call to serve, Feed My Starving Children, Haiti, health care, higher education, hunger, mission work, Uncategorized

Why Haiti? Part II

I decided I would keep a journal before heading to Haiti.  I wanted to look back on my experiences, Haitian cuisine, the orphans, and my team. Haiti would be the 19th country in my passport, except mine had expired and was in need of renewal.  The postmaster in the Mount Horeb, WI post office discouraged me from expediting the renewal, certain that the new one would return within 5 weeks.  She was right.  I paid my $116.50 in total passport costs and merely waited.  A scrub top for the photo–perfect.  I looked the part of a medical missionary.

Eriks passport photo001

my passport pic, wearing a scrub top

Our flight was leaving O’Hare about 0730 with a connection in Fort Lauterdale, FL, so nearly all of the team wanted to meet at a Quality Inn there, dine, and organize the materials we were taking along. Day 1 of this excursion happened to be July 2nd, my 8th wedding anniversary with Sara.  I came home after a 12-hour night shift in the emergency department, napped 3 hours, and headed to the farm.  My wife is an excellent planner and had most of my clothes and accessories gathered already. I made a point of not taking anything that I could live without, worried about the risk of it getting stolen or ruined in some fashion.  By 3 pm we were leaving my brother’s farm and we arrived at the Quality Inn O’Hare by 1730.

Soon we were having dinner at Bella Sera in the Hotel.  I ordered the seafood ravioli and remember that I wanted to lick the plate–it was so incredibly good!  Those who know me well know that I am a foodie, married to a foodie: Sara, 1/3rd of thesisterslice.com Topping off my dinner was tiramisu and a Castle Rock pinot noir.

tiramisu

tiramisu!

I knew it was not likely I would eat this well in a third world nation for the next 10 days. I don’t believe we had any teetotalers among the group, which made organizing and re-packing all the medical supplies that much more fun. By 2230 we were in bed, brother Adam and I in our room, and I awoke at 0200–mind a flurry of activity, so I decided to go use the hotel’s business computer to log some work on my doctorate.

airport security

airport security

I was asleep maybe another hour when the alarm went off and we were up. We were on the shuttle headed for the airport by 0430–strong work on the part of the QI staff and drivers.  It was no easy task to get all of the team and our 12 bags into the shuttle. It was an easy traverse through security and then to an Americanized breakfast of McDonald’s hot cakes and a venti Mocha latte.  I couldn’t imagine there would be a McDonald’s on every street like in the U.S.; but then again, I was surprised to find one in Zermatt, Switzerland and Foix, France too. A couple of hours later we were dining in the Ft. Lauterdale airport before catching our 90 minute flight to Port au Prince.  A nice, hot plate of spaghetti and meatballs in my belly helped get me psyched up for culinary conditions unknown once we landed in Haiti.  How do you get psyched up for intractable diarrhea in a 3rd world nation?

mcdonalds zermatt

McDonalds, in the shadow of the Matterhorn!

We knew when we were flying over the Bahamas, a series of islands surrounded by some of the brightest aqua-blue colored water I have ever seen.  Minutes later we were touching down in PAP and I thought “We’re not in Wisconsin any more, Toto.”  We were greeted by throngs, oceans of Haitians everywhere.

crowds of haitians

Haitian crowds like the one at the PAP airport

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health care, hip resurfacing, orthopedic surgery, surgery, Uncategorized

Humbled by Mortality

Today…I bought a cane.  A cane!  I am 46 years old. I am only 46!  I have inherited some bad genes.  Genes for coronary artery disease (CAD), genes for diabetes (which I have dodged so far), and genes for osteoarthritis (OA).  About one year ago I stopped taking the statins, those wretched, wretched drugs that are supposed to be wonder drugs that will bring naughty lipid profiles up to toe the line.  I predict Hupy & Abraham 1-800-BAD-DRUG commercials in the near future, featuring statins. I had started aching–my legs, arms, even the spinal erector muscles ached.  An endocrinologist in Monroe, WI named Dr. Bekx tweaked my regimen with CoEnzyme Q10, Niaspan, the water-soluble Crestor that had been touted as “the best of the best of the best” in that class of drugs.  Dr. Bekx is a brilliant man, and even among physicians he stands out.  Tweak as he may, the myalgias (muscle aches) persisted to the point I could not stand taking even the tiniest dose.  I began to list them as an intolerance.

pill bottles

Mr. Polypharmacy!

