Myeloma: a Killer by Degree

[I wrote this post in May 2022, not that long ago. I reread it and I think it bears reposting. I keep getting bad news on the myeloma front. I had an MRI last Sunday and it showed a growth, a tumour if you like, growing on my lumbar spine and extending upwards to the left side of my thoracic area half way up my back. It’s a fairly new thing, and is ten centimetres long, five wide, and seven thick. So far I haven’t felt any ill effects from it except that my legs are beginning to feel slightly numb. That’s not good, and just adds to the peripheral neuropathy that already leaves my feet in a constant state of pain, pins and needles, and spasms. At least it looks like I’ll be continuing on my carfilzomib protocol into September.]

Yeah, well, myeloma. As I noted in my January post, the symptoms of myeloma and pernicious anemia overlap considerably. So, I have no idea what’s driving me nuts with peripheral neuropathy, numbness and tingling in my hands and feet, fuzzy brain, poor balance, weakness, especially in my legs, and bone pain, to name just a few of the symptoms I’m experiencing. It could be both the B12 issues and the myeloma that are teaming up to keep me in my place, and the chemotherapy is also no doubt contributing to my now radically re-assessed quality of life. 

___________________________________________________________________________________

So, that’s it. I’m old, I have a severe B12 deficiency that could be the result of pernicious anemia, and I have multiple myeloma, with its attendant chemotherapy. 

As I lay in bed last night [again] I harkened back to times in my life when I was still able to do things easily and effortlessly, things like canoeing, woodworking, building decks, garden structures, and a number of other physical things. I can still paint and draw, but with some difficulty. Writing is even getting to be an issue because I can barely feel the tips of my fingers on my left hand, my dominant hand. 

It’s been difficult at times, not because of my physical abilities, but because of my attitude towards them. I’ve had challenges keeping the dark side away, the feeling that I can’t do things anymore like I used to, making me a lesser human being, somehow. 

Carolyn and I both read the news and despair at the state of the world, but Carolyn seems to have a greater capacity than I do for keeping the dark side away and for maintaining a sense of perspective about the world. It’s true that the world is in a mess, but it’s always been in a mess if the press is to be believed. I have to keep reminding myself that the press, all of it, has a vested interest in propagating the dark side. That’s where the money is. Outrage and fear sells the goods. The bright side doesn’t. 

That said, I don’t want to be captured by the dark side or the bright side. The world is a complex place. Life is finite and changes all the time. Mommy doesn’t have to change my diapers like she did seventy-three years ago, even if she were still alive. I don’t have to put a uniform on and go to elementary school. I never have to write a final exam or go on a job hunt ever again. Of course, I won’t experience the joy of the early days of fatherhood ever again either, of falling in love, nor of the thrill of discovering a wonderful, new camping spot. 

I guess my point with all this rambling is that life is full of variety, both at the individual as well as at the socio-political level. Some things we call bad, some good. Those are judgment calls, which for us are adjudicated with reference to capitalist morality which itself is expressed in possessive individualism based on wealth and health. We look down on the poor and the unhealthy. 

These judgments are not easy to counteract both at the individual and the political levels because they are so deeply rooted in our culture. They are so familiar to us that we consider them normal and reasonable. It’s easy to feel self-loathing for being poor or in ill-health. It’s almost expected of us. And those individual feelings are reinforced every day in a thousand ways by the vast majority of us as we compare ourselves to others, those with money or excellent health (mental and physical).

If I let myself I can easily be dragged onto the psychologically dark and barren landscape of blame and feelings of unworthiness. Enough of that now. I have a limited number of days, months, and years left to live. I cannot, I will not live them in fear and self-loathing. 

Death is like a destination, one we have no choice in travelling towards. But, you know, some of the best trips I’ve taken have been at their finest and most exciting just before reaching our intended destination. Maybe that’s a good metaphor for the last bit of my life.

Freedom: Just Another Word for Nothing Left to Lose?

I’ve been relatively quiet about the ‘freedom’ movement in Canada. The ‘freedom’ convoy in Ottawa earlier this year set off a fairly entrenched opposition to vaccine mandates and other freedoms purportedly lost according to the leaders of this movement, at least one of which is still in jail for an inability to respect bail conditions. It’s impossible to know how many adherents the ‘movement’ has, but it is definitely a small minority of Canadians at this time. Who knows, however, what the future holds. 

Hyperbole is rampant in recent pronouncements from the leaders of this movement, one even suggesting, according to an article by Sarah Richie in The Canadian Press, reporting on statements by a ‘leader’ of the movement, Canada is facing a civil war. If it were true that Canada is facing a civil war, I’m not sure what the fighting sides would look like. Maybe anti-vaccine types on one side and everybody else on the other? I don’t know. I can’t seem to wrap my head around the notion of a civil war over vaccine mandates. 

Now, if the ‘freedom convoy inspired protestors’ represented a real political movement that, for instance, rejected the overriding influence of public corporations (global ones, primarily) in politics, I might sit up and take notice. However, I don’t see anywhere in the press or on alt-right websites that anything like a coherent platform for revolution or civil war is extant. Right now, it just seems that the only policy they have is flailing arms, shouts of ‘freedom’, flag waving, and rank ignorance of history, politics, and common sense. 

The whole notion of freedom and the purported loss of such is singularly misguided. Where does the idea of freedom originate? The idea of personal liberty and ‘freedom’ (although I hesitate to even use the term) can be traced back to the beginnings of a capitalist mode of production in Europe as far back as the thirteenth century, but really taking off in the sixteenth century. By the nineteenth century, the transformation of the peasant class into the urbanized working class was solidified. Along with the real transformation of people’s lives from rural to urban came the idea that people were now free to move around, change employers if they so desired, giving the impression that individuals were now in charge of their destiny. Veblen’s book The Instinct of Workmanship (1918), although makes for ponderous readings to some extent, is probably the best analysis of the creation of the urbanized working class that I have read. It’s not possible to summarize Veblen’s argument here. It’s a complex analysis of the rise of the business class and the idea that although we, as humans, long to do things, to work, we are not particularly suited to employment. The distinction between work and employment is basic to his argument. 

