I smoked 3 packs of Winston cigarettes a day for 25 years. I enjoyed them tremendously. People frequently ask me how I managed to quit. I was hospitalized a couple years ago with complications from diabetes. As I walked into the Regions Hospital Emergency Room I saw people standing outside smoking cigarettes near the parking lot. And I saw the selfishness of their behavior. The people they claimed to love were inside the building in various stages of trauma. Yet they were outside removed from their responsibilities. Were they holding their loved one’s hands? No. Were they closing their hands in supplication on the behalf of their loved ones? No. Were they offering solace to the other visitors? No. They were engaged in an activity that was completely self-centered. And I saw the cowardliness of their behavior.

It’s easier to stand outside and remain geographically removed from a stressful situation. It’s easier to stand outside and remain emotionally removed from a stressful situation. And it’s easier to stand outside and remain steadfastly removed from the responsibilities of one’s own behavior and claim it’s not one’s fault. I know. I did it for years.

February 16, 2007

I went to a BBQ at a buddy’s place in downtown Minneapolis on Friday. I drove around a city block five times looking for a parking space that was close so I wouldn’t have to walk a great distance. I parked two blocks away and I worried as I walked.

I went to the Highland Park Library on Friday and I walked under the building instead of walking around on the sidewalk. I have an aversion to underground parking lots. Well, aversion isn’t accurate; dislike is authentic. Although the lot is enclosed, it’s closer. I didn’t want to risk injury to my feet because of an emotional impulse. I’m intolerant of men who allow emotions to dictate actions.

I used to walk at least three miles a day. I love walking. It’s terrific exercise and it’s a nice quiet time to think or to pray. I don’t walk distances anymore. It’s ok. But it’s warm outside now and I’m mostly melancholy instead of earnestly eager about the weather.

I’m one man who enjoys shopping. I like perusing for provisions, browsing for bargains, and meandering in malls. Now when I shop, I park near an entrance and I’m never casual in a corridor. I’m careful not to maul my feet with too much mileage.

When I was a boy I ran around the periphery of our house when I felt angry. As an adult I’ve often walked around the block when I felt too angry to stay. I’ll have to temper my tantrums because I can’t afford to take a walk even if it appears to be a very short stroll on a quite small pier.

I have a sore/rash/reaction on my toe today. I don’t understand. I can’t prevent any of this. What do you do when you run (walk? limp?) out of options? I’m still grateful for my feet. I wonder how long I’ll be able to keep them. I’m not despondent; I am afraid.

April 30, 2007

There’s a very kind man that stops to visit with me while I volunteer at a hospital. I’ve spoken with him over a couple of years. We never discuss anything beyond his health but I know that he doesn’t know anything else to say to me. He’s frequently admitted into the hospital. I haven’t knowledge of medicine beyond a bathroom cabinet but I listen because I know he doesn’t have anyone else in his life who is willing to hear.

We shake hands when we meet and I’ve often thought that our handshake may well be his only touch with humanity for that day. I don’t mean to imply that he’s out of touch, he is quite lucid of thought. He knows who he is. I don’t know what caused his slip from the bindings in society, but I know he is disenfranchised from mainstream America.

Yesterday he approached me and began supplying me with the details of his doctor’s current diagnosis. He informed me that he had a severe infection and that he was quite frightened that he wasn’t going to survive his latest physical setback. I wished him well and he extended his hand to bid me goodbye.

I froze in terror. I’m a diabetic and I’ve had almost three years of bouts with infections and three years of fear over numerous infections in my feet. I’ve had a good stream of 10 weeks of health and I’m so terribly frightened of further complications. This is the longest continuous stretch of time I’ve had without an appointment with my podiatrist. Can I emotionally handle another infection? Yes. Obviously I can. I’d rather not have to face that again.

I shook his hand. Self-preservation is a necessary and intrinsic characteristic of humanity. But if I’m preserving the kind of man who would deny another human being kindness for any reason - what am I saving? Yet shouldn’t we maintain good health and healthy lifestyles so that we aren’t physically hampered from fulfilling our moral responsibilities? And yes - he didn’t know what he was asking when he extended his hand. But can you ask too much when you have nothing? What’s the proportion for someone who’s only in debt? I don’t know.

I scrubbed my hands yesterday afternoon and I examined my conscience last night and this morning. I feel like a jackass that I question things like this. I’m not that good of a man. I’m just that conscientious. Jesus Christ - I just want to get it right. That’s my base line: getting it right.

July 11, 2007

Every morning while he dresses after his shower, he slides his hand inside his shoe and checks his sole to assure there are no obstructions. Neuropathy makes it impossible to feel before he foots. The irony that he checks his soul each evening and guards his sole each morning isn’t lost on a man who ticks through an examination of conscience each nightfall. Women deem he’s unfeeling; now they have physiological proof.

 

January 25, 2008

Lately I’ve had a number of diabetes complications. I’m very disconcerted. I don’t know – I thought that if I kept on an even and disciplined course – I’d lull it to sleep. I quit smoking three years ago. I’ve maintained my weight loss. Although I don’t count carbs anymore, I do count portions. I spend a portion of my day monitoring my blood sugars. I limit the work of my feet and I check their underside each morning with a mirror. But recently I’ve learned there is no upside to diabetes. So, I was either naïve or just goddamned stupid because I felt quite surprised and very disappointed when the complications popped up like a pimple on a prom day.

