Random Thoughts from a Restless Mind

The Extras. OUR Extras. That’s what Dilly (my daughter-in-law) calls all of the kids who were not our natural born children but who nonetheless lived a substantial percentage of their lives in our house. All three of our own had several friends who became Extras. Over time Beth and I morphed from Mr. (or occasionally Dr.) and Mrs. to Mama and Papi for these kids. Many of them are still very much a part of our lives, reunited with our odd little extended family by weddings, christenings, holidays and the like.

Tragically, one of our favorites is now no longer.

My oldest son Dan and I attended Bobby’s memorial service yesterday afternoon. Bobby was once so close with my two older kids and so comfortable in our home that I vividly remember coming home one day to find him at our kitchen counter doing his homework. All alone. No one else in the house. He lifted his head, smiled his trademark goofy smile and flicked the largest, heaviest bangs in the history of banghood out of his eyes, said “hey Papi”, and went back to his books. Neither one of us thought there was anything remotely odd about it at all. Bobby was not one of the Extras who stayed in touch. He drifted away from us as he fell further and further into his addictions and died of an accidental overdose last week.

It’s hard to describe how awkward, how awful the service was yesterday. We recognized almost no one. Dan only knew Bobby’s parents, and I’d never met either one of them. What could I say to them at a time like this? I was really only there for Dan (and by proxy “Lovely Daughter” Megan). There is not a single language in the world that has a word or a name for what we would call a parent who has lost a child. Nothing like “orphan” for the parentless, or widow/widower for the surviving spouse. I’m not sure if either of Bobby’s parents even know that he was our Extra, or knows how much we cared about him once upon a time.

Have you been to a funeral or a memorial for a young one who succumbed to his addiction? To the great credit of everyone in Bobby’s family they didn’t evade the issue at all. Three significant figures from his unsuccessful attempts to leave that life spoke. All of the happy memories were of his very young childhood, as if the Bobby who’d lived so much of his life at Casa Blanco had died at high school graduation. What can you say about a life that was 10 years shorter than the number of years one had lived? The other funerals of youngsters who have died have been filled with the lament of potential left behind. There was none of that for Bobby, only the memories of the child and the struggle of having watched 10 years of pain.

What is it about opiate addictions in our country now? We have had other substances that have been a scourge on our society, notably crack cocaine in the 80’s and 90’s, but this is different somehow. For one thing, while crack destroyed lives it didn’t end them. 30,000 people died from inadvertent opiate overdoses in the U.S. in 2016, most of them under the age of 30. For whatever reason 1/9 of them occurred in Ohio where we live. It seems like rather a bad business model–don’t you think?–to pump up the purity and strength of your product to the point that you kill off a meaningful percentage of your customer base. And yet here we are, more and more people dying each year from overdoses.

What is in the news on a daily basis is the problem of addiction created through the prescription of opiates by physicians, addiction which must then be addressed on the street if or when the prescriptions end. While that scenario is certainly real and needs addressing, we hear more about it because of the irresistible angle of big Pharma companies and their profits, and the equally irresistible urge to find someone or something to blame and punish. This is not Bobby’s story. Bobby, like so many, many of his peers today and for literally centuries of todays, fell prey to an illness that could only have been treated by prevention. There are those among us who cannot resist the siren song of any number of substances once they’ve had their first taste. I do not know what gateway drug it was that walked Bobby into that world; it was an opiate that escorted him out of our world in the end. A pox on the cretins who opened the exit door.

I am left grasping at straws. What can we do to prevent these senseless deaths? While I am a physician and a student of health policy, nothing in my training or experience is helpful here. Why is there so much “hot” product out there on the streets? What is it about this substance that makes it so difficult to leave behind once the addiction sets in? Our society is one in which we are convinced that someone is always to blame, hence the vitriol directed at the manufacturers of the legal version of the opiates that so many young people are abusing. I’m sorry, but it’s not intuitive to me that going after them is going to help the Bobbys of the world stay alive. The feeling I have is one of utter helplessness.

Message? Lesson? Sadly, I’m afraid, I have neither to offer. Bobby is gone and I am sad. Had he not been lost to us, had we remained a part of his life would there have been a different ending? Well, the story arc would likely have been different, but history has shown that the ending would likely have been the same. You never know, though, and that makes me sadder, still. You never really know, right? We would have tried, Beth and I, because he was one of ours. He was one of our Extras. For many years, he was one of mine.

It seems only yesterday that he’d found us, and we, him. Now his is lost to all of us. Forever.

When did a difference of opinion become a de facto conflict? When did the evaluation of another come down to whether or not they hue to a fine line of agreement on a single, or a few, or G0d forbid every issue? When did this phenomenon then morph into one in which a difference of opinion then becomes the basis for labeling another ‘good’ or bad’?

