Tuesday, October 21, 2008

GHOST OF HALLOWEEN PAST


Since it’s almost Halloween, how about a little something to raise your “spirits?” Dennis returned to work part-time after nearly a year sabbatical. (Actually, during that year, we really didn’t “sabbat.”) Only after a year’s leave, does one understand what a privilege it is to go to work, in spite of being “marked” by the precious bodily fluids that go with the territory of his chosen profession!

His patients have welcomed him back with open arms, (and clenched jaws) even though he is armed with his usual array of instruments specifically created to produce angst and discomfort in wee folk. He comes home tired but exhilarated, smiling and grateful. Returning to his practice is a pretty ambitious undertaking, but with the assistance of amazing colleagues and patients, he’s absolutely loving it.

Because his chest dimensions have been seriously compromised by the considerable physical down-sizing that has occurred of late, he may have to get a smaller stethoscope…one that doesn’t completely obscure the radius of his entire sternum. (The Latin-root medical term for this syndrome is “chestus minimus,” a condition currently affecting us both.) Actually, I think his stethoscope takes on the appearance of a large, Olympic-size medal, which is quite appropriate because, after all, he has endured a marathon of angst and discomfort. In fact, I’m thinking of having the hearing device engraved with “e pluribus unum.” Loosely translated, it means, “I da man!”

Halloween is not exactly our favorite holiday. It will mark an anniversary that haunts us still with the specter of last year’s diagnosis. However, in spite of everything, we have been planning what we ought to wear for the occasion. Dennis wanted to borrow my fake fat butt, if and when I ever felt like I was emotionally prepared to give up my “security cellulite” for a day. (I took exception to the term, “security cellulite,” as if it provided a degree of comfort that caffeine and chocolate could not!) I tried to re-channel his thinking to alternative costumes, but he kept insisting, until I was forced to confess that the fake fat butt I always wear... wasn’t fake. There! Now, was he satisfied??? We just barely started speaking again last night! (He has decided, for the sake of the marriage, to be a scarecrow. Most fitting!)

And just when you thought the stock market was more than you could “bear,” some numbers are actually going up. Dennis’ labs are definitely bullish, (with the glaring exception of his weight.)




Doesn't he look great?!! And just wait til you see his x-rays!

His glucose is 110, albumin-4.2, and his liver enzymes are good. I really don’t understand exactly what albumin is (I always thought it was some sort of spice.), or the confusing accounting system of a routine lab report. But I can gauge an upward trend by the doctors’ smiles, and today, I didn’t need a second opinion. The only number that’s down is his tumor marker – 25 – and that is very good.

Dr. Mulvihill says Dennis’ incision is looking good and still grinning happily. It has no nodules or asides. There is no edema or symptoms of diabetes or jaundice. His eyes are clear, he’s NED, and there is no pain in the ribs, back or spine.

And the Mulvihillism for the day is, “Things couldn’t be any better!” (We rap that mantra daily)

The economy may be crashing, but Dennis’ numbers are definitely our best investment. No headlines can bring us down. Sometimes the laws of gravity don’t always apply.

This afternoon we went for a walk and kicked leaves. It was a beautiful day. We accept the miracles with love and gratitude.

Love to all,
The Clot

Sunday, September 28, 2008

HI HO! HI HO! IT’S BACK TO WORK HE GOES!



Well, the day is rapidly approaching when Dennis will reclaim custody of his stethoscope, his tongue depressor (an instrument solely designed to render the tongues of children very sad), and his gag swabs, (solely designed to gag), and return to work. As with everything of late, we have mixed emotions. On the one hand, Dennis can’t wait to see his “super troopers.” They are absolutely delightful. He has even been thanked by young patients who have endured particularly disagreeable procedures…once the gag reflex has recovered enough to form words…observing charming etiquette prompted by their moms. The children are spontaneous and cheerful, and can reignite one’s enthusiasm for the welfare of this world in the hands of this up-coming generation.

Dennis has also missed the daily association with the finest colleagues and co-workers in the medical field. (They provide welcome diversion from the incessant presence of…me!)

We have long anticipated this day
We welcome Wednesday!

