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Pain from an Accidental Injury

Pain from a minor injury can affect one’s well-being immensely!

English: Illustration of the pain pathway in R...
English: Illustration of the pain pathway in René Descartes’ Traite de l’homme (Treatise of Man) 1664. The long fiber running from the foot to the cavity in the head is pulled by the heat and releases a fluid that makes the muscles contract. (Photo credit: Wikipedia)

We expect a low back injury to take some time to heal, but pain makes it seem much longer!

Pain started  when we fell flat on our rump three days ago. It was one of those darned fool things:  extending both hands to help Spouser rise from a chair, losing our grip, and plopping down hard on our backside.  It was a very undignified accident, the kind that shows up in circus clown routines.  There was very little pain at the time, although we felt spinal compression as the top and the bottom portions of our trunk met at our waist.

It was a Sunday and the doctor’s office was closed. We phoned our insurance company’s Advice Nurse.  She took us through a couple of symptom check lists and found nothing to cause alarm.  She recommended applying ice to the sore area, taking our usual pain medicine, and keeping in motion so the muscles would not freeze up.    The nurse said that the immediate soreness in our midsection was probably some muscle spasms. Current treatment for low back pain involves walking around as possible and avoiding bed rest.

It is annoying to notice pain in body parts that are usually trouble-free!

It would be interesting to learn the names of the painful structures, but we do not feel well enough to research online or to dig out muscle maps. One soon learns which movements avoid.  Lying down and getting up again are problematic (read:  very painful.)  Lying back in our recliner chair works well as long as there is no reaching; but venturing beyond the midline to grab a magazine or a cup brings an instant reminder that we are still hurt.  Sometimes the pain just starts up without perturbation, probably from muscle spasms.  That kind is nasty, hard pain that we can’t quell because we can’t control those muscles and thus can’t stretch or relax them.  Bending straight to the front is o.k.; going to the side is not.

This experience brings some previously unexamined actions to the fore:   We step over the our bathtub’s rim upon entry, while holding onto a grab bar.  We had no idea that our trunk rotated in the process until waist spasms pointed that out.  Also, we wear an ankle brace.  Lacing that up demands more than rotation—it’s more like contortion to reach everything and get the job done.

It is hard to remember a pain-free life during the acute phase of a painful injury.

It didn’t hurt that much for a while.  We even hoped to escape pain altogether, but were not surprised when the soreness intensified.  The pain continued to get worse throughout the evening, but did not affect sleep.  Then it was Monday morning and time to stop lying in bed. 

Getting out of bed would probably play well on YouTube if we recorded it. 

  • Line up  trunk and legs with the edge of the bed. 
  • Sample elbow positions until the least painful one is found. 
  • Using the elbow as a lever, roll on the bed until our rear perches on the edge and our feet drop to the floor.
  • When the legs go down, the rest sits up and slides off the bed.  At this point, the most comfortable position is standing up, but bent over at the waist with torso parallel to the floor. 
  • Grab the back of a chair and carefully walk our hands up until we stand erect. 
  • Notice and honor each and every body part that announces its presence. 
  • Will them to shush up and retreat to the background of our attention.
  • Try not to groan more than necessary. 

Celebrate ordinary life, without pain and where body parts do not announce themselves. 

Life can change in an instant! At the moment, ours is divided into Before the accident and After it. This injury will hopefully not last much longer. The generalized discomfort seems to be dying down, although acute twinges still occur. It’s good to be reminded from time to time of how precious good health really is. We give thanks for everything that works. 

Seventeen days later:

We went to the doctor eight days after the injury and were x-rayed..  He confirmed the nurse’s instructions and changed some medication.  And he reminded us that these things take a while to resolve themselves.  He’s right:  it’s going to take longer to recover than previously thought.  The pain has morphed into a new  type.  It’s hard to sit upright for long, which hampers blogging and other computer work.  The agonizing muscle spasms have ceased,  for the most part.  This whole thing is getting tiresome, fast! 

Part of the annoyance is from being cooped up.  For example, asking Spouser to choose blanket binding to  match two pink fabrics was not fair to him or to the project.  Daughter-in-law E. donated an hour to take care of it.  Let’s shoot for driving a short distance by the end of next week! 

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Walrus Musings about Biology: Health, Obesity and Bariatric (Weight Loss) Surgery

Services must accommodate obese people with sp...

Services must accommodate obese people with specialist equipment such as much wider chairs. Bakewell J (2007). "Bariatric furniture: Considerations for use.". Int J Ther Rehabil (7) : 329–33 . . (Photo credit: Wikipedia)

Why bother with attaining an ideal weight?

A cultural norm in the western world is that people should weigh about the “right” amount for their body types

Current Western culture supplies its members with ideas about how things are supposed to be. There is a body of knowledge that people use to navigate our world. This knowledge gives us expectations and rules for life in our surroundings. People who do not measure up to cultural standards are often made to feel uncomfortable about it.

