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Posts Tagged ‘Surgeon’

A. IN THE GOLDEN HILLS.

Thanksgiving Day brought with it an intermittent sun playing hide and seek with the rain. We had lunch in the Golden Hills with HRM, Uncle Mask, Adrian and N. I was surprised to see N there. She had come to California a few days before and will remain until late December when she will take HRM to Italy for the Holidays. The lunch featured a well-made ham with several toppings to choose from. I was a bit disconcerted because I had expected I would be minding H during Dick’s absence in early December but with N there, I expect that would not be necessary.

N and HRM

Later, we drove back to Sacramento for dinner with Naida’s Daughter Sarah, her family, and their two dogs, a black and white brindled standard poodle named George Washington and Franklyn Delano Roosevelt, a large mixed pit bull and retriever. We brought along Boo-boo, a mixed Chihuahua and whatever, who although he may have lacked the size and prestigious name of the other two dogs, by the end of the night had clearly acquitted himself as an equal.

Dinner included turkey with all the fixings and pumpkin pie and cheesecake for dessert. The cheesecake made by Sarah’s son Charlie, who happily explained to all of us the secret of making a perfect cheesecake — first rule “do not beat your eggs,” mix them slowly using only a certain rotation of one’s arms and shoulders. He then demonstrated the movement. It looked quite painful

B. POOKIE’S ADVENTURES IN THE ENCHANTED FOREST:


The rains have returned soft and gentle. The streets, lawns, and pathways in the Enchanted Forest glisten a brilliant red and yellow. Here and there pods from the Deodar Cedar litter the walkway like little banana slugs. For the first time, it seemed like autumn.

As usual, we attended the Saturday morning coffee at the clubhouse. Surprisingly, as many men attended this week as women. I sat a bit off to the side, observing as I often do. I could not help noticing the usual neatly coiffed hair on the spy who goes by the name “Ducky.” It always looks as though she just came from the hairdresser. Unlike most of us at this advanced age whose hair of various colors gone drab, interlaced with streaks or dreary grey, and winds about our heads like birds nests, hers, a brilliant white, sparkled like icy snow in the sunlight.

I decided to survey hands today. Most of the woman had long slender fingers gone knobby with age. The model’s fingers were the longest. Like many whose movements are often characterized as elegant, the tips of her fingers seemed to move as though they were independent of the hands to which they were attached. Naida’s hands, unlike the others, were the hands of someone who spent a life of a farm or a ranch, thick and strong.

I noticed while most kept their hands relatively still when they talked they would now and then gesture whenever they were making a point. Naida again was an outlier. Her hands flew about vigorously as she talked. She would not be out of place in Southern Italy. In fact, in Sicily, the Sicilians would consider her an uplifting and ebullient person before even hearing a word she had spoken. Alas, to these same people, her hand movements would appear to them as gibberish — meaningless noise. Americans use their hands while speaking only as punctuation. Without words it is meaningless. In Sicily, the gestures are words and have meaning independent of what is spoken.

We then returned to the house, Naida to work on her Memoir and me to write this. Later we walked the dog along the levee beside the American River. The setting sun shining through air recently washed clean by the rains lit up the autumn colors like fireworks.

On Sunday we sat around the house. Naida read to me sections from her memoir. As she read the words, my mind transformed them into scenes from a movie — the frightening 25 mile skate down the frozen Big Hole River; learning of her parents divorce; the comical introduction to her father’s new girlfriend; the infatuation of a 13 year old girl with her handsome uncle; the fight with her brother over a plate of macaroni and cheese; the dreams, the fears and the sorrows… It will be a wonderful book — a Little Women with real drama.

The Author at Work in Her Studio

Monday I had an appointment with my primary care physician. As he entered the examining room, I said, “Since my surgeons agree I am a dead man walking, I intend to go out happy, pain-free and without my bowels turned into cement. So, I need you to prescribe the pills that will allow me to do so.”

“We are from birth all dead men walking, ” he responded. “Nevertheless, I think I can provide what you need. I even know of something that relieves pain without constipation.” He added that he understood what I was going through because he has had two bouts of his own with cancer. Also, his seven-year-old child was struck with bone cancer and had to have his leg amputated below the knee.

Once again, I found myself embarrassed and humiliated by my misplaced sense of humor.

The doctor a youngish man, in his late thirties or early forties, is built like an NFL linebacker and specializes in sports medicine. At my prior visits to his office, I noticed a deep sadness in his eyes that made me wonder. Now I know why.