It’s always been true that individual human beings have agency. We are not like billiard balls subject to movement only at the invitation of the cue, although strangely there is some truth to this view. In fact, as Thorstein Veblen points out in the early twentieth century, that idea is the foundation of modern classical economics.

At this point I invite you to read a blog post I wrote in early 2019. It’s about the hedonistic calculus and what Veblen does with it in his dissection of neoclassical economic theory. It’s not a post wherein I write about my experience with myeloma because I hadn’t been diagnosed yet. I would also invite you to read my blog page on critical thinking which is based on an earlier article I wrote for teachers. It addresses the fact that we generally lack awareness of our place in the world because the school system systematically, via its prescribed curriculum and in spite of the efforts of individual teachers, fails to systematically address our social responsibilities. 

This brings me back to our ‘convoy’ protestors. The ignorance expressed by the ‘leaders’ of this ‘movement is astounding. They insist that they want freedom without ever telling us what they mean by that except to suggest that they don’t want vaccine mandates. They feel that vaccine mandates infringe on their ‘rights’. They should consider that they live in societies that require some individual compromise to ensure the safety and security of its citizens. 

Don’t get me wrong. I have no love for the Federal government’s unfailing support of often dangerous and completely self-interested business corporations, sometimes not even Canadian ones. But, like I said before, if the convoy goofies had an even basic understanding of Canadian political economy I might be inclined to hear their arguments. But they have no analysis, just empty opposition to perceived grievances. 

Their anti-mandate grievance and calls for ‘freedom’ have no place in a social world. We drive cars, but we need licences to do so. We can’t simply get out on the road  without a licence or insurance and expect to be left alone to do that. A world without rules and regulations would be an impossible world. There are countries where ‘rules of the road’ are mostly non-existent, but there are unstated agreements among motorists and others sharing the road as to how to conduct themselves on the road. Those unstated agreements are social contracts nonetheless. We rely on social contracts every day of our lives and in everything that we do. We depend on other people always to provide us with services for our comfort and security. Yes, we are individuals, but we always act socially and, in fact, we couldn’t exist as individuals. 

To think about how dependent we are on others, just think about how often you interact with others every time you buy groceries or fill your car with gas. What of the roads we drive on? We don’t build those as individuals. We build them collectively through our taxes (although not always without complaining about it). We, most of us, have water piped to our homes, electricity to power our heating systems, to refrigerate our food, and sewage lines to take away our effluent. Without millions of people all over the world ensuring that we have what we need to live comfortable lives, we would be living cold, brutish lives in caves. Imagine if you were only allowed to wear clothes you made yourself from material you yourself gathered. That’s not possible in this day and age. 

There are people who want to live off the grid. That’s fine, but even that means buying arrays of solar panels, having vehicles to transport goods, seeds, livestock, and the means to access health services if necessary. We may try to live as socially distanced as possible but we still need to acknowledge how dependent we are on others and why we should have some consideration for their health and security because in the end our health and security depends on theirs. 

It seems to me that the ‘freedom convoy’ folks don’t have a coherent platform, nor do they have even a basic plan. What they seem to have is a diffuse and incoherent opposition, maybe a sense that their lives are meaningless, but that they would be filled with meaning if only the government would be removed or there were fewer rules and regulations. The fact is that rules and regulations arise often out of a need to live in society with others and to resolve conflicts between them. To be moderately safe we all need to drive on the right side of the road. If even a small minority of people refused to accept this rule and started driving wherever they wanted to we would all be in serious trouble. If someone does drive on the left in Canada, and insisting they have a right to do that, they could have their license revoked, just as anti-vaxxers can lose their jobs if they refuse to be vaccinated. Nobody says you must be vaccinated unless there is, like in the military or in health care, a need for absolute safety (or as close as we can get to it). So, get over it. Play by the rules or play another game somewhere else.

Seizures! What else now?

After at least two consultations with nurses and an oncologist, my GP has decided that I’ve probably had a couple of seizures over the past few months. Great.

Lately, after an internet conversation with one of my blog readers I wrote to them about how fully my life had become medicalized. See if you agree with me: I take a bunch of pills morning and evening to deal with cancer and pain. I go to the hospital twice a month for bloodwork and a two-hour infusion of Daratumumab. Monday we went to Nanaimo so that I could get a corticosteroid (dexamethasone) injected into my seventh cervical vertebrae to deal with the chronic pain in my neck; Tuesday morning I had an appointment with my GP for a prescription renewal, and to discuss a plan to send me to Nanaimo again, this time for an EEG if the CT scan I got Tuesday evening showed nothing. In fact, it did show nothing that could explain the two seizures I’ve had over the past few months, one very recently, so off to Nanaimo I go.

The thing is, if they find an abnormality in my brain using the EEG, they will simply want to put me on another drug, an anti-seizure drug. I’m already pickled in meds so why not another one?

My life seems to be driven by medical issues. I’m not alone in this, of course. Many of us have a close personal involvement with medicine, whether in the form of physicians, specialists, pharmaceuticals, hospitals, and various other medically-related bureaucracies like our Health Authorities in British Columbia, possibly all of the above. They should actually be called Sickness Authorities because that’s what they deal in, sickness. 

The provincial budget allocates billions of dollars for illness related issues. It’s hard to pinpoint exactly how many billions of dollars because they get spread out over several spending categories. For instance, the Ministry of Health is projected to spend approximately $25.5 billion in 2022-23 of an estimated $71 billion in total budgetary expenses. There’s another approximately $8.6 billion for infrastructure related to health. I assume the new Dementia Village in Comox falls under this category. Aging and dementia are health issues, apparently.

