Pain Bleg Update –> How’s It Going, Jen?

So if you post something like last month’s Name This Pain bleg, it’s a good idea to update sooner, rather than later, when you rejoin the happy world of healthy-type people.  Otherwise, every time you turn up some friend will peer at you with concern and ask gravely, “How are you?”

If you are me, it’ll take you a minute to wonder why they are asking this way, because I’m somewhat forgetful in this regard.

(My description of a particularly difficult bout of unmedicated childbirth:  “It took me several days to be willing to do that again.”  Whether this level of forgetfulness is good for the overall survival of the species depends on which sort of calculations you favor.)

So first of all, many thanks to those who replied to me.  The most interesting response was that many people wrote in to say it sounded like their own experience with Restless Legs Syndrome.  This was curious, since it means that a number of physicians have ditched the “urge to move” component of the diagnostic criteria for that disorder.

More interesting: Two readers with RLS and one reader who did not mention RLS said that their symptoms (identical to what I described) were caused by medications.  The three medications mentioned were: Antihistamines, ibuprofen, and migraine medication (Imitrex, I think?)

Whether any of these are a factor for me, I do not know.  I ran some experiments which were inconclusive.

Here is something I do know: God hears the cry of the migraine sufferer.

That’s not me.  That’s my poor friend and colleague from whom I really needed some information, and even when she explained that she was standing in the dark because she had a migraine, did I leave her in peace?  No I did not.    Even though I KNEW that I was being a horrible person and begging for divine retribution, I persisted in asking my questions anyway — which she answered quite helpfully, just as I’d hoped.

So then when I came down with a couple days of non-migraine-but-still-deeply-irritating headache shortly thereafter, the explanation was obvious.

I don’t know that I wouldn’t risk it again, honestly.

***

Anyhow, I am doing wonderfully this month.  Perfectly perfect, other than when I’m courting wrath.  You who have been praying, I am immensely grateful.

Me with Larry Peterson

Here’s me looking as happy as I am, after lunch with Larry Peterson today.   I am really enjoying this thing where I just go around places having a good time, done.

 

The Makings of a Psychiatric Service Dog – Meet Frank and Josef

I’ve long been interested in service dogs, but something new to me is the idea of a psychiatric service dog.  You may have heard of “emotional support animals,” companion animals that help a person stay calm and cope with challenging situations just by being around in a general way.  You might think of it as passive support.

A psychiatric service dog, in contrast, is trained to perform specific tasks that actively help the handler through PTSD, anxiety, or other crisis episodes.  The dog actively monitors the handler’s well-being, and takes action to intervene or assist when needed.

Now a dear friend of mine is in the process of seeing if he and his dog have what it takes to be formally trained as a psychiatric support dog team — and all signs are very promising.

 

This is Josef Hathaway:

Image contains: 1 person, sunglasses, hat and closeup

Josef being himself.  Photo by Mary Hathaway, used with permission. 

He’s creative and insightful and a natural problem-solver.  His father John writes:

Josef was asking about getting an outside cat. Mary facetiously suggested, about an hour before Mass, that he catch one of the feral cats that prowl our yard. A bit later, we’re in our room getting ready and hear a loud crash! I thought another tree had fallen. We heard the girls, but no Joe.

Josef?!” Mary called.

“Yes?!” called a voice from below our feet.

“What are you doing?”

“You said I could trap a cat!” He was in the basement, pulling out the old dog cages.

“I also suggested you clean your room!”

“Yeah, but that’s boring!”

He’s funny and playful and loving.  This is a story Mary tells about Joseph and one of his three sisters:

Josef (menacingly): Gianna, you’re about to have a HEART ATTACK!

Me: Josef!

I turn around, and he proceeds to attack her by throwing paper hearts at her. (Phew.) LOL

Josef also has high functioning autism (Asperger’s) with a mood disorder, for which he receives professional treatment supervised by a psychologist specializing in his diagnoses.  At home, his parents provide the structure, diet, behavioral interventions, medical care, and family life adaptations designed by his care team for his situation.

One thing that helps him is time spent with animals.   Josef volunteered for about seven months in the puppy room at the  CSRA Humane Society.  The decision to adopt Frank the dog, though, was inspired by another Frank:

Dean Koontz (dog aficionado) led me to Frank Redman, who recommended we get Josef a lab, and we ended up adopting a lab already named Frank, rescued from Hurricane Matthew. That’s his back story. The SPCA brought him over from Charleston to their shelter during the hurricane.

When the family adopted Frank the dog, they were looking for a good companion who enjoyed chasing balls.  They had no idea how attuned he would be to the moods of the members of his adopted pack.  With no training at all, Frank has already started actively working as a psychiatric service dog.

Mary shares an example of way the Frank helps Josef calm down from a panic attack:

Josef had another panic attack.

Fifteen minutes before “Contractors for Christ” [coming to help the family with yard maintenance] showed up…he locked himself in his bedroom (John has now removed the door handle), and he was sobbing.

