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Now Proud Owner of an Endolymphatic Shunt

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Jordi helps me display my big bandage.

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Jordi and Molly kept me company throughout the night (click to enlarge).

On April 16, I had an endolymphatic shunt placed behind my left ear. The operation was done by Dr. Jerry House at the Carmel Surgery Center in Indianapolis (by St. Vincent’s Hospital on Meridian, just a couple miles north of the I-465 bypass).

The surgery was done at 2 p.m. and lasted about 70 minutes. Everything went great. We were on the road back home to Fort Wayne about 4:45. Hopefully, the operation will eliminate most of the vertigo and other symptoms of Meniere’s Disease, which I’ve battled since around 2003.

Thus far, I’ve been spared three common side-effects:

  • The operation can trigger severe nausea and vertigo which can last a couple weeks. I’ve had zero nausea.
  • The ear, or whole side of the face, can be puffed out significantly. I have very little swelling.
  • I was warned that there can be significant pain the first day or two. I’m taking Vicodin, but I’m not sure I need to. The discomfort is minimal.

I came home with a big bandage, which we removed Saturday morning. We had to remove the left arm of my glasses in order to fit them on around the bandage.

I spent the evening on the couch in the living room, alternating between dozing and reading Robert Parker’s “Stranger in Paradise.” Since it was plenty comfy, I just stayed there throughout the night. Besides, my sleep patterns were all messed up. I ended up watching “Bangkok Dangerous,” a Nicholas Cage movie, in the early morning hours. Pretty good movie.

The symptoms of Meniere’s Disease started around 2003, though it was a couple years before it was diagnosed. Meniere’s causes frequent vertigo and hearing loss. It only affects my left ear; I’ve lost about 60% of my hearing in that ear and have tinnitus, a constant background roar, which I’ve learned to not really notice.

There is no cure for Meniere’s. However, several surgeries can offset the symptoms. The endolymphatic shunt is the least invasive. When pressure builds up, which brings on the vertigo, fluid (only a couple drops) will now be diverted into this shunt and then absorbed into the surrounding membrane. The surgery is 90% successful immediately, and about 70% successful after 3-5 years (2 out of 10 people revert to how they were before the surgery).

I could have had the surgery done here in Fort Wayne. However, I didn’t have confidence in the doctor here. He’s good, and lots of people speak highly of him, but he didn’t seem to pay much attention to things I told him, and kept prescribing more and more pills. I wrote about that experience.

My family doctor, John Carnes, tracked down the name of Jerry House, whom one of his other patients had used. Pam and I immediately liked him. He’s very personable, quickly acknowledged my symptoms as Meniere’s Disease, and pulled out great metaphors to clearly explain what was happening. He’s done zillions of these operations.

When the nurse at the surgical center was prepping me, I asked, “Do you always work with Dr. House?”

She said, “It just depends on who they assign me to. But when we get assigned to Dr. House, we know it’s going to be a good day.”

She then sang further praises–he was kind, considerate, professional, and was always the same. “With some doctors, you’re not sure what you’ll get that day.”


My various posts about the surgery:

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Book: “Joker One” (a Superb Iraq War Story)

joker-one-200.jpg“Joker One: A Marine Platoon’s Story of Courage, Leadership, and Brotherhood,” left me in tears. It really did.

Donovan Campbell led the platoon called Joker One during five months in 2004 in Ramadi, a major city in Iraq’s Anbar Province. When they arrived in March 2004, a year after the invasion, things were dangerous, yet fairly calm. But the insurgency exploded in April and continued until Joker One left in September…and it then continued for a couple more years. Their battalion took more casualties than any battalion–Marine or Army–since Vietnam.

The book’s subtitle says it well: a story of courage, leadership, and brotherhood.

I was initially conscious of the leadership part–Campbell’s leadership, starting in the States with pre-deployment training. He led by example, with strength, and with sensitivity. I realized that he would make a good pastor; in many ways, he was a shepherd for his men. And it was servant leadership. He was there to serve and protect his men. That theme prevailed throughout the book.

