Sunday, December 25, 2011

Paramedichron #10

"Apologies"

I imagined more frequent updates to the Paramedichron, but time and motivation have both been lacking for the last couple of months.  Which is too bad, because there has transpired much that warrants explanation and elaboration.

Thanksgiving came and went in a flash.  We were spared the day from riding the rigs, which, in hindsight, was no great gift.  Riding the rigs, and making Paramedical decisions, are the cornerstones from which this program has been, like an enormous house of plywood cards, structured.  The academics are primarily a vehicle by which disorganization and chaos can be levelled upon us eighteen.  The tests sneak up upon us, and cover material that are typically only hinted at through vague insinuation and long lists of diverse topics on the whiteboard. There is a small amount of winking and nodding on the specifics of certain test questions that might not have been fully explored in our classes, and, for the most part, everyone does OK on the tests. 

The uniform for Paramedic Training is white, poly-blend "Smock" that is slightly similar to a lab coat or the longer mantles worn by residents and other doctors in training.  Every so often, I am assigned to spend a shift - perhaps an entire long night - in the ER, and in the course of those fourteen hours, I am constantly, maybe desperately, called "Doctor" by patients who want to get the hell out of the ER, have their restraints loosened, or otherwise have answers to question that I cannot possibly provide. 

The Smock is a source of certain pride, in that being at Harborview, to receive this world-renowned Paramedic Training, is an honor and privilege.  The Smock opens doors, lends a credibility to well-intentioned efforts on our collective parts, and identifies us as participants in a medical tradition of ignorance, faith, and patience.  This Smock of white, coupled with a cardkey badge that opens almost any door, ushers the motivated paramedic student into educational and medical opportunities that are the envy of other, lesser paramedic schools. 

There are three previously-trained paramedics in our class - people with established careers in paramedicine - who recognized the quality of the education to be received at Seattle Medic One and Harborview, tested for the opportunity to go through this training (sometimes repeatedly), and are (re)learning beside the rest of us, sharing their wisdom when possible. These three intrepid men inspire me, and their commitment to being a better paramedic humbles me.  Our bleached and pressed Smocks are our admission of submission to the (sometimes inscrutable) process that generates Copass paramedics.

The Smock, however, is also the shackle by which we eighteen are chained to our Faustian education. The Smock is exposed to pathogens, bodily fluids, odoriferous bacteria that thrive on the drench of fearful, cold perspiration, and must be regularly washed and ironed smooth.  They are a robust garment, possessed of five capacious pockets, typically stuffed with the cheat sheets, IV catheters, gloves, masks, pens, nametags, and any other reference materials that will fit, all of which serve to allay the insecurity that accompanies the dispatch to the address of someone in need. 

Every ten days or so, I get a couple of days off the rig, with no classroom obligation, and I make a beeline for the Rancho Ballardo, six or seven miles distant from the apartment (known as the Valle de Cula - ONE block from Harborview) where I spend most of my time. That the most-recent two days should coincide with Christmas is another example of the inexplicable luck that I have enjoyed my entire life. I was able to spend Christmas Eve with Lisa's family and Grandmother (it may very well be her last Christmas). 



The Valle de Cula has an over-priced washer and dryer in the basement, but, so far, I have been able to lug my laundry home to Ballard every week or two.  Remembering the copious amount of crap stuffed into the sundry pockets of the Smock, picture the ritual of removing the contents of those pockets and preparing for the next Smock-donning.  I usually build a small pile from the items removed from the my Smockets, to be reassembled in and on a freshly-laundered Smock.  Envision also the hurry and frenzy of gathering a load of laundry prior to the paramedic student equivalent of shore leave, and you might appreciate how an errant ballpoint pen might slip through the cracks.  This oversight was only discovered after washing and DRYING a load of whites, including the twenty socks worn over the last week and half, and TWO smocks.   

Fuck.

Paramedic Training provides three smocks for the acolyte, but I was lucky enough (again!) to inherit one more appropriately-sized Smock from an EFD brother who attended last year.  That leaves me two Smocks if I can't eradicate the ballpoint ink from the polyester-blend fabric from which the cursed garments are constructed.  At this point, I have soused the ink spots on the cleaner Smock with a 91% solution of rubbing alcohol (which is very handy at dissolving ink)  and washed once.  It came out cleaner, but with a few trouble spots.  I doused it again, and it is back in the wash.  Time will tell.

Let's add a small layer of complexity to this situation. Perhaps I am scheduled to be at the University of Washington Hospital Labor and Delivery tomorrow.  Perhaps at 0600 hours. I have a spare Smock, but it is in the Valle de Cula, and I am hunkered down, resting my brain for the next 24-hour shift.  Remember Johnny Mac, the driver?  He's on duty tonight, but he has left the Valle de Cula unlocked so that Lisa might swing by and grab a clean smock for me.  Does this sound like a complicated Black Forest Cuckoo Clock, with many moving parts?  Time will tell, but I wager some measure of currency on my persistent good luck. 

It all works out.