Frank came back and started barking at the door. John was able to get in, and Frank kept jumping up on Josef (kindly–not vicious) and barking at him and pawing at his hands so he would have to stop hurting himself.

Josef then went and closed himself in the closet, and then Frank barked at the door, I opened it, and he again came in and sat down with Josef and barked at him gently to calm down.

Josef was pretty stirred up–he gets anxious about anyone coming over, even if it’s someone he’s known for a while–so, he was still not 100%. But, thanks to Frank, he calmed down, thankfully.

Here’s an example of how attuned Frank is to Josef’s mood, and how quickly he intervenes to help:

Josef just talked to Frank Redman via Skype, and Josef joked that he was scared of something and fake whimpered. Frank came bolting into the room and started licking his hand.

This is all raw talent.  The Hathaways are arranging to consult with a professional psychiatric service dog trainer, to determine if Frank and Josef are candidates for training as a team.

Frank, black Labrador retriever, resting on the couch with Josef.

Photo of Frank and Josef, copyright John & Mary Hathaway, used with permission.

Bleg: Name this Pain

Two interesting things happened this week:

(1) I finally met the physician I’d been referred to last October, and now I know why there was a seven-month wait on appointments.  The guy is both competent and humane (like Tod Worner, but a different guy).  I like that in a doctor.

(2) I’d been planning to tell him everything’s fine now, but actually it’s not fine.  I’ve had a wind-up of fatigue and the same kind of pain I was having last fall — it was still fairly mild on Thursday, but is getting more rather than less intense.

The purpose of this post is to try to find out if anyone else has experienced the thing I’m getting.  The rheumatologist has never heard of it, and he’s pretty experienced in his field, and he is also familiar with the types of pain associated with disorders outside his field. The internet isn’t giving up much so far, either.  But rare disorders exist, and so conceivably there are people in the world who either get this thing or have seen it in their practice.

If you are that person, my e-mail is below, scroll down to the bottom.

If you are not that person, help yourself to the blog discussion group for the purpose of general commiserating or talking about the thing you get that isn’t like my thing but you still want to talk about it.  Please do not e-mail me with those well-meant comments, because I am notoriously bad at keeping up with my e-mail as it is.

Do please share this post around, though.  There are sharing buttons below to make that easy for you.

(Please assure helpful strangers that I’m not interested in talking about religion or politics with them.  My rheumatologist isn’t really into that.  This is strictly a medical-bleg.)

The syndrome we’re talking about is this:

(a) Muscle pain.  Not joints, not skin, not your stomach or your sinuses, none of that. Feels like it’s muscles.

(b) Aching predominates, some burning, and the odd needle-like stab.

(c) Affects muscles that have been recently exercised (in the past day or two).  So usually legs, since I’m a person who walks, but if I did an abdominal workout it’ll be abs as well, if I did a lot of upper body stuff it could be arms or shoulders, etc etc.  It is utterly unlike normal post-exercise muscle soreness. Do not make me lecture you on how experienced I am with the normal stuff.  It is not that.  Not. at. all.

(d) The pain only comes on when the muscle is at rest.  (I get some calf pain with use, but let’s ignore that since it’s distracting.  I want to focus on the more perplexing stuff.)  By “at rest” I mean when the muscle is relaxed, for example if you’re sitting down your legs might be relaxed even if your upper body is engaged in some activity.  So it’s particularly noticeable when laying down during the day for some reason, or when going to bed, but it certainly does not require the whole body to be relaxed.   Time of day is irrelevant. The key factor is that the muscle that starts hurting is not presently doing any work.

(e) The pain is temporarily relieved by movement, stretching, or pressure, but returns as soon as the muscle is again completely at rest.

(So if I’m sitting and my leg starts to hurt, I can fidget and the pain goes away.  As soon as I forget to fidget, it’ll come back.  Unfortunately, one cannot fidget oneself to sleep.)

This presentation is extremely consistent.  It started intermittently about a year ago, became significantly problematic last fall, had largely gone away for six months, and has returned in exactly the same form as previously.  This consistency is why I’m persuaded it’s a physiological problem that surely other people have experienced.

Some additional notes that may or may not be helpful:

(f) There is no correlation with mental state.  Thinking or not thinking about it has no bearing on whether the pain shows up; being anxious or relaxed or distracted or you-name-it is irrelevant.

No relationship to menstrual cycle either.  I haven’t detected any other certain associations, other than fatigue and exercise.  (This prospect does not really keep me from exercising, because don’t be stupid, you need to exercise.  But the sleep-deprivation?  Yes, that will slow me down a lot.)

(g) Mine does respond to ibuprofen pretty well most of the time.  (I try to avoid taking it habitually though; I only use it if I’m really desperate for sleep.)

(h) For those who are curious, yes my dysautonomia symptoms are ramping back up as well.  So there does seem to be a strong correlation between when I’m feeling all that stuff and the pain-thing.

(i) In addition to the muscle pain, I also get random fasciculations along the same pattern, but they are not as prevalent. The muscle that is twitching is not a muscle that is hurting. (Probably because this particular thing involves muscles not hurting if they’re being used?)

