Tuesday, July 25, 2017

RETIREMENT? NO, REFIREMENT! "Purpose"



Section 5

Purpose


Our purpose and the meaning we give to our lives make a significant difference to our health, how we feel, how we perform and how we bounce back from the challenges that life throws at us. This is potentially even more important as we reach retirement and the latter period of our lives.

Our purpose may be large. We may want to bring peace to the world, or it may be much smaller. We may want to make the lives of our pets happier or ensure our houseplant is cared for. It’s not size that matters, it’s about how much what we choose relates to what’s really important to us as individuals.

Discovering what’s really important to us may be a life-time challenge. It often requires work, and many people don’t get round to it until they reach a certain age. When we approach retirement, we may have a final chance to clarify what we’re really about. Even as far as to create a story about our lives that we’re genuinely proud to tell our children and grandchildren. 

We’ve included some exercises to help you to connect to what’s really important to you. It’s one of those things that you have to do yourself. No one can do it for you!

(This is one of those exercises that looks easy; however, when done properly, it encourages us to think deeply. Often it’s useful to ask a coach to take us through it, so we can concentrate on the content rather than the process.)

1.   What’s important to you about the people you know?

To each answer ask yourself, ‘what does that get me?’, and to that answer ask again, ‘what does that get me?’

2.   What’s important to you about yourself?

To each answer ask yourself, ‘what does that get me?’, and to that answer ask again, ‘what does that get me?’

3.   What’s important to you about your environment? Feel free to add anything that been missed out from questions 1 and 2

To each answer ask yourself, ‘what does that get me?’, and to that answer ask again, ‘what does that get me?’

4.   Write all your answers from 1, 2, and 3. Prioritise them.

Pick the first 1, 2 or 3. Imagine that you were achieving them to the very best of your abilities at a specific time in the future. Do you feel good? If so why not make them a priority?







 

Case Study: Joan 



Coming from a rich family Joan never had to work, and was instead able pursue her various hobbies: music, swimming, and even mountaineering and hunting, although Joan found that she didn’t enjoy killing of animals. Joan began smoking in her twenties when her husband introduced her to having a cigarette after meals. She continued the habit for most of her life, but it never seemed an addiction as it did with others - one or two a day seemed enough for her.

She would wake at eight each morning and would have sometimes only a coffee or hot chocolate for breakfast.

In time, she had a daughter, and at 36 this daughter died - Joan was heartbroken, but persevered. 

She continued drinking coffee for breakfast, and eating beef for lunch, frequently with pudding - she loved chocolate throughout her life. She moved into a nursing home, where it was noticed that she moved faster than the others, despite her blindness. She fixed some of her own meals. - each morning, asking God in a prayer, spoken aloud, why she was chosen to continue living so long.
At 85, she took up fencing.

(Spoiler Alert: The details above actually come from the life of Jeanne Calment, the longest living human being, at 122 years.)




The Question:

What facets of Joan/Jeanne’s attitude and lifestyle do you think contributed to her longevity? Do you think sometimes indulging can be healthier than restricting?




This is the continuation of a weekly serialization of this new ebook on active retirement, by Wamala and Cooper, which book is available through amazon.com for $0.99: 

Tina's Recovery Updates


Background: My quadriplegic, ventilator-dependent [multiple sclerosis] wife, Tina Su Cooper, suffered prolonged seizures Monday night, July 10th. She spent the next eleven days in Orange Regional Medical Center (ORMC) battling the seizures and infections. She was sent home Friday, July 21st, unconscious (vegetative state or minimal consciousness) but medically stabilized. She had been unresponsive in the hospital. Her recovery was in serious doubt.

I'll record here some highlights of her recovery here at home/hospital as they occur:

04 August: awake more and somewhat more aware, yet still fighting a minor infection, Tina is scheduled to return home tomorrow, Saturday, 5 August.

02 August: still mostly sleeping. Barely aware when awake. Weaned off valproic acid, now on higher Keppra dose plus dilantin...anti-seizure meds.  Possibly going home tomorrow (Thursday) or Friday. Blood pressure and pulse rate rather variable, partly controlled by meds. Mild fever not being treated at present, to avoid conflicting drug effects.


