Tuesday, August 27, 2013

One thing I can say about my recent health scare is that it has gotten me writing again.  I started on a new novel which at the moment is mix of ideas.  I started with the concept of an lesbian vampire novel, (yes, I know that not original, but what is?) and setting in Richmond, with a secret centuries old anti-vampire, anti-gay group  called the LAW [the Lord's Army of Watchmen] based on a real life Baltic group,  and I notice violence against LGBT persons is disturbingly similar to violence again other people and even fantasy beings like vampires and werewolves. [Yes, I know it sounds like Dan Brown meets Bram Stoker, but it could be worse, believe me.] If one can understand the horrible monstrous things people have done out of the fear of the Other, or through a simply lack of compassion for others,  then it can be easier to purge demons from your past.  And by deliberate basing some characters on people I know, it's also helped me understand their own issues.  It was either the Roman poet Terrence or Oscar Wilde who said,  "Nothing human is alien to me."  Even though I'm a straight male, I realized I have had (and still have) a lot of gay and lesbian friends over the years, and I draw on them for the characters as well as tales told mainly by my late first wife and my having to deal with her bipolar disorder.   I had forgotten what a remarkable woman she was and drawing from her past as background for the main character,  I'm finding my own feelings about her.   By changing the protagonist's sexual orientation it also offers me some distance as well.  And a good writer--hell, simply a good human being--learns what empathizing with another person, even one whose course through your life was reckless and painful,  broadens your understanding of the human condition.

Maybe I'm being presumptuous, but in some ways it's much easier to create a character of a different race, gender, or sexual orientation that it is to create alien races, or strange beings or monsters from our ids.  I'd already been working on an idea for a vampire police detective in Oklahoma City and drawing on some real life horrific murders in the city.  But I think the characters in this project are a little fuller, and more real to me, and I think because I'm drawing on my own experiences with friends and my knowledge of events in ex-wife's life that I suddenly knew that this was a good idea.  Like a lot of writers, I'm reluctant to draw on my own emotions and experiences, but this way I can do just that as well as keeping a mental distance that's healthy and objective.  I don't know if it'll work, but it jumpstarted me and that is the best thing of all.  So far I've gotten a few scenes written and have worked on developing the secondary characters and the members of LAW--sometimes baddies are lot easier to create than good guys, perhaps because it is easier to believe villain's motivations.  So much simpler that our own--unless, of course, we are evil ourselves.  No title yet, and I'd like to avoid anything too "bloody" but that's not on my mind just yet.  But if you have a idea for a title or have a scene you'd like to see in someone's book somewhere sometime, let me know.  The worst I can say is "It stinks," which is a criticism we all faced in our infancy, and there's no getting over that.

To keep you updated on my health, i have an ultrasound on my kidneys tomorrow to check out a cyst on one that cam eup in a CAT scane, and then I'm meeting with my cardiologist and a vascular surgon. With luck, medication will control a lot of this, just as an new, additional blood pressure medication is helping with my hypertension.  All of these issue run on my mother's side of the family, so I suppose I should get made at my genes.  It's the hand I was dealt, but I don't intend to fold anytime soon.
What other choice do I have?
Till next time.