On the other hand, preparing for a day that at times we wondered would arrive, is a little like anticipating the first day back to school. We are stock piling our dwindling time with such copious fun, that our erratic and bizarre activity is rendering us chronically and moronically exhausted…and slightly light-headed. But we don’t want to squander one precious remaining moment by getting adequate rest. No. No. A suspension of perpetual merriment might cause our eyes to lose that look of the characters in cartoons indicative of the profoundly stupid.

For instance, today we decided to go roller blading at Liberty Park. (That decision alone is compelling evidence of our splendid neurological decline.) We put on our roller blades, and Dennis helped me negotiate the curb to the sidewalk. Talk about the inept leading the impaired!

It wasn’t long before a young man skated past us with extended, gliding strides, graceful, controlled, poetic. He would alternately coast and propel, all with exceeding velocity…and hubristic and entirely inappropriate self-confidence!

Well, needless to say, I was inspired. So I channeled my inner Apollo Ohno and embarked on my first lap of the day. I wasn’t afraid of falling, really. I have no pride. Vanity, yes. Pride, no. Besides, I found solace in the reassuring presence of multiple concentrated cellulite clusters centered around my landing gear. These clusters are programmed to deploy upon impact. They’re not exactly aerodynamic. In fact, they provide enough drag that I can comfortably maintain minimum speed while giving the illusion of forward thrust. In addition, varicose veins intersected with splotches of red on a background of astonishingly pale, quivering thigh flesh presented a wonderful image of geriatric patriotism that caused many of our fellow blade brigade to remove their baseball caps in a gesture of respect. It was all good.

However, we have always loved to roller blade, although ability, unfortunately, has not necessarily been the by-product of practice.

Sometimes things happen that make particular days memorable. A while ago, Dennis and I were roller blading at Liberty Park when a young girl skated past us. She was obviously skilled and able…and pretty. It wasn’t long before she had completed a lap, and passed us again. This time, we noticed that she had worked up a bit of a sweat in the heat of her workout. In fact, the more she skated, the more she perspired, and the more she perspired, the more transparent her skimpy attire became. (It seemed to me the attire became skimpier with each succeeding lap!)

On the third lap, I became aware of an interesting phenomenon: in spite of superior and more aggressive blading skills, not a single male passed her! There accumulated an ever-increasing multitude in her wake. The visual absurdity made me laugh out loud.

Suddenly, I heard the screech of fire engines and their high-pitched screaming sirens. I looked across 7th East to see smoke billowing in the sky and obstructing the view with black. It was alarming, to say the least. But what was hysterically remarkable, was that not one man’s eyes were diverted by the on-going, unnerving catastrophe. Remarkable! I thought it all exceedingly funny,…until I said, “Wow! Would you just look at that fire!” And Dennis said, “What fire?” I ceased to be amused. In fact, it was very nearly the last statement in mortality that he uttered. Luckily, I did not have my lawyer on speed dial.

We weathered that particular atmospheric disturbance, but ever since then, I scope the terrain for perspiring, athletic young women capable of distracting one from a life of devoted sobriety, before lacing on the roller blades. And whenever we hear fire engines screaming by us with ear-shattering sirens, I say, with the sweet, guilt-laden delicacy innate to my gender, “Wow! Would you just look at that fire!” ‘Nuff said.

There is nothing as messy and delightful as a backyard picnic with grandchildren. Everything tastes better when stuffed in the mouth with small, particularly grimy, germ-laden hands. Sterile procedure is discarded, and one only hopes there is an adequate accumulation of immunity to withstand the assault of food with discoloration of dubious origin. Such moments are forever recorded in the heart.

We are savoring the time. We regret the close of one day, and rejoice in the beginning of the next. In spite of, and perhaps because of, everything that has happened, we consider our lives blessed beyond measure.

Our love to all,
The Clot

Tuesday, September 23, 2008

SHE DID IT!!!


We knew that she could do it! And indeed she did. Dr. Kate O successfully completed the Lotoja (Logan to Jackson) secured the yellow jacket, dethroned Lance Armstrong, and won “Rider Cup.” By our calculations (with the aid of an abacus and severely impaired maniacal mathematics), it works out to be a distance of exactly 10,000square miles and approximately 2,347,986 pedal rotations, not counting the occasional downhill coast. This was done over treacherous terrain where the official set of guide books cite the possibility of unimaginable peril that belies the tranquil beauty of the wilderness. She was able to successfully fend off plagues of flying locusts, infectious insects, grizzlies, swollen knees, fatigue, a husband who questioned her sanity, and young children who repeatedly asked the age-old query first uttered byAdam,…”Are we there yet?”