I have an unoccupied house for rent in Shoreline.  Good luck will carry me.  I know it.  It all works out.

Saturday, October 29, 2011

Paramedichron #9

Making Me Crazy, This iPad

Sung to the tune of Killing Me Softly With His Song, by Roberta Flack
Reacquaint yo'seff with Roberta's sound here:
http://www.youtube.com/watch?v=DtW29oTp5cE&feature=related


Jabbing the screen with my finger,
Keeping my life deep inside,
Making me crazy, this iPad,
Making me crazy...
This iPad
Holding my whole life a hostage
Making me crazy...
This iPad


I saw the advertisements;
I know the Apple Store.
But when it was handed to me
I expected more.
And there it was, this new toy:
The answer to our prayers


Stabbing the screen with my finger
Hoping my life's still inside
Making me crazy, this iPad
Making me crazy...
This iPad
Holding my whole life at gun point
Making me crazy...
This iPad


I felt a rush of panic,
was scared - a little bit.
I felt set up to fail
with Apple's piece of shit.
I prayed the Lord to take me
or smite this damned tablet!


Poking the screen with my finger
I stored my life deep inside
Making me crazy, this iPad
Making me crazy...
This iPad
I've got my whole life on that thing
Driving me crazy...
This iPad!


I think that if you knew me
You'd see it isn't fair.
The absent keyboard threw me,
and there's no harddrive there!
And all my tests are on it -
And all my fucking books...


Hitting the screen with my forehead
I'm doomed - my life's locked inside
Making me crazy, this iPad
Making me crazy...
This iPad
I placed my trust in that damned thing
Driving me crazy...
This iPad!


Oh, oh oh , la la la etc etc etc.


Tapping the screen with my finger
What's going on deep inside?
Making me crazy, the iPad
Making me crazy...
This iPad
We should have all got an Android
Driving me crazy...
This iPad!


I was touching the screen
Yeah, it was smashing my life
Making me crazy - this iPad
I'm going crazy...
This iPad!
Holding my whole life at gun point
Driving me crazy
This iPad!

Sunday, October 16, 2011

Paramedichron #8



P.M.T. Washout

PMT is the TLA (three letter acronym) for Paramedic Training at HMC)
(Sung to the tune of "Beauty School Dropout" from the musical Grease)
If you forgot the tune

Your story hard to hear,
We still can smell your fear.
Don't know how to feel since they took away your smock!
Your future's so unclear now,
What's left of your career now?
Can't even make a payment on your truck!

MAs and Nurses: (La lalala lalala lalala...)

P.M.T. Washout,
No intubation count for you.
P.M.T. Washout,
Killed the manikin with your tube!
Well at least you could have taken time, to disinfect your hands,
After having your department spend more than a hundred grand!

Brother start packing (brother start packing)
Why are you sitting on you ass?
You took a whacking (you took a whacking)
You know you're not the first half-fast!

If you drove on out to Central, you could spend your own money.
Hand in your name tag and your iPad, E M T

P.M.T. Washout (P.M.T. Washout)
Hanging around the classroom door.
P.M.T. Washout (P.M.T. Washout)
You don't have the code any more!

Well they handed you an eighteen gauge,
Didn't know when to stop trying,
And your patients couldn't answer you - when they were busy dying!

Just say "Whatever" (Whatever)
You are probably better off
Never say "Never" (say Never)
That scratchy Nomex, you can doff.

Now your feet are sore, there's the door, and engines four or three...
Hand in your name tag and your iPad, E M T

Buddy, don't blow it,
You've got nobody else to blame.
Buddy, you know it,
Even Dan Savage 'd say the same!

But I kid you not, you had your shot, how bout a cup of Joe?
Gonna be snoozin', in some station, where it's slow!

P.M.T. Washout (P.M.T. Washout)
Still an E M T
P.M.T. Washout (P.M.T. Washout)   (fading...)
Still an E M T
P.M.T. Washout (P.M.T. Washout)
Still an E M T
P.M.T. Washout (P.M.T. Washout)
Still an E M T



Wednesday, October 5, 2011

Paramedichron #7

Bleary eyed and a little nervous, we arrived early and milled around outside the Paramedic Training classroom. We were uniformly dolled up in our freshly-pressed blues and the trademark white labcoat officially known as a smock. Even though we had spent the last two months studying Anatomy and Physiology together, meeting nine Tuesdays in this very classroom, donning the schmock changes everything. This endeavor has suddenly become very real, and the next ten months are invisible in a fog of ignorance, like an unknown wilderness.

Our morning was filled with portentous introductions and tradition dimly recognized. We eighteen have tromped in polished duty boots into a hallowed institution, with a history and culture we may not fully understand. There are labyrinthine rules for situations unimagined and undesired. We were told, in no uncertain terms, to not fuck up so as to damage the Medic One organization, nor to have "relations" with the nursing staff, but I repeat myself. Our immunization records were examined and a TB titer test bubbled under our epidermis with a hair-thin needle by a cheerful Harborview nurse.