By July I thought the statins should be long gone from my system and the pain should therefore also be gone…but it wasn’t.  My primary doc set a referral to a rheumatologist, Dr. Wilson.  A reputation of being difficult to work with preceded her, but I found her to be delightfully candid with a fast, dry wit.  Upon exam, she brought each of my legs up to my chest and I nearly came off the table in pain!  After reviewing the family history and getting an anterior-posterior x-ray of my hip joints, she told me I had osteoarthritis in both hips.  Mine was so bad that I had bone on bone, grinding, in each hip.  Worse, I had bone spurs that had been laid down as part of the body’s response after it received a chemical signal that something was bad in each hip.

OA hip

Arthritic hip; both of mine are bone-on-bone

Next was a referral to the orthopedic surgeon, Dr. Wolff.  From Madison, WI, he has a stellar reputation and a great surgical history.  Better, he was well-liked.  I cared little about that part because I would rather have a sound, gifted surgeon than one who simply made me feel good about some gaffe that occurred intraoperatively.  Surgery was originally scheduled for early December, but I just couldn’t wrap my mind around the notion of a total hip replacement on each side–not at age 46!  Sure, just lop off the proximal end of each femur and shove some hardware down in the center of the remaining leg bone!  No way, not for me, not at 46.

total hip hardware

The more common “total hip” replacement

A salty mare of a charge nurse that we love and work with in the emergency department suggested I look into the program at Sauk Memorial Hospital.  So I did, and I realized they offered hip resurfacing–new titanium alloy surfaces covering the head of the femur and the corresponding cup that is attached to the hip bone in the acetabulum.  Touted as the ideal surgery option for a male in his 40s or 50s with OA who plans to return to a vigorous lifestyle of running and skiing, this sounded like my perfect solution.  I would not likely run marathons again, but I do plan to ski with my sons.  By choosing this option, I get to keep my bones but I just get new surfaces so my bones are no longer grinding together–the titanium parts are!  Now that sounded like a capital idea!  When I met and spoke with Dr. Arnold Rosenthal, I liked him immediately.  He confided that he had the hip resurfacing done years ago himself and has loved the outcome.  Suddenly the man had street cred with me…like a mom-to-be taking suggestions from her doc who had already had a baby herself.

hip resurfacing hardware

This is hip resurfacing hardware; generally titanium alloy

Having never been cut on and placed under a general anesthetic, I am scared witless about this surgery.  I have decided to have both hips resurfaced and the closest the surgeon will do them is 6 weeks apart.  So, six weeks it is.  I will be on FMLA from work for 12 weeks.  Since osteoarthritis is a degenerative process, my hips will never be better than they are today–they will only get worse.  I cannot continue to gobble up the tramadol, naproxen, acetaminophen, and motrin as I have been for months or my kidneys will begin to fail.  My physician even added hydrocodone recently to help manage the pain all the other times that I am not at work.  Ibuprofen causes my ANA or anti-nuclear antibodies to spike and then I begin to feel pretty cruddy, so I reserve that stuff for breakthrough pain while at work. I cannot imagine a day where I don’t have to take something to manage pain, but that is the ideal I strive for by committing to these two surgeries.  Living with chronic pain is pure hell.

chronic hip pain

Living with chronic pain

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Do-It-Yourself, health care, higher education, hunger, Uncategorized, Weight Loss

No Weigh! 6 Simple Ways to Trim Bad Habits & Your Waistline!

Hansons are big people.  Not so much in height as in girth.  Grandma was always heavy, grandpa was built like a utility truck.  Dad was morbidly obese and mom was plump.  What a nice word, plump.  “Fat” sounds so judgmental.  Plump sounds cozy, like when I was a small boy and just wanted to snuggle into grandma’s soft, round, plump belly and fall asleep. Growing into men, grandma was concerned that we would go out in the world and settle for skinny Minnies who we “couldn’t find under the sheets.”  Instead, she suggested we find good eaters for our mates. God forbid, I once brought a girlfriend around who had the nerve to pick around at the dinner in front of her.  After grandma saw this, that woman had to go!

