Folk Medicine and Medical Deserts

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I seem to have descended from common folk who had to turn to folksy medical remedies rather than seeking out doctors. It was not so much because of any distrust of physicians, but due to living in remote areas where the amenities of medical care were not available or because of lack of money to pay professionals. Even my maternal grandmother who lived in Houston, Texas gave birth to all of her children inside her home with the aid of another woman who knew how to deliver babies. When two of those babies become quite ill, my grandfather leafed through books to determine how to make them healthy again. Sadly his research did not help and they both ended up dying. When I learned of their symptoms I was reminded of my one of my daughters whose allergies were so severe that she was often unable to consume food without regurgitating. The wise counsel of her doctor brought easy, but somewhat expensive relief. I doubt that my grandparents had the good fortune of insurance to cover the costs of making their babies well like I did, so they did their best with what little funding they had.

My paternal grandfather’s mother died in childbirth and he ended up being raised by his grandmother who lived in an unnamed area of western Virginia. She had a knack for creating medicines and poultices, and according to my grandfather, people came from all around to consult with her regarding various medical problems that they incurred. They often called her “Doc Reynolds” because of her knowledge of how to use plants to create medicines. Of course when small pox infected the place where my grandfather lived the people in the village found a bonafide doctor to care for them until they had either become well or died.

My paternal grandmother often spoke of members of her family having “gut trouble.” They obviously had terrible bouts of heartburn and used vinegar and pickle juice to ease the gnawing pain of their affliction. Eventually many of them died from intestinal disorders, just as my grandmother eventually did. As someone who regularly has to visit a gastroenterologist I am grateful that my own “gut trouble” is aided by a professional who guides me through the ups and downs of my ailments. 

I have to think that perhaps my folksy ancestors might have become educated medical professionals themselves if given the opportunity because there are rather large number of doctors and nurses and scientists on the branches of the family tree descending from them. I like to imagine that they learned in the school of experience and by dent of their observational powers. Now their kin is using similar talents to make a difference for their patients. I suspect that they would be particularly proud to see how far we have all come from the days when they had little more than their wits to keep them safe. 

Sadly my paternal grandmother ignored her symptoms of colon cancer for too long, believing that they were simply par for the course in her family. By the time her disease became so unbearable that she sought the advice of a doctor there was little that he was able to do to save her. She and my grandfather moved from their farm back to the big city where care was only a short drive away. She spent her last weeks in horrible pain while my grandfather attempted to keep the two of them from going bankrupt in a time when there was still no Medicare. In the end she was gone and he was destitute. 

We have come a long way even from the middle of the twentieth century when my grandmother died. Medical care is more advanced than ever and elderly citizens have the advantage of Medicare or Medicaid. Still, there are medical deserts in rural areas where citizens have to travel long distances for care. In spite of our efforts to create affordable care for all Americans there are still those who do not have medical insurance. Additionally, there are far too many people who seem to prefer to find remedies for their ailments from the Internet rather than deferring to the expertise of doctors. Many of these souls needlessly die because the availability of help from our healthcare system is still in need of repair. 

I am quite proud to know a remarkable woman who is leading efforts to bring medical care to even the most remote corners of our country. It is her holy grail to reach those who are in dire health situations with no place to go. While her work has caught the attention of important supporters, there is still so much to be done that I wonder if she sometimes feels overwhelmed. Vast swaths of the United States are devoid of even the most basic staffs of doctors and nurses.

Generally those of us who have adequate medical care tend not to think much about those who do not. Often we find it difficult to relate to someone who lives on the razors edge without health insurance or savings to cover medical emergencies. We make assumptions about such people that are not always true. We point to different government programs and insist that nobody ever goes without the necessary treatments that they may need. In truth, that is simply not the case. There are still far too many people in our country who rarely frequent doctors because they simply do not have the funds to do so. They ignore symptoms or self treat them until they become seriously ill. This is especially true in rural parts of the country and among workers whose jobs do not include benefits. 

I don’t know the answers to this problem, but I do know that we should not pretend that it does not exist. We send medical missions to poor countries, but not so often to places to people and places in America where the most basic care is difficult to find. Perhaps we need to be more honest about the tragedies that occur in our midst because we are unwilling to consider measures that would help.

