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Reflections on the Messy Complexity of Chronicity

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If a Tree Falls

Evelyn Herwitz · August 2, 2022 · Leave a Comment

The day after the 2016 election, a crew from our city’s forestry department came to our house. We had requested that they prune dead branches on our Norway maple. But, to my dismay, they were actually planning to take the tree down. I ran outside and talked them out of it, and instead, they did the necessary pruning. I was far too upset about the election to lose a tree, too.

The Norway maple continued to bear new leaves each spring. A few limbs died off, but because it’s a city tree, our arborist is not supposed to prune it. Nonetheless, it seemed to be doing okay.

That is, until this past Saturday. Around 3 o’clock, I was relaxing and reading in our living room when I heard a strange crash. A large limb of the Norway maple had just fallen across the street. No warning. Thank God, no one was walking or driving by at that moment.

What do you do when a tree falls across the street on the weekend? I called 911, and the police said they’d contact the public works department. Our neighbors gathered round and exchanged surprise over our tree’s sudden demise. Cars turned back as they came upon the limb, which had made the street impassible. About an hour later, a guy from DPW arrived and put traffic cones on either side. He said it would be a while before a crew could come and deal with it. Another tree had also fallen elsewhere in the city, and the forestry department is short-staffed.

I went back inside to read. A few hours later, several of our neighbors kindly took it upon themselves to move the limb to the side of the street, so cars could drive by, and I thanked them. When the DPW finally came back, they said they would return on Monday. The entire tree would have to go, because it was clearly unsafe.

And so, yesterday morning, a crew arrived. They put the fallen limb and broken branches in a chipper and then proceeded to take down the tree. I counted its rings later—at least 35 years, and probably older. Decades to grow, an hour to fell. The house looks bare in front.

I plan to request a new tree be planted in its place, once the stump is ground down. I know it was necessary, this time, to remove it. At least I was able to give it nearly six more years to live, and no one was injured when its time came.

Years ago, I wrote a book about the history of our city’s urban forest and how it was suffering from neglect. That book struck a chord and helped to inspire a massive replanting program after a major infestation of Asian Longhorn Beetles about 15 years ago. Over the past year, I have worked with a small group of concerned citizens to create a long overdue Urban Forestry Tree Commission, to deal with issues like funding the forestry department, developing an effective citywide pruning program, and doing a better job of planting and stewarding our public trees. A week ago, our City Council finally approved members of the Commission, and it will begin meeting this fall. I was also appointed by the City Manager this past winter to serve on an advisory committee to help implement a comprehensive plan for our city to meet the challenges of climate change. So, it’s all the harder for me to lose a tree. But health and safety take precedence.

It’s trite but true: Life brings many surprises. All we can do is our best to meet the moment.

Evelyn Herwitz blogs weekly about living fully with chronic disease, the inside of baseballs, turtles and frogs, J.S. Bach, the meaning of life and whatever else she happens to be thinking about at livingwithscleroderma.com. Please view Privacy Policy here.

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Filed Under: Body, Hearing, Mind, Sight Tagged With: mindfulness, resilience, stress

Gotcha

Evelyn Herwitz · July 19, 2022 · 2 Comments

So, we were supposed to go on a 10-day vacation over the past week, at long last flying across borders to savor another culture. But Covid had other plans.

Three nights before we planned to leave, Al started coughing. Not your normal clear-the-throat cough, but a deeper, barking cough that woke me up a few times. Just to be on the safe side, the next morning I gave him a rapid test. The T line turned purple even before the C line emerged. Not good.

After I got over being upset (I was quite upset) I realized that we should just try to reschedule the trip. Which, by the end of the day, I had successfully done. I had purchased Covid travel insurance, and I am sending off a claim for the additional cost of the switched airline tickets this week. I don’t know if it will be honored, given that I didn’t actually cancel the flights, but it’s worth a shot.

Meanwhile, Al and I both had PCR tests. His came back positive the next day, and mine, negative. But by Friday, the day we were supposed to leave, I was starting to feel crummy. Two negative rapid tests were not much consolation. Sure enough, Saturday morning my rapid test was definitively positive.

This all happened despite our both being fully vaccinated and double boosted. As has been widely reported, the current dominant strain of Omicron, BA.5, is highly contagious and can evade some of the vaccines. We have no idea how Al picked it up. And even as we did our best to mask around each other and for Al to isolate, it didn’t matter. I still got it.

Fortunately, Paxlovid, the anti-viral medication for Covid that is provided at no charge by the federal government, is a game changer. It made a huge difference for both of us. There are reports of side-effects and also significant contraindications for certain medications. I had to stop two of my meds in order to take the five-day course. The only side effect that I was aware of was the bitter aftertaste it leaves in your mouth. But that is a very small price to pay for stopping Covid from replicating itself in my body.

