The Last Ironman

Ten o’clock now, and a waxing gibbous moon faintly illuminates the Queen Ka’ahumanu highway 6 miles from the pier in downtown Kailua-Kona, Hawaii. I left the relative bustle of the Energy Lab flats behind a hour ago, and the yellow sodium vapor lamps at the Hina Lani intersection are still a mile ahead. A faint breeze wisps up from the lava-laced shore, crashing waves barely audible across the rocks and bunch grass. Several women hurry past in the darkness, hoping to beat their midnight cut-off to finish the Ironman within 17 hours. I’m confident I’ll finish by 12:15, ten minutes before my own time limit. My mind is free to wander as my feet plod on, carrying me towards the honky-tonk along Ali’i Drive, where the crowds and finish arch await.

A kaleidoscope of brief vignettes scatters behind my eyes, a whirling set of images which define my path to this point 73 and a half years into my life.

• I’m four years old, careening downhill towards Tommy Bingham’s house, my father running along behind, holding a rope tied to the seat post of my bike. He’s removed the training wheels, and doesn’t want me to fall. I pass the house next door, and he lets go. I pedal madly, screaming by Tommy, “I’m riding my bike ALL BY MYSELF!”

• In fifth grade, I save my allowance for months, and buy a Raleigh three-speed “English” bike for $50, riding a mile each way to and from school the next two years.

• It’s 1960. I play baseball in the summer, follow the Cincinnati Reds, and wonder at my sister’s bedside radio, where she can hear the latest Bobby Vinton songs. My father says, “If you join the swimming team, I’ll give you a transistor radio.” Eager to hear the weekly Top Ten countdown and listen to the Reds’ games at night before I sleep, I start swimming at our local summer pool under Yoshi Oyakawa, a former Japanese Olympian in the breast stroke. I never play Knothole ball again.

• Under Yoshi’s tutelage, I join my high school team in the winters, swim for an AAU age group team in summer, and later make the college squad. I’m always the worst swimmer on the team, but earn my letters. Despite our Division III status, I swim with two NCAA Division champions there. Unbeknownst to me, two future Boston Marathon winners grind away on the college track all year at the same time.

• Summers in college, I lifeguard at Montgomery Swim Club, and coach the eight-and-unders on the swim team there. We win the league championship every year, and I become friends with future Olympic Gold medal winners.

• After a series of police auction cruiser bikes to navigate college and medical school campuses, I buy another Raleigh, a “ten-speed” racing model, and explore Los Angeles by bike, down the concrete LA river to San Pedro, along the beach-side bike path, and through the Wilshire district’s shaded back streets. In the summers, I tour the western US, riding in the mountains.

• A good friend in med school runs every day. Seeing him sweating, breathing heavily, complaining of back aches and suffering through a knee surgery, I am convinced running is for asthenic fanatics, and vow never to become one. I’d rather lift weights.

• 1975: I meet my wife. We begin to enjoy life together, including frequent evening swims at the Venice High School Pool.

• 1979: I read Kenny Moore’s article in Sports Illustrated on the second running of the Ironman on Oahu. His portrait of the endurance junkies who show up commands respect, and also fear. I’m fascinated, but while swimming and cycling lead off the madness, ending with a run leaves me wanting to be a spectator, not a participant. I become a skier instead.

• 1981, my son is born. After putting him on skis at 11 months, I bolt a child carrier to the back of my Raleigh. He laughs and screams as we explore the side roads all over town.

• 1984. My daughter does not like riding in the same little seat. Her constant crying leads me to abandon cycling for a decade. I still swim several times a week on the way to work.

• 1993. My son buys a mountain bike, and convinces us to ride with him in the Courage Classic, a three-day tour over the mountain passes of Washington’s Cascades. We enjoy it so much, in ‘94 we embark on a multi-day bike tour along the North Rim of the Grand Canyon. Which leads to more tours, through Utah’s Canyonlands and red rock country.

• 1996. We buy a tandem bike, which does not lead to divorce. I ride weekly in the Cascades on my new carbon fiber mountain bike.

• 1997. I retire for the first time, and take the family on a cross-country bike trip from Plymouth, Mass to the Puget Sound. My body is forever changed. I start biking to work.

• 1998. While browsing in a bike shop, I see a flyer for a triathlon: half mile swim, 15 mile bike, and 3 mile run. “Three miles?” I think, maybe I can do that. I’ve always been fascinated by the idea of Triathlon, just afraid of running.

• January 1, 1999. I drive to the middle school track ¾ of a mile up the hill, and run three times around. Slowly.

My reverie is interrupted as a “younger” man (early ‘50s) runs up beside me. “I saw you back there in the Energy Lab. I think we swam together.”

            “What were you wearing?”

            “Same thing,” he responds, pointing to his red-and-white one piece tri suit.

            “Oh yeah. I never could shake you,” I chuckle. “Remember the swim?”

            “Yeah, the current, the swell,” he replies.

            “And those 50 year olds guys running over us on the way back!” I counter.

            “Yeah, what’s up with that? Why did they put the younger one behind us old guys?”

            I shake my head.

            “Are you doing all right. Think you’ll make it in time?” he asks.

            “I’ve been walking and running – it’s how I trained. I’ve got it dialed in to finish with ten minutes to go – 12:15.”

            He points down at the straps around my upper calves. “Bad knees?”

            “Uh huh…if I run too far or too fast now, they start to swell up. After about three hours, unless I walk more and more to keep the fluid down, they just lock up. Can’t bend ‘em.”

            He drifts ahead, aiming for the lights at Makala, where “Mark and Dave Hill” – the last obstacle to the finish line – awaits.

            I return to reflecting on what brought me here.

• March 12, 2000. Sunday afternoon, I complete a 13 mile run, feeling proud and accomplished. I make the fatal mistake of thinking twice as far might not be so bad. At the computer, I discover Ironman California, at the end of May, is Sold Out. But Florida, in November – still open. I enter, race, and finish in the top 10% of the 50-54 year-old men. I am now hooked.

• 2001. Ironman California, Ironman Canada, Xterra World Championships on Maui, and my first running race, a half marathon.

