Shrinking
“Shrinking.” noun: a popular series on Apple TV.
“Shrinking.” adjective: becoming smaller in size or amount.
Lately, the word brings the TV show to mind first. Harrison Ford, Jason Segel, and Jessica Williams play therapists sharing a small private practice. I’m quite fond of it. It manages to be funny while taking on friendship, parenting, grief, and the frequent ethical angle. I really look forward to each episode.
But there is also a more personal meaning these days: becoming smaller in size. It turns out that is not just a definition; it is my life.
The older I get, the smaller my world becomes.
Last fall I traveled to my high school reunion, only the second trip I’ve taken since the pandemic. Both trips have been to small-town northern Wisconsin. Travel has become such a physical ordeal that I now approach it with the strategic planning of a minor military operation. Fortunately, I had enough frequent flier miles to upgrade to first class each time. I am not sure I would have survived the cattle-car-in-the-back alternative. Or at least with not much dignity; my claustrophobic tendencies would likely have taken up too much attention.
Closer to home, my world has settled into a familiar circuit. The UPS store for my Amazon packages. Three grocery stores in regular rotation. And then the medical offices. So many medical offices! I seem to have assembled quite an impressive team of specialists, each responsible for a different body part that is no longer performing as originally advertised. Most of these businesses and offices are in North Eugene where I live. My ophthalmologist, pain doc, and therapist are in South Eugene.
Yes, I have a therapist. At this age. I still have issues.
There is also my daily walk, which remains essential for body, mind and spirit. Not that long ago I was walking three miles a day, more than a thousand miles a year. These days I manage about one mile, often pausing halfway to stretch and negotiate with my back. Spinal stenosis and its accompanying nerve pain have reset expectations. They have also reduced how often I attend protests or head out with a camera, both once reliable parts of my routine.
And then there is my height. I used to measure 5 foot 7 at my annual physical. Last month, even standing as tall as I could, I came in just under 5 foot 5. Apparently, I am not only aging, I am compressing. Yes, I have osteoporosis. I do not like this. In high school I was among the shortest in my class, often the last chosen for teams. I remember the feelings of inadequacy that resulted. While I am no longer being chosen for teams, the world is still a different place for a short man. It always has been.
What I am left with, it seems, is a smaller map. Fewer miles traveled, fewer places to go, fewer things I can easily do. Even a shorter reach upward.
Despite everything, though, I seem to be getting a better look at what’s right in front of me.
And if necessary, I suppose, I can always stand on tiptoe.
Soundtrack Suggestion
Well, I don’t want no short people
Don’t want no short people
Don’t want no short people
‘Round here
Short people got nobody
Short people got nobody
Short people got nobody
To love
(“Short People” — Randy Newman)
The Executor Dilemma
A Boy Scout’s Guide to Late-life Logistics
In my previous essay, I found myself reflecting on the subject of time. Writing it left me thinking much more seriously about how much of it I may have left. At my age — I’m now in my 79th year — existential angst is to be expected. Many friends and colleagues are now gone, while those of us still here seem increasingly occupied with managing one physical malady or another.
Ah yes, the maladies. They arrive in clusters at this stage of life, don’t they? For example, my walking regimen, once integral to both my physical and mental health, has become disturbingly limited. Chronic nerve pain from spinal stenosis now restricts my mobility, and more recently I have added compression stockings to my wardrobe to deal with peripheral edema. It really is no secret that a senior-citizen’s body is a full-time maintenance project.
Now, as it happens, I was a Boy Scout in my youth, and the motto drilled into every Scout was simple: Be Prepared.
Robert Baden-Powell, the founder of Scouting, did not mean that only in the sense of carrying the right gear on a camping trip. He meant it as a way of approaching life itself. Think ahead. Get things in order before the moment arrives.
So. Let’s get real. It definitely is time for me to get serious about preparing for my Final Exit.
