You Drive Me Crazy

You get in, close the door and are in your own little world. Except… you’re not. You’re actually in a sea of others and while getting into that little metal box might make you feel like you’ve just put on headphones and hid under the covers, you’re still right there, on the asphalt, driving.

A friend of mine told me his brother said he “could go through red lights because his reflexes were that good.” I pictured him running through lights thinking: well that’s great for you, but nobody’s else’s (reflexes) are that good. I imagined cars swerving in confusion and chaos and upheaval following him wherever he went.

Sometimes, we take shortcuts, take chances and become naively cavalier. We can be disconnected. Our minds driving the vehicle don’t get how bad our bodies in the vehicle will feel after the smash. It reminds me of the movie, Gone with the Wind, where people were excitedly yelling (to paraphrase) something like “yeah, we’re going to war!” when they had no embodied understanding of the ramifications of that statement.

Life can seem predictable at times and we can be fooled into thinking that current events will continue unchanged. Do you drive like playing checkers with an unconscious expectation that each car will remain in perfect formation as you jump between spaces? We’re prone to distraction (the weekend was so nice, blah, blah, blah………sh_t, I’m gonna miss my exit!!), impulsivity (I need to exit now!!) and ultimatum thinking (I need to get off at this exit and this exit only!!)

By the way, my spouse and I have labels for what we see on the road. This is not to say that I’m mindfully aware at all times, but naming them has helped us keep our cool when certain behaviors might scare the sh_t out of us. If it helps, steal it. The key is picking verbiage that lightens things up. If a comment just makes you more *irritated or pissed off; that’s a dud.

We started with D.W.M. or “driving while mean,” but it didn’t meet *criteria. The acronym search continued. Our newest iterations involve ants, since they are always on the move and tend to make people wiggle if their in your…. undergarments. The first level is Ants in Pants or A.I.P. We see a vehicle frequently changing lanes, like they’re jumpy and can’t get settled. The second level is Fire Ants in Pants or F.I.A.P, which is verbally clunky, but entails lane jumping accompanied by speed. I used to semi-yell them out. That was fun, but well…..not safe. Damn.

I’ve also become curious about my own driving in the hopes of making it less stressful. I’ve taken alternate routes, even if longer, turned off distractions on stress streets and made those spaces between myself and others (when possible). Making space might involve speeding up, but is equally likely to mean anticipating/slowing down, which is typically easier on myself and the vehicle.

To help my body relax, I use a simple technique that Oren Jay Sofer offers in his book “Say What You Mean.” My back is calmly upright while the stomach, butt and legs get “heavy” and drop into the seat and I connect with the pressure of butt against seat. I breathe slowly and deeply. This is one of those ideas where your mind might think “stupid” and body might say “heyyy, not bad.”

In the end, one of the reasons I write is the same: to prevent pain. It’s frustrating to deal with a body that doesn’t move as smoothly and easily as before. I would love for you not to experience that. While that other driver might be “crazy,” you can decide where and how you want to live within that sphere of influence.

Me and Mx Cig.

My job causes me pain. Here’s what it’s like on my end to see suffering on yours and feel I have little to offer. I understand we make our own choices. Even Dr. Elisabeth Kubler Ross, who wrote about facing death, discussed her decision to smoke. But…. wouldn’t it be great to get what we need without using things that weaken us?

Before I go on, check out this one minute video link below of David Goerlitz, former Winston model. I met Dave after his presentation in Maine the summer of my first year of medical school. He is no longer with us, but his bravery and tell it like it is attitude is powerful. His has videos online and was featured in two movies: A Billion Lives (released 2016) and The David Goerlitz Story (released 2019).

Dave Goerlitz Video (It’s quiet and rumbly, so increase the volume in advance): https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://www.youtube.com/watch%3Fv%3DtJrCSlbkNkw&ved=2ahUKEwjJ3e_h1f6EAxUakIkEHQIlAm8QtwJ6BAgHEAI&usg=AOvVaw1P1QpO_mqWctRq28cWus9Q

Smoking may not immediately kill, but can make you suffer for years. Patients tell me they didn’t realize how often they hacked up loogies (not sexy), smelled of old tobacco or how fatigued they were until after stopping. I firmly believe that anyone can get addicted to any drug and am grateful to my brother for unintentionally discouraging me from cigarettes and in my case, by it’s association, all drugs.

One California summer, my older brother and I walked the short distance from our home to the neighborhood park. We were ages 11 and 9. After lighting the cigarette he’d brought and began coughing, I panicked. I thought he might die or we’d get into ” big trouble.” I remember being curious but afraid of the bad, bad, bad cigarette we’d been warned about in school. Neither of us picked up one again. I sometimes feel like the nutty guy in horror movies, glancing sideways and warning: I wouldn’t go in there if I were you… I wish I could summarize everything I’ve seen into one indelible story that would relay the fullness of this suffering. But I can’t so I’ll leave you with one.