Am I the only one who’s noticed this?

I’m not talking about a difference of opinion which is then followed by a concerted attack, one that forces you to identify the holder of the other opinion as ‘bad’, and enemy. There’s nothing new to see there. One only has so many cheeks to turn. Eventually you need to fight or flee an attack, but that’s not what I’m talking about.

On a personal, local, and national level we could once identify broad stroke issues on which we could generally base a level of agreement or disagreement, very few of which would be a ‘deal-breaker’ when it came to civil discourse. The first part of this, the existence of broad stroke issues, remains true. What is fundamentally different in my mind is how un-moveable many of us have become on ever more minute details as we drill down from the 30,000 foot view. All well and good, I suppose, to seek fidelity to an ever more granular level of agreement on whatever issue is at hand, especially in this age when we have ever greater ways in which to find and connect with people of a like mind.

What I don’t get is the subsequent labeling of any and all others as “bad”. Unworthy. Lesser in some way because they do not agree at every level with a particular–very particular–point of view. As I remember it the “80-20” Rule pretty much applied to belief systems as well as business: if you shared 80% of your beliefs with another that was plenty good enough to allow a friendship, and certainly enough to inoculate against a conflict. Now? Seems like something more like the “980-20” rule: only the smallest amount of the most trivial difference of opinion is permissible. Anything more than nuance between people and they’re going to the mattresses. Anything more than nuance and we’ve identified something other, something lesser, something to destroy.

What’s up with that?

You could say that anything other than full devotion to a cause or a concept or a worldview is not pragmatism but something more akin to weakness. An inferiority of spirit, perhaps. You could say that nothing other than full devotion to some grand theme or concept is acceptable and brook no deviation from a one, true path. I would say that the world is infinitely too complex to approach life in this manner. I would further say that to do so needlessly isolates you from people who might very well bring infinite joy to your life despite differential nuance or even a fundamental disagreement on one issue. Living and letting live rather than identifying a different opinion as identifying the other as an enemy might just mean a more pleasant life filled with more people who might be better described as friends, or at least friendly.

At the very least perhaps we could just agree to disagree and be on our way.

*Lest one think this is a reaction to the news of the day, originally written in April 2014.

Sunday musings…

Chaos and calm. As far as I can see, and for as long as I’ve known, these are the only two states of being for a father.

To be sure, not all states of chaos are unpleasant, and there are innumerable degrees of calm. At the moment I am luxuriating in the calm of quiet, accompanied by only Tiny Tim and Abbie the Wonder Dog (both of whom have re-racked). A social creature, these moments of calm were once painfully lonely for me. Having rediscovered my “pen” they are now cherished little gifts, times during which I alternately “sits and thinks” and even “just sits”.

Father’s Day brings soft and warm memories of the other type of calm. Those times when I was with one or several of my children or my “extras” (thanks for the new vocabulary Dillie!). Memories of late summer 1988, coming home to “The Heir” in his infancy just in time to fall asleep with him swaddled and resting on my chest. Or tiny Barbie tea parties with “Lovely Daughter” in her “Megan-Loo Who” stage (from which she eventually acquired the nickname “Goobs”). There’s no yelling at a tea party, right? Lil’bingo and I would work on “construction projects” with his Tonka trucks that could last for hours. The best type of calm for a Dad isn’t lonely at all.

Chaos is just as much a double-edged sword. Man, why couldn’t there be a family frequent flyer program at the ER or the orthopedic surgeons’ office? Even chaos, though, is a net positive as a Dad. I find myself smiling as I remember all of the events we just barely got to on time, the “fire drill” leading up to our arrivals notwithstanding. The chaos of a house filled with toddlers, pre-teens, teens or young adults is filled with enough energy to light up a small city for a weekend. My sides are aching from the memories of the laughter.

Chaos and calm.

Father’s Day for me this year will be like every other Father’s Day since we welcomed “The Heir” so long ago. Unlike so many who use the day to do something like play golf or climb a mountain or some such, I will try to spend as many of my waking moments in the active pursuit of doing Dad stuff. Firing up the griddle this morning and making the bacon is so much more fun than breakfast in bed, the chaos of the Man Cub and the dogs and the timing of the delivery of our new grill (presents!) notwithstanding. I have always spent so, so much time away from my kids (and still so much away from my grandchildren) just doing the things that a breadwinner must do; on Father’s Day what I want more than anything is to be allowed to do Dad stuff as much I can. To be able to just be a Dad today is always my goal, always the best gift possible.

Chaos and calm. Happy Father’s Day to each of you lucky enough to enjoy both.