Thursday, August 15, 2013

On Sunday last I was just sitting at my laptop writing when I had a spasm in my jaw.  That’s not unusual as I have TMJ, the result of a bicycle accident back when I was  in college in which I went over the handlebars and landed on my chin.  Over the years this has been controlled through wearing night-guards fitted to my upper jaw, but I have also had spasms in that jaw at times.  Usually they’re triggered by sinus congestion or stress.  They come on suddenly and the pain is horrible for about ten to twenty minutes.
This time, however, the pain went down into my neck and across my shoulders.  I even felt it in my elbow joints.
That had never happened before.  Clearly something was wrong.
I drove myself to the emergency room and was checked in, had blood drawn, a blood pressure cuff put on, and was given a nitroglycerin jell patch—as a vaso-dilator to increase blood flow.  “This may cause a headache,” the nurse informed me.
It didn’t.  I seem to almost always not have the symptoms from medications that someone tells me I will have.
 After blood work was done, nothing seemed wrong,  except that my ProTime level (associated with Coumadin, which I’ve taken since I had heart surgery in 2002) was high at 4.0 instead of between 2.0 and 3.0.  I’d had it test about a two weeks earlier and it was perfect at 2.5. 
Then, after a second test, I had a minimally elevated troponin level, with an emphasis on “minimal.”  Troponin, however, is nothing to sneeze at, as it’s often the post-event sign of a heart attack.
My family apparently has a history of heart issues.  I had surgery to deal with an aortal aneurysm—a not uncommon condition that can lead to aortal dissection and death—and ended up with an artificial heart valve and a single by-pass.  Aneurysms are an issue on my mother ‘s side of the family, as my mom and an uncle in England both had surgeries for them.
This time things were far from clear.  I was kept overnight and the next day I had a CAT scan and an echo-cardiogram, neither of which apparently showed anything senior. So I spent a second night in the hospital and the next day was injected with radio-active tracer and had a gamma ray camera take shots of my heart.  It’s hard to describe the experience of lying flat on your back, arms over your head, and being raised to within an inch or so of the massive camera, and then waiting as the camera moves slowly over you, making various mechanical sounds.  Those were the “before” shots.  I then was given a drug that simulates what happens on a treadmill (without the endorphin high that exercise gives you.)   After that, it was back to the camera, then to my hospital room to wait for the Dr. Chu, the cardiologist.
When he arrived, he gave me one of those ambivalent diagnoses:  “Your tests are normal, just not normal enough.”
Ah, the absoluteness of uncertainty.
So that meant a heart catheterization and possibly angioplasty and a stint.
It also meant a long wait.  The procedure was roughly set for 7 a.m., but was then rescheduled for 1 p.m.  So there I was, waiting and worrying, but at least I was writing in my journal, something I once did virtually religiously for about ten years, but haven’t done so for more than ten.  Naturally I wrote about an incident in my teens when my dad nearly drove us into a freight train.  Ah, nothing helps you cope with a scary, dangerous situation than recalling an ever more dangerous, potentially deadlier incident from your past.  The impeding crisis pales in comparison as a result and makes it somehow easier to deal with.
When I was at last wheeled down for the catheterization, it was almost 1 p.m.  Fortunately I’d been given valium and Benadryl®.  By now I had grown use to being wheeled on a gurney all around the hospital—actually, just a section called the “Tower.”
It was much colder in cath lab than the rest of the hospital.  So the nurses covered me in a nice warm blanket.  The last time that had happened was when I was being prepped for surgery in 2002.
I’d had a catheterization before, as a preliminary to the heart surgery I had in 2002.  That was in the femoral artery in my groin, but this time the cardiologist, Dr. Chu, went in through my left wrist.  So there I was, flat on my back, my left arm stretched out and covered with the all the neat surgical stuff to focus the physician’s concentration.
The I was given a local anesthetic in the wrist, and a television monitor was brought over my head so I could see the procedure—although as I stared at the dark line that separated the top and bottom halves of the image I could only think how much it looked like the red line at center ice on a hockey rink.
After that, although was awake through the procedure, I can recall nothing, as I was given an amnesial through my IV tube.  Then the next thing I know I’m fully awake and alert and being told the procedure was complete, and that I didn’t get a tint because I didn’t need one.  Instead, it was to best treat with changes in my medications. 
Great news, I suppose, but it didn’t explain my jaw pain.  The cardiologist said he didn’t think it was angina, but the hospitaler (doctor connected to my PCP) thought it was.  In either case, my new meds were now to include\sublingual nitroglycerin.
At this point I was certain I would get to go home.  Except the air-filled plastic cuff on my wrist had to be carefully removed by first using a syringe to remove the air in increments 20 minutes apart.  But when the cuff was finally removed, a hematoma began to form at the incision site.  So the nurse put pressure on it, which meant the cuff had to be refitted and refilled and the whole process started all over again.   That added another couple of hours to my stay.
Nancy had come up to stay with me, despite her still having a “boot” for her broken ankle.  She’s hoped we’d get to go home together, but no go.  So Nancy had the friend who brought her up to the hospital take her home.
I, however, had to stay put.  In the crook of my arm I still had the IV, which was extraordinarily painful.
Almost as pain were the sticky backed electrodes stuck to my hairy chest so the transistor radio sized heart monitor hanging around my neck could send data to the nurses’ station terminals.  I have a very hairy chest.  The sticky on some of the electrodes often did not stick well to my skin, but extraordinarily well to the hairs themselves.  Those that did not stick initially were held down by strips of surgical tape.
Having them yanked off of my chest reminded of Steve Carrell getting his chest waxed in “The 40-Year Old Virgin.”
Over the four days I had had many of these stickers removed with a yank—mainly because no one seems to use the same leads on their heart monitors and that required replacing the incompatible electrodes with other, compatible ones.  These were usually larger and stronger adhesive.  Often at night they would be painfully torn off when I rolled over in the hospital bed.  The agony brought me rudely awake and invariably set off an alert to the nurses’ station telling them one of electrode leads was no longer connected.  The nurses then came in and used medical tape to hold the stickers back in place and place more chest hairs in peril.
Let me say that no torture, not even water boarding, equals the pain of having chest  (and arm) hairs ripped off repeatedly—and unexpectedly—several times a day.
On the plus side, it meant the nurses didn’t have to wake me up to give me my medications as I was already alert.  One positive aspect of being in the hospital was making friends with a really sweet Korean nursing assistant and with the phlebotomist, a bespectacled, talkative blonde from Colorado.  She told me about the new needles the hospital was using for blood extraction, and before I knew it she had drawn the several vials she needed and I hadn't feel a thing.  In fact, all the nurses went out of their way to be nice and friendly.  Sort of made me feel handsome and attractive. 

