Tuesday, February 17, 2009

Facebook

I had an epiphany Sunday night. I was corresponding with Marnie, our executive pastor at Peachtree Presbyterian Church via Facebook. The dialog was clearly supportive of My 95, an initiative of the missional church to guide parishioners in how to spend the vast majority of their life.

As a part of MEDITECH, my email at work is OPEN. That means that anyone can read it. As an officer of the company, I don't even have a log of who read it (most employees can see who has read their email). It's a very convenient mechanism for checking an ill colleague's email, to make sure their clients get appropriate responses. But now I recognize that it is also a very interesting way to convey to the entire company whatever it is that I want to convey. If I'm writing another officer, I know that dozens of employees will read it.

Clearly, we at Peachtree are using Facebook this way as well. I want you to read what I write on Chuck Roberts or Vic Pentz's wall. We're trying to influence you. As followers of Jesus should be hoping to influence others who watch them with everything we do.

My cousin Randolph has made a career out of figuring out how young folks are using the current media. I think it's cool that we old folks can use the new media as well.

Sunday, February 15, 2009

The Cobbler's Children

Medical care is not always easy to get, even if you live in a doctor's house. However, the tradition of makeshift medicine began a generation earlier, back at the Holly's. Young Vertrees (TGP) used to like the way the cut ends of the tobacco looked as they were hanging upside down in the barn curing. He jumped up to see them and missed the 4x4 rail on the way down. His chin hit a rail, and his lower teeth came through his lower lip.

After a lot of noise, Denzil (my grandfather) was summoned. He attempted to remove the lip from the teeth with the aid of the best tool he had available, a kitchen fork. When that didn't work, they went to the doctor. As the MD was working, he said something to the effect of it appearing that someone had been tugging at the lower lip with a fork. TGP tried to explain that that was exactly what had happened, but couldn't be understood, as he still had teeth sticking through his lower lip.

One beautiful summer day at Spindletop, I was playing on a variant of a see-saw they have there. I kicked my bare foot forward and it dug down underneath a metal handle bar, slamming the left big toe into the metal. It split asunder immediately. Eventually we got home and TGP examined it. The usual rule for pain among the children was that there had to be blood or bone visible, or it had to hurt for two weeks before it warranted attention. This fit in the blood category, so I didn't have to wait. Surveying the damage, TGP when down to the tool chest in the basement. As he came up with the needle nose pliers, Sophia remembers him saying "Oh, this isn't going to be good for Eben". I remember the painful shots of anesthetic, the the removal of the separated top and bottom half of my big toe nail. It really hurt. It hurt at school when someone stepped on it. It hurt for weeks.

Years later, in Charleston, Dunn returned from a game of Bladderball
with the youth group. He came through the first floor in Charleston where I was holding court with Mary Anne, holding his jaw up with his hands, and said "Pleez have Pha check on me when he gets in". After several hours, Dunn got X-rayed to find that he had broken his jaw. Herself passed out at the hospital the next day looking at the X-rays. After several weeks with a jaw wired shut, Dunn was good as new.

I still discount whatever gets hurt. At least we don't panic easily.

Saturday, February 14, 2009

MS Walk 2009

This one is a little harder to write than others posts, as it is more personal. I want to express a little bit about our experience with MS as I solicit for research funds again.

MA was definitively diagnosed with multiple sclerosis in March of 2002, after a first incident over Christmas of 2001. (as you can derive from the name, it takes more than one episode of inflammation of myelin around the nerves in the brain to constitute Multiple Sclerosis). I sent an email to many of our friends at that time; if anyone has a copy, I'd love to see it again.

The hardest part of MS is the lack of predictability. MA had numbness in her face in December 2001, then double vision and vertigo in March while we were with my family in Mexico. Strong doses of IV steroids tend to eliminate the short term problems like that and she did that a few times early on. Over the years since, she has had very few vision problems and no more bad numbness. The persistent recurring symptoms are extreme fatigue and a slight limp.

