Showing posts with label health care. Show all posts
Showing posts with label health care. Show all posts

Wednesday, July 25, 2012

Sorry to Break the News: You Don’t Get to Choose


(from the Why Aging Sucks Dept.)

Tell the truth. At one time or another, you’ve been stuck behind some old person shuffling along at glacial slowness, blocking your passage through a doorway or down an aisle and thought, “Jesus shit, get out of the way!” Followed by “Why the hell can’t they walk any faster?!  Just because they have all day… I have THINGS TO DO!”

We might deny it if asked outright, but we all know this goes through our minds when we are twenty- or thirty-, even forty-somethings. Because we are, by then, adults and at last in total charge of our lives. Our health, wealth, place of residence, kind of car—everything is what we have chosen, or the result of choices WE made. That sense of power colors all our thoughts and feelings.

Because we don’t know yet that it’s only temporary.

As adults in our prime, we secretly carry the idea that how we age is our choice, too. That whether we get dementia or lose our hearing is a decision we make, at some future point in our lives. I think there’s a half-formed idea that, just as you get a notice that your library books will be due in three days, you must get a notice that you are about to become old. Young and middle-aged adults seem to think the incipient old receive a list of symptoms and characteristics of Being Old and instructions on picking the ones they will have. Like ordering from a drive-through.

“Yes, I’ll take gray hair, hearing loss and not-keeping-up-with-music-and-movies.”

“I’d like dry wrinkled skin, a saggy butt and boobs and a hunched back.”

“Give me the painful arthritis and a heart condition that messes with my circulation so much my memory turns to soup.”

Oh PUH-LEEZE!

Nobody. Chooses. How. They. Age.

Uh-huh, uh-huh, I can hear the yeah-buts now. Yeah, but if you don’t exercise regularly—or eat healthy, or give up caffeine or smoking & drinking, or learn to reduce your stress, etc., etc., blah, blah, blah—you gotta expect bad results.

Really? We all know of the young man in his prime who went out for a jog and fell over dead at 28. We also know about the centenarian who started smoking at age 12 and drinks whiskey every day.
These are extremes, yes, but they underscore the truth that, while we may influence our individual outcomes to varying degrees, we do not actually choose our aging process.

Living righteously and following all the expert advice in the world about maintaining your health, active lifestyle, whatever, is only so helpful.

Because, though it matters how we play the hand we get, we don’t deal the cards.

To continue with that metaphor, taking care of our health might be like holding three of a kind. Maybe even a jack-high straight. But mortality is the Royal Flush; it always wins. The lucky go to bed and never wake up, or they start to say, “my head—” and before they get to “hurts,” they are gone.  Or they’re thinking about having a cold beer after this shift is over when BAM! An IED blows them to pieces before they recognize what is hap—

The problem for young and old alike is that few of us get that gift of grace known as sudden death. Note that I am not talking about the survivors’ experience in grace-full terms, only about the person whose process of aging comes to a sudden, unannounced end.

The rest of us, the unlucky majority, go through a drawn-out process of aging—and dealing with it—until we become those slow, tottering assholes, blanketed by deteriorating senses and tripped up by physical incapacities, unable to get the hell out of your way or even know you’re behind us, muttering impatiently. That’s not the worst, of course, that awaits the old. They get to look forward to being denied even the luxury of shuffling through a grocery store; their future consists of sitting alone in a warehouse for dying. If they are lucky.

Like adolescents who revel in their hormonal rushes, rush to act upon their every risk-taking impulse, indulge their ricocheting emotions and trust the underdeveloped executive decision-making region of their brains, plenty of old people embrace their infirmities and expect the rest of the world to make room and time for them.

So I’m not as steady on my feet as I used to be (thanks to changes in my inner ear due to medication I take because I worked at a plastics plant or as an exterminator to buy all my kids cars for graduation), I’ll just quit trying to merge with the “traffic” in the grocery store and trudge slower and slower and slower, now that I have fewer places I need to go.  Other people should treat me with respect and courtesy just because I’ve survived this long.