The first 150 pages take place in the States and in the early days of their time in Ramadi. Then, with the section titled “Fierce,” come 150 pages of regular combat. You see the grind of daily fighting take its toll on the men, and on Campbell. You also see the professionalism, strength, competence, morality, and awesome firepower of the American soldier.

There is nothing flashy about Campbell’s writing. But he communicates with authenticity. He clearly acknowledges his own failings, and doesn’t dwell on the things he does well. He earned a Bronze Star with Valor, but he never mentions it in the book.

donovan-campbell-150.jpgCampbell (left) throws some deserved barbs at Paul Bremer, the civilian leader whose decisions caused so much havoc in Iraq. During the summer of battle, with friends dying around him, he muses about people in the States obliviously heading out on their vacations. In August, “America focused on something totally incomprehensible to us–the 2004 Summer Olympics.” It shows  how much the war had been removed from our minds.

Campbell muses occasionally on spiritual subjects, and in evangelical terminology, though he never explicitly identifies himself as a Christian or even as a man of faith. I found that most interesting.

Near the end, in chapter 37, he talks in biblical language about love and sacrifice. It’s an amazing chapter–my favorite, the one that choked me up–as he reflects on Joker One.

“For me, then, loving Joke One–something I so desperately hoped that I did–meant much more than simply feeling that I cared. It meant patience when explaining something for the fifth time to a 19-year-old who just didn’t get it. It meant kindness when dealing with a Marine who had made an honest mistake while trying his hardest; mercy when deciding the appropriate punishment. It meant dispensing justice and then forgetting that it had been dispensed, punishing wrong and then wiping the slate clean.

“Love was joy at the growth of my men, even when it diminished my own authority. It was giving the credit for our successes to the team while assuming all the responsibility for our failures on myself. It was constantly teaching my men, sharing everything with them until I had nothing left to give, with the expectation and the hope that they would become greater then me. It was making myself less so that they might become more. Love accepted the Marines for exactly who they were and never believed that it was all they would be….

“So that was how we loved those who hated us; blessed those who persecuted us; daily laid down our lives for our neighbors….Now I understand more about what it means to truly love, and what it means to love your neighbor–how you can do it even when your neighbor literally tries to kill you.” He mentions Bolding, a Marine killed while trying to protect some Iraqi children. “Bolding had lived out the greater-love principle to its fullest possible extent.”

Campbell writes in the tradition of the soldier-poet, rather than of the foul-mouthed sergeant telling it like it is. He’s authentic and introspective, and I felt I truly learned a lot about the American soldier.

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MSNBC (and Morning Joe!) Return to XM Radio

morning-joe-250.jpgMSNBC is back on XM Satellite Radio, finally! I used to listen to it all the time going to work, when Don Imus hosted the morning show. Everybody who was anybody in politics clamored to be on his show. He made them put away the talking points and give honest opinions, and they complied (or were blacklisted by Imus). I loved it. It was the most enlightening, and fun, political show on TV or radio (though Imus constantly strayed over “the line”).

But in 2006, XM Radio dropped MSNBC from the line-up. As a result, for the past four years I’ve been listening to ESPN’s Mike&Mike show on my way to work–and, in fact, have become a huge, huge fan. Even prior to 2006, I frequently listened to it if Imus didn’t interest me.

Sure, I could still listen to CNN or FoxNews, both of which are on XM Radio. But the CNN morning show is terribly boring, with no star-power and generic hosts. And the Fox&Friends show is intolerably partisan, one of my all-time least-favorite shows, one for which there is a special place in Hell far from the drinking fountain.

After the Great Imus Fall in 2007, MSNBC replaced Imus with Joe Scarborough. The show started slowly, but now attracts an impressive array of guests of all stripes, much like the old Imus program did (but without the juvenile elements). All the political power players from both parties eagerly agree to be guests. The political wattage is astounding.