So, tons of money is spent every year on health issues. I account for some of that, I certainly do. The Daratumumab I get by infusion every month costs a reputed $10,000 a pop. Now that’s a big investment in my being. I’m not sure it’s justified, but it happens because of an overarching ethic dominated by the fear of death and the perceived sanctity of life. As Ernest Becker points out in Escape From Evil, the twin pillars of evil for us humans are death and disease. We do everything we can to fight them. Obviously we fail completely in dealing with death, and fighting disease is often a losing battle too. So, what are we doing? What’s the point? What if we had no ‘industrial’ medicine? Humans lived on this planet for millions of years without doctors, hospitals, and pharmaceutics? Why do we spend so much on them now? 

I can safely conclude that part of the motivation for spending such inordinate amounts of money on ‘health’ is to keep the workforce working and reliable day after day, week after week, year after year. Industry requires consistent effort from the workforce, especially from those workers with technical or managerial skills. Another motivation is the transfer of power from workers to managers, in the case of health, from us ordinary folk to the specialist professionals, doctors. 

Since the 19th Century and the advent of scientific management, the control of commodity production has fallen on the managerial class. Workers have been stripped of all control over the productive process. In the case of health, doctors are the managers of our health. We negotiate with them to some extent, we even oppose them at times, but by and large they are in control. I must say though, that that situation is changing and your ordinary GP is becoming more and more a worker for a large bureaucratic organization that controls multiple clinics. Some American hospitals, for instance, extend their control over health spending and profits by buying out or establishing clinics where doctors are employees like any other. 

Obviously we live in a capitalist world where possessive individualism rules, where business is allowed to create products and services that may or may not be conducive to healthy bodies and minds. The fast food business is clearly not interested in our health. Money is the name of the game. Any deleterious consequences for our wellbeing caused by eating too much fast food is addressed by public spending on hospitals, doctors, pharmaceuticals, et cetera. Pharmaceutical businesses might initially be organized with an eye to alleviating human suffering and enhancing wellbeing, but it seems that they soon fall in line with all capitalist ventures in the need for profit above all other values. They depend on illness for their profits. I don’t think that’s such a good thing.

Then I got to thinking. I remember when I was a grad student reading a book by Michel Foucault* called The Birth of the Clinic: An Archaeology of Medical Perception. It was written in the early 1970s. The translation into English from the French (Naissance de la Clinique) has a 1973 Copyright date. Foucault was a prominent critic of institutionalized criminal incarceration, the medical clinic, madness, and sexuality, among other topics. He was a very controversial figure in French academia for decades, and a very prolific writer. He’s a ponderous writer to some, but an elegant exegesist to others. I find his critiques compelling in some ways, but belaboured in others. In other words, he’s complicated.** 

In his book on the rise of the medical clinic, his major point is that the medical ‘gaze’, the creation of a specialized, comprehensive, and institutionalized consideration of disease and pathology would become the exclusive domain of the medical clinic. We’ve even been convinced that pregnancy and aging fit nicely under the medical gaze. Other commentators on the power of modern medicine such as Ivan Illich emphasized the class basis of control over human health whereby we become supplicants in our relationships with doctors, whereas Foucault and his followers see the medical/health landscape as a set of power relations that work to “reproduce medical dominance” (Lupton, page 88). 

Because we are so freaked out about death and disease, Foucault would argue, we negotiate our necessarily subordinate relations with our doctors on an ongoing basis. According to Lupton, there is collusion between doctors and their patients to reproduce the system of medical dominance. That’s true in my case, certainly. Without modern medicine, I’d be dead right now.

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*The Passion of Michel Foucault (March 1, 1994), by James Miller is one of the best biographies I’ve ever read. It’s balanced, decisive, and comprehensive. Definitely worth a read. Come to think of it, I need to read it again. 

**See Deborah Lupton, Foucault and the Medicalization Critique, Chapter 5 in Foucault, Health, and Medicine, Edited by Alan Peterson and Robin Bunton, 1997, Routledge: London and New York. 

Myeloma and Pernicious Anemia: My Constant Companions

Pernicious Anemia

In January of this year I published a post about the connections between myeloma and pernicious anemia. In that post I misidentified pernicious anemia as a B12 deficiency. It’s not. Pernicious anemia is actually an autoimmune disease that produces antibodies to a protein called intrinsic factor that is produced in the gut and that is required to ‘extract’ B12 from food. It’s a devilishly difficult condition to diagnose. Low levels of B12 are obviously an important indicator, but there are other reasons that a person might have low B12 levels. Probably the best accessible article on pernicious anemia can be found on the Pernicious Anaemia Society’s website. It’s well worth reading.

Now, I have assumed for some time that I have pernicious anemia but I’m no longer certain. It turns out that 50% to 70% of people who have a B12 deficiency, which I definitely have, will have that deficiency caused by pernicious anemia. I have not been tested for intrinsic factor antibody, a test that would definitively confirm a diagnosis of pernicious anemia, so I don’t really know if I have it or not.

Whatever, I know for a fact that I have a B12 deficiency. In order to treat that deficiency I inject B12 (cobalamin) into my thigh every two weeks. However, because of my mixed record of injecting B12 over the past twenty-five years I may have what’s called  Autoimmune Metaplastic Atrophic Gastritis (AMAG). That just means that my B12 symptoms may never go away, even after my regular injections. Then again they may dissipate, but I have no confidence that that will happen.

An International study is now underway initiated by the Pernicious Anemia Society to try to understand the extent of the disease and to track the problems people have had with getting a proper diagnosis. It may be that we will get some answers, but I’m not holding my breath. At seventy-five years of age, I have a limited amount of breath left in me in any case so maybe I should hold on to some of my breath!