Finally, about midnight, the wrist incision was closed, the IV cannula and the electrodes were removed, I got dressed, picked up my things, and waited for a taxi, which the hospital kindly provided me with a voucher for.
Fifteen minutes later, I was inside my house and greeted by Nancy and the dogs, and I was able to sleep in my own bed.  Ecstasy.  In the morning I could make the arrangements to check in with the cardiologist and my primary care physician  and get my new meds.  And now I had good reason to blog about my travails.

Also, check out my review of Karen Halttunen's Confidence Men and Painted Ladies on GoodReads at <<a href="https://www.goodreads.com/book/show/692438.Confidence_Men_and_Painted_Women" style="float: left; padding-right: 20px"><img alt="Confidence Men and Painted Women: A Study of Middle-class Culture in America, 1830-1870" border="0" src="https://d202m5krfqbpi5.cloudfront.net/books/1177291588m/692438.jpg" /></a><a href="https://www.goodreads.com/book/show/692438.Confidence_Men_and_Painted_Women">Confidence Men and Painted Women: A Study of Middle-class Culture in America, 1830-1870</a> by <a href="https://www.goodreads.com/author/show/321910.Karen_Halttunen">Karen Halttunen</a><br/>
My rating: <a href="https://www.goodreads.com/review/show/695912224">5 of 5 stars</a><br /><br />
A fascinating and well argued book, Halttunen's work examines not just the attitudes, but the behaviors, of a critical generation in American history.  She argues how the industrial and market revolutions and burgeoning new cities placed tremendous stress on American society and rather than accept or embrace these changes, many groups tried to adapt older views to maintain their older but increasing irrelevant values.  <br /><br />While Haltunnen limits her study largely to the antebellum era, her ideas have fascinating implications for the rest of the nineteenth century and well into the twentieth.  What she describes is an America that was essentially a nation of strangers where trust of others was essential, yet where it was also undermined because appearances dominated and the constant reinventing of one's self was a requirement for success.  To counter the change, advice books appeared to advise rural youth on to recognize swindlers and jezebel,  These volumes on building character and achieving material success while maintaining traditional virtues were precursors to "self-help books like Napoleon Hill's "Think and Grew Rich" and   Dale Carnegies "How to Winn Friends," although with a stronger and more explicit Protestant moral veneer.<br /><br />Haltunnen also argues that while supposedly educating people on moral behavior, it also was being undermined by a society where success involved have some of the very con-men characteristics the books warn about.<br /><br />What is interesting to me, though, is how those advice books also eventually become virtual instruction manuals on how to impersonate the moral and virtuous person in order to better con your victims. 
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<a href="https://www.goodreads.com/review/list/21099612-nigel-sellars">View all my reviews</a>