Scarborough is a conservative Republican, but he’s a very fair host. When people come on with opposing views, he doesn’t feel like he must win an argument like Sean Hannity and other purely partisan pundits do (if they even bother to bring on guests with opposing views). Nor will he let a partisan come on and rant unchallenged (like the Fox shows allow Ann Coulter and Michelle Malkin and others to do). Rather, Joe presides over a discussion which can be extremely enlightening. You learn something, without the shouting (though Joe and Lawrence O’Donnell tend to mix it up).

It’s actually somewhat of an ensemble news show, with regulars like Mika Brzezinski (who is basically a co-host), Mike Barnacle, Patrick Buchanan, and Willie Geist. Morning Joe is in the tradition of the This Week with David Brinkley. Brinkley always treated guests with respect, and when they left the set and the show moved on, he refused to talk about them; he considered it rude, unclassy. Of course, Brinkley was a journalist by profession, whereas Scarborough is a politician-turned-TV-host. Brinkley rarely showed his opinions, even during the pioneering roundtable at the end of each program (he left that to Sam Donaldson and George Will). Joe has no such conniptions, but he holds back, letting us learn from his guests rather than feel like he must pummel views which don’t agree with his own.

Anyway, this morning I listened to Morning Joe on the way to work. What a pleasure! I know I’ll be switching back and forth between Morning Joe and Mike&Mike. But at least now I’ve got a valid news option.

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Understanding the De-Churched in America

I think this video clip from Texas pastor Matt Chandler is right on. He talks about the “de-churched,” the growing phenomenon in the United States of young people who are abandoning the church. My church, Anchor, has often referred to itself as a church for the de-churched–people who once attended, but had a bad experience or became disillusioned or whatever. Lots of different reasons. But Chandler hits one valid angle.

(If you’re reading this on Facebook, you’ll need to click the link for “Read Original Post” to view the video clip on my blog.)

Chandler says, “They were sold, ‘Here’s how you put God into your debt.'”

I think that’s a great way to put it.

You behave yourself, follow the rules, do good things, attend church regularly–all the things a Christian should do. And in return, we promise, God won’t let anything bad happen to you. You’ll have a wonderful life. Everything will work out.” Because God is obligated to come through for you. It’s an evangelical, tone-down version of the Prosperity Gospel.

Then, when things don’t go according to their wishes, they bail out on the church. It’s not what they were promised. The Christian life isn’t supposed to be difficult. The church deceived them. Their investment turned sour.

Skye Jethani talks about this further on Christianity Today’s “Out of Ur” blog. He writes:

They believe that if they just follow God’s rules he will bless their lives. When things fail to work out as promised, they bail on the church….

It’s not that we are failing to preach the gospel, but that we are
failing to deconstruct the consumer filter through which people twist
and receive it. The result is a hybrid consumer gospel in which God
exists to serve me and accomplish my desires in exchange for my
obedience….

I think there are plenty of people willing to deny themselves and take up their cross. But we too often neither ask that of people, nor even present it as something they might consider doing. Instead, people just hear the false gospel of sugar and spice and everything nice. And when they encounter something that’s not nice, that’s difficult, their consumer mentality draws their attention elsewhere.

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Book: “The Fifth Floor,” by Michael Harvey

“The Fifth Floor,” the second book starring private investigator Michael Kelly by author Michael Harvey, is a winner, just like Harvey’s previous “The Chicago Way.” Both are part of the Black Lizard imprint from Vintage Books.

The title refers to the floor of the Chicago city building which houses the mayor’s office. The plot starts with a spousal abuse case, and morphs into a murder mystery, and then a historical mystery going back to the 1871 Great Chicago Fire. Plenty of city political intrigue.

Plus a Barack Obama kind of character–a young charismatic black named Mitchell Kincaid who comes out of nowhere to run for mayor. But the incumbent mayor would get nasty, in true Chicago fashion, before giving up his job. One character, about Kincaid’s chances, says, “Please. Barak Obama is one thing. He was only running for president. Kincaid wants to be mayor.”

Harvey keeps things moving. There are no wasted, gratuitous scenes. Every scene, and every character, matters to the plot. He keeps several little subplots going, all inter-related, and wraps up every single one of them.

Harvey also plays fair, avoiding the tendency (like Chandler and others) to let the protagonist unravel the mystery in a nice speech at the end, using clues not previously available to the reader. I always hate that; it’s one of my pet peeves. Harvey actually lapsed into that a little bit, during the last 100 pages, but he extracted himself from it and I don’t hold it against him.

“The Fifth Floor” is the 98th book of the Black Lizard imprint that I’ve read. I’ve already decided that Henning Mankell’s “The Pyramid,” just released in the US last fall (it showed up under the Christmas tree–thanks, Pam) will be the 100th. But right now, I need to go pick out Number 99.

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Butler Crashes into my Consciousness

Until a couple years ago, I didn’t even realize Butler University was in Indiana. I knew it was somewhere in the East, but didn’t know where. Boston? Nashville? It was like Drexel, Murray State, Siena, Xavier, Robert Morris, and Radford. I had no idea where it was located, and no reason to care.

Now, suddenly, I have another Indiana college for which I’m obligated to root. But don’t we Hoosiers have enough already? We’ve got IU, Purdue, Notre Dame, Indiana State, and Ball State, plus a slew of small Christian colleges. That’s plenty to cheer for. But now I have to add Butler. And it’s really not a choice, since they did so well. Butler now joins IU and ISU as teams that made it to the NCAA Championship game. In Indiana, that’s a big deal.

But look at Michigan. They’ve got 10 million people, Indiana has 6.5 million. But when you think of colleges, only two come to mind–Michigan University, and Michigan State. Everyone in Michigan can be divided into two groups–MU fans and MSU fans. That makes it easy. Someday, those two groups will engage in a bloody civil war. It’s inevitable.

Or think of Arizona, which has a slightly larger population than Indiana. They’ve got Arizona State and the University of Arizona. That’s about it. Throw in Northern Arizona University if you want. Still easy to keep track of. Of course, there’s the ubiquitous University of Phoenix, but it doesn’t really count in my book, because it mostly exists in cyberspace.

But, I’ll squeeze Butler into my fanosphere. They earned it.

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Checks and Balances: Beyond Mere Elections

Paul_Collier_The_Bottom_Billion_sm.jpgIn his book “The Bottom Billion,” about the world’s poorest countries (which I reviewed earlier), Paul Collier writes:

“Elections determine who is in power, but they do not determine how power is used.”

In our quest to spread democracy, we tend to place way too much emphasis on elections. Democracy involves a whole system of governance. Third World countries have learned how to hold elections, putting on a show for the world, without really instituting democracy.

Collier says studies show that in countries that successfully turned around, democracy and political rights were not important factors–a result he finds “extremely disappointing.” But results are results.

What’s really needed, he writes, is political checks and balances.

Without systemic checks and balances, tyrants can rule behind the facade of elections, cloaking themselves in an illusion of legitimacy. Like Hugo Chavez in Venezuela, or Ferdinand Marcos in the Philippines (RIP), or that idiot in Iran. Or maybe Hamid Karzai in Afghanistan? Collier says our enthusiasm for elections needs to be joined with enthusiasm for political restraints.

The US (and most western countries) have separate branches of government which provide checks and balances. But a legislature or judicial system can be co-opted by a totalitarian ruler.  Collier cites a free media as the best form of checks and balances. Freedom of the press, which has characterized the US since our founding, is a key indicator of health. As much as we gripe about the media’s excesses and biases, it’s a crucial part of who we are. When you see a country where the media is free to criticize the government, it’s usually a sign of democratic health.

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How Should Society Deal with Released Convicts?

In San Diego, people are rightfully outraged over a convicted sex offender who killed two young women. In 2005, he had been released from prison after serving five years for beating and imprisoning a 13-year-old girl. After three more years on parole, he was basically living free. We hear these stories all the time.

Whenever cases like this arise, people understandably ask how such a person could go free in society, and there are cries for perpetual monitoring or imprisonment. I totally understand the outrage, whether it applies to sex offenders or murderers or other violent criminals.

But I got to thinking–how many thousands upon thousands of people who have committed such crimes and served their time–for sex offenses and violence–are living free and will NOT repeat their crimes? I know a few people who served their time and have not been repeat offenders. They are back in society, living freely and productively.

When someone commits a sex crime, do we want to imprison him for the rest of his life, or perpetually monitor him electronically? We could. But it would overload an already-burdened system.

Is this guy in San Diego an exception, or the norm? I’m asking, because I don’t know. The stats show that sexual predators tend to remain sexual predators, and repeat offenders deserve little mercy. But there’s only so much we can do (like sex offender registries) after a person has served his time. And a great many convicted criminals do change their lives.

I’m not advocating anything. I’m just wondering out loud. Criminal justice isn’t my area of specialty, so a high lack of knowledge accompanies my musings. What should be my attitude, and society’s attitude? Do we really want to come down hard on everyone, because of the potential repeat offenders? What’s the right approach?

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Book: “The War Within,” by Bob Woodward

war-within.jpg“The War Within” is Bob Woodward’s fourth book about the inner workings of the Bush administration during wartime. He was granted a tremendous amount of access, including frequent conversations with George Bush. Bush must have deemed the previous books to be fair, since he kept the door wide open.

Woodward’s books are a first draft of history. Right now, the only histories of the Iraq war come from reporters. Down the road, historians will get involved, writing a different kind of book with a broader sweep and time’s illuminating perspective. But they will rely heavily on the basic reporting done by Woodward, Thomas Ricks, and others. If you don’t want to wait 10-15 years for such a book, read Bob Woodward.

“The War Within” is a chronological account of numerous meetings, conversations, speeches, and anything else related to the war–a huge amount of trenchwork reporting by one of the best. A lot of it seems mundane. But it’s all part of the story, all glimpses of history. You see how policy, strategy, and thinking gradually evolved; how ideas arose, and many of them fell by the wayside; and the interplay of personalities and their impact on decisions. It humanizes what happened behind government’s closed doors.

Woodward’s third book, “State of Denial,” ended with the war going badly–a bloody insurgency, the country headed toward civil war, Sunnis and Shiites slaughtering each other, and way too many American soldiers coming home in body bags. Sort of like where Thomas Ricks’s “Fiasco” ended.

As “The War Within” begins, everyone knows things are going badly. We’re losing, and nobody knows what to do. There is no strategy, hadn’t been one since the invasion, and much of the book details the search for one. We see different entities embark on studies to chart a new course–the Iraq Study Committee, the Pentagon, Condi Rice’s office, and more. It’s depressing to realize that for three years plus, we foundered aimlessly, despite all the optimistic public assurances.

We eavesdrop on countless meetings, and listen to conversations involving the President, Rumsfield, Condi Rice, Stephen Hadley, numerous military leaders, and others. (Though the presidential campaign is in full swing, Barack Obama makes only cameo appearances.) Some persons (like Rumsfield) emerge looking badly, but there are no villains–just people with different opinions and perspectives, all desperately wanting us to succeed in Iraq.

Overall, George Bush looks pretty good. He’s decisive, he pulls in information from various sources, he trusts his generals, and he shows what I felt was good wisdom in many situations. He doesn’t seem very engaged intellectually with anything involving nuance, but the war has his attention. His legendary pride in making decisions from his “gut” is disconcerting (something Woodward skewers in the final few pages). Bush constantly talks about “winning,” but can’t define what it means to win. He keeps asking for, and publicizing, Vietnam-era stats–body counts, raids, persons detained, etc.–which others know are meaningless in an insurgency; he never gets beyond that mentality. But overall, my view of Bush improved.

An influential, domineering figure is retired general Jack Keane, a straight talker. In separate meetings, he reams out Rumsfield, Peter Pace (Joint Chiefs chairman), and General George Casey (Iraq theatre commander), telling them exactly where their leadership is lacking. He outlines what needs to be done (counter-insurgency strategies), and who should lead it (David Petraus).

The idea of a surge in troops arises–a “gamble,” as it is repeatedly described (thus the title of Thomas Ricks’s book, “The Gamble”). The surge is discussed for about a year (and Obama was criticized for taking 2 months to develop a new strategy for Afghanistan?). But though they agree that more troops need to be sent, they don”t know what those troops will do. The two principle generals in charge of the war, Casey and John Abizaid (head of the regional Central Command), don’t request or want additional troops. In fact, both want to reduce troops. Abizaid’s view is that the only way to win was to get out.

There’s a surreal meeting between Casey and Abizaid where they say, “It looks like the President is going to send us thousands of additional troops. We need to decide what to do with them.” Casey, in particular, considers it backtracking–that the additional troops will take back jobs they’d been turning over to Iraqis.

A continuing complaint, voiced by many, is that we never had enough troops in Iraq to do the job. And yet, the surge is strongly opposed by various military entities, who argue that our total military is stretched way too thin, and that surge troops will remove our “strategic reserve,” the troops available to respond to another crisis should one arise. There is constant criticism that our troops are over-extended with lengthy tours.

Condi Rice also opposes the surge, repeatedly asking, “What will their mission be?” And nobody really has an answer. She fears that we’ll send an extra 30,000 troops, who will do the same things already being done, and with the same results.

However, the real difference is not so much the additional troops as the change in leadership–David Petraus–and the pursuit of an actual strategy. By the summer of 2008, violence is down substantially.

After Petraus takes over, a variety of problems arise politically. The Democrats seize control of the House, and Nancy Pelosi injects her ignorant self into the fray, insisting that we begin withdrawing troops right away. Plus, Petraus’s military higher-ups prove unsupportive. Bush and Cheney step in big-time to undergird Petraus. Good for them.

It’s a fascinating book. Woodward always gets information nobody else has. Now I’ll need to go back and read his other books, not to mention his first book about the Obama presidency due this fall.

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England’s Road to Healthcare

I previously wrote about Atul Gawande’s article in the New Yorker, which told about the path various countries have taken to reach national healthcare (that was actually only the beginning part of a lengthy article). The most fascinating case is England, which Gawande describes as the world’s most socialized system. England’s story is unique, and in no way applies to the United States. And that’s part of the point–no two countries start at the same place.

It all began when England declared war on Germany in 1939. In preparing for air attacks, British leaders relocated 3.5 million people to the countryside. They had to ensure that those people were taken care of–food, lodging, schooling…and medical care.

The government also began upgrading and expanding local hospitals, getting ready for the influx of large numbers of wounded civilians and soldiers. No way could private hospitals handle it on their own.

During the war, the government basically had to assume the costs for civilian and military casualties. The 1940 Battle of Britain destroyed large numbers of private hospitals and clinics. Private hospitals were overloaded with non-paying casualties. It was obviously an extraordinary situation.

World War 2 destroyed England’s existing system, but the British government, through good planning, managed to maintain a good level of healthcare throughout the war (considering that it was a WAR). Interestingly, the new system ended up being better than the old. The population’s health improved, and infant and adult mortality rates declined. Even dental care improved.

The wartime medical service began demobilizing in 1944, but citizens didn’t want it to end. Neither did private hospitals, which now relied on government payments. So the government began looking at a permanent national system–which was already pretty much in place. National healthcare was officially instituted in 1948 with barely a whimper of protest.

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