• 2002. Ironman Lake Placid, Ironman Canada. I’m becoming frustrated at not improving my times. My five year plan to enter Kona is fading.

• 2003. Los Angeles Marathon, where I walk most of the way from Koreatown to the end. Ironman Coeur d’Alene, where I fail to finish in the 100F heat. 3rd Place at Xterra WC keeps me motivated.

• 2004, aging up to 55-59. I surprise myself with a 4th place at both Oceanside Half-Iron and IM CDA. October, I journey to Kona as a Pilgrim to watch the Ironman, convinced I will never qualify on my own. Acclimated to the environment, a week later I finish 2nd at Xterra WC. December in Sacramento, I qualify for the Boston Marathon.

• 2005. Another 4th at IM CDA. This time, I have raced following pacing advice I found online from Rich Strauss. I write “I See How!!” on my bib as I tape it to my door. August, I train for the first time at altitude in Colorado. Sept 11, on a 95F day in Madison WI, I finish 4th again, but snag a rolldown slot to Kona.

• 2006, a fateful year in which I race Boston again, place 1st in my age group at IM CDA, and finish the Hawaiian Ironman for the first time. It has now become impossible to let this madness go…

• 2007, after surgery on my foot, I race IM CDA again.

• 2008. Another IM CDA. And in November, at Ironman Arizona, I pass the athlete in 2nd place with a mile to go, beating him by 8 seconds, setting my IM PR and snagging the final Kona slot on our AG.

• 2009. Two more AG wins, in course record times, at IM CDA and AZ. Thinking I’m hot stuff, I bike too fast and DNF on the grass at the base of Palani, having lost 9 pounds (out of 146) from dehydration.

• 2010. Another CDA win, another CR. With three weeks to go before Kona, I bike chin first into the back of a pick-up, losing 9 teeth and severely damaging my spinal cord, among other injuries. It never occurs to me I should stop trying to get back to Hawaii.

• 2011. I finish CDA, then win once more at AZ. A miracle, I think.

• 2012 IMs at Canada and Hawaii.

            A Danish lady in a red tee-shirt pulls up beside me. I urge her on, as there are two miles to go, and she has only 20 minutes to finish. But she slows to a walk as we start the final hill.

            “I saw you pass me on the bike,” she says. “You are very steady – I hope to still be riding when I am like you.”

            She means old and breaking down, I guess.

            “The bike was not as hot or windy this year,” I say.

            “Oh, really so? It is only my first. It can be worse?”

            I smile and try not to laugh. “You will come back?” I ask.

            “Oh, maybe once my son is grown,” she says.

            “How old?”

            “He is not yet two. I want so much to see him now.”

            “Well, three kilometers to go. Get on up there,” I urge, pointing to the flashing red lights at the top of Palani.

            “But I will not finish on time!” she says.

            “You think he cares?” I point out. “Go on, make him proud.”

            And off she trots.

            Alone again, slowing up the hill to a 20 minute per mile pace from the 17 minutes or so I’ve been holding the past three hours, I find I do not regret failing to end my ironman career 10 years ago, after that 2012 Hawaii finish. As Bono sang, I still hadn’t found what I was looking for. Arizona four more times (twice more a winner), Hawaii another four, Coeur d’Alene twice (another win), Canada, Lake Tahoe, Lake Placid, Maryland, Boulder (another KQ), plus three ITU world championship races (2nd place in 2019), all while my right leg slowly fell apart. First high hamstring tendonitis, then a broken great toe, and finally intractable osteoarthritis in my right knee, which has reduced me to this final walk towards Ali’i drive and a 16:50 finish.

            Along the way, I found my tribe, cyclists and runners and swimmers. I invited many to train with me in Colorado, went on cycling trips to the Blue Ridge, Mallorca, and Cuba, biked the Cascade range with my Mountain Goat Friends. I shared my experience, and learned from everyone I encountered. My life become richer, more fulfilling these last ten years. I no longer need the deep training and intense racing required by Ironman to know who I am.

            At the finish, Mike Reilly, retiring himself at the end of this year, called out my name as he has thirty times before. “73 years young, and still going strong,” he shouted. I looked him in the eye as I crossed the line, reaching up to shake his hand. I drew my index finger across my throat, mouthing “This is the last one.” 

“He says he’s retiring too!” Mike bellowed.

Two days later, I followed a dozen Kona racers on my tracker, hugging, slapping and hollering as they biked around the Hot Corner, ran up the Royal Kona Hill, and entered the cheering throngs a quarter mile from the flood-lit finish by the crashing waves at the end of Ali’i Drive. I called them Beautiful, My Hero, and full of grit. 20 years earlier, I knew no one as I cheered at the same spots, watching my first Hawaiian Ironman. Now, I cried as I thought of the family I had found, how I’d helped them on their journeys, and how much they’d given me in return. 

Posted in Hawaii Stories, Triathlon Central | Comments Off on The Last Ironman

Advice On Injury Coverage

Yesterday, an EN athlete who is qualified for Kona this October fell while cycling, breaking his pelvis. He asked for advice from the team. My response:

Rule #1: The Outcome is not pre-ordained, but it IS within your control.

(If you don’t know the details of the accident which put me out of commission for two months at literally the height of my triathlon career – when  was fitter than I have been before or since – you can find some details here: https://bikrutz.org/triblog/?p=506)

What helped me return to not only activity, but continued athletic success?

#2 Positive Attitude. This is something you either have or you don’t. An inner understanding that the only option is persistence and improvement. No question that’s a core part of your make-up, so just follow that inner beacon.

#3 Support. The very fact you’ve posted this shows you’ve got this covered as well. People will reach out to you, offer to help, provide sympathy, condolences, etc. Don’t reject any of that; the power of our “thoughts and prayers” is real no matter how you view it.

#4 Mojo. I was signed up for IM Arizona 2 months after the accident. Even though I still had significant issues (e.g., couldn’t eat solid food, was weak from weight loss, had pain in various places) I could walk and talk and had plane tickets and lodging already paid for. So I showed up, went through the registration process to get my bib and goodies, and participated in all the EN pre-race festivities. I made friends there IRL which I have kept to this day.

