Wednesday, December 31, 2025

So long, 2025!

I always think of my hometown of Temiscaming, Quebec on this holiday. It was less stressful than Christmas but even more festive, particularly in the last few years of the 1950s.

As a little girl I was entranced by the glitter of New Year's Eve. People really knew how to celebrate in those days! My parents usually attended the annual party at the White Oaks Inn. It was a festive evening that included fancy food, plenty of alcohol and a night of dancing. When I was really little, we had a neighborhood teenager as a babysitter. Later on, after my brother Allan was born, our other brother Steve was in charge. 

My mother wore a beautiful black taffeta dress with gold, silver, red and turquoise threads creating a sparkly effect. The design was characteristic for the times: fitted bodice, tight waist and wide flared mid-calf length. The shoes were a toeless suede material with elegant thin straps around my mother's ankles, perfect for showing off her long legs.

The next day we trekked off to Mass but I was always a little tired, because I was never able to sleep until the parents got home. After Mass, the New Year's visiting began. It seemed that everyone had an open house, very informal. Then as now, people often gathered in the kitchen for booze, beer and snacks. I don't remember any wine back then, except in the homes of immigrants from the "old country" who made their own, usually some high-test beverage sourced from dandelions, potatoes or ripe autumn fruits.

We had a lot of Scandinavians in our town, mostly Norwegians and Swedes, great skiers and good drinkers. They could drink plenty and never show it, except in the loss of their Nordic reserve for this one day of the year. Many of them were some of my favorite customers when I delivered the North Bay Nugget a few years later. They were always generous tippers and invariably invited me in for treats during the holidays, nearly always offering alcoholic beverages (I was  then in my early teens) along with pickled herring, cookies and fruit bread.

Later on, our parents usually spent New Year's Eve at the home of my godparents, Hugh and Catherine Lynn. It was a more sedate affair than the White Oaks Inn had been, and they were usually home shortly after midnight.

When I was home from McGill over the holidays, New Year's Day was a great day for skiing and socializing with the die-hard skiers. My mother usually baked a small turkey or, sometimes, a traditional New Year's ham. But by then our dad had died and our lives were forever changed. The celebrations were tinged with regret, the memory of happier days and silent yearning for a future that might have been.

I've never been a big fan of a big New Year's Eve celebration. I like to wake up on the first day of the New Year with a clear head and lots of energy. This year, in particular, I'm happy to see the page turn to 2026. The death in August of my brother Steve adds a certain sad solemnity to the passage of time. The political environment is stressful, and it's been a hard year to be a dual citizen living in America. I've always felt I had the best of both worlds, proud of being a Canadian and an American, and so in love with my adopted home of Minnesota. This year, I feel some conflict, but I won't address that issue on this last day of 2025.

Instead, I look forward to 2026 with optimism and hope. I am naturally a positive person and firmly believe that better days are in our future! Happy New Year!

Saturday, December 13, 2025

Health Scare 25 - Episode 5 (The End for Sure!)

On Tuesday evening, my chest itched a little so I immediately concluded that the free $ detergent sheet foisted on me by Amazon with my regular (fragrance free) order of washer pods had given me some kind of contact dermatitis. By bedtime the light rash had turned into full-blown hives and I itched from neck, front and back, to knees. I felt as though a swamp had released all its mosquitoes to feast on me, driving me crazy and making my skin quite hot to the touch. 

 During that long night I had actually wondered if I had fleas (!) or Munchausen Syndrome. Psychiatrist sister Marilyn later dispelled the Munchausen idea with the comment that I am too old (what, me?) for onset. One thinks crazy things during such episodes.

At 7:00 a.m. next morning, looking out at a load of unplowed snow, I managed to get a 12:40 p.m. appointment with yet another new provider, the very sensible, kind and knowledgeable M Health Fairview nurse practitioner Catherine Passé. Taking into consideration my medical issues, including multiple sclerosis, Crohn's, past lung cancer, many drug sensitivities and, of course, the recent presumed reaction to atorvastatin, Catherine dealt with the immediate hives problem. While the reason didn't really matter to me in the literal heat of the moment, the possibilities were reaction to detergent sheet (thought most likely), delayed reaction to statin (improbable but possible), reaction to muscle relaxant (possible but highly unlikely). Marilyn later wondered if  recent events might have re-awakened my screwed-up immune system, so often on "high alert" in the past, as evidenced by presence of comorbid autoimmune diseases.

I walked out of the clinic with prescriptions for ceterizine (generic Zirtec, an antihistamine), short burst of prednisone (a corticosteroid to relieve itching etc. -- controversial as to effectiveness), triamcinolone (rapid relief itch cream) and  a referral to the M Health Fairview allergy clinic -- might as well do the allergy thing while I'm at it.

