10.23.2008

Step Away From Your Son, Ma'am

Embedded in this - review? exploration? exegesis? - of a NYTimes "Modern Love" column, which is indeed mighty creepy, comes this little gem: "a degree of narcissism masquerading as self-awareness". It so happens that I'm perpetually afraid of that description applying to myself, which probably means that I'm already caught in the self-sustaining loop. Trying to blog doesn't exactly help alleviate the concern.

I don't make a habit of reading "Modern Love" columns, but I do make a habit of reading the aghast comments other bloggers have on them, and occasionally go to the source to drink in the bizarreness myself. Some people seem to think the author of this column is doing the whole thing in an ironic voice, parodying the Jocasta impulse, but I didn't get a sense of that kind of multi-layered self-awareness from my first read through (admittedly a skim) and I really, really have no inclination to reread it and consider multiple interpretations of the narrative voice.

One thing I find perpetually bizarre is the number of people who appear willing to write sticky things about their children and refer to their children and themselves by what are all too often their legal names. A grown woman might feel embarrassed if her mother or father had published accounts of her adorable childhood exploits, but that's not so bad, really. A more in depth, but sensitively imagined and carefully written exploration of a child's life, or a child's relationship with her parents, might be more emotionally difficult for the adult twenty years later, but - and maybe this is just the frozen New England emotional mileu of my childhood (but usually not my family) talking - there are some things you really shouldn't say when your kid's name is attached. Taken at face value, the essay in question is at best bizarre and not the sort of thing I'd want to even know about as a grown man.

The specifics mean nothing to me personally; my parents, I think, probably weren't threatened and driven to psychosis over childhood crushes in either direction even though there was one* of particularly long standing. But I'd say that I responded with some strength to the essay's general thrust because I do take the stuff in the previous paragraph seriously, in that recording the warped attitudes you have toward your child is likely to contribute to the child's own warping. A parent's love is frightening, and I've quite honestly come to feel that expressing that love to the greatest possible extent is not good for the kid. I believe that my dad loves me more than anything in the world, but he's very good at letting me know (frozen New England emotionality was the setting of my childhood, but inside my house we were pretty, ah, expressive) without letting it dominate our interactions to the extent that it could (or at least could have when younger). My mother was not, emotionally, a well person, and while I don't think she had any pathology resembling the one the author of the "Modern Love" essay evinces however ironically or un-, she did express her love for me to the fullest extent possible. The central dilemma of my two abortive stints in therapy was that 75% of my depressive issues can be summed up under the heading "I hate myself," but neither therapist could help me remotely uncover the reasons why. I've since come to a partial hypothesis. My mother's love for me, and her constant, intense, multivalent expressions of it, were warping. She was not bipolar in her depression, in the diagnostic sense, but the mood swings were pretty severe and doubtless exacerbated the intensity of her affection. My mother's love was probably the most important and inescapable fact of my life for its first twelve or so years, and it was probably the most important and inescapable fact of hers, other than perhaps her depression, from the time I was born until her death. This was not healthy for her and in turn it was not healthy for me, and I think this goes back much further than the first adolescent manifestations of my depression. My mother's love (I keep saying those words!) was too much. It was like drinking from a firehose. It was the brightest light I have ever known and it burned me as much as it nurtured me.

* My first crush on someone my own age**, more or less, was on a blond girl from preschool whose name I have on several occasions attempted to remember. My second crush on someone my own age lasted from kindergarten until she went to a different school, in third grade if I recall, and I was in love, or whatever that means to a seven year old. I just googled her name and I think I may have found her, and am about to write an email to confirm or deny. If I'm right, she's a graduate student in a scientific discipline at a prominent university in the northeastern US, and she looks very much like the woman that girl might have grown up to be (or at least one possible such woman), although the picture on her homepage, alas, fails to stir up within me that old magic feeling. I've long felt that my old loves don't wither, they just change (good!) or otherwise lie dormant (bad!) but perhaps if I reach far enough back into the past everything really will fade. I feel old but I'm still young, and I have time to find out, for better or worse.

** My first two crushes period were on (I think I've got them right chronologically) my dad's goddaughter's aunt (the only person not family who ever took care of me as a kid, and she was a longterm houseguest of my grandparents' and honorary family anyway) and my aunt (not by blood). Somewhere in there we also need to throw in Dick Van Dyke Show-era Mary Tyler Moore, although contrary to what you might assume I don't care for capri pants.

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Not As Serious As A Heart Attack

Doctors think I'm fine. Tests look good and all that. Dehydration plus my body adapting to weight loss plus the medical profession not exactly being the most insightful body of individuals when it comes to vague yet troubling symptoms.

I am mostly relieved. Perhaps this is a passing thing related to the issues listed above or perhaps it's a semipermanent quirk of my physiology. That the escalation of my heart rate when standing vs. sitting seems to decrease proportionate with the amount of time since I last went to the gym made sense (and I went tonight, so hoo boy), but the fact that the return to what I'd consider "normal" seems to play out over several days continues to be weird.

On the other hand it's worth noting that without going into details there have been a number of occasions in the past two years when I've been seized by sudden physical exhaustion, shortness of breath, pounding heart, and general malaise, and at those times my confident self diagnosis was: "You're fat, [Medrawt]. This is what happens to fat people who overextend themselves physically." Having an apparent measurable symptom (even though I never felt anything wrong, which was its own psychological assault on what was my increasingly and ludicrously fragile state, the notion that my body was betraying me not once [by not even being healthy enough to handle the task of my making it healthier] but twice [by not giving me any indication that anything was wrong when IT SO CLEARLY WAS {not}] - there's a bunch of conditions that I guess have been melodramatically dubbed "the silent killer," and I became afraid of most of them [not of ovarian cancer]) wow that was a long parenthetical but I'm not going back to edit my approach to this sentence: having an apparent measurable symptom made me recontextualize those events into evidence of some deeper malaise, when the more reasonable course of behavior (dead mother notwithstanding) would've been to consider said measurable physical symptom and render the diagnosis: "You're fat, [Medrawt]. This is what happens to fat people who overextend themselves physically."