After a brief lunch, we were inducted into the realm of high-performance CPR and required to perform two minutes of flawless compressions. For some, this took a single effort, but there is always room for improvement and the profficient were told they could improve. Soon we were all dripping sweat inside our schmocks, and the stink of fear and damp synthetic fabrics funked the room. It didn't take too long to get everyone through their requisite flawless demonstration, and we were rewarded with (we were told) a rare attaboy.

The remainder of our inaugural day consisted of a primer on the iPad tablet, which forms a cornerstone to our curriculum. Some setup, some basic hands-on, and the clever little widget is ours to command. It has its limitations, and compared to my Linux netbook, it is a pretty toy, lacking in horsepower and memory. At twice the price. But in deference to Steve Jobs, (who passed away today), I tip my hat to the genius of the robust hardware, the simple interface, and the ruthless marketing that has made an over-priced hardware monopoly into a hipster fashion trend. In concession to the device, I am composing this Short Report on the cursed gadget with insignificant difficulty and complaint.

The apartment (a modest flat we call the Valle de Cula) is only a block away, and it is a luxury to have a bed, bath, and kitchen so close to where we will spend the better part of the next ten months. Two classmates share the space with the Driver and me: A young man from Port Ludlow, and another from Port Townsend. We walk together after class, each quietly processing the events and information from our confusing and overwhelming day.

A couple beers, a call to the wife, and it's about time to hit the rack. Friday night I will be on the medic unit (doing I don't know what) until 0730 Saturday morning and all day Sunday. I have nothing to read, and the more rest I can bank, the easier the long shifts will be.

I have worked for this for years, and it is amazing to finally be here.

Friday, September 2, 2011

Paramedichron #6

I don't know what civilisation consists of, but I know it when I see it.  - Sir Kenneth Clark

In the fifteenth century, in Florence, Italy, a prosperous family took to investing heavily in the arts.  The House of Medici not only acquired masterpieces with their vast wealth, they also patronized artists whose names you now know as the Ninja Turtles: Raphael, Donatello, Michelangelo, Leonardo.  Galileo Galilei was also on the payroll as a tutor to the Medici kids, until the Inquisition made it unfashionable to contradict Catholic orthodoxy.  Even so, the Medici family loyally protected him for years after.
Among the beautiful architecture funded by the Medici family is the Uffizi, a palace originally meant to house the offices of Florence (Uffizi = Offices).  It now enshrines the Uffizi Gallery, one of the oldest and most famous art museums of the Western World.
How I found myself in Florence is a tale of luck and warped priorities, best left for another time.  Suffice it to say, that, after several amazing weeks, divided between Provence and Tuscany, in my last 36 hours, I could not marshal the energy to ride a train 175 miles roundtrip to see the marvels of Roma. I had arrived in Florence (concerned primarily with my departure from the local airport), checked into the Hotel Arno Bellariv, drained the mini-bar, perused a local attractions leaflet and was seized with the possibility of visiting some big-damn-deal museum in the last hours of a Saturday night. The next day I would fly away.
Imagine a warm and muggy August night, in the ancient and hallowed hometown of the Renaissance.   Imagine also that the sky is pregnant with the promise of precipitation, and the flagstones are still damp in places from earlier showers.  You best enter the Uffizi from the river side, via the arches beside the road fronting the Arno River, the Lugnarno Diaz.  A long narrow courtyard, flanked by arched alcoves housing marble and bronze masterworks of sculpture, funnels you to the entrance.  In the high season, the Uffizi is typically a several-hour wait for the unprepared and unconnected tourist.  At five in the afternoon, so close to closing time, the line was a mere thirty minutes.  I gawked, agape, at the public art of the courtyard, some ancient, others modern, a perfect appetizer for the indulgence ahead.  A soul-stirring violin quavered from some shadowed and echoing hiding spot.  Several times, I felt my breath catch in my throat in stifled sobs of ecstatic joy.
I paid a discounted fee for my late and necessarily abbreviated visit, and when I finally stepped through the doors, I had just barely more than an hour until the museum closed.  I adopted a strategy of trotting between galleries and scanning the walls for any famous paintings or sculptures to which I had been exposed in my sheltered middle-class suburban upbringing.  Either my education was better than I give it credit, or the Uffizi just has so many important works of art, but I found something I knew in practically every nook of that beautiful museum.  Even the ceiling is papered with amazing renaissance artworks.  I’d try to lay my eyes on everything in an area and then I would have to move on. 
It was heart-breaking and exhilarating and frustrating and mind boggling.  With so much history, and so many important artworks in that museum, I still feel like I disrespected the original Medici bequest and short-changed myself in the process – insult heaped upon injury.  Ask me now what I saw and learned on that brief, magical evening in Firenze and all I can do is point to the familiar images in the souvenir guidebook I hastily grabbed in the gift shop.  But I try not to forget. 

And THAT is exactly what it’s like to take Anatomy and Physiology in eight weeks.

