Are You Prepared for a Trip to the ER?

by James Wallace Harris, 6/10/22

Now I don’t mean are you wearing clean underwear or are you psyched up to wait in line for hours to see a doctor? I mean something different. Are you prepared for your body to fail? When I was younger I was rushed to the ER because my sister hit me in the hit with a croquet mallet and I was bleeding like someone in a horror film or the time when we were goofing around in PE and I broke my arm, but those are not the kind of bodily failures I’m talking about. Are you ready to start falling apart unexpectantly?

Last week I had to go to the ER. I had food stuck in my esophagus. It was below the windpipe so I could breathe, but if I tried to swallow water to help clear it, the water wouldn’t go down and I’d have to puke/cough it back up. I waited two hours for the food to pass. This has happened to me before and it’s always cleared, but after two hours I worried it might be really stuck. So I went to the ER. I should have gone to a GI doctor years ago instead of waiting for an ER emergency visit. My mother had her esophagus stretched. I think having food stuck in mine for seven hours did stretch it.

Luckily, after waiting five hours, I got to see a doctor, and just as she was getting ready to send me to a GI specialist, the food fell through. What a relief. I had been imagining the kind of things they’d stick down my throat. I still had to stand another hour to be released.

Unluckily for me, I was having a bad back spell, and standing for six hours aggravated the crap out of my back. When my back gives me trouble, I can’t sit. I can lie down or stand. (I’m typing this while standing.) So, instead of going to see a GI doctor about my throat, I’m seeing a back doctor and getting an MRI tomorrow. After that, I might schedule a visit with a GI doctor, but I have three other pressing issues, any of which could send me to the ER again.

I did not expect to get so old at 70 so fast. While I was waiting in the ER for five hours I watched the other people around me. Now, don’t get me wrong, I’m not complaining about waiting five hours. That’s part of the deal, and other people who came in before me were still waiting when I left. The ER was run very smoothly, and they have a triage system.

If it was obvious you needed help you got it immediately. The next stage involved a form that asked five questions to determine if they needed to act almost as fast. (If you could fill out a form, you’re not quite dying I suppose.) One of the questions was: Are you having trouble breathing. I wasn’t, since the food was past my windpipe. So I didn’t check it, if I had, I might not have had to wait five hours, but I didn’t want to cut in line. I sometimes started to have trouble, but I could cough up all the saliva that built up and I was okay again. The third stage, after a bit of waiting, is where a nurse takes your vitals and gets the details.

None of the form questions were about severe pain, and quite a few people in the waiting room seemed to be in a lot of pain. That old advice about seeing the ER doctor right away if you arrive in an ambulance isn’t true. We came in a car, but I saw people arriving in an ambulance that was told to wait in the waiting room, and the EMTs took them off the stretcher and put them in a waiting room chair. There were three waiting room areas, and I guess about forty people, but that included loved ones or caretakers.

One guy was in agony, I think from a kidney stone (he leaked blood by the urinal and on the floor while I was in there puking up spit). He kept demanding to see a doctor but was told he had to wait. He left claiming he was going to go find an ER that would help him. I wondered how to be best prepared for having kidney stones. Is it having a good urologist?

The lesson I learned in the ER, and it was a very educational experience, was to get prepared because I would be in there again, and maybe in worse shape. I had to call an ambulance for my mother a couple of times, so did my sister, and my mother even called them on her own several times. Getting old means getting to know the ER system. Getting old means learning to deal with all kinds of medical specialists. Getting old means learning to endure all kinds of diagnostic procedures.

I’m the kind of person that likes to picture what I’m going to do before I do it.

What I’m trying to figure out now, is how to be better prepared for trips to the ER. My mother said to always wear clean underwear, but there’s got to be more things to do to make the experience better.

JWH

Update: I’m not sure this essay succeeded in conveying the positive experience I got from my visit to the ER. It was painful for my back, and I would have preferred not to have had food stuck in my throat, but overall I found those six hours very enlightening. Contrary to that old adage, what doesn’t kill us won’t always make us stronger, but in this case, I think it made me wiser. I fear my writing effort here has failed because I haven’t conveyed that wisdom.

