Google+ Followers

Thursday, September 11, 2014

Grandpa Anderson


My Grandpa Anderson died in April 1959. I never knew him in this mortal life. However, I believe that my birth 4 months later helped to comfort my parents in their mourning. My earliest memories included the assurance that my Grandpa Anderson knew me in heaven and sent me to my mom and dad. Years later I came across a few documents that he had written. In those few pages I sensed a connection between us; his love for nature, his loyalty and patriotism. How teaching was so significant in his life. Of the sorted photos that we have of him one stands out. He is sitting on his porch, looking out over his front lawn to the mountain which would have filled his view. He is holding a grandchild on his lap.

Here I am now, 66 years later, holding my grandson on that selfsame porch in his house which is now my house. Buildings vary so little over the decades. While the people inside and the world outside change faster than we can adapt. Beyond the white picket fence I see the golden washed clouds over Mt Timpanogos as the sun sets to the west. This is a moment. I am now Grandpa Anderson. I belong here.
We traveled to Utah last week for the blessing of Luke Daniel Anderson, our youngest grandson born 7 weeks earlier to Samuel and Michelle. All of our children, their spouses and Luke's three cousins came to witness the event. What a joyous reunion it was. We are currently scattered in five states.
Four grandsons in one year; what a dream come true. Jamison David Solari, son of Caitlin and Ben turned one this week, followed by Kent Durham Anderson, son of Alexandria and Jeremy, who is 10 months. Then Seth Douglas Hammond, son of Rebecca and Jason, now 8 months old.
Sunday arrived and it was time for the blessing which occurs at the beginning of Sacrament Meeting. We encircled Luke with our hands as we stood shoulder to shoulder; four generations. Sam invoked beautiful blessings and promises. As we sat down again in our pews I casually glanced at those around us. With Barbie next to me I saw to each side and directly in front each of our four children and their spouses. On each of their laps sat a firstborn son. I reveled at the amazing beauty of this moment/ Could life ever feel better than this?
Then suddenly a surprise. It was announced that the musical interlude would be performed by the Anderson siblings, soon on the stand we heard our children sing together for the first time in many years. Jeremy on bass, Samuel tenor, Rebecca sang the melody with Caitlin on the soprano descant. I was overcome with emotion.
To paraphrase Elder Neal Maxwell, "If moments are the molecules that make up eternity, this was a macro-molecule."
Is there a happier man than me? I think not. To be present at such gatherings, to return to work full time, to see my grandchildren born and develop. To have a new heart for six year that remains free of amyloid deposits, the wake up and fall asleep next to my true love and eternal companion everyday is more than I could have dreamed of a few short years ago.

My Goal: Make as many new and lasting memories as possible
My Plan: Stay alive
My Hope: Increase in integrity and compassion in all that I do, like my Grandpa Anderson

Kevin

Kent and Seth

Kent

Cousins


Jamison and Luke

Four Generation (Mitochondrial line)

Michele, Luke and Samuel

Tuesday, April 8, 2014

New experiences


Some people are thrill seekers. They are into extreme sports so they can get that "adrenaline rush". Yet, there is a certain sense that in taking risks you feel truly alive. I  love to experience new things because it allows me to see the world from a different perspective. Ah, yes, the "per" words perspective and perception. These vernacularian twins represent vision divided by reality. What wise soul would not want to increase their perspective, thus allowing them to see the world from different angles, viewpoints, the other side to every story. Since perception is reality, at least at the individual level, the inherent value of fine-tuning our perception through the summation of its angles is immense. Perspective augments perception.
Some new experiences require us to step outside of our comfort zone: Trying Thai food for the first time, riding a mule down the Grand Canyon, speaking at a press conference with the Speaker of the California State Assembly. Just jump in, the waters fine.
Today Barbie and I spent the day at the California State Capitol in Sacramento. April is Donate Life Month and Donate Life California, of which I am a volunteer ambassador, was tasked to spend two days working as advocates (the non-profit word for lobbyists,) to encourage state senators and assembly members to vote for AB2399 which would facilitate simpler e-registration for organ donation. Barbie and I had no idea that this meant meeting with legislators and their staffers. In one office we met Sen. Berryhill who had a heart transplant 13 years ago. We shared an emotional moment as we remembered the gift and sacrifice of our donors.
Finally, at the press conference, it was my turn to speak after the Speaker, Sen Perez (the bill's author). I was told that I had 2 1/2 minutes (oddly reminiscent of junior Sunday School 50 years ago.) Various disparate ideas coalesced into one of the most coherent messages that I have ever given. Even my laryngitis was momentarily transformed into a steady low bass. In essence I shared that the depth of gratitude that we as organ recipients share is beyond preparation. It wells up from the innermost core of our souls and remains a daily reminder of our indebtedness to the kindness of compassionate strangers.
As I finished, the leaders at Donate Life California felt that I had properly shared their vision and their message.
I have never experienced, first hand, the inner working of politics. I have new perspective which can now, hopefully, fine tune my perception.