(j) My diet is great and I take all the things and do all the things and present as a very healthy person.  I have a happy and enjoyable life, including a loving family and many good friends.

For those of you who don’t know me personally, I pretty much live in the present.  When something’s not bothering me, I promptly forget about it and move on and think everything’s fine now.  Therefore I’m always a bit surprised and mildly insulted when symptoms come back later. (I thought you were gone. What are you doing here? Can’t you see I’m busy?)

Anyhow: If the description in (a) through (e) rings a bell with you, please e-mail me.

I can be reached at: currentresident [at] fitzes [dotcom].

Put something really obvious in the subject line such as answer to your bleg on “name that pain”, or I’ll accidentally delete you as spam.  I get a lot of spam, so if your subject line is “hi” or “help” or “about your blog post” or “hot Russian singles want to sell you cheap Canadian Viagra” you’ll be cast into the outer darkness.

Thank you!

Jen.

 

File:(Army Hospital Operating Room, Pepperell Manufacturing Company) (11179190325).jpg

Photo:By SMU Central University Libraries [No restrictions], via Wikimedia Commons

 

The Blessings of Being Flipped Off

by: Vincent Weaver

Something a lot of people involved in the pro-life movement do is to stand up for the unborn by praying outside of abortion clinics. Happily, this effort has gone in a much more positive, loving direction over the last 15 years. It’s not even accurate, in most cases, to call these “protests” anymore. Make no mistake, this presence is intended to bring attention to the defense of the most vulnerable in our society. To take an innocent human life is objectively wrong. To take the most innocent of all human lives is unacceptable. There should be no minced words about that. To be silent is false compassion – it’s spiritual and emotional euthanasia.

However, it is incredibly important to heed that ancient axiom to ‘hate the sin, but love the sinner’. We all have an obligation to point out injustice and wrongdoing. However, none of us has any right to condemn the person carrying out that act, as only God knows their heart. So, if you see or hear someone telling a woman considering an abortion that she’s going to Hell, then they clearly don’t understand the point here, nor do they understand Christ-like love.

The much more common scenario these days is people calmly and quietly standing outside abortion clinics praying. Sometimes they hold signs with slogans like, “Pray to End Abortion”, or “Adoption: The Loving Option”. We’re there to provide women in unplanned pregnancies real choices (having literature on alternatives to abortion available) and to let them know how much they (and their babies) are loved.

This reality makes it that much more bewildering when you’re standing there peacefully praying and someone drives by and gives you the finger.  Admittedly, there was a time when such actions irritated me. They fed a desire deep down in my heart to give that person “what for”. While I knew that wasn’t the proper reaction, it seemed instinctive.

Then, I read Abby Johnson’s book, “Unplanned” a few years ago. For those who don’t know Abby, she was a former director of a Planned Parenthood clinic. Then, one day (through some fluky circumstances), she ended up witnessing an actual abortion at her clinic. (This was the first time she saw the product of the business she was running.) She had a visceral reaction and knew she had to quit. And she did. Since then, she’s been an outspoken voice for life, and she wrote this book.

What “Unplanned” showed me (much to my surprise) was the humanity of abortion clinic workers. Honestly, I had never given these people much thought, other than as some kind of faceless monsters. That caused my praying for a culture of life to take on a much broader focus. Only then did a human face start to appear on these folks for me. These are real human beings who deserve our love, who deserve MY love, because to cast them aside would mean I just don’t get what it means to be a Christian.

That realization also helped my attitude towards the bird flippers driving by. (You know who you are!) J All of a sudden, my immediate response when being flipped off was to have compassion. I’d immediately think to myself, “What kind of pain must that person have suffered to feel this way?” “What is the source of that anger?” And by making that pain and anger clear to me, therein lay the ‘blessing’. By having a reaction – of any sort – that person gave my prayer a target. I would launch into a ‘Hail Mary’ or a Divine Mercy chaplet asking God to rain down His love and mercy on that person. I’d pray that they find healing, peace, and the presence of God.

So, if you see me (or any of the 1000s of other regulars) standing outside an abortion clinic praying and encouraging others to choose life, it’s okay if you feel the need to tell us we’re #1 with your middle finger. But know that prayer is powerful, and that I’m calling for all God’s truth, mercy, and love to come showering down on you very soon. And I thank you for giving me that blessing – that reminder of your humanity. Please pray for me, as well. I need all I can get.

And for all you awesome pro-life prayer warriors out there, please consider this unsolicited advice. Arguments don’t help. Love, prayer, and genuine compassion (and the willingness to listen) do.

Vincent married up more than a quarter century ago and is a proud father of 5 wonderful daughters. He teaches business classes at a college in Greenville, SC, but thrives on discussing controversial topics, especially as they relate to Church teachings on sexual morality.

Lent Day 43: Not Doing It

Wednesdays are traditionally the glorious mysteries.  I finally got back to praying the Rosary today after a gaping hiatus caused by a succession illness (it is a physical act, and thus requires one or another physical abilities), chaos, and inertia.