I did the MS walk in '05, '06 and '07, raising enough to be in the top 100 fundraisers in Georgia. A testament to how many people love Mary Anne. In 2007, our Faithmates Sunday School class from Peachtree walked with me (I should have a picture, but can't seem to find it) Last year, we were in Charleston watching Eleanor in her last college play during the walk, so we missed it. I'm looking forward to walking again this year.

My roommate Chuck said he admired me for how I took care of Mary Anne. It's really not taking care of, it's doing what you want to do for your favorite person on this earth. I love to cook, so it's convenient that it's easier for us to eat in most of the time. We did end up getting a housekeeper, as a concession to my not wanting to take the time to keep the house clean.

An MS blog Mary Anne read a while back was set at a diner and the speaker, who had MS, gathered spoons from some tables and put them in a pile. He explained his experience by saying something along the lines of:
Imagine that everything we expend energy on costs us some spoons and that we all start our days with the same number of spoons. Getting dressed, walking, shopping, even driving takes away spoons. For regular folks, getting dressed and driving somewhere probably costs one spoon. On a bad MS day, that can cost me a whole pile of spoons. This disease just makes me more careful about how I spend them.

We have worked very hard at making this disease less of a limitation and more of an opportunity to be careful with our spoons. Family and friends come first. We have eliminated from our lives many of the less important things that we used spend time and effort on. We do all our shopping on line. We also really don't sweat the small stuff; perspective is a beautiful thing.

Sitting here with the fire on, MA knitting, two dogs in dog ball in the den, life really couldn't be much better.

If you would like to sponsor me as I walk this spring, the link is here. If for some reason that doesn't work, paste the mess on the next line into the address bar on your browser.
http://main.nationalmssociety.org/site/TR/Walk/GAAWalkEvents?px=2158684&pg=personal&fr_id=11240


As the old Bartleby and James commercial used to say, thank you for your support.

Saturday, February 7, 2009

Halloween

I wear a lot of plaid.

Also, patterns, stripes and colors. In general, I am a very good knittee, which is convenient since herself is such a good knitter. See my most recent sweater, done in entrelac, as shown below.
.

I'm not afraid of a strong pattern either. Back when embarrassing the girls was part of my job, I even went so far as to wear both the top and bottom of a wonderful Old Navy pattern. We had Halloween contests at my office in the old days. If you can't read the sign I'm holding, it says "Embarrassing father of teen age daughters".

Come June 5th, I won't have any teenagers any more. I'll miss it.

Wednesday, January 21, 2009

TGP Autobiography 1993

Muv found this somewhere and I read it to the immediate family at the beach last July. I thought it was worth transcribing and sharing. I've been asking TGP to write for the blog and haven't gotten much reaction, so I'm using the writing I have from him. Remember this is almost 15 years old as of today.

Part the First - Where I have been

My parents began their lives at the turn of the century:
  • my mother born first in 1898 as the only child of the union between a hotel/resort wealthy mama and an imperious country farmer turned mathematician/teacher father (whom she worshiped)
  • my father one year later as the second/last child of a German beer-maker descendant (grandmother Addis) and a flashy con-artist alcoholic (who left his posterity nothing except the Hollingsworth name, being a poor side trip down from Valentine Hollingsworth's 1640 arrival in Delaware)

Mother grew up in Mt. Clemens, Michigan, where she:
  1. learned the resort/hotel business,
  2. gained a vast respect for books
  3. was spoiled rotten by her doting father
thereby giving her deep recesses of self-confidence and a literary bent.

Father grew up in St. Louis, Missouri and acquired a smattering of German, a strong aversion to alcohol and a fondness for things mechanical.

They met as undergraduates at the University of Illinois and were soulmates for 48 years. What a bedrock upon which to lay my foundations! Mother brought intelligence, joie de vivre, literacy and interpersonal skills; Father was a Tau Beta Pi and had a Masters in Mechanical Engineering... a genius at that which seized his attention for the moment.

Throughout the 20s and 30s, my family grew to four very quickly (boy, boy, girl, boy) and while Father earned and lost several fortunes in the construction business. Mother wrote and published multiple volumes of poetry and some plays; she learned to go from two cars and several servants to scrubbing the brick sidewalk of our large St. Louis home without losing a beat. I put in an appearance 8 years after number four, in 1937, much to everyone's surprise ("Polly, dammit, you can't be. We can't afford this right now"), apparently having been acquired on a one year trip around the US and Canada in 1936, looking for military contracts to build another dam similar to Father's success at Ft. Peck.