Paramedichron #5

We're coming into the fifth week of the summer Anatomy and Physiology class, and the subject is the integration of somatic and autonomous neural activity in the nervous system. 

I know.

In simple terms, what you want to do (or don't consciously know that your body wants to do) travels down the spinal cord from the brain or associated structure (descending neural fibers), and information from receptors travel up the spinal column, to the brain stem or your consciousness (ascending neural fibers).  Sometimes, in the case of  a stimulus interpreted as threatening to life or limb (such as grabbing the hot handle of a pot of bubbling spaghetti sauce), before you are even aware that you did something superlatively silly, an interneuron in your spinal cord fires a quick signal to a muscle to contract and, hopefully, pulls your hand to safety.  Then your conscious awareness gets the signal, and you spout some profanity and/or obscenity, while you run your arm under cold water. 

It's truly amazing, but if you've ever done it, odds are split that you might inadvertently slop some boiling tomato concoction on your tender forearm. Which isn't all bad, in that other mechanisms in your central nervous system etch that experience in the neurochemistry of your brain, and maybe next time you'll use a hotpad.  

Sunday, August 14, 2011

Paramedichron #4

Any sufficiently advanced technology is indistinguishable from magic.
- Arthur C. Clarke, "Profiles of The Future", 1961 (Clarke's third law)

I feel like I am attending Hogwarts School of Witchcraft and Wizardry, the boarding school attended by Harry Potter and his friends.  Or, more accurately, I am satisfying the prerequisites necessary just to pass through the huge carved wooden doors.  Either way, the concepts and mechanisms revealed in this abbreviated summer course of Anatomy and Physiology are fantastical and amazing.

Every week, we have a reading assignment and a quiz.  The readings started with a linear march through sequential chapters, but by week three, we are hopping around the thick book, at the fiat of our instructors.  The book is heavily cross-referenced, which serves to make the daunting information slightly less unintelligible.  Getting this information to stick in the network of synapses and neurons between my ears demands a full scale assault on the facts and concepts, with hand drawn diagrams, copious highlighting, and repeated visits to an equally fact-dense website.

We eighteen "anointed" (in the wry words of the venerable Dr. C.) come from a variety of Washington state agencies, with a few lucky extra-state candidates who tested into the South King County Medic One program.   Most us are also on duty in our departments while taking this "online" course.  In round numbers, in addition to the standard forty-hour work schedule, our studies require another forty.  This has caused no small amount of strife between unions, administrations, and Dumbledore.  There is a weekly study session, described by the Paramedic program as optional, consisting of test review and lecture.  That no one voluntarily misses this opportunity for face-to-face contact and clarification from the instructors speaks to the notion of option

The Driver, in addition to studying and working, spent the first two weeks in the throes of moving.  He rented out his house for the next year or more, to live in the apartment provided by our Department.  I plan to bivouac in the flat as necessary, making strategic raids on the house in Ballard for domestic and marital reinforcement.  Two other paramedic students will co-habitate with us.

The assignment for week three included obtuse chapters on muscular physiology and the endocrine system. After investing two days in sarcomeres, I found the endocrine material particularly baffling. I was not alone.  During this difficult academic week, the Driver informed me that he had been squandering his days off solving a septic drain field problem at his rental.  In typical fashion, he shrugged it off with a resigned and ambivalent, "Whatever." 

I characterize the endocrine system as similar to the nervous system, but with carrier pigeons, spam email, propaganda, and pixie dust. Run by Kim Jong Il and host of crazy minions.  Of course, I attended the classroom session, but I needed to revisit the taped lecture more than once, annotating my notes in different colors each time.  I took the test Friday, confident that I had most of the arcana and minutia under, at least temporary, control.  Twenty-three questions, and almost nothing on the bulk of my concentrated efforts. 

We are entering a cave, perhaps a long and winding tunnel.  We eighteen are only a few steps into the cavern, and the air is warm, the floor and walls dry.  Ahead, in the murk, I hear dripping water, sloshing sounds, and the occasional scream echoing off the rough stone.  For the next year, it is going to consume our every waking hour, just to get to the end of the tunnel.  Behind me, I can hear birdsong.  The heady fragrances of blossoms and mown grass still swirl in the air, and the bright summer sunlight filters into the gloom.  The backwards pull of security and ease is still palpable.

I have worked towards this once-in-a-lifetime opportunity for years.  I expect to see, learn, and do amazing things.  I have heard tales of suffering and humiliation.  I am excited, but I worry about the unknown.  I have seventeen comrades in this adventure, and A & P is only the first challenge.

Sunday, July 24, 2011

Paramedichron #3

Consider the noble astronaut.

In the NASA space program, astronauts are selected from the ranks of extremely capable, intelligent, and disciplined professionals. In the early days of space pioneering, the hiring pool was primarily military, primarily pilots, primarily the best of the best. John Glenn, for instance, a decorated Marine pilot, was the first American to orbit the Earth, and returned to space at age 77 on the space shuttle, Discovery. In between his bookend space voyages, he managed to fill his time as an Ohio senator from 1974 - 1999. Neil Armstrong, the first human to walk on the Moon, was a test pilot, who flew the X-15 rocket plane to the very edge of the atmosphere, at an amazing Mach 5.74 (3,989 MPH). The X-15 proved to be a farm league for aspiring spacefarers. These men were undeniably the best of the best. Of. The. Best.