Are you an organ donor?

Kevin

Tuesday, January 7, 2014

Eat Better in 2014

"Eat Better in 2014" Catchy title. But this is not a blog on the virtues of vegan existence or grazing on crudites. It is about eating stuff that tastes better. And we all know what makes things taste better: FAT.
For Christmas I asked for an A&W Root Beer mug set. (nothing's better than drinking root beer from a frosty mug.) and a Presto Fry Daddy deep fat fryer. Barbie bought the upgraded version with a lid and a basket (still under $25.00). Everyday during the Christmas break my son-in-law, Ben, would ask with child-like exuberance, "What can we fry today?!" We did sweet potato fries with a horseradish fry sauce, corn-dogs, green beans a la tempura (healthy crudites) and even deep fried Oreo cookies.
Finally the day came when I had to attempt the coup de gras, double fried French Fries or, as we call them here in Southern Placer county, 'Lincoln Frites'.*
For the record, I used many organic ingredients, even the plastic lid on the fryer and the extension cord were organic, albeit if your definition of organic refers to items composed of carbon-based molecules. Were synthetic fertilizers used on my potatoes or peanut oil? Actually, I do not know; nor do I care.
I began by squaring off three Yukon Gold potatoes and cut them into 3/8" rods using a fry cutter called 'a sharp knife'. (The choice of Yukon Gold was arrived at when I opened the pantry and found some left over potatoes from Christmas Eve.) These were washed in ice cold water until clear and transferred to the fridge.
Now these fries cannot be confused with Fast Food because it took over 10 minutes to heat the peanut oil to 325 degrees. I the cooked the fries for about five minutes until the outsides were barely crisping and the insides barely translucent.


Upon holding the fry, it was limp. (let it cool first.) These are then place aside in a bowl.

The oil is then heated to at 375 degrees.



The first batch I under-cooked because they mistakenly looked more golden brown in the fryer. The second batch I cooked for about four minutes and they were perfect; and I'm talking Celestial perfection.
The fries are then drained on a deconstructed paper bag. The indigenous peoples of the Altiplano near lake Titicaca in Bolivia have been draining on paper bags for centuries as this is known to remove all of the oil from the potato thus rendering the fries 'fat free'.** (or is it un-rendering?) After a light dusting from your salt pig, you eat. These can be perfectly paired with nothing, or not nothing.
They are great at work parties, weddings, divorces, Bar Mitzvahs (substitute Kosher salt) and  in your RV while travelling to New York. (just set the fryer to 375 and the vehicle to cruise control. (even better with Burgundy sauce))
The extra raw cut potatoes can be stored in water and fried up in the morning for breakfast.

Eat Better through more expensive oils with high smoke points

Eat Better with creative sauces all based on more fat

Eat Better with batter

Eat Better by calling your mayonnaise "aioli"

Better Eat quick, your fries are getting cold.

Kevin


* Now Gluten Free for people who don't actually have celiac sprue, but feel better when they don't eat gluten.
**FDA disavows this claim as unsubstantiated.

