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April 7, 2013 By B. Baylis 1 Comment

Beware the Ides of March

“Beware the Ides of March” is the warning that a soothsayer whispered to Caesar in Act 1 Scene 2 of the Shakespearean play “Julius Caesar.” Because of the noise of the crowd through which Caesar and his entourage were walking, Caesar didn’t understand the words. Ironically, it is Brutus who tells Caesar that the man is warning him about the Ides of March.

The word “Ides” is one of the three named days of the month of the Roman calendar. “Kalends” was the first day of the month. “Nones” was the seventh day of the month; and “Ides” was approximately the 15th or the middle of the month.

With the help of Shakespeare, the phrase “Ideas of March” gained a sense of foreboding in the European world. It carried the same connotation that “Friday the 13th” invokes in today’s world. They are superstitions, irrational and unfounded beliefs in objects or signs having magical power to control peoples’ lives.

For Christians, superstitions are akin to idolatry. It is attributing the providence of God to something else. Nothing is done outside of God’s control or permission. To believe otherwise is really a transgression against the first commandment:

“You shalt have no other gods before me.” (Exodus 20:3 KJV).

This concept is explicated in Isaiah 46:

“9Remember the former things of old: For I am God, and there is none else; I am God, and there is none like me.

10Declaring the end from the beginning, And from ancient times the things that are not yet done, Saying, My counsel shall stand, And I will do all my pleasure:

11Calling a ravenous bird from the east, the man that executeth my counsel from a far country. Yea, I have spoken it, I will also bring it to pass; I have purposed it, I will also do it.” (KJV)

Living by superstitions leaves the door open for Satan to take control of the situation and us, as is described in I Peter 5:8,

“Be sober, be vigilant; because your adversary the devil, walketh about, seeking whom he may devour.” (KJV)

In Act 17:22, Paul on a missionary visit to Athens proclaimed:

“Then Paul stood in the midst of Mars of Mars Hill, and said, Ye men of Athens, I perceive that in all things ye are too superstitious.” (KJV)

For several years, March has been a rough month for me. However, I do not believe that March is a bad month. In March 2007, I had a sinus infection that developed into bronchitis. In March 2009, I had the stroke-like episode with an imploding brain tumor. In March 2010, I had a bout with pneumonia. In March 2011, I had a pacemaker implant.

Several weeks ago, in March 2013, I had what appeared to be a heart-attack, but it turned out to be a gallbladder attack. I had to have my gallbladder removed. Fortunately they were able to take it out via a laperoscope. However, before they were able to get it out, my gallbladder pumped infection throughout my body. I spent more than a week in the hospital. At first they thought the infection might have affected my heart. However, a stress test showed that my heart is as strong and overall as healthy as it has been all along. The stress test technician said that my stress test result was the best that he had seen for many months. My heart is strong. The only problem is that the beat is irregular. I just don’t have rhythm. The infection did cause me some urinary bladder problems. I had to carry a bag for almost two weeks. The catheter is out but my bladder may not be emptying properly. Please pray for God’s continual healing in this matter. Catheters are a pain and bags are extremely inconvenient.

All the health problems of this March have set back my writing agenda. I have ideas piling up. I hope to be able to return to writing soon. However, the hallucinations, cross-sensory perceptions and inability to concentrate continue to plague me at times. My neurology team has tried several new medications. The only change I noticed is that I am having more vivid dreams. I almost have a sense of what Samuel Taylor Coleridge experienced. I can see Xanadu more clearly now.

I had two excellent doctors’ appointments in early April. I am free of the catheter and bag for at least three weeks as long as I’m a good boy and drink lots and LOTS of water. The urologist was amazed that my retention in a follow-up appointment was only half of what it was in the first appointment. She said that was great and very, very unusual. I told her prayer still works.

At the second appointment, the surgeon also said that I am an unusually good healer. My surgery scars are healing as well as he has ever seen. He said that I am truly a “young man” in terms of parts of my body. He said that it shows that I have taken good care of myself over the years. I told him I had some help from above. Both my cardiologist and my surgeon have given me clearance to get back on the stationary bike, so hopefully I will be back in the swing of things by this coming week. My legs are getting restless for work. Please pray with me that my brain will return to clarity so that I can return to writing.

I do not have to worry or be afraid of the Ides of March. I may not understand God’s reasoning, but I can’t question his power or mercy. He has shown his power and mercy over and over again. I have had many opportunities to meet and talk with people that I otherwise would not have contacted. I can do nothing else but praise His name and thank Him for His goodness to me.