What Am I Hearing?

by James Wallace Harris, 12/4/21

I got the new Adele album on CD on the day it came out. It’s called 30, but evidently, her face is so famous she needs neither her name nor the album title on the cover. The songs are beautiful, different, and produced and engineered with tremendous sound quality. 30 is not 25, or 19. Adele is exploring new musical territory.

However, this isn’t a review of Adele’s new album. Nor is it a review of the four audio systems I used to play that album. It’s about a quest to hear everything possible in a sound recording. And I mean more than just frequency response. I struggle to pull everything I possibly can out of this album.

We think we listen with our ears. Audiophiles are on a never-ending quest to improve their playback systems. In this regard, I’m only a cheap-ass audiophile. The Holy Grail for audiophiles seems to be reproducing the sound the producers heard when making the record. Is that even possible? Didn’t the producers and sound engineers add magic we’d never hear live in the studio?

I’ve been watching Peter Jackson’s The Beatles: Get Back on Apple TV+. It’s a 3-part, 468 minute documentary about watching the Beatles create music. My takeaway is the Fab Four sound a lot different from what we hear on their albums. What I’m hearing when listening to 30 is probably a far cry from what it would be like to stand in the studio and listen to Adele sing.

I’m also listening to at least four works of art at once. We have Adele’s voice, we have the musicians, we have the producer’s creation of those two works, and we have the lyrics that we decode with our experience and emotions. And this album is full of emotion, especially about the breakdown of her marriage.

All your expectations of my love are impossible
Surely, you know that I'm not easy to hold
It's so sad how incapable of learning to grow I am
My heart speaks in puzzle and codes
I've been trying my whole life to solve
God only knows how I've cried
I can't take another defeat
A next time would be the ending of me
Now that I see
   --- "Love is a Game"

I'm having a bad day, I'm having a very anxious day
I feel very paranoid, I feel very stressed
Um, I have a hangover, which never helps, but
I feel like today is the first day since I left him that I feel lonely
And I never feel lonely, I love being on my own
I always preferred being on my own than being with people
And I feel like maybe I've been, like, overcompensating
And being out and stuff like that to keep my mind off of him
And I feel like today, I'm home and I wanna be at home
I just wanna watch TV and curl up in a ball and
Be in my sweats and stuff like that, but I just feel really lonely
I feel a bit frightened that I might feel like this a lot
   --- "My Little Love"

When I play 30 on my four different systems the songs sound slightly different, and each makes me feel different. 30 also makes me feel different depending on which room I’m listening in, and how loud I’m playing it. If I play “My Little Love” in the den, my largest listening room, on my Bluesound Powernode 2i with Klipsch RP-5000F speakers at a loud volume I feel surrounded by music and singing. It feels closest to what I imagine hearing Adele in a small club might sound like. It also has the greatest emotional impact. And this is just streaming the song via Spotify. I believe part of this experience is due to the acoustics of the room and partly due to the Klipsch speakers, which seem particularly good for vocals.

When I play the CD in my computer room, which is probably 12×20, using the Bose 301-V speakers connected to a Yamaha WXA-50 amplifier/DAC and Pioneer DV-563A CD player it sounds almost as good, but has a much less emotional impact. The soundstage is good, but I have to keep the speakers up high on top of Billy bookcases from Ikea. I hear more bass, probably because of the 8″ woofers, and the speakers being close to the wall. It’s a really good sound, and I hear different things in the recordings that I don’t notice in the den.

I also have another system in the computer room, an Arylic A50+ streaming amplifier with Sony SSCS-5 speakers. It has a brighter sound, still surprisingly pleasing for such a low-cost system and 30 makes me feel different listening to it. Finally, I have two paired Echo Studios in my bedroom. If I play them loud enough, I hear a slightly different sound, where I notice even other details, especially since I listen to these speakers as I fall to sleep and often wake up hearing music in a dreamy state.