01 August: condition unchanged.  Low body temperature ascribed to valproic acid (Depakene) anti-seizure medicine.

31 July: Tina mostly sleeping at ORMC. When awake, barely responsive. No cause determined yet for low body temperature. No infection. CAT scan negative. Possibly reaction to anti-seizure meds. Fluctuating blood pressure stabilized with med.

30 July: Tina back to ORMC Critical Care Unit. Temperature of 92oF at 11 p.m. indicated infection. 

29 July: We spent a half-hour watching TV together in the kitchen this afternoon. As I silently drew close to give Tina some more kisses, she mouthed the words, "I love you."

28 July: Nurse Melissa Brengard bathed Tina this morning, 
"Thank you," Tina responded, smiling. 
MB: "How are you?"
T: "Fine, fine, fine."
MB: "How many children do you have?" 
T: "Two." 
MB: "What are their names?" 
T: "Ted, Phil." 

27 July: Night Nurse Audrey Pottinger asks Tina how she is doing. She replies, "Not so well," then, "fine, fine, fine." [Video shared by email.] Tina out of bed in wheelchair for 30 minutes. "Do you want to watch the Food Channel or Home and Garden?" I asked. "Either one," she replied. Opened mouth on request for tooth brushing and suctioning. Some smiles. 

Came across the following story of a youth in what seemed to be a vegetative state that eventually resolved: 
http://healthskillet.com/this-man-was-trapped-in-his-body-for-13-years/ meanwhile, he was aware for much of this period. 

July 26th: awake longer, directing gaze at caregivers. Tried to speak in response to my, "I love you with all my heart...."

This, July 25th, afternoon, nurse Melissa Brengard greeted Tina and asked her how she was doing. "Better" Tina replied softly.

On Monday, 24 July, overnight, Tina said, "Thank you," in response to care being given by Nurse Audrey Pottinger.

On Sunday, 23 July, Tina frowned in response to being
moved in the bed by nurse Casey Partridge and myself.


The morning of Saturday, the 22nd, Tina surprised the nurse on duty (Melissa Brengard) by asking "How are you?" in response to greetings and conversation from Melissa.

On Jul 23, 2017, at 1:54 PM, Doug Cooper <dwcooper05@yahoo.com> wrote:


Dear Family and Friends,

Tina returned home via ambulance Friday night, the 21st.
ORMC had stabilized her condition. Final diagnosis was that she is in a vegetative state due to a brain infection with many days of seizures subsequent to the infection, which infection may or may not still be occurring.

 She mostly sleeps, with periods of wakefulness with doubtful responsiveness, except that this morning when the nurse, Melissa, spoke with her, Tina replied "How are you?" This is quite encouraging, and as the attached article indicates, this is more like "minimally conscious" than "vegetative state" and has some hope for a partial recovery of her former cognition and makes it likely that she has some awareness.  

It's great to have her home, and we were fortunate to have Phil and Ted here this weekend, to help and to encourage, as other members of the family have done recently.

I won't be emailing more updates unless something else dramatic occurs.

Thanks for your concern and love,
Doug (and Tina)











Douglas Winslow Cooper, Ph.D., 264 East Drive, Walden, NY 12586, (845) 778-4204
Author, freelance writer, book coach, caregiver and retired physicist. Rational idealist.

Sent: Wednesday, July 19, 2017 8:03 PM
Subject: Re: TINA HOSPITALIZATION, 19 July 17


Dear Family and Friends,

ORMC expects to release Tina to our home tomorrow (Thursday, 20 July) afternoon.

The have stabilized her condition, and her various vital signs and blood component values are within normal limits. However, she will be getting 10 to 20 times the seizure- suppressant medication, Keppra, than she was getting at home.  She is mostly sleeping and when awake seems unaware of her surroundings, although she has shown a bit more facial activity these past couple of days than earlier in her hospitalization.

The MRI a few days ago indicated some brain damage, some encephalitis, but the assays of her cerebral-spinal fluid showed no bacterial or viral activity, and  the antibiotics for these have been discontinued.

The cause of the seizures might be MS, although only a few percent of MS victims have these. The cause may have been low sodium in the blood, which even when addressed, left her more susceptible to follow-on seizures.

We hope to make her comfortable at home and perhaps be blessed by healing of her brain.