Filed Under: Faith and Religion Tagged With: Disease, God, Health Care, Scripture

February 25, 2013 By B. Baylis Leave a Comment

They’re Baaaaack!

How many of you could identify the source of the title I selected for this post? If you said it is from the cult classic horror film Poltergiest II, you would have been correct. If you saw the movie, or even the ads or trailer, it was hard to forget the 8-year old child actress, Heather O’Rourke, holding a telephone receiver to her ear, and with a look of abject terror, screaming hysterically, “They’re baaaaack!”

Poltergiest in German mean “noisy ghost.” Traditionally, they are considered nuisance ghosts. They make strange noises and move things without really doing anything malevolent. They tended to concentrate their attacks on an individual instead of a location. In the three Poltergiest movies, the “they” were not the typical poltergiests. These poltergiests were malicious and viciously evil. However, they did seem to only concentrate their attacks on Carol Anne, the cute, young daughter of the Freeling family. Their presence in the first movie in the series, Poltergiest, was announced by Carol Anne with the equally well-used phrase, “They’re heeeere!” At the conclusion of the first movie, these evil ghosts were supposedly exercised from the lives of the Freeling family.

Anyone who follows the horror film genre knows that this pleasant thought was too good to be true. Horror film writers and directors can’t leave an innocent person or happy family alone. Most viewers easily identify with these type of characters. Thus, these victims make for a great story line and a successful film.

Early December, my poltergiests came “baaaack!” To revive another common phrase that I used in a previous post about a stubborn cat, “I thought they were gone, but they wouldn’t stay away.” My poltergiests are hallucinations and cross-sensory perceptions. For several years, I have fought with medical professionals about the term hallucinations.

Soon after my series of tonic-clonic seizures and the onset of my epilepsy, I started sensing things that I knew were not real. For example, even when I knew the wall opposite me was absolutely fixed in place, I occasionally “saw” it speeding toward me. I also knew that there was not a tiny igloo on the plain shower curtain in our bathroom. I definitely knew there was not a tiny Eskimo living in that igloo. In addition, I absolutely knew that the little Eskimo was not acting like the cuckoo of a cuckoo clock, popping in and out of the igloo regularly.

If I knew something wasn’t real, how could I label that a hallucination? However, to be able to communicate with medical professionals on their terms, I finally had to acquiesce and call my unusual perceptions hallucinations.

However, my cross-sensory perceptions are a horse-of-another color. My medical professionals do not know what to call them since they don’t fit the classical scientific definitions of dysaesthesia or synesthesia. With my cross-sensory perceptions, I am receiving sensory stimuli through the normal sensory receptors, but my brain is translating those signals into something else. For example,with musical instruments, I can hear wind instruments and horns normally. However, I do not hear string instruments. I either feel vibrations or I see images of oscilloscope waves or amplifier lights. Even though I don’t hear the music from the organ in our church, I can identify old familiar hymns from the vibrations or visual perceptions. In the past six months I have only “heard” the music from the organ once. That one occasion was the Sunday morning, the organist used a flute register to play one hymn. I believe I heard the organ that day because it sounded like a flute.

Eight months ago, my neurological and cardio-vascular medical teams got together to discuss changes in my medications that might possibly reduce my tremors, hallucinations and cross-sensory perceptions. The changes that they made seemed to have some positive effects through the late summer and early fall months.

However, Thanksgiving was a very stressful time in our family. The Saturday before Thanksgiving was the wedding of the youngest daughter of my wife’s deceased sister. The joy of the weekend was shattered when the wife of my wife’s younger brother died suddenly the day before the wedding. The funeral service for our sister-in-law was held the Saturday after Thanksgiving.

Soon after Thanksgiving, the hallucinations started up again. In addition, the cross-sensory perceptions increased in frequency and diversity, and my tremors increased in frequency and intensity. I still didn’t want to call my unusual perceptions hallucinations because I knew they weren’t real, until…they progressed to teh point where I wasn’t sure whether they were real or not. I would see something on the desk or table and when I reached to pick it up, nothing was there. I would see an animal run across the road. When I asked my wife about it, she would say there was no animal. She would suggest that I probably saw a piece of paper or trash blowing across the road. I would see birds flying past the car. My wife would say that she only saw a leaf blowing in the wind.