Actually, our version of this remarkable accomplishment is not exactly the unvarnished truth. In fact, the truth was not only varnished…it was shellacked. But the point is, Kathy O’Mara, with guts, perseverance, and determination, completed a grueling ride…and dedicated her efforts to raising funds for the Huntsman Cancer Center. That feat needs no embellishment. In the end, she delivered a check for $4,200 on behalf of Dennis and all who suffer from this unspeakable affliction. What accolades could be extended except deep and sincere appreciation, and the pleasant thought that one of those dollars might just be the one that tips the scales in favor of discovering a cure. I know that day will come, an answer will be found, and we can delete the expletive, expunge “The Great Obscenity” from our vocabulary, and only hear it referred to when we are researching the plagues of ancient antiquity for a history class.

To all who made a financial contribution to the cause, we sincerely thank you. And for all who have made emotional contributions and supported morale, we are indebted. May you all be blessed for your generosity. And to Kathy, our love.

And now for an up-date on Dennis’ current condition. He’s terrific. He is getting stronger every day because he works out like an insane gym addict. Well, in point of truth, that is a monumental exaggeration! However, he does amazing things with his gigantic, inflated work-out ball. As his lovely assistant, my duties are to retrieve the capricious little sphere when it rolls with wild abandon down the hall, and mock and jeer as he’s going through his regimen of stretching and building exercises to the point of such exasperation that he chases me through the neighborhood, and we both get a cardiac work-out. He is still shy a “hunka,” but he is at least “one hunka and holding.” (Actually he looks like he’s just gone 15 rounds with Jenny Craig!) He has ponderous pectorals, but it is a daunting task to accumulate body mass on a steady diet of pablum and rain water. However, he is sensibly proportioned and less acutely angled. His bowels are unbound, and so is his enthusiasm. (Call me later if you feel the need for greater clarification.)

I have taken a solemn oath to “blog lite,” but that vow will not be implemented until a later date. My apologies. But I have been seized by “keyboard purge,” and I fully intend to empty the contents of my final firing neuron into cyberspace. So, fair warning: fasten your seat belt, or proceed with caution. Viewer discretion is advised.

I love September. And I love autumn. It is that interim time that gives ample opportunity for reflection…and birth. I have heard that most people have September as a birth date. That is certainly the case in our family. We have a cluster of birthdays, including both our daughters. I guess that is due in part to the wondrous biological consequence of cold Utah winters.

Erin was born on September 11th. I can legitimately claim rights to having given birth to the original terrorist. Osama has nothing up on this Mama!
Brodi was born exactly three years and one week later…in spite of my vociferous proclamations of “never again!”

To say that Erin was colicky is profoundly understated. We actually financed Dennis’ medical school education from funds accrued on winnings from ill-advised friends willing to wager that no baby could cry that loud for that long. We emerged with a medical degree and minimal debt. Happily, the colic eventually subsided…upon acquisition of her driver’s license. And there was a merciful if momentary decibel lull in our household. One of Dennis’ most endearing attributes as a pediatrician is his empathy for parents of colicky babies. But she came trailing streams of laughter, that we fondly refer to as “The Comedy of Erin.”

Brodi, although she could pass for Erin’s stunt double, was an entirely different phenomenon. I remember taking my new-born for her six-week check-up with our pediatrician, and pouring out all my worries concerning this baby. I explained that she only cried when she was hungry, and when I fed her, she stopped. In addition, she would actually sleep for four to six hours at a stretch, and then wake up happy. What could possibly be ailing her? Dr. Lloyd listened very carefully, and then asked me if I had ever considered the possibility that her behavior was normal? The thought hadn’t entered my head.

There is no question that this year’s birthday celebration was singular. We celebrated not just the birth of our daughters, but the joy of who they are, their vibrancy, their radiant personalities, their humor, and our bonds. I saw these young women of inestimable consequence shoulder burdens of epic proportion in times so trying if defies description. They could shed their tears, bind my wounds, invent nonsensical limericks, and simultaneously breach hospital etiquette by vociferously celebrating the wholesome restorative occasion of flatulence. Now, that is my definition of multi-tasking! And that’s my definition of “normal.”