Thank you for your continuing love and concern...and prayers. 

With love,
Doug (and Tina)

Douglas Winslow Cooper, Ph.D., 264 East Drive, Walden, NY 12586, (845) 778-4204
Author, freelance writer, book coach, caregiver and retired physicist. Rational idealist.




Sent: Saturday, July 15, 2017 6:22 PM
Subject: Re: TINA HOSPITALIZATION, 15 July 17


Phil and Lisa visited today and we saw Tina and the staff
at Orange Regional Medical Center (ORMC). She is asleep, seemingly peacefully, almost all the time. When she is awake, she is unresponsive, perhaps unaware, though the EEG indicates brain activity and some sub-clinical seizures  

They are treating various problems, including an apparent brain infection that may be the cause of the continuing seizures, which unfortunately are themselves likely to be ding some damage. Treating a viral brain infection could take weeks, some of which she will likely be at home. ORMC have been able to reduce the anti-seizure medications, which may mean they are making progress with the brain infection.

We don't know what degree of awareness Tina will end up with, but for now we are continuing to urge aggressive treatment. 
With our love,
Doug

Douglas Winslow Cooper, Ph.D., 264 East Drive, Walden, NY 12586, (845) 778-4204
Author, freelance writer, book coach, caregiver and retired physicist. Rational idealist.




Subject: Re: TINA HOSPITALIZATION, 12 July 17


Tina has been "unresponsive" since Monday night, whether asleep or seemingly awake. She is experiencing almost continuous seizures, which are both symptoms of some brain damage and the cause of some increased damage.  The cause of the seizures is unknown. She had been given a lumbar puncture (spinal tap) late this afternoon to sample the cerebral-spinal fluid for possible evidence of infection of the brain, and she is getting an anti-viral medication (acyclovir) even before we get the results of the analysis of the spinal fluid. Tina is receiving four different seizure-suppressing meds now, and she has received several anti-bacterial antibiotics for the UTI, The pneumonia diagnosis is now believed mistaken (x-ray artifact). 

I just got a call from one of our nurses. She told me that the doctor that did the spinal tap a few hours ago commented that the fluid was yellow, rather than clear, a sign of infection, and that "this problem has been brewing a long time," without specifying how long. CAT scan ruled out tumor. MS is a possible cause, but not much can be done if that is it. An infection, on the other hand, is often treatable, so this may be good news. 

Because of the continuing seizures and the escalation of efforts to stop them and yet preserve critical processes, Tina's life is in jeopardy, but this latest information
is somewhat encouraging.

Thank you all for your concern and prayers.

Love,
Doug 

Sent: Tuesday, July 11, 2017 11:09 AM
Subject: TINA HOSPITALIZATION



Tina developed seizures last night. Not life-threatening, but worrisome. Our GP recommended we send
her to the hospital. She is at Orange Regional Medical Center, ICU Room 3309. As usual,
we have one of our nurses there to supplement the hospital staff and facilitate communication.
Diagnosis: urinary tract infection, possible pneumonia. CAT scan of brain was negative: no problems. 

Typically, they try to get her home in a few days. 

We don't use phone mail, but you can reach me either at home or at my cell phone number, 914 450 1754.

Love,
Doug

Saturday, July 8, 2017

Review: PRACTICAL MEMORY




I.C. Robledo ends his concise, informative Practical Memory: A Simple Guide... with, “Create the Life You Want to Remember.” This is like the philosophy of existentialists Sartre and Camus, who urged each of us to create a life we can be proud of, be pleased with. Robledo’s book has useful tips for remembering that life and using our memory to be more effective within it.


This author has written several monographs on improving the use of our minds. His emphasis is advice/techniques we can use, rather than theory, thus the title of this excellent book.

He starts with a catalog of general memory disrupters, having himself developed memory problems in graduate school, a most inconvenient time. A doctor alerted him to some basic memory inhibitors: inattention, lack of sleep, nutrition/medication problems, and stress. Each of these has specific steps that can remedy them.

Inattention is cured with mindfulness, active awareness. To help finding your keys, always put them back in the same spot. If you are not sure you’ll remember that spot, picture it in your mind as you put the keys there. To find them, picture what you were doing when you put them down.

Trying to learn something new, give yourself little tests.