#5 Get a Whiteboard. OK, enough soft stuff, how did I actually return to form? I had a bunch of prescribed duties: PT, OT, speech therapy (to learn to swallow again), meds, nursing care for feeding tube and neck collar, etc. I charted each of those daily on a whiteboard. As my medical condition improved, I converted that to planning for and documenting my daily “training”, which started with very slow, short walks. But I could see the plan for and result of small daily increments.

#6 Negotiate With Your Doctors. It’s imperative that your medical team know what YOUR specific goals are. All of us are unique, but as an MD myself, physicians tend to genericize their patients unless forced to deal with their peccadillos. I did my best to convince neurosurgeons and orthopedists and otolaryngologists and oral surgeons that a 62 year old man was actually interested in returning to surgical practice despite significant spinal cord injury which reduced the strength and dexterity of his hands, and in returning to top-level Ironman competition. Be clear about your past experience and future goals.

# 7 Be Flexible with your Targets. As you rehab, your ability to perform will make itself known. Learn as you go about what you are capable of, and adjust your targets accordingly. Again, this is something I know you do naturally, but it’s imperative you neither get ahead of yourself, or needlessly stagnate. I thought I’d be back to top form in nine months for IM Coeur D’Alene, but flopped there. By 14 months, however, I was back on top at IM AZ. 

# 8 Get Back to Competition. Within three months, I had signed up for a 5K. I went something like 51 minutes, at the back with the baby strollers. I didn’t know it was possible to walk that slowly. But I finished it despite the blow to my ego. And a few weeks later, I was ready to run a 25′ 5K, only 5 minutes slower that the year before. Those two “races” were a major boost to my self-confidence and belief that I could eventually return to full-bore IM training and racing.

As to specifics for rehab-ing from a broken pelvis to world-class form, well, you’ve got a content-expert in Coach P on that. He came out the other side of that exact injury to return to Kona. And there are others on the team we should ping if they don’t respond here initially. 

Posted in Injuries and Recovery, Triathlon Central | Comments Off on Advice On Injury Coverage

Murphy Bed

“Did I really fall asleep? Sorry, that’s supposed to be a good movie, right?”

This boy, the intern Scott Bristol, probably thought I didn’t care about him. I watched him drive through the Saturday night traffic on San Vicente from Westwood to Santa Monica. Through my blurry eyes, I examined him, framing him for a photograph. The oncoming headlights sprayed flashes across his face. His dark brown hair, streaked with stray blond highlights, dropped in waves to his sport coat collar. A tentative goatee hid his chin, accented by a mustache which mirrored the heavy brows above hazel eyes. Easy on the eyes at least,  I thought.

I went on, “I’m sorry . . . I just switched over to days, and didn’t get much sleep last night. My body still thinks I’m working from 11 to 7, I guess. You must think I’m a real bore.”

“No, it’s OK. I liked it.”

“The movie?”

“No . . . yeah, it was better than the first one. I mean, I like that you felt comfortable enough with me to fall asleep when you got tired. Next time we’ll pick a movie we both like.” He actually wanted a next time, after having me snore on his shoulder?

He pulled off Pacific into the alley behind Breeze. Cars jammed the back of every house, barely leaving room for his little Dodge Dart to snake between them.

I pointed, “See the vacant lot? You can park in there. Don’t worry about the fence. Or the sign. It’s Saturday, no one’s going to care.” I remembered waking up in the theater, my head on his shoulder, feeling warmth and strength there.

I led the way up three flights of a fire-escape staircase to my studio apartment. “I’d show you around, but, umm, this is it.” I swung my arm in a horizontal circle. “Not much room, but it’s all mine!” I felt proud of the place, decorated with black-and-white photographs of women on the beach-side bluffs at Isla Vista. The cast-off wooden table held a flowered, lacy tablecloth, topped by a vase of yellow artificial flowers. “Do you want something to drink?” I opened the miniature refrigerator door, scrubbed clean of smudges. “Oh, I forgot – all I have is apple juice. That OK?”

He nodded, taking in the bare wood floor, the leaded windows, wavy with age.

“I’m sorry.” I instantly regretted the apology. When I struck out on my own, I vowed never to let myself be intimidated by a man again. I would be every bit as independent as they acted. I pulled two glasses off an open shelf above the sink, poured the juice, and sat down. “So, what was that movie about, anyway?”

“It’s kinda hard to explain, if you didn’t see the first one. There’s this family, Italian, headed by Marlon Brando. They’re Mafia. People are always getting killed, in cars, in restaurants, even a race horse gets decapitated.” I grimaced. I hate blood and violence in movies. “Yeah, it does get gruesome. Anyway, at the end, he dies, and his youngest son takes over, becomes the Godfather.” He took a sip of juice. “So the second movie goes back and forth between the young Brando character, how he became the Don, and his son, how he gets corrupted.”

“Is it as bloody too? I asked.

“Oh, yeah. Worse. Like, he has to leave Cuba when Castro’s army comes into Havana. A guy in Las Vegas gets shot through his glasses, right in the eye. He even kills his own brother! And at the end, while he’s watching his Godson get baptized, his men are out cleaning house, killing his enemies to take sole control of all the crime in New York. Brutal.”

I shivered. “I’m glad I missed the first and slept through this one.”

“Well, it won the Academy award, and people say this one will, too. They’re both very well done, photographed dimly inside and bright colors outdoors in Sicily. The actors – they’re all so real, so engaging.”

“Why can’t they take that talent, and put it to use in a story where not everyone gets killed? What is it with people, they can only be aroused by violence?”

He shook his head, pursed his lips, and looked around the room again. “Uh, something’s missing…where’s your bed?”

I brightened, glad to leave the movie synopsis. I stood up, saying, “That’s the best part! I’ve got a Murphy bed.”

“A what?”

I walked over to the far wall, covered by a macrame weaving, festooned with small white shells. A frayed rope hung from an opening six feet off the ground. I grabbed and pulled. The hydraulic mechanism groaned and the bed slowly dropped from vertical to horizontal, creaking as it clunked onto the rug covering the hardwood floor. “See? Isn’t it cool?”