I sometimes wonder where the time has gone. And yet I can account for every minute…especially of this past 11 months. I sometimes wonder where the time is going. That, I’m not sure. But I am going along for the ride, and I rejoice in my traveling companions.

Finally, autumn’s quiet does stimulate reverie. Part of extracting wisdom from experience is reflection. At the risk of stating the obvious, it seems to me that adversity has purpose not readily identifiable at the moment of its descension. One cannot philosophize as one is being ground to fine powder. But it also occurs to me that tribulation generates a plethora of “ities.” A particular by-product is unity. Prosperity does not seem to possess the unifying properties of hard times. When mortality becomes reality, we seem to reorder our priorities to reflect the people, the relationships and the kindred spirits we hold most sacred and value most deeply. Perhaps the need to gather, unite, huddle, circle the wagons, comes from our primal understanding that there is strength in numbers, and that we were never intended to negotiate this mortal existence alone. When life proceeds without hindrance, as we busily raise our families and establish our kingdoms, we tend to allow the tyranny of busyness to postpone our attention to other vital things. But adversity, calamity, catastrophe, wake us up, shake us up, and gather us together, even as we maintain individual distinctions, under a common canopy, like many people under the same umbrella. This is the highest form of “herd mentality.” This is a good thing.

As you can tell, full hearts are our harvest. We are so grateful for your love, your friendships, your portion of our joy. We are grateful for off-spring whose comedy has been an essential element of endurance. Collective clothood is good.

We love you all,
The Clot

Saturday, September 6, 2008

REFLECTIONS

I suppose I’ve always known that some day I would have to try to impose order and hopefully ever-deepening understanding on our most recent collection of yesterdays. This is difficult, because I must not only remember, but revisit. Not an easy assignment. This has been no ordinary time. I feel compelled to throw illumination on not just events, but emotions, and widen the lens on circumstances that can overwhelm when taken in its entirety. So I move forward in increments, knowing I am not always equal to the task. But such times as these are etched on one’s being and the shadows demand to be assessed, pondered and assimilated. I am obligated to extract wisdom from our extraordinary experiences and forge them onto our souls in order to preserve our intense and significant perspective. Our lives have been transformed. We must deal with it.

On Monday, August 11th, Dennis was scheduled for his final infusion. We have been anticipating this day for a very long time, and I thought it would never get here – sort of like a pregnancy that seems to exceed its due date. But when it arrived, I was surprised at the mixed emotions it brought. I was so prepared to start celebrating the infusion conclusion. The floats were ready for the parade, the fireworks were waiting to be detonated, and the “chemo royalty” were practicing their rhythmic, synchronized hand-wave. I had been feverishly rehearsing the “Sussa Favorite Marches” medley for my tuba solo, while simultaneously inflating balloons with my nostrils. It was a “go.”

The infusion preliminaries require the weekly blood draw to see if Dennis’ counts would allow for one more pint of gemcytobene. We had hoped that the numbers would cooperate, and we could belly up to the tubes and raise a pint of Huntsman’s finest with our fellow infusees. The math, no matter how we tried to tweak the numbers, was simply too fuzzy to permit the procedure. Dr. Jones pronounced Dennis officially done with chemo, and congratulated him on his endurance.

So the celebration began.

Our infusion station was surrounded by the most remarkable technicians and friends you’d never want to meet. Erin and Brodi joined us as the Huntsman Hospital Harmonizers sang with occasional harmony, their song of congratulations with heartfelt gusto, and presented Dennis with his bona fide diploma of cheme-ology, (he has now been endowed “chemo-brain emeritus,” a title of exceeding distinction) and a blanket to warm his bones…of which there are many! And then they did something I have never known them to do. There was a massive group embrace, consisting of multiple individual hugs. There was Deann, the Zen Master of needles, who can extract blood from a stone…on the first needle stick.

She eventually retained eminent domain on his vein. Karen, who called Dennis a “hottie” even when he barely tipped the scales at 100. (She seemed to recognize he is actually a spiritual stud!)