What was on my mind as I prayed was my inability to accomplish certain tasks before me, and thus my reliance on God to take care of them.  This is a good problem, because relying on me is not the wisest course, and in any case the tasks are God’s.

Here is a miracle, to give you an idea of the scope of the whole thing: I made a craft.  Not just any craft; one that required both bright colors and straight lines.  Also, I had to do it with supplies that I didn’t have spares of, which meant everything had to be done exactly right the first time.  No sane person assigns me a job like this.  Just never.

So anyway, I get around to the fourth glorious mystery, the Assumption of the Blessed Virgin Mary.

Do you know what our Lady did during that mystery?

Nothing.

Just laid there.  Didn’t lift a finger.

God did it.

This seems to be the way it works.  Want me to conceive the Messiah? I can’t do that Lord, but however you want to handle this go ahead.  Out of wine?  Son, could you take care of this please?  So you’re saying the plan is that you’re going to die on that cross–? I’m just gonna stand here, and you figure out what the system is.

It’s not that Mary does nothing.  It’s that she does only the part she can do, and lets God worry about the rest.

 

***

Request: If you have a charism for bringing empty jars to the attention of our Lord, please consider joining the newly-formed Catholic Evangelization and Discipleship Intercessory Prayer Team group on Facebook.  It’s a closed group, but any member can add new members.  If you are in the work of discipleship or evangelization and would like people to pray for your mission, please join and post your requests.  (Also: Introduce yourself and I’ll add you to the pinned post of who’s who at the top.) Thank you!

 

File:Albert Cornelis - Assumption of the Virgin - ES BRHM BPV 009 12.jpg

Artwork courtesy of Wikimedia [Public Domain].

 

Can a Good Man Sin?

I do not know Fr. Frank Pavone, but I have friends who hold him in high regard.  There can be no questioning the sincerity of his devotion to the cause of ending abortion.  I agree with the sentiment that we who are pro-life are not vocal enough in our opposition to the massive slaughter taking place in our country.  While it is evident that I disagree with Fr. Pavone concerning certain tactics, I am not one to confuse squeamishness with righteousness.

Zeal can at times cloud our judgement.  I am an expert in rash behavior, and the decision to place a deceased infant on his chapel’s altar was, I firmly hope, an act of miscalculated passion.

It was certainly a sin.

Have you been to confession lately?  Fr. Pavone is human, and like you, he is capable of sinning.  Like you, he is capable of acting in willful disregard of the law of God.  He’s also, like you, capable of acting in culpable ignorance.  We who view from the outside cannot know the state of Fr. Pavone’s soul; we can, however, inform our consciences to the point that we can perceive when an objectively sinful act has been committed.

Now it is likely that in his tactics Fr. Pavone sinned against the virtues of prudence and temperance; certainly his bishops have found it so. For the remainder of this essay I’m setting that aside, already dealt with extensively elsewhere.  We are going to look only at the sin against the cardinal virtue of justice.  Did Fr. Pavone give God His due?

What is the Purpose of the Altar?

In our spiritual lives we often invoke the image of the sacred altar.  We speak of uniting our sufferings with Christ on the Cross, and Christ in the Holy Sacrifice of the Mass.  When we offer up a Mass for a given intention, we might say that we placed that intention on the altar.  You’ll often notice when you attend Mass that the priest will have a card right there on the altar reminding him of the intention for that Mass.

Thus we can understand how someone — anyone — might have the natural instinct to place some significant object on the altar in an act of devotion and offering.

To avoid sin, however, requires obedience to supernatural instincts.

The altar of the Mass is the place where heaven meets earth.  We who enter a Catholic church are entering the Holy of Holies.  We are people who, at the moment of the Consecration, see God and live. We are so used to this sacred privilege that we forget how unspeakably privileged we are.  The daily duty of caring for the parish church can create an over-familiarity with sacred things, to the point that we  start to forget they are honest-to-God sacred.

Our Strength is in the Lord

Time and again in the Old Testament, we see the Lord do valorous deeds for the people of Israel.  That miraculous action didn’t end with the Incarnation: We can cite miracle after miracle in the long history of the saints down to our present day.  These miracles are not mere emotional adjustments.  God acts in the physical and social world, at times miraculously delivering physical healing, political victory, and military protection.

These miracles happen not on our schedule but on God’s.  They also follow a pattern, and it’s a pattern that illuminates the nature of Fr. Pavone’s error.  Step 1: We turn to God for His miraculous provision.  We acknowledge our complete dependence on God’s saving hand, and abandon ourselves entirely to His divine will.  Our help is the Lord who made heaven and earthStep 2: God intervenes for the good of His people when and how He pleases.

In so doing, we often experience the Lord’s sacred paradox.  We put our trust in the Lord, not in chariots and horses — only to turn around and see the Lord using chariots and horses to deliver us.  The order of the operation is the hinge on which the whole of salvation rests.

