Pain Pain Go Away!

So I am more the emotional type who cries at sad songs or heroic endeavors. 

But with the hip surgery, I have to admit that I have had some moments of literally screaming pain. 

The surgeon said he did about a full half hour of cauterization to prevent another bleed (hematoma) and infection that happened last time...so not sure if this is causing the extra-extra sting. 

Usually when they ask my level of pain, I say like 2-3, because I imagine a 10 being some horrible torture like being sawed in half (while hung upside down--actually saw this in a movie) or flayed of your flesh, burnt alive at the stake, or quartered by horses--or countless variations on these.

Let's just say, the medieval tormentors had this torture stuff down.

In a way, I almost feel guilty expressing my post surgical pain (sort of child's play) relative to these made-to-order cruelties.

Of course for pain, the doctors give you medicine, but honestly I don't like to take these because of side-effects and even addictive properties. 

But the nurse and physical therapist told me not to let the pain get ahead of me, because then it is harder to control it (and also harder to do the full PT and get the benefits from it).

In the hospital, I was amazed that some people had so much pain (i.e. me) and others just sat there in PT seemingly shrugging off the whole experience. 

Still I made it the full loop with the walker the first day (which the therapists told me is maybe 3x what most others do at that point).

Another thing that I am thinking about with pain, is how do you compare emotional and physical pain--which is worse?

The loss of loved ones, deep disappointments, suffering with sickness or disability, anxiety and depression can certainly cause a lot of pain inside--those are the screams that often no one hears.

Also, that hurt can often lead to physical sickness and bodily pain and vice versa--so they are not mutually exclusive.

My father used to tell me that "When you have your health you have everything."

I think this is partly because if you don't have your health, you can't really do or enjoy much else anyway--so good health is sort of a precursor to all other activities and pursuits.

Probably the worst pains are the ones where their is simply no hope of getting better...and you just have to accept the loss or the end. 

The corollary that my father taught me was "Where there is life, there is hope!"

(Source Photo: Andy Blumenthal)

Pain Pain Go Away!

New Body Parts

As I gear up for Hip Replacement #2, my sister sent this funny comic to me. 

I heard that something like a million joint replacements are now done in the U.S. every year. 

And these procedures are expected to increase precipitously with projections by 2030 of:

- 3.48 million knee replacements (a factor of almost 7 times)

- 572,000 hip replacements (an almost 2-fold increase)

This also means that revision surgeries will start to rise rapidly as replacements wear out or are in need of replacement themselves. 

Thank G-d that they have these procedures to help people--I don't know how people lived with the incessant pain and degenerative mobility even a generation ago. 

What's it like to have a body part inserted to augment your own?

Just ask this horse! ;-)

New Body Parts

Disabled, Can You Imagine?

A very important article in the Wall Street Journal by Anthony Weller about what it's like to Paralyzed From The Neck Down.

Weller has suffered for 10 years with primary progressive multiple sclerosis. 

He describes losing everything...from "incalculable personal pleasures" to being "totally helpless."

And what's more, you have to save your chips in asking others for things, because "you'd be asking the whole day."

"Say goodbye to any sense of personal space, too"--in needing everything, you're essentially left like an open book to everyone around you.

Here, I can't help thinking about those moments of personal indignity--in caring for our own bodies--that even that someone else must be there for.

Then, there is the just sitting around and endless thinking..."There isn't much else to do."

I remember learning about some medieval torture methods and one involved lying a person down in the space cleaved into the stone face of the dungeon and there a person would essentially rot--not being able to move, sit or stand up, or even roll over. 

How long could a person last like that before completely losing their mind?  

While Weller says that he used to imagine being paralyzed as feeling like being "encased in stone," but now he see it more that your limbs just ignore you, to me whether you are paralyzed in your own body or embedded in medieval stone, the challenges physically and mentally are as scary as anything that can be imagined. 

How do you keep your sanity, let alone any hope?

Weller says, you live in the past, "happiness isn't is, but was, [and] you try not to contemplate the future too much."

G-d should have infinite mercy on his creations and lift up the fallen, cure the sick, and release the innocent that are imprisoned...please, please, please let it be. Amen.

(Source Photo: Andy Blumenthal)

Disabled, Can You Imagine?

Love, Strength

This has been an enormously tough year with the loss of my mom, my dad going into assisted living, and my hip replacement and complications.

I have found myself torn from my normal routine--my structure, my discipline--and thrown instead into a world of unknowns, hopes, and definitely prayers. 

Throughout, my family and close friends have stood by me--as I gave the eulogy for mom, as I moved my father out of his loving home, and as I growled in pain with the osteoarthritis and then joint replacement.  