In all four systems, I sometimes focus on the music, sometimes on Adele’s voice, and sometimes on Adele’s words. Sometimes I even think about how the song sounds compared to other music eras.

When I listen to music I concentrate on it with the same intensity I concentrate on a movie at the theater. If I’m in the right mood, I achieve a kind of reverie where I forget my body and that heightens my thoughts and senses. I can’t get any of my friends to listen to music with me. They all like listening to music when they are doing something, and think it’s weird I want to zone out. I remember when I was young, I’d listen with other people and we’d all space out like we were in an opium den. Of course, we were smoking dope back then. (I remember getting one older guy high who loved music and he claimed he heard things he never noticed before. But wasn’t it always there? Isn’t it just a matter of paying attention?)

I’m sure we all hear music differently. But I keep wanting to hear more as if my current equipment is leaving out sounds I should be hearing. Listening to audiophile reviewers makes me wonder how much I’m missing. I keep thinking my experience would be greater if I only bought more expensive equipment. But that might be me fooling myself.

I keep telling myself I will find more if I just listen with a greater focus on the equipment I already have. I keep telling myself I will hear more if I read and study how the music was put together. I keep telling myself I will hear more if I keep asking “What am I hearing?” I spend too much time watching reviewers of stereo equipment when I should be watching videos or reading books by people who study the music. That what I hear will be improved by upgrading my brain with training. That what I’m hearing is mostly determined in my brain.

(Yet, I yearn for a Cambridge EVO 150 and Klipsch Cornwall IV speakers.)

JWH

On the First Day of My Seventies

by James Wallace Harris, 11/25/21

When I left the work world back in 2013 I thought I’d apply myself toward writing science fiction short stories in my retirement years. For some reason, I’ve hit a barrier that hasn’t allowed me to do that. Very few people succeed at new creative pursuits in old age. I still hope to beat that statistic.

I’ve decided to attack the problem with a different approach. For my seventies, my goal is to write a nonfiction book. This is kind of an absurd goal since I’m starting to have trouble cranking out blog posts. But I have an idea — aim low, but be persistent. I seriously doubt I can produce a commercially successful work of nonfiction, so my ambition is to write a book I wouldn’t be embarrassed to self-publish on Amazon.

Two things make me think this is possible. I’ve written thousands of blog posts. All I’ve got to do is write fifty 1,000-word essays on the same topic that ties together in a coherent readable way. I already have several ideas that interest me, but can I make them interesting to other people?

At seventy, focus, concentration, and discipline are hard to come by. This week I’ve been watching videos on the Zettlekasten method of taking notes. Those videos have inspired me because they use an external system to organize ideas and build connections. This might let me overcome my cognitive limitations.

The older I get the harder it is to hold a thought in my head, much less juggle several thoughts at once to show how they connect. I’m encouraged I might overcome this limitation with the software Obsidian. That software is designed to help retain what you study and build a knowledge base. To help me remember what I find while researching on the web I’ll use Raindrop.io. I’ve already been using the mind-mapping software Xmind to organize ideas visually. Combing all of these programs might let me construct a large coherent collection of related thoughts and ideas.

I need tools that map where I’ve been and hopefully reveal where I want to go. These tools need to quickly show what I’ve already thought through. I just can’t do that in my head anymore.

Of course, I could be deluding myself. I used to wait until I felt good to work on my hobbies, which is a terrible approach. Now, I never feel good, so I’ll have to push myself to work anyway. That should be good for me. I’m usually drained of all psychic energy by mid-afternoon. I’ve even quit going out at night because I’m no longer functional by late afternoon. Working on this goal feels like I’m rolling a rock up the hill.

I just don’t want to give up, at least not yet. I just don’t want to become a passive consumer of other people’s creative efforts. There’s nothing wrong with that. Consuming creative works still gives me a lot of pleasure. I’m just an old dog that wants to learn one last new trick.

