And Now We Have Two (Cats)

Scully In a previous post I talked about the frustration with dealing with the local Department of Animal Services.

As you can see from the picture, it did have a happy ending. I returned on Thursday, September 1st and was actually able to take him home. Now I can be fully honest. When I went to pick him up and they told me he had to be neutered, they also told me that they would have to test him for feline leukemia. If he came back positive I could “pick another cat.” In other words, they would euthanize him. It wasn’t a great ride home.

When I brought him home we had to come up with a name. When Craig and Alison found him they suggested “Slugger” since he was found on a baseball field. Nancy at first suggested “Patches” due to his coat but I found that too common. My suggestion was “TrouvĂ©” which is French for “Found” but Nancy thought that was too obscure. We liked the idea of a baseball theme, and Nancy suggested “Scully” after now famous Los Angeles Dodgers announcer Vin Scully.

Scully came to us with a large measure of enthusiasm and purring, but also with an upper respiratory infection (ie, a cold). A kitten who sneezes constantly is always a cause for concern, but our veterinarian (Dr. John Hetzler) at Ark Animal Hospital believes it will take care of itself in a matter of days. It’s getting better, but still hard to take at 2AM.

You may ask how Scully is relating to our other cat, Missy. It hasn’t been the easiest of introductions but it seems to be working. Missy is playing the role of the older sister who is not happy about having a little brother, but she’s coping. They may end up as pals, but for the time being Missy is giving Scully a wide berth.

More later.

Reflections on The Day, 10 Years Later

Like Pearl Harbor and President Kennedy’s assassination, my generation will ask: “Where were you on 9/11?” I’ve been thinking about that day, and the last 10 years, for some time now.

The morning of the attack Nancy and I were getting ready for work. My parents were visiting from Virginia, and they were staying with us at the house we had purchased 5 months earlier. They were scheduled to fly home on September 12th. Needless to say they didn’t get home until that following Sunday.

I was still working for Vitas Hospice and that Tuesday morning I had to go into the office for a meeting. During the meeting (on the 9th floor of a building in Mission Valley) I noticed that one of my co workers kept steeling glances out the window. I guess we were all wondering if the attacks were really over.

I found many of my patients wanted to talk about Pearl Harbor because they were feeling many of the same things: what does this mean? What will happen next? What do we do now? In both cases we knew that this was the beginning of a long conflict, but in 1941 we at least knew who we were fighting against. When Franklin Roosevelt spoke to Congress the next day, it was clear: we were attacked by the nation of Japan and President Roosevelt asked for (and received) a declaration of war, in accordance of Article 1, Section 8 of the U.S. Constitution.

On 9/11 we knew pretty quickly that we were attacked not by a nation but by a terrorist organization (Al Qaeda) under the leadership of one person (Osama bin Laden). We were also learning that Al Qaeda was located primarily in Afghanistan under the protection of a group called the Taliban. Afghanistan was in the middle of a civil war, but the Taliban controlled most of the country by 2001. We had known about all these groups going back to the Clinton administration. The Taliban were known as an Islamic organization that read the Qu’ran (Koran) in such a way as to subjugate and virtually enslave women. Worldwide human rights organizations had been publicizing these events for a while, but while they were committing these crimes in Afghanistan, they posed no immediate harm to the United States.

The Bush administration had a fundamental choice to make: do we treat this as an act of war and ask for a declaration of war against Afghanistan, or do we treat this like a crime and seek out and arrest those individuals responsible for this act. At the time I believed there was a good case to be made for a declaration of war. Our government demanded that the nation of Afghanistan immediate hand over Osama bin Laden and anyone else associated with the attacks, and they refused. I believed then, and believe now, that we could have reasonably declared war on Afghanistan.

But I also believed (and believe more strongly now) that this was better pursued as a criminal case. This is grist for another day, but our intelligence services had mounds of information on Al Qaeda and bin Laden, but they didn’t share this information with each other and there was nobody to put together the pieces to have prevented this. As a matter of fact, the August 6, 2001 Presidential Daily Briefing predicted the attacks.