Father struck it rich one more time in 1938 (found a flaw in the Texas Oil Company's mineral rights to the Salem oil pool in Illinois: obtained them for the "cauliflower strip", a road 1/2 mile long and 30 feet wide from which he and some other connivers took so much oil that Texaco bought them out) and so moved his brood to Kentucky in 1939. We bought a Bluegrass horse/tobacco farm 10 miles north of Lexington and set about learning the thoroughbred/sheep/cattle/fighting-banty-rooster business (everyone should grow up on a farm: the value of one dollar an hour wages is very apparent to all that have worked from dawn to dusk). My first real memory, other than those home movie induced, is one of the announcement of WW II and the departure of two older brothers: the eldest to Camp Blanding, Florida, to be a drill instructor for the duration and the second eventually to Europe with Patton's Army. The rest of the group stayed to run the farm and the horses. Father had retired by this time; two heart attacks before age 41, a severed arm in the 30's (implausibly sewed back on ... Mother wouldn't let them take it off as they should have and it worked! Never have understood that) and Graves disease about finished him. He claimed he had been put up on blocks by the war, just as his V-12 Lincoln Continental was. Mother was never phased by anything. She wrote and directed a major musical production in 1943 at the University of Kentucky and I tasted the theater, gaining accolades from which I never recovered. She led the family in Christmas plays written so that all had parts that fit our personalities. I was usually the goody-two-shoes.

Schooling for me began in 1943 at an eight-classes-in-four-rooms school that Mother thought would be good. "To walk with Princes nor lose the common touch" was quoted all the time, but sounded too fancy for my taste. It was close and I got to ride my bike the 1 1/2 miles each way. There I learned the 3 R's, a rigid meritocracy in which one had to earn the right to play in recess games and a rural approach to sexual education. We were all sexperts by second grade, seeing it practiced every day outside the school by various and sundry animals. Since Mother was the volunteer drama coach, I played the lead in several dramatic operettas.... even though lacking the requisite vocal talent. By the seventh grade, the total lack of social graces caused some concern, so I was sent to a private school in Lexington and discovered that money and privilege covered a multitude of ineptitudes. Quickly, back to my country place for the eight and final year of rural education and then on to a small semi-private "model" high school in Lexington: still possible before the consolidation of districts in the early 50's.

High school is a pivotal experience for most; mine was a pleasant four years with 28 people in the class, and inordinate number of whom would end up in relatively fancy institutions of higher learning. I began to learn about girls instead of cows, boys instead of horses/tobacco, and discovered I had modest skills in a number of areas but was outstanding in none. The choice of becoming a Renaissance Man or a Dilettante struck me. I played several sports, but could "start" only in swimming; I was in plays, in the band, the glee club and eventually was Valedictorian, the only area in which I actually emerged as a winner. I had a remarkably untrammeled child & young adult-hood. I was a fairly strong-willed, somewhat spoiled youth to whom opportunity had come as a genetic and cultural gift, unfought-for. It was now 1955: all my siblings were married and had appropriately multiplied..... I was known as "Uncle Vert" to at least 15 nephews and nieces. My kind and wise brother-in-law touted me on a trip east to school and I became the first of the clan to venture outside the state. I arrived in New Haven, Connecticut on a train and was greener than the grass on the Commons.
Four years later, I could write, think a little, knew my way around New York City and had been accepted to several medical schools. I carried music (I was in the Glee Club and the Band) and theater with me, but majored in American Studies and have loved history, education and teaching ever since. (Didn't give a fig about managing anything until about three years ago).