America is experiencing an epidemic of obesity:  Americans who weigh much more than the norm allows learn, early on, that obesity is something that other people notice. And many of those who notice the difference do not think it attractive. Cultural disapproval is such a strong motivator that at times it seems that half the nation is on a diet! People who try to lose weight are more likely to do it because of disapproval of the obese, than because of something a doctor said.

What non-cultural reasons would lead a person try weight loss?

The list is quite large and much of it is supported by sound scientific research.

Here are some of the health consequences of being obese:

  • Heart trouble
  • Digestive problems
  • Skeletal and joint problems
  • Early demise
  • Psychological problems, above and beyond those of being obese
  • Diabetes

The list is  incomplete, given our lack of medical expertise. Unfortunately, we believe in the scientific method and we believe the doctors are probably right.

Why would anybody avoid weight loss and remain obese?

There is no easy cure for obesity.

Witness the fascination people have with individuals who are successful in losing weight. It’s a HUGE challenge to lose weight and an even GREATER challenge to keep it off. Our physician is the first to admit that his toolkit is pretty empty for helping with this condition. Humans are exquisitely equipped to survive famines: We like fat and sweets, and we like them served together even more. Our culture has changed a lot over the last 500 years, but our metabolisms were shaped over a much, much longer time frame. Our physical selves have not caught up with our cultural selves.

What weight loss techniques are currently available to treat obesity?

Let me count the ways:

  • Hypnosis
  • Mental health therapies
  • Faith-based techniques
  • Just Do It! (with or without weigh-ins)
  • Medication
  • Diets! All meat to no meat; low carbohydrate to all carbohydrate; a balanced diet (USDA redefines this periodically;) portion control; and other, gimmicky ones.
  • Exercise with or without trainers, yoga instructors, classes, groups, buddies, equipment, swimming pools, and so forth.
  • Hospital-based fasts and last, but not least,
  • Surgical interventions.

Why not pick a non-surgical approach and get it over with?

They don’t work, except for surgery, and surgery is problematic.

Even if one can handle a regimen long enough to lose weight, it’s nearly impossible to keep it off. Statistics vary on successful maintenance of goal weight, but most range around 5-15%.

If it works, why not have the weight loss surgery?

Pro:

Today’s bariatric surgeries are better than they used to be. Doctors have more experience now, and better surgical techniques and tools are available. The doctor and patient can fit the procedure to the patient from the array of available surgeries. Much current weight loss surgery is laparoscopic, so there is no large abdominal incision. Post-op support has become a system that includes dietetic help, support groups, lots of visual aids in the learning modules, specialist nurses, exercise training, and many other helpful modalities.

The main reason to undergo surgery is to get rid of excess weight that will likely kill you eventually, and will cramp your enjoyment of life while obese.  Some comorbidities decrease or vanish, with particularly good results in diabetes and joint problems.

Con:

Weight loss surgery is a Big Deal–and it doesn’t always work.  Statistics predict that 50% of patients eventually regain their excess weight and that 50% of patients return to the hospital at some point because of complications.  These can include leaking incisions, strictures, infections,  inability to resume eating, changes in taste perception, depression,  cognitive problems, nausea, bowel problems, gall bladder problems, etc. Most frightening of all: 5% of weight loss surgery patients die from the surgery or its complications.

Most patients also require cosmetic surgery to deal with excess skin, and some patients need to have the whole procedure reversed due to complications.  Patients with implanted devices like  restricting bands (“lap  bands”,) will need to have them  surgically removed.

Many patients experience uncomfortable problems while recovering from the surgery, but it’s impossible to predict who is likely to suffer from them.

To sum it up:

To undergo or to reject surgery for weight loss is a decision that affects a person the rest of his/her  life.

People who have weight loss surgery stand a good chance of losing a substantial amount of weight, but not all of them can maintain this weight loss.

People  who choose the surgery are often poorly informed about what to expect during recovery.  Physicians know the poor health outlook for obese patients, and they enthusiastically promote the benefits that can come of having the surgery. Surgical consent and similar disclosure forms are usually written in jargon that a patient can’t easily understand. Many patients sail through the process without difficulty, but a significant risk of having severe problems exists.

People who decide against the surgery still must deal  with their obesity and its effects on their lives and health.  Obese  people are statistically likely to die earlier than expected for normal weight people.  They will still suffer from discrimination and the many obesity-related ailments while still alive.

Reference for the following four items:

Change your stomach, change your brain – health - 23 May 2012 – New Scientist.   (Note:  viewing this entire article online may be restricted to registrants or subscribers.  Registration was free as of May 31, 2012.)

Changes in taste: the post-op patient expected a refreshing beverage flavor but experienced a fish taste!

Brain re-wiring: post-op patients’ brain reward centers no longer activated strongly when the patients saw pictures of delicious food.

Changes in body structure: Patients’ thalamus glands shriveled to half their former volume.

