All posts by Steve Stern

Op Recap

Medical

I’m a nurse. What’s your superpower? – Unknown

Nursing is one of the fine arts: I had almost said ‘the finest of fine arts. – Florence Nightingale

I’m back from my procedure at Sequoia Hospital, uncomfortable but otherwise fine. The doctor said everything went well. The cancer tumor was small, and he thinks he got it all. Hopefully, we will get word by Friday that I am cancer-free.

Whoopsie Daisy!

Last night, my – I’m not sure what to call it, I’ll say drainline* – drainline clogged up with blood clots, and we ended up in the Sequoia emergency room at about two…it was not fun. But we got back home a little after three, slept to about noon today, it is a beautiful, clear day, and I feel much better (despite the Trump Administration running amok in LA). Poor Michele is taking the brunt of this.

The visit to ER was shocking for two reasons. One, it took much less time and hassle than we expected, and two, it is – apparently – much more common than I would have thought. The nurse said that he was just going to replace the drainline because it was much easier and faster than trying to muck around and replacing catheters was the favorite part of his job.

*Michele says that it is a catheter (I knew that). Michele, who is much less sanguine than me, also says: “When we left the hospital the catheter tube had big blood clots in it and the nurse said that it was ok, ‘tap the tube, and they come loose’. Well, that worked for awhile. Before  I started getting ready for bed, while Steve wanted to stay up a bit longer, I suggested I help him empty the catheter bag, and started  thinking it was weird it wasn’t filling up. Got him to drink more water. That eventually caused him to pee more, but, oops, it wasn’t flowing down the tube, it was squirting out of a port on the tube. After I crimped that off then he started peeing around the tube.  I did what I could to tape a bunch of gauze on him to catch the leakage and by the time did all that and cleaned up the mess and covered the seat of our new car with towels and plastic, we headed to the ER  got to there at around 1:30. Steve had me call ahead so they were prepared and it was lightening fast, but still, it was 3 am by the time we got back home. Then I couldn’t really fall asleep until about 6 because, by then, the catheter was filling up quickly and I was worried (unnecessarily it turns out) it would overflow. Now I need to run to the pharmacy to pick up the pain pills they should have prescribed in the first place.” 

Well Shit! I Didn’t Expect That

Around home, Medical

I thought about the possibility of death, but that wasn’t what bothered me the most. It was the feeling of helplessness. I just couldn’t see myself lying in bed, not being able to help myself. That, to me, was worse than the fear of death. John Wayne after beating “The big C”.

I found out at the end of last week that I have cancer of the bladder. More accurately, I most likely have cancer. The conversation went something like this: Dr. Sean Berquist, “You have a tumor in your bladder, and it might be cancerous. Well, it most likely is cancer. Actually, for a person of your age with a history of smoking, I’ve never seen it not be cancer.” Steve, “Is there a chance it could be benign?” Dr. Sean Berquist, “If you were eight years old, I would say ‘Yes’, but not at your age.”

The good news, the great! news is that the tumor is pretty small and can most likely be removed by fishing a cystoscope up my dick into my bladder and, according to Dr. Berquist, “scooping out the tumor and treating the inside of the bladder with a chemotherapy solution”. It is a simple procedure and almost always successful. The operation is late next Wednesday afternoon.

I know I have had a lot of medical problems, but counterintuitively, between medical emergencies, I feel fine. As far as the bladder cancer goes, I’m very optimistic and pretty upbeat about this whole thing. Still, I feel like this post is too short and too blunt. On the other hand, I don’t want to pad it, so I’ll just leave it at that.

A Quick Aside

Current Affairs, War

Last Sunday, the Security Service of Ukraine (SBU) – maybe SBU works better in Ukrainian, Служба безпеки України – conducted a series of attacks on Russian air bases that were home to much of Russia’s nuclear bombers. The attack, code-named Operation Spider’s Web, involved smuggling drone parts into Russia and reassembling them near the targets, which was widely reported in American and European newspapers.

What was not generally reported – at least I didn’t see it in the mainstream media – was that the Security Service of Ukraine hacked the website of the builder of the bombers, Tupolev (officially, United Aircraft Company Tupolev). Besides getting a bunch of confidential information, the Security Service of Ukraine changed the home page of Tupolev as shown above. The owl is a symbol closely associated with the Main Directorate of Intelligence of Ukraine (HUR), which is the mothership for the SBU.