Today, in an age of almost-routine space flights, and after thirty years of shuttle missions, the pedigree of astronauts has blossomed to include geologists, climatologists, meteorologists (pick your favorite Ologist), teachers, researchers, and, as mentioned, a retired astronaut-senator. The shift from get-it-done, proof-of-concept space flight to nuts-and-bolts space science demanded a wide variety of educational credentials, in addition to the ability to function in a dangerous environment, under stressful conditions, and the ability to improvise and make critical decisions. Make no mistake - contemporary astronauts are still highly-trained primates in a rocket, but now they need to do more than just push the right button, at the right time, and not freak out. They have extra-primate gifts, talents, and training that benefit the goals of NASA, and, ultimately, all of the other primates down here on this globe, plus the other animals and plants that share this cosmic oasis.

While there is considerable status in being an astronaut, everyone understands that the mission is the priority.  Decisions about safety, weather, or equipment trump the personal aspirations of individuals in the program, and it's expected that if something goes awry, the launch may be delayed or scrubbed.  For someone who has devoted a considerable amount of their life to the barest chance of space travel, I can only imagine that such an occurrence is a crushing disappointment.  But the mission dwarfs the tiny (yet highly-qualified) monkeys that strap themselves into the seats of an immense and exquisitely exotic vehicle that roars skyward on a plume of fire, only to glide home when the work is done. 

The Driver and I have heard that there is a storm coming. There is no doubt that it will pass very close to the our launch pad, but we continue preparing ourselves, hoping that our launch will not be aborted.  We chat about the consequences of a delay in our launch window, hopeful that this is wasted conversation.  The storm will certainly impact our command base, but it is unknown whether the mission will continue, or if it will necessarily be affected.  We do not know.

We're buckled in, ready, skeptical, hopeful.  The countdown continues.

Thursday, July 21, 2011

Paramedichron #2

If your talk to a dietitian for any length of time about the American Diet, eventually the subject of nutrient density will come up.  The idea is that certain foods are nutrient-poor and that certain other foods are packed with vitamins and minerals.  Your goal, as a health-conscious American human, should be to maximize the nutrition of the foods you eat.  Sounds obvious.

Unfortunately, many of the toothsome items that we expect to be part of our day-to-day diet are packed with nothing but calories.  Evidently, you can apply the "yummy test" to any foodstuff, and if you really, really like it, it should probably be hidden on the top shelf, out of reach, out of view, or - better yet - left on the shelf at the grocery store.

Take, for instance, a cookie...  A delightful little nugget, consisting of sugar, simple carbohydrates, and fat, it offers little in the way of nutrition - even if packed with oatmeal, raisins, and nuts. It's a calorie bomb, specifically designed to tickle discreet receptors in our mouth and brain that respond to easy energy, a remnant of our hunter-gatherer origins. 

Once upon a time, buying groceries was extremely hard work.  Someone, probably the womenfolk, would have to traipse across the savanna, poking at the landscape, scratching in the soil, rattling the bushes, to fill the larder.  The menfolk, meanwhile, took part in ritual hunts that occasionally resulted in meat over a fire, but provided ample grist for tales of the One-That-Got-Away

Survival was hard, but evolution was kind, in time, to the early peoples who developed a taste for the sparse sugar or fat-laden "cookies" of the day.  Perhaps fruits, avocados, or rich fatty meats constituted the fortuitous treats to be had.  Regardless, our bodies evolved a mechanism that rewards calorie-dense consumption with a tiny chemical neurologic prize. Eat something sweet or rich, and you feel inexplicably good, even happy

I bring all this dubious anthropology up because I am suddenly immersed in studying Anatomy and Physiology.  The foundation of pending weeks of scholarship will be my understanding of basic biochemistry and microbiology.  I studied geology and chemistry in college, but I only have a sixth-grade biology education, which I dredge up from decades-old synaptic memories.  I am amazed that I remember anything, and, more amazing, is that what I remember is still relevant. 

The text I am reading, highlighting, and transcribing as notes, is nutrient-dense.  The information packed in its pages is the culmination of hundreds of years of scientific inquiry, and absolutely up-to-date. It is broccoli printed, bound, and delivered to my hands, and ultimately my brain. There is so much information on any given page that I frequently read it several times, before selecting the key facts that I will endeavor to commit to memory. I duplicate important diagrams and images, in the hope that recreating it will burn it into the fabric of my cerebellum. 

I am chewing, chewing, chewing, digesting the information with my note-taking hand, but the information is so mind-boggling, so arresting in its awesomeness, that I can't help but feel a tiny little tickle in my cortex, an electrochemical reward for understanding even a thin slice of our biological mechanics.  If I were a religious person, I would classify the feeling I get as reverent. As it is, the more I understand about the minutia of cellular biochemistry, the more dumbfounded I am. 