Other oldsters apply the reverse logic with which they survived marriage to an alcoholic, a lobotomizingly-dull job and/or their disappointing children. As in— I am not walking slower. YOU are in too much of a rush. MY brain has not slowed so much I can’t grasp new technology, laws or social realities. THE WORLD is changing too fast.  In other words, it’s not the aged who have changed for the worse, it is everything around them.

News flash: no matter how we address or present our deterioration, we do not like it any more than you do. In fact, I bet we dislike it a hell of a lot more than you do. Because we have to put up with it all day, every day.

Who looks forward to clearly-spoken, separate words to which you can respond wittily, devolving into fuzz and mumble, like a conversation in another room where a loud TV masks half the words? Do you seriously want to drive while joint pains weaken your grip on the steering wheel and strengthen your fear that you won’t be able to wrench the wheel fast or hard enough to avoid an accident if that idiot backs out of his parking space without looking because he’s 20 and has lightning fast reflexes and, therefore, thinks everyone else must too?

Do you want dangerously high cholesterol, even though you haven’t even looked at red meat in years? Or diverticulitis that for no reason decides to break open your intestinal wall—and a blood vessel or two—while you’re driving alone down a country road? Can’t wait for your pants to fill with blood as you search in vain for a cell signal until you pass out, still bleeding? Did a couple of grandparents who suffered from “hardening of the arteries” actually pass along Alzheimer’s genes? Or one for brain tumors? Or weak lungs that working in a hair salon during the weekly shellacked hairdos era only exacerbated? Did you know your lungs were “weak” when you chose cosmetology at age 18?

I didn’t think so.

See? That’s the rawest deal about aging, about getting old and enfeebled. We don’t choose how we age. But we have to live with what we get, until we die.

So. You’re pissed at getting stuck behind me as I totter down the aisle? How the F**K do you think I feel?!?!

Monday, May 5, 2008

F.E.A.R.

How do you get on with living a sane life when you are busy worrying about things that concern you, but are out of your control? I don't know.

I mean, I know all the 12-step suggestions and a lot of the psychology industry's approaches, and I guess they work as well as possible, but when you're a caretaker/fixer like me, none of it works well enough on such situations.

What situations, you ask?

Well, how about some puzzling behavior on the part of your husband that has as its only likely explanation young-onset Alzheimer's? Or how about a beloved 5 year old granddaughter who is hitting and jabbing other kids with her pencil--at a Montessori school chosen over day care because she got so bored at daycare? She is a complicated, emotionally needy (or maybe greedy is the more appropriate word) who is usually verbally advanced, but whose only explanation for being sent home from school today for stabbing kids with her pencil was "I'm tired."

How can my heart not ache for her and him and me and the potentially difficult futures we may all face?

I know, but I've just never been very good at denial. It was too dangerous in my growing-up household, which I learned by being oblivious and then being blindsided.

Okay, okay, you're right. Detachment isn't denial. Accepting what you can't change, that's good, too. One Day at a Time, Let Go and Let God, the Serenity Prayer, etc., etc. If only they were permanent fixes, but they're not.

Not when I'm in FEAR--Future Events Appearing Real.

The solution to fear is faith. It's just kind of slippery right now, hard to hold onto!

Monday, March 10, 2008

Here's another Lack of Logic tidbit: advice columnist is running a letter from bigwig at American Cancer Society about importance of colon cancer screening. Bigwig writes 'we're here to help so we have a free information kit to help people talk to their doctor about colon cancer screening.'
Well, the big problem is HAVING A DOCTOR TO TALK TO.
All these people they want to get screened...they don't because they can't afford it. They can't afford to have a doctor. 
They can't afford the tests or the insurance to pay for the tests. NOT because they don't know how to talk to their doctor!
Presumably, the American Cancer Society is involved with medical issues, so why don't they realize the state of medical care for most people in this country?
Seems to me that if they're sincere about helping, they'll help find a way to enable people to have the "luxury" (a purely American concept, I think) of having a doctor to see regularly.