30 years ago, I met a woman looking older than her years sitting stiffly upright in a hospital bed with a look of severe distress on her face at the meal set before her. She’d undergone surgery to remove a portion of her diseased lungs from years of tobacco use and could barely breath. She looked down and kept quietly repeating: “this is too much.” I offered to move a portion of food off her tray, she nodded her assent then visibly relaxed. Everything was hard for her: breathing, holding that breath for the tiny fraction she needed to swallow or trying to rest. There was no ease in her life.

Human bodies tell a story and there is beauty in their journeys. But there also can be heartache within that beauty. Over the years, I’ve been struck by the facial changes I’ve seen in long-time smokers. Some remind me of those whose hands became discolored working hard with grease and machines all their lives. My patients’ faces remind me of the beauty that can exist within the pain.

The Road Home

The long days stretch behind those heavy eyes

The creased cheeks are thickened and full with

lines of black, dotted freckles marching in rows

The years of scrubbing can’t clean this skin

The marks are like work hands stained from

years of labor that are finally released to rest

It is a long way to the road home

It is a long way to the road home.

Let there be some ease even in times of pain,

Dr. Valerie

Woops,…or things found out the hard way

I think most of us can have a bit of that kid-like rebellion when someone gives advice. Our brains scream: don’t tell me what to do! Especially if the person might be even a little right – that’s way worse. But…if a friend turns to you and says hey, listen to what happened to that guy, we perk up our ears. Yeah, don’t want to be that guy! This section could be called, all the stories I’ve heard about what happened to that guy.

Most people were doing things we all do: multi-tasking, distracted, angry, hungry, etc. But, certain things come up again and again, so I’ve made changes based on what I’ve seen. For instance, I used to think “I’m young and active; I don’t need to hang onto a hand rail when using stairs. That’s so old person.” Now, I do. People of all ages slip and fall down one or multiple steps. Some sustain an ankle sprain. For others, it’s multiple injuries, breaks or SCI (spinal cord injury). Some require years of rehab. Same fall – different outcomes.

On a different note, I’m not talking about people scaling mountains unharnessed or other intense stuff. You can live your life and experience neat stuff but do the prep. Check out the TED talk: “How I climbed a 3,000 foot vertical — without ropes” by Alex Honnold. It’s an amazing story of solo climbing and excellent example of the importance of preparation. In short, get your thrill on but learn from those who’ve done it successfully first.

The first time I realized that medical work involved seeing the outcomes of people’s decisions, concerned a man and a poodle. Those standard poodles are big and she just had babies. All were snuggled on bedding behind a thin curtain. Being a naturally inquisitive person, he slowly & gently pulled the curtain to one side to look at the sweet pups and promptly got a third of his index finger chomped clean off. My next immediate thought was a reminder to myself stating: Remember to Not Do This! Here are a couple of my don’t do this moments.

Speaking again of animals, I’ve seen time and again nasty bite wounds from hands getting into the middle of a dog fight. The person comes in with a gnawed limb because they used that hand to discourage an oncoming dog from attacking their own. It usually involves a dog on or off leash and sometimes a size discrepancy. Your furrbaby could get hurt and your brain screams: protect, protect. I get it. I have small creatures. But, I have told myself repeatedly: use something else – not my hand. I’ve taken off my shoe and put that in between if that’s all I have. Then again, I wear 15yr old sneakers and not Manolo Blahniks (had to look that up ;))

This leads to infections. You want to clean that nasty bite, so what do you do? If dousing the wound in alcohol or hydrogen peroxide is your go to, rethink that. I’ve seen hands blow up in size and turn bright red …The.. Next.. Day after treatment with overly strong cleansers. Those agents are not recommended in the medical literature because they can worsen healing. So, it’s boring gentle soap and lots of water. Irrigate, irrigate, irrigate. If you’re uncomfortable with the way a wound looks then wrap in a dressing and be seen at a medical facility for further treatment. Especially if it’s popping open with continued bleeding. You also might need a tetanus shot.

What I do if something is in the early stages and just beginning to look like it may become infected (warm, tender and reddish) is to put heat on the area. This is counter intuitive because the area is already hot. A heating pad* is best, because it stays at gentle heat much longer than a warm compress. The heat essentially brings your blood to the area that needs it and within that blood, lives your immune cells which fight off infection. You may still need antibiotics, but sometimes you don’t. If I get to something quick enough, just the heat and my body’s immune system can do the trick.

I have lots more of these, but will start there. Here’s wishing you fun and safety which are the two things that I request from my cat whenever I leave him for the day.

*Could you use an electric blanket in a pinch…….yes.