Myeloma

Yeah, well, myeloma. As I noted in my January post, the symptoms of myeloma and pernicious anemia overlap considerably. So, I have no idea what’s driving me nuts with peripheral neuropathy, numbness and tingling in my hands and feet, fuzzy brain, poor balance, weakness, especially in my legs, and bone pain, to name just a few of the symptoms I’m experiencing. It could be both the B12 issues and the myeloma that are teaming up to keep me in my place, and the chemotherapy is also no doubt contributing to my now radically re-assessed quality of life.

___________________________________________________________________________________

So, that’s it. I’m old, I have a severe B12 deficiency that could be the result of pernicious anemia, and I have multiple myeloma, with its attendant chemotherapy.

As I lay in bed last night I harkened back to times in my life when I was still able to do things easily and effortlessly, things like canoeing, woodworking, building decks, garden structures, and a number of other physical things. I can still paint and draw, but with some difficulty. Writing is even getting to be an issue because I can barely feel the tips of my fingers on my left hand, my dominant hand.

It’s been difficult at times, not because of my physical abilities, but because of my attitude towards them. I’ve had challenges keeping the dark side away, the feeling that I can’t do things anymore like I used to, making me a lesser human being, somehow.

Carolyn and I both read the news and despair at the state of the world, but Carolyn seems to have a greater capacity than I do for keeping the dark side away and for maintaining a sense of perspective about the world. It’s true that the world is in a mess, but it’s always been in a mess if the press is to be believed. I have to keep reminding myself that the press, all of it, has a vested interest in propagating the dark side. That’s where the money is. Outrage and fear sells the goods. The bright side doesn’t.

That said, I don’t want to be captured by the dark side or the bright side. The world is a complex place. Life is finite and changes all the time. Mommy doesn’t have to change my diapers like she did seventy-three years ago, even if she were still alive. I don’t have to put a uniform on and go to elementary school. I never have to write a final exam or go on a job hunt ever again. Of course, I won’t experience the joy of the early days of fatherhood ever again either, of falling in love, nor of the thrill of discovering a wonderful, new camping spot.

I guess my point with all this rambling is that life is full of variety, both at the individual as well as at the socio-political level. Some things we call bad, some good. Those are judgment calls, which for us are adjudicated with reference to capitalist morality which itself is expressed in possessive individualism based on wealth and health. We look down on the poor and the unhealthy.

These judgments are not easy to counteract both at the individual and the political levels because they are so deeply rooted in our culture. They are so familiar to us that we consider them normal and reasonable. It’s easy to feel self-loathing for being poor or in ill-health. It’s almost expected of us. And those individual feelings are reinforced every day in a thousand ways by the vast majority of us as we compare ourselves to others, those with money or excellent health (mental and physical).

If I let myself I can easily be dragged onto the psychologically dark and barren landscape of blame and feelings of unworthiness. Enough of that now. I have a limited number of days, months, and years left to live. I cannot, I will not live them in fear and self-loathing.

Death is like a destination, one we have no choice in travelling towards. But, you know, some of the best trips I’ve taken have been at their finest and most exciting just before reaching our intended destination. Maybe that’s a good metaphor for the last bit of my life.

Civil War in the U.S.A.: an addendum with references.

I don’t intend to comment here. All I want to do is post websites or news sources that are talking about the possibility of civil war in the States. Most of the news sources revolve around a new book by Dr. Barbara Walter, a political scientist from California. Wade Davis from UBC comments. The last link questions a number of the assumptions of the people claiming a civil war is coming.

Social Media Have Us Just Where They Want Us.

April 29th, 2022

It’s still hovering around freezing in the mornings, but temperatures rise by early afternoon to hover around the 10 to 15˚C range. I usually get up around 7:30. By then the birds are well into their daily routine. The robins are pulling up moss to get at juicy grubs and worms. It’s great to see so many golden crowned sparrows and hummingbirds in the yard competing for access to the feeders. My recliner is in a position in the living room where I have a great view of bird activity in the front yard. 

Years ago, Carolyn and I would get up, get ready for work, have breakfast and listen to the CBC morning program. Now we open our computers or other devices and immerse ourselves in the problems of the day as expressed by MSNBC, CBC News, The Guardian, The Globe and Mail, et cetera. Do this every morning and the only result will be a profound depression. I’m not suggesting that we should not check out internet news sources, but it’s imperative to keep their offerings in the right perspective. After all, they are all in the business of making money and that one characteristic of their existence should give up plenty of pause. Same goes for Facebook and its offspring Instagram, Twitter, and YouTube. 

This morning in my Pocket email (check it out) I got notice of an article in The Atlantic, a liberal magazine I’ve been reading on and off for many years. The article is called WHY THE PAST 10 YEARS OF AMERICAN LIFE HAVE BEEN UNIQUELY STUPID: It’s not just a phase.* The author is Jonathan Haidt.The (very long) article does a great job of dissecting the way social media have driven us into a number of hard social positions that make it increasingly difficult to engage with people we would not normally have anything to do with. I posted this paragraph from the article on Facebook: 

“Mark Zuckerberg may not have wished for any of that. But by rewiring everything in a headlong rush for growth—with a naive conception of human psychology, little understanding of the intricacy of institutions, and no concern for external costs imposed on society—Facebook, Twitter, YouTube, and a few other large platforms unwittingly dissolved the mortar of trust, belief in institutions, and shared stories that had held a large and diverse secular democracy together.”

Then I wrote: 

“Yes, indeed. But I’m not sure I would hang out with a lot of people in any case, ones who still have Canadian flags on their pickups and shout ‘Freedom’ at us at every turn.”

