Monday, January 29, 2007

International Climate Change Conference

Visit the site of the International Climate Change Conference held in Martinique last month and learn more about the effects seen in the Caribbean, and ITME's contribution to the research. Click on "Les Contributions" and scroll down to the ITME link (Dr. Sascha C.C. Steiner). If you click on that, you can open a pdf of our slide show from the lecture, complete with photos of bleached and damaged corals in Dominica's waters.

Friday, January 19, 2007

Snow again!

And I still like it.

Shoveling snow is one of those things--like driving the car or showering--that allows me to focus my mind and compose words in my head. It also satisfies some Tetras-like need that I have to line things up and order the universe (preferably with an endless-loop techno-pop score playing through my head). (Of course, one look at the clothes piled on the chair beside my bed or my office desk and you'd be doubled over with laughter at my "order the universe" comment, but humor me here.) There is nothing quite like shoving and sweating for half an hour and then looking back to see a nice neat driveway with a rising pile of snow on either side. Granted it's a little like building a giant sandcastle on the beach or an inmate pounding large rocks into smaller rocks...or washing the dinner dishes...there's a built in Sisyphianness to it, but it's still satisfying to see a cleared driveway and feel I've done my job. And frankly? In these hectic, sandwich-generation days of mine, I'll celebrate that sense of A Job Well Done wherever I can find it.

It's also, conveniently, a fine cardio / pectoral workout. And--since I'm competitive by nature--when I heard my neighbor fire up his snowblower, I made like John Henry, Snow Piling Man, and attempted to prove the superiority of Man over Machine. Unlike Mr. Henry, I didn't collapse dead at the end, but I didn't really win either. (My neighbor loves his snowblower and so he did his driveway, the sidewalk up and down his side of the street, his other neighbor's driveway...you get the idea.) But I "won" in the small world of my own driveway and that's what matters most. (And, really, it's all about perspective, anyway, right? I mean, to an ant, my driveway is the universe...but that's a story for another time.)

Wednesday, January 17, 2007

Snow!

I was musing this morning, whilst shoveling my driveway, if the memory of snow is like the memory of pain.

For some reason, over breakfast with my kids, we were talking about the fact that as humans we have a short memory for pain. We may remember, "Oh, that hurt," but we don't really remember the intensity, the constancy, of pain itself. Not the specifics of pain. (Just like once we are well, we forget how truly awful it was to be sick--until we get sick again.) I think it's an evolutionary advantage for the species. I mean, who would ever have more than one child if the memory of pain was persistent?

We concluded that our brains are actually wired to forget the bad stuff in order to keep the organism alive, functioning, and reproducing (without eating the young). This is another reason I believe that people who suffer from certain types of depression really do have a chemical imbalance in the brain--they can't forget the shit--no matter what Tom Cruise thinks it is.

But, anyway, to cycle back to snow...How is it that every year I look forward to it? I live near Buffalo, NY. I see a heck of a lot of snow in an average year. It's not a scarce commodity. In fact, by April, it's the bane of my existence. So why have I been so looking forward to a snowfall (not counting that awful, destructive surprise thing we got in October--on Friday the 13th, no less)?

Is it that I have a short memory for snow? And another thing! By the end of each snow season, I am an expert at shoveling. I know just how to do it in the most efficient, neat, productive way that takes into account such variables as the type and quantity of snow, the surrounding temperature, the extended forecast, the amount already at the edges of the driveway...I am one efficient snow-shoveling machine, come April. And yet, at the start of each season, I am clumsy and awkward, relearning it all. Is there no physical memory stored in the muscles of my body--like riding a bike or roller skating--that I can access on demand?

If it's in there, it doesn't kick in. It's like I have to relearn snow removal each year as the temperature drops and the white stuff falls.

But, I shoveled this morning, enjoying every bit of my clumsy which-shovel-to-use-for-what attempts. I was even happy to see the pile covering the end of my driveway, where the plow passed and dumped a street's worth of salted, chunky stuff.

I know this happiness--this I'm-a-snow-shoveling-beast elation--won't last. But I intend to enjoy every minute of it for as long as it does.

Monday, January 15, 2007

Quote

"I believe I found the missing link between animal and civilized man. It is us."