The pandemic, of course, had previously served to sharpen this realization. In 2020 I was well into the category of people considered highly vulnerable to COVID. Although we did not know the precise statistics at the time, we now know that people over 65 accounted for the vast majority of deaths from the disease. I behaved cautiously and, for whatever reason, never contracted the virus.
However, during that unsettling time, I did make a few modest strides toward “getting my affairs in order.” Ever since then, a white 9×12 envelope labeled “Important Stuff” has been attached to my refrigerator door, quietly waiting to be needed. Inside it are my Advance Directive, which I prepared back in 2014 (upon retirement), along with some basic information about my finances and where funds should be directed upon my death.
Of course, one rather obvious detail remained unresolved. Who exactly would carry out these wishes? I never actually completed a Will.
Not that I didn’t try. I went to the FreeWill website and started working through the prompts. Everything went smoothly until I reached the section asking me to name an Executor. Who would that be? I do not have a spouse or significant other, and most of my relatives live far away. Asking friends to take on the administrative burden of settling someone’s affairs felt like a rather large favor to request.
So the process stalled.
But I have just recently discovered that there are professionals who can perform this role. Licensed Professional Fiduciaries can serve as a Personal Representative, handling the various financial, legal, and logistical details that follow a person’s death. In cases like mine, where the estate is modest, the process may even be handled through a Simple Estate Affidavit rather than a lengthy probate proceeding.
I am still learning about how all of this works, of course, but I have already contacted a local firm that provides fiduciary services and requested an initial consultation.
None of this is especially dramatic; it is simply the quiet work of tidying up important details. It’s the kind of effort that is easy to postpone because the moment requiring it always seems far away. Yet eventually the time arrives. Deep down, we all know that.
And so I find myself returning to bits of advice first learned long ago in the Boy Scout Handbook. The lessons were about life. And now death.
Be prepared.
Soundtrack Suggestion
I’m not scared of dying
And I don't really care
If it’s peace you find in dying
Well, then let the time be near
If it’s peace you find in dying
And if dying time is near
Just bundle up my coffin cause
It’s cold way down there
I hear that's it’s cold way down there
Yeah, crazy cold way down there
(“And When I Die” — Laura Nyro; Blood, Sweat & Tears)
Generosity and Free Will
“I was trying to figure out what I should have already told you, but I never have. Something important, something every father should impart to his daughter. I finally got it: generosity. Be generous, with your time, with your love, with your life.” [From a terminally-ill, near death, Dr. Mark Greene, to daughter Rachel, during “On the Beach,” an episode of “ER,” May 9, 2002; emphasis mine.]
I wrote last time about my fall on the ice during the recent storm. As reported, I did not break any bones; however, the residual effects of the mishap continue to linger on. The trauma of the tumble seems to have taken up residence in my lower and upper back – as well as in my psyche. My spirits are quite low.
In the first two weeks after the storm, I had massage, physical-therapy, and Zero-balancing sessions – in addition to my regularly-scheduled therapy appointment. At this point, though, my recovery still has a way to go. I need significantly more time – andhelp- to facilitate my healing.
In questioning my life’s choices during this period of blueness, I reviewed an essay from February 2006 here on Musings entitled “Generosity.” I have had reason to reflect again on the meaning of this term and specifically its place in the context of friendship.
What am I talking about? Well, I now have reason to believe that what I had experienced as acts of generosity from a friend were, perhaps, deeds that had been misinterpreted by me. I now suspect that perhaps some kind of relational score-keeping had been in play. This has sent me even more into an emotional tailspin, leading me into a deeper examination of my own behavior; to wit: Who am I as a friend? Am I in search of some kind of reciprocity rather than act from a generous spirit? Am I generous enough with my love? My time? My energy? My life? Who am I, really? And, in this context, how am I perceived by others?
