"To the people who think, the world is comic.  To people who feel, the world is tragic." Horace Walpole

"Sometimes I am thinking, and sometimes I am feeling." Ralph Maltese

"Sick people have such deep and sincere attachments." Blanche Dubois

 

In the Blink of an Eye

Blog7_22_2016

In the Blink of an Eye

As I wrote in My Left Shaky Foot, on my first visit to my neurologist, he pointed out to his resident student that I was not blinking.  I blinked a few times.  The blink was working.  What was he talking about?  There are so many actions and reactions that our body conducts every single minute that, if we paid conscious attention to them all, we could not function as an organism.  Consider this definition of a blink from Wikipedia: ”  A single blink is determined by the forceful closing of the eyelid or inactivation of the levator palpebrea superioris and the activation of the orbicularis oculi, not the full open and close.

Polley and I are perhaps more conscious of blinking than the average couple.  A few years ago she was diagnosed by our optometrist with a “defective blink.”  That night we opened a bottle of wine and, as the night progressed, we practiced defective blinks, slowly and spasmodically lowering and raising one eyelid, rapidly alternating closing and opening both eyelids, holding one eye shut for an inordinate length of time, etc. As the wine bottle emptied, the practice came easier, until we determined that her blink defect was not all that bad.  Hardly noticeable.  Of course, I took this opportunity to lord it over her that my levator palpebrea and orbicularis oculi were superior to hers.

That superiority ended with my being diagnosed with Parkinson’s.  I did not have a defective blink. My problem was that I was not blinking for long stretches of time.  In effect I was staring.  Now there is staring and there is staring.  Polley is fond of Scandavian mysteries and movies (Wallander comes to mind), so we watch many of them.  There is a great deal of staring in Scandavian media….lots.  I have noticed that this trend has appeared in a number of supposedly artsy American tv series.  The camera cuts to a closeup of the protagonist’s face as she stares.  I guess the idea behind the form is that the viewer attempts to interpret that stare (“Why is she staring?” “What is she thinking about?” “Why am I staring at her staring?”)  Personally I think that all the protagonist is thinking is “Can I hold this stare for another six minutes?” and the reason for the stare is because the writers have run out of dramatic dialogue or action.  “Let’s plug a twelve minute stare in the screenplay the moment the protagonist realizes that her shoelace is untied.”

That is one kind of stare—the pretentious “artsy” stare.  There is another kind of stare.  Most times when I looked into the eyes of my students, I witnessed an energetic galaxy.  Ideas, like stars, were born and died.  There was even the occasional supernova as a concept exploded into realization.  With a very very few students looking into their eyes only revealed the enormous space between stars. This was the blank stare.   Total emptiness of thought. This was the stare I feared I had developed with the Parkinson’s.  And the problem is that I am not aware I am exhibiting the stare.  There are no alarms sounding to warn me.  “Hey, idiot, people are going to check your pulse!  Start an animation!  Blink or crinkle your nose!”  Always trying to make lemonade from lemons, I am trying to find an upside to the Parkinson’s.  Perhaps I can move to Sweden or Norway or Finland and become a movie star.  I wouldn’t even need a Stare Coach.  I might even be nominated for the equivalent of an Oscar, the Fika or the Tjock or some other cinematic award. Wouldn’t winning a Fika for staring be something?  We Parkinson’s people could dominate the industry. There could be subcategories: the longest stare, the blankest stare, the inscrutable stare, the stare that confuses the viewer even more, the stare that makes the viewer change the channel.

The worst part about the staring is that without blinking my eyes dry out.  And when my eyes dry out, one or both start to burn and I instinctively close them.  I go blind.  This is very inconvenient when I am walking down the aisles of our supermarket or tying flies for fly fishing or reading the Final Jeopardy Answer.  Most of the time these blink attacks are unpredictable, but there are situations when they are more likely to occur.  Outdoors when a strong breeze comes up and slinks under my glasses and immediately dries out my eyeball is one such occasion.  Another is barbequing. As I lift the lid of the Weber a combination of hot air and smoke causes the blindness.

Sometimes I can feel the blink-which-precipitates-burning-and-thus-blindess coming on.  I discovered that if I can try to prevent the dastardly blink I can forestall the burning of the eye, but usually the blink wins, the burning commences, the eyes close, blindness ensues.  I have considered exercises to strengthen my eyelids, have searched online, and have thought about asking the attendants at the gym we frequent. No luck.  No one has invented barbells for eyelids. Eye drops don’t alleviate the situation, and if I put drops in prior to an attack, they initiate the assault. I think it is a losing battle.  A warm cloth over the eyes for a few minutes usually eliminates the burning and restores sight.  Another fast remedy is to pull out an eyelid wipe (makeup remover), and cleanse the afflicted eye.  I find this especially useful when immediate regaining of sight is imperative, as when I am going 80 on the Interstate.  (For some reason I don’t get these burning eyes while driving.)