When my daughter took my hand telling me all be well, when my youngest drove me to the doctors and PT, and when my wife fought for my care--I feel eternally grateful to have these people in my life.

With all the technology in the world, there is nothing like a human being to reach out and grab a hold off. 

One of my colleagues asked me what I have learned from all of this, and I'd say three things:

- Take time to reflect on the direction of your life and work to make the tough changes while you're able.
- Empathize with the plight of others, be merciful and compassionate, and help where you see the slightest opportunity. 
- Be sincerely grateful for everything you have and remember who is the Master of all. ;-)

(Source Photo: Michelle Blumenthal)

Love, Strength

1st Day Post-OP

So surgery was yesterday around 11 am.

I was asleep under anesthesia before I ever even got to the operating room, so can't remember a thing, which is probably good since I hear that a lot of power tools are involved.

Right before, my wife kissed me and told me that the female nurses were all flirting with me--ha! 

After the surgery, I was groggy like crazy.

When the nurse asked me if I knew what year it was, I blurted out "1993!"

Aside from the general anesthesia, I had some sort of nerve block.

Thanks G-d that has made the pain minimal to zero even.

The nurse this morning gave me a percocet in anticipation of the pain with physical therapy today--so I apologize if this blog is a little loopy today.

So far, although very stiff around the surgical area, I have already sat up, got up, even walked a little down the hospital hallway.

Waiting for more PT and OT this afternoon.

I just want to say thank you to G-d, the surgeon, the anesthesiologist, all the nurses,  and my wife and kids and other family and friends for taking such good care of and for all their thoughts and prayers.

One friend, even called me the bionic man this morning. 

It's been a really tough year with the loss of my mom in January and my dad not being well in the hospital and now in a facility to get him back on his feet again too. 

And so far, my wife has been doing great keeping us going with only one big stress attack and trip to the ER to show for it. ;-)

(Source Photo: Dannielle Blumenthal)

1st Day Post-OP

Heaven To Look Forward To

Took the family today to see the movie Heaven Is Real.

We were all crying like babies, including me. 

Loved it!

When the boy has a near-death experience (NDE) and sees heaven, he comes back with stories about it being like here but more beautiful, where everyone is young, and relatives long gone hug him.

In heaven, there is no hate or fear--only love. 

It was eye-opening, when his father, a pastor, goes to the hospital to say the last prayers with a dying man and the pastor asks, "Do you have any regrets?" and the old man answers, "I regret everything!"

While living for our selfish satisfaction and fun may be great for a moment's high, it is certainly not a life of meaning and purpose--and will not open the gates of heaven to us. 

That life is hard is portrayed in the movie--with loss, physical hurt, and financial hardships.

But when these are viewed in the bigger picture as tests in life for us to overcome in order to merit a heaven that awaits us--perhaps this gives us some added perspective. 

In the movie, as in real life, there are those who are angry at others and G-d for what they lost, and it is our challenge to replace that anger with understanding, forgiveness, and love of each other and the Almighty. 

Regretting everything is tragic, but probably not that unrealistic for many of us...particularly in a world where we constantly strive for our individualized versions of perfection. 

In the end, I think our failures weigh on us and it's challenging to see past them to appreciate our successes as well--in whatever measure we've achieved them.

Let's face it, it is not easy to maintain 100% purity of heart amidst a world of lust, envy, and sin--but that should not take away from us constantly trying. 

Heaven awaits--even the imperfect. ;-)

(Source Photo: Andy Blumenthal)

Heaven To Look Forward To

Life, Cartoonish And Not

Strange day, starting with these cartoon characters standing on the street waving to everyone.

And they say texting while driving is distracting -- what's this?

Some other weird things:

- At a food store, saw an argument between an Asian customer and a Spanish-speaking cashier--they were arguing over something as silly as an orange juice, but what made this especially comical was because of the language barrier, each was getting more and more frustrated, until they both sort of gave up, and the customer storming out saying he was never going there again. 

- At the rehabilitation facility, spoke to a couple where the husband--age 88--was there "unexpectedly" for the last two months after a relatively minor surgery. The wife--age 79 (married 60 years)--was visiting him every day. She said that they had never been really sick before, and that when he got out, they were going to visit their other condo in Florida and resume their regular, favorite hobby of ballroom dancing. 

- A nurse assistant, from Sierra Leone, told me how he had escaped the bloody civil war there that left 50,000 people dead.  He described how the rebels would overrun the villages killing everyone as he pointed his finger saying "boom, boom" and making slashing movements as if holding a knife or machete--and that many from his family were murdered. He described how he had escaped to neighboring Guinea and from there called his uncle in America who helped get him here, but the price was that he had to leave his family--a wife and two children behind. He said in the last 11 years, he was able to visit them only once in 2008 for a couple of weeks, and at the end of this month, he was finally able to go back to bring them to America. 