I was being slightly provocative, wondering if the article was going to be right. It was, in spades. On my computer, there was no further comment from Facebook, but on my phone I get several follow up suggestions: Totally agree!!! You got that right!!! I know right!! And Most definitely. 

These ‘suggestions’ for follow up comments make it easy to agree with me with very little effort. This, according to the article fosters a sense of us versus them, hardening social positions and creating even more division than already exists in our lives. Facebook could easily have provided comment suggestions like: Are you sure?!!! Is this what you really think?!! Maybe we should do a bit more investigating!!! Or something along those lines. 

It’s obvious that Facebook’s design is conducive to producing, over the past ten years, a decline in social consensus and civility. It seems we are having a more difficult time than every just being civil to each other…on the roads, in the grocery stores, and online. I’m picking on Facebook, but other platforms are just as guilty as Facebook of undermining our sense of democracy and encouraging an increasing acceptance of autocracy and oligarchy. 

Haidt argues that there is no malice in what social media are doing except that they are following the drive for profit. The article argues that: “ Shortly after its “Like” button began to produce data about what best ‘engaged’ its users, Facebook developed algorithms to bring each user the content most likely to generate a ‘like’ or some other interaction, eventually including the ‘share’ as well. Later research showed that posts that trigger emotions––especially anger at out-groups––are the most likely to be shared.” And the more shares, the more money for Facebook. 

I think it’s time we got a lot more savvy about how easily we can be manipulated into producing exactly the kinds of inputs on Facebook that make people increasingly impatient, angry and intolerant, precisely those kinds of emotions that create an environment where money can be most easily accumulated for Facebook itself. 

I strongly recommend the Haidt article. You can read it on The Atlantic website. I think you can read up to five articles before having to pay…but don’t quote me on that. If Haidt is right we’re in for a rough ride over the next few years. 

Before wrapping up this post, I do want to tell you that in the proper spirit of sociological research I’ve been watching several YouTube channels of people doing things like boat building, auto repair and restoration, industrial mechanics, woodworking, and that sort of thing. I suspect given the many clues they give me that they are most likely Trump supporters or the equivalent. Yet none of them talk politics, at least not directly, and they all offer interesting content that is unrelated to politics. My point is that people are multidimensional. We need to remind ourselves all the time that there is always a point of potential contact between people if we look for it. Still, I worry about Haidt’s findings. I reckon that he’s probably correct and that saddens me no end. 

* (Illustrations by Nicolás Ortega.)

Freedom

The word freedom is much bandied about these days particularly by people engaged in or supporting the “freedom convoy” now occupying downtown Ottawa. I thought I’d give a shot at defining it, because I don’t think most people have a clue as to what it means or implies. I invite you to think about what you mean by it, if in fact you use the term at all when it comes to your life. 

The online dictionary (the one living on my computer) defines freedom as:

The power or right to act, speak, or think as one wants without hindrance or restraint: we do have some freedom of choice | he talks of revoking some of the freedoms

  • • absence of subjection to foreign domination or despotic government: he was a champion of Irish freedom
  • • the state of not being imprisoned or enslaved: the shark thrashed its way to freedom
  • • the state of being physically unrestricted and able to move easily: the shorts have a side split for freedom of movement

• (freedom from) the state of not being subject to or affected by (a particular undesirable thing): government policies to achieve freedom from want

• the power of self-determination attributed to the will; the quality of being independent of fate or necessity. 

• unrestricted use of something: the dog is happy having the freedom of the house when we are out.

I also looked up liberty in the dictionary. Here’s what I found:

1 the state of being free within society from oppressive restrictions imposed by authority on one’s way of life, behavior, or political views: compulsory retirement would interfere with individual liberty.* 

• the state of not being imprisoned or enslaved: people who have lost property or liberty without due process

• (usually liberties) a right or privilege, especially a statutory one: the Bill of Rights was intended to secure basic civil liberties

• (Liberty) the personification of liberty as a female figure: the Statue of Liberty

2 the power or scope to act as one pleases: individuals should enjoy the liberty to pursue their own interests and preferences

  • • Philosophy a person’s freedom from control by fate or necessity. 
  • • Nautical shore leave granted to a sailor.

I don’t see a lot of difference in these definitions, at least not in substance. So, to distill these definitions some, it looks like that at the individual level, if you were free or completely at liberty, you would be able to do whatever you wanted to, whenever you wanted to do it.

 Let’s see if that works. Well, if you live in a society, as most of us do, this is a highly improbable and unacceptable idea. I mean, it’s possible, I suppose, for you to do whatever you want, whenever you want to, but you might end up in jail pretty quickly if you try it, or you might end up dead. Try lying in the middle of the freeway at rush hour. That’s something you might want to do, but I wouldn’t recommend it. Or you might want to ignore those pesky red lights at intersections all over the place. Again, you might get away with that a few times, but you may soon end up with a wrecked car or a traffic ticket. Do it again and you may have your license suspended. Driving in this province is a privilege, not a right, and that ‘freedom’ can soon be taken away from you. That would be a good thing for the rest of us who follow the rules because otherwise we would have anarchy. Then again, you might want to have sex with that gorgeous young barista at your local coffee shop, but you might want to ask her before you attempt it. She may not be as into it as you are. 

At another level, you might want to skip paying your mortgage or your rent for a few months because you want to spend the money on a new video game. You can do that if you want, but the consequences may be that you end up living in a cardboard box under an overpass somewhere. You may not want to do that, but we are not always happy with the consequences of our actions. You may be sick and tired of your job and don’t want to do it anymore. Yes, I can relate to that, but I don’t suppose you want to starve to death either, so you have to find some way of paying for groceries. I could go on, but I hope you get the idea. 