-Konrad Lorenz, ethologist, Nobel laureate (1903-1989)

Tuesday, January 09, 2007

A second opinion

My middle daughter was diagnosed with scoliosis three years ago. For two years we simply monitored it every six months because the doctor believed she was nearing the end of her skeletal growth.

Then she shot up five inches (overnight?) and the minor curve grew alarming. A Boston brace was ordered. I cringed in sympathetic embarrassment when the man making a cast of her body stroked the plaster-of-Paris strips tight against her nearly naked adolescent curves. Two weeks later, at the final fitting, the same man walked in holding her brand new torture device. 23 hours a day, seven days a week. He chalked and adjusted, chalked and adjusted, and finally satisfied, pronounced it done. She could get dressed and we could leave.

But odd mother and daughter that we are, we laughed hysterically behind the curtain, instead. When she tried to dress, nothing fit and we hadn't thought to bring clothes a size larger. For five minutes, the absurdity of that awful brace poking out from unzippable pants and a suddenly too-tight shirt superceded the pain of having to start high school being "different" and wretchedly encumbered and so we laughed--laughed until the tears streamed down our faces. I sometimes wonder what the receptionist in the waiting room thought. Do other families laugh at times like this? Or are we the only ones with such absurd coping mechanisms?

But we used it as an excuse to buy new clothes and borrowed a few of her older sister's things, and for six long, hot, summer months she endured that brace, taking it off only to shower and for swim practice and meets (and a few hours in December for a formal dance). She was more faithful to that brace than I can imagine any other teenager being. She cried herself to sleep some nights, but she didn't take it off. She dealt with it. She bounced tennis balls off her stomach to entertain her friends. She urged, "go ahead, punch me in the abs." She made humorous sounds by scrunching her stomach under the brace and creating a vacuum of air. She called it her eight-hundred dollar push-up bra. And if a brace was ever going to work, it was going to work this time because my brave young daughter had been so faithful even though she didn't want to be.

Except it didn't. And her spinal curve progressed six more degrees in six months (from 41 to 48) while wearing that brace that was supposed to correct it. Her orthopedist grimly informed us that she would need spinal fusion surgery to stop it. The x-rays were truly alarming; my stomach dropped when he pulled them up onto the screen. It was clear that something needed to be done. Since the surgery he was suggesting is major and would take her out of school for up to a month, I asked, "Can we wait until summer?" With a grave look, the doctor shook his head and said, "I wouldn't." That look conveyed volumes and so we began preparing for the worst, gathering information, speaking to others who had gone through this drastic surgical correction, and generally girding ourselves for the inevitable.

Part of the process of gathering information involved seeking a second opinion. I liked and trusted her first doctor, but you just do that for something this big. You just do. I had seen those alarming x-rays and I didn't believe that the diagnosis would be different in terms of recommending surgery, but I thought the methods might vary and that any and all information was valuable. So we researched the Shriner's Children's Hospitals and found that they do some of the most cutting edge work in children's orthopedics, with scoliosis at the top of the list. And, they only take you on as a patient if they believe that surgery will help you--plus there is never any charge for procedures that Shriner's doctors do to help children. It's a charitable institution. It's what they do.

Our appointment yesterday was with the Erie, Pennsylvania Shriner's Hospital chief-of-staff (Doctor #2) and he did all new x-rays and measurements. He also asked her a bunch of questions about her scoliosis (not us, although we were in the room--she's 14, so this was a good move on his part). He asked her if she had pain, numbness, bladder problems, etc. Her answers were all nos. Then he asked her why she had come for a second opinion. She faltered and turned to me but I encouraged her to answer. She said, "Because surgery is kind of a big deal and we wanted to be sure."

Then, God bless the doctor, he asked, "How about the appearance? Does that bother you?" (A funny aside: I thought he had asked her if her "parents" bothered her, and I was all ready for her to say, "Duh!") She seemed confused by the question, though; she looked at him for a moment and double-checked. "The appearance?" she asked.

(Let me just say here that this young woman is tall and gorgeous and very self-assured, and frankly couldn't care less if one of her shoulder blades sticks out more than the other, or if her back rises up higher on one side than on the other when she bends forward. From the front you can't even tell--her body has fully "compensated.")