Judy, who is always humming, and will cheerfully take requests if you have a favorite tune. (She did have a little trouble, however, with Deliverance’s “Dueling Banjos,” but she gave it her best shot!) So many, so dear.

These people have blessed this experience and mitigated the trauma with their kindness and tender care. Theirs is not an easy errand. Sometimes circumstances are trying no matter which side of the chemo-bag one is on.

Finally, it was time to make our final “goodie lap.” We had brought scones, ambrosia, nectar of the gods, and all manner of culinary delights. (In a gesture of supreme humanitarianism, I opted not to inflict my culinary prowess impairment on those who have already endured so much.) And as we spoke with everyone, there was great encouragement and congratulations exchanged, and reminders to keep fighting the battle in the war in which none of us enlisted. The moment was sweet, and a little more tender than we had anticipated. It was most difficult to take leave of Dov, (“Bear”). (I have to confess I have “tee-shirt envy.”)

He has colon cancer and a wicked sense of humor, as you can tell from his chest graffiti. It would not be an exaggeration to say we know him inside and out! But under the circumstances that have assembled us together, there is no room for restraint or sensitivities. We all speak openly of conditions that are heinous. Perhaps some words seem offensive in polite society, but cancer, the great unwelcome guest, has never been polite. “Cancer,” after all, is the greatest obscenity.

And then the four of us left the room we had occupied with great regularity for so long. No one looked back. It is a place we will miss, but never want to re-visit. And we went to lunch. And Dennis was with us.

When we eat at The Point, it is usually because we are waiting for Dennis to have a procedure, a stent replacement, an infusion, or an operation. But this day we were a Clot, and there was great joy in the moment. Sometimes the ordinary is so miraculous. It felt like the first Monday following the week of the Creation. A lot of work had been done, and now we were responsible for sculpting our own existence. Easier said than done. But we will make it happen.

Autumn is the season of nostalgia. It is good to look back and try to remember. What have I learned to this point? That will be an inventory that will occupy the remainder of my life. But the summary would have to include the following.

I have a better understanding of the nature of miracles and the privilege of adversity. From this comes wisdom.

I am learning to appreciate the corrosive power of doubt, and the healing power of love, two powerful opponents. Of the two, love is the greatest.

I have learned to pray as if it were an Olympic event by prayer warriors who have been in training all their lives.

It takes a village. I have suffered anguish because we could not do it alone, and then come to the enlightening discovery that we were never meant to do it alone.

I have come to understand that “Family” is comprised of members who do not necessarily have genetic proximity.

Hope is often gauged by the pound and by the prayer.

And I know even better the efficacy of harsh language and the poignancy of a particularly well-crafted succession of expletives that can be as satisfying, and possibly more appropriate, as the most articulate poetry on certain occasions.

So, stop the world, we want to get back on.

Our love to all,
The Clot

Thursday, August 7, 2008

SUMMER DAZE

Greetings, Fellow Clotters,

I have been aggressively remiss in my blogging lately, but I do have some really nice, if not necessarily valid excuses. We took our family to Hilton Head and Myrtle Beach in July, and the sweltering humidity really retards one’s ability to conjure thoughts. ( In fact, about all I could conjure condensed in my arm pits.) Dennis claims it’s “aggravated chemo brain,” but that only works for him. I guess I could rightly claim “sympathetic chemo brain” from standing for prolonged time in too close proximity to the infusee. Whatever. But in an effort to avoid having bad blogs happen to good people, I will try to be brief. (OK. OK. I know what you’re thinking! Don’t say it.)

After spending a fair chunk of July in the South, I cannot understand how Scarlet O’Hara could possibly wear the drapes from Tara’s windows after June. It was mind-numbing hot. Oh, I guess I could understand plantation shutters, or possibly a valance and some tie-backs. But not full-blown portiers from the family mansion!!! And did I mention humid? We were in a perpetual state of “jock sweat,” no matter how much deodorant we applied. (Actually, in the South, the preferred term for ladies is “glisten”…we do not sweat, we “glisten.” But I’m a Yankee. Yankees sweat. There were times, however, that I “moistened,” but that is a subject for another blog!)