I’ll see you next week…

–bingo

Sunday musings…

1) Tech. There are no longer any toll booths on the Mass Pike. Big Brother simply knows you were there.

2) NoNo. Meeting up with ages-old friends in our mid-50’s the topic of what children will call grandparents came up. The best one? “NoNo”. Can’t you just see how this one happens? That Mom who had all kinds of rules when you were a kid following behind the toddlers and telling them “no, no” every time they pick something up?

Not a one of us had the guts to let that one stand, but every single one of us thought about it.

3) Name. What’s in a name, eh? I met the husband of a long-time ago friend this weekend for the first time. (As an aside, we would be friends who saw each other all the time if we lived closer). The last name was different from my friend’s maiden name, but something was just a little bit more than different. After looking and looking I finally asked. Turns out these two wonderful people just couldn’t bear to give up their family names, but at the same time they wanted a shared last name for their own family.

No hyphens for them; they just put their names together and started with a new, shared name. How lovely.

4) Beginning. Beth and I are cruising along the highway on our way to my primordial home. We just spent the weekend in the company of many of my college classmates at a 35th college reunion. Such a funny tradition, coming together every 5 years to remember times so long past in a place that pretends it is always and ever as it was when we were there (my alma mater is 224 years old). A part of you kind of expects that you and everyone else will be just like you were when you showed up for Freshman Days, your role and your place as immutable as it is when you go to a family reunion.

And you arrive and realize that neither you nor any of your classmates bear more than a passing resemblance to the children who were emptied out of the family wagon 39 years earlier.

5 years ago I was doing just exactly what I’m about now, writing about my Reunion. My abiding sense that day was of opportunity missed (there were a bunch of folks I really met for the first time at my 30th who I wished I’d known in school). This year? It’s funny, really. Along with fantastic, ridiculous and over-the-top success and prosperity, the most interesting among us were those whose victories were balanced by challenges that maybe didn’t turn out so well. There was a certain humility that I don’t remember from years past which came out as we talked about our marriages, our children, and for some of us our grandchildren. It was very nice, actually, openly and honestly sharing those kinds of things with peers who we would have felt too competitive towards in years past to take that kind of chance.

Leaving reunions has always felt like so many Brigadoon moments: always the same. Nothing new. No growth and no change. It’s different this year, for whatever reason. Driving away this time actually feels like a new beginning. Weird, huh? We are even taking a new route “home”. Off I go as if I’ve graduated once again, this time with a recalibrated sense of who I’ve become and where my friends and I fit together at the start of the rest of our lives. Reunions are meant to turn our view back, but it’s forward I look with a new appreciation for where I am rather than where I (and my classmates) used to be. Forward, consciously choosing those friendship opportunities not to miss this time around.

Some of us take a bit longer to finish college I guess.

I’ll see you next week…

–bingo

Sunday musings…

“We can’t guarantee success [in the Revolutionary War], but we can do something better. We can deserve it.” –John Adams

It’s Sunday, Memorial Day weekend. In the CrossFit world that means the Pacific, California, and Central Regionals are on, CrossFitters present in full force on site or online. Here in NE Ohio the playing fields are choked with youth soccer players and their parents. The NCAA lacrosse final four takes place this weekend as well, an annual bonding event for the White family. Talk of courage and courageous feats will fill the air at all of these events and countless others as America takes a long weekend off, our bonus day always falling on a Monday.

Do you know the history of Memorial Day? I sorta did, but like so many of us I admittedly got it a little confused with Veteran’s Day. It turns out that Memorial Day is actually one of our longest-running national days of remembrance. Originally known as Decoration Day it dates back to just shortly after the Civil War, created to honor the brave and noble who gave their lives while serving in the U.S. military. Memorial Day was renamed and designated an official national holiday in 1971 under then President Nixon. On this day we as a people are called to remember and honor our war dead.

Courage is a hard concept to understand. So, too, heroism. They are terms that are rather casually tossed around in circumstances that seem rather tame in comparison with war. Have you seen the movie “Hacksaw Ridge”? It’s kind of hard to get all that excited about the exploits of, say, Arsenal in the FA Cup finals, let alone call what any one of the players did “courageous” or label them a hero after watching that movie. Like so many of us my only knowledge of war comes to me though films like “Hacksaw Ridge”.

While many in my family and in my circle of friends have served we have no war dead to memorialize. How then to approach Memorial Day in a more meaningful way? Honestly, this is the first time I’ve ever really thought this deeply about the day. Perhaps I’ll take the Man Cub for a walk and visit one of the many monuments in the area. He’s a bit young yet, but maybe we will talk about courage and honor and sacrifice in the pursuit of a noble goal. My friend Paul, a retired Navy airman uses the day to honor anyone who was in the service and has passed, another very reasonable way to use the day for observation. I plan to make this Memorial Day a time to reflect on what I can do to deserve the successes that have come to me, to us, from the sacrifices of those who died in the service of our still young country.