Cognitive changes:  A number of patients found that “tip of the tongue” word-finding problems plagued them, almost as if they were experiencing age-related memory problems.

Further Reading:

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Retired Walruses as a Blog Theme

Image of brown walrus in front of a white iceberg on a dark blue sea.

The Walrus, Musing...

Do walruses retire?  If so, might one volunteer to anchor a blog theme?

Our walrus came along for the ride as a symbol for this blog theme; more staid walruses might have chosen not to.

This blog’s theme began with a list of requirements:

  • The theme must cover a broad variety of interests like those we enjoy in retirement.
  • The theme should arouse interest with recognition or curiosity in a casual Web surfer.
  • The theme needed a visual symbol of some sort as a blog brand.
  • The theme must be a good hook for humor.
  • The theme should be unusual, surprising, and maybe even a little weird.
  • The theme needed to tie into a relevant domain name.

The search for a retirement theme began slowly, then jelled fast.

We need enough time to consolidate information before beginning to build the finished product.

Our creativity does not  perform upon demand; too much time pressure kills it off. For example, we took a counterpoint class  in college.  The homework was music, composed subject to strict rules. We had to ask the professor to issue the homework assignments earlier than normal so we had time to get the work  done.

Recent news articles have discussed creativity, in many cases, as enhanced by actions a  person takes.  Our technique is to immerse oneself in information surrounding a topic, perhaps even without knowing what the final product will be. We expect to thrash about somewhat, what with trips down blind alleys and being surprised at ideas that are flat-out wrong.  Then we begin to write snippets of fact and opinion as they occur to us. We once used  3″ by 5″ index cards for research citations  as well as our snippets.  Modern word processing makes things much different, although not necessarily better.  In due time, the snippets lead to becoming documents, which are then re-written again and again until it’s time to publish.

And then: right there, naked and unafraid in the public domain,  was Lewis Carroll‘s poem:  The Walrus and the Carpenter!

Let’s check off the requirements:

  • Broad variety of interests: “Shoes and ships and sealing-wax…” outlines many possibilities, and we don’t limit the blog to nineteenth-century nouns.
  • Recognition or curiosity in the casual Web researcher: Most English-speaking kids know about Alice and her trip Through the Looking Glass.
  • Visual symbol:  Walruses can be portrayed in many ways, from true-to-life  images to appealing cartoons.
  • Humorous:  Walrus appearance lends itself to humor because its apparent clumsiness differs so much from what it can actually do.
  • Surprising, unusual, weird:  Who could have dreamed up a Tooth-Walker on his own?  Those walruses whose long upper canine teeth allowed them to haul out through holes in the ice thrived to have larger families…and here they are!  The walrus’ tooth adaptation rivals the electro-sensitive bill of the Duckbill platypus as an unusual way to handle a needed function!
  • Relevant: The old and the unfit walruses probably get eaten before they get a chance to enjoy retirement.  We just made it fit.   (The “rrr” in rrretired.com could be taken for a walrus growl,  but that is not why we used them.  We needed them to build our unique domain name.)

Trying on the theme:  does it fit well?

In a nutshell, yes.  Folks seem to like the cartoon that brands this blog.  The theme is expansive and forgiving:  We have not yet wanted to write about a topic that did not attach to one or more  theme hooks.

As  to the biology of the food web, ageing mammals, walrus cognition, walrus culture, mammalian adaptation to unique niches, techniques for photographing the walrus, the crushing hazard immature individuals face during stampedes, climate change effects on the walrus, and a myriad of other interesting topics:

I’ll get to them when I can.  Choosing and deferring projects is one of the delights of our retirement!

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The Praying Mantis and the Boy

A Praying Mantis perched on a child's shoulder.

Z. is my friend. Seeing the world through the eyes of someone who is not quite three is wonderous. We don’t really know what the mantis is thinking: its facial expression doesn’t change to reflect its opinion of Z’s shoulder.

Z’s dad writes blog that shows a similar sense of wonder at times, mixed with the emotions one might expect from his navigating an unaccustomed culture. He is a Brit and an American citizen; hence  almost-american.com

There are lots of posts featuring  Z.  Enjoy!

On Intelligence in Mammals

Fresco of Dolphins, ca. 1600 BC, from Knossos,...

Fresco of Dolphins, ca. 1600 BC, from Knossos, Crete. (Photo credit: Wikipedia)

“Man has always assumed that he was more intelligent than dolphins because he had achieved so much…the wheel, New York, wars and so on…while all the dolphins had ever done was muck about in the water having a good time. But conversely, the dolphins had always believed that they were far more intelligent than man…for precisely the same reason.”             Douglas Adams (British comic Writer, 1952-2001)

Just think: No human has ever learned what a dolphin really thinks about itself and dolphin-kind as compared to humanity.  Someday humans and dolphins may bridge that gap, but for now, things seem pretty much o.k. the way they are.  It’s even possible that the dolphins may solve the problem before we do!