Going Digital – scratch that – Electric

Cars

We got a new transportation appliance a couple of weeks ago and, as Michele says, “We totally love it!”. I hesitate to call it a car because it is so far from what I traditionally think of as a car. Car may be a small word, but it can carry all kinds of implications. Our new transportation appliance doesn’t seem to have any implications, or at least any of the usual implications. It’s a Hyundai Kona, which should be a bland small SUV, except that it is a super fun, nimble, everyday driver that is anything but bland. The 2025 Kona is surprisingly very much like Michele’s 2002 Volkswagen V-6 GTI, which we both agree used to be our favorite daily driver.

I’ve owned a lot of different cars, and at first, what seemed to make this one stand out was that it was digital. When I say digital, what I mean is that, like my Sony a6700 Camera, it seems to be almost infinitely adjustable. When I walk up to the driver’s door of the Kona, without taking the key fob out of my pants pocket, all four doors unlock. But when Michele walks up to the door, only the driver’s door unlocks. That is because the number of doors unlocking is adjustable by each key fob.

In addition to the breaks, when I take my foot off the gas pedal, the car slows down by regenerative braking, and the amount – zero to 100 percent – is adjustable by paddles on the steering wheel. When I turn on the left turn indicator, a television camera turns on, showing me the left lane behind the car in what would normally be the speedometer.

Still, after owning the Kona for a week, unlike the Sony a6700, I became used to most of the digital goodies, even thinking they were necessary. The electric-ness of the transportation appliance was a different thing. Because it takes longer to recharge the battery than to put gasoline in the tank, the remaining range of the battery is a constant presence. Electric motors do not have a torque curve; they have full torque from zero to whatever, so putting my foot on the gas – foot on the gas still seems to mean hitting the go button – at a stop sign or a freeway on ramp provides instant acceleration.

I’ve had a lot of great cars in my life, and the Kona is near the top. That is surprising to me. I expected bland and got fun.

A Couple of Blooming Mammalarias

Around home, Cactus & Succulents

There are flowers that bloom in gardens
      Under a gardener’s care,
      And their lavish beauties charm me,
      As they flourish in luxury there. 
      There are flowers that blow in the meadows, 
      Kissed by the rain and the dew,
      In a riot of happy blooming,
      And I love their loveliness too.
But the flower that fills me with comfort,
      And makes Life’s meaning sweet,
      Is the flower that blooms in the desert,
      In the midst of sand and heat; 
      Whose roots draw strength and beauty,
      From a land forbidding and wild, 
      Whose face turns bravely skyward,
      Nor pines for lot more mild…To a Desert Flower by Hattie Greene Lockett, American writer, rancher, and clubwoman (whatever the hell a clubwoman is). 

Our results showed that from 4.5 million years ago, the arid regions of Mexico were the locations for abundant cacti speciation. From these lands, cacti have colonized most of the Mexican territories, the southern regions of the United States, as well as the Caribbean. Delil A. Chincoya, Salvador Arias, Felipe Vaca-Paniagua, Patricia Dávila, and Sofía Solórzano, Phylogenomics and Biogeography of the Mammilloid Clade Revealed an Intricate Evolutionary History Arose in the Mexican Plateau

Our garden is in full bloom, or, at least, as full a spring bloom as we are going to get this year. It got warm early, and everybody started growing, stretching, seeking the sun’s warmth, then it got cold, and everybody hunkered down, confused, including me. I left out several plants I had taken from the greenhouse where they had spent the winter, and they were especially unhappy. One, a Pachypodium – a very succulent member of the Oleander family – even committed harakiri.

Even with everything else blooming, like Hattie, the clubwoman from Arizona, I am most fascinated by the small cactuses in pots on a table on our deck.

Cactuses like the Paraodia, below, which grow at about 1,000 feet to 2,500 feet on the eastern slopes of the Andes in northwestern Argentina and southwestern Bolivia.

And Mammalarias, which grow primarily in Mexico but have spread to Central and Southwestern United States, to Colombia, and the Caribbean.