In the beginning there was God, and then He made heaven and earth.  The sacred altar belongs to that First thing.  It is a holy place set aside for the Presence of God in the shockingly same way God Is, outside of all time and space.

Righting the Sacred Order

God wills the protection of all innocent lives.  He wills an end to abortion.  It is the desire of God that men would freely act to end this atrocity.  It cannot but be the desire of God to come to our assistance in the work of protecting and defending the most vulnerable among us.  These facts are incontrovertible.

But there is another incontrovertible fact: The altar is reserved to divine worship and nothing else.

We must charitably assume that Fr. Pavone’s recent actions were motivated by a sincere desire to serve God.  All the same, he committed an act of sacrilege.  We can defend him with mercy, for who among us is not also a wretched sinner, but we can’t defend his action with approval.  To do so would require contortions along the lines of proposing that first God made heaven and earth, and then the next day He Is.

No no no.  It must always be the other way around.  It is unable to be otherwise.

The objective gravity of Fr. Pavone’s sin was in putting a second thing first.  He failed to remember the supreme sacredness of the altar.

You have probably done that once or twice, if only in thought if not in word or deed.  You may have heard about, if not witnessed yourself, reprehensible violations along these lines committed by clergy and others who ought to know better.  We humans are woefully fallible.

Mercy and Reparation

Fortunately, there are remedies.  Begin by forming your conscience as to the sacredness of the altar of the Sacrifice of the Mass.  If you do not live in a parish where the sacred altar is treated with due reverence, make a pilgrimage to a place where it is.  Lex orandi lex credendi.

Then proceed with prayer and fasting for the reparation of every rent in the sacred relationship between God and man.  Contemplate our Lord’s mercy on us sinners.  One of the missions of Priests for Life is bringing healing to those who, knowingly or unknowingly, committed a grave offense against God and man in the act of abortion.  As it is for abortion, so it is for every sin: No one who desires to repent is beyond the reach of the Lord’s infinite mercy.

Related Links:

Please Join Us in Praying Monday November 7th

Join us by not joining us, that is.  The Conspirators are taking a day off Monday November 7th to fast and pray for the elections on Tuesday.

FYI for those who are wondering about my recent absence from this blog and social media, no, I haven’t been extra prayerful in advance.  I switched around my schedule to very good effect, but have ended up not quite making it to the PC at the end of the day.  More blogging is on the horizon.

Meanwhile, pray!

50 Shades of Donald Trump

Among conservative Catholic Republicans on Facebook, there’s a meme being passed around that keeps ending up in front of people like myself and Scott Eric Alt, though neither of us can possibly be the intended target.  The argument is that the popularity of novels such as 50 Shades of Grey proves that women don’t, in fact, object to Donald Trump’s lewd behavior; any objections are political calculus.

Rebecca Bratten Weiss responds to another variation — same argument, different famous incident:

“But Bill Clinton…”

Oh yes. And I opposed him, and criticized him, at the time. Anyone else who did so must, in order to be morally consistent, do likewise with Trump. If you don’t, it just sends a message that you never really cared about sexual abuse of women, but were just appropriating morality in order to make your opposing team look bad.

Before my next sentence, let me reiterate: I do not think you should vote for Donald Trump.

Next sentence: There is some validity to the observation that Donald Trump’s lewd behavior is indeed representative of the American public at large.  I said so here.  This is a representative democracy, and our two candidates do in fact represent America.

Dear friends, if Hilary Clinton or Donald Trump represents you?  You can change that.

You can’t change the candidates, but you can change yourself.  You don’t have to be a person who winks at sin.  You don’t have to be a person who creates convoluted defenses of BDSM. You don’t have to be that person who justifies exposing kids to porn.

You can stop that now.  You do not have to be enslaved to the person you were yesterday.

***

Pro-life friends, another minute of politics: When people give sorry mealy-mouthed justifications for voting for a pro-abortion candidate by explaining that solving poverty or immigration or global warming will somehow fix abortion, those people are dangerously deluding themselves.  There exists a hierarchy of priorities, and cold-blooded murder is a far graver and more pressing issue than good roads or good tax policy.  When someone says I don’t like abortion but I’m voting for the person who advocates tirelessly for abortion, what I hear is: Actually, I’m fine with abortion.

I understand, therefore, the Republican Impulse.

I have grave reservations about Donald Trump’s sincerity on pro-life issues, however, because his life is one long series of promotions of the actual, real-live causes of abortion.

Food stamps don’t cause abortion.  Adultery? That causes abortion.

***

Quick aside on modesty.

When people like me talk about “modesty” we tend to hit a few topics related to girls’ clothing.  That matters, of course.  But for those who are trying to get their heads around about what immodesty looks like in someone who is neither female nor scantily-clad, Donald Trump is the poster boy.   He models immodesty not just with regards to sexuality, but also with regards to wealth, power, and personal accomplishments.  

It is easy to excuse his unseemly boastfulness by saying that he needs to prove his leadership potential or share his legitimate accomplishments with voters.  Not so.  It is possible to communicate one’s ability to lead without behaving immodestly.