I met the love of my life in a Lexington summer production of "Carousel" and we were married in 1960, after one year (the worst) of medical school in Cincinnati.
The draft was still with us, so I joined a Navy scholarship program that paid nothing, but let me pick when I would enter upon active duty. Two children, one MD degree and a hellacious year at Receiving Hospital (Detroit's answer to Bellevue) later, the four of us were in Camp Pendleton, California for the most relaxed time of our lives. My wife is an accomplished musician and we were active in singing and church work out there until April of 1965 when Viet Nam began in earnest. By a miracle of uncertain origin, I was taken off the ship on two occasions and not allowed to go to Chu Lai or Saigon (both of which subsequently had Naval Hospitals with several of our friends in them soon thereafter).


We left Naval service and California in 1966, returning to Georgetown, Kentucky to join my closest friend from high school and an older established physician in the general practice of medicine. This would later become Family Practice as we shifted with the times and learned to treat things beside diseases. This was the growth time in our life cycle: family, work, responsibilities..... they all grew. I began to experiment with teaching at the Medical School a few miles down the road in Lexington.

Having found a true California baby in 1966, we had our last in 1968 and upon the latter's entry into kindergarten 5 years later, my wife returned to teaching music. Drama slipped for a little while as the time constraints of a 72 hour work week for me, and 80 hour work week for Alice (full time classroom teacher, church organist/choir director at two churches and +/- 20 voice or piano students!) made for a hectic 14 years.

We grew in the community, added to our home, made lots of friends and worked like crazy. Some 200 deliveries, medical student precepting and sundry medical procedures later (I was a "skin and its contents doctor") there had to be other things to do. Et voila! .............. the Navy casually sent me a recruiting letter.

Part the Second - Where I am Now

It was January of 1980. I began dreaming of three things: teaching, travel and time off (my three T's). We had a family conference with Alice and the three still at home, (#1 was a freshman at Yale by now, so we all decided his vote didn't count). #2 was a Junior in High School (JIHS) and the thought of moving for her last year (to Charleston, South Carolina, the duty station I had been offered) was anathema: one against. #2 was 14 and quickly figured out that he would be 15 in March, a full three months before he could get to South Carolina and take the driver's test that would let him drive a FULL YEAR before Kentucky would allow it: one for. #4 was finishing the sixth grade and figured she was going to a new school anyhow... and fourth children will do anything to avoid a fuss: one neutral/for. Alice looked at me and said, "Whatever you want is OK with me".. not a resounding for, but I counted it.

We sold the practice to my remaining three partners, sold the house (finally, in 1982!) cried with the folks on the staff at the little hospital and wrote a letter to the editor of the local paper to explain why I was taking no new pregnant patients. (I managed to deliver the last one while my wife oversaw the packout....smooth move). We arrived in hot, humid Charleston on 30 June 1980 and a new career/life began for all of us. The three T's and more!

I began the full time teaching required of a Graduate Medical Education (GME); to take young physicians, just out of medical school and convert them into knowledgeable specialists in Family Medicine in three short years. My wife taught in the SC school system and was selected as Teacher of the Year by 1983. I was learning and, having more field experience than the other faculty, became Assistant Head of the department. I spent some time at sea with the Saudi Navy (got a Navy Commendation Medal for teaching them how to use condoms without letting their Admiral know such were needed; adultery is an offense requiring removal of the offending "member".......my wife calls it my rubber medal to this day). By this time # 3 was a JIHS so the Navy naturally picked 1983 to send me to Pensacola, Florida to become head of that residency program. I joined the Faculty of Uniformed Services University of the Health Sciences (USUHS), in Bethesda, Maryland at that time, since they sent medical students to us for training. BY 1986, #4 had been graduated from high school, so we moved to Washington to work in medical school academia on a full time basis. There followed two pleasant years as an Associate Professor of Clinical Family Practice, while Alice taught music to angels of the (North) Chevy Chase Elementary.

I became involved in Health Care Planning while in DC and, as the Surgeon General's Advisor for Family Practice, began to visualize changes needed in the organization/delivery of medical care to DOD beneficiaries. That led to several cross-specialty committees and before I knew it, Rota, Spain and Newport, Rhode Island had been selected as Family Practice Demonstration Project hospitals. The idea was to demonstrate the cost effectiveness/customer satisfaction achievable by introducing into the socialized system of Navy Medicine, the concept of continuity of care from a broadly trained specialist who would provide 85% of all care to a command/ship/finite number of families. The first hospital staffed with resources sufficient to the task was Rota; I went there as Medical Director in 1988 and became the Executive Officer in 1989, as we moved into a new facility.