Ah, but I digress. Dennis’ infusions are being tolerated rather well, although he can get quite tired because the effects of the chemo are cumulative…of course, this fatigue usually occurs at the end of a day of non-stop physical and mental activity. I tried to explain that normal people are supposed to be tired at the end of the day. That is what nature intended. Nighttime is nature’s way of turning off the lights so we will go to sleep. He is definitely unclear on that concept. (Residual effects from medical school) However, we only have one more infusion scheduled with this last cycle, and then we are done. I mean DONE! Now, I am the one unclear on the concept. It has been a rather long road, and “done” doesn’t seem to register just yet.

The other day, Dennis and I again reviewed the inventory of his organ warehouse, and we realized that we cannot account for his appendix. Neither of us can remember its being mentioned by any of the doctors, or seeing it on any scans of ultrasounds. I’m not exactly sure if it should be considered on a strictly “need to know” basis. But still, I would like to be informed just exactly how many body parts he’s down. His incision site is healing nicely, however. In fact, his scar looks like a big smiley face on his mid-section. It makes us all happy just looking at it. (Keep that in mind if you’re having a bad day. With a little advanced notice, you can come over, and Dennis can flash his belly for you that will have you tossing the Prozac!)

When we returned from our vacation, Erin and Dave got a dog for their family. He’s a tiny adorable furball they named “Duke.” We had suggested “Bark Obama,” but Asher couldn’t say “Bark.” So “Duke” it is. They are training him to go outside to potty, where the whole world is his toilet. They are trying to do the same with Asher. We have noticed, however, that since the episode with the rat and the Physicians Desk Reference, there are new and creative threats of discipline being made to pets and grandchildren to keep them in line. Erin says, “I have a PDR, and I know how to use it!” I’ve also heard, “Get the PDR PDQ!” After editing and critiquing Brodi’s current manuscript with my red pen, she commented that the pages looked like an army of red ants had been marching across the paper when someone dropped a Physicians Desk Reference on them. (I guess I did get a little zealous with my corrections!) OK. OK. A giant book of prescriptive medications is not exactly a better mouse trap. But perhaps if Bush had touted it as a “weapon of mass destruction,” it would have sufficed as effective saber rattling, and the world would be at peace.

And now, another word about cancer. It is a loathsome affliction. It is a thief. It plunders and robs and violates all that life holds dear…health, joy, productivity, future, peace of mind…without discrimination or remorse.

Cancer has faces and biographies. For instance, take Dov. (His name is Hebrew for “bear.”) He is a young man battling colon cancer that has metastasized into his liver. He is married with two young children, and he is a delight. His infectious personality lights up the whole infusion room. The other day he came in with a tee shirt that read in big bold letters, “F--- Cancer!” The whole population cheered. Couldn’t have said it better myself. I’ve actually said something similar, if not better. I’m not quite ready to have it inked on the base of my skull, but it is profound, nonetheless. And guess which of those two words is the biggest obscenity.

Dov is a “Cyrano soul.” He does hard things with panache!

We are getting so close to our fund-raising goal for the Huntsman Cancer Institution. What a terrific cause. There are so many faces and so many biographies. And each person we have met has touched our hearts, as have all of you.

We express our love to each of you.

The Clot

Wednesday, July 23, 2008

BELIEVE IT OR NOT...

Brodi here. Regarding the previous post, many have questioned whether my Dad really dropped the Physician's Desk Reference from his balcony in order to squash a mutant rat, or if this is just a case of my mother's superflu-osity (it's totally a word) getting ridiculously out of hand.

So to let you all know, it's true! I asked my Dad about it, and he told me it was really the heaviest object he could think of. I amended this to the heaviest object he could think of... and still lift!

Just wanted to verify the facts for you. I think he's very funny.

love,
Brodi and Clot

Wednesday, July 16, 2008

SUMMERY SUMMARY

Last Friday we had our three-month consultation with Dr. Mulvihill, and, as always, it is better than an infusion of endorphins. As I have said before, the doctor is well-acquainted with all Dennis’ residual organs, and has pronounced him greater than the sum of his remnants.

We were reviewing the inventory of the “Dennis Warehouse,” and we figured that with all the remaining component organs factored in, and his current weight, he is half the man he used to be. That’s OK. Anything over half…we round up.