He prescribed a healthy supply of Xanax to keep my spirits up, a pain reliever that keeps my bowels lubricated and even a topical that eliminates the irritation caused by my clothing rubbing against the tumor. Finally, he explained that the most important thing he’d learned from his own experience with cancer was that one ought not to concern one’s self about the future but concentrate only on what needs to be done that day. In other words, take it one day at a time. I am not a fan of platitudes (unless they are my own, of course) but appreciated the effort.

C. TO SAN FRANCISCO AND BACK AGAIN:


On Tuesday we left for San Francisco to spend the evening with Peter and Barrie before my visit with the physician at UCSF early the next day. We brought the dog along with us because Barrie thought it would be a good idea to see how he got along with their dog, Ramsey.

That evening, leaving the dogs with Barrie, Naida and I went to a French restaurant on 24th Street where Peter’s trio was performing. They were very good, as was the food. Peter played bass, the leader of the group, guitar, and the third member, the violin. Peter told us he (the violinist) is or was first violinist in the LA Symphony. If you’re ever in the Noe Valley area on a night they are playing you should drop in.

The Boys in the Band.

The next day, I met with the oncologist at UCSF to explore potential treatment options including clinical trials. As usual, I began with an inappropriate joke. When the doctor entered the room and settled into the chair opposite me, I said, “Now that two surgeons have agreed that ripping out a part of my throat and slicing off parts of my body with which to fill the resulting hole was not advisable, what options are available to me?”

The doctor a youngish Korean-American oncologist with a national reputation was not amused. Nevertheless, after asking some questions he played out a treatment program that appeared to me to be promising if we could get the insurance company to approve it in a reasonable amount of time.

D. BACK IN THE ENCHANTED FOREST AND A VISIT TO THE RIVER OF RED GOLD:


On Wednesday, I rested all day and Thursday, I turned my attention primarily to a request of Terry’s that I am sure, as usual, will turn out more interesting than beneficial. I also received a call from my doctors that the insurance company approved my treatment plan and it will start early next week. Hooray!

If I have learned anything from life (I am pretty sure I have not), it is that that one learns less from success than from failure and it’s more interesting too. Also, behaving foolishly is a lot more fun than propriety could ever be.

On Friday, I accompanied Naida to Meadowlark Inn at Slough-house on the old Jackson Highway. There Naida had a luncheon with a small book club (about eight women). They discussed her California Gold Trilogy. Later we all went to the historical Slough-house cemetery several of the characters mentioned in her books were buried. Naida told some fascinating stories about the area — the Native American, Chinese and European settlers, the gold discoveries, the massacres and the private lives of the people buried in the cemetery that she had garnered from their diaries. She even found the grave of the old woman who had become her friend and whose diary had begun her interest in the area and became an important part of her books.

The Girls at the Cemetery.

Following that, we drove to the bank of the Cosumnes River in Rancho Murieta where the Indian village described in her books stood. She became quite upset when she saw that the great old mother oak, sacred to the Native Americans who were buried in the ancient midden that lay beneath its branches, had been chopped down by the developer (despite his promises not to.) We then walked along the river bank and explored the rocks containing many native grinding holes and the stepped stone platform where she was sure the natives gathered to listen to the orations of the head man whenever there was a festival or a party. Naida mentioned that the area was so productive that it has been estimated the average time native male worked (built things, hunted and so-on) was only 45 minutes a day and the average women 3 hours. It was a peaceful paradise that existed for over 600 years until it was utterly destroyed by European immigrants from the United State in less than twenty.

On the Banks of the Cosumnes.




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It is autumn in the Enchanted Forest — Time to change from Hawaiian shirts to flannel; for hearing the fallen leaves crackle beneath our feet as we walk by; for golden sunlight in the afternoons and early sunsets; for the yellow pollen from the Deodar Cedar trees coating the cars and the sidewalks; and a time for sleeping late in the morning and for reflection.

On Tuesday, I went for my appointment at the office of the surgeon selected to operate on my neck. A very young doctor followed by a female medical student entered the examination room where I had been placed. He appeared to be of South Asian heritage. He examined me briefly and answered my questions. He was thin with limpid sympathetic eyes. He then left with the student trailing in his wake.

After a while, the surgeon himself entered with the young doctor and medical student in tow. He was a small man in a grey-brown suit and sporting a bright blue bow tie. For some reason, his appearance made me recall that I had read somewhere that surgeons have the highest percentage of psychopaths of any profession. Also, again for some unknown reason, I tended to associate bow-ties with psychopathology.