I sat down, bouncing on the springy mattress. Suddenly, I thought, Would he think this was an invitation? So far, I hadn’t gotten any vibe off him, neither stand-offish, nor touchy-feely. I couldn’t read those hazel eyes, hidden behind rimless glasses.

He laughed. “I’ve heard about those. Never seen one. How does it work? Is it hard to lift back up?”

I got up, and said, “Give it a try!” I scooted back to the table while he lifted it up, the spring mechanism taking over once he got it a few inches off the floor.

“Hold on to the ro…” I blurted, a few seconds too late. The bed slammed back into place, shuddering as it disappeared into the wall with a loud “Thunk”. First-date crisis averted, I thought.

He turned towards me, and saw the view out my window for the first time. “Oh, wow, the beach. It’s right there!” He smiled, “You’re so lucky!”

My last two years in Isla Vista, the student enclave next to the University at Santa Barbara, I lived right on the edge of the bluffs over the Pacific. I thought myself a California Girl, with the beach and the ever-present ocean my birthright. I couldn’t leave the soft enveloping fog, the sand swallowing my feet as I walked down to the water. “That’s why I got this place. I’ve got to be close to water.”

“When I first came to LA, I went to all the places in that Beach Boys’ song, “Surfin’ USA”. I’d been a swimmer in high school and college, so I tried the water here. It’s always so cold! What are you supposed to do at the beach? I don’t like lying there, roasting on a towel.”

“We lived for a couple of years in Redondo when I was seven or eight. My girlfriend and I walked by ourselves down to the beach. We’d hang out, listen to sea gulls, take our shoes off and play in the surf.”

He nodded without smiling. “I’m out in Alhambra, and have to work so much, I never get a chance to go out to the beach. You’re so lucky, you’ve got it all right here, every time you come home.”

“It’s cheap in Venice, lots of places for rent. I guess that’s ‘cause it’s kind of a slum?” I barely know the guy, and I’m hinting he should move here? What about being on my own?

“Really? I thought being on the beach was, like, exclusive, expensive?”

I laughed. “Not Venice! For some reason, they don’t let people build all those Santa Monica or Marina del Rey high rises. So the landlords let places gradually fall apart.”

“Well, I want to see what it’s like, during the day, down at the beach.”

“You’ll have to come out during the day sometime,” I hinted.

He laughed. “OK. Another movie? One we both can watch.”

I eyed him carefully. He didn’t give off the same vibes I’d normally get from guys. He didn’t act like a tom cat on the prowl, one who wanted to use me, not treat me like a person. I didn’t know why I’d agreed to go out with him. I only knew he seemed safe. Protective. Caring. Someone who’d never say he’ll be coming by, then not show up.

Without thinking, I said, “I used to work at a theater near here, the Lincoln. It shows older films and foreign ones you don’t see at the big theaters. There’s musical there now, reggae, about Jamaica. Remember I said I wanted to go to an island in the Caribbean, learn from traditional midwives there? When I read about this film, it made me think of that. I want to go see it.”

“That sounds cool. You used to work in a theater? Like, selling popcorn?”

“Yeah, one summer. I got to see all these films no one else did, for free!”

He checked his watch. “I’ve got my last day on OB tomorrow, so I need to get home, get to sleep. I’ll call you Monday, my day off, OK? We can go see it.” He edged away toward the door, gave a little wave. “See ya!”

You’re a real puzzle, Scott Bristol, I thought. He hadn’t made any move to touch me, kiss me, much less jump on the Murphy bed with me. On the other hand, he’d asked to go out again, so he must want to spend time with me. Intrigued by that hard exterior, I looked forward to the next time we got together.

ii

Two days later, he called. “Hi! So, how is it working day shift?”

I wanted to say I missed him already, but kept that   inside. Instead, I groused, “Rogers – you know, that intern with long hair? – he did a C-section with MacGregor, the senior resident. It must have been his first, he didn’t know what instruments to ask for, kept apologizing. I was circulating. Every time he did something slow, or wrong, he looked over at me, winking, raising his eyebrows. Like I was supposed to re-assure him or something. When they were ready to pull the baby out, he forgot the table was tilted, to keep the uterus off the aorta, right? And he popped the bag of waters too soon, before they could get the table straight, so it spilled onto MacGregor, made his shoes all soggy. He had to step out to get new ones, so poor Rogers was in there all alone yanking and tugging on the baby. I mean, it’s a C-Section, the whole point is to make it easy for the baby to come out. I had to mop up the floor at  the same time I’m supposed to be tagging the baby. It was a mess. That doesn’t happen when you do one, does it?”

My one time assisting Scott in the OR, his style caught my attention right away. Things went so smooth, so quick, I thought he was one of the residents. That’s why I started talking to him in the lab. I can trust this guy, I thought.

“Yeah, no. Remember, I went to school here, and got to do a bunch of C-Sections when I had my fourth year elective on Ob. It’s a simple operation, hard to mess up, nothing in your way when you’ve got to get the baby out quickly. Then you sew everything up, go out the same way you came in.”

He had it figured out. Another reason to trust him. Care and understanding came through that hard exterior.

When we first talked in the lab, a guy named Johnny still haunted me. The year after I graduated, I lived in an Isla Vista house with four other people, Johnny and Shelly had one room, two other girls another, and me. All alone in more ways than one. With no career plans, just a series of waitress jobs, I wandered around taking pictures, attempting to start a photography business. I printed some calling cards: “Fun Fotos by Ally Jean!” But I couldn’t figure out how to make money out of it. I shot candid photos of my friends with a vague idea to create a book about my tribe, girls who found themselves freed by the feminist wave.

Coming home from work, or from a night out with another random guy, or bumming around town clutching my camera, Johnny would be there, listening to music, his long brown hair swaying in time to the Rolling Stones. Many times, we talked the night away, about nothing and everything, until Shelly came back at midnight from the movie theater where she worked. I sensed a bond with him, but feared what Shelly might say or do if I ever acted on that.

I went off to St. Louis for nursing school, and got the job on OB at LA County. I felt strong enough to find answers to the question which had haunted me ever since: did Johnny like me, really know me, or had it all been a fantasy?

