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Test me! Treat me!

I am about to go off to the dentist for a routine hygiene/ cleaning appointment where, once again, I will be told I need a new set of x-rays, and once again, I will decline. I take good care of my teeth, see my hygienist three times a year, have no problems/ symptoms, and submit to x-rays every 3 years or so. That is ENOUGH.

I was thinking about this “testing for everything because we can” approach to medicine after reading Barbara Ehrenreich’s bold essay on “Why I’m giving up on preventative care.” She goes too far for me. I don’t see a colonoscopy as rape-by-machine, and frankly I’d rather have an innocent polyp removed than hang around waiting for it to maybe become something. And her point about testing and treating to prolong life doesn’t resonate with me. I am not interested in prolonging life. I am interested in prolonging good health. (Those of you who’ve heard me speaking about this or have read my book, Counterclockwise, know my favorite geeky term for this: rectangularization of morbidity.)

But Ehrenreich makes many good points in this essay. As testing gets more and more sophisticated, the chances for finding something increase. Whether than something is worth worrying about (let alone aggressively treating) is another matter.

This relates to two other health and medicine issues I’ve been contemplating, the value-added component of living with a science writer.

The medicalization of our lives. In above-mentioned science writer Tom Hager’s words (from his upcoming book chronicling 10 drugs that changed our world) this is “a troubling trend in our society, in which things that we once simply dealt with on our own – like lifestyle choices, low-risk health conditions, personality quirks – are now being turned into treatable medical conditions. Often this goes hand-in-hand with the appearance of a new drug suited to treating the new condition.” Everyday anxiety, for example. Classroom misbehavior. Or, gee, how about menopause?

Disease mongering. This is emphasizing or redefining the risks of disease to enlarge the market for medications. For example, even though medical researchers have known for many many years that the total cholesterol number is meaningless, that “number you should be scared about” has gotten lower and lower. When just about everyone is at risk, that means everyone should be treated preventively, right? As Tom Hager writes: “Minor problems can become major money-makers for drug companies. With a much larger group of potential patients getting increasingly worried about their risks, the market for the drug grows. Blockbusters can result.” Cholesterol-reducing statins are blockbusters.

Now we have entered into the world of sophisticated mail-in genetic testing, where I can discover (if I want to) all the disease demons lurking in my DNA. Oh boy. I think I’ll just eat an apple and go for a run.

April 18, 2018   No Comments

Writing your way to happiness

Can we write our way to happiness?

On first blush this question oozes self-indulgence and privilege. More woo-woo bullshit. An unwelcome resurrection of the Me Decade. (Forgive the reference, now impossibly quaint, as we suffer under the “leadership” of GNOTUS…Grand Narcissist of the United States.)

On second blush,“can we write our way to happiness?” could be the tagline for endless Writers’ Workshops in Tuscany.

But stay with me for a moment. There is a body of actual scientific research (remember what that is?) on the health and mood benefits of writing and rewriting one’s one narrative. (Google “expressive writing and health” for many citations.) Now there is research on story-crafting and behavior.

We all have a personal narrative that shapes our view of ourselves and the world(s) in which we live. We create that narrative. We construct stories out of experience, listen to others tell us about ourselves, learn (even if we don’t think we are, even if we don’t want to) what is expected, what is acceptable, and how we fit (do not fit) in. Over time, a grand narrative emerges. And we recite it to ourselves. Over and over. For some, this self-talk is debilitating.

What if we wrote it out this story. Looked at it. And then learned to tell another plausible tale, an alternative narrative, based on the same information.

That’s what researchers at Duke University did with a group of freshmen who (because of bad grades) told themselves they were losers, that they were unfit for college. That was their narrative. These students underwent a “story-changing intervention” (oh, I know, shades of 1984). But wait…in this intervention, they got information (and were exposed to inspirational videos) about students who struggled during freshman year but improved as they adjusted to college. The “loser freshman” story could then be recast into an upward trajectory, “this is just all part of growth and adjustment” story. And guess what? Students who had been prompted to change their personal stories improved their grades and were far less likely to drop out than the control group with no intervention.

I think about the notion of writing one’s way to a more positive self-image, a healing place, an invigorating place, a place of power and self-worth every time I sit with my writing group at Oregon State Penitentiary. They are all men serving life sentences for murder. Collectively, they have spent more than two centuries behind bars. There are eight of them. Do the math. To stay sane, to move beyond debilitating shame and endless guilt, they write about the lives they now live, the men they are learning to become, the men they have become. They are changing the narrative of their lives.