Before Paxlovid, I was experiencing aches, chills, overactive Raynaud’s, a lot of congestion plus very runny nose, and a really sore throat (like severe strep, hard to swallow because it hurt so much). The day before I tested positive, I also experienced a sudden bout of vertigo, and until the Paxlovid took hold, migrating pins and needles, not unlike shingles. Oh, and my heart rate sped up and my arrhythmia kicked in. No fun.

Within 36 hours of starting the Paxlovid, all of this began to ease up. It felt miraculous. There is no doubt in my mind that if I hadn’t taken all the precautions of vaccines and boosters ahead of this, I would have been in much worse shape. And the Paxlovid really helped to turn things around. Risks of long Covid are real, especially when my immune system is already compromised from both scleroderma and Sjögren’s Syndrome. Even if I experience a Covid rebound (which can happen after stopping Paxlovid), I’m confident that another five days on Paxlovid is worth it, and quite manageable. So far, so good.

Happily, we are both on the mend. Fatigue is still a factor, but not as bad as previously. I tested negative with a rapid test eight days after my positive test. PCR results may remain positive for a while because they pick up fragments of the virus, even when you’re no longer really contagious.

In any case, I intend to wear my mask in public long after I need to (five days past the five-day isolation period) according to post-Covid protocol. Just to be careful. I do not want to get re-infected, especially in the weeks leading up to our rescheduled trip.

I hope you are well and free of all this. I am grateful for all the medical advances that enabled me and Al to get better relatively quickly and never get severely ill. Covid is not to be messed with. Stay safe.

Evelyn Herwitz blogs weekly about living fully with chronic disease, the inside of baseballs, turtles and frogs, J.S. Bach, the meaning of life and whatever else she happens to be thinking about at livingwithscleroderma.com. Please view Privacy Policy here.

Image: Gratisography

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Filed Under: Body, Mind, Taste, Touch Tagged With: COVID-19, managing chronic disease, resilience, Sjogren's syndrome, stress, travel, vacation

Quietude

Evelyn Herwitz · July 5, 2022 · Leave a Comment

I skipped the fireworks this July 4th weekend. I just wasn’t up for it. Last week was such a heavy lift in so many ways, with so much at stake in our democracy. Al and I had no special plans for the holiday, which was fine. I had a long to-do list and needed time to think.

When I finally got up from my desk yesterday for a late afternoon walk around the neighborhood, I was expecting to hear boisterous backyard parties, music, even the pop of firecrackers. But to my surprise, it was quite still. No one else was out walking, unusual for the time of day. Some neighbors had decorated their homes with American flags. One had strung red-white-and-blue bunting from the windows. There were a few homes with a line of cars parked out front, and I smelled some barbecue. But no laughter drifted on the light breeze.

On a picture-perfect Independence Day, the loudest sounds were the chatter of house sparrows and the pensive coos of mourning doves. A few bunnies hopped across lawns. A couple of neighbors, pausing from tasks, said hello. My hydrangea burst silently into full bloom. And that was it.

I am one who enjoys moments like these. As I walked, I was grateful for the peace, the quiet, the contemplative mood. In other neighborhoods across our country, that is not a given. Nor is it a given in other countries around the world.

I hope that you and yours are able to find quietude when and where you seek it. We all need time, right now, just to be.

I’ll be taking a couple of weeks off to do just that, back later in July. Peace.

Evelyn Herwitz blogs weekly about living fully with chronic disease, the inside of baseballs, turtles and frogs, J.S. Bach, the meaning of life and whatever else she happens to be thinking about at livingwithscleroderma.com. Please view Privacy Policy here.

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Filed Under: Body, Hearing, Mind, Sight, Smell Tagged With: mindfulness, resilience, stress, vacation

Play Ball

Evelyn Herwitz · June 21, 2022 · 4 Comments

Today in the Northern Hemisphere, the sun appears at its highest point in the sky and daylight peaks. I always find it ironic that summer opens with a climax of daylight, which begins to ebb the very next day. But perhaps it is the best of balancing acts: as the days grow hotter through summer months, our exposure to the burning sun gradually eases.

Summer always feels full of promise. This weekend, we welcomed its nascent approach with that most summery of summertime activities, a baseball game. Our Fair City is home to the Red Sox minor league team, and we lucked out with a Father’s Day home game in our beautiful year-old stadium, on a comfortable afternoon of intermittent sunshine. Our eldest daughter joined us for a relaxing time with a great view above home plate. And we even won, 5-4!

Some people find baseball too slow. For me, especially in our hurry-up-do-it-now-before-you-miss-out society, the pace is perfect. There’s plenty of time to chat and just sit back, watch the game and all the playful side contests between innings (catch the ball and win a pie!), enjoy a ballpark snack, stretch and sing Take Me Out to the Ballgame at the seventh inning and Sweet Caroline (the Red Sox Nation anthem). I was having so much fun just hanging out with my family that I missed a few key plays, but no matter. The ninth inning packed in some real excitement, and we all had a great time.