I felt better almost right away after the antihistamine and itch relief cream. By Thursday morning the rash had really receded even before I took the first dose of prednisone, scheduled to begin tapering off tomorrow, with the last dose on December 22.

I didn't sleep much on Thursday so decided to defer the Zirtec until after dinner yesterday, hoping that the drowsiness impact of the Zirtec would mitigate the effects of prednisone, which exacerbates my manic tendencies, sometimes challenging under the best of circumstancces, and these are definitely not "the best of circumstances".

It's Saturday morning and I feel quite well. I like the ultra high energy me (not a good sign) but wouldn't dare drive yet, or "operate heavy machinery", which I don't have much access to anyway. Sonia and Jim visited late yesterday afternoon and left us a delicious Olive Garden dinner; Bob has taken over some of the tasks that I tend to micro-manage and/or do myself. I think I always appreciated family and friends, but I'm even more grateful now. I also know that only a few weeks ago, I couldn't possibly have imagined that living my best life means being able to walk and get a good night's sleep, without pain or itching.

Unfortunately or fortunately, depending on one's point of view, I am super speedy, like a novice drinker after a couple of quick shots. I am getting a lot done and catching up from the days I was confined to my chair, reliant on two canes for mobility. I'm too unstable from the prednisone to manage anything very physical, but am improving a little every day.

The bullet remains dodged.

Addendum from 12.21.2025 Facebook post: Final (yes, I'm quite sure) update: I took my last 1/2-20 mg tablet of prednisone this morning. Back down on the ground from feelng that I'm walking on air. My hands aren't shaking and I feel only a little wired. I've been a no-show the entire month of December, but I think I"m finally on the mend before the New Year

Tuesday, December 9, 2025

Health Scare 25 - Episode 4 (Finale - I Hope): Statin Discontinued

Late yesterday afternoon I had an appointment with Physician Assistant Nora Tholl at M Health Fairview Spine and Neurosurgery Clinic, where I'd been referred by the ER last week. The ER doc thought sciatica was a probable diagnosis, which seemed sensible, under the circumstances.

However, as the week following the ER junket progressed, I became convinced that an adverse reaction to atorvastatin (generic name for Lipitor) should at least be considered. By yesterday I was almost my normal self and was anxious be begin reclaiming my life. By the time of my appointment, I had no symptoms that suggested a "pinched nerve". Moreover, feeling "poisoned" -- a sensation that dissipated after a few days -- might be more consistent with a reaction to medication, especially since I literally felt better by the hour.

Most of my medical record is University of Minnesota/Fairview but Ms. Tholl took her own history. She gave me a quiz to assist in identifying statin responsibility for symptoms -- all my answers suggested yes, though I was unwilling to try the final test (restarting the statin).

The neurological exam included strength tests (all normal). That being said, I do feel diminished strength and energy after this week. When Bob expressed concern that I would soon be "overdoing as usual", Ms. Tholl suggested increasing activity by a modest 10% per day. 

Polymyalgia rheumatica was considered in the differential diagnosis but set aside, permanently, I hope. If I continue to improve every day I'm probably on my way to a full recovery. No need for a cane or other assistance and very little pain.

With a bit of luck, that's all she wrote and I'm feeling well this morning. 

Saturday, December 6, 2025

Health Scare 25 - Episode 3: Not so Soon

On one of the winter holidays when son Chris was in kindergarten, Bob and I took him skiing at Afton Alps. Chris' previous skiing experience had been limited to Como Park in St. Paul, when Bob got him up the hill on a rope tow, then put him between his legs and held on to him going down the hill. I found the experience terrifying and was happy to get Chris into a ski class for young beginners.

We had a happy afternoon, and it was fun for Bob and me to ski on our own while a very competent young instructor was in charge of our little skier. After our last run, we asked Chris how he enjoyed the day. "I thought I was going to see Jesus, but that was OK", he answered. Of course, I was horrified, forgetting that what was a bunny hill to me could have been scary for a little guy.

That image came to me on Tuesday morning when I woke Bob up to take me to the emergency room. I dressed in sweats and and shoved my underwear, socks, and cord to my phone in my purse ... just in case. One of my favorite gospel songs ran through my head, Soon and Very Soon, written by the brilliant and talented Andraé Couch, sung by our Guardian Angels choir only a few weeks ago:

Soon and very soon, we are goin' to see the King
Soon and very soon, we are goin' to see the King
Soon and very soon, we are goin' to see the King
Hallelujah, hallelujah, we are goin' to see the King!

Well, not yet I guess! Yesterday was a great day and I walked around the house a lot, mostly without a cane. I had a little setback last night, when I thought I could sleep in my own bed. I had to get up in about half an hour, and Bob got me settled in a living room chair with my water and Tylenol, and I really slept as well as one can under those circumstances.