April 11, 2018   2 Comments

(Still) staying sane

The way we begin each session of the writers’ group I have been running at the Oregon State Penitentiary for going on three years is with a five-minute writing prompt. Every two weeks I come up with another prompt, generally a single word – trust, hope, friendship, power, dreams – that invites the guys to write about what they know and how they feel. Sometimes we do lists: 10 pieces of advice I’d offer to a new inmate; 10 things I’d do if I were prison superintendent for a day (an all-time favorite).

A while back I had them write a list of 10 things that keep them sane, that allow them to wake up every morning, morning after morning, year after year – some of them for more than 30 years – and keep on keeping on. The answers ranged from finding a sense of purpose to listening to music, from spiritual practice to indulging in Skittles. Faith. Will power. The knowledge that others have it worse. Books. Visitors. And, of course: WRITING.

I write along with them. They want me to, and I want to. This isn’t a class. It’s a group of people trying to make sense of the world and themselves through writing.

So I wrote my list, in full realization that it is infinitely easier to stay sane if you are me, healthy and free. Still, there is enough out here in the “free world” to make you run out into the streets screaming, to bring you to your knees sobbing. I offer my list below in hopes that you, dear reader, will write in with yours. We all need to expand our keeping-sane repertoire.

1. Writing. Always, since those first leatherette diaries with locks that didn’t lock, I have used writing to make sense of my world, to capture experience so I can learn from it, to try to understand others, to talk sense to myself.

2. Reading. Since I read my first chapter book (My Friend Flicka) and disappeared into someone else’s world, reading has been for me both an intense exploration of and immersion in the other and the most glorious of escapes.

3. My stubborn belief that most people are kind.

4. The clear-eyed compassion, kindness, toughness and perseverance I see in those who work to make a difference, and who serve as a model for my own behavior.

5. Lists. I make them. They bring order to chaos. They calm me.

6. Sweaty, full-on, challenging physical activity: long-distance biking, running, hiking, ballet, barre, holding two-minute planks, mini-triathlons. Without exercise, my mood plummets. I can be awash in negativity.

7. Simon, the cat. Sonny, the cat. Tenderberry, the cat. Sally, the cat. For cat-lovers, I need say no more. For others, you wouldn’t understand.

8. Solitude.

9. The heart-stopping physical beauty of the place I call home. Plus clouds, from every angle, especially looking down from 30,000 feet.

10.My family. I put them last in recognition of the fact that they are also sometimes the cause of my temporary insanity.

Now your turn.

April 4, 2018   4 Comments

Why I am not a cynic

I am not a cynic…

because so many people before me have done powerful and important things, have fought for and won freedom, have discovered stars and cured diseases, built libraries and written books, grown food and fed the hungry, made art and created music, raised kind and loving children.

because underneath the ugliness there is such beauty, such astonishing beauty, and it is always there—the clouds making pictures in the sky, the soft hiss of rain, a ripe peach. And the ugliness is temporary, and the beauty is forever.

because awareness of the ugliness and evil, the cruelty, inequality and pain is not the road to despair. It is the road to action.

because I have seen that great change is possible, that the unloved can love, that the greedy can be generous, that people who do terrible things can remake themselves into good people.

because I believe not in pie-in-the-sky optimism, not in the glass-is-half-full optimism. I believe in self-efficacy. I believe that sometimes the glass is half-empty. And sometimes it is completely empty. But I believe I have the power to refill it. That we have the power to refill it.

That we are, at this moment, refilling it.

Wait! Stay around for this history lesson:
Cynicism was a school of thought in ancient Greece. For the Cynics, the purpose of life was to live virtuously by rejecting all conventional desires for wealth, power, sex, and fame. Instead, they were to lead simple lives free from all possessions. Cynicism gradually declined and finally disappeared in the late 5th century. By the 19th century, an emphasis on the negative aspects of Cynic philosophy (that is, what was being rejected rather than what was being embraced) led to the modern understanding of cynicism to mean an attitude of scornful or jaded negativity, especially a general distrust of the integrity or professed motives of others. It is the attitude and mindset promoted and encouraged by the man who sits in the Oval Office. Distrust of everyone and everything, distrust of scientists and artists, educators and philanthropists, inventors and activists creates powerlessness and despair. It is easy to rule a powerless people.

March 28, 2018   2 Comments

Donald’s Death Penalty

Among the unending litany of deeply ignorant pronouncements uttered and/ or tweeted by the quasi-human who currently inhabits the White House is this:

Instituting the Death Penalty for drug traffickers.

Because this is a way to solve the opioid crisis.