Tuesday, December 17, 2013

Carphoria

Carphoria noun (karforeeah) OLD ENGLISH 
The experience of exhilaration felt while driving home in your wife's convertible roadster with the top down in 65 degree mid-December weather from your Velcade (chemotherapy) injection appointment which is then augmented by having the general euphoria that comes 8 hours after ingesting large doses of steroids (Decadron) which makes you slightly hypo-manic prompting the playing of rock music at level 11; way louder than either your wife or audiologist would allow. Finally spiced by the wearing of shades, fedora and a care-worn leather jacket with the setting sun scene in the rear view mirror.

Speaking of Velcade, I have learned a few things about how best to receive it. First, and foremost, get it injected subcutaneously. It is just as effective and has less peripheral neuropathy complications. (see review on AmmyloidHope.org) Second, ask the nurse to inject it deep. The very first time I got it, the nurse placed the needle under the skin superficially by inserting the needle at an angle as she entered. This resulted in the drug both irritating the dermal layer of the abdominal skin and also getting absorbed into the skin lymphatic system. Within three days this caused severe skin inflammation with red-purple lines tracking to the groin where the now inflamed lymphatics drain. 
The next week I asked the nurse to push the 1/2 inch needle perpendicular to the skin and all the way to the hub. I actually grab my abdominal wall to give them a deeper target so that it doesn't hit muscle. It's almost painless. The area still turns faint red is is mildly painful to touch, but it resolves in a few days instead of two weeks. Since I often have a different nurse each week, I offer a gentle reminder before they take the plunge.

Little things can make a big difference.

Kevin






Wednesday, November 13, 2013

South Africa - Gem of the Southern Hemisphere

We recently traveled to South Africa to Kruger National Park for a four day safari. Then it was off to Cape Town to experience the beauty and wonders of the southern most tip of the African continent. It seem a bit surreal that in the same year we have been to both ends of a continent that I never expected to visit in my lifetime. Tangier, Morocco and Cape Town, SA are as different as New Haven, CT and Lincoln, CA. The trip was magical. We were fortunate to have David and Natalie Boucher, (Maria Boatman's uncle and aunt) as our guides. They have traveled extensively to Africa as missionaries.
We began in Kruger National Park, a game preserve, and stayed in the Skakuza Camp. It is fitting that Skauza has the phonetic ooZ in its name as we were literally in a reverse Zoo. We were in the cage with an electric fence keeping out the native animals.
Everyone want to experience an encounter with a least one of the big five. Some visitors count themselves lucky to see more than one. We saw all five every day.
Leopard

Lion

Savannah Eliphant

White Rhinoceros

African Buffalo

In addition to these majestic beasts, we encountered numerous other mammals, exotic birds, giant reptiles.fascinating flowers and unique trees. It was a naturalist's dream. Our tour guide Knut and our safari guide and driver, Sam, made sure that we were up close and personal with the untamed world of Kruger.

Each night we would return to our thatched roof bungalows, gates were closed and we were treated to traditional South African food which is a combination of British meat and potatoes and South African item such as meli pap (a corn based porridge served with tomato-onion sauce) bobotie (a meat casserole) Biltong (jerky) and Malva pudding for dessert.
Skakuza Camp
After a five hour bus ride to the Johannesburg airport we then flew to Cape Town and stayed near the waterfront. Highlights included a gondola ride to the top of table mountain. The most beautiful coastal drive to the Cape of Good Hope, Evenings on the waterfront having dinner with the Boatmans and the Cardinets, the trip to Robben Island where Mandela was imprisoned for 25 years and strolling through Kirstenbosch Botanical Gardens
Native Village near Pretoria

Cape of Good Hope

Don, Jason and Me conquering Table Rock

Coast drive

White sands

Kirstenbosch Garden below Table Rock with a table cloth

View of Cape Town and Table Rock from Robben Island

South Africa will be a trip that we will remember and cherish forever.

Kevin

Thursday, October 3, 2013

When the New Normal Becomes the Old Normal.