reubenesque

For many years I was a runner.  I ran because I liked it…and maybe because I knew where my genes would take me if I let them.  I ran my last marathon on my 38th birthday in St. Paul, Minnesota.  Just prior to the Med City Marathon I had met Sara, a 6′ 2″ German gal who I had decided would be a great partner to raise three boys with.  Although grandma would be pleased that I knew how to locate my mate, the trouble was that Sara is a mighty fine cook.  I stopped running and starting eating.  Before I knew what happened, I was packing 282 lbs. onto a 5’9″ frame and feeling pretty lousy about it.  As it turns out, I made a miserable fat guy.  I got winded walking up two flights of stairs.  I would feel sciatica shoot down my leg from my back.  I sweated on relatively cool days. I had to wear BIPAP when I slept so I did not stop breathing for long periods of time.

Erik Med City Marathon 38th BD001

Hamming it up at the Med City Marathon, my 38th birthday

To make matters worse, in July of 2013 I saw a rheumatologist who diagnosed me with osteoarthritis in both hips.  I began to pay attention to the hip x-rays put on the PACS screen at work in the emergency department.  There were 91 year old women with healthier hip joints than I had.  I was referred to an orthopedic surgeon who popped up the AP film of my hips and said “Your hips are shot!  At 46–what in the hell did you do to your hips?”  I ran for many years, I have been in health care all my adult life, and I love to ski–all had taken a toll on my hip joints.  “Big guys like you aren’t suppose to run!” the ortho guy exclaimed.  “Save that for those wispy-chested Nigerians who are built for distance running.”

marathoner

marathoner

Now that I was grinding bone on bone in each hip, my choices to lose weight were suddenly quite limited.  Cutting out my tongue seemed too extreme so I took a long look at the habits I had formed to get me to 282 pounds.  I hate the word ‘diet’–implicit in that word is an ebb and flow I am not comfortable with.  Or maybe, that’s what the word has come to include in our society.  Inevitably the wane of dieting is followed by the wax of gaining all the weight back the moment behavior resorts back to what is was before. Options limited, I had to achieve weight loss in the most basic way possible:  fewer calories in, compared to calories burned throughout the day.  No longer could I just go out and increase my running to burn off weight gain.

debility

debility

1.  I stopped eating out of boredom.  If I wasn’t hungry, I didn’t eat.  I’m not sure when I started eating due to boredom, but I had somewhere along the line.

eating when bored

1) don’t eat when bored

2. I started cutting down on my portion size and asking my wife to do the same when she served my plate.  Although I grew up with a scarcity of food and leftovers were something we never had, it became okay to push my plate away when I had enough.  I had to reassure my wife there was nothing wrong with supper, it was just that I had enough.

push food away

2) No need to belong to the Clean Plate Club!

3. I stopped using social gatherings like birthdays, holidays, big games, deer hunting season, and other celebrations as an excuse to pig out.  Instead, I would try a single bite-size of something I really liked just for a taste, then quit.  This takes tremendous will power.

buffet line

3) No pigging out at social functions!

4.  I stopped eating a big meal right before bed.  I have been a night shift worker for 28 years so my bed time is variable, depending upon my work schedule.  No matter when I was going to bed, 10 p.m. or 10 a.m., I would have a simple sandwich or apple–just so my stomach didn’t growl while trying to fall asleep.

healthy snacks

4) Healthy snacks only before bed, if you must

5. I began to curb my intake of red wine.  I love a nice chianti or sangiovese on my night off, but at 7 kcals per gram, the weight gain from alcohol adds up fast.  Drinking my calories was no different than eating a big meal right before laying down.

chianti

5) In moderation only!

6. I started drinking a lot more water–the recommended eight 8 oz. glasses per day. In doing so, I replaced my usual diet Coke with water–the caffeine being an appetite stimulant and in its absence, I was not as hungry any more.

water bottles

6) Drink more water, less soda!

I had also moved from the float pool as an RN to the emergency room.  ER nurses run their butts off, as a rule.  By contrast, when I was in the float pool I often enjoyed a banker’s lunch.  In the ER, I was lucky to have two minutes to wolf down a PB & J.  This is a very unhealthy eating practice, but at least I was burning calories in my new role.  Say what you will, but a year and a half after moving to the ER, I am down from 282 lbs. to 232 lbs–A fifty pounds weight loss by using ONLY these 6 easy steps!

skinny in fat jeans

Happy losing!

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