And hope that this will be enough.

Go to sleep,
peaceful sleep.
May the soldier
or sailor
God keep.
On the land
or the deep.
Safe in sleep.

“[True] innovators are on the edge of the inside.” Friar Richard Rohr

I once wrote that “if you’re not living on the edge you’re taking up too much space.” This is a bit different. Effective innovators and those who are early extenders of their ideas cannot be so far outside of present orthodoxy that their innovation is ignored, however correct they may (turn out to) be. An innovation or discovery that is too radical to even be examined might be shelved simply for being too far outside the inside, thereby denying countless individuals its benefit. Incrementalism occurs in the middle, but innovation that scales happens just barely inside the border.

Think about my fitness program, CrossFit. What would likely have been the result if step one had been the spectacle of the CrossFit Games, ca. 2017? We all know the answer to that: Constantly varied functional movement at relatively high intensity (CVFMHI)  would have been deemed ludicrous for all but the elite athletes we are seeing perform in the East and South Regionals this weekend, rather than a legitimate option as we seek a public health solution to the well-being of a broader population. The sentinel signal of the innovation was initially ever so slightly inside the outer boundary of the fitness/health orthodoxy: train consistently using irreducible full-body exercises at higher intensity utilizing proper movement patterns. Others have noted the importance and effectiveness of interval training, notably Michael Joyner, M.D, at the Mayo Clinic. While a sense of the importance of the glycolytic energy pathway existed before CrossFit, it took an innovator far enough outside the middle to realize its potential and make it the primary focus of a program.

The world of my day job is also populated by innovators who were just radical enough to nearly become outcasts. I always think of the great Charles Kelman, M.D., the inventor of what we now know as phacoemulsification. When Dr. Kelman began his research on using high frequency ultrasound to dissolve a cataract through an incision roughly 15-20% the size of what was then typical, no one could fathom why that would even matter. Fast forward to our present day ability to remove a cataract through a 2mm incision. Because of that first innovation I can now replace a cataract with an implant that allows someone to see both near and far with no glasses. Imagine!

Once true innovation occurs it moves inward, but a next wave of innovators lurks near the edge. Like so many benign Salieri’s to Mozart they build upon the original innovation within their own, smaller zones. This is no less disruptive than that original innovation; it simply occurs in a different part of the world. Shortly after CrossFit erupted in the general fitness world a second wave was brought by innovators in youth fitness by Jeff and Mikki Martin of Ramona California. Their program is now known as The Brand X Method and they lecture on their evolved programs for youth fitness all over the world. In a similar fashion Brian McKenzie, an ultra runner looking for a way to train more efficiently and with fewer injuries, used the principals of CrossFit as applied to endurance training in what was originally known as “CrossFit Endurance”. B Mack is also continuing to push the envelope in his PowerSpeedEndurance program.* It was only the growing acceptance of the original innovation that prevented these next-wave innovators from being OUTSIDE the edge of their particular parts of the fitness world.

The logical extension of CFVMHI, what we are witnessing each weekend as The CrossFit Games season is upon us, has long since passed me by. It turns out that for me all I’ve needed was an early update to the original inspiration (classic, early vintage CrossFit.com with CrossFit Strength Bias v3.3 layered on); more and more actually brings me less of everything. Others who I am quite fond of have had a different journey. One of my daughters-in-law is doing a modified CrossFit Endurance protocol for example, and is winning her age group in 5K races while pushing my granddaughter “The Nugget” in a race stroller. My grandson “The Man Cub” will doubtless train using the Brand X principles that have evolved from the original CrossFit Kids program. My friend Julie continues to push the limits of human everything as she competes on a CrossFit Games team while developing new medical paradigms, all before graduating from med school here in Cleveland. Unlike yours truly, more and more brings Julie more and more. Innovators in the world of eye care similarly bring us new techniques from the edges of our world, the latest being the once unthinkable ability to treat floaters with a laser.

CrossFit is now firmly established as both a system and a business. Small incision cataract surgery using ultrasound is the standard of care. We would do well to remember that time when this was not at all the case, a time when only one innovator sat just inside the outer edge. What is to come in any number of other areas–medicine, finance, digital, what have you–will come from the same place. Some of us caught on to CrossFit really early. Wouldn’t it be great to be out near the edge and catch something like that right in the beginning again?

*To my knowledge neither the Martins nor Mr. MacKenzie are presently associated with CrossFit, Inc.