When I hear people complaining about Medicare I think of my grandmother and grandfather whose lives were upended because she got terminally ill before the passage of that landmark bill. I wonder how many people’s lives have improved because of the Affordable Care Act. I understand that we have still not perfected the ways of getting care equitably to everyone. I realize the fears that providing universal medical care to all may endanger the good plans that people already have. Surely we are an intelligent enough nation that we can design a system that works for everyone without degrading the quality of our healthcare system. Nobody should have to rely on folk medicine in the twenty first century and there should be no medical deserts anywhere. Investing time in making our system even better should be a crusade for everyone. Better health will lead to a better, more productive nation.

My Grandfather’s Dream

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My maternal grandparents came from what is now known as Slovakia. I never had the pleasure of meeting my grandfather, Pavel Dusan Uhrik, who had changed his name to Paul D. Ulrich after arriving in America. Grandpa Ulrich died only months before I was born, but my mother often told me stories about him. What I gleaned from her memories was that he was a hard working man who was proud of his Slovakian heritage and the freedom that he had found in America.

My grandfather arrived at the port of Galveston, Texas shortly before the beginning of World War I. At that time Slovakia was not yet an independent country. The people there lived under the thumb of Hungary which was part of a vast empire known as Austria-Hungary. The Hungarian government believed that unifying all of the diverse regions would only occur if everyone officially spoke the same language and learned the same histories. That meant that my grandparents’ native language of Slovak was not allowed in schools or the public square. There was a determined effort to eliminate differences and even cultures. 

My grandfather was fiercely opposed to such measures and he worked hard to earn passage to the United States and the freedoms for which he longed. Back then he only needed to show up in the USA and he was allowed to stay. He came first, without my grandmother, to find work and plan for her arrival as well. He quickly found employment doing hard labor on farms, in lumber forests, and wherever else there was work. A year after he came to America he had enough saved to send for my grandmother. 

The two of them settled in Houston, Texas. They first lived in rented rooms, but my grandfather saved judiciously until he was able to purchase property just east of downtown. On that site he paid cash to build a home room by room until he and Grandma were able to move in with their rapidly growing family. Grandpa would find work at the Houston Packing Company, cleaning up the room where meat was butchered. He would work there for the remainder of his life, riding a bus each day wearing a suit with great dignity. Upon arrival at work he would change into overalls more suited for the back breaking labor that he performed. 

Each Friday my grandfather stopped at a book store where he purchased books of all kinds written in English. He also visited a bakery to purchase bread for the family. He built a library filled with titles that spoke of his dreams of one day owning a farm in the country. Until then he purchased a cow and grew vegetables in his backyard. 

On Sundays Grandpa required his children to listen to news programs and speeches from the President of the United States on the radio. Afterward he would instruct them on the challenges of remaining free and insist that they demonstrate gratitude for the lives they were able to have in America. They were poor, but they had opportunities that would have been denied to them in my grandfather’s homeland. Nonetheless, he loved the land of his birth and hoped that one day the people there would be independent and free to determine their own destinies and celebrate their unique culture. He made it clear that his children should always be proud to be Slovakians. He felt that joining his people with Czechs to form Czechoslovakia after World War was a mistake drawn from the belief that there was no difference between the differing people or their languages. He often emphasized to his children to remember that they were not Czechs as so many called them.

My mother often spoke of how sad my grandfather became when Hitler invaded Czechoslovakia. He wondered if he would ever see his country free like America. When World War II ended with victory for the allies he saw a thin line of hope, but that was soon dashed when Russia intervened and made that country part of its Soviet regime. My mother always believed that the bitter disappointment of watching his homeland being conquered once again brought on the stroke that killed him before he was even able to retire and create his farm. 

I have often thought that my grandfather would have been quite happy had he lived to see the country of Slovakia eventually find its own identity and independence. In fact, he would have been pleased to see so many countries with a history of domination forming their own governments and celebrating their own languages and cultures. While he had totally devoted himself to being fully American, complete with insisting that his children speak English just as he did, he reveled in knowing that his way of living and believing had been his choice, not something forced on him by empire builders.  

Since the beginning of the invasion of Ukraine by Russia, I have thought constantly about my grandfather. I look at the map and I see Slovakia on the western border of Ukraine. I hear the voices of the Ukraine people insisting that they do not want to be a satellite of Russia. They boast of their freedom and their intent to protect it at all costs. In their voices I hear my grandfather’s voice. I viscerally understand how important it is to them to protect their country from ever again being nothing more than an annexation to another power. I realize how much it means to them to be free from a dictator who dreams of a glorious return of the USSR. 