Life is amazing; learning is hard.

Friday, July 15, 2011

Paramedichron: #1

The Anatomy and Physiology course starts on July 26th. We have text books in hand, if not an actual syllabus.  We have met with the Honorable Doc, and he has drawn his private conclusions from the meeting - filed away, no doubt, only to be produced during our Most Heinous Moments Ever.  We know (approximately) Where to be, When to be there, and little more.  At least for Day One.

During the course of the pre-amble to this adventure, The Driver and I have been told many things, most of which have evaporated in a swirling cloud of vapor when exposed to department chiefs, critical examination, or the light of day.  As we approach the zero-hour of immersion in the first chapter of this endeavor, the tales that we have heard have crystallized into wishful thinking, best intentions, and tooth fairies.  These misunderstandings fall at our feet, singing like tiny shards of broken pane. 

The Driver and I discuss such matters; we share a jaundiced disappointment in the Bureaucracy, and a small disgust at the petty skirmishes that stand between us and our year of scholarship.  We look at each other, exchange silent nods, and turn our tired bodies back-to-back.

Our swords may be corroded, long un-used, dragging in their sheathes, but we simultaneously draw them forth.  Even so, they flash wickedly in the glare of this mid-July afternoon, his low, mine high.  At some unspoken cue, they align, extended and opposite to one another.  A biting reckoning awaits. 

We are ready.  We are in hostile territory. We are EFD.

Sunday, June 26, 2011

Like a Frosty Beer, But Completely Different


I must have been in, perhaps, sixth grade, and I was bringing a monstrous creation to life in the woods behind the Harvest Gold split-level on Willow Road. I had ached for a tree house my entire short life, only to move into a suburban, verdant neighborhood, with my own private Sherwood Forest. A perfect triad of hemlock trees waited in the back yard, beyond sight of the house, hidden by spirea and thimble-berries. Being an indifferent, under-achieving sixth grader, I had ample time for this project. The only obstacle to beginning construction was matériel.

Like a shed-roofed addition for growing family's house, Halley Plat was squeezed into a parcel of woods between the moneyed vistas of Edgemoor and Chuckanut Drive (well before it worms south and becomes the Most Scenic Highway in the world). Like the aforementioned domestic expansion, the craftsmanship of the modest homes being built there was slightly frantic.  Contractors steadily swarmed over foundations, erected studs, sheathed it all inside and out, and - Lo – a house popped into being, mushroom-like.

I made twilight visits to homes-in-progress, tromping across damp plywood floors, scaling the treadless stair risers, taking in details of framing, nostrils awash in the tang of sawdust, the musk of curing concrete. Pallets of plywood and two by fours slumbered under the dark sky, tools lie where they landed at five o'clock. Building my tree house could have been trivially easy. A trusty accomplice, some midnight skulking, and all the wood that we could chuck into the trees could be ours.

Fortunately, as regards my character, my compass pointed north to scrounging, not the southern bearing of theft. Unfortunately, as regards the quality of my tree house, I found it necessary to patch together scraps and odd remnants in my arboreal endeavor. The timbers running between the trees I sourced easily enough, but the plywood decking bridging these joists came from discard bins at construction sites. Luckily, I happened upon a piece large enough to cover half the triangular floor. The balance of the empty space I bridged with a tilting stair-step arrangement of smaller and smaller bits of exterior plywood, riveted together with the abundant sixteen-penny nails that littered the mud surrounding the concrete footing for the new houses. I had become a necessary combination of Doctor Frankenstein, Frank Lloyd Wright, and the Artful Dodger.

I relate all this prepubescent acquisition, lurking, and attendant hammering because the production of a tree fort necessitates the employment of a certain simple machine. Swinging a hammer at found fasteners, into salvaged lumber was all well and fine, but the mechanics of climbing ten feet with hands full of supplies and tools required a pulley. The origin of this pulley is lost in the mists of my recollection, but I can state with confidence that when it fell into my possession, I immediately knew it would serve one day as the supply line between Terra Firma and my future, fantastic lofty fort.

If you give any thought to the problem of hoisting something, anything, aloft, in the process of building in the trees, you'll see the fallacy of using a pulley. A rope, by itself, is sufficient for the task: secure your load, clamber up, hoist as you may. A pulley, however, allows you to stand on the ground below, and, courtesy of the noble wheel and axle, converts your downward pull on the rope into an upward vector for the work you exert upon the mass of the burden you are lifting. A completely superfluous, yet delicious, exercise in mechanics.

This tableau of Oregon Grape and Salal is where I may have received my radioactive spider bite. I'm not entirely certain from where my peculiar power came, but I recall a certain event, in a surging ocean of well-recalled, crystal-clear life experiences, that may be the genesis of my particular gift. I still bear grudges against kindergarten classmates, and I assure you that my memory is excellent. Based on what I know about cognition and the nature of intelligence, I can conjure only one possible etiology and I remember the events vividly, like a landscape frozen in the strobe of a lightning bolt.

I was fixing to nail an irregularly-shaped fragment of half-inch ply onto the previously-secured random chunks of laminated wood that constituted the crazy planes of my burgeoning elevated garrison. I had tossed the lumber up and onto the existing surface, but decided to utilize the pulley to freight the hammer upwards, an antique owned by my late grandfather, Amos – a blacksmith. I have since learnt the value of a handful of useful knots, but at the time, my ignorance called for improvisation. The turns of frayed cordage, like a lashing of writhing snake, tightened and clutched at the hickory shaft, the coils slipping like the stranglehold of a python on the proverbial greased pig.

I replay this tiny drama in my head, and I'm amazed that I possessed not the sense to stand beyond the probable trajectory of a one-pound chunk of steel set to fly by gravity and a shitty knot. When the rope was fully hauled, I bent to belay the line to a makeshift cleat comprised of a pair of nails driven into the bark of one of the hemlocks. The twining and looping of the rope around the nails must have tickled the snake's hold on the hammer's handle and potential energy proved kinetic.

I remember a wave of nausea hitting me like a crashing breaker, slapping me down against the hard sand of a littoral abruptness. I may have blacked out for a time; I was alone and don't know for sure. I clutched at my senses, reeling between the roots of the second-growth adolescent trees, who were audibly laughing at me in their quiet manner. I fought down the rising gorge in my throat and abandoned any thoughts of swinging a hammer, much less climbing trees, that afternoon. The hammer had fallen a minimum of seven feet only to land squarely on my crown. I never told anyone about the undeniable concussion I had suffered that day. My interest in the tree fort, my ugly platform in the woods, waned rapidly after I summoned the fortitude to finish the final bit of half-assed carpentry that defined the realization of my secret desires.

Long before I picked up a hammer (millions of years actually), lemur-like ur-primates, our forebears, were engaged in an evolutionary arms race in the wake of a some very bad luck at the end of the Cretaceous Period. Actually, the situation might be better described as a biological game of RISK. Eighty-five per cent of Earth's species were snuffed out, like so many birthday candles, after a well-understood cometary or asteroidal impact (the account of paleosleuthing by Luis and Walter Alvarez reads like fine detective mystery) in the Yucatan region of what we modern humans have decided to call Mexico. The species that survived this archetypal nuclear winter woke up to a world in which only fifteen per cent of the available environmental niches were occupied. If you allow that there may have been a selection for species with similar habitat needs (mouse-like burrowers, for instance), the Tertiary sun may have risen over an even emptier planet. But I digress.

So profound is the devastation in the strata laid down on day one of the Paleocene, that the absence of late Cretaceous fossils (dinosaurs, ammonites - the list is long) define the boundary. In college, I had the dubiously envious job of Paleontology Research Assistant, and I have seen the sediments from the Brazos River section in Texas with my own eyes. Indeed, it was my job to pick through carefully-collected zip-lock bags of mud, looking for macro fossils, and seining the remaining grit for the minuscule survivors called Foriminifera,  amoeba-ish creatures with elaborate and distinctive tiny shells. The post-grad financial certainty of performing similar paleontological analyses for oil companies discouraged me so that I abandoned paleontology as a major, and floundered in both direction and scholarship for the next couple years.

Such a suddenly-empty planet is great laboratory for the biological forces that blossom as diversity through the processes of evolution. Some browsing creatures opted for immensity, as plains of newly-invented grass went to seed and needed mowing. Others, like the ground sloth, existed largely on the fruit of revolutionary flowering trees we have labeled “Avocado”or “Ficus”. Terrible predators, all scimitar teeth and raking claws, pounced on the meaty herbivores when their backs were turned. Elephants (well, their great x 102 grandparents) experimented with various dental configurations and an elongated, useful proboscis. Our ancestors, however, in a desperate board meeting, decided that the problems of their continuing propagation hinged not so much on hardware, as software.

The notes of that conference, if the secretary had yet been invented, are lost in the annals of hominid history, but the marketing strategy and production schedule have manifested in the latest version of Homo, as testified to by the extent to which we have colonized our hostile planet, and embarked on polluting it with our garbage and exhalations. The secret sauce in this global domination scheme was not a better set of armament or sheer bulk (but props to venomous insects and whales), or any other specialization. What makes Humans the dominate species on Earth (as measured by effect, not biomass) is that we generalize. And we do this with a tremendously flexible information-processing organ behind our binocular eyes, between our stereo ears. “I'm cold”, “I bet that Mastodont is tasty”, “I want to fly to the Moon” - these are problems that the brain can solve where sharp claws or a penchant for Bamboo would definitely, ultimately fail.