No matter who you are, where you live, or how much money you have, there will always be restrictions on your freedom. During the 1980s when Ronald Reagan, Margaret Thatcher and their ilk were the heads of government, they advocated the removal of regulation on business arguing that business wouldn’t do anything to hurt their bottom line so they would always do what their customers wanted. They argued (following the shill economist Milton Friedman) that corporations needed to be released from regulation and when that happened, we’d get the trickle-down effect because they would invest in ‘the economy’ and we’d all end up rich. In truth, give corporations the freedom to regulate themselves and you end up with the MAX 737 catastrophe, the mining disasters that keep showing up in the news (think Mount Polley for a recent example), buildings collapsing in Bangladesh killing hundreds of textile workers, plastic pollution, global warming, the depletion of global fish stocks, etcetera. I could go on. We know what happens now too when corporate tax rates are cut to almost nothing and they are freed from regulation. We get more social income inequality than ever.  Corporations need to have curbs on their freedom. They cannot be allowed to do as they please whenever they please. 

So, what does freedom actually mean when we live in a society with thousands if not millions of other people all wanting to do what they want, whenever they want to? Without rules and regulations limiting freedom you get a shitshow. It doesn’t make sense to allow people absolute freedom. We need a system to maintain order at least to some degree. You may not be happy about having to curb your desires and wants because of other people, but that just has to happen. You learned that as a child, or maybe you didn’t and that’s what’s making you unhappy now. Living in society means having to compromise and negotiate, and to temper our urge to always do as we please. 

So far I’ve considered freedom in the context of the individual and the potential for freedom in a social context. There are other contexts to think about freedom. 

Years ago, the convenience store chain 7-Eleven introduced a marketing slogan: Get your freedom at 7-Eleven! I was incensed! Not sure why except that I was quite convinced that there was no freedom for sale at the 7-Eleven in my town, just mostly fast food and other crap. So, is freedom these days just part of a marketing strategy? It seems so if we consider the evidence. The “freedom convoy” is not about freedom. Taking spokespeople for the ‘movement’ at their word it seems that they want no government interference in their lives. Or they want to become government so they can get rid of all the pesky rules and regulations governments impose on us. Good luck with that. 

It strikes me that we need to think of freedom and liberty on a continuum. Nobody is perfectly free nor is anybody completely unfree. When I taught the odd course at the Matsqui Medium Security ‘Correctional’ facility, I heard one kid saying he wanted to go into solitary confinement so he could have the freedom to work on his college assignments and study for his mid-term exams. This was a month before Christmas. He got his wish. I’m not sure how he did it, but he did. Freedom in captivity. Weird, eh? 

I concluded decades ago that I cannot be free unless we’re all free. If I enslave you, I’m captivated by the need to watch over you, by the need to punish you, by the need to keep you in your place. So the only way to maximize freedom is to do so for everyone. Perfect, absolute freedom is impossible. If someone tries to sell you on that idea, call bullshit on them. They are obviously deluded or disingenuous. Don’t stand for it. 

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*…and don’t try to convince me that Canada is an oppressive regime. Try living in North Korea.

Up, up in the air.

What do I want to do with this blog? The thought crossed my mind that just giving up on it would not be the worst-case scenario. I’ve been at it for a few years now so it wouldn’t be outrageous for me to either quit entirely or maybe just take a break over the summer. Mygawd, I’m not making any money writing it. Lots of bloggers make money on YouTube with their blogs. I don’t, so what’s the point? Maybe I could monetize my blog, attach it to a video log and turn it loose on YouTube. After all, we DO live in a capitalist society. Might work. Probably not. 

The weather has been wonderful lately if you want to lay about on a deck. I sit on the deck close to the rock/fountain and watch the birds come down for a drink. The one in the video here is a female goldfinch we think. She flits around avoiding direct contact with the fountain. It would probably knock her over if she did. 

The wisteria gives them some shelter and protection before they come down to the fountain, but they’re still wary. Smart birds. There are cats prowlin’ around here. Our princess is one of them and she’s a hunter sometimes, mostly mice, but we don’t want to tempt her with birds. She’s being such a brat lately. She seems to have figured out exactly when I’m just about to fall asleep, then she pounces on the bed, meowling like crazy and poking my face with her paw. 

Tilly has been hanging around the pond a lot lately. She patrols the perimeter sniffing around trying to get frogs to abandon their rocks along the shore. I don’t like the way she’s been fixated on frogs lately. She come close but she hasn’t caught any yet. I’d be very pissed off if she did. She spends most of her time under the deck these days where it’s cool. She’s got such a thick black coat she must really suffer in this heat, but she never complains.

Got a call from my Oncology GP this morning. He noted that my bloodwork is coming back from the lab within reference ranges (normal). Tomorrow I go to the hospital for another infusion of Daratumumab. After that, I don’t get another one until the end of August. As of this month, I’m down to once a month for the Dara. I keep taking my regular chemo meds, lenalidomide and dexamethasone, three weeks on, one week off. So, I’m in a weird space where I have no myeloma detectable in my blood, but I’ll be on chemo for the foreseeable future, that is, until the drugs don’t work anymore. At that point they’ll put me on another regime. That means that I must be vigilant around the side-effects of the chemo. It’s not always easy to tell chemo med side-effects from pain med side-effects. 

For an old man, I’m feeling pretty good these days for about fifty percent of the time. I’m sleeping moderately well most of the time, but I have wakeful nights periodically. My neck is what’s tormenting me the most these days. According to my Oncology GP I have OAD (Old Age Disease). I can’t turn my neck more than 3% left or right. Maybe 4%. Makes it hard to do shoulder checks when I’m driving. Of course, I still drive. What are you thinking? I just have to turn my whole body when I do a shoulder check. That’s fine.

Technically, I have degenerative disc syndrome and it’s common among older people. I’m getting a CT scan early next month to confirm the diagnosis. Once I get the scan, I can ask my GP for a referral to someone who might be able to do something for me. That would be good. If I do get some relief, I’ll be able to do more writing, and maybe some sculpting. I’d love to do a bit of printmaking too. Or maybe I could just lie on the couch more comfortably. That would be good.