Given the intelligence we already had, I believe we could have found and prosecuted bin Laden within the next few months. But I believe the Bush administration committed a series of errors that historians of the next generations will find hard to imagine.

First, to the question of which direction, they choose neither. A declaration of war meant that anyone captured had to be classified as a prisoner of war and have the protections of the Geneva Convention. A criminal case meant that anyone arrested would have the protection of civil law.

Clearly the Bush administration did not want to be constrained by either and so they invented their own path. This allowed them to come up with terms such as “enemy combatant” and “extraordinary rendition.” It also allowed us to arrest anyone, anywhere in the world, take him to Guantanamo, Cuba and hold him there indefinitely with no access to justice. At least at the beginning they were held with no access to council, their own government, or any idea what would happen to them. Many of them are still there.

Unlike President Bush, I have enough faith in our justice system to believe that we could have brought them to trial here. My best example of this is the case of Timothy McVeigh. I don’t think anyone can reasonably argue that he didn’t have a spirited defense, or that justice was not served.

Now, 10 years later, I will give credit: Al Qaeda is greatly reduced and isn’t the threat it was. Osama bin Laden is dead, and most of its leadership is captured and unable to cause any more terror.

But we are still at war in two different countries: Iraq and Afghanistan. Again this is grist for another article, but I believe another mistake of the Bush administration is to focus not on Afghanistan, but on Iraq. Nobody seriously believes that Saddam Huessin had anything to do with 9/11, yet we invaded his country in 2003, dismantled the government, destroyed much of the infrastructure, killed thousands of civilians, and are still trying to get out.

And perhaps most troubling to me is the damage done to our reputation, and to our Constitution. President Bush claimed that they attacked us because we love freedom (they actually attacked us because of the presence of our troops in Arab countries and our support of Israel, but let’s not quibble). But what does this say about freedom when we hold people indefinitely and make up terms like “enemy combatant” for the express purpose of not having to deal reasonably with them?

I’m not sure if I’ll write on the 20th anniversary, but I hope we’ve restored much of what we’ve lost.

San Diego County Department of Animal Services: Run Far Away, Run Fast!

OK, almost everyone has a story about the nutty stuff we have to do when interfacing with local bureaucracy. Here’s mine: Last week our neighbors Craig and Alison were walking their dog Buddy about 9pm. Our street ends at a canyon that is full of coyotes; Craig and Alison saw a kitten there. Craig is allergic but they knew that the kitten would be eaten if left there and they called us. We agreed to keep the kitten for the night and suspected that it had been abandoned. But we also wanted him returned if it was lost.

The next morning Alison took him to the Humane Society to see if he had a microchip. Alas, the Humane Society doesn’t check for this and they sent Alison next door to the Department of Animal Services (aka the Pound). When Alison asked about the microchip the DAS took the kitten, told her that they would have to hold him for 5 days, but that Alison could apply to adopt him if nobody claimed him.

Since Nancy and I wanted to adopt this kitten I went down to their offices to fill out an application where I was told that I could have the kitten in 7 days (assuming he wasn’t claimed); when I asked why it went from 5 to 7 days I was cheerfully told that it was 5 business days. I filled out a form and was told that on Wednesday from 10AM to 11AM I could adopt him, but that after 11AM anyone could adopt him.

It was a long week, but I checked on him a few times. I could see him through the window but couldn’t have any contact. This morning I got there at 9:30. I was told that I could indeed adopt him, but when the caseworker saw the carrier I brought she cheerfully said: “Oh you don’t need a carrier. You won’t be bringing him home today.” When I asked why not she said that he has to be neutered and that appointment would be set for Saturday or Sunday (even though they are closed on Sunday).

