselves. It is a method I prefer in writing.
These writers - Kerouac, Jim Harrison, McCormick, Richard Ford, Peter Matthiessen - (are only a few) possess the writing style among authors using few words to complete a story replete with emotions and complicated plots. Take Jim Harrison for example, after reading his three novellas The Revenge, The Man Who Gave Up His Name , Legends of the Fall, I just knew he was a gifted storyteller.
REVENGE is about men fighting over a woman; she is married to a rich Mexican who dealt with drugs and real estate who was ruthless to his perceived enemies. The wife would fall in love with an American named Cochran. Cochran and the woman would suffer tragically once their affair was discovered. The woman was physically disfigured , forced into prostitution while she was drugged as men, who knew her before as a beautiful woman beyond their reach, passed her from one to another. Cochran was left for dead on a desert road. She died when the lovers met one last time. He buried her.
THE MAN WHO GAVE UP HIS NAME followed the same pattern of Revenge. An ordinary kid who was smitten by a classmate’s beauty and her unreachable class managed to marry her eventually. They had a daughter. He built an affluent life only to give it all up after his marriage was shattered. He found his ex-wife thriving while he started losing his via mid-life crisis. He ended up dealing with low-lives, or at least lives not at par with his status. Violence ensued. He survived. Made a deal with enemies and ended up living a far low-level life in Florida but it certainly was his choice.
Finally, LEGENDS OF THE FALL is the novella that established Jim Harrison as one great author. At least to me. In less than 100 pages he covered a multi-generational saga, epic in proportions. There is scarcity of dialogues. There was no grand transition from one era to the next, from one generation to the next. The sentences are lines that rely on the reader to string together. But the story is there - three brothers (Alfred, Tristan, and Samuel) were sent to WW1, these brothers were of diverging personalities but the violence of war turned them all upside down including the parents and the Montana ranch hired hands. One, Tristan got so traumatized he ended moving from place to place, leaving his wife Susannah to fend for herself. With Tristan’s prolonged absence, Alfred, who was the more ‘socially acceptable’ , married Susannah. Upon Tristan’s return, he just accepted the new arrangements. But he fell for the much younger Isabel Two (to differentiate her from his mother Isabel) whom he left as child when he went to war. Isabel Two and Tristan produced two children. But their joy would be short lived as Isabel Two died in an ambush while transiting whiskey supplies during Prohibition Days.
Tristan devoted his time to his remaining children but Susannah who was now married to Alfred who got elected as Senator (through the machinations of Susannah’s father Arthur), did not lose sight of her possibility of returning back to Tristan. She seduced him.
Given her unstable psychosis (madness), she was only prevented from killing herself with the hope that Tristan and herself will be together again someday. But Alfred was in the way. Eventually Alfred found out about their secret meetings and it led to hatred over his younger brother. Which led to the increased madness of Susannah. One day Alfred sent Susannah back to Tristan. She was in a coffin. I don’t think it was murder. I think she finally ended her suffering through suicide.
The most poignant part of this novella was the Epilogue, especially that part where at the present day the tombs and burial grounds of all these characters were located in accordance to their preferences and connections in Montana where most of the drama occurred, while that of Tristan’s was in Alberta.
What touched me most is the unique way of Harrison telling me a truth without actually telling me. That human drama of which we feel playing a big part will conclude nowhere except in the ground where our body is buried. We may have fought wars, got crazy after trauma, killed, fell in and out of love, loved our children, protected them to the end, accumulated a lot of money and power, even fame. The end point of it all was that tiny space on the ground where our souls have flown like birds leaving only bones that, now if gathered together, would be contained in a small bundle, unknown and uncared for except by those who still remember us.
Let's Talk About Hands
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- Written by: Healthysport
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I worked with victims of Hansen’s Disease many decades ago when there were still lepers and leper colonies around the world. Leprosy is a biblical disease completely eradicated now, although Central Florida is a hot spot for leprosy, report says | CNN, it seems to spring up occasionally. I wouldn’t worry about it much, it is treatable. Leprosy is caused by Mycobacterium leprae, and if I recall it right, it is treated with a course of drugs: Rifampicin, Lamprene and Dapsone. Once it is treated it becomes non-infectious and the infection requires skin to skin contact. What I recall about this disease are the deficits and deformities it causes. Most of these deformities are due to the damage caused by the bacteria to superficial nerves and cartilages. They include - foot drop due to involvement of the peroneal nerve. Multiple hand deformities ranging from claw hand to ape hand to mallet finger to wrist drop. The most common superficial nerves are the ulnar nerve leading to the paralysis of the ring and little finger, forming the Jesus Christ Benediction ( I wonder if Leonardo Da Vinci recognized the impact of the nailing of Jesus wrists that could have damaged the ulnar nerve to draw what we all know as Christ with that deformed hand).
claw hand
mallet finger
radial palsy + wrist drop (usually)
Ulnar Claw hand or Benediction
claw hand/benediction
ape hand
In the rehab and hospital where I used to work, hand problems were predominantly treated by Occupational Therapists. Occasionally I was assigned a hand or a shoulder in outpatient settings.
