Visiting the ER Makes Me Philosophical

by James Wallace Harris, 8/25/25

Friday night, I went to the ER. I arrived at 7:15 pm and left at 2:45 am. At 73, I’ve been to the ER more than a few times. It’s always a fascinating experience despite the pain that brought me there and the agony of waiting to be seen.

Rejuvenation

Last fall, I started working in the yard and began to feel stronger. It made me more active. By spring, I had lost twenty pounds. When it got warm, I switched to walking for exercising, something I hadn’t been able to do since Obama was President. In other words, I felt better than I had in years.

That was quite a dramatic transformation. I had been having various health problems since my forties and had undergone surgeries three years running, starting in 2020. I had accepted I was on a downward path and couldn’t imagine having my health on an upward trajectory again.

Mentally, this rejuvenation changed me. I was having more people over and going out more. I felt like I was turning back the clock. I felt younger. I started doing things I haven’t done in years and began hoping to do even more in the future. One of the fun things I had started doing was playing Mahjong. Susan and I had begun to visit games around town. It made me want to get out again, which probably surprised Susan. Mahjong is hard. I need to think faster to play it, and that felt challenging.

I even went to my doctor to have tests done on my heart to see how much I could push things. I wanted to do more physical things.

I wasn’t completely healthy. I still had aches and pains. But I was keeping them under control with physical therapy exercises. But the miracle was walking for exercise. I started out by walking around one small block once. Over weeks, I built up stamina. Eventually, I was walking three or four laps every morning. It felt great.

I was worried about my heart and the strange twinges of pain in my right side. I asked my doctor. We talked about some possibilities. We knew I had gallstones. We were going to run tests after doing the tests on my heart. Because I’ve had heart problems before, she was more concerned about that.

The ER

Two days before the ER, I felt more rejuvenated than I had in years, so it was a shock to need to go to the ER again. I didn’t feel bad mentally. I felt healthy and clear-headed, except that I had intense shooting pains in my side and back. At 6:30 pm Friday, I decided Susan should drive me to the ER to see if they meant something serious.

We got to the ER at 7:15 pm. They checked my vitals, set up an IV, and then told me to wait in chairs. The place was crowded. I knew it would take hours, so I told Susan to go home. She’s been having her own health problems, and she had left dinner half-prepared. I didn’t want to waste that food.

Being alone made me think about what it would be like if I didn’t have Susan. I imagined living on my own, doing everything by myself. I love working alone at home, but I hate being alone in life. Getting old makes you philosophical, and so does waiting in an ER for hours.

Looking around, I saw some people were by themselves, some were with spouses, and some were with their whole families. From listening in on conversations, I learned that many in the waiting room had been there for hours. Some of those people were waiting for a hospital room to free up. Many of those had wrapped themselves in white blankets and were trying to sleep. The ER had two racks of warm blankets. I love it when they put those warm blankets on you in surgery.

Most of the people in the waiting room were waiting in silence. Some were moaning, one guy was softly crying while his wife hugged him. One poor girl was loudly groaning in pain periodically. I wondered if she was in labor. I was glad that only one person was coughing.

I tried to be still because moving sent shooting pains through me. I wanted to be as stoic as possible. But sometimes pains just shot through me, and I had to jerk about a bit. I knew a few people were looking at me like I was looking at them and wondering what was wrong. I wished I knew.

Before midnight, they called me back. They put me in a small room divided by a cloth curtain. In the other half, they were examining a teenage boy while his mother watched. I heard all the details. They weren’t nice.

They took more vitals from me, and eventually, a tech took me to get a CT scan. I love the sound CT scanners make. It was quite painful to get into position and then back on my feet again. Everywhere I went, they asked if I wanted a wheelchair. I knew I looked bad, but I didn’t want to be bad enough to need a wheelchair. I’ve often seen old people refuse help; now I know why.