Below in the links I include some examples of SC’s governor Nikki Haley in action, for other reasons.  But in her hurricane Matthew press conferences, she’s a vivid example of the counterpoint: A leader who is both a strong, decisive, competent leader, but who also conducts herself with modesty.

***

Link Round-up.  Here are all kinds of loosely related links.  At the bottom are a few of mine, but first here’s the pile I extracted from my reading list.

Timothy Scott Reeves, an evangelical Anglican philosopher with strong ortho-catholic leanings writes on our tendency to rely on chariots and horses instead of trusting in the Lord.

Simcha Fisher has an excellent piece on why consent alone is not sufficient.

Nathaniel Peters at Public Discourse writes:

Many young conservatives have been disheartened to see the leaders of their movement endorse Donald Trump. I am one of the disheartened ones. Let me explain what these leaders taught me and why their endorsement of Trump betrays those principles.

Faithfully Catholic, orthodox, conservative Katie O’Keefe catalogs her series of encounters with so called “locker-room talk” sexual abuse, and how she learned from an early age that protesting was futile:

5 years old – In my own backyard. I was stopped by a man in a car in the alley behind my house who showed me “what (he had) in his pants” and then offered me the opportunity to put my mouth on it. I declined but never told anyone because I had no idea that it was anything but just gross. . . .

12 years old – On my paper route, I was collecting for the monthly bill. An old man who had been very kindly toward me and had several grandchildren that he looked after, grabbed my breasts (which were more impressive than they were when I was 8) and humped me. He told me I was a good girl and he’d take good care of me. I quit carrying papers that month. I never told anyone because I figured that no one would believe me. . . .

Father Longenecker has sensible, hard-nosed advice on what to do after the elections, which promise us four years of disaster no matter what.

And here is a short, heartening story on seminarians already following that advice.

Erin Arlinghaus writes about:

Mary Pezzulo writes about the bad news for feminism that will come with the election of our first female president.

To which end, here’s a refreshing antidote: Watch a conservative, pro-life female governor in action, successfully managing a natural disaster. I don’t know how long the SCETV archives will be up, so here’s a link to the governor’s YouTube channel where you can find most of the videos.

(Tip: If you skim ahead to the Q&A’s with the whole executive branch team, a few of the press conferences contain striking examples of the linguistic diversity among educated, standard-English speaking southerners.  And that’s just a beginning.  Armchair linguists, this place is a treasure trove.)

Here’s Meg Hunter-Kilmer saying what many of us are saying:

A friend of mine attempted to defend Trump by pointing to his daughter’s respect for him and saying that he must be a good father. I don’t care what she says. I don’t care how marvelous he was every single time he was with her. Owning strip clubs makes you a bad father. Being a serial adulterer makes you a bad father. Treating women like objects for your sexual gratification makes you a bad father. And it will make him a bad president.

To round out the reading, from a man who’s no slouch on Catholic faithfulness, Archbishop Chaput shares his thoughts on faithful citizenship:

But 2016 is a year in which two prominent Catholics – a sitting vice president, and the next vice presidential nominee of his party — both seem to publicly ignore or invent the content of their Catholic faith as they go along.  And meanwhile, both candidates for the nation’s top residence, the White House, have astonishing flaws.

This is depressing and liberating at the same time.  Depressing, because it’s proof of how polarized the nation has become.  Liberating, because for the honest voter, it’s much easier this year to ignore the routine tribal loyalty chants of both the Democratic and Republican camps.  I’ve been a registered independent for a long time and never more happily so than in this election season.  Both major candidates are – what’s the right word? so problematic – that neither is clearly better than the other.

And finally, a few links from my own archives:

Adultery is Not the Only Option: Five Things You Can Do to Keep Your Vows Intact

Here’s a patron saint for those who’ve fallen for the idea that Catholics need to be all sophisticated and cosmopolitan.

And to close, here’s my report from the field on how our Trump-Clinton society plays out among middle schoolers. In Sexual Bravado vs. Sexual Maturity, I share some of the real-world evidence parents like to ignore, then discuss the underlying issue:

In our popular culture, sex-status is the big thing.  The kids have learned from their parents that the purpose of sex is to gratify one’s desires, and that a girl’s worth is measured in sexiness.  The kids have adopted that philosophy wholesale. . . .

. . . Why is there such a market for teenage girls in a sleepy Bible Belt town, to the point that pimps are willing to risk kidnapping charges and worse in order to abduct upper class girls and sell them locally?

You can almost hear the eighth grade boys scoffing at those pathetic men who have to pay for what they can get the girls to give them for free.

There is no magic remedy that will guarantee your teens will live chastely and stay out of harm’s way. But you can be certain that if your understanding of human sexuality is all about the quest for gratification and sexual status, your children are going to learn that from you.