What a gorgeous opportunity it is to live in another culture. To learn new values and an appreciation of one's own is enriching. My wife and I were visited by 3 of our offspring, various college and work related friends; we toured most of Europe and a little bit of Africa; she led the base chapel in song, the base choir in two huge fests and provided music for three theatre productions; I played parts in four plays and was the "face of the base", since I was always on TV explaining health care. I began pursuing the Masters in Management in earnest while there (via Salve's GIS program), having earlier completed the Naval War College curriculum by seminar. As Operation Desert Shield became Storm, I was suddenly ordered back to Newport as Commanding Officer of the local Naval Hospital; one that is undergoing a dramatic set of paradigm shifts. We are embarking on the Navy's first ever use of a civilian facility for our in-patients, while our doctors will be supplying the care. The out-patient portion of care will be rendered in a new facility by a large group of Family Physicians with lots of available consultants. Lots of challenges, lots of opportunities. Thus far, I have been challenged by no major setbacks/disappointments; I have been rewarded by not yet having reached my own private Peter Principle.

Part the Third - Where I am Going

This actually represents my first serious look at the future, at least as it affects my wife and me. As an ENFP (a Myers-Briggs classification that describes one who does not tolerate repetition or sameness for very long), I doubt that the challenges of my current position will hold sway for long. After the political and organizational complexities are ironed out and the mission becomes one of keeping a straight course, I will tire of it and request a change. The Naval Hospital in Charleston holds allure; nearby grandchildren, a residency training program, a large facility (250 beds) and a community with which we are both familiar and comfortable. After that, I have flatly refused to plan.....if flag rank is a possibility (and there is nothing more uncertain than that!), the thereafter will be taken care of by higher challenges. If not, I shall gladly serve out the requisite time to register my twenty years of active duty in whatever capacity the Navy wishes. There are not bad jobs, just bad attitudes (rather like the theater: "No small parts, only small players"). Therein lies my small secret of success....... I have enjoyed everything I have done and have had no major lasting disappointments. Each step along life's path has had a delightful form of recompense, not the least of which has been a wonderful marriage, a super set of offspring and a rewarding career.

In any event, in July of 1998 (at age 61) I intend to hang up my ancient stethoscope/Cross pen and embark on a set of world travels that will include exotic destinations, grandchildren, reading, music, theater and raconteur-ing. I intend to enjoy the trip through the rest of my life; the destination and the stops along the way no longer hold much in the way of fear or trepidation. I rather look forward to each day's challenges as the stimuli that will keep the blood flowing smoothly.

My epitaph? Simple:
You only live once,
but if you work it right,
once is enough.


As he says, it's great to be well brought up. Understanding the heritage helps us understand the present. Since this was written, he went to San Diego, then retirement from the Navy and several years in Pinehurst, where he and Muv still reside. He is now nine-toed, one-eyed stroke man, living and loving life.

Tuesday, December 16, 2008

Sparky's first real haircut

They have both gotten pretty hairy. Sparky reminded us of the Abominable Snowman.

The furry one from a side view:

Then they spent today at the groomer:


Don't they look great?

Saturday, December 13, 2008

If you give a mouse a cookie

TGP grew up in the Hollys, when Grandfather Denzil moved the family to Kentucky in the 30s.


Just to the left of the front entrance is the library, pictured below. Long before my time, it held a beautiful partner desk, where Denzil and Polly worked together.


In 1986, I brought the desk to Charleston. It then spent some time in the upstairs of Orangeburg, but finally made it to the den of our house in Atlanta. See Caroline using it below.

As decorating progressed, the desk ended up in the basement. Teddy had eaten some if it, and time had not been kind.

For our upcoming 25th anniversary, we decided to get the desk restored. Here it is on its way back into the house:




We're working on some wonderful decorating around this piece. Think of the desk as the cookie and Mary Anne as the mouse.