.

He felt around my neck, had the young doctor stick a camera down my nose and into my neck and watched whatever it was he saw on the monitor behind me. He then announced that the proposed operation was dangerous and I would probably die. He followed-up that good news with the observation that almost two months have elapsed since my last PET scan and his examination showed that during that time the tumor had grown substantially and now pressed too close to my carteroid artery to be safely removed by surgery. He then railed about the unwillingness of my health-care group to allow his health-care group to use their follow up organizations thereby limiting his activities only to the surgery. He ordered his assistant to schedule another CT scan. If it confirms his diagnosis, I may be in deep trouble.

A few days before that my oncologist told me that if surgery were unavailable then we may try immunotherapy. At best, immunotherapy, he said, slows the growth and spread of cancer cells. If it does not work, then it is goodbye time for Joey.

I had woken up that morning in reasonably good spirits. By 3PM I may have become a dead man walking. Life is funny sometimes.

For the next day or two, I was very depressed. That little voice in my head, the one that talks all the time and tells you how good you are or how bad you are matters as though your goodness or badness is the most significant goodness or badness of anyone in the world, was worried.

“What does it mean to me for you to die?” it said in that same youthful voice it always had? “I mean, it’s not like sleep,” it added. “When you sleep you anticipate you will wake up in the morning. Isn’t that consciousness? You anticipate something is going to happen next even if you cannot know what.”

I was getting annoyed, even depressed with its musings. “That’s it,” it continued. “You close your eyes like you’re are going to sleep and you never wake .”

“That’s very profound, you idiot,” I said.

“No, you Don’t understand,” it went on. “Without anticipation, there is no life, no consciousness.”

“And this insight is supposed to help me how?” I enquired. It was silent. Perhaps for the first time in my life, I could not hear It. I was afraid, very afraid.

By Thursday I felt a little better — a good dose of valium and a nights sleep allowed me to begin to get things in order. First, I thought, “Write a will” — a wasted gesture. I always wanted to die with nothing. I am pretty close to that — both dying and money. I probably need someone to take my collection of Hawaiian shirts, however. I would rather not send them to Goodwill. Pookies last will and testament: “I leave to______ my Hawaiian shirts. End.”

So here I am typing at my computer, watching MSNBC and CNN and reading Tana French’s latest novel. It is a mystery novel, but so far I am not sure about the mystery. I have read about 1/3 of the book and all that’s happened so far is that the narrator gets beat up and spends a long long time in the hospital worrying about everything except who beat him up and why.

The weekend trundled by. I arranged for the CT scan on Monday that will indicate whether an operation is feasible. On Tuesday, I will watch the election returns. If the Democrats do not retake at least one house of Congress with a substantial majority, then — then what? I am too close to the end for it to make much of a difference to my welfare, but I may be sad for everyone else.

Perhaps, this is where it all may begin to end — in some ways, life has always been, little more than a scramble for scarce resources (money and sex — ok, not so scarce) ending in death.

A computer simulation by Jeremy England and colleagues at MIT showed that a system of particles confined inside a viscous fluid in which the particles are driven by an oscillating force, over time, triggers the formation of more bonds among the particles. In other words, shine enough light and apply enough heat long enough you eventually get life. In general, the function of life is to more efficiently convert matter (resources) to energy (movement). Humans have gotten very good at converting resources to energy and leaving waste and destruction behind — perhaps too good. Maybe the answer to Marconi’s query, “Where are they?” regarding alien civilizations of 40 billion planets in the Milky Way capable of sustaining life, is simply that advanced life-forms a become so efficient in converting resources to waste they destroy the planet before ever making an effective foray into space searching for others.

On Saturday, we had a barbecue and fresh oysters at Naida’s daughter’s home nearby. Sarah’s husband is a nurse. One of his colleagues, another male nurse, was there also. I asked them why they became nurses. Besides liking to help people, they agreed that employment opportunities were a major draw. One said, “I could be fired at my current job and before arriving home I would have a new one.”

Between medical appointments and various episodes of depression, I have not seen HRM all week. That makes me sad. On the other hand, autumn is a pleasant time to walk the dog and stand on the levee watching the river flow by.

The second third of the Tana French book focused on Hugo, the narrator’s beloved uncle, who is dying from inoperable cancer. Hugo surprisingly confesses to the murder and promptly dies the next morning while in police custody. In fact, the murder had been committed by others.