Simplify and organize your working/studying environment to lessen distractions.

When traveling, before you leave the hotel or restaurant, put anything you fear you’ll forget, and cannot carry on you, right by your keys, so they all come with you.

To find your car in the parking lot, note the aisle letter/number or where the aisle begins or ends. Picture mentally how you entered the area and parked.

Maintain lists, like shopping lists. You may end up away from your list, yet within reach of the store, so use the first letters of the items to form a word or near-word to help you remember: Milk, Bread, prescriptions (Rx), Tape…MBRT could become “My BRaT” or “huMBeRT,” ignoring the lower-case letters.

Don’t just put a string around your finger: make the memory aid specific: if you need to buy another of an item, leave the empty container where you’ll see it, an “unforgettable cue.”
 
Putting a name to a face has two elements: remembering who the person is and what his name is. When introduced, try to note the association/relationship you have with him or with the introducer and try to find a way to remember him name as well.

For association, think where you met, who was there, why you were there, what happened when you were there…paying attention to these at the time will make remembering easier. You use the journalists’ litany: who, what, when, where, why, and how?

After being introduced, use his or her name several times as soon as practical, and then look for things to link it to: persons and places, words that sound similar. “Frank” reminds me of….

I remember that a new client, Cheryl B., is a retired RN, as is my old friend, Cheryl C.

A structure to link your memory to is the alphabet. Trying to remember his name, go through in order: Alan, Andrew,…; Bart, Bert,…; Carl….

You may lose your wallet and cell phone and need an important number. Some numbers should be memorized, as I had to do decades ago as a child. When you have your cell phone and some spare time, memorize crucial phone numbers.

Also, write down needed information; the Chinese say, “The palest ink outlasts memory.”

I.C. Robledo notes the Internet serves as a great technological repository of memories. I told a client about an intellectual who used comedy and laughter to fight his cancer…and succeeded. I couldn’t recall his name, but Google found it for me: Norman Cousins.

The last portion of this book covers techniques for recalling more of what you’ve seen and done while sight-seeing, useful for others, but not for me, as I almost never travel.


This book is a bargain. It will help you appreciate your life more and succeed well beyond your current performance level.

I.C. Robledo writes clearly on interesting topics. His books are bargains.

Sunday, July 2, 2017

RETIREMENT? NO, REFIREMENT! "Contagion," "Stress"




Communicating Illness

We can’t state this clearly enough; you can’t keep problems to yourself any more.

Even when we keep our suffering a firm secret, we tend to resent others for failing to read our minds. This is no time for that. This is a time for facts on the table. 

This might not seem, at first, to be an area that requires strategic thinking - but if this area of your life is mismanaged it can be exhausting, and failing to articulate difficulties will inevitably lead to complications - Innocent requests for help moving sofas!

One solution is to think of a stock explanation, that is easy to repeat, that hits on the vital points of your condition - your cans and cant’s - but cutting past the morbid, particularly worrying details that may bring a tear to people’s eyes or a lump to your own throat.

It can be rounded with positives - include how you’ve already begun dealing with the issue. (Also this might help shut-down well-meaning conversations about what people think you should be doing for your health, which could become tedious.)   

For example:
‘I’ve been having some minor health problems so my doctor advised me to take things easy - He’s given me some exercises to get on with, but basically told me not to do anything too strenuous. It’s given me a chance to get some reading done, so it’s not all bad.’   

Of course, some words there are already emotive to say aloud, no matter how much detail you strip from them. ‘Health problems’. And of course, people will worry. But it is a conversation that needs having.

If you’re having difficulty in bringing yourself to having the talk, the solution is simple - imagine it were the other way around.

How would you feel if those you loved kept a secret from you that could result in you neglecting them?

Stress

Retirement has been shown to result in a decrease in stress-induced headaches - And during the transition phase headache prevalence can drop 46%. [11]

Remember: stress can seep into empty areas of your life. Of course, at first you deserve a break - a time with nothing at all on your schedule, if the idea suits you, but that can’t become the new norm.

To keep stress at bay you have to:
Stay Engaged
Stay Active
Stay Connected


                                                                          ###

This is the continuation of a weekly serialization of this new ebook on active retirement, by Wamala and Cooper, which book is available through amazon.com for $0.99: