Wednesday, March 19, 2008

Democrats and Florida


Am I the only one completely confused? The Florida State Legislature passed a law moving the state's primary elections to February. Howard Dean, the exemplary proven leader who heads up the Democratic National Convention decides that this is counter to their rules. He and they decide that none of the Democratic candidates can campaign in Florida nor will the Florida Democratic delegation be seated at the convention. The poor Democrats living in Florida are caught between a Republican controlled state legislature who passed a valid statute and a private organization that purports to represent the Democratic Party. The result is that all Democrats living in Florida may as well live in Iraq when it comes to excercizing their democratic right to vote. Now I have been kicked under the bus enough times to know when I am looking up at the bottom of a bus. Except this time I see Howard Dean smiling down at me from the bottom of the bus. As I followed the primaries it became clear to me that both parties pay far more attention to the so-called Independents. Luring them to one side or the other plays a major role in the party strategies and campaigns. Suddenly the thought occurred to me that if I did not want my vote to count in a Florida primary election I should be an Independent, because Florida being a closed primary state only voters registered in a party can vote for that party. Hell, from under the bus the future course was written in glyphs that even our president could understand; register as a Florida Independent because if one is going to be denied representation as a registered party member, then why not kick that party to the curb? So I ran down to the local voters to change my registration to that of an Independent. Aha!!! What did I find, a line longer than that at the last election of folks who came to the same conclusion that I did. So the urinating contest between the DNC and the State of Florida could very well result in a huge shift in the number of registered Democrats. Is it any wonder? I think not.

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Sunday, November 12, 2006

ALS What next?

After beating around the health care system for over three years, and going through painful cervical spine surgery I was diagnosed with amyotropic lateral sclerosis or ALS. It is called Lou Gehrig's disease in the US and motor neuron disease in Europe. What a shock. Sent home with a prognosis of having only 3 to 5 years to live, probably paralyzed for a portion of that time, my wife and I were beside ourselves with fear. Suddenly our lives which had me falling frequently, slurring my words, and having twitches in my muscles, all of which were disturbing but not life threatening, were turned upside down. It was October and we were living with our son during our four or five months up North from our home in Florida. I mean would I be here for Christmas? If I was here, would I be paralyzed or bedridden? This was not good news, it was terrifying news.

We had a very comfortable life. Our health seemed pretty good, we both were retired with comfortable pensions from the federal government. We owned our small home in Florida where I spent most of my time working as a volunteer for a museum that I had helped to found to preserve the history of the American Era of the Panama Canal. We had sold a much larger home we had built on a golf course in Central Florida to buy a smaller home which would allow us to spend five or six months each year in Maryland where our son and our two grandchildren lived.

We had our own rental apartment in Maryland and were blessed with the time to spend with our two young grandchildren as they experienced their school and after school life. We got to spend a lot of time with the two young ones, and our son, who had his own company and traveled quite a bit. As winter began to creep into Maryland, we were able to flee to our home in Florida where we enjoyed the relative warmth and renewal of friendships with our Florida family and friends. As I think back on it, it was a pretty idyllic life.

Now we had this terrible news. What should we do, how long did we have, how would we be able to pay for the health care that would be required as my body slowly shut down? What next?

Monday, October 30, 2006

The silent majority

I had no idea that there were so many people suffering with ALS or Lou Gehrig's Disease that did not know of the help that is available. Oh sure, there is no cure, it is still a terminal disease with an average life span of 3-5 years, but there are two major national organizations that were founded to help those of us who have ALS.

I did not know squat about ALS until I was diagnosed with it two years ago. Then the first news after being presented with my diagnosis was that I would probably die within the 3 to 5 year period. That was bad enough but I had been bouncing around from doctor to doctor for three years trying to find out why I was falling, walking like the Frankenstein monster, jumping out of my skin with any noise or unexpected sound, and slurring of my speech. Heck I thought I may not make to next Christmas. I better get busy and tie up the many loose ends that I had strung all around me in a sea of procrastination.

I read all the literature that clinic that diagnosed me gave us. I googled and regoogles the Internet to educate myself about this strange malady that had befallen me. Well, I learned that only 80% die within the 3 to 5 year period. At this point that was great news. I might be one of the 20 % that lived longer. Nonetheless, it changed our entire approach to life. We had to start adapting our home to provide access as my body deteriorated to where I needed a wheelchair full time, had to deal with toileting and bathing as I became more paralyzed. How long would it take me to lose my legs, arms and swallowing? Only God knows because ALS hits each patient differently both in terms of how the paralysis advances and how fast it advances.

Fortunately, I found a local chapter of the ALS Association and my wife and I began to attend support groups with others in the same leaking boat that I was in. I found that ALSA had a loan closet where we could get a wheelchair, and all sorts of other devices that would keep me able to live as my body gives out. I found that there was an agressive research program to find the cause, better treatments and even a cure. I found all of this so easily because of my access and famiarity with the Internet that it came as a huge shock to me that a relative few are aware of the help that is available. ALSA has case managers that can help with the intricacies of accessing Medicare, Medicaid and Social Security; of the availability of special ALS clinics where a multidisciplinary team that has seen many patients can follow your progress and order devices and medicines to ease the symptoms and extend the time where the quality of life is better.

I found all of this, and became involved with using the help that is available, that it just came as a shock when I learned that even for our State of Florida where there is an estimated 1,500 patients, that only 600 are connected with ALS organizations and of that number only half have Internet access and email. Now it is bad enough to be dealing with this plague, but not to know of and have access to what little help exists is mindboggling. From my own personal experience I can tell you that dealing with a deteriorating health situation is pretty damned tough even when you are aware of and are accessing the help that is available. Somehow we must reach out to those who are out there suffering alone, afraid and without access to the many devices that extend the quality of life.

Somehow, we have to figure out a way to reach this underserved population, a population that could be as large as 15,000 nationwide, maybe more. We don't have a Michael Fox to give the disease the prominent face as he does for MS. Unfortunately, with about 5,000 new diagnosis each year and about the same number of deaths, the estimated national population of people with ALS remains relatively constant at around 30,000. It is truly an orphan disease and the orphans don't even know that there are orphanages out there to relieve the hurt.

I wonder how we can change this. How can we reach those lonely people and hold out a helping hand. I am not sure, but I can tell you that I am working with our local ALS Association Chapter to reach out more effectively.

Friday, October 27, 2006

The beginning

Actually, I am here because I wanted to post a comment on another blog. I thought that I was registering to that and suddenly, here I am with a blog of my own.

I think, why not?

I have ALS or Lou Gehrig's Disease. It seems that a terminal illness does give one pause. Pause to figure out where you are, where you have been and where you are going, and how fast you will get there. It is mostly a pretty bleak picture. I look around me at others with this disease and see them literlly withering into a prison where there mind and soul are unaffected and their bodies no longer function. They wait for the final failure of the their stricken bodies, the failure to breathe. I try to take heart with the blessings of the life that I have lived, the fact that I still have most of my functions. I have can no longer walk, but I can stand for short periods, my speech is nearing a point where folks cannot understand me even as they try to mouth the words I am speaking. I can still eat, but it is a battle with choking and the ever present fear of taking food or drink down to my lungs where pneumonia can take hold. None the less, my arms and hands remain strong although buttons, keys and writing is almost a thing of the past.

I did not know anything about this disease until I had a doctor tell me that I had it and the average life span was 3 to 5 years. Hell, I had been going from doctor to doctor as my balance worsened, falling became a frequent affair and slurring of words got worse. The was a three year journey to get a diagnosis. Where was I now?

As I said at the outset, this news pretty much shattered what was, up to then, a pretty comfortable and secure life.