On Sunday Terry, the Cannabis King of the Siskiyou’s dropped by. It was good to see him. He had been looking into some alternative therapies for me. It is good to have friends. I have had some very good friends along the way. When I was very young, in grammar school, I had no friends so I used to pretend that I was sick so I could stay home in bed and read the encyclopedia. That is where I get my fondness for melodrama —pretending I am sick almost to death. Once I recall, I successfully persuaded my parents I was as sick as I had ever been in my life, so they let me stay home. After they both left for work and I was alone, I began to persuade myself that I was, in fact, very sick. I was sure I was going to need help or I was a goner. I slipped out of bed and crawled because I was too weak walk through the apartment to the door where, if I were able to open it, I could call for help and one of my neighbors would undoubtedly save me. I reached for the doorknob but I was too weak to grasp it and I fell motionless to the floor.

After an appropriate amount of time. I got up off the floor and walked back to the bedroom, climbed back into bed and resumed my reading.


On Monday I had my CT scan. More needles stuck into my body and radioactive substances injected into my bloodstream. After that, I drove up to the Golden Hills, ate lunch and walked a bit around the CCD park.

I finished the Tana French book today. Despite everything I found out previously and the resolution, more or less, of the murder that occupied most of the book, it ends with a twist as surprising as any I have read in detective fiction.

Today I have my appointment with the surgeon to review the results of the CT scan and determine if I am dead or not.

Well, the surgeon informed me today that if they operate there is a 90% chance I would die on the operating table. I do not know if that was an evaluation of his abilities or the complexity of my tumor’s location. He followed up that news with the opinion that, absent successful alternative therapies, my remaining lifespan would be somewhere between three and six months. Unfortunately, the only alternative therapy available to me appears to be immunotherapy which the surgeon explained to me would have about a 20% chance of success.

If the situation is as dire as he indicates, I intend to fully indulge myself of whatever unorthodox alternative treatment approach that I may enjoy — mushrooms, cannabis, of course, acupuncture, mood-altering drugs and the like. One of the good things about knowing your days are limited but you are otherwise in good health is that you have few restrictions on pandering to yourself.

In the evening, my sister joined us for dinner. She is down from Mendocino to attend an economic development conference. After dinner we watched the returns come in. I had hoped for better.

That night, I was afraid I would not be able to sleep. I tried all of my little tricks to help me fall asleep including counting my breaths backward from 99 and contemplating the SF 49’s starting lineup all to no avail. So I turned to Naida and said, “I can’t sleep. I am going downstairs so that my twisting and turning will not keep you awake.” She responded, “What are you talking about? It is 5:30 in the morning. You’ve been sleeping peacefully all night.”

The next day, my radiology physician confirmed the surgeon’s diagnosis and opined that under these circumstances immunotherapy was the best alternative — “Sometimes it works,” he added. I said, “It is odd feeling as well as I do but knowing I’m as good as dead.” “Yes,” he responded. “It is like that for cancer patients.” That got me wondering how many people I pass each day with similar problems to mine, that go about their days without complaint. Almost every day I meet someone who asks me how I am doing. As is my want, I tell them. They often tell me that they had gone through similar treatments two or three times already. It always makes me feel worse when I am unable to wallow in the uniqueness of my imagined misery.

I left his office with him promising to think about the possibility of additional radiation therapy should the immunotherapy treatment falter and traveled into the Golden Hills to pick up the Scooter Gang. I dropped them off at Dick’s house. They promised not to get in trouble (follow my rules — don’t hurt yourselves, don’t spill anything on the floor and don’t break anything) while in the house but begged to be able to get into a little trouble when they traveled to Town Center later. While I was leaving, Hayden walked up to the window of the car and said, “Remember Pookie you have got to believe.”

I guess there are no more adventures for Pookie — unless dying itself is an adventure — Pookies last adventure. Dylan Thomas wrote, “Do not go quietly into that dark night.” Well, I am pretty sure I will not go quietly. But instead of “railing against the darkening of the light,” it will be more like bitching and complaining (see my screed on bitching: https://trenzpruca.wordpress.com/2018/02/12/petrillos-commentary-on-bitching/). My mother always said I screamed constantly from shortly after birth until I began to talk and then I complained of everything until I became a teenager and then thankfully I only sulked.

My sister came by again yesterday evening. We laughed a lot. Planned for Thanksgiving and reminisced.