Never underestimate the power of a well placed glare. Because of my glaring at the caseworker, the operation is set for tomorrow and I can pick him up tomorrow. I tried my best to get them to guarantee that there will be no other delays. We’ll see if that happens.

Here is my question: they have to neuter him by state law before releasing him and I support that. They’ve known for a week (or 5 business days, whichever comes first) that I want to adopt him. Why didn’t they neuter him during the week? Unfortunately this is a department that still euthanizes animals from time to time and I understand that they don’t want to perform an operation on an animal that won’t go home, but they knew this kitten would go home. I also promised them I would have my veterinarian neuter him if I could have him today but that went nowhere (even though I would be willing to pay and save the county money).

Speaking of money, they’ve had to house and feed this kitten for 7 days when I would have willing to take him. I’m not normally one who bangs the drum of government waste, but this is one time when it’s staring me in the face.

Stay tuned.

I'm on YouTube: Does This Mean I Should Get an Agent?

I’ve been working as a chaplain for San Diego Hospice for 6 1/2 years now and I continue to find it a rich and rewarding experience. We at hospice constantly battle misconceptions about the care we provide, and one of the most tenacious is the belief that we only come in for the last few days or hours of life. Always the innovator, we’ve produced a short 7 minute video called “5 Lives” that is currently on You Tube.

Waiting in the Dark with Steve Lopez's Dad

Steve Lopez is a columnist with the Los Angeles Times and I often find his columns thought provoking. This past Sunday he wrote a column on his father who is in declining health. I strongly encourage you to read it.

Steve speaks in strong and stirring words about how his 83 year old father has been a man of great strength and pride, and now at 83 years old is reduced to a man who fell one night on his way to the bathroom. Neither he nor his wife were able to get him back on his feet and the result was they spent the night on the floor before they got medical help. Steve wonders if our current health care system will care for his father in a way that honors the man that he is.

I’m afraid it won’t. We have Medicare (for the elderly) and Medicaid (for the poor) that is frankly, the socialized medicine we have been warned about. Health care in our sunset years is good at keeping our hearts beating and our lungs inflating, but not good at asking the larger questions. Questions like: “When it is enough? When it is time to recognize that nobody lives forever and we need to change the equation to recognize this.” Questions like: “When are we done keeping you alive at all costs and should instead start thinking about giving you a good death?”

In my experience we’re a long way from that. While we all know in our heads that we will die one day, many of us live as if we were going to be healthy forever and have a right to whatever health care will provide that. At the end of our lives we are the primary drivers of what we want. Assuming we have health insurance (Medicare, Medicaid, or private insurance), we can instruct our health care providers to do whatever we want, even to the point of keeping us alive on a respirator/ventilator. This is a machine that will keep pumping air into our lungs even when every other organ in our bodies has stopped. Most of us won’t choose this if given proper information, but if we can’t communicate and there is nobody to legally advocate for us, most health care providers will assume we want it all, and will keep us alive at any cost.

What’s wrong here? Well, several things. First, I believe that we need to stop thinking of ourselves as immortal. That means that when we are young and healthy we need to start talking with our family members about what we want at the end of our life. If we don’t want to be kept alive on a respirator, or a feeding tube, or by having a paramedic restart our heart, we need to say so and write it down. There are many ways to do this; my favorite is a POLST form. If nothing else, talking with your loved ones about what you want is a good place to start. If things go south in our lives in a hurry, our next of kin is our best ally if we can’t speak for ourselves.

Second, we need to have a national dialogue about how we allocate health care resources. Again, some scream that this will “ration” health care. Let’s face facts: we already ration health care, only we do it now by health care coverage. If you’re 95 years old on Medicare with pancreatic cancer you can get all the chemo, surgery, and radiation that’s available. On the other hand, if you’re 25 years old and work for an employer who doesn’t offer health care, and you have early onset breast cancer, you’re out of luck. It doesn’t matter that your early onset breast cancer is way more curable than pancreatic cancer. It also doesn’t matter that a 25 year old with curable cancer has a much better long term prognosis than a 95 year old with incurable cancer. It only matters on who will pay for this.