#73. Surprises, Leo Panitch, and an African violet.

This will be a short pre-Christmas post, just to cheer you up a bit. The first part is a short comment on Leo Panitch, a Canadian scholar and academic most of you will never have heard of who died recently of Covid-19. The second part is a short update on my situation which keeps throwing up unwelcome surprises for us.

Leo Panitch (1945-2020)

Panitch was a Jewish kid from Winnipeg. I was a French Canadian kid from British Columbia (?), but we both were from working class families. Leo Panitch joined a panoply of incipient Marxist and leftist social scientists, many American, some draft-dodgers, who began to populate the halls of Canadian universities in the late 1960s, throughout the 1970s and into the 1980s. He was one of the more thoughtful and moderate among them. He was a political economist, political scientist, and sociologist who wrote tons of books and articles on Marxist science relating to global economic development. I had a great deal of respect for his work. I ran into him a couple of times at conferences but we weren’t buddies or anything like that.

He died on Saturday, December 19th, 2020 of Covid-19. Just a short time before his death, he had contracted pneumonia, and even a bit earlier than that he had been diagnosed with multiple myeloma. He must have been in a highly weakened state when he succumbed to Covid-19. I have no idea how long he had myeloma before he finally got a diagnosis but that disease has a way of smacking one down, keeping one weak and off balance. It’s a disease that is not easy to detect and its symptoms mimic the symptoms of many other conditions. I have no idea how long I had had myeloma before getting a diagnosis but that’s just about how I felt in December last year as I embarked on months of chemotherapy.

Panitch and I had some things in common. Certainly, we had multiple myeloma in common. We were both scholars but he worked mainly in universities whereas I worked in colleges. We shared an intellectual tradition of critical inquiry into the rise of global capitalism. He wrote a great deal, works that I was able to use in my teaching. I got involved in television based teaching and published very little that could be considered scholarship. I focussed on teaching as he did. His eulogies note that his work as a teacher was his most satisfying. His students certainly considered him a great teacher. He will be sorely missed.

Me and Myeloma Now

A few days ago, maybe 10, I was sitting in my chair when I noticed my lower left jaw was hurting a bit. One of my teeth seemed a bit wobbly and weak. It was nothing much. It remained like that for a few days, but as it got closer to the weekend and the pain seemed to increase slightly I figured I had better try to get in to see my dentist. I didn’t want to be chasing after a dentist this week or next week either.

So, my dentist is a great guy. He’s been the family dentist for over thirty years. We know each other very well. After I had been diagnosed with myeloma last year my oncologist said I should make sure to get checked up by my dentist, so I did. He was very upset with the diagnosis and was super attentive. I didn’t hesitate to contact him last week so that if I needed a tooth extracted that could happen before the holidays.

I contacted his office on Thursday. By Friday afternoon, he had arranged for me to get a special imaging session set up at a local dental surgeon’s office. With that, I then had a consultation with my dentist himself on Friday afternoon. Using the x-ray images he determined that I had a tooth that was dead and a cyst just below it. Both would have to come out. At the same time, though, anticipating an extraction and possible problems with the cyst, he was able to call in some favours and got me into an office of dental surgery in Parksville sometime on Monday (yesterday). We got a call from Parksville on Monday morning asking if we could be there by 11:45. Yes, of course we could…even in the snow!

We just made it for 11:45, Carolyn driving carefully in the snow and slush as we passed four or five cars in the ditch. Turns out, this doctor in Parksville is a real star and was familiar with multiple myeloma. After talking for some time and going over my symptoms, especially the numbness in my jaw, and the location of the pain, we determined that the dark spot (typical of myeloma lesions) on the x-ray we had taken the day before was in all likelihood a myeloma lesion and had nothing to do with my teeth. Well, that changes everything, doesn’t it? I wasn’t expecting that.

I was expecting to go down there and come back with one less tooth. That was not to be. Instead, this doctor arranged to contact my oncologist in Victoria so that they could together decide what to do, if anything. I get blood tests on January 5th, and I have an appointment with my oncologist on January 22nd.

At this point I have no idea what to think. I should know in a month whether the myeloma has retuned or not. If not, that would be great! If it has returned, then we decide on a new course of chemotherapy. Not something I look forward to.

Whatever! Merry Christmas, Happy Holidays or any other greeting you may like!

We have high hopes for 2021. We need this virus to get lost but we don’t want to go back to things as they were. What do you want to keep from the past and what would you like to unload?

I love this little African violet we have in the bathroom. As you can see most of the flowers have died off quite some time ago. The plant was bare for a while. Then, all of a sudden, this flower emerges and it’s still blooming its head off. I like that. It’s been recently joined by another blossom! So cool.

Merry African Christmas!

51 Cranky old man, Covid-19, and the garden.

Truth be told, I’ve always been a bit cranky. In the past though I was generally able to dampen my initial crankiness at what I perceived to be other people’s ridiculous behaviour, in the classroom, around town, in national and international politics, or on Facebook. I was able to step back, take a deep breath, and allow a sober second assessment of consequences and effects to take shape in my mind, making for a more measured response to the momentary ‘crisis’ whatever it might be. Oh, there were times when I reacted swiftly and even lashed out at people. I usually regretted those later. Ranting at the TV news was pretty common sport in the past when we still watched TV, a practice that I passed on to at least one of our daughters. I still rant like in the old days, but it’s more likely to be at a Facebook post or a news release posted online. However, ranting in private is different from personally and immediately striking out at someone for their perceived shortcomings.