The leaf-fall of autumn has increased since the air has cooled and the Fall breezes grown stronger. They are falling too fast for the ground-keepers with their leaf-blowers to keep up so the Enchanted Forest’s paths and lawns are covered with yellow and brown leaves that in the sunlight look like spilled paint. While walking the dog I like stomping through the leaves, kicking them into the air and watching them fall back again like a 79-year-old child.

Today, we visited my chemotherapist expecting to set the schedule for my immunotherapy. We were surprised. Apparently, he spoke last night with the various doctors involved in my case. He said the radiologist changed his mind and now thought radiation might be possible. Also, my regular oncologist told him he was setting up an appointment for a second opinion at UCSF. He then laid out my treatment schedule. First, I get the second opinion. If that supports the first surgeon’s judgment, then we will begin a new round of radiation therapy, followed by Chemo and if necessary immunotherapy. Although this might appear to be more positive than the other recent medical opinions I have received, it actually seems to me to be simply a change in a treatment plan and not in prognosis. I think they are just trying to make me feel better. Despite their attempts to humor me I intend to continue bitching and wailing, “The end is nigh. Woe is me.” I do so like melodrama.

Yesterday evening, I picked up HRM from his mountain bike team practice. On the way home, after asking me how I felt, he mentioned that at the church youth meeting he attends every Wednesday all the eighth-grade boys, many of whom I know, prayed for Pookie. I may not be someone particularly optimistic about the power of prayer, but I cried nevertheless at the thought of the Scooter Gang praying for me.

On Friday, before returning to Mendocino, my sister came by to take us to a Japanese grocery store to hunt for mushrooms for my new diet. Later we had lunch at the Freeport Inn in the Delta. Following my sister’s departure back to Mendocino, Naida sautéed some of the mushrooms for dinner. They were delicious.

Saturday, we attended the weekly coffee at the Nepenthe clubhouse. It is the season when everyone there was involved in the various charity drives and party planning undertaken by the community. On the way back home while I was busy kicking the leaves about, Naida noticed a sign for a meeting at the small clubhouse of something called “Conscious Community.” We decided to find out what it was all about. We discovered they considered themselves a consciousness-raising group like those of the late ’60s except without the dope.

During the walk, we noticed a mysterious cement ball had appeared in the street in front of our house. It remains there today. Nothing like it exists anywhere else in the neighborhood. What can it be? A portent of something? Alien scat? A hairball from a giant cat?

Pookie with the mysterious orb.

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TODAY FROM AMERICA:

A. POOKIE’S ADVENTURES IN MENDOCINO:

On Friday we left for Mendocino and the celebration of my sister Maryann and George’s 40th wedding anniversary. Despite my illness, the drive from Sacramento to Mendocino was pleasant enough. It was made more tolerable by listening to an audio disk of a book. A book that I had read before and perhaps have even written about here.

It was the first novel in the Arthurian Trilogy by Bernard Cornwall called, The Winter King. Listening to the narrator drone on helped the time pass rapidly. The trilogy is set in the latter part of the Fifth Century about 80 years or so after the Romans had departed Britain and the indigenous inhabitants had begun their devolution into rural barbarism. During this time, raiders from the area around Denmark eyeing the land now made empty by the Roman retreat arrived and settled in the East. They were, at the time of the novel’s setting, driving the Britons before them off the fertile lands and into the mountains. History records a British warlord named Artur active then. Also, there is evidence of a series of battles at about this time between the Saxon invaders and the British won by the Britons that halted the Saxon advance for about 40 years — a fairly long time by the standards of history. The author places the medieval legends back at this time but provides the shining heroic characters with a more gritty and less exalted story than the Medieval bards did.

Anyway, we arrived in Fort Bragg in good order checked into a motel, settled the dog comfortably and left for the Anniversary dinner.

The dinner was held at the Noyo Harbor Inn an attractive fairly newly remodeled hotel overlooking Noyo Harbor.

In addition to members of the family friends of Maryann and George from the East Coast were there also.

Fred and Ellen

F

George and Mary made speeches about the happiness of their marriage and George gave Mary a ruby ring to celebrate their 40th Anniversary.

The following day Naida, I and Boo-Boo went for a walk along the beach and the bluffs.

We then set off to Mary and George’s home for a Barbecue. When we arrived, I was amazed at the additions to their house that had been completed since the last time we were there. They had constructed an all-new patio and garden enclosure at the front of the house. It seemed to bring the house into the garden or the garden into the house I could not tell which.