I called some friends in Isla Vista, and found he was still there, getting his Ph.D. in Biochemistry. I reached him at the school. He remembered me and wanted to re-connect. He said he was busy, baby-sitting some experiment, but would call me the next week. I gave him my address and number, said I was looking forward to seeing him, telling him where I’d been, and what I’d learned in the last few years. Once we hung up, I began to day-dream about moving back to Isla Vista, walking along the bluffs with him.

A week went by without hearing from Johnny. With no voice mail, no answering machines, I wondered if what he had to say was too important, too scary to share in the spontaneity of a phone call. Then I encountered Scott Bristol in the lab room, helped him with a difficult delivery, and fell asleep on his shoulder during The Godfather: Part II.

And now he was on the phone, not Johnny. In the middle of explaining…something.

“… started on the Oncology ward. From the beginning of life to the end. Every day’s a grim battle, poisoning patients to kill their cancer cells.” He took a breath while I tried to catch up. He went on, “The head of the service insists all the nurses be at least 50 years old – no chance for the chemo to damage their eggs. I spend my time now trying to draw blood and placing IVs into attenuated vessels. The opposite of OB, where everyone’s veins are bulging from all that fluid they retain.”

He could talk when he got wound up. I burst in with, “Do you get any time off, at least?”

“It’s twelve-hour days, and I don’t get every third day off like Ob. But there’s no call, so we could go see that movie this weekend. It’s about reggae gangs on Jamaica, right? Jimmy Cliff or somebody? Saturday’s the best day for me.”

Reaching out to Johnny opened up a hole in my life, one I’d plastered over for the past three years. Taking those science classes in Santa Monica, then a year in St. Louis, I pretended to forget him. I pictured Johnny driving down to Venice the next weekend, not finding me there, then seeing me come in with Scott. Scared both of looking back at Johnny and starting something new with Scott, I froze.

“Ally? You still there? We’re going to see this movie, right?”

“Yes, of course. Five o’clock, OK? The movies start at 6:30 there, we can get something to eat before.”

“Great! Drink coffee first, so you don’t get sleepy!”

iii

Scott showed up precisely at five. He wore a button down shirt, and looked shorter than I remembered. In my dress shoes, with two inch heels, we were nearly eye-to-eye.

“I thought you were taller.”

“I was!” he laughed. “It’s these Earth Shoes. You ever heard of them? They have dropped heels, supposed to be better for your back. Something about walking like we did when we were barefoot in the sand. They’re great for the OR when I’m standing in one place for hours during those cancer surgeries. And the burgundy color – don’t see any stains from…”

I scrunched my nose and shook my head. 

We headed to his car, parked in the vacant lot next door. “So where are we going to eat?”

“Well, at first I thought about Canter’s Deli – I like the hot pastrami. But it’s so far away, back on Fairfax, right?”

My Jewish friends in high school, at Westlake School for Girls, talked about Canter’s with awe, some place they could call their own. “Wait, you’re not Jewish, are you?”

Smiling, he said, “No, but my best friends in high school and college mostly were. And my girlfriend, she was – is – Jewish. When I came out to LA for medical school, she told me to go to Canter’s.”

“When was this?”

“Back in high school and college, I had this girl friend…” He trailed off.

“We don’t have to talk about our past, do we?” I’d had my own high school/college boy, and did not want to bring him up, not now.

He brightened. “No. Yeah, that’s right, we don’t have to, not the best idea, is it?”

“OK, not Canter’s. So where are we going?”

“There’s this place on Wilshire. I went there once with some people when we came out to the beach last year. It’s cool, I like it.”

“Santa Monica beach? I used to go there all the time! After school, when I went to Palisades, we’d drive down Sunset to State Beach. I tried to get tan, but never could. My skin only burns and freckles.”

“You were a beach bunny! Frankie Avalon, Annette, Gidget, all that, huh?”

Is that how I came across to him? Vapid, a little playgirl? Certainly not me now, not how I wanted to be seen. “Not in high school. Oh, I had long blond hair and all that, but I did not go around in skimpy bikinis. My friends were more the brainy ones, we all thought we were going somewhere.”

“Wait a minute, I thought you went to Westlake. What’s this about Palisades?”

This guy picked up on everything. I felt challenged. “My parents sent me to Westlake in 9th and 10th grade. But that was a small school, 30 girls in a class. My old friends in the neighborhood, people I’d gone to middle school with, went to Pali. I wanted to try it out, see what it was like to be there, so I went in the 11th. It was fun, more people to be around, but I liked the challenge at Westlake, so I went back for senior year.”

Scott pulled into a lot on Fifth just north of Wilshire. He came around to open the door for me, but I pushed on it first. It smashed him in the knee and he yelped. “Oh, sorry,” I said. “Didn’t that go out with women’s lib in the 60s, holding doors open and all?”

“Just trying to be polite,” he mumbled.

In front of us, a kitschy diner occupied the northwest corner. A bright orange sign  proclaimed “Zucky’s” in garish script, “Open 24 Hours” below. Inside, diners peered out through angled plate-glass windows onto Wilshire.

My heart sank. A diner? I thought.

“You’ve been here before?”

“Right, when we came out to the pier last year. Med school was almost over, and my roommates wanted to go to the beach.”

“Santa Monica?” I reminisced. “When I went down there, south of the pier, I’d see all guys surfing. I wanted to try it, so I took a board out a few times, rode on the waves.”

“Surfer Girl,” Scott murmured.

“No, those guys intimidated me. I thought they might make fun of me flailing around out there, getting in their way. So I quit. Wish I hadn’t.”

As he opened the door, he said, “Look! They’ve got those swivel seats at the counter! And the booths, the squeaky red vinyl…it’s like the places we’d go after a swim meet.”

“Where?”

“Cincinnati. Every summer, we had these meets Thursday nights. The parents always took us somewhere after.”

I scanned the interior. Squeals competed with a grating hum from an overhead fan. Several children scurried past, heading for the first booth by the door. A man, presumably their dad, grabbed the closest and hauled him back to the bench seat. “Sit down!” he bellowed. “The food’s coming, and you’d better not make a mess!”

Chastened, the boy slumped next to his mother for a moment, then brightened when he saw the sugar packets stuffed in a container by the window. He snatched one, ripped it open, and dumped it into a glass of ice water. Three more quickly went over the cubes. He stirred the mess with his finger and started to drink.