I try to be realistic about my future. A couple of years ago, I sat in an emergency room with my feet dangled while an emergency room doctor examined me. I asked him a question. I said that I wanted to avoid being “whittled.” Well, he looked at me and laughed. My bluntness stunned him. I said, “Well isn’t that exactly what we’re talking about here?” And he said it was exactly the right word. He told me he was also a diabetic and he wanted to avoid being “whittled” too. We shook hands as partners with the same problems. Fortunately a recent podiatric problem was quite minor and with a tweak from the formidable Dr. Ryan Pfannenstein, I’ve avoided any slice/chop/whittle for now.

I’m dealing with my other complications as they emerge. Last night I sat at a bar with my buddy. He’s an internist. He had arrived a bit ahead of me so I found him in a booth with his beer. I took off my jacket and sat down. He looked up and said, “what’s up with you?”

“Nothing,” I replied, “what’s up with you?”

“No,” he said. “You look like shit. What’s going on?”

“Nothing,” I said as I reached for a menu.

“How’s the diabetes going? Tell me,” he commanded. He’s older than I am so he feels he can boss me around.

“Oh am I paying you?” I said as I looked at a page of the menu. “Oh that’s right. I’m not.” He’s my friend; he’s not my doctor. I volunteered for a couple of years at a hospital. I have buddies in all the departments. I don’t whore my friends. I don’t discuss any medical conditions with anyone I don’t see in a professional capacity. My friends know I’m firm.

“Shut up and talk to me,” he admonished.

“How can I shut up and talk to you?” I chided.

“Mark, I’m serious. Talk to me.” I looked up at him and talked; he listened. “Write this down,” he said. “Here’s what you want to ask Bob.” He knows my doctor. I quietly listened and wrote down his words.

Sometimes you don’t even know what to ask. Sometimes you don’t know you should ask. Yet sometimes God puts you in the right place at the right time with the man who knows the right questions. And then I don’t question my response. I recognize the synchronicity of Divinity. The only thing I have to do is feel grateful.

March 5, 2008

He shifted his shoes as he launched his hip to his left. His lips were pursed as he pulled his palm from his back pocket. Although pain pinched his toes, he wouldn’t pinch his pennies. He couldn’t afford to reinjure his feet. Diabetes demanded he’d be diligent. “They feel pretty comfortable,” he offered as he offered his check card to the clerk. “How much are they?” he asked.

“$265 each,” she said as she slotted his card.

“Each?” he fashioned his face into a facade. He had to insure that his feet were protected; his pockets carried the punishment of their price. He was uninsured but he was determined to toe the line. He had lost two toes. He’d be goddamned if he’d lose a foot. He checked his emotions. His nerves were raw as he hid his card in the rawhide. He slipped the wallet into the seat of his trousers. His legs were safe for now.

“Some people only need one shoe,” she allowed her apology to be spoken aloud.

He grasped the shoebox from the counter before he grasped the weight of her words. Her whispered shattered his soul. He felt both of his soles in both of his shoes. His two legs echoed his lips. The quartet trembled in recognition. “Thank you,” he seeped. Diabetes may have waged a war but he’d take a stand. He refused to be defeated.

 

 
 
 
 
May 30, 2008
© 2007-2008 Mark R Trost
Ok , so I went to a Minnesota Twins baseball game. We had nice seats. It was time for a “you fly, I’ll buy” and I stood up to take flight for the beers. And I couldn’t feel my foot. I’m diabetic and I have neuropathy in my feet. My foot did not feel “asleep.” I had difficulty negotiating my leg from my hip to my hoof.

I had this once before and I had to resume physical therapy to regain a normal stride. So, I recognized the sensation and I felt terror. I knew that the angle of the seats had compressed a nerve / vein (I’m not medical so I haven’t a clue.) I pulled myself up along the seats until I reached the railing and I pulled myself up the stairs. And then I walked and flopped my foot as I straightened the nerve / vein until I regained my stride. I asked Dr. Ryan Pfannenstein, DPM (my esteemed podiatrist) and he explained the what and the why.

I refuse to lose my feet. I refuse to lose any function of my feet. So although I’m not overweight, I decided to drop twenty unnecessary pounds and vigorously improve my circulation. Walking is problematic because it rubs my foot horizontally and I tend to develop sores that flare into infections. I can’t vigorously walk. And sitting inert in a chair doesn’t assist weight reduction. I know that from experience. We all know that from experience. Hell, they’re called couch potatoes and not potato chips. So to achieve my goals, I had to climb back on the bike.

I began my “Summer to Sensational 2008″ (ok does this scream marketing?) on 6/23/08. I reduced my calories to 1600 each day and I increased my activity to 10 - 12 biked miles a day. I eat three small meals each day and I supplement my diet with two small snacks. I can’t fast and I must constantly and consistently pay attention to my blood sugars. I can’t allow them to dip. It’s a goddamned difficult balance. But what the hell - I enjoy feet. I have lost ten pounds in the last 15 days. I’m hungry. I’m exhausted. I am ambulatory. And that’s what matters to me.

 

July 7, 2008
© 2007-2008 Mark R Trost

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