Now it seems that my ability to generate a sober second thought is attenuating and my patience is wearing thinner. My private rants are turning into public displays of my impatience and I am now much less likely to bite my tongue when I think that people are being ridiculous or unreasonable. Of course that violates the first rules of teaching which, in my mind are patience and empathy. I feel really bad about that. My quick trigger reactions may be a consequence of my age and the fact that I have incurable cancer. It may be entirely idiosyncratic, but it could be that something else is afoot here.

Covid-19: the great disruptor

It could be that I’m not alone in my descent into more readily expressed displeasure at whatever affront, real or imagined, presents itself. Covid Times have created the conditions of uncertainty and disruption of habit that are hard for humans to take.

We, humans are creatures of habit and we don’t necessarily adapt readily or willingly to changes in our environment that require us to change the ways we live. We tend to react in our own ways to threats to our precious habits. Some of us hunker down even more deeply into already established patterns of social isolation. Others of us, like me, are more ready to express our pissedoffedness at the world. Now, more than ever seems to be a time of reaction rather than reflection.

It seems that people are now more than ever prone to stand on questionably acquired ‘knowledge’ rather than commit themselves to a course of study and learning that may lead to a more nuanced appreciation of economics, politics, current events, and other people’s actions both local and distant. And, since Trump, the ignorant minority is emboldened to speak out more often and vigorously. For us ‘experts’ who have spent a lifetime in study and reflection counteracting the tripe that comes out of YouTube and Facebook daily from people who have acquired whatever ‘knowledge’ they have from a marginal and peripheral relationship with analysis and evidence seems to be a lost cause. So, Covid-19 seems to have released some pent-up frustration at the world and our place in it and some people seem to be less reluctant than ever to stay silent in the face of it.

Covid-19 has definitely changed the goal posts in any number of ways, but life pre-Covid-19 wasn’t all that rosy either.

Pre-Covid-19, there were already serious cracks forming in the security and (often illusionary or delusional) stability of our lives. Personal debt dogged many of us to the point of financial ruin (and still does). Relationships were strained and addictions to alcohol and other drugs were on the rise as people self-medicated in attempts to deal with the emptiness that scoured their every wakeful moment and pitter-pattered through their dreams. Many of us were already leading precarious lives with no promises of a future with less stress and greater comfort and peace. General social distress was already reaching a breaking point when Covid-19 broke onto the international scene.

One thing I found particularly distressing was, and still is, the general ignorance of our global economic structures and their relationship to our nations, their sovereignty, and our individual choices. Very few people have any kind of a grasp on the intricacies of global supply chains and the interconnections of a myriad of corporations, factories and logistics experts on the conduct of business. The globally most powerful corporations have been masters at hiding the truth about mass production, distribution and sales. People think that ‘China’ is flooding our markets with cheap product and that our poor domestic corporations are suffering from this unholy competition. Nothing could be further from the truth.

Global corporations, many of them with very unfamiliar names, control global trade and often subject local businesses to rules and practices that benefit global finance capital rather than citizens. Look closely at the things you buy and more often than not these days you will not be able to locate where a product is manufactured. A label might tell you that a product was produced for such and such a retailer by such and such a manufacturer (with an address in Canada) by a factory in China, either owned by a ‘Canadian’ corporation or contracted by them, but it won’t tell you where a product was made. There is now a big silence about the true picture of global commodity production. But because no changes have been radical and the information to consumers has been accomplished slowly and inexorably completely under the radar with government complicity, it’s very hard for people to figure out what’s going on. Our lives are being orchestrated by forces hidden from us until something like Covid-19 comes along to expose some of the weak underbelly of globalization.

It seems many people now are worried about governments ‘taking away their freedoms’. Well, I have news for those of you who believe this: you have been slaves to the marketplace and an insidious capitalist morality for ages, but you don’t even recognize the bars that imprison you. You believe that a job is the one way to heaven. That no one should be given “free money” by government because that saps initiative. That individual action rather than community is the only thing that counts. You’ve bought into the tired, sick, libertarian agenda that feeds the globalist corporate agenda and leaves us poorer and fighting amongst each other. You believe that government is in charge and that its actions are the sole source of all the problems that you face in life. So delusional. So misguided. So sad.

There is no question that we need to be vigilant when it comes to government. With people like Jason Kenny, Doug Ford, mini-Donald Trumps at the helm of government, you can be assured that the global corporate agenda will be a high priority and the care and feeding of the citizenry will always take second place. Justin Trudeau and his Liberal Party are just a softer version of corporate lackeyism. Make no mistake though, Trudeau and his party are solidly behind the corporate agenda. It feeds them and they feed it with subsidies, grants, tax breaks, and with help cleaning up their messes when they decide to go strategically bankrupt or simply abandon ship. But enough of that.

Myeloma be gone…for now!

To change the subject, my cancer seems to be on the run for now. It will come back. Now I just have to deal with the side effects of all the drugs I’m taking, some of which I take to counteract the effects of others I’m taking. Virtually all of them have dizziness as a side effect. It’s a wonder I can even stand or walk ten feet on a good day. But I do walk, a bit wobbly I must admit, but still, I get out there and do things. It’s very gratifying. It’s wonderful. I didn’t think I’d ever be able to get out into the garden or into my shop or studio and do things, but I can. I know I’ve already told you this before, but I’m so happy about it, I just want to revel in it.

The garden

I also just want to revel in the garden. I’m working on a video right now of the gardens, but it’s a bit frustrating because things are growing so fast that I keep being tempted to re-video things that I’ve already recorded to give you a better sense of the beauty of the place, Carolyn’s own fabulous art project. Look at these amazing poppies. A couple of days ago there was only one or two blooms. Now look at them and there’s more to come, lots more! [since I wrote this more have opened!]

Poppies along the driveway.

Have a nice day, all of you! Keep your chin up! Don’t get too pissed off! Enjoy whatever you can (unless its murder or domestic abuse).