His mother struggled with a little girl tearing into the butter pats stuffed in a bread basket. She slowly sucked the yellow square on one, then licked the sticky wrapper clean.

Scott asked, “So where do you want to sit? At the counter, or a booth?”

With a glance back at the family by the door, I headed to the far end of the L-shaped counter, a bit isolated from the chaos by the windows.

After we sat down, Scott swiveled towards me. “See? All these families! Kids!” He beamed. “Summers in college, I was a lifeguard and assistant coach on a swim team at a private club. I’ve always wanted to have kids around me.”

I remembered my last date with one of the doctors at the hospital. In Manhattan Beach, the kind of place a frat boy would go. Couples, low lights, table cloths, and drinks before dinner. No talk of children, no families to disrupt the mood. I thought, Well, this guy’s different.

“You like kids?” I ventured.

He hesitated, brow furrowed as he considered this.

“I guess so…I mean, that must be part of why I chose Ob. It feels right, having them around. Feels … normal, you know.”

“I’m a little scared of kids. Of having a family.”

“But you said, you wanted to go deliver babies on a beach somewhere.”

My home life turned dark after my brother arrived, six year younger than me. He had something off about him, something wrong with his brain and how he acted. He could do amazing things with numbers, and he always remembered people’s names. But he’d repeat the same things over and over. Sometimes, he’d talk way too fast to be understood. Schools couldn’t handle him, then the drugs made him groggy and agitated at the same time. My parents would argue about what to do for him, late at night. My mother spent most of her maternal energy on him from the time I was seven. And my father withdrew, becoming more silent around us as the years went by.

That frightened me. I grew scared of what my own kids might be like. He can’t know this about me, not yet, I thought. I wanted to be honest, to match his openness with my own, so I said, “Sometimes I see myself, old and wrinkled, helping other women.”

He laughed. “You? No way!”

“I’m not afraid of getting old, are you? It’s where we’re all going to end up. It’s a natural part of life.”

“Like having kids! That’s a natural part of life, isn’t it?”

Persistent, this guy.

In the movie, young black men with swinging dreadlocks alternately sang slow reggae tunes or ran through Kingston towards or away from another street fight. A rhythm of the waves suffused the screen, covering for a non-existent plot. I got lost in my fantasy of living there.

That day, a cleansing storm had rolled through, sweeping out the smog, revealing the San Gabriel Mountains ringing the city. I took Scott’s hand as we walked to the car. He squeezed tight, then put his arm around my shoulder. A few stars sparkled up above, miles away, mirroring the observatory lights high on Mt. Wilson. Scott breathed deeply, and asked, “I love it when it’s like this, the air so fresh, when you can see the mountains. Do you ever go up there…”

“What do you mean?”

“There’s trails you can take, go on a hike. Wanna do that? Tomorrow? You have the weekend off, don’t you?”

Enthusiasm exploded from him like early bursts of a fireworks display. “Uh, I don’t know. I don’t have any hiking boots…”

“Aw, come on! How often is it like this? I bet there’s even snow up there!”

iv

So that’s how I found myself, fifteen minutes into our “hike”, with water-logged tennis shoes, goose-bumped legs under my midi khaki skirt, and a smoldering resentment towards Scott Bristol.

“Do you really think this is the right idea?” I asked.

“Come on, it’s only another mile to the viewpoint. We’ll be able to see all the way out to Venice, and the Pacific.”

I stood rooted to a dry spot in the trail. I said, “You go. Give me your keys, I’ll wait in the car.”

He glanced through the pines down the trail, then back at me. He said, “You don’t get to see LA like this very often. You sure?”

I held my hand out. “Keys?”

Instead of reaching for them in his pocket, he handed me his jacket, a blue puffy affair with duct tape keeping the down from drifting. “What about you?” I asked.

In response, he pulled his watch cap over his ears and lifted up the collar of his red flannel shirt. “OK, let’s go back down, stop by my house to get warm.”

Five thousand feet lower, we turned off Arroyo Seco Parkway where it becomes the Pasadena Freeway. A few blocks later, we arrived at a side street of single-story tract homes. The bright winter sun reflected off stucco’d walls, alternately painted pastel blues, pinks, greens and yellows. Not at all like the ramshackle student quarters of Isla Vista, the stolid brick dorms of St. Louis nursing school, or my decaying three-story apartment house in Venice. And especially not like my parents’ home in the Brentwood hills, replete with swimming pool and backyard canyon plunging down to Sunset Boulevard.

Indifferent décor awaited inside. A living/dining area featured an enormous crudely constructed table, made from thick pieces of unsanded wood resting on four mismatched legs, equally over-sized. On the table sat a week’s worth of unopened mail and the remains of a half-eaten eggs-and-bacon breakfast.

“Rick doesn’t clean up very much. He’s an Internal Medicine resident, and they get even less time off than we do,” Scott explained. He slid open a glass door and walked out onto a leaf-strewn patio. A tiny white-and-black mutt scooted out from brambles clawing their way up a fence at the edge of the yard. He leapt at Scott, who scooped him up and cooed, “Ocho, buddy, what’s going on?” 

“You have a dog?” I wondered. “Ocho? Eight? That’s his name?”

“Yeah, the kids next door where we lived, their dog had puppies and they pawned one off on me. I’m a sucker for dogs, always had one until I came out here. I asked  them how old he was, and they said “Ocho semanas.” So that’s what I called him.” He turned back inside, filled up a bowl in the kitchen, and brought it along with the raggedy pooch into a room featuring a rectangular box on the floor. What appeared to be a rounded mattress nestled within. Ocho jumped on the covers and the surface jiggled like a giant pool of Jello.

“You have a water bed?” I marveled.

“Yeah, they’re cheap, and easy to deal with. Ten dollars, and it’s going strong after four years now.”

This guy kept surprising me. He lived in a house from TV sit-com land with a tiny dog who has somehow survived while he works 80 hours a week at the hospital. Boy Scout, wilderness junkie, sentimental dog owner, and hippie with a water bed. What next, I wondered.