I have been greatly involved in following the war between Ukraine and Russia. I search the news as soon as I arise each morning. I check for updates all day long. I pray constantly for the people there. I think of my grandfather and feel that through him I have an idea of how important it is to the people of Ukraine to save their identities as free people. My heart crumbles at the sight of destruction, death and separation that has been forced on them by Putin. I stand with them knowing that there is so little that I might do to help them. Contributing money for medical and food supplies and praying seem to be the best I can do, but I can also use my voice to keep their plight in the forefront of our thoughts. With the story of my grandfather perhaps I can make what is happening there seem more real, more human, more important. 

Pavel Dusan Uhrik sensed that he had to leave his country and the people that he loved. He spent decades hoping to see his motherland free from despots. He never got that chance but the dream of it never died. It lived on in my mother, his youngest child. She had seen his fervor, his love of freedom and she knew how much it meant to him and to all of the conquered people who labored under the yoke of the Soviet Union until the end of the twentieth century. She taught me those same lessons and I feel certain that none of those citizens who have been pawns for so much of history ever wish to be dominated again. It’s up to all good people across the globe to make whatever sacrifices needed to foster the cause of Ukraine and any place on our planet where people cry for freedom. It was my grandfather’s dream and now it is mine.

No Excuses

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I have had many students who foolishly engaged in bad behaviors that could not be overlooked. One of my favorite young men disappointed me greatly when I learned that he had been stealing from other students and from the school. The revelation of his crimes came just after Christmas one year when another student came to ask me for help in finding a phone that he had received as a gift during the holidays. It had been quite an expense for his parents so he was notably upset that he had lost it so soon. 

I addressed the other students about the issue and urged them to help find the missing phone. I tended to believe that the owner had simply left it somewhere. I was not quick to think that somebody had stolen it, but I would soon be proven wrong. The brother of the student whom I liked so very much, brought the phone to me asking that I not delve into determining where it had been. His nervous behavior made me suspicious, and as I pushed him to provide me with more details I learned that he had seen it in his sibling’s room. Further investigation revealed that the phone was only one item of many that had been stolen over time. I almost cried as I told the principal of the school what I had learned because I knew that the student in whom I had put so much faith had let us all down and would have to face the consequences. 

I vividly remember sitting with the student turned thief while we both waited for his mother to come to the school for an investigation into how deep his crimes had been. He was crying in fear of what was to come while I sat silently. Eventually he blurted out that he knew that I now hated him in a voice that sounded like a wounded animal. I was able to truthfully tell him that I would never hate him, but that I genuinely hated the actions he had chosen to take in stealing repeatedly. I was willing to forgive his transgressions, but not to excuse them. 

I fear that in our society we too often mix up the concepts of forgiveness versus making excuses for bad behaviors. We let people off the hook when they have been hurtful or dishonest by mouthing excuses for what they have done. If we love a sinner, we hold them responsible for their actions because of that love. 

For several years I worked in a school whose mantra was “No Excuses.” I learned that even that idea was somewhat flawed because the reality of life is that there are indeed situations that are not so clearly black and white. A student whose parent died certainly had a valid excuse for not being up to par. A teacher who had a wreck on the way to work needed to be excused for being late. In fact we have all had moments when we let someone down because of overwhelming circumstances in our daily lives. 

The idea of having no excuses actually applies to long term use of rationalizations of bad traits. An unwillingness to change or work hard or do penance simply because of bad breaks does not give someone a get out of jail free card. Sadly our society today sometimes gives the impression that with enough influence even egregious deeds are justified.

We have glorified bullying, violence, even treason and explained it away by twisting common sense in many, many cases. If we like someone we too often look away when they do wrong and explain away their misdeeds by insisting that everyone is doing such things or that the person was pushed into the situation by circumstances. We make too many weak excuses for behavior that everyone knows is bad. 

There is an unevenness in our sense of justice these days. Little wonder that young people are sometimes confused. They see a kind of hypocrisy in how we defend some and deride others. The inconsistency of our reactions to different people’s infractions makes it difficult to teach children the lessons of being responsible for their actions. They misinterpret our excuses for obviously egregious actions as permission to push the envelope of right and wrong. 