To be fair there are doctors and other heath care providers who are heroically telling elderly and terminal patients that they aren’t candidates for aggressive treatments. For their efforts they are sometimes screamed at and threatened by well meaning patients and families who accuse them of being uncaring or greedy when the opposite is true. When President Obama attempted to make this easier by reimbursing doctors for these meetings, Sarah Palin and others called these “death panels.”

As my fellow Baby Boomers are beginning to age into the Medicare problem our numbers are straining the system and at some point we will need to reform it. My prayer is that we come to an understanding of what health care can and cannot do. Providing someone with a good death, free of pain, with the people we love around us, is the last best thing our medical community can do for us.

Rapture Update

On a previous post I talked about Harold Camping who has a program on Family Radio. While having no formal education in Scripture (his background is in civil engineering), he presents himself as an expert on the Bible, and particularly in predicting the Rapture (this is the belief that at a fixed point in time God will take the righteous directly into Heaven and leave Earth in the hands of Satan who will have his way with those remaining before God destroys the world). Mr. Camping predicted that the Rapture would be May 21, 2011 at 6PM.

This should surprise nobody but his deadline came and went without anything happening. For what it’s worth I texted a few of my chaplain colleagues at 6:15PM to make sure we were all still here (and we were). We were amused but not surprised.

Harold was surprised and definitely not amused. After hiding from his followers and the press for a few days, he announced that May 21st was a “spiritual” judgement day and the world will definitely end on October 21st. Since he predicted that he and his followers would be in Heaven by now, watching the rest of us dealing with earthquakes and other disasters, you have to figure it sucks to be him. I can only imagine what he will say on October 22nd.

Finally, here’s my question: before May 21st we were all warned that the Rapture could happen at any time. The message was clear: don’t sin because the Rapture could happen right after your worst sin. That won’t look good to God who decides who goes and who stays. But now we know that the Rapture won’t happen until October. Doesn’t that give us a free summer? Sin with abandon in June, July, August, September, and the first two weeks of October. Then repent by October 21st and be among the saved.

If I were the Las Vegas Visitor’s Bureau I’d be all over this.

By the way, Family Radio still has a web page announcing the end of the world on May 21st.

Am I sinning by laughing at this?

Is There Anyone Not Running For President?

In my last post I talked about listing the people running for President in 2012. Running for President is fairly easy: you just need to have been born in the United States (which includes our territories) and be 35 years old. There are, currently, two major parties: the Democrats and the Republicans. It’s a virtually certainty that the winner of the 2012 election will be from one of those two parties. Furthermore, I expect I join most Democrats in believing that President Obama will be the Democratic nominee. The Republican nominee is a wide open field.

Nevertheless, I’ve chosen to add other candidates to my list. Some are challengers to major party candidates; others are members of minor parties; finally, others are people who belong to no party and run as independents. I don’t expect any of them to move into the White House on January 20, 2013, but I’m including them to show that there is no reason they can’t.

Frankly, the job of looking at their web pages has been a painful job. I find most of them delusional and think our Founding Fathers would be holding their noses too. Most of them are running on a platform of “the past years/decades/centuries have shown that our forefathers would be horrified at seeing what the government is doing. I’ve arrived just in time to save us. Vote for me.” On the whole they believe that government is too intrusive and that we would do better if nobody told us what to do.

I’m American enough to not like to be told what to do but I also believe that most of us like what the government does when we need something. I like the idea that my local government will send someone to my house of I (or someone else in my family) have a heart attack or if my house catches on fire. I like having a public library system even if I don’t use it very often. I like the idea of having a good school system even if I don’t have children who attend (because, let’s face it, the students in those schools are the people I’m counting on to contribute to social security when we’re retired).