He shut the door on Ocho and the bed, and pointed around the corner. “I want to show you the attic!” He started to pull down the hidden stairs when I noticed the entire alcove was covered with maps of California, of the US, of Los Angeles. I’d been with guys who had pictures of scantily-clad women everywhere, or swirly psychedelic concert posters, even one in Holland with shiny motorcycle photos on the wall. But maps?

“Maps?” I asked. 

“I’ve always had maps around. We’d take car trips out west when I was a kid. My father made me the navigator. I learned how to read maps and figure out where to go. It stuck with me.”

“But as decoration? Why not pictures, photographs of places you’ve been.”

 He spread his arms wide to encompass them all. “I always like to know where I am,” he answered.

On the drive back to Venice, stop-and-go Sunday evening traffic on the Santa Monica Freeway occupied Scott’s attention, while I dozed off. A dreamy collage filled my nap with images from our weekend. Jimmy Cliff shared the beach with swaying pregnant island girls. Ocho the dog frolicked in snow banks next to the dome on Mt. Wilson’s observatory. Hordes of children bounced on the squeaky red vinyl seats at Zucky’s while their parents pored over maps, hoping to find a way out of their daily grind. Johnny and my friends at Westlake shared a swimming pool with Scott’s swim team, battling over who got the choice lounge chairs in the shade. Easing to a stop in the vacant lot next to my apartment on Breeze, the curtain lifted from my dream as I heard Scott say, “…show me how that Murphy bed works again?”

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Everything Everywhere All At Once

Despite the hype, I do not believe this movie is about an unlikely savior of the universe of universes. Rather, it is an exploration of one woman’s struggle to maintain loving relationships with her daughter, husband, and father in the face of life’s relentless drive towards chaos and mediocrity. I saw the multiverse sideshow as reflective of her own regrets at the choices not taken, how she wished to impose her desires on those of her family, and how little she actually knew about theirs.

The extended metaphor goes on much too long, with a few totally unnecessary sidetracks. For example, a good ten minutes is devoted to the man with a raccoon on his head. All of this could have been left out, and the film still would have kept its narrative arc and made its points. The Daniels had a lot of fun riffing on kung-fu movies, film noir, and a raft of science fiction from the past (Matrix, anyone?) But a few hot-dog fingers and slow-motion butt jokes go a long way, and could have been trimmed a bit.

With more discipline and a sharper eye towards what they were trying to do, these guys could have had the next Groundhog Day or Ghostbusters. Instead, we’re left with an overlong but pleasant evening’s entertainment for the intellectually savvy.

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Life Is Precious

A species’ reproductive success relies on quantity, not quality. An unknown number of fertilized eggs are lost each month with menses. Observed miscarriages may account for 20% of all pregnancies. The first year of life is the most dangerous. Prior to vaccines, public health programs, modern sanitation and antibiotics, up to 50% of children died before the age of 5. War, famine, trauma – the causes of death prior to our biblically allotted “three-score and ten” life span are endless.

Every human being is precious, but the design of biological processes, whether by a divine creator or the universal laws of nature, results in loss of life at every turn. Humans every day add to that carnage. War, obviously kills many of us. Yet we invaded Iraq seeking phantom weapons of mass destruction. Premature and degenerative diseases fell many more. Even so, we do not ensure that every person receives all possible treatments – “the rich stay healthy, the sick stay poor”, as U2 sang. Despite seat belts, traffic laws, improved highways, and crumple zones in car front ends, over 40,000 Americans die in highway “accidents” every year. We know tobacco products are deadly, and still we allow people to buy them. Guns, poor diet choices, opioid drugs which addict and kill – we are surrounded by deaths of our own making.

The government permits its citizenry to make decisions which result in their or others’ loss of life. To single out abortion for proscription seems arbitrary at best, and misogynistic on its face. Allowing it until the time of fetal viability outside the mother (18 weeks from conception, 20 weeks from the last menses, is a good marker given our current ability to care for premature babies) would be consistent with all the other human-caused deaths we are willing to live with. And it would also be consistent with our country’s belief that individuals should be free to make decisions about their own lives with minimal state interference. 

Just as the state can choose to use its resources and power to reduce unnecessary death in other arenas, so too it could do more to reduce the number of abortions without banning them. We build safer roads, regulate drug usage, ban tobacco advertising, fund medical research, pay for vaccines, and maintain strong armed forces to protect ourselves from attack. Surely we can do more to prevent pregnancies via all forms of birth control. We can build a robust support system for the care of children through school age, including free and accessible prenatal care to all who need it, and a nationwide network for safe adoption.

Doing so would require those of us who support abortion to acknowledge the loss of  potential human life it entails. And those opposed would need to acknowledge that ensuring a fair start in life outside the womb is at least as important and deserving of investment as a powerful defense capacity.

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Russians Banned From Boston Marathon

The Boston Athletic Association has banned all Russian and Belorussian citizens from running in this year’s Boston Marathon, in response to Russia’s on-going invasion of Ukraine. Here are my thoughts:

Whom do we expect to change the behavior of the Russian government? Those who say, “Our fight is with Putin, not the Russian people,” do not want to live in a world where one country can invade another to change its government. If that’s the case, shouldn’t we use every lever possible short of direct armed conflict to influence the end of the atrocity currently being visited upon the Ukrainians? Our economic and diplomatic sanctions are already harming all Russians, not just those who support Putin. I see no difference between that, and banning Russians from participation in activities outside of their own country. The United States of America was founded on the principle that people have the right and duty to rise up against autocrats, that they are ultimately responsible for the character and actions of those who “lead” them. I believe that banning Russians from events such as the Boston Marathon is one way to remind them of this duty and encourage them to go home and change their government. Especially since we won’t do it for them. For the record, I’m a three-time Boston Marathon finisher.

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Beautiful World, Where Are You?