One of the cross-sensory perceptions to which I had become accustomed was one in which, instead of smelling the odor of a skunk, I would see the image of a dead skunk along the side of some road, even when there was no dead skunk or road anywhere in sight. However, one time I actually did see a dead skunk before I had the vision of a dead skunk. When I saw the skunk, I started smelling the distinctive odor of a skunk. When I asked my wife if she smelled the skunk, she said, “No.” She saw the skunk also and was surprised that there was no odor coming from this dead skunk.

So now “They’re baaaaack!” and they really are hallucinations. In talking with my medical team, they are considering the possibility of making more changes in my medications. I suppose this is why they call it, “Practicing medicine.”

 

Filed Under: Neurology Tagged With: Condition, Disorder, Epilepsy, Health Care

February 29, 2012 By B. Baylis Leave a Comment

Random Events, Conditions, Disorders, Diseases: Part II

I finished Part I of this post making two claims.  The first claim was that the labels given the circumstances of patients can affect the patients’ perceptions of themselves. The second was that those labels can affect the treatment offered to the patients. In addition to those two claims, I asked two questions. One of the questions was, “Is health care a public or private good?”

To those of you who are saying, “That’s a trick question,” I will admit that it is definitely a trick question. The trick spins on two pivotal points. The first pivotal point is how one understands the word “good.” If one takes it as meaning “benefit,” health care can and should provide a private benefit to individuals. I believe individuals should have the opportunity to enjoy their lives completely. If individuals are healthy, they are enabled to contribute as much as they can to society. The more individuals benefit society, the more society benefits.

I know the second pivotal point making this a trick question will get me in trouble with many readers, because I am going to bring the discipline of economics into the mix. Some of you are already asking, “How can you put a monetary value on a human life?”

Before I sink too deeply into this quicksand, I will tell everyone that I value everyone’s life, just as John Donne wrote in his essay, Meditation XVII,

“No man is an island, entire of itself…never send to know for whom the bell tolls, it tolls for thee.”  If one person dies or is incapacitated, that takes away a little piece of me. Most people are more familiar with Donne’s essay translated into a poem that Ernest Hemingway used in the flyleaf of his novel, “For Whom the Bell Tolls.” In this sense, health care is of social benefit.

Although many political careers have been lost or almost lost trying to traverse this quicksand blog, I’m not a politician and I believe that I must begin wading through the quicksand. Health care, just like everything else in today’s world, has expenses related to it. Expenses and money bring the discipline of economics into the fray. Economics defines a social good as a benefit with two properties.

The first property is known as “non-rivalry.” This refers to a good that all can enjoy in common in the sense that each individual’s consumption of such a good leads to no subtraction from any other individual’s consumption of that good. Health care on the surface may appear to be a non-rivalry good. However, on closer inspection it is not hard to become convinced that there is not an inexhaustible supply of doctors’ time, hospital space or medications.

The second property is known as “non-excludability,” that is, it is impossible to exclude any individuals from consuming the good. For health care, it is easy to see that certain individuals can be excluded.

Since health care fails both the non-rivalry and non–excludability tests, health care can’t be classified as a social good. Does that make it a private good? The major problem with labeling health care a private good is that the overwhelming majority of individuals can’t afford the cost of treatments associated with health care.

In addition, even if all the individuals who need a certain type of health care were to pool their resources, they couldn’t possibly pay for the research and development necessary to further the fight against their condition, disorder or disease. R & D for health care must be considered something beyond the communal efforts of those directly affected. R & D requires a social effort.  In Part III of this post, I will highlight a number of those R & D efforts as well as some communal efforts that attempt to help patients and their caregivers cope with their day-to-day problems.

Filed Under: Neurology Tagged With: Communication, Condition, Disease, Disorder, Economics, Health Care

February 29, 2012 By B. Baylis Leave a Comment

Random Events, Conditions, Diseases, Disorders, Part I

Random Events, Conditions, Disorders, and Diseases: What, if any, are the differences between these terms? The term “random event” carries with it the connotation of a single event for which an explanation is difficult, if not impossible. The term “condition” carries the connotation of repeated events, which may occur with regularity or in a predictable pattern. The term “disorder” carries the connotation of a condition which is caused by an identifiable internal malfunction, or design flaw. The term “disease” carries the connotation of a condition which is caused by an externally introduced agent.

  Why am I concerned? Should I be concerned? Should others be concerned? The human side of these questions includes the human psychological need to name, identify and control internal and external events. However, it also includes the practical side to these questions because insurance reimbursement almost always requires the identification of a problem. Insurance companies are usually hesitant to reimburse for the treatment of a “random event.” I have been questioned on coverage until the random event could be identified as part of a condition or disorder.