JWH

On the Last Day of My Sixties

by James Wallace Harris, 11/24/21

Tomorrow I turn 70. Thinking about that made me realize that today is the last day of my sixties. Damn, this decade has rushed by. I retired from work in October of 2013 when I was 62, so for most of my sixties, I’ve had all my time free. I’ve taken it easy and did exactly what I wanted. Looking back I’m not sure that was a good thing. Taking it easy has become an addiction.

A few weeks ago I thought of an idea for a blog about turning 70, but I never got busy on it. Between 60 and 69 I slowed down. I wonder now if I would have been more active if I hadn’t retired. Back then I could work eight hours and still find time to do many of the things I wanted to do. Now I have all my time free and I get almost nothing accomplished.

I can’t tell if this is a natural aspect of aging or dissipation due to not working. Being lazy doesn’t hurt, in fact, it’s quite pleasant, but I do feel guilty. I guess that’s the Puritanical Atheist in me.

I was at my doctor’s office at 7:30 am for my annual physical, then did the weekly grocery shopping at 9:30. After putting the groceries away had a snack and then a quick nap. I went out to lunch with my friend Laurie at 11:30. After lunch, we played one hand of Skip-Bo at 12:30. I was home by 1:30 for a nap, then listened to Adele’s new album, followed by The Kings of Leon’s new album, and wrapped up the afternoon by talking with my sister for an hour on the phone. It’s now about five. Doesn’t sound like I did much, does it? But that was an extremely busy day for me.

I call this grazing of lite activities puttering around in a small land. I wished I worked at my hobbies more systematically so I felt like I accomplished a little something towards a goal each day, but I’m more and more undisciplined as I get older.

Many of my friends who haven’t retired ask me “What’s retirement like?” It’s sort of like summer vacation between fifth and sixth grade, but never having to go back to school. I don’t know if I’m in heaven or the Twilight Zone.

I’m expecting things to get even more surreal in my seventies.

JWH

I Can’t Take It With Me?

by James Wallace Harris, 7/3/21

That old saying warns us we can’t take it with us, but where does our stuff go when we say goodbye to this plane of existence? If I go first, Susan will just haul all my crap down to Goodwill. If she goes first, I’ll do the same for her. But if Susan goes first, who will process all my cherished possessions?

Before my mom died, she gave some of her stuff as little personal gifts to people she knew at church, or in the neighborhood, or relations. And the stuff she didn’t give away, she assumed either I or my sister would take after she died and cherish for the rest of our lives. We didn’t tell her we had other plans. After my mom died I went through her house looking for sentimental things like photographs, letters, and a few books. My sister wanted more of the knicknacks. My mom’s closets and extra bedrooms were jammed with things she’d had been saving since the 1945 when she married my dad. I told the ladies we had hired to sit with my mother when I was at work that they could have anything they wanted in the house except the stove and refrigerator. The house was clean enough to sell when I came back.

If I was kind and considerate, I’d get rid of my junk now. I’ve been getting rid of stuff for years, but there’s enough left to fill the pickup several times over. When I was young I thought I wanted a smaller house for when I was older, but now that I’m older, I don’t want that at all. This house has become the perfect size for our junk. Susan and I have divided our home into our individual territories. I junk up the den, two bedrooms, and one hall closet. Susan fills up the living, dining room, one bedroom, and the other hall closet. We both encourage the other to get rid of their stuff, but we don’t.

I’m not religious, but what if there was a heaven, and what if we could take it with us? What if St. Peter allowed everyone to bring one U-Haul trailer full of Earthly possessions to heaven, what would you take? Imagine everyone getting a luxury two-bedroom condo in paradise, how would you decorate it? (I wonder if they have the internet up there?)

My friend Connell has been moving out of his house where he’s lived since the 1980s and into a two-bedroom condo. He’s been selling his stuff on Craigslist. I wonder if I should set up an eBay account and sell off my stuff too? But it would be so much easier and put it off until I die and let Susan deal with it. Now I know why I always planned to go first.

JWH

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