            Sally Rooney, in her third novel, Beautiful World, Where Are You?, follows three couples as they explore the nature of love and friendship in an atomized society. Eileen and Alice, college roommates in Dublin, are English majors whose lives rapidly diverged. Alice has written two wildly successful novels, eventually entering a psychiatric institution before debarking to a drafty abandoned rectory on the remote northwestern Irish coast. Eileen struggles with low ambition and several failed love affairs, remaining mired in a copy editor’s position at a minor literary journal. Their emails, interspersed between standard narrative sequences, range over issues puzzling many post-millennials. They discuss the wisdom of creating a family in a world roiled by conflict and climate change, comparing the collapse of ancient civilizations to our own times. Each wonders about the value of her life, and why neither has found a lasting love. They struggle to keep their own friendship intact as distance and circumstance pull them apart.

            We meet Alice on her first date with Felix, a working class local in the small town near her hide-away. On the surface, Felix appears a poor match for Alice. A recovering addict, he works in a warehouse and asserts he would never read one of Alice’s books. Alice chastises him for his crass and judgmental personality, while he routinely calls her out for her coldness. Rooney shows them continually at odds, denying any potential emotional connection. Yet they persist in their tentative encounters. Alice invites Felix on a book tour she takes through Italy. It’s work for her, and an amusing first visit to the continent for him. From there, they begin to share their fears of close relationships, and start to create one of their own.

            Rooney paints Eileen as better-looking, and possibly more curious and informed about the world than Alice, yet lacking in some essential motivation towards others and her own success. Early on, we learn of her childhood neighbor, Simon, five years older, who has lusted for her since her teens. Simon, however, is a classic straight-arrow, a devout Catholic and low-level political aide. When she was fifteen, Eileen shared with Simon her almost suicidal depression, and he provided a friendly shoulder to lean on. Five years on, when he lived in Paris with one of a succession of girlfriends, all increasingly younger than him, she impetuously goes to see him, and they spend the night in bed. She enters her own disappointing relationship with Aiden, only lightly sketched. When she realises that five years of her life was lost to him, she returns to Simon for another assignation. Neither seems capable of expressing their need for the other, and it appears they are doomed to remain friends without benefits.

            Rooney, as in her previous novel, Normal People, takes these simple tales of tentative love and friendship, and explores the depths of human need and fulfillment. Her speculations on the nature of beauty, the foundations of human connection, and her sly takes on the lonely ironies of an electronically connected society provide sustenance for those craving an intelligent portrayal of people coping with their humanity.

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Fairness in Sport: Are Trans-Women the Same as PED Users?

The issue of trans women competing in sports is a current hot topic. A dozen states have passed laws circumscribing their participation in scholastic events. The Biden administration is set to publish Title IX regulations which prohibit discrimination against them in secondary schools and colleges receiving federal funds. We are now struggling with the concept of “fairness” in athletics and the trauma of being denied one’s self-definition of gender. As with abortion rights, there seems to be no easy solution.

We’re talking past each other here. Some of us value “fairness” in athletic competition as a fundamental right. Others see a person’s self-definition as the primary issue. BOTH ARE IMPORTANT, and we must come together to figure out a way to honor both. Similar to many other politically charged topics, such as health care access, voting rules, police funding, etc. Step one is: acknowledge the other sides’ position and feelings – “walk a mile in my shoes.”

As a life-long competitive athlete, I have seen many instances where lack of fairness has caused pain to participants. Men and women using steroids and other drugs. Cutting the course short in running and cycling events. Entering out of category – age, skill level, golf handicap. To those who define themselves in a major way through their athletic activities, these can affect their mental health.

Ever since we started throwing spears and rocks while running after game in the African highlands 150,000 years ago, physical prowess has been a key human survival trait. Denying its importance is short-sighted. That’s why ALL of us who want to compete in sports should be able to participate fully and fairly.

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Cancel All Russians?

in response to a “debate” in the NYTimes about whether all Russians deserve to be persona non grata until their country ends its war against Ukraine, I wrote the following…

The US Presidential election of 2016 taught us that bad behavior at the top of our country is not a result of the leader himself. Rather, those who support, enable, and elect him are accountable for his actions, and are the only ones who can change his behavior. Our revolution of 1775-1781 taught us that “…When in the Course of human events, it becomes necessary for one people to dissolve the political bands which have connected them with another, and to assume among the powers of the earth, the separate and equal station to which the Laws of Nature and of Nature’s God entitle them…” they have the responsibility to change the leader(s) at the top.

There are undoubtedly many good Russians who don’t deserve our opprobrium. But their leader, in the name of all of them, has acted outside the boundaries of civilized behavior which much of the world aspires to in the third decade of the 21st century. It becomes their responsibility to effect the changes required to end the patriam non grata status to which their nation, and thus their individual lives, has been assigned.

To end their cancellation, they must cancel those who have committed the worst crime against humanity since 1939.

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Give Me A Head With Hair – III

            I graduated for the fourth, and last, time, in 1978, from residency, and prepared to enter the Real World. We moved from LA to Utah. After a winter skiing every day in the local Wasatch mountains, I undertook a search for a real job. As a Doctor. I did not have the self-confidence meeting the older physicians who would judge and employ me to present myself looking like a rock star, so I reluctantly went back to imitating a TV news presenter. My neck re-appeared, exposed to the searing summer sun, and began to itch. We married in August, and I moved to the pacific Northwest.

            “You’re so young! How can you be a doctor already?” I heard more than once from patients in my office. Keeping my hair above my ears provided a shot of confidence that I wasn’t a fraud, a callow youth without skills, knowledge or experience, undeserving of respect or trust. The arrival of first one, then another child reinforced my inner need to appear more mature. Even if I didn’t always feel like a parent, I could at least look the part.

            Soon, the other physicians in my 1000-member medical group began to look to me to help lead and guide our fortunes. I met with CEOs and politicians, journalists both print and video, traveling across the country to represent our group as health care reform and competition buffeted our lives. This tripartite coalition conspired to reinforce my monthly visits to the barber. Cheryl’s golden locks retreated into a bob as our third baby entered our home. Our hippie days faded, forgotten under the weight of Responsibility.            By 1990, I’d advanced to the top leadership position in the health care organization I served. Seeing patients once or twice a month became a hobby, not a profession. Grey hairs appeared first on my face, then temples, just when I no longer needed their imprimatur of my medical wisdom. Seven years at the top of the heap turned my head from golden brown, to deep brunette, increasingly salted with signs of age.

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