We are only aware of some of the body’s automatic functions when they break down.  Only then do we appreciate how we operate on a daily basis thanks to these same activities that allow us to walk in breezy fields of grass, barbeque steaks, and beat the contestants on Jeopardy.  So be kind to the starer. The galaxy in his brain might be filled with hustle and bustle but a condition causes him to stare.  Put yourself in his shoes.  Try staring for a while.  There.  Made you blink.

 

 

 

My Left Shaky Foot

Blog7_21_2016

My Left Shaky Foot

My shaking left foot was annoying, but I didn’t think much of it. I was in my late sixties, and my body, like my 1998 Saturn , was wearing down.  As Indiana Jones says in Raiders of the Lost Ark, “It’s not the years….it’s the mileage.” But the shaky left foot was annoying, especially when I was writing at my computer.  If the ideas were rapidly flowing onto the cyber page or the subject matter was intense and emotionally draining, the left foot shook more.   Crossing my leg created contact between my left foot and the table and things started hopping across the desktop—pens, paper clips, staplers, coffee mugs.  If I put the shaky left foot on the hardwood floor, then my imitation of Thumper, the Bambi rabbit, initiated a mini-earthquake in my den.  Still, it was only my left foot shaking.

My podiatrist was the first to notice it.  “I would check that out…probably nothing, but check it out.”  Those are really really scary words from a physician. My ancestors on both sides of my family were from Italy, and one of my legacies is a weak but present streak of Italian superstition.  Someday, somewhere, the normal visit to a doctor will not be so normal.  One way to deal with that is to anticipate all the worse afflictions that plague humanity, thus warding off those diseases.  Another is to avoid the doctor.

I was encouraged by my family physician, a great doctor I had been seeing since my twenties.  “Could be just age related tremors.”  This was sort of good. My other specialists agreed.  They asked a few questions, did a few peeks and pokes, and seemed to chalk it up to body sliding into decrepit disorder.  So I continued writing and thumping.  When the shaking shifted my fingers across the keyboard I would stop and command my foot to stop, like an adult chastising a wayward, mischievous child.  Reprimanded, the left foot would assume an obedient stance and be still for about thirty seconds.

A second visit to my podiatrist evoked a stronger caution.  “It’s probably nothing, but, if I were you, I would check it out.”  Ah, but if I don’t check it out, then things will remain the same, won’t they?  If it ain’t broke, don’t fix it.   The corollary to that is, “If you don’t know it ain’t broke, don’t investigate it.”  Historically, however, my educational background taught me to know or try to know. One of my doctors recommended a neurologist.  “It’s probably nothing.”

My neurologist was engaging, and he was shadowed by what we would call in education “a student teacher,” a young lady in a doctor’s garb. I listened intently to the things he pointed out to her as he examined me.  “Notice his lack of blinking.”  I did not notice that I was not blinking.  I immediately blinked five or six times in rapid succession.  There!  “I would like to send you for some scans.”  Oh oh.

The brain scan was painless, but I spent the next few weeks admonishing left foot for costing me time and causing me worry.  Still, it was probably nothing.  My wife Polley and I met my neurologist to get the results.  It was probably nothing.  As if knowing that it should be on best behavior in the doctor’s office, left foot barely shook as we sat in front of the massive mahogany desk.  My neurologist took off his glasses, not a good sign.  “Well, it is not brain cancer.’

Left foot started shaking violently.  He showed me the brain scans.  “This indicates you are losing dopamine….you have Parkinson’s.”  The thumping increased exponentially.  All kinds of instruments were hopping across my neurologist’s desk—pens, paper clips, staplers, stethoscopes.

On my first visit to my neurologist he said, “It will be a blip on your radar if you have Parkinson’s.”  On the second visit having verifying I had Parkinson’s, I reminded him of that statement.  “It’s just a blip on my radar, right?”  He looked my eyes, I guess counting my blinks, “A pretty big blip.  Things will start to slow down.”

So began the rest of my life accompanied by Parkinson’s.  My left shaky foot is joined by a left shaky hand.

 

Horace Walpole Said it Best

Horace Walpole said, “To the people who think, the world is comic.   To the people who feel, the world is tragic.”  Sometimes I am thinking and laughing, and sometimes I am feeling and crying.