I have always believed that each of our lives are comprised of our own individual choices – a sum of the good and/or bad. This long-held belief has, recently, however, come to be challenged. During the last few weeks I have been trying to make my way through Determined by Robert Sapolsky, a dense academic treatise on the topic of free will. Sapolsky makes the compelling argument that, essentially, free will is a myth -- that our livesare really the sum of our biology, our environment, our experiences, of human evolution. The theory is that whatever we choose to do in any moment is dictated by the sum of our life up until the previous moment, that that moment is the result of the previous moment, on and on and on. From Sapolsky’s viewpoint “…all we are is the history of our biology, over which we have no control, and of its interaction with environments, over which we also have no control, creating who we are in the moment” (Sapolsky, 2023, p. 85).
So, in this particular paradigm of human existence, none of us can really be held accountable for our actions – they have all been pre-determined. In fact, every act of mine (ours), lets say in the matters of charity or generosity, are built into us and that we don’t really choose to behave in one way or the other.
I admit that I find myself being quite depressed at the concept that my (and your) existence has already been determined in advance, that my (our) choices are not really choices. Thinking about this interpretation of being human has not done anything positive for my spirits.
So, in sum, right now my body and my soul are in pain. I am seeking help from various sources to manage life right now. But I am in a state of confusion about the meaning of the human experience and what actions I (we) may (or may not) have control over. I am wondering what “choice” is --and whether or not I have the ability to actually choose the right way to work my way out of this painful period.
Reference
Sapolsky, R. (2023). Determined. New York: Penguin Press.
Surviving Winter
As I sit here in my neighborhood Starbucks, sipping a hot chocolate on this late-January Sunday afternoon, I am thinking about how I have (mostly) successfully made it through another horrible winter-weather event. No, here in the Willamette Valley we really don’t have the blizzards and sub-zero temperatures that regularly incapacitate other parts of the country; that’s not our thing. The experience that we have all collectively lived through here, recently, is yet another Oregon ice storm.
Starting nine days ago, on the evening of Friday, January 12, freezing rain began to coat the landscape from Eugene, here the southern valley, up to Portland in the north. When it started we didn’t really know how bad it was going to get, of course. But the forecast was not encouraging. And when I awoke last Saturday morning, it brought back unpleasant memories of a previous ice-storm disaster we had here. It was in December of 2016, when I was living in another neighborhood of north Eugene, that freezing rain left a good portion of the city immobilized. I had electricity for the first day of the storm, but when I awoke during the middle of that night, I had the realization the power was out. For the first full day of darkness, and then the second, I wore multiple layers of clothing (including a down jacket and ear muffs), huddled on my couch, for hours and hours at a time, under a big pile of blankets. I kept my phone powered on with an external battery pack and listened to the news.
The temperature outside remained in the teens and twenties. More trees fell under the weight of the ice, more power lines went down. I learned that it could be several days before power was restored. The temperature in my apartment continued to fall. It was about the time that I began to see my breath that my mood began to significantly decline. Oh, I thought, this is the very scenario that plays out when it is ultimately learned that the storm has led to various fatalities: people freezing to death, alone in their own dwellings.
It was after two full nights alone in the cold when I decided, on the third day, that I needed to take some kind of action. Given that the power was not out all over the area, there were pockets where life was, unbelievably, going on as usual. I called a hotel a few miles away, learned that they had power, and that they were offering discounts to folks who were seeking a safe place in the storm. I made a reservation, hastily packed a suitcase with my frozen fingers, and very carefully drove over there. I settled in, took a long hot bath, and started to feel safe. But this whole experience had been traumatizing and had left me with a sense of dread, unease, and extreme vulnerability.
Now, fast forward to 2024 and this storm. The weather this time turned out to last days longer and be more severe than originally anticipated; in fact, this storm was even worse than last time, according to the experts. Reports kept coming in with more and more power outages, even as my lights remained on. I became increasingly anxious. I rather expected to have to relive the trauma of 2016 all over again. And this time, any kind of escape seemed even more problematic; I didn’t believe my car would make it out of my parking lot, much less get me to a hotel that had power. What was going to be my survival maneuver this time?