I wondered how very different our lives are--and how some people suffer with war, poverty, illness, and loss, while others are vacationing and dancing into their 90's. I'm not judging or implying anyone as good or bad--especially since all these people seemed very nice--but these events reminded me of a Jewish saying about the conundrum of the seeming righteous people that suffer and the wicked that prosper--and that only G-d is The Judge, who knows who is really righteous and wicked, what they really deserve, and that some people get rewarded in this world, while others in the world to come. 

Either way, I hope G-d has mercy on us, so we don't suffer, and have much more happy dancing times and less to none illness, poverty, and fighting. 

(Source Photo: Andy Blumenthal)

Life, Cartoonish And Not

What True Love Means

A Walk To Remember--what an absolutely amazing movie.

This girl with a beautiful soul, Jamie, turns around the life of this lost boy, Landon. 

She warns him not to fall in love with her, but he does. 

She reveals that she has Leukemia and is no longer responding to medicine. 

Landon is head over heels for her and marries her despite the prognosis. 

They enjoy one summer of love before she passes. 

But she has changed his life forever. 

I cried like a baby at this one. 

It was a movie of faith, love, and turnaround--it made me believe again. ;-)

"Love is always patient and kind. It is never jealous. Love is never boastful or conceited. It is never rude of selfish. It does not offense and is not resentful. Love takes no pleasure in other people's sins, but delights in the truth. It is always ready to excuse, to trust, to hope, and to endure whatever comes." - Nicholas Sparks

What True Love Means

Rebuild, Not Regret

The Wall Street Journal (30 July 2013) says that it takes most people at least two years to recover from a breakup or a job loss.

And longer, if the loss is abrupt, sudden--and you are in shock, disbelief, and unprepared. 

When something bad happens, this is an important point in our lives to stop, take some time, and reexamine our lives--Where are we going? How did we mess up? What's really important? How should we rebuild? 

While you can't rush the healing process, I do think that the best medicine (after some recuperative time) is to "get right back on the horse."

When we suffer a loss, we feel traumatized, depressed, anxious, and self-absorbed.

But the best way to overcome those feelings is to take positive action.

Your feelings are important, but I don't think that the bad feelings go away until you replace them with positive feelings.

When my wife used to get some negative people in her life, she used to say, "I need positive energy around me," and I sort of used to laugh, but it's funny, in a way, she was really right. 

Positive energy replaces negative energy. Good feelings replace bad feelings. A good situation replaces a bad one. Rebuilding replaces regret and loss. 

This doesn't mean that when you suffer a loss that the void can ever be filled, but that the only real pain reliever is giving life meaning again--and that means doing something positive with it. 

No, I don't believe in just jumping in to something before you are ready, doing something foolhardy or not well thought out, but you will feel and become better again by coming up with a reasonable plan and working toward it.

Taking positive steps forward is a better scenario than sitting idly in the dumps--for two years or longer, forget it. ;-)

(Source Photo: here with attribution to Michael Kappel)

Rebuild, Not Regret

Let People Feel

Dr. Ben Bissell has a terrific presentation on Managing Change and Transitions.

Basically Bissell explains that when we face Significant Emotional Events (SEEs)--major life changes (personally in our lives or professionally)--we go through 5 stages:

- Shock (i.e. Denial)--I Can't Believe it!

- Emotions (e.g. Anger)--How could this happen to me?

- Bargaining--Do we have to do it today?

- Depression (i.e. grief)---I can't take it anymore!

- Acceptance--1) Intellectual--If that's what they want! 2) Emotional--Ride the train or be run over by it.

When we have major life change, we can experience loss in terms of control, influence, respect, freedom, security, identity, competence, direction, relationship and resources--in essence, we are forced out of our comfort zone and must transition.

Since according to Biseell "all change produces loss (and fear), and all loss must be grieved, it is understandable why these stages of transition track to the Kubler-Ross model of the 5 stages of grief.

Bissell explains that getting through these stages is not quick and takes a minimum of one and a half years to make it all the way through the 5 stages--during which time, it's normal to feel abnormal. 

The problem is when you get stuck in one of these five stages, then you either:

- Get burned out and quit

- Act out and get difficult

- Become sick, physically or emotionally (e.g. migraines, chronic depression, etc.)

Some ways we can help people get through changes is to:

- Recognize and accept that these stages are normal and necessary.