I began thinking about this post in relationship to my concerns and questions connected to my recent battles with health, communication, physical abilities, and mental capabilities. However, as I have talked and exchanged emails with others, I have found that I was not the only person to ask these same and related questions. The article, “Branding a Soldier with Personality Disorder” in the February 25, 2012 edition of the New York Times, raises the related concern of a hierarchy among disorders. The article may be found at <http://www.nytimes.com/2012/02/25/us/a-military-diagnosis-personality-disorder-is-challenged.html?_r=1&nl=todaysheadlines&emc=tha2 >

This hierarchy among random events, conditions, disorders and diseases affects the coverage and treatment that one can expect to receive. Senior moments receive less attention than aphasia. Senior moments receive less attention than dementia or Alzheimer’s disease. Tremors receive less attention than Parkinson’s disease.

With these states of affairs stacked against an individual, it is imperative that individuals and their caregivers be prepared to insist upon and fight for the best and most appropriate treatment available. Given the current fiscal model under which medicine operates, the best and most appropriate treatment available may not be the first option offered to patients and their caregivers, if any option is offered at all.

Please understand that I am not condemning the medical enterprise for this state of affairs. I have spent 40 years in higher education. It has its own difficulties that many believe begin with a broken fiscal model. This often means that the best and most appropriate education is not always offered to students. At the risk of starting a philosophical war I invite responses to the question: “Are education and medical care, a public or private good?”

 

Filed Under: Neurology Tagged With: Caregiver, Communication, Condition, Disease, Disorder, Economics, Health Care

October 15, 2011 By B. Baylis 2 Comments

Relationship between patient and caregiver: pas a deux

In a previous post I suggested that the relationship between a patient and caregiver must be a pas a deux, a dance for two. If any dance for two is going to work, the pair must move and work together, even though each individual has his or her own responsibilities. In a pas a deux one individual must follow the lead of the other, generally in the relationship between the patient and caregiver, the caregiver will provide leadership.The patient must have confidence in and respect  the leadership provided by the caregiver. However, the caregiver must read carefully the signs from the patient and have the courage to make any adjustments must be made. The patient needs to be aware of where the pair is going and what they are doing. If the patient detects deviations from the destination or the route, the patient must be ready to communicate this with the caregiver. If this pair is to work well together, they will find that it is necessary to practice. A good pas a deux is not a once and done event.

Filed Under: Neurology Tagged With: Caregiver, Communication, Health Care, Love, Metaphor

January 2, 2011 By B. Baylis Leave a Comment

Welcome 2011!

It’s a new year. Welcome 2011!. I not really sad to bid farewell to 2010. I hope and trust that 2011 will be  a better year than 2010. My one resolution for the new year is to work to make that so.

This year is starting out very differently than the way  2010 started. I spent January 1, 2010, the same way I spent December 30 and 31, 2010, as well January 2 and 3, 2011, in a hospital bed unconscious due to 4 grand mal seizures within a 30 minute time span on December 30.

I spent much of 2010 learning how to live with epilepsy, sometimes more successfully than other times. Although I didn’t have any more major seizures during 2010, I did battle balance issues and auras most of the year. By the beginning of December, my neurologist seemed to have found the right combination of seizure medications to take care of the auras. I have not had any since Thanksgiving.

The biggest problems that I seem to have now are increasing  memory problems and tremors. My doctors are not sure whether these are a direct result of the TBI from March, 2009, or side effects of medications. SInce the auras are under control and I have had no major seizures, the doctors are somewhat  hesitant to make more changes to my medications. I can live with the tremors. I am doing exercises to try to improve my memory. I have also learned to keep a notebook pad and writing instrument with me at all times.

This is not what I envisioned 2010 and 2011 would be. However, this is where I am and what I have to deal with. So I must make the most of it. A friend recently sent me an email  with a couple of jokes in it. The first was  that it had been snowing at this house for three days. His wife was doing nothing but staring through the window. He said if it didn’t stop snowing tomorrow, he would have to let her in. THe second joke was “Life may not be the party we had hoped for, but while we’re here, we might as well dance.”  Even though I must also deal with Afib and the arrhythmia behavior of  my heart, as well as the epilepsy and aphasia, I will just have to dance more in 2011. Will you dance with me?

Filed Under: Neurology Tagged With: Condition, Epilepsy, Health Care, Therapy

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