 

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Photo Collage by DonkeyHotey (New York Primary 2016) [CC BY-SA 2.0], via Wikimedia Commons

Free & Fascinating: Watch the SC Evacuations Stream Live

A little living history: You can see the I-26 lane reversal in action by going to http://www.511sc.org/ and selecting the traffic camera you’d like to view. Each camera icon will pull up a list of nearby camera locations.  Click on the location you’d like to see, then hit the “play” and “fullscreen” icons.

I’ve noticed some of the locations are a little glitchy — I assume everyone and their brother wants to see I-26 westbound at I-526 (except, of course, the people who have to be driving there), so that one’s not functioning at this writing. But there are other locations of interest.

Admit it: It’s pretty crazy seeing the westbound traffic on the eastbound side of the interstate.  Quit acting all nonchalant.  Just because we make it look easy doesn’t mean it isn’t epic.

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SC State Flag courtesy of Wikimedia, Public Domain.

Related . . . My comments at the blorg on why SC takes a holiday anytime the weather gets mildly interesting.  If you fail to click through, here’s the essential part:

. . . remember kids: The South is terrible and backwards.  Stay away.  You’ll hate it here.

I’m thinking we should start a partnership with Rust Belt cities to encourage northward migration.  Detroit: Everything the say about the South, only more of it! And snow every year!

 

Physician Assisted PTSD – When Bad Medicine is Disguised in a Mental Health Diagnosis

Rebecca Frech wrote last year about her doctor-induced case of PTSD:

And in that moment, I can tell by her face that no one has updated the chart. It still says Conversion on the line for diagnosis. Nobody has put in the test results and new diagnosis from last October. I can see it as plainly as I can see that her eyes are brown. We’re still suspect, and this still isn’t over.

This week she updated with the news of the definitive diagnosis for the medical reasons behind her daughter’s paralysis.  It would be easy to think that Ella Frech’s case is an anomaly.  We might think that it’s unusual for a serious medical condition to be dismissed as a pscyhological disorder.

It isn’t.  It is woefully common, and there’s a reason for it.

The Diagnosis that Doesn’t Discriminate

It isn’t only Acute Motor Axonal Neuropathy that gets the nutcase treatment.

Stephen Gaudet writes here about being accused of faking his severe asthma:

Feeling proud about what I had accomplished through daily exercise, I shared my marathon story with one of the intern doctors who was assigned to me. Rather than congratulating me, he basically accused me of faking my asthma. His words were ” There’s no way you could’ve walked a marathon if you have severe asthma.” I found out later that in my chart he actually wrote, “patient presents with factitious asthma, claims he walked a marathon“. That probably explains why some of the nurses were treating me so strange during the hospitalization. A rumor had spread that my asthma was very mild and probably psychosomatic in nature. I remember some of the medical staff trying to convince me that my breathing difficulties were all in my head and that I had some kind of generalized anxiety disorder. Are you freaking kidding me! And even scarier, this happened at a well respected teaching hospital.

That incident caused me a lot of grief and took over 3 years with lots of letter writing by my pulmonologists to have that false information removed from my medical record. The reality is that these are the kinds of screwy preconceived generalizations that people have about the way sick people should look and behave. And if I want to be completely honest here, there have been times when I’ve guilty of the same.

For background: Gaudet is a respiratory therapist who is treated by one of the top pulmonologists in the nation.

Here’s Dr. Michelle Roger, a neuropsychologist, writing about the mental health misdiagnoses of patients with dysautonomia:

Just about every Dysautonomia patient with whom I’ve spoken over the last few years has, at one time or another, been told that the symptoms they were experiencing were all in their head. Diagnoses such as Anxiety disorders, Depression, Conversion or Somatoform disorders, and even Bipolar disorder are haphazardly applied to patients when no clear aetiology can be discovered to explain their symptoms. Normal reactions to abnormal situations, and purely medical/physiological symptoms are over-pathologised or misdiagnosed with alarming regularity, and to the detriment of the patient.

When unfounded these diagnoses leave a mark on the patient, a wound which if left untended will follow and influence all future relationships with the medical professionals. It also leaves a glaring mark on medical records that will be incorporated into future investigations and the overall diagnostic process. Even when unsubstantiated or proven to be untrue following psychological assessment, it can prove extremely difficult to remove such diagnoses from a patient’s medical file.

Here’s a summary of Dr. Alex Flore’s presentation on the problem of mitochondrial disease being misdiagnosed as Munchausen syndrome by proxy:

It is possible that what may be interpreted as “red flags” of Munchausen’s may alternatively  be attributed to the demands and anxiety related to care of a very sick child.  For example, anxious parents may not give a good history, or may “doctor shop” because they are unsatisfied and may be unhappy with the care their child is getting, especially when they feel that no one can actually diagnose, treat or understand the problem.  Certain conditions, especially mitochondrial disease, will present with intermittent symptoms, and it will take a skilled and patient clinician to arrive at the right diagnosis – one that is an illness not Munchausen’s by proxy.