- Give people a safe place to vent their feelings (i.e. low morale = unresolved anger).

- Increase information flow--when people are undergoing severe life change, you need to counter the tendency for distorted perceptions and help them see where they are going and how they will get there.

- Maintain other elements of stability and familiarity in the person's life--this gives comfort.

- Protect your health--your body, your breathing, your pace of eating and living, and your sleep.

- Give yourself time and space to play, be silly, be foolish, unwind (or else you will pop).

Bissell recognizes that the pace of change is continually increasing and "technology is seeing to that."

Therefore, there is an increased urgency to help people deal with change in healthy ways--working through the stages of transition.

However, from my perspective, when people suffer huge losses in their lives, they never really get over it. The loss is always there, even if it's just behind the scenes rather than out front like the first year or so.

When it comes to loss, people can experience enormous pain, which gets engraved in their consciousness and memories, and we should not expect them to just get over it.

In other words, it's okay to incorporate feelings of loss and grief into who we are--it is part of us and that is nothing to run from or fear. 

Just like good events can having lasting positive impacts in our lives, so do severe disruptions and grief.

People will progress and continue to heal, but they will always feel what they feel--good and bad--and we should never take that away from them.

(Source Photo: here with attribution to LiquidNight)

Let People Feel

Two Lessons On The Road To Enlightenment

I watched a terrific PBS Emmy-nominated documentary called The Buddha (2010).

The show described the life of Prince Siddhartha from India about 2500 years ago and his "quest for serenity and eternal enlightenment."

There were two highlights that I feel are really worth noting: 

1) The Story of the Glass:

Prince Siddhartha saw a glass and marveled how it held the water, how it made a distinct ringing sound when tapped, and how it so beautifully reflected the light off of it.  

After this, he imagined what would happen to the glass if the wind or shaking knocked it down and it shattered. 

Then he realized the reality of this world is that the glass was (as if) already broken, and that we should appreciate the goodness of the glass all the more while it is still whole. 

I loved this story, because it so encompasses Buddhist thinking in terms of its seeking to overcome human loss and suffering.

Like the glass, the reality of this world is impermanence and therefore, it is as if we have already lost all the people and things we love--therefore, we should appreciate them all the more while they are here. 

Further, we can learn to cope with these feelings of (eventual) loss and suffering by ending material cravings and instead seeking out inner tranquility and spiritual enlightenment. 

2) The Story of the Four Meetings:

The Prince who had been pampered his whole life (up until about the age 29) and had only known pleasure--the finest food, clothing, and women--until one day he went out and meet four people. 

- The first was an old man and so, he came to know how people change.

- The second was a sick person, and so, he came to know how people suffer.

- The third was a corpse, and so, he came to know impermanence and death.

- The fourth was a spiritual seeker, and so he came to know escape.

I thought this story was profound in understanding the cycle of life--from birth to maturity and ultimately to decline and death. 

And in order to escape from the loss and suffering (that occurs again and again through the continual cycle of birth and death and rebirth), we must seek to liberate ourselves from materialist desire, greed, envy, and jealousy.

These things ultimately causes us to sin and suffer and if we can break the cycle by meditation, asceticism, and spiritual wisdom, then we can find true inner peace and achieve nirvana. 

Some personal takeaways:

While I am no expert nor a practitioner of Buddhism, I do appreciate the Buddhist teachings and try to integrate it where possible with my Judaism, so that I can find meaning in the path toward spirituality and faith in G-d.

One of my personal goals is to overcome the senseless drive for chasing endless materialism for it's own--and ultimately--meaningless sake, and instead be able to really focus and achieve something meaningful.  

I believe that meaning is different for each individual, and is part of our path of finding ourselves and our in place in this universe. 

(Source Photo: here with attribution to Christos Tsoumplekas)

Two Lessons On The Road To Enlightenment

Boy Loses Arm, Girl Loses Memory

I had the opportunity to watch an absolutely brilliant movie called Aftershock (2010) about the 1976 Tangshan earthquake (7.8 on the Richter scale) that leveled the city and killed more than 240,000 people in China. 

The movie is beautifully filmed and the events recreated with tremendous clarity--I could feel as if I was there and I literally cried for the these poor people. 

In the film a women is saved in the quake by her husband who dies trying to go back into the falling building to save their children--twins, a boy and a girl, age 6--who themselves end up buried under the rubble.  

The mother begs others to save (both) her children, but a rescuer tells her that when they try to move the concrete slab that's pinning them down--this way or that--it will mean that one of her children will die.

She cannot choose, but at the risk of losing both children, she finally says "save my son."  