Sonoma Coast
In the midst of the anxiety surrounding the decision to undergo the bone marrow transplant I asked a question that hitherto I had not broached. Nor have I asked since. Before asking I was aware that doctors our lousy fortune tellers, but that didn't stop me. As Dr Schrier and I discussed the details of our joint decision to proceed with the procedure I asked him to predict my future. "If the stem cell transplant works, how long can I expect to live?" I asked, hoping for hope. "Well, generally after four years the disease tends to come back," he reported. Immediately I said,  "I was hoping for ten years."
Where did that number come from? Why not twenty? I see numbers in everything and ten years resided at the corner of pragmatism and optimism; facts and faith.
After the stem cell transplant, but before I knew that it failed, I wrote a fictional story of a man who knew exactly when he was going to die. (Link to Solids) There was no pre-planned allegory or moral that I was trying to convey. It was just a story. Over the years I ascribed many things into the meaning of what 49 year old me was feeling as 54 year old me re-read it. What I see most now is the consummate importance of the unknown. We metaphorilize the future unknown as darkness, yet is it only the place where the light has yet to shine; and we hold the beacon.
Two and a half years ago I stepped down as chief of my department. It was hard to fulfill all of my responsibilities while working only three days a week with mounting side effects of my varied chemotherapy drugs. I was often sick for extended periods of time. I remained on disability and closed my practice to new patients. I focused on a referral practice to treat prostate cancer with radioactive seeds and continued stone lithotripsy on Fridays. Dr. Troxel asked how much longer I expected to work. Given my knowledge of the natural progression of amyloidosis I said I figured to work two more years assuming by then things would have worsened.

The future had a different plan for me.

I continued my chemo. Slowly, I better adapted to the predictable outcomes of my drugs and their side effects seemed less onerous. My disease responded better than expected as the treatment repelled and tamed my bad clones. The tiger remained, but was now quietly curled in the corner just barely out of sight.

Just over two months ago Barbie observed that I hadn't been sick for a long time. I realized that she was right. She added that maybe I should consider going back to work, not only in extending my work hours, but also to take on full duty responsibilities. As such, I would do many more of the types of surgeries that I was trained to do. This would also include call. There have been many times in our marriage when Barbie will suggest something that would completely change the course of where I thought we were going and immediately I know that she is right. It was time to eschew the safety net of disability and move forward with the goal to continue working until I am old enough to retire, just like everyone else does.

Today was that day. I began the first day of my new old life as just a regular urologist working with my partners again to take care of whomever needs our care. It was wonderful. The patients I met today will be my patients for a long time. I truly have no idea of how long I will live nor do I think about it much. I have returned to the masses who live in blissful ignorance of their own mortality. It's a wonderful neighborhood.

How many times have I used the lesson of the importance of accepting the new normal unaware that my old normal lay in the unseen reaches where time takes us all. When the new normal becomes the old normal it uncovers the magnificent adventure that it is to fall forward into the unknown we call future.

"Ten years? Sounds like someone is bargaining with God." Dr Schier had told me.
We are still on good terms.

Kevin

Thursday, September 12, 2013

Novato: Edified in 6 Edifices of Essential Education

Two weeks ago I hurried home after holding our new grandson, Jamison, so that I could return to my hometown of Novato, CA to speak at my old high school. As an ambassador for the California Transplant Donor Network I have the opportunity to encourage students to choose life and become organ donors when they get their driver's license. I was extremely excited as I had not visited my high school since I graduated in 1976. The evening prior an article about my visit appeared in the local 'paper' The Novato Patch (see article here) Early Wednesday morning on the August 28 I mistakenly left at 4:00 am as my alarm clock was an hour early. As such, I arrived in Novato two hours early. I decided to tour the places representing my youth.
Calle Paseo House age 4-11