Hand therapy remains one of the most important components of rehab. Imagine losing the functions of your hands if you were a pianist, a surgeon, a mason, a writer, a painter, a cabinetmaker, a computer repairman, a sportsman and many other professionals. Imagine placing food with the aid of a fork in your mouth with shaking hands. How would you comb your hair, send a text, brush your teeth, button shirt, tie shoelace, hold a cane or walker, shower, dress, put shoes on, and the tasks go on and on and on?
Opening a door
Using a scissor
Combing hair
Eating with spoon or fork
You may take your hands for granted until they fail to move no matter how much you tell them to. You suddenly become dependent on someone else for these otherwise automatic and normal functions. Just to require somebody to clean you up after the bathroom and change you after the shower can pull a punch at your dignity and independence. I constantly dealt with previously independent people who woke up one morning without the ability to use their hands. The shock is often translated to the usual Denial, Anger, Bargaining, Depression, Acceptance stages of grief. Some can be stuck with Anger; some can get stuck with Depression. None of them are acceptable to the patient most of the time. They do accept the disability eventually but would not be happy.
What are the events leading to loss of hand functions today? In my experience, the major debilitating causes are neurological and orthopedic. Neurological damage transitions the muscle tone: Flaccidity, Emerging Spasticity, Dominating Spasticity, Start of complex movements, Waning of Spasticity, Normalization of movements. These were first described by Brunnstrom.
This website tries to simplify discussions so it would seem to be a layman talking to another layman, spasticity is the tightening of the muscles because the brain loses control over them. The muscles are in a contracted state. Flaccidity on the other hand is absence of tone in the muscles rendering them paralyzed. Once again, some patients may get stuck with flaccidity or spasticity. A few lucky ones can jump from flaccid (absent tone akin to paralysis) to normal. A lot of these outcomes depend on the severity of the neural damage. Or how long the recovery is. The most common stage that require extensive Rehab is the spastic stage of a stroke with a flexion synergy pattern. Near drownings could also result in brain anoxia (or lack of oxygen in the brain) leading to catastrophic damage to hand functions. The victims shake in tremors every time he tries to use his hand. Drug overdose is also an increasing menace that leads to brain damage that causes hand dysfunctions. Others to consider are bleeding of the brain, either subdural or subarachnoid, tumors, nerve damages such as radial, ulnar, brachial plexus etc. Same thing with temporary (or not) paralysis from Guillain Barre Syndrome.
Typical Hemiplegia after stroke. Notice the position of the arm.
Orthopedic causes are usually accidents (vehicular, falls, physical altercations, being battered are examples) that lead to spine and other bony part damages. There are a few rheumatoid arthritis sufferers. Carpal tunnel and its post-surgical rehab land on my treatment table. Same thing with Colles fractures from a fall landing on an outstretched hand. Spinal cord injuries, especially the high levels involving the neck and thoracic spine, are pretty much common in my rehab setting as well. Old age problems of neck spondylosis or compression fractures or simple wear and tear can cause hand problems. Hand burns.
Ok, before I get carried away and talk like everyone is a therapist here. PTs and OTs pretty much know what I am talking about, but they are not the target of this blog LOL. What I am driving at is this: the hand and its functions are necessary in our daily lives. It is important to take care of them.
If your job requires extensive use of hands, learn how to give them a rest. If you are a pianist, writer, surgeon, manual and massage therapist, a dentist, even a teacher who writes on chalkboard, or a driver, please take a few minutes now and then to rest your hands. The best way to relax the hands is to make them move in different directions including the fingers and wrists.
Gentle bending of finger joints until forming a fist
Digital Opposition
Abduction and Adduction of fingers and thumb
Thumb Opposition
Tubing Exercises for wrists, elbows (flex/ext, pronation)
Do hand and finger strengthening exercises. There are many tools from therapeutic bands and hand grips and small weights to help you in this. Examples:
- Retirement and Ikigai
- Sarcopenia: Loss of Muscle Endurance and Strength
- On Bad Blood
- Take Care of Your Heart: A friendly Reminder from the American Physical Therapy Association
- Morning Has Broken
- Reaction to Quiet by Susan Cain
- Stroke Part 5 : The Bleeding Pipe
- Reaction to the book 'The Beginning of Infinity (part 2)
- Book Reaction: The Beginning of Infinity(part1)
- Stroke Part 4: The good, the bad, and the bad (Cholesterol)
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