Psychologists have described that the population of patients and parents of children with Mitochondrial Disease are much more vulnerable to a false Munchausen’s by proxy accusation simply due to the nature of the disease.  In fact, a hallmark characteristic of mitochondrial disease is the presentation of several unrelated symptoms that together, “don’t make sense”.  Clinicians who feel that a parent is intentionally making symptoms appear, is behaving to insure that the illness continues, and consults multiple physicians may suspect Munchausen’s – but should still “trust, then verify.” In other words, believe the parents, run appropriate diagnostic tests, seek the input of every part of the child’s team, and take very seriously the responsibility to the child to act as an advocate and do no harm.

Non-psychiatric misdiagnoses happen, too, of course.  It is frustrating when a physician (or team of physcians) flubs a diagnosis through honest error — we humans aren’t ominiscient, so it’s bound to happen.  It’s galling when the misdiagnosis involves dismissing serious serious symptoms as some much more benign illness that doesn’t fit with the case history.  But pushing off a poorly-substantiated mental health label on a patient with an atypical presentation is both physically and emotionally harmful to the patient.

Unfortunately, this dangerous habit is actually enshrined in medical practice.

I Guess You’re Just Nuts, Then?

Many misdiagnoses are just idiocy.  Some popular lazy-diagnoses include fibromyalgia, depression, and anxiety disorders.  All of these disorders have specific criteria you can use to evaluate yourself (or your patient) and see if they apply.  It’s almost helpful when a physician throws out with confidence, “I think it’s probably just ________” and inserts some illness utterly outside his or her specialty, and which a quick Google search would immediately rule out. Then you know you have a stupid doctor, done.  It’s wearying, and can put you off the medical profession for a while, but it’s possible to come to a definitive conclusion one way or another.

There’s at least one mental health diagnosis, however, that can’t be ruled out by logic and good medicine.

Conversion Disorder, which is what Ella Frech was persistently misdiagnosed with (despite presenting with symptoms of a known side effect of one of the medications she was taking), is where modern medical practice bares its hubris.

Here’s the Mayo Clinic describing how Conversion Disorder is diagnosed:

There are no standard tests to check for conversion disorder. The tests will depend on what kind of signs and symptoms you have — the main purpose is to rule out any medical or neurological disease.

In other words, and you can read the whole page and see for yourself, if you’re definitely sick but no one can figure out why, then conversion disorder.

That’s it.

Dr. Allen Frances writes at Psychology Today about the failed effort to get the DSM to attempt even a modest stab at valid diagnostic criteria above and beyond heck if we know:

Many of you would argue that I didn’t go nearly far enough- that there should be no ‘Somatic Symptom Disorder’ at all in DSM 5 because there is no substantial body of evidence to support either its reliability or its validity.

. . . I am sympathetic to this view, but realized that it would have no traction with the work group and chose instead to lobby for what seemed to be clearly essential and relatively easy changes that would solve most, if not all, of the problem.

. . . My letter cautioned DSM 5 that it was invading dangerous territory. Here was my warning to the DSM 5 work group:

• ‘Clearly you have paid close attention only to the need to reduce false negatives, but have not protected sufficiently against the serious problem of creating false positives. You are not alone in this blind spot—in my experience, inattention to false positive risk is an endemic problem for all experts in any field. But your prior oversight needs urgent correction before you go to press with a criteria set that is so unbalanced that it will cause grave harms.’

• ‘When psychiatric problems are misdiagnosed in the medically ill, the patients are stigmatized as ‘crocks’ and the possible underlying medical causes of their problems are much more likely to be missed.’

• ‘Continuing with your current loose wording will be bad for the patients who are mislabeled and will also be extremely harmful to DSM 5, to APA, and to your own professional reputations.’

I also raised the point that this could lead to a boycott of DSM 5. Pretty strong stuff, I thought. But totally ineffective.

Somatic Symptom Disorder (which is the umbrella term in the current terminology under which Conversion Disorder falls) is thus a particularly hazardous diagnosis because it has no symptoms of its own.

It is literally a disorder whose defining symptom is, “We the physicians don’t know what you have.  Therefore, it must be psychological.”  This is an awkward assertion for a profession that has evolved more in the past century than any other field of human endeavor.  The developments in medical research just in the past twenty years are astonishing and marvelous.  My children’s high school biology textbooks are utterly different than mine, because the depth and scope of our knowledge about human cells and the chemistry of the human body is orders of magnitude past what we knew a generation ago.

It seems, therefore, ludicrous that any sane person could hold that our knowledge of medicine is now perfectly complete.  But this is the implicit assertion of somatic symptom disorders.

***

I sometimes joke that idiopathic means that you and your doctor both agree the other person is an idiot.  But really it just means we don’t know.  That happens.  Humans aren’t all-knowing.   What is the sane response to ignorance?  It isn’t to fabricate some fanciful explanation to cover over your lapse.  The sane response is to humbly admit, “I’m sorry I don’t know.”  And, where the stakes are high, the sane person adds, “And we should keep investigating until we get a solid answer.”

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Illustration contains a bit of humor in the fine print, [CC BY 4.0], via Wikimedia Commons.