So here is the current statistical up-date:

1. Gall Bladder: fond memory
2. Stomach: ½ of original
3. Pancreas: ½ to 2/3 remaining, but happily generating enzymes to the best of its ability.
4. Small Bowel: even smaller
5. Organ Placement: deranged and re-arranged

Bottom line: No asides. No edema. No sweat. But the best news of all is his tumor markers: They are at 24. This is well within the parameters of normal. We are very glad. Dr. Mulvihill advised Dennis to let his body be his guide on activities, but there are basically no limitations as to what he can do. He can golf. He can play tennis. He can even take up running. (Memo to selves: Get personal trainer, STAT!) In fact, the list of things we can do now was so exhausting that we came home and collapsed in our loungers panting and whimpering.

Then Dr. Mulvihill commenced kneading Dennis’ mid-section with unusual vigor…and I immediately went into the fetal position. I have been the sworn guardian and protector of the surgical site,- militant and territorial-and have been known to throw myself bodily between his equator and an approaching grandchild. So you can understand my reflexive, aggravated cringe as I saw the surgeon’s hands head for the restricted area with no sign of hesitation or restraint. However, Dr. Mulvihill has such skilled hands, he can locate, massage and interpret the current status of any residual organ while simultaneously detecting and identifying the miniscule culinary fragments of Dennis’ most recent meal. So I have solemnly vowed to relinquish obsessive custody of the domain…the world is now welcome at Dennis’ belly!

In addition to other questions, Dr. Mulvihill also addressed the issue of post-surgical belching. He not only encouraged it, he celebrated it! Basically his attitude was…if it feels good, do it. (This advice often runs contrary to our basic up-bringing, so we must be discretionary) This is all good. We were thrilled because Dennis has developed the gift of speaking full sentences in one gaseous expulsion. This newly-adopted skill has provided some remarkable conversations at the Ashton household. It has also significantly impacted any impending disagreements. I find it impossible to rebut a debate with someone who presents his side of an issue while belching. When I laugh, I lose! Dennis has yet, however, to best our daughter, Erin, when she’s in top form. She can recite the entire Gettysburg Address without interruption – all 272 words – and take a bow, all within the context of a single belch. Even Abraham Lincoln would envy such oratorical prowess. Dang! We’re so proud of her!

Of late, our neighborhood has been the target of a rat infestation. Actually, I exaggerate. It is a single rat. It has been the uninvited guest of several surrounding houses, but a few days ago, it paid a social call to our residence. Dennis noticed it as he was working in the yard, and its reputation had preceded it. It was a behemoth from the depths of Beelzebub. The thing was huge…Ratus Gigantus! We named it “Ratzilla.”

Dennis called me out to the upper deck, where we could get a clear view of the varmint from above. It looked like a small continent in a sea of grass. So we immediately devised a plan to take the little beast out. Dennis suggested we drop the current edition of the Physicians Desk Reference on it, and, with precision timing and an accurate aim, death would come quick and painless. But I thought the PDR might be over-kill. I know it’s a gender thing, but I figured there could be a kinder, gentler alternative while still accomplishing complete and utter annihilation. So I suggested dropping my anthology of Jane Austen instead. It’s lighter reading than the PDR, and the outcome would be the same…only lovelier. Jane Austen is so pleasant to read. But Dennis insisted that this was not exactly a Lizzie Bennett moment. The choice was either drop a copy of “King Lear” with additional harsh language, or the PDR. We opted for the latter, hoping to do the little bugger in with a preponderance of prescriptions. So Dennis raised the 10-pound tome above his head, chanted a mantra consisting of a list of ingredients and dosages of his favorite medicines for good luck, and released the PDR with great velocity in a downward thrust trajectory. We watched the split-second descent as if in slow motion. The Rodent, unfortunately, anticipated his impending doom, and in spite of its bulk, moved with the agility of a Rubick’s Cube master, evading “rat”ification by a nano-second. We continued hurling insults after the fact, but they were rather impotent in lieu of the obvious…NER…No Evidence of Rat. Actually, I think we were both secretly relieved not to have to clean up rodent remnants from the Physicians Desk Reference…or Pride and Prejudice…or King Lear. This was all good and quite tidy. However, if I see him again, I’m pulling out all the stops. Next time he shows his face…I’m getting out the Tolstoy!

We love you all,
The Clot