Loma Verde Elementary

Corte Alta house (moved in when sibling # 9 was born)
Age 12-19

San Jose Junior High

Novato High

Novato LDS Church

I spent 87% of my life from age four to 16 in these buildings and therein learned most of the precepts and values that shaped who I am and what I could become. I had some amazing teachers. Mr. McNern, my third grade teacher, not only taught me extraordinary new ideas in math, geography, world studies and linguistics, he supported my fragile ego just when I first learned that I was poorly coordinated in sports and therefore de facto unpopular. When I said that I wanted to be president of the United States he completely believed in me.
The man who taught me algebra in 8th grade was Mr. Orth and he was very cool for an old man. Recently, his neighbor came to see me for treatment of his prostate cancer and sent me Mr Orth's phone number with an invitation to call. Mr. Orth's octogenarian voice answered with youthful effervescence still intoned. "Kevin Anderson," he mused. "Weren't you that sandy haired Mormon boy from a large family?" "That's me." I chucked. What a simplistic description my young life.
I thanked him for teaching me algebra and teaching me how to teach. I was later a T.A. for him.
I stopped by my church where I spent so many hours a week for 15 years. Oh the lessons I learned there: on keeping God's commandments, on studying scripture, on the duties of a priest, on learning how to ask a girl to dance, on tying knots that could save your life; or somebody else's.
Soon, however, it was time to go to Novato High. I had to walk by my old chemistry and pre-calculus classes. Mr Hicks and Mr Schrick respectively prepared me for college and medical school as they enlarged my understanding more than almost any other teacher until I met Dr Bradshaw my last year of college.
Nostalgia overload then gave way to the task of convincing two classes of new freshmen to check the organ donor box at the DMV. I told them my story of how I am here because of Shane, my heart donor. I sensed understanding in their eyes as their numerous questions confirmed the seeds on conviction. It was my turn to teach in my old school.
The last two buildings were our homes. Dad taught us to work hard and how to treat others in society. He taught us to respect women. Mom answered my unending curiosity about everything. One day I asked, "Why do our memories begin around age three?" She thought for a minute and explained, "It is probably related to when we start speaking so that we can remember with words." That seemed so wise to me, it still does.
All of the buildings look mostly unchanged over 40 years. The trees were bigger. It was the people in them that had changed, just as the world outside did the same.
I am forever grateful for my teachers. What they taught me I taught to others; and so it goes on ad infinitum.
Novato was good to me.

Kevin

Sunday, August 18, 2013

Between Birthdays

Thank you, Shane

I get to celebrate two birthdays. Friday, August 16, was my heart's 5th birthday while tomorrow, August 19, the rest of me will be 54. I feel great. No, I actually feel better than great, but I would need to invent a new word to describe that; .... I feel euphorolicious. ?? Maybe not, how about wonderpendous. Recently Barbie commented that for the last many months I haven't been sick. Reading between the lines I also understood her to say, "You are not as annoying as usual two days after Decadron." I took this not only as a complement, but also as an affirmation that things are working well. When asked by a friend why am I doing so well five years later I responded that I don't have any medical or logical explanation. I thank God for this.
Last week I went to Santa Clara for my biennial left heart catheterization and my semiannual right heart cath. (how are semi and bi different?) My coronary arteries are wide open. My cardiac index is 2.3 (normal), my right heart pressures are normal. My echocardiogram looks great with an E.F. of 65% (Very Good to Excellent). The heart biopsy showed No Evidence of Rejection (NER) and, the envelope please, no amyloid in my 5 year-old heart.
Barbie and I are so pleased at this news. We have incrementally increased our 10-year marital bond yield to a 40th anniversary. There is a lot of interest in that.
Today Barbie directed the choir for stake conference. She was magnicredible. The best two choral directors that I have ever sung for are Barbie and John Bringhurst; although I like Barbie a little better and she is nicer to look at. She has this gift of pulling beautiful music out of a choir of mixed experience and we all feel better having sung together under her direction.
I love how music expresses what words cannot convey. Maybe I should sing a song about how I feel now. But since I sing Tenor eleven notes off, I shall sing solo that no one hears me. Groan.

You've been a great audience

Kevin
(No, this was not written under the influence of steroids; this is really me.)