I’m not impressed by all the people who claim to “recapture” the values of the founders of our country and have no intention of voting for them, but I’m American enough to give them a voice. I’m encouraged by the belief that our next President is chosen not by those who chose to run, but by those who choose to vote.

Choose to vote.

Left Behind

OK, I’m writing this on May 21, 2011 at 6:17 PM. I have to admit a certain amount of disappointment as I was hoping to be raptured by now. According to Family Radio today was supposed to be the day that all those who were “with God” were supposed to be taken to Heaven. The rest, and I guess I am included here, are supposed to endure earthquakes, unreturned phone calls and other natural disasters. I’m kind of OK with that as long as I find someone who was raptured who left their car keys on the front seat.

Updating This Page

A great deal has happened in the past few weeks and I haven’t had time to write much about it. Every year around the first of May I travel with Nancy to the annual Pediatric Academic Society Convention and this year it was in Denver. I’ve gone to enough of these to have become friends with several of her colleagues and I think I look forward to seeing them as much as she does. Denver is a beautiful city but I have to confess it’s not a place I would go to without a reason. Anyway, next year’s meeting is Boston and I’m already looking forward to that.

While we were in Denver we got word that Osama bin Laden was killed in a shootout with a group of Navy Seals. I have to confess that while I normally prefer slow justice over shootouts, I applauded his death that night. The hunt for bin Laden took nearly 10 years and parts of two Presidential administrations (technically it was 13 years and three administrations; President Clinton began the hunt in 1998 after the bombings of our embassies in Kenya and Tanzania). President Obama was rightly concerned that if bin Laden was captured alive he would become a target for Americans being kidnapped and held as hostages. Any trial for bin Laden would have taken years and have given him a platform that the world doesn’t need. As for the Seals who (once again) got the job done: they don’t do press conferences or curtain calls. We likely will never know their names, but I pray they understand the depth of the phrase “a grateful nation.”

It’s also time to update this page. I’ve taken out the casualty counter on the left column. I was hesitant to do that because I didn’t want to give the impression that anyone is forgetting that we still have young men and women fighting and dying in Iraq and Afghanistan. The problem is that I just can’t find a casualty counter for Afghanistan and that’s where our focus is now. If I can find one, I’ll put it in. In its place I’m putting in the beginnings of stuff for the Presidential race. I recognize that the election isn’t for 17 months, but the race has already begun. For now I’m going to list the candidates; when the major parties start their primary season I hope to keep a delegate count. This was a bit of a nightmare for me in 2008, but I’ll do what I can. My process for listing someone is twofold: I find his/her name using a Google search and the candidate has an active web page. I’m guessing not everyone is happy with this process, but it’s the best I can come up with. If you have a better system, email me.

Of course, according to Family Radio it won’t matter since Judgement Day is a short 3 days away.

It's Tax Day. Do You Know Where Your Money Is Going? You Can Find Out

Hopefully anyone reading this has already done his taxes, but it’s an interesting point to ask where the money is going. We have a funny attitude in the country: we look at taxes as a personal assault on our checkbooks, and yet we demand that the government fix everything we perceive is wrong. I’m one of those “tax and spend” liberals who actually doesn’t mind paying taxes for the privilege of living in a free country, knowing the local fire department still makes house calls, and exercising freedoms of speech and religion.

The White House has a web page where you can calculate (in general terms) where your money goes. This shouldn’t come as much of a surprise, but the taxes we pay are a bit of a shell game. If you look at your paycheck stub you can see that the federal government takes money out of three different categories: federal tax, social security, and medicare. In reality all three deductions go into the same pot, and this pot pays social security, medicare, medicaid, defense, national parks, foreign aid, and NPR.

It’s a pretty simple formula and I’m a little surprised that nobody thought of this sooner. The percentage of the budget is fixed and this page allows you to put in the taxes you paid into a calculator. Go ahead and try. It could be hopeful or sobering, depending on your views. As for me, I like that Nancy and I paid $879.53 for Veteran’s benefits.