The Barbecue featured meat and a lovely salmon prepared by Quinn, Katie’s intended.

Several of our friends from Mendocino joined us — Nancy and Duncan, Ester and her husband and a few others who despite the relatively few times were have visited each other, I feel have become as close friends as I have ever enjoyed. There was even a hedgehog who joined us that night. I never really met him in person (in hedgehog?) before.


The next day we returned to The Enchanted Forest. I decided to try driving down Highway 101 and up 80 since on paper it is the quickest drive. Alas, as I feared, the traffic, especially as we approached Petaluma was horrendous.

B. BACK IN THE ENCHANTED FOREST

Monday was my birthday. My daughter sent me three interesting books. Hayden surprised me with a nice gift. Many friends sent me their best wishes through email and social media. Even my grandson Aaron texted me. Naida took me out for one of my favorite things, a root beer float. We went to Mel’s. They even put a candle on it.

Happy Birthday Pookie

Some additional notable events that occurred on my birthday, October 15, during the 16th and 17th Centuries:

1552 Khanate of Kazan is conquered by troops of Ivan Grozny.
1581 Commissioned by Catherine De Medici, the 1st ballet “Ballet Comique de la Reine” is staged in Paris
1582 Many Catholic countries switch to the Gregorian calendar, skip 10 days
1598 Spanish general strategist Bernardino de Mendoza occupies fort Rhine
1641 Paul de Chomedey de Maisonneuve claims Montreal
1654 Prince Willem III appointed viceroy of Overijssel
1655 Jews of Lublin are massacred
1660 Asser Levy granted butcher’s license (kosher meat) in New Amsterdam
1674 Torsåker witch trials begin, largest witch trials in Sweden, 71 beheaded and burned

All and all, except for Asser’s butcher’s license, those were not very good or notable days.

Note also, on the day I was born in 1939:

1939 LaGuardia Airport opened in NYC
1939 Yeshiva of Mir closed after 124 years

So on my next birthday raise a glass to LaGuardia (The mayor and the airport) and shed a tear for the Yeshiva of Mir.

For those of you over 70 and well into the great decline, you probably already experience this. Even as my body weakens, the voice in my head that talks to me all the time seem always to be as young as it was when I was a teenager. Oh, a bit more cynical perhaps, but every bit as vigorous as ever when I feel I have done something that rises to the level of the barely adequate, letting me know how foolish I really am. One would think that at this age that voice would give up and feebly warble, “I no longer give a damn. Do what you want. Who cares?”

The remainder of the week drifted off to same old, same old. Sitting at home playing with the computer, watching old movies on TCM (not much to write about there) and reading the novels Jessica sent me (One was by JK Rowling using her nom de plume, Robert Galbraith. It was a mystery and quite good). I also went to a few pre-op examinations. And, of course, attended to the needs of Hayden and The Scooter Gang.

Speaking of H, he recently acquired a new mountain bicycle to replace his other mountain bike that he said was inadequate. (He was insistent that I understood that the old bike was an “off-road bike” and not a “mountain bike” — Whatever.) It was quite something — complex hydraulics on the seat and well as the front and back wheels. He recently joined the school mountain bike team along with several other Scooter Gang members.

Hayden and His Mountain  Bike

On Tuesday, I had a stress test in preparation for my operation. A stress test for those who have never had one is where you fast for a day and dive to the lab where they the load you full of radioactive substances, lie you on a cot under great machines that make odd humming and clicking noises and then tell you to relax for the next hour or so. I was stressed out.

And so the week played itself out. Finally, after many phone calls, I managed to arrange an appointment with my surgeons. The growth in my neck seems larger and more uncomfortable. The Scooter Gang has begun to evidence teenage bravado and male aggressiveness. So it goes. Most days I sit in the studio with the Mac on my lap watching Naida tap away on her computer editing her memoirs.

The weekend also passed by quietly. On Sunday N decided to bake a pumpkin pie the way the Native Americans taught the illegal immigrants coming ashore a Plymouth or Jamestown — baking the pie in the pumpkin.

It did not turn out that well because, while emptying the pumpkin of its seeds, we inadvertently punctured a hole in the bottom and much of the custard filling drained through during the baking. It tasted pretty good nevertheless. I wonder if the colonists faced that problem.

On Tuesday, I meet with the surgeons.

Have fun. Be cool. Keep warm. Stay hot.

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