Our children are watching us support violence from one group of people but not another. They hear us excusing untrue or insulting comments as long as they align with our own desires. We seem to have tossed our metrics for accountability aside in favor of cult-like support regardless of the situation. No society can survive in such an environment. We have to be clear that there really are red lines that nobody should cross no matter how much we love them. 

I still love my student who stole from others. He paid a heavy price for his indiscretions. In the end he did not attempt to make excuses for what he had done. He learned the important lessons that he needed in order to find a place in the adult world. He is doing well today because the adults around him cared enough to insist that he understand the wrongness behavior. They crafted a fair punishment for him while also reminding him that forgiveness was part of the ultimate equation. We would all be better served if we quit making excuses and learned how to lovingly hold people accountable when they stumble and fall. It’s time that we demonstrate fairness rather than hypocrisy. Some actions and some people do not deserve our excuses. Some should have our honor and support because they are doing what is right. We must stop judging situations or people with our own prejudices. The children are watching what we do.

Nature Is Calling

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Every spring when the first buds appear on the trees and the doves return to my backyard I am filled with an overwhelming sense of joy. Winters are difficult for me when the days stay grey and dreary. I need sun to boost my mood. I don’t mind the cold at all. In fact I prefer it to heat, but I can’t take too many days filled with gloomy skies. The early spring where I live resurrects my optimism every single year. 

By the middle of March the roses that I pruned in February are sprouting with a profusion of new leaves and sometimes even a bud or two. My amaryllis bulbs begin to push flower filled shoots up from the ground. My azalea bushes fill with incredible blooms. Even the stray bluebonnet plants that I grew from seeds one year give promise of lovely blue flowers popping up in my garden. Then there is my Peggy Martin rose, a true survivor grafted from a plant in New Orleans that came back to life after standing in water for weeks after hurricane Katrina. Peggy wins the prize for demonstrating the promise of new beginnings every single year.

The first blush of spring is cool in the early mornings. I don a light sweater as I sip on my tea and relish the fact that I no longer have to rush off to work the way I did for most of my life. I like that I can take walks and pull weeds without getting hot. The weather here is perfect for me and I spend as much time outside as I am able. I know that soon summer will encroach on my comfort with a sun that burns my skin and heat that saps my energy and enthusiasm. I embrace spring with every ounce of joy that I possess because it will be lovely but brief. 

It won’t be until the fall that I feel such unadulterated joy again. The crispness of cool days returns just in time for me to prepare my beloved garden and my potted plants for the winter. Everything begins its hibernation and moves from lush to almost barren. The great sleep of nature is heralded by falling leaves, changing colors and grass that is alive, but not growing. Fall is harvest time when oranges and pumpkins are plentiful. Nature gives us one more chance to really enjoy its glories before the frosty mornings take command. 

I love the fall almost as much as I do the spring, especially when I get to travel to places where the colors of October burst forth in shades of red, yellow, orange and gold. I like donning my boots and making pumpkin bread and apple pie. It is a time for celebrating the birthdays of my two sets of twin grandchildren and for becoming another year older on my own birthday. Fall is about Halloween and the Houston Bulb Mart where I purchase new plants that will take root and then burst forth in glory in the spring. Autumn is a slower time when I pause to give thanks, gathering with my family around a table of plenty.

It’s difficult for me to choose one season over the other. I get excited with each spring and each fall. It is summer and winter that leave me longing. Summers here are so hot that they sap my energy. I can only spend so much time outside in the heat before I need to take refuge. The only thing that I have ever loved about summer was having a long vacation from the school year when I had the time to read books chosen by me rather than my teachers or bosses and I had the luxury of sleeping in and taking naps. 

Now that I am retired, summer holds nothing special for me. I can vacation any time that I wish. I am the master of my own schedule. Summer taxes my plants that whither as much under the heat as I do. My time outside is limited by the temperatures that race toward triple digits. Not even the children in my neighborhood venture outside, choosing instead to meet and play in air conditioned rooms. Summer feels stifling to me.