The brain is so astoundingly complex that it boggles the mind. Grok that – As smart as we are, we are only beginning to understand the basics of how we understand. Researchers at the Stanford University School of Medicine have devised a way to isolate and render images of the cogs in the brain:
In the cerebral cortex alone, there are roughly 125 trillion synapses, which is about how many stars fill 1,500 Milky Way galaxies. ... In fact, one synapse may contain on the order of 1,000 molecular-scale switches. A single human brain has more switches than all the computers and routers and Internet connections on Earth.” 

The most complicated information-processing structure on Planet Earth is the result of cosmic chance and the combined efforts of millions of monkeys. And there are almost seven billion of them in production. To be sure, it is easily the absolutely best problem-solving technology available, and it can be assembled by unskilled labor.

As you recall, objects accelerate in Earth's gravitational field at approximately 9.8 m/s/s. To clarify, for each second spent falling, an object's velocity increases by roughly 10 meters per second (disregarding Earthly effects like the friction of air on the object). In round numbers, at one second, the object, starting from rest, is plummeting groundward at ten m/s, another second later, and it's falling at twenty m/s. Three seconds: thirty m/s. The speed is increasing, even though the rate of speed change (acceleration) is constant.

Suppose that we suspend an object (say, a sixteen-ounce [0.5 Kg] hammer) about seven feet (2.13 m) above another object (say, a human cranium containing a 3-pound [1.5 Kg] brain). Suppose also that the hammer object is secured by an inept lashing of parachute cord, such that it releases its tenuous hold on the handle of the hammer just as it reaches an altitude of a previously-mentioned 2.13 meters above the previously-mentioned brain. The word “Oh...” is all that is muttered before the hammer impacts the frontal bone, superior to the upwards-tilted forehead of the muttering fool, who gapes upward, at the falling hammer.

In the interval of time between the hammer slithering from the clutches of ill-tied cordage and cranial impact, the brain of the target subject had to recognize that the hammer was both falling, and falling in a predictable path that intersected the subject's head. That the eyes could, in this brief moment, transmit this information to the brain, that the brain could pluck an appropriate response from its banks of synapses, that the mouth and tongue could begin to form a verbal oath, is testament to the flexibility and power of the human brain. Arms were, undoubtedly, moving to fend the missile, but inertia and a complicated neural connection prevented the intended blockade. An observer would marvel at the situation, probably doubling over with laughter, as the truncated, but implied “...SHIT!” was appended by the synapses of his own brain.

I leave the specific mathematics as an exercise for the motivated reader, but suffice it to say that more altitude (thus more acceleration) might have rendered the author a drooling idiot, provided he even survived the impact. A lesser impact would have hurt, well, less. The miracle is that the hammer fell precisely as hammers do, precisely as fast as necessary to have exacted the mechanical alteration of brain tissue that I'm convinced happened on that afternoon.

As we know, the brain is fabulously intricate, like a mantel clock fabricated from cement trucks, driven by penguins, in a landscape of fried rice, awash in a sticky fruit cocktail. Or not. I don't believe that the electrochemistry of my injured brain was altered, which would demand a fundamental alteration to neurological functioning – and where would these new chemical compounds come from, anyway? A new organ might need to spring into existence, secreting the Pixie Dust that powers the cognitive energy of my altered gray matter. Even an alteration to an existing structure is so unlikely as to be statistically impossible, like an aerial giraffe. But if this supposed, newly created apparatus did exist, it would need a snappy name. Perhaps the Canal of Schlem - but alas, that's taken. 

I think that, perhaps, the hammer bruised an area of my forebrain, a humble region responsible for cross-checking imagery and verbiage against some synaptic check sheet of understood comparisons. For a healthy brain to function, it must necessarily catalog every experience and idea into the context of previously-sorted information. A myriad of neural connections are made, and, after a long life of meaningful and orderly thought, if your mind should unravel slightly in your autumn years, surprising expressive and perceptual glitches might manifest. It's possible that the disruption in my cerebral cortex reworked certain critical housekeeping routines, such as help govern the protocols of human communication.

Wielding even a minor super power is an awesome responsibility. I must flex my mental muscles carefully, lest I unintentionally launch someone through the plaster and lathe of the cognitive reality in which they reside. The nature of my ability is such that I cannot simply discard a frayed overcoat of normalcy and assume the über-persona, turning back time, for instance, by dragging the Earth backwards, in a cape and tights. It's much more subtle than that.

I must live in a portable Fortress of Solitude, where I filter my inner thoughts through a complicated colander of social algorithms that prevent my friends and associates from reacting to me as if I were a rabid badger. True, it's partly for their protection, but my own safety calls for discretion. My associative gift might easily be misconstrued as a flavor of mental illness or a “cry for help”. At times, it's a lonely existence, a social wilderness, but the occasional metaphorical connection is worth it. I heft my similes and gauge their power like dangerous automatic weapons.

I bring adventure like a brakeless lorry descending a serpentine mountainous highway paved in cinders and broken glass. I am the Blue Screen of Death.  I live in the shadows of polite conversation and well-intentioned homily.  I swing my mace of reckoning through slap-dash windmills of superficiality. 
I am... ANALOGYMAN!

(Happy Birthday, MC)