They took me back to the room. A sign on the wall said it took three hours to get a CT result. But the PA told the kid who also got a CT scan it would take about an hour.

Around 1:30 am Saturday morning the CT scan results came back. It was nothing I had imagined. I had two more hernias. I’ve already had three repaired surgically. And one hernia was interfering with the tube that goes from my kidney to my bladder. That might explain the weird pains in my side. And then the PA said, “And you have a stone in one of your kidneys.” She explained it wasn’t causing the pain now.

At least it wasn’t cancer, a ruptured gallbladder, or a blocked intestine, or any of the other scary conditions I fantasized about.

The kidney stone did scare me. It wasn’t descending so it shouldn’t be causing pain but they warned me it could try to pass. It might not happen, or happen years from now, or next week.

Evidently, the pain that made moving or standing so unpleasant was my old ordinary sciatica and muscle spasms caused by spinal stenosis. That was diagnosed almost twenty years ago. Sitting at the computer or standing or walking for any length of time aggravates it.

Because I was walking more, and writing more at the computer, I thought maybe my spinal stenosis was better because I had lost twenty pounds. I can’t explain why I was given a temporary reprieve.

The PA gave me 15mg of Toradol in my IV. It was magic. Thirty minutes later I would stand up. I still hurt, but I didn’t look like I needed a wheelchair.

The Future

I have to admit this episode put me in a tailspin. I was all geared up to feel younger and healthier again. I got a taste of being more active, and I liked it. I want that feeling back.

However, aging doesn’t work that way. It’s always a slow decline. Now I knew there could be some upswings in my health, too. I feel like I’m flying a plane I know is going to crash. For a few months, I forgot that. Going to the ER reminded me that it’s still going to crash. However, the past months taught me I could sometimes regain altitude.

Experiencing feeling younger for several months makes me wonder if I could get that feeling back again. I’m back where I can’t walk for exercise. And sitting at the computer makes my back hurt worse. I’m scheduled to see a urologist this coming Friday. I figure another surgery is in my future, and then there’s a time ticking bomb in my kidney. It took me months to recover from my last hernia surgery.

But what can I do to get that healthy feeling back? It might take months, or even years. I’m not giving up. Could losing another twenty pounds help? What diet or exercise to I need to pursue?

I’ve already returned to my adapted methods of coping. I’m back to using a laptop while reclined in a La-Z-Boy. I can walk long enough to do the dishes or go grocery shopping. But I really want to walk again for exercise. I wonder if that’s possible?

I only know one person my age that hasn’t had any health problems. It’s normal to break down in your seventies. I have to keep philosophical about that. But I also want to beat the system.

I’m reminded of a Vaugh Bode underground comic strip from the 1970s. In it two lizard like creatures are tied up. They’ve been blinded, and their legs have been cut off. One of them says to the other, “When it gets dark, I’z is gonna escape” That’s me at this moment.

When I left the ER, I took a Lyft home at 2:45 am. Several friends offered to come take me home. I appreciate that. But I like the feeling of still being able to take care of myself. I know that won’t always be true.

Riding through the dark, deserted streets was surreal. It was quite pleasant. I knew I would need another surgery, but I’ve been through them before. Passing a kidney stone sounded extremely unpleasant. I know just how unpleasant. I once watched a man in the urologist’s office passing a stone. But like the Stoics say, this too will pass. I’m lucky that it wasn’t something that couldn’t be fixed. Too many people I’ve known have already died, and almost everyone I know my age is suffering from something.

Many of my friends are worse off than I am. It’s funny, but I think everyone suffers what they know and wouldn’t trade it for someone else’s kind of suffering.

I remember how being healthier made me feel positive about the future. It was just for a few months. I want that feeling back.

The most unsettling aspect of all this is not knowing the answers. Doctors are more likely to know than I do, but I’m not sure they always know. I certainly can only speculate, and that’s often dangerous.

I just wish I could find some answers to simple questions. Does pain cause more pain? Do pain pills stop the cycle of pain? They stop pain, but what else do they do over the long run? I know they cause constipation. I had a kind of hangover from the Toradol. I know my mother got hooked on pain pills. She lived with chronic pain for over a decade.

Maybe I should have talked with the people in the ER waiting room. Some of them might know things I don’t. Susan and I have been binge-watching ER. We’re in the 14th season.

Real ERs aren’t like the TV program. The sets look similar, and the machines, but I wasn’t suffering anything dramatic, so I didn’t have a flock of doctors surrounding me. I wasn’t an interesting story. Most of the action was behind closed doors, so I couldn’t see it. I saw nurses, PAs, techs, and janitors going to and fro. I’m not sure I even saw a doctor in the hallways. Doctors were busy somewhere fixing people they could fix. I couldn’t be fixed, so I was sent home. The kid behind the curtain was waiting for surgery.

I have endless questions about my aging body. My regular doctor is very patient with me. She will answer many questions. But I don’t think I’ll ever know what I want to know. It’s not like in TV shows where things are explained so precisely.

JWH

What Should I Major in at Old Age University?

by James Wallace Harris, 8/16/25

I’ve decided to earn an equivalent of a graduate degree before I turn 77. I need a project that will keep me occupied in retirement. I’ve always been one to know a tiny bit about hundreds of subjects rather than a lot about a few. I want to pick one subject and stick with it.

I could get a master’s degree from the University of Memphis, where I used to work, since I can take courses for free. I’m not sure they have a major that fulfills my interests. I will check it out. I’ll also check out available online universities. Mainly, I’m borrowing the structure of a graduate degree for my plan.

I decided a book-length thesis will be my measure of success. Since a master’s degree usually takes two or three years, I’m giving myself until I turn 77, which is November 25, 2028.

Over the next few months, I will decide what I want to study. There are many things to consider and think about. Most graduate programs have lots of prerequisites. Before I retired, I considered taking an M.S. in Computer Science. That program required 24 hours of math courses and 12 hours of computer courses to be accepted into the program. The degree itself was 36 hours.

It’s doubtful I could finish a computer science degree before turning 77. And in all honesty, I no longer have the cognitive ability to retake all that math.

My undergraduate degree is in English. I did 24 hours towards an M.A. in Creative Writing before I dropped out. I was also interested in American, British, and European literature. I’d have to start over from scratch because those 24 hours would have timed out. But I no longer want to study English or creative writing.

I’ve also thought of pursuing an Art History degree. I’ve been collecting art books and art history books for a couple of decades, and I have friends with degrees in Art History. One gave me a list of 200 artworks that I’d be required to discuss to pass the oral exam for the master’s degree. I started reading about those works.

I realized I would have to commit several years of dedicated study to pass the oral. I don’t want to do that. I don’t love art that much. I’m not sure what single subject would be worth that much dedication.

I’ll study college catalogs for inspiration, but it’s doubtful that I will want to complete an actual degree from a university. Instead, I will need to make up my own degree.

Let’s say a master’s degree involves twelve courses, and each course requires studying five books. Then my custom-designed degree will require distilling sixty books into a single thesis volume. That thesis should present an original idea.

The single subject I do know a lot about is science fiction. And I’ve thought it would be fun to write a book that parallels the development of science with the evolution of science fiction. I probably already own the books I’d need to research the subject. And it would be the easiest goal for me to achieve because it’s a subject I love and would have no trouble sticking with.

However, I’ve become obsessed with a couple of ideas that I want to study. I believe they are especially fascinating for the last years of my life.

The first is about how humans are delusional. I’d like to chronicle all the ways we fool ourselves. I want to study all the cognitive processes to discover if we can interact with reality without delusion. Current affairs is the perfect laboratory for such a study.

Second, I’m fascinated by how personality is formed. I’d like to answer this question: If I knew then what I know now, how would I have reshaped my personality?

There is a synergy between the two interests. How do delusions shape our personality?

Ever since I read Ed Yong’s An Immense World, I’ve been fascinated by the concept of Umwelt. Our senses limit and define how we perceive reality. Our personality and cognitive abilities determine how we choose to react to that perception of reality.

I haven’t decided yet on what I will pick, but I’m leaning towards delusion and personality development. If I choose that, I’d start this project by collecting books on the subjects and by reading popular periodicals. Eventually, I’d get to academic journals. I don’t think my made-up degree will be very rigorous, though. I’d consider a two-hundred-page book at a modest popular science reading level to merit my do-it-yourself degree.

JWH

How We Lose People as We Get Older

by James Wallace Harris, 7/6/25

I never knew my grandfathers. My father died in 1969. My grandmothers died in the 1970s. My mother died in 2007. All my twelve aunts and uncles have passed on. My sister, born in 1953, is still alive, but both her husbands and one son have died. Only seven of our twenty-four cousins are still alive. My wife, Susan, and I have known each other for forty-eight years, but we have no children.

Susan and I bought her parents’ house after they died. We hosted Christmas and Thanksgiving like her parents had for many years. As our nephews and nieces got married, they wanted to create their own holiday traditions. We stopped hosting holiday dinners. Since then, I seldom see people under sixty. I told one friend, who is 59, that she’s the youngest person I know.

Of the hundreds of people I knew in school, I kept in touch with only one person. He was my oldest friend whom I first met in 1967. I lost contact with him in April. I fear he is dead.

Before I retired, I had a large circle of friends at work. There were at least forty people I kept up with regularly. Twelve years later, I speak with one person every week on the phone, see another person about once a month, and text with a third person several times a year. All my other work friends have faded away. Several have died.

Outside of work, I’ve made many friends. Quite a few have died, but I’m still in contact with several of them, although that group is slowly shrinking. Of a group of six guys I hung out with in the 1970s, only two are still alive. I was born in 1951; only 72.8% of Americans born that year are still alive.

At seventy-three, I’m still quite social, but I realize that is changing. When I was younger, I assumed friends would only disappear when they died. But I’ve learned that many people have just drifted away. They got jobs in other cities, or they moved to a retirement community, or they quit driving, or withdrew from social life due to illness, or they moved away to be near their kids, or we just didn’t stay in touch.

Maintaining friendships requires effort. I thought being retired would give me all the time in the world to do everything I wanted. It hasn’t worked out that way. I have more time, but less energy and vitality. Aging means triaging friendships.

In recent years, I’ve often dreamed about the places I worked and all the people I knew in each job. I’d wake up from these dreams and lie in the dark and try to recall the names of all the people I knew in the job I just dreamed about. In the 1980s, I worked in a library for six years and got to know around twenty people. I’ve kept in touch with just one. But I really liked most of those people. Why didn’t I keep up with them? I know some have died, but what happened to the rest?

Over my life, I’ve had a couple of dozen good friends and hundreds of rewarding acquaintances. My sister once observed that we start out life in a room by ourselves with someone coming in to change our diapers, and we end up in a room by ourselves with someone coming in to change our diapers. She didn’t point out that we get to know hundreds of people in between.

Now that I’m on the downhill side of things, I’m experiencing a dwindling population of people I see regularly. I’m still making friends, but I fear they will only be acquaintances.

I’ve stopped driving at night, which caused me to see people less often, and for some folks, I’ve stopped seeing at all. Covid put a dent in my social circle. So did politics. Several people I once liked became unlikable after politics got so nasty.

People disappear for many reasons besides dying. Some for their reasons, some for mine. I need to make a greater effort to maintain my remaining friendships.

JWH

Has Retirement Made Me Lazy, Or is the Laziness a Byproduct of Aging?

James Wallace Harris, 6/22/25

Before I retired in 2013, I assumed I’d have all the time in the world to do everything I ever wanted once my 9-to-5 burden was lifted. However, I have done less and less each year. I’m still disciplined about doing my chores and meeting my responsibilities, but the discipline needed to pursue my hobbies and pastimes is dwindling away.

I’m not depressed, I eat right and exercise regularly, and I have a positive outlook. I just don’t spend my free time on hobbies like I once did. Instead, I churn through the YouTube videos or play on my iPhone during idle moments. I hear that’s also a problem for kids, so maybe it’s not aging, but it feels age-related.

Why do I think that? Well, for one, it seems like people slow down when they get older. Here’s what happens. I’ll be working on an objective I consider fun. For example, I got a new Ugreen NAS and was setting it up to use Jellyfin as a media server. The task is tedious because it’s new and has a steep learning curve. I work at it for a bit, feel tired, and decide to put it away for the day. When I was younger, I could work on a tedious problem for hours. Now I can’t.

Do I quit quickly because my older mind can’t handle the task? Or has all that web surfing, channel hopping, and doom scrolling weakened my discipline? I became addicted to audiobooks in 2002 and have read less since, is another example.

This is a kind of chicken-and-egg problem. Has technology weakened my mind? Or was my mind slowing down, and technology is a useful adaptation? I have read more books since the advent of Audible.com.

Here’s another bit of evidence. When I worked full-time, I did far more after work than I do with unlimited free time in retirement. I didn’t have an iPhone back then. Why didn’t I put the same number of work hours into my hobbies after I retired? Did being free of work responsibilities ruin my discipline?

I shouldn’t agonize over this problem if doing less is part of aging. However, does retiring make us age faster? Is technology making us lazier? I have no answer.

I could test things by limiting my screen time. My emotional reaction to that idea is about what a thirteen-year-old feels when a parent tells them they need to cut back on their screen time.

I’m constantly thinking about aging. Philosophically, it’s an interesting concept. Comparing it to the old nature vs. nurture debate, I would consider aging a problem of decay vs. mind. We know we will all end up as worm food. The challenge is to be the most interesting and creative worm food before we’re eaten. The insidiousness of aging is accepting that it’s time to be eaten.

JWH

My War With Mother Nature

by James Wallace Harris, 3/13/25

Before I began the battle of my backyard, it looked like the photo on the left. After weeks of hard work, the photo on the right shows how it looks now. And that’s only one section.

Nature is better looking, isn’t it? I let things go for fifteen years. I told myself I was creating a nature preserve. Last fall, when it was time to pay to have the leaves raked, I raked them myself. I thought it would be good exercise. At first, it hurt my back, and I almost gave up. But then I decided that at 73, I wasn’t ready to give in. So I stuck with it. Eventually, I discovered that raking leaves made my back stronger. In fact, if I went a few days without working in the yard, my back would hurt.

That’s when I decided I needed to work in the yard all year round. My goal is to clear out all the overgrowth and get grass growing. Then put in a privacy fence. And after that, decide how to landscape. That should give me years of work.

I have spinal stenosis, so I can only work about an hour before my legs go numb. When it’s not raining or snowing, I go out and work in the morning for 30-60 minutes. It feels good and makes me healthier, but also wears me out for the rest of the day.

I tore out all the dead azaleas in the front flower beds. I’m trying to figure out the best way to remove large patches of old ivy. I’ve been pulling that stuff up by the roots, but it seems endless and difficult. I’m thinking of buying a tiller to churn up the ground, and see if I can just rake out that ivy.

What’s weird is I don’t even like working in the yard. I accept that it’s good exercise and it needs to be done. It’s a good hobby but I’m not a true believer.

Philosophically, I believe nature should just take over. However, I don’t think my neighbors share my philosophy. There seems to be a social contract that if you live in a suburb, your yard should conform with all the others.

I feel like Sisyphus. Working in the yard is the rock that I roll up the hill daily. I take a certain satisfaction that it hasn’t killed me. Hopefully, it will make me stronger.

JWH