The winters here are mild compared to other places. There are days when we are able to venture outside in shirtsleeves. Freezes and snow are rare, but we cheerfully don our boots and act as though we need heavier clothing that never seems to wear out from lack of use. For a time the Christmas season keeps me filled with joy, but then January and February steal the pleasure with their shortened days and their scarcity of sun. I often feel that we humans might be happier if we simply surrendered to being dormant like the rest of nature is. A long hibernation seems the natural thing to do.

So spring and fall are the winning seasons for me. I have noticed that most people choose spring and summer as their favorites, so I suppose I’m an outlier in my tastes. I know what makes me happy and luckily the earth’s revolution around the sun perks me up just when I have grown weary of summer and winter. For now I will enjoy the spring with every bit of time and enthusiasm that I have. Nature is calling me and I must go.  

Magic

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As a child I loved watching magicians perform on the old variety shows that were so popular on television. Some of the truly great acts were featured on the Ed Sullivan Show and now again they would pop up on other programs as well. Back then the tricks were mostly sleight of hand, with a few disappearing assistants, and sometimes the horror of sawing a box in half with a person inside. I was fascinated by the doves that would seem to come from nowhere and the card tricks that made the performers seem like mind readers. 

There was a Christmas when one of my brothers got a box of magic tricks from Santa. He practiced so well that he was able to fool us for a time, but eventually we caught on to how he was tricking us. There was also a kid from the neighborhood who worked part time as a magician at parties. He had a black suit, a top hat and a cape that his mother made for him. He was actually pretty good for someone so young. 

It seems like one has to travel to Las Vegas to see a magician these days. I haven’t noticed one on television for years. A nephew usually invites a magician to his parties and that is alway fun as well. Mostly, though, the big time magicians have expensive props and tons of smoke and mirrors that somehow make their tricks less exciting than the more simple ones.

Not long ago my husband and I watched a master class on magic featuring Penn and Teller. It was fun to see them revealing how to perform some fairly simple tricks. It took me back to the days when my brother practiced his feats on us. I found that the big secret is in having long and flexible fingers and knowing how to switch the audiences’ focus from what is really happening, talents that are not exactly my forte. 

Of course there is no real magic, at least not in the purest sense of the word. Everything is an illusion, a trick perfected by hours and hours of practice. it takes a special person the be dedicated to doing something that in a sense usually ends up being little more than a hobby. The possibility of actually becoming famous and making a career out of being a magician is undoubtedly small. 

If there really were such a thing as real magic, I would want to make war and hate disappear from the earth forever. Given that not even Jesus was able to do that I understand that such evil is here to stay, but I just do not understand how it breeds in so many hearts. Are people born that way or is it created in them through abuse and trauma? Why do humans have a violent streak? We don’t seem to start out that way as infants, but somewhere along the way it begins to creep into some souls. 

I’m taking a class on the last of the Russian Czars. Ironically I signed up for it before Christmas but it has been fascinating to learn the history of that country that very much plays into what is happening there today. Russia has always been a vast land that somehow was unable to decide if it was more European or Asian. The Czars were the head of the Christian Orthodox Church and they were believed to have been chosen by God to watch over the country. While Russia has a vast coastline along its northern border the freezing temperatures of long winters made them landlocked for many months of the year. It became important for them to command areas along the Black Sea which did not freeze in the winter. Dominating real estate there made it possible to engage in trade all year long. To the Russian people it was their right to conquer and move farther and farther west. Thus Czar Alexander I was heralded as a hero because of his military victories that made Russia an important nation in Europe. 

Sadly the land in the present day countries like Ukraine, Poland, Slovakia, the Czech Republic have been fought over for centuries. They have been claimed as pawns over and over again with Russians in particular believing that those places rightfully belong to them. Many a battle has left blood in those places and a wounded population longing to be free. 

Perhaps more than magic I long for miracles. Somehow I would like to see humans transformed into the very best versions of themselves. That often happens indeed in the people that we call heroes. Why it can’t change everyone is one of the saddest things to me and the reason that I enjoyed teaching so very much. I was able to watch young men and women becoming very good people who are contributing magnificently to the betterment of the world. Perhaps that is the magic trick that will ultimately save us all.

I often wonder what might have happened if the worst villains in the history of the world had been influenced to be good rather than despotic and bloodthirsty. I know that such things have surely happened without sleight of hand or trickery. The real wizardry in this world is in guiding our young to be fair, compassionate and kind. There is magic in making that happen.