This morning, I got up easily and moved to the sunroom. I got my own coffee and walked back to my chair with confidence. I took a shower and started a load of laundry and am now fully dressed sitting at the dining room table. I'm feeling bushed -- most may know this experience as "cabin fever" -- and am hoping to get outside later on.

It's going to be a great day and I think I'll still have to wait a while to see Jesus. Amen to that!

Friday, December 5, 2025

Health Scare 25 - Episode 2: End of a Long Week

 I haven't been out of the house since getting back from the ER on Tuesday. During this time, I've thought a lot about pain and the numerical pain scale, where 0 equals no pain, and 10 is exruciating -- a number that hardly anyone ever reaches.

My personal points on the pain scale were previously something like 3 (joint pain most of the time) to 9 (serious knee injuries). When I couldn't stand up to walk yesterday morning, the pain made me want to shriek. I couldn't stop crying until the Tylenol and double dose of Robaxin took effect. Movement was difficult most of the day. Definitely right up there on the pain scale, maybe the worst of my life. Maybe not a 10, but damn close.

And then, almost suddenly, I felt better at the end of the afternoon. I had a good evening. I decided to sleep in an armchair and, in fact, got a really good 4 or 5 hours. I  feel so lucky to have a warm, easy-to-navigate house. I don't feel compelled  to check off a to-do list. Mostly, I wonder how people who don't have access to health care manage in a situation like this.

In the past when I've been sick, I've dreaded Friday because it's sometimes harder to deal with health issues on the weekend. This time, I know I'll be OK and find myself thinking "TGIF".

Thursday, December 4, 2025

Health Scare 25 - Episode 1: ER Trip + Follow-Up

Here I go again. I thought I'd closed the chapter on health with my surgery and recovery from a middle lobectomy in May of 2024. Guess I was wrong. I’ll post about my latest health adventure until the current issue resolves – soon, I hope!

I woke up on Sunday morning with pain and stiffness in my butt and thighs – not terrible but bad enough that I knew I couldn’t manage the steps at choir, so I didn’t even make it to Mass on the first Sunday of Advent. I had cleared snow the night before (we have a service but I love the exhilaration of  shoveling snow and needed to get out of the house after being inside all day).

I reminded myself that I’m 75 after all, but I’ve never had the slightest problem before, so I did wonder why this hit all of a sudden. While I was more or less OK Sunday during the day, the pain kicked in after I went to bed. It was so intense all night that I couldn’t even rest, let alone sleep. I thought it might be a severe side effect (rhabdomyolysis) from atorvastatin, which I had begun for slightly elevated cholesterol 10 days before.

My nurse practitioner said she didn’t think so but suggested I discontinue the statin for a week. Monday night I really didn’t sleep at all and woke Bob up at 5 AM to take me to the ER, where we spent the morning. By then I needed a cane to walk and was afraid I’d had a stroke.

I had great care in the Woodwinds Hospital emergency room: smart young doctor as well as very kind, competent nurses and technicians. All blood tests were normal, including the CK , which pretty much ruled my rhabdomyolysis theory . In quick order, I was scheduled for EKG, CT and MRI scans: no heart attack, stroke or brain tumor. MRI unchanged from all the MRIs I used to have when I was being closely followed for multiple sclerosis, so probably no MS relapse. ER doc thought sciatica is the most likely diagnosis, since pain originates at the waist and stretches down both legs. Now (a little late) I have a lot of empathy for the late sPope Francis who suffered from sciatica for much of his papacy.

I was released from the ER after a very long morning for Bob and me, with a prescription for a muscle relaxant (Robaxin-methocarbamol), a lidocaine patch and Tylenol., and referrals to primary care, neurology and spine clinics. I slept very little Tuesday night but yesterday was a pretty good day, and I was walking around for part of it without a cane.

I slept well in my comfortable recliner last night and expected to be a lot better today. However, I still have a lot of pain when I try to move and walking is arduous. I never thought I’d be grateful for a cane but here I am, using two of them. I also put myself on the waiting list for an earlier appointment at the M Health Fairview spine clinic, since I feel I can’t really wait for the scheduled Monday afternoon.

Meanwhile, I had to cancel our family holiday party on Sunday and I won’t make it to either book club or choir this evening. Bob is taking great care of me and my lovely friend Sonia (Bob’s daughter) came over yesterday to do my shoveling. I’ve had a lot of texts and emails from friends and family, many of whom are doctors, nurses, or otherwise medically knowledgeable.

So, while all isn’t great, I feel very grateful for everyone’s kindness and excellent access to medical care . As Dr. Helmer reminded me on Tuesday, “we’ve ruled out the worst” – it made me laugh then and again now.