So then, at one point, on the third day of pandemic-like isolation, and because of my previous hardship, I tried to make from the bottom of my stairs to my car. I took just two steps -- before I fell! Luckily, I didn’t believe I had any broken bones, but I felt foolish. What was I thinking!? I still had power, internet, heat and food. There was no call for emergency measures yet, but still I was somewhat panicky. I was likely in a state of trauma-induced anxiety and not thinking entirely clearly.
I went back upstairs and started to take care of my slightly wounded body. Even without any broken bones, I was hurting. My left shoulder seemed especially problematic. I texted a friend who immediately called me back with some self-care advice.
As this episode ends, I am able to report that I was able to make it out of the house on day six and find some comfort and care with a massage therapist who began tending to my slightly-broken body (and spirit - and ego). I am on the mend now, though it appears I have some healing yet to do.
With this essay I am, of course, reporting on one man’s lived experience of these events; ultimately, I survived just fine. The lights in my dwelling remained on the entire time and I only lost internet for about 15 hours. Mostly I had to deal with my increasing anxiety -- and then with my injured body.
What is missing from this report, obviously, is the experience of the thousands and thousands of other Oregonians who fared much less well: those families whose lights went out, and are still out; those individuals who tried to walk outside and ended up in the emergency room with broken arms, wrists, hips, pelvises; those folks who tried to heat themselves inside with dangerous devices and ended up with carbon monoxide poisoning; business owners who lost days of income because of closure; and those of us who physically survived but will live long-term with the trauma.
If you are out there and reading this, I hope you are in a place where you are warm and safe – and, for the time being, living your life mostly trauma-free.
Soundtrack Suggestion
Time, time, time, see what's become of me
While I looked around for my possibilities
I was so hard to please
Don't look around
The leaves are brown
And the sky is a hazy shade of winter
(“A Hazy Shade of Winter” - Simon & Garfunkel)
The Eyes Have It
I was diagnosed with “dry eye disease” a number of years ago after I complained to my ophthalmologist about my chronic itchy, scratchy eyes. I was informed that this condition exists when there are not enough natural tears around to provide adequate lubrication for the eyes. This is why the eye drops you see advertised, or that you find on the shelves at the pharmacy, are referred to as “artificial tears.” For the last several years, I have been using prescription Restasis eye drops to ameliorate my condition.
For me, among the consequences of having chronic dry eyes was that I found myself reading less; plus I was writing a lot less. Also, I was aware that the closed captioning on my (Ultra HD) TV screen was slightly blurry. All this really worried me. I could still mostly function in the world, but my experience out there was definitely more limited.
Then, one morning in June 2022, I awoke in distress upon realizing that I had very little functional vision in my left eye; everything was totally blurry. I tried not to panic while I waited to place a phone call to my eye doc. When I got his office on the phone, I was informed that my ophthalmologist was in surgery that day, hence unavailable, so I took an appointment with one of his partners. I did not know this person and the appointment did not go well; I thought the diagnosis and the advice I was given was garbage. He seemed mostly mystified by my condition although he did give me additional eye drops and suggested that I continue on with the routine of warm compresses that I had been doing for years.
Exactly one week later, I awoke with the same problem in the other eye. FUCK! Again I called. Again my regular ophthalmologist was in surgery. Once more, I foolishly consented to see the substitute which was pretty insane given the previous week’s encounter. I did finally gather enough information from him to embark on a knowledge search myself, however.
What I discovered is that I have a rather common condition called meibomian gland dysfunction (MGD). One of the most succinct descriptions I found online is as follows:
The meibomian glands are oil producing glands in both your upper and lower eyelids. The oil produced by these glands forms the outermost layer of your tear film. This oil layer protects your tears from rapidly evaporating. When these oils are reduced or eliminated, your tears evaporate from the surface of your eyes quickly and your eyes become much drier. This is especially true when you are engaged in visually intense tasks such as reading (books, magazines, newspapers), staring at a computer, cell phone, or tablet screen, watching television, driving, etc.
Once I had a label for my condition (which was not provided by the substitute eye doc), it opened up a wealth of information available online. I learned lots from watching YouTube videos, for example.