Let’s put aside the moral argument against executing fellow citizens for wrongdoing. Let’s put aside the moral argument against the government of a twenty-first century “leader of the free world” country endorsing execution. Let’s ignore the fact that such exemplar countries as China, Myanmar as Iran have death penalties for drug traffickers—and none of our “comparator nations” do. Let’s pay no attention to the extensive research on drug use and addiction—why and how people get addicted, how and why the market is created for the manufacture and sale of drugs.

Obviously the person inhabiting the White House has ignored all this.

Apparently, he also doesn’t know that a recent study (University of Colorado) found that 88% of criminologists do not believe the death penalty is an effective deterrent.

Apparently, no one told him about the compelling research that says the swiftness and certainty of punishment (not the severity) are the best deterrents.

Apparently, he is unaware that, according to the Bureau of Justice Statistics, the average time spent on death row before execution is currently about 16 years and climbing – and that more than half of all death row sentences are eventually overturned.

Apparently he doesn’t know that cases seeking the death penalty cost an average of $1.26 million to prosecute, and that maintaining each death row prisoner costs taxpayers $90,000 more per year than a prisoner in general population.

This is a persistently, proudly, loudly ignorant man. Please don’t laugh at his antics. What he says, and what he can do, has the power to ruin lives. Is ruining lives.

(archival photo is of the 1936 execution of Bruno Richard Hauptmann, accused of the kidnapping and murder of the Lindbergh baby.)

March 21, 2018   1 Comment

There’ll be days like this

When it’s not always raining there’ll be days like this
When there’s no one complaining there’ll be days like this
When everything falls into place like the flick of a switch
Well my mama told me there’ll be days like this

Actually, my mother was more of a doom-and-gloom, escape into the world of a big fat novel while nursing a vodka tonic kind of person. So maybe she wasn’t the one who told me that, occasionally, unbidden, there could be these joyous moments. I may have discovered this all by myself.

When it’s not always raining there’ll be days like this
But today, in fact, it IS raining.

When there’s no one complaining there’ll be days like this
And I AM complaining: My shoulder aches from yesterday’s bench presses. I am facing a killer manuscript deadline. I just did a calorie-count on the handfuls of gorp I’ve been throwing back as I grade student papers, and I wish amazon could deliver, by drone, right now, a stomach pump. Oh, and I think I am developing a Plantar’s wart.

Yet.

I am filled with joy. (In those small pockets of empty space not taken up by the gorp, that is.)

It is a good day. For no good reason.

Which is the best kind of good day. May you have one of these soon.

Last word goes to Van the Man, writer of the lyrics I began with:

When all the parts of the puzzle start to look like they fit it
Then I must remember there’ll be days like this

March 14, 2018   3 Comments

Quiet

 

On the walk from my apartment to campus, I pass by the home of man I can hear but cannot see. He lives in a make-shift tent—more rope and tarp and tattered blankets than Coleman—strung between bare trees on a small plot of level ground cut into a steep embankment above the Burke Gilman trail. His home can’t be seen from the road above and, when the trees leaf out, it won’t be seen by people like me, walking or biking the trail.

Most mornings, when I get within 50 yards his home, I can hear him shouting. He is very loud. It’s hard to describe these wordless outbursts. The first time I heard him, I heard anger, and I was scared. I cast glances up the embankment and walked faster, hurrying past his place, looking to see if there were other people down the trail in case I got in trouble. Nothing happened. He didn’t emerge from his home. I heard him the next morning, the one after that, and after that, and after a while, I didn’t hear anger any more, and I wasn’t scared. I heard frustration, and then I heard pain. And today, I heard words.

“Please leave me alone,” he yelled from inside his tent. Then “Please stop talking to me.”

I stopped on the path to see if anyone was up there bothering him, encroaching on his patch of land. There was no one.

“Please stop talking to me,” he yelled, again and again. And I thought of all the voices he must hear. And how he, like all of us, yearns for a quietness of the mind, a calm place to reside inside our heads. But that for him, there was no such place.

*The image I am using is not of this man’s home. I felt that taking (and I use that verb purposely) that photograph would be an invasion of his privacy. The image I used is one that appeared elsewhere, but it approximates the feeling of his place.

Statistics are hard to come by and can be massaged in many ways. By some accounts, Seattle is the 16th most populous city in the U.S. with the 3rd highest population of unhoused.

March 7, 2018   No Comments

I hate FaceApp

File this one under “walk your talk.”

In the seminar I’ve been teaching at University of Washington this winter, we’ve been taking about, reading and creating “empowering narratives.” These are stories that show people working on solutions, stories that present the idea that tough problems can be and are being worked on, that what people do (or don’t do) makes a difference. These narratives appeal not to fear—Oh my god, the opioid crisis! Oh my god so many guns!—but to hope, to the power of action and involvement.