The doctor nodded and said, "Yes, the appearance. Does it bother you?"

She gave him a withering look and said, "No." (Her teenaged disdain for the vanity of the question made me so proud of her at that moment.)

Then the intern brought the x-ray in and put it on the screen and I thought there had been some mistake. I looked at my daughter to see if she was as confused as I was, but she was staring at the x-ray. I would swear that the curve on the screen was much milder than the one we had seen in the other doctor's office. And doctor #2 proceeded to tell her that he didn't think she needed surgery. He said she's almost at the end of her growth (thank goodness, she already looks me in the eye) and she is functioning fine. He said he would only recommend surgery if she was very self-conscious about the appearance, and even if we eventually decided to do surgery for that reason, there was no rush. She's only 14 and if we waited a year it wouldn't make any difference. He said get another x-ray in six months, but he doubts it will have changed. Oh, and he measured her thoracic curve as 46, not 48, and the lumbar (compensating) curve was almost gone.

So...(choirs of angels sing)...no surgery! We are still going to go back to doctor #1 with the results and the new films, but I doubt we'll do anything before the six month recheck no matter what he says....I keep trying to figure out how this could have happened...Her braces (on her teeth) were clearly visible on this recent x-ray, and neither she nor I remember seeing them on the older x-ray. Could we have been looking at someone else's x-rays in December when we got that bad news...? Or had wearing the brace actually made it worse and now that she's not wearing it it has gotten better? Did all the prayers work a miracle cure? It's really a puzzle, but a happy, happy puzzle. I can't tell you the weight that has been lifted! Doctor #2 basically told her, "Go have a normal life, honey. No restrictions."

And when she asked him what she should do about the brace--keep wearing it or what?--he said, "You're too old for that brace. Take it out behind the house and shoot it."

Since she's recently been taking a gun safety course and learning to shoot skeet, I think we just might do that.

Sunday, January 07, 2007

THE KILLING SEA by Richard Lewis

I finished Richard Lewis's most recent YA novel The Killing Sea in two days. Really one and a half. I purchased it for my son but couldn't wait for him to get through a trilogy he is currently reading and so I picked up The Killing Sea and read it myself. Am I glad I did! It's a wonderful read and a real page turner.

Two protagonists move through the story: Ruslan, a local Indonesian boy who works at a small beachside cafe in the town of Meulaboh; and Sarah, a teenager sailing with her family through the Indonesian islands over the Christmas holiday. The two meet briefly when Sarah's family anchors their sailboat near the cafe, looking for a mechanic to fix their engine. Ruslan (whose mechanic father ultimately fixes the engine) is captivated by Sarah's blue eyes. A budding artist, he returns home later that night and draws her in his sketchbook (against the teachings of a local cleric who deems any image-making to be a form of idolatry). Sarah barely registers Ruslan's existence before stalking off to the sailboat when her mother insists she don a headscarf out of respect for the local culture.

Lewis sensitively and deftly explores the notion of the spoiled American as we see Sarah undergo her own sea change after the tsunami rips her world apart. Both Ruslan and Sarah are left parentless: Ruslan, motherless since birth, cannot find his father after the tsunami; Sarah's parents both disappear beneath the rising waters as they flee their stranded sailboat. She learns the fate of one shortly after the waters recede, the other she cannot find before she must leave to search for a hospital for her younger brother who inhaled seawater and is having difficulty breathing.

Ruslan and Sarah's paths intersect again, post-tsunami, as they struggle to survive against violent rebels, wild animals, contaminated water, blocked roads and mounting hunger. The trials they endure give the two teenagers a strong bond of survivorship that transcends gender, race, and religion. In their journey they are helped by a savvy feline named Surf Cat, a motley group of rebels who are strangely familiar, an unlikely crew of fellow survivors, and a number of cast-off items that are put to inventive good use.

The Killing Sea is a story born of the 2004 tsunami, yes (Lewis volunteered as an aid relief worker in the aftermath, and a portion of the proceeds from his book will go to support local relief organizations), but it is not only about the tragedy. It is also about an unlikely friendship that transcends ethnic and religious boundaries. The Killing Sea is an enduring, timeless story--a story of hope and survival, of human triumph against enormous odds.