So I'm almost certainly fine and I kind of wish I hadn't posted the prior, er, post, but I think that kind of retroactive self-editing is inimical to the spirit of this exercise; given that I'm not inclined to get terribly personal in this space, it's worth noting that something cracked my shell enough that I felt the need to write about it somewhere and do my best/worst to pretend it wasn't freaking me out to the extent that it actually was.

And as a reward for reading all that, please accept this embedded Youtube video of Jamaican jazz pianist Monty Alexander playing "No Woman, No Cry" with his trio. This video makes me happy, and I hope it brings a smile to your face as well. It's also a valuable if somewhat limited lesson on turning "modern" "pop" music into something which works in a "jazz" setting.

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10.19.2008

Take Care Of Your Heart; Mine Beats In F#

Or so it would appear assuming I interpreted the screen of the echocardiogram correctly.

There are any number of reasons why I haven't posted in a while, including general business and my predictable ennui, but the most prevalent is that I've been trying to sort out, and freaking out about, some potential medical issues.

I should say up front that I am, in all likelihood, fine, at least for some strong if not absolute value of "fine".

A week ago (Sunday the 12th) I pushed myself pretty hard at the gym and overdid the reintroduction of weightlifting into my routine; as a result, I wasn't feeling so hot and actually cut the whole thing short. A couple of hours later, making dinner, I idly put my hand on my chest and realized that my heartbeat was kind of fast - I timed it and it came out to 110 bpm, which is fine if you're, say, walking briskly, but pretty high if you're standing in front of a stove. I sat down and my heart rate dropped almost instantly to about 72. This pattern more or less stayed constant for the rest of the week - when sitting, my heart was at 65-75 bpm, which is relatively healthy (especially considering that I've just lost a lot of weight and am still relatively overweight), but if I stood up it rapidly jumped to something in the 90-110 range (which is at the high end of "normal" resting rate, pushing into "maybe be concerned"). I understood that the heart might work a little harder when standing, but the disparity between postures, and the fact that standing up often put me just over the "healthy" line, had me worried, which worry continued to escalate as the symptoms failed to decrease.

Relevant at this point, as an insight into my mood, is my letting you know that my mother died at 49 of heart failure; autopsy revealed an enlarged heart (among other things).

I saw a physician on Wednesday, who confirmed that my pulse did indeed jump when I stood, but my blood pressure was better than average, my EKG came back normal, and her stethoscope-driven observations indicated an averagely healthy heart of normal size. They took some blood (no results yet) and she prescribed me the echocardiogram, which is basically an EKG-plus-ultrasound of my heart. I had the echocardiogram on Friday; it took almost an hour, as a cute but all-business technician repeatedly smeared contact gel on her instrument and waved it around on my chest, freezing particular moments for later study by a cardiologist. I also don't have the results on this test, and she seemed like the sort of person who would punt if I asked her general impression. The display appeared to be saying, among lots of stuff that I didn't understand, that my heartbeat was pitched at F#2, but I think that seems high, given that I can sing F#2 (which is, for reference, the second fret of a guitar's low E-string).

So I await results. My (new) doctor, who was very nice, said she thought there wasn't anything wrong with me, maybe I was a little dehydrated, and should resume working out, so I went again yesterday (Saturday the 18th). Prior to that, I'd experienced a significant reduction in the gap between my standing and sitting rates, and my mood eased considerably. Now more than 24 hours after working out again (much more mildly than the previous time) the gap has reestablished itself. Maybe I'm not drinking enough water, or maybe this is something about my physiology I wasn't previously aware of. I'm probably fine. But as the length of this post indicates, I'm really fucking preoccupied and at this point I'm well into the territory where I psych myself out. I've taken my pulse probably 200 times in the past week, and I swear it speeds up the moment I start watching the second-hand of my watch. I don't feel anything wrong, but that has been little comfort to me.

Again, I'm intellectually sure that I'm fine, and I hope test results this week will provide additional clarity - or at least the kind of "we don't know what the deal is but it's nothing to worry about" so characteristic of the medical profession, which previously saw me diagnosed with a mild and intermittent case of prostatitis ("which could actually be any number of things, none of them cause for concern"). My emotional state surely doesn't help; on Monday I had the day off but needed to go to the office anyway; I took the train there and had intended to walk back (a walk I usually take both ways every day) but called it off after a block, when I checked my pulse, convinced myself that it was too fast, and nearly broke down in tears, momentarily convinced that I was, contrary to all physical sensations (other than that damned beat in my wrist), about to collapse on the street.

It's notable that this is the first time I can recall being afraid of death. That it was (99.99999999% certainty) over nothing is worth something, although I didn't do my ever hateful self-esteem any favors with this turn for the melodramatic. I did realize some things in that moment, most of which I still think are true, and I suppose I'm grateful for shedding a little more clarity on those aspects of my feelings which I've yet to untangle. The unhealthy project of overanalyzing myself reached something of an impasse a few years ago, so even the smallest advances become noteworthy. Plus for a long time I've wavered between being proud and being afraid of my usual indifference towards my own mortality; having a moment of clear rejection, an absolute conviction that at least at that moment on State Street on October 13th I did not want to die, is a nice balance for the ledger books, and probably something worth keeping in mind.

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