We are also talking about the parallel to this in the advertising world, “Empowerment Marketing.” This is a message strategy that appeals (that is, tries to sell stuff) to people by tapping to their higher instincts: the desire to connect, to be of use, to contribute to the society, to be part of a solution. The way marketing usually works is to appeal to our baser instincts: greed, vanity, self-interest, fear, insecurity. The idea of this pervasive “dark marketing” is to tell us that we are substandard, that we are missing out, that we are lacking…and then to present a product or service that will make us better, shinier, sexier, etc.

So I know all this. I’ve read books about this. I’ve studied the research. I lecture about this. I talk the talk.

Enter FaceApp.

I upload a photo of myself, and FaceApp shows me a gorgeous version of myself that I never before imagined. All of a sudden, I see my real self as…lacking. Okay, kinda ugly. I look at my FaceApp self: that nose! I love that nose! I now am insecure/ vain about my actual nose. I could buy that FaceApp nose! I could spend $6000 and get that nose! And those smoky eyes! Why aren’t my real eyes like that? My real eyes are…lacking. But I can buy cosmetics! I can buy a “make-over” at a salon! I can have those eyes. And don’t get me started about lip plumping.

Whoa.

I have been effectively Dark Marketed. Disempower Marketed. I’ve been ensnared by appeals to my insecurity and vanity. And I know exactly what’s happening. And I fall for it anyway.

But I don’t fall so far that I’ve scheduled a rhinoplasty.

However, this morning, for the first time in, like, a year, I applied mascara.

February 28, 2018   8 Comments

Biting off more than you can chew

What happens when you bite off more than you can chew?

You have three options: You choke on it. You spit it out. You take a very very long time chewing it.

Why is this relevant? Because this winter I bit off more than I could chew. Opportunities arose to which I could not say no. Opportunities arose to which I could say no, but did not. Deadlines were all of a sudden a lot closer than they used to be. Things happened. Good things and bad things. Unexpected things. People needed me.

I started to choke. This made doing what I had to do – plus what I wanted to do – even harder than it already was. I didn’t have the luxury of or patience for long-term mastication. Commitments. Deadlines. People depending on me.

And so I spit out something. And that something was this blog. What I mean is that I stopped writing and posting. Of course I was flooded with messages from bereft readers, people who planned their entire week around my Wednesday postings, people on the edge of their various seats, holding their collective breaths waiting for witty, insightful commentary, but then settling for my posts. I feared all this frenetic traffic would break the Internet. Alas, the Internet abides.

I think perhaps I missed you (at least I missed writing these weekly posts) more than you missed me. Regardless, I will be back, seat of the pants to seat of the chair (actually, I write standing up, but I love that expression) in mid-March.

In the meantime: Chew with your mouth closed!

February 21, 2018   2 Comments

We, the People

We are not the Resistance. We are not a small band of fighters, hunkered down, defeated, sending signals to the outer galaxy looking for help to arrive. We are, as my friend Shan Anderson wrote in a powerful New year’s Day “manifesto,” THE RESPONSIBLE MAJORITY.

Sit with that for a moment, folks: We are the majority.

Let us remind ourselves, as 2018 begins, that 74 percent of eligible voters did not vote for the man who currently inhabits the Oval Office. (This is not just to reiterate that the current president lost the popular vote but also to remind ourselves that in our much-vaunted democracy, half of those eligible to vote to do vote, even in a heated presidential election.) Also note that, although Democratic senators are in the minority right now, they represent the MAJORITY (53 percent) of American citizens.

And here is what we, THE MAJORITY, believe:

* 70 percent of Americans support women’s right to choose, the highest percent since Roe v wade was enacted. (Pew, January 2017)

* 64 percent of Americans approve of same sex marriage. This approval rating has been on the rise for years. (Gallop, May 2017)

* 73 percent of Americans aged 18-49, and 65 percent of all Americans favor alternative/ renewable energy over gas and oil. (Pew, January 2017).

* 68 percent of Americans believe humans are causing climate change. (Gallup, March 2017)

* 54 percent of Americans support the Affordable Care Act, this after a concerted and sustained onslaught of negative, mis- and dis-information. (Kaiser Family Foundation, August 2017)

* 60 percent of Americans are against building a border wall between the US and Mexico. (CNN poll, February 2017)

* 55 percent of Americans oppose restricting immigration on the basis of religion—three guesses which religion we’re talking about. (CNN poll, February 2017)

* 89 percent of Americans believe all races should be treated equally. (Ipsos poll, September 2017) Yes, that number should be 100 percent.

Let’s stop licking our wounds. Let’s embrace our MAJORITY standing. Let’s use the power of our numbers. We are the people.

January 3, 2018   2 Comments