For those few hours, I felt transported—away from all the stresses and worries of our present moment. It felt like a real mini summer vacation. I came home refreshed.

Recently I was listening to a discussion about language, how American English is full of violent metaphors to express resilience and success. A good performance is described as “killing it” or “blowing them away.” To be precise is to “nail” a presentation. We’re advised to “power through” pain or adversity, just “hang in there.” To ask someone their opinion, we say “shoot.” And that’s just a small sampling.

While baseball certainly has its own slugger language, the sport has also brought us some kinder, gentler expressions: “play ball” when it’s time to begin; “step up to the plate” to meet a challenge; bring your all when it’s “the bottom of the ninth.”

How would our world change if we framed our thoughts in baseball idioms? How would life be different if we took time to savor what’s right in front of us, enjoy the slow moments and pauses, sing and laugh more? It’s summer here in the Northern Hemisphere. No better time to find out than right now.

Evelyn Herwitz blogs weekly about living fully with chronic disease, the inside of baseballs, turtles and frogs, J.S. Bach, the meaning of life and whatever else she happens to be thinking about at livingwithscleroderma.com. Please view Privacy Policy here.

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Filed Under: Body, Hearing, Mind, Sight, Smell, Taste, Touch Tagged With: baseball, mindfulness, resilience, stress, vacation

How My Garden Grows

Evelyn Herwitz · June 14, 2022 · 2 Comments

I may get a purple thumb from Raynaud’s, but I no longer feel resigned to a purple thumb for plants. At least, as far as my year-old bonsai is concerned. My little Brazilian rain tree grew so lush over the past year that it needed quite a haircut this weekend, when I went back to the bonsai garden for a lesson in pruning.

This involved a bit of serendipity, or “going with the flow” or just trusting that things would work out. I had signed up for a class that I thought was about pruning, but actually was intended as a workshop for a specific bonsai technique called candling, which involves trimming away new growth on certain bonsai pine species. As it turned out, however, I was not the only one who misunderstood the workshop description, because two of the other students who came also had tropical trees, and the fourth person had the wrong species of pine.

No matter. Our teacher was very flexible and turned the session into a learning opportunity for each of us to do the pruning that our bonsai needed. Since I got there first, he was able to help me reshape my Brazilian rain tree to reveal more of the trunk and also to remove the wiring that we’d used to train it last summer. In fact, the tree had grown so much that the wiring was starting to bite into the trunk, so my timing was good.

And I was also able to accomplish my second goal—starting a new bonsai. I had hoped I could do this without signing up for a separate beginner’s class, and timing was, again, just right. For months I’ve been wanting to have an evergreen bonsai, a juniper, and I found the perfect little tree, with a beautiful recumbent swoop, and an aqua pot, just as I had imagined. With my teacher’s help (I can’t do some of the twisting and tightening of wires that’s required for anchoring the bonsai once its roots are revealed) I potted my new little beauty.

Now both bonsai are enjoying fresh air on the deck, near the hummingbird feeder that awaits a visitor and the bird feeder beyond the kitchen window that is filled with safflower seed—a favorite of cardinals, chickadees, house finches, house sparrows, and especially mourning doves, which are just beautiful to see up close. Squirrels, however, are not fans, which was my hope. No more jumping on the “squirrel-proof” feeder to spill sunflower seeds all over the ground.

Watching the birds and my bonsai is a true source of fascination and calm. Whatever craziness dominates the news soon dissipates as I sit down at the kitchen table and look out the window, or quietly sit on the deck and make myself part of the scenery, so the birds come to visit. We all need a personal oasis these days. I’m grateful to have found mine right  in our backyard.

Evelyn Herwitz blogs weekly about living fully with chronic disease, the inside of baseballs, turtles and frogs, J.S. Bach, the meaning of life and whatever else she happens to be thinking about at livingwithscleroderma.com. Please view Privacy Policy here.

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Filed Under: Body, Mind, Sight Tagged With: body-mind balance, managing chronic disease, mindfulness, resilience, stress

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About the Writer

When not writing about living fully with chronic health challenges, Evelyn Herwitz helps her marketing clients tell great stories about their good works. She would love to win a MacArthur grant and write fiction all day. Read More…

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Recent Posts

  • Rescue Mission
  • Fleeting Moment
  • If a Tree Falls
  • Dated
  • Gotcha

I am not a doctor . . .

. . . and don’t play one on TV. While I strive for accuracy based on my 40-plus years of living with scleroderma, none of what I write should be taken as medical advice for your specific condition.

Scleroderma manifests uniquely in each individual. Please seek expert medical care. You’ll find websites with links to medical professionals in Resources.

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