Category: Medicine

Travelling from Australia

personby Gillian Polack
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People are asking me “Are you going to Belfast next year?” and “Are you going to Seattle?” and “Will you return to Germany?” and “Do we get to see you in person in Baltimore?” I always explain to European friends and North American friends that the airfares are large and more and more often they reply, “Well, it’s difficult for me, too.” And it is.

Yet the obstacles appear, to me, higher than they were.

I wondered if I was shouting about fire when it was merely a match that was burning. I know that my recent trip was difficult because I needed more physical help than I could afford. Several friends stepped up and made it happen, but there were too many times when I was nearly stranded with no recourse, simply because of the health issues. I still have nightmares about 5 moments that were well-nigh impossible.

For any future trip that takes more than 8 hours, I will need help at the other end and along the way. I have to accept that I cannot do things alone easily, even things that look perfectly straightforward to other people.

Shouting at me, “Get a scooter” when I’m struggling at a science fiction conference does not help, and (what happened a lot in Germany) someone walking by stopping to pick up my bag and get it over the hump or up the steps helps immensely. Neither of these are standard for any trip, but they’re what I experienced. Five times in one day in Glasgow I was told to get a scooter or a wheelchair, when, in fact, if I’d done that I’d have been unable to walk at all long term (or even a few days after).

This is not the first time that strangers and friends alike wanted to treat me in the way they thought chronically ill and disabled people should be treated and not consider (or even ask about) my actual circumstances. Because I can walk a little, most friends would say, “Come with me” and leave me at the other end with no thought that, since I had not planned to get to that place, I had no way of getting back in time for programme or for transport: I have to plan.

All this means is that I have to plan more when I travel. I need to be able to see what I can do and then achieve it.

I had to cancel visits to key sites in Germany because the world and my health simply did not permit it.

I had to cancel a half day at Glasgow because there were problems with a room for the panel I was on. All I needed to do to make everything work, was to sit. Not to sit and move and sit and move and sit and move – just to sit. Standing had fewer after-effects, so I stood and awaiting until the re-assigned room could be replaced with something else and the missing computer could also be replaced. All this happened, and was a miracle of reorganisation, but I had not sat when I had planned to. I could have done it on a panel or in a lounge chair, but intermittent movement with that particular pain meant that after that panel, I missed everything that didn’t take place in a single comfortable chair. I was not even able to walk back to the hotel and lie down. I was very lucky that afternoon because a friend stayed with me and we had a lovely evening and she got drinks and found mutual friends and… listened and paid attention to what I was saying about what I could do. She also made sure I got safely back to the hotel at the end of the evening, which was not a given because my direction sense fails when I am at that point of pain. Also, she did not treat me as a charity case, but as a delightful friend and who she was happy to spend time with. This friend resulted in there being no sour taste in my mouth from my incapacity. She’s wonderful. I did miss 8 hours of programming I had intended to enjoy, however.

All these are reasons for being careful how I travel, not avoiding long-distance travel entirely.However, I’ve now acquitted all the grants I was given to get to Europe. I took a moment to do some calculations after the last form went through.

In future, I don’t think I can get further than New Zealand without financial help. The recent trip cost the equivalent of 45% of my annual income. That was without adding enough assistance to make the trip at all comfortable, (which is what I was unable to do this time) and I’m still paying physically for the return journey. I could only pay that amount with help from the friends I stayed with and from the bodies that gave me grants, and, if I wanted an equivalent trip to anywhere in Europe or North America for a conference or for research without as many problems, it would cost me 60% of my annual income.

Without grants it’s just not possible. That’s easy to explain. What is not easy to explain is that many non-academic programmes and some academic programmes are pulled together at the last minute in these days of everyone working with too much pressure. If I’m not giving an academic paper or on programme, I cannot claim that amount on taxes. If I do not know about programme early enough, that adds $1,000-3,000 to the total cost of the trip because airlines play games with last minute travellers who need to arrange things carefully so that they don’t hurt for weeks. That brings the cost potentially to over 55% of my income if I go the route that hurts, and over 70% if I plan to hurt much less.