The girl hears her beneath the rubble--and tears are running down her face with the emotional devastation of not being chosen by her own mother for life.

The mother carries what she believes is her daughter's dead body and lays it next to the husband--she weeps and begs forgiveness.

The story continues with rebirth and renewal...the boy survives but loses his arm in the quake and the girl also lives but loses her memory (first from post-traumatic stress--she can't even talk--then apparently from the anger at her mother's choice).

Each child faces a daunting future with their disabilities--the boy physically and the girl emotionally, but each fights to overcome and ultimately succeed.

The boy who is feared can never do anything with only one arm--ends up with a  successful business, family, home, car, and caring for his heart-broken mother. 

The girl who is raised by army foster parents struggles to forgive her mother--"it's not that I don't remember, it's that I can't forget"--and after 32 years finally goes back and heals with her.  

The mother never remarries--she stays married in her mind to the man who loved her so much and sacrificed his life for hers.  And she stays in Tangshan--never moving, waiting somehow for her daughter to return--from the (un)dead--but she is emotionally haunted all the years waiting and morning--"You don't know what losing something means until you've lost it."

The brother and sister finally find each other as part of the Tangshan Rescue Team--they each go back to save others buried in the 2008 Sichuan earthquake that killed almost another 70,000.

Some amazing themes from the movie: 

- "You're family is always your family," even despite wrongs that we do to each other, we are challenged to somehow find forgiveness and to love and extend ourselves for those who have given so much to us. 

- "Some people are living, others only suffer." After the earthquake, as with any such disaster, the living question why they survived and other didn't. Similarly, we frequently ask ourselves, why some people seem to have it "so good," while others don't. But as we learn, each of us has our own mission and challenges to fulfill.

- Disabilities or disadvantages--physical or emotional--may leave others or ourselves thinking that we couldn't or wouldn't succeed, but over time and with persistence we can overcome a missing arms or a broken heart, if we continue to have faith and do the right things.

I loved this movie--and the progression from the horrific destruction of the earthquake to the restoration and renewal of life over many years of struggle was a lesson in both humility of what we mortals are in the face of a trembling ground beneath us or the sometimes horrible choices we have to make, and the fortitude we must show in overcoming these. 

(Source Photo: here)

Boy Loses Arm, Girl Loses Memory

Going From Peak to Peak

In life, no one has only peaks or valleys. Life is a continuous cycle, and we must traverse “The Wheel of Life” (an ancient belief of many cultures including Jews, Indians, and others) from happiness to loss, suffering, and then hope, and back to happiness again.

Why we go round and round as people and nations is an age-old question. While happiness all the time would certainly be more enjoyable and easier on us all around, it would defeat the purpose of life, which is to learn and grow. And unfortunately, there is profound wisdom in the adage, “no pain; no gain.”

No, that doesn’t mean we should become masochists, so that we learn and grow more! Rather, we learn and grow from difficult experiences and then we get to rest and restore ourselves to be able to apply those in lessons and take it to the next level in future circumstances.

So it was with interest that I recently read Peaks and Valleys, by Dr. Spencer Johnson (best-known for Who Moved My Cheese?).

The conventional wisdom is that if we’re not living at the top of the heap, then we’ve somehow failed. Johnson’s take is that both success and failure (what he calls “peaks and valleys”) have valuable lessons to teach us and are therefore important to experience. The book is about getting the most out of the peaks as well as the valleys of our lives.

Here are some thoughts that rung true—in my words and in Dr. Johnson’s:

#1 - How to handle the valleys:

• Learn to manage adversity, which helps you to mature and reach your next stage in life: “Between peaks, there are always valleys. How you manage your valleys determines how soon you reach you next peak.”
• Love and to give to others. “You get out of a valley sooner when you manage to get outside of yourself: at work by being of greater service, and in life by being more loving.”

#2 - Think strategically about where you’re going in life:

• Envision where you want to be to advance your goals. “A great way to get to your next peak is to follow you sensible vision. Imagine yourself enjoying your better future in such specific believable detail that you soon enjoy doing what takes you there.”
• Recognize the emotions that guide your actions (and that timing is key): “The most common reason you leave a peak too soon is arrogance masquerading as confidence. The most common reason you stay in a valley too long is fear masquerading as comfort.”

Overall, even though leaders may seem like they are always “above,” in fact everybody goes through regular peaks and valleys.

In addition, leaders have the added duty to find the way not only for themselves, but also to guide others through the “storms” of organizational life. This is a great privilege, but also a tremendous responsibility that necessitates that leaders lead with wisdom and integrity so that they help their organizations, and people, go capably from peak to peak.

Going From Peak to Peak