I will miss everyone, but I can’t travel long distances under these circumstances, however much I adore being with people and researching and discovering amazing things and listening to brilliant people. Also, the next person from Europe or North America who claims the same experience will be sympathised with, because over 45-70% of one’s income for one journey is quite scary.

If anyone has solutions and would like to see me in person, I would love to talk. In the interim, please just say “I’m sorry – I wish you could do these things” rather than telling me “I suffer just as much as you” while planning your next trip.

Mondayitis

personby Gillian Polack
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Do you ever have a week when you’ve got more to do than you’ll ever fit in and there’s not a lot of time and it’s all the best work, then fun stuff but you don’t feel well and the world world becomes too much so you sit down with a big cup of tea and watch Captain Scarlet? That’s me. Today. I’m not well and I’m busy and it’s all stuff I want to do…

I have until Thursday afternoon to finish the conference presentation. It’s about how I used my ethnohistorical self to devise a perfectly formed lost culture of magic for one of my characters. I get to talk about magic! And history! And my own writing! I’m talking about the cultural contexts of the magic in The Wizardry of Jewish Women. Demons in lemon trees. Home made amulets. That sort of thing. Except that it’s not ‘that sort of thing’ – I created a complex magic system based on the history of magic, specifically, Jewish magic that my character would have inherited. You can trace where her family lived for about 3000 years if you look at the crumbs of magic I left along the path of the novel. I’ve learned a lot more about the history of Jewish magic since then, and could now create more characters with quite different family heritage and give them all equally Jewish magic.

The truth is that I’m not well. I used to simply take time off to get over the illness-hump, because I get them all the time. Right now, though, I’m busy. I’ll be busy until next June. I love being busy, but I’ve not had to handle so much work alongside the illness since pre-COVID. That’s why I’ve been watching Captain Scarlet. I used to learn new ways of dealing with things by taking long walks or by dancing for two hours. I’ve learned that watching certain types of TV gets me that same thinking, the sort that will change my world because it must. What has Captain Scarlet done for me today? I know I shall include a reading in my presentation and that I shall record the reading for Patreon. I shall also give my patrons some of my coolest research photographs this month, which means I don’t have to write the new fiction I have no time for. And I shall write 700 more words tonight and my new book will reach 50,000 words. I have to finish with all the books on my table (about 40) and have them away before I need to use the table for anything but cups of tea, and those 700 words are the first step in this process. They will also free my brain, because I have 3 essays and that paper t write tomorrow.

Another way I deal with illness is by rewards. The days shopping is delivered, I have potential treats, which I cannot open until I have done the essential work. Tomorrow is such a day, and so IO shall write 6,000 words. Captain Scarlet taught me all this, so it must happen… after a cup of tea. One of the difficulties with my illnesses is staying hydrated, so tea comes first, and stretches and the gentle exercise that will get me back the mobility I had until I tried dancing last week.

It will all work, one gentle step at a time. Until I took that time and admitted just how unwell I am this week, I felt as if the world hated me and as if nothing would ever be finished. This is the single biggest reason for admitting things are impossible and for sitting down in front of the television with a big cup of tea. Light watching and big cups of tea help me find the distance I need to handle the otherwise impossible. Wishing life were kinder is not nearly as effective.

In Praise of Things

personby Madeleine Robins
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My aunt was in the hospital for a few days (nothing major, except when you’re pushing 98 everything is major)). To a one, the staff at the hospital were wonderful–competent, kind, empathetic, and sometimes, funny. But a lot of the time my aunt was dozing off–hospital life not being a thrill a minute, even with your favorite niece on premises–and I found myself looking at all the things.

I’ve always been fascinated by medical technology, but particularly the small stuff: the clips that hold IV bags in place but also serve to gather up the tentacles of tubing so that the patient and staff aren’t constantly tying themselves in knots; the plastic sheet with straps that slides easily over the bed, so that a patient can be moved easily and with less stress on her and her caregivers; the astonishing doohickey that the hospital uses to help move mostly-bedbound patients to a recliner or wheelchair; the contraption that helps my recuperating daughter pull her socks on without bending in medically unadvisable ways. None of these things are going to make history, but they make the lives of people who are sick or disabled, and the lives of their caregivers a little easier.

It pleases me to think that there are people out there who spend their days coming up with these gadgets. Probably some of them were invented by caregivers or people who work in hospitals. My father, who was a volunteer Emergency Medical Tech for twenty years, was one of those folks. At the time each ambulance had reusable medical-grade splint. If the splint was used during a call, they had to wait until the patient had been stabilized and the splint had been cleaned and disinfected before they could use it again. In a community with a number of ski-slopes and lots of winter sports, more than one broken limb in an afternoon was not exactly unheard of. So my father (who was an artist, industrial designer, and unstoppable tinkerer) came up with a lightweight, inexpensive disposable splint. He patented it and found a manufacturer to license it, and he split the proceeds with the ambulance squad. That was 30 years ago, and I suspect that Dad’s splint has been rendered quaint by subsequent inventions. Even so.

When I used to give platelets I was the weirdo who asked the phlebotomist all sorts of questions about the bits and pieces of tech that were used, not only to test my blood for iron before I gave lots of it away, but to make the process easier for the technician and more pleasant for the blood source (which would be me). Not least of which is that stretchy mesh bandage that comes in a rainbow array of colors. “What color would you like today? Purple? Green? Neon pink?”

There are downsides, of course. Most of these things are meant to be used once, which means that they are small, probably relatively cheap, and made of plastic. I worry about the sheer amount of plastic that is added to an already-overburdened planet in the name of doing health-related things safely and easily, without the need for sterilization and re-use. I would be a little leery of, say, compostable plastics used for things like IV tubing or test tubes. Maybe for some of the comfort- and transportation-devices? I don’t know if any of the hospital-use plastics are recycled, but it would make me very happy to know that they were. And the Big Plastic Things (like the iMove patient mover chair I linked to above) are durable equipment, meant for many uses, and at the end of their lives could be recycled.

I want–I applaud–all the clever gizmos that busy minds can devise to be used and improved and to make our lives better. I also want, because having it all is my watchword, for those things to leave as little trace as possible for the next generations. It’s only fair.

Miracle and Wonder

personby Madeleine Robins
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So my kid had a vertebra removed. (CW: surgery)

Let me back up. I am a long-time medical history nerd; I wrote a whole book that touched on medieval medical education and midwifery, and (as one does) I left 90% of my research on the cutting room floor. My favorite factoid–which did make it into the book–is that around 1200 or so the European medical establishment came up with a new way to treat a broken leg: a splint to help the bone heal in its proper alignment. Because up to that point the treatment was to bend the leg so that the heel touched the buttock and tie it in that position, essentially self-splinting. Of course, once the bone healed, the leg was, if not useless, badly malformed. Splinting seems like a simple fix–but of course, it was controversial at the time.

So was hand-washing, when it comes to that. When Ignaz Semmelweis discovered that the incidence of maternal death in puerperal fever post-childbirth could be reduced from almost 20% to 2% by the simple expedient of antiseptic procedure–hand-washing using chlorinated line solution, he was attacked by the medical establishment. As near as I can tell, they were insulted by the notion that they might be infecting their patients–even if they were coming directly from treating a septic wound to delivering a baby. Semmelweis couldn’t explain the mechanism of infection–it wasn’t until after his death that Louis Pasteur confirmed the germ theory and Joseph Lister popularized antiseptic procedure. Poor Ignaz had a breakdown (or was said to have had one by the colleagues who had him institutionalized) and he died of gangrene from a wound he got at the asylum.

That was 166 years ago. There was no question about hand-washing or germ theory at the hospital where the kid was treated. And there was a whole lot of stuff that seemed miraculous to my eyes. Over the course of just-a-titch over 11 hours, the neurosurgeon went in, took out the offending vertebra, put in a bone graft taken from a rib, wrapped the whole thing in a “cage” around which new bone will grow, and fused the new graft to two vertebrae on either side. The fact that they can do this at all takes my breath away (as the kid’s husband put it, “to us, it’s a miracle, but to the doctor it’s Thursday”). There are the small patient-comfort things that they do which can have an outsized effect on patient outcome–the drapes or garments that fill with warmed air to keep the patient warm during the surgery, for one, and all the monitoring to make sure that nothing in the rest of the body is slipping sideways while the surgeon was doing his work. I cannot even number all the things the anesthesiologist was tracking.

And then there’s this: nerve conduction monitoring. When you’re putting screws into vertebrae, you don’t want to get too close to the myriad nerves that run through the spinal column. Bad Things Could Happen. So they wired the kid to monitor nerve conduction in all her limbs, but especially in the legs and feet. And the monitoring was done by attendants in Idaho. Which doesn’t inspire awe until you learn that the surgery was taking place in California. Rather than fill up the operating room with extra bodies keeping track of nerve conduction, it’s easier and less costly and more effective to do it virtually. And by Jove, she came through with all the nerves and sensation intact.

As near as I can tell from a quick Google, vertebral corpectomy (removing a vertebra) has been around since the 1950s. I suspect that it was not, at the time, the routine high-success-rate procedure it is now. For nearly 70 years they’ve been refining the process and the tools, getting it closer to right, just in time for my daughter to need it. There’s a lot about medicine as it is practiced in this country that needs work. But all this week I’ve had this running through my head:

These are the days of miracle and wonder…
Medicine is magical and magical is artThink of the boy in the bubbleAnd the baby with the baboon heart

–Paul Simon, The Boy in the Bubble

[reprint] Psychedelics, Transformation, and the Brain

personby Deborah J. Ross
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I admit to being a biology nerd. Nothing delights me more than understanding how our brains work. This reprint offers a fascinating glimpse into how psychedelics might turbo-charge change (insight? enlightenment? feelings of transcendent peace?).

Psychedelics plus psychotherapy can trigger rapid changes in the brain − new research at the level of neurons is untangling how

New research hints at how psychedelics can trigger rapid, lasting change.
wildpixel/iStock via Getty Images Plus

Edmund S. Higgins, Medical University of South Carolina

The human brain can change – but usually only slowly and with great effort, such as when learning a new sport or foreign language, or recovering from a stroke. Learning new skills correlates with changes in the brain, as evidenced by neuroscience research with animals and functional brain scans in people. Presumably, if you master Calculus 1, something is now different in your brain. Furthermore, motor neurons in the brain expand and contract depending on how often they are exercised – a neuronal reflection of “use it or lose it.”

People may wish their brains could change faster – not just when learning new skills, but also when overcoming problems like anxiety, depression and addictions.

Clinicians and scientists know there are times the brain can make rapid, enduring changes. Most often, these occur in the context of traumatic experiences, leaving an indelible imprint on the brain.

But positive experiences, which alter one’s life for the better, can occur equally as fast. Think of a spiritual awakening, a near-death experience or a feeling of awe in nature.

a road splits in the woods, sun shines through green leafy trees
A transformative experience can be like a fork in the road, changing the path you are on.
Westend61 via Getty Images

Social scientists call events like these psychologically transformative experiences or pivotal mental states. For the rest of us, they’re forks in the road. Presumably, these positive experiences quickly change some “wiring” in the brain.

How do these rapid, positive transformations happen? It seems the brain has a way to facilitate accelerated change. And here’s where it gets really interesting: Psychedelic-assisted psychotherapy appears to tap into this natural neural mechanism.

Psychedelic-assisted psychotherapy

Those who’ve had a psychedelic experience usually describe it as a mental journey that’s impossible to put into words. However, it can be conceptualized as an altered state of consciousness with distortions of perception, modified sense of self and rapidly changing emotions. Presumably there is a relaxation of the higher brain control, which allows deeper brain thoughts and feelings to emerge into conscious awareness.

Psychedelic-assisted psychotherapy combines the psychology of talk therapy with the power of a psychedelic experience. Researchers have described cases in which subjects report profound, personally transformative experiences after one six-hour session with the psychedelic substance psilocybin, taken in conjunction with psychotherapy. For example, patients distressed about advancing cancer have quickly experienced relief and an unexpected acceptance of the approaching end. How does this happen?

glowing green tendrils of a neuron against a black background
Neuronal spines are the little bumps along the spreading branches of a neuron.
Patrick Pla via Wikimedia Commons, CC BY-SA

Research suggests that new skills, memories and attitudes are encoded in the brain by new connections between neurons – sort of like branches of trees growing toward each other. Neuroscientists even call the pattern of growth arborization.

Researchers using a technique called two-photon microscopy can observe this process in living cells by following the formation and regression of spines on the neurons. The spines are one half of the synapses that allow for communication between one neuron and another.

Scientists have thought that enduring spine formation could be established only with focused, repetitive mental energy. However, a lab at Yale recently documented rapid spine formation in the frontal cortex of mice after one dose of psilocybin. Researchers found that mice given the mushroom-derived drug had about a 10% increase in spine formation. These changes had occurred when examined one day after treatment and endured for over a month.

diagram of little bumps along a neuron, enlarged at different scales
Tiny spines along a neuron’s branches are a crucial part of how one neuron receives a message from another.
Edmund S. Higgins
A mechanism for psychedelic-induced change

Continue reading “[reprint] Psychedelics, Transformation, and the Brain”…

COVID-Life

personby Madeleine Robins
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I have finally–and reluctantly–joined the vast numbers of my fellow citizens and become part of the COVID statistic. There are many things–good streaming shows or films, books, travel–where I do have a fear of missing out. What if I never get to go to Italy? What if I miss seeing that show with the original cast? What if that restaurant that everyone says is breathtakingly good goes under before I get to try their soup?

Not catching COVID, let me tell you, is not like missing Hamilton live on stage. There is nothing about this virus–even in a fairly mild state, with prior vaccinations and and an antiviral on board–that I would not have cheerfully missed. I have been sicker than this–I remember measles, when I was eight, and a truly awful flu sometime in the 1980s–but not much. And at least at the times of those infections I had no idea of what the long-term potential damage could be.

And this is with a modest infection. I got Paxlovid (which may or may not be pronounced “Pax-LO-vid” — no one will confirm the pronunciation) and took it diligently*. I took it more or less easy (after the first 36 hours it really wasn’t bad…) and by Saturday last the test showed that while I was still positive, it was only faintly so. So, convinced that I was moving out of COVID-land, I probably overdid it on Sunday. My husband, who was also COVID positive, and I cleared out parts of our unspeakable basement, because really we’re lying around the house feeling like slugs, and we weren’t working that hard and…

Not smart. Monday I tested again and…wow. More positive than on my first day of positivity. And I felt like someone was hitting me with hammers, which I am assured is not the case. So yesterday I took it easy. I napped–anyone who knows me will tell you how bizarre that is–and lay on the couch staring into the middle distance, and watched a movie on my phone, and was otherwise slug-like.

Today I seem to be better. I’m working from home, drinking an unseemly amount of water, taking all the vitamins, and not doing much more than going from the couch to the kitchen and back. It is really boring.

But let me tell you: if you have dodged this particular Cultural Event, hold that thought and keep up the good work. I masked diligently for 3+ years and managed to stay safe (I suspect that someone whom I love was not quite so diligent, but that’s viruses under the bridge at this point). And the minute I am really-O-truly-O negative, I will go right back to masking.

Because viruses don’t care about your opinions or your politics. Viruses are driven to replicate–it’s their only purpose in life. Don’t let them move in. You won’t like it, I promise.

 

* Yes, it leaves a foul taste in your mouth. Celebrate when you’ve finished the course and eat yummy things, but don’t screw around and drop

Medical Neep

personby Madeleine Robins
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I’m weirdly fascinated by medical neep. This goes back, probably, to having my tonsils out when I was 5 (I was so excited that I fought off the pre-op sedative, to the point where they had to take me down to surgery and pipe ether into me, because I wanted to see everything that was happening). I discovered medical non-fiction–the terrific “Annals of Medicine” series by New Yorker essayist Berton Roueché–when I was in middle school, and I’m always looking for non-fiction work about medical history. I love Lisa Sanders Diagnosis column for the Sunday NY Times Magazine. When I used to watch House M.D., I would be collecting symptoms and yelling my diagnoses at the screen. I gobbled down John M. Barry’s The Great Influenza pre-pandemic (and went back and read it again in the early days of COVID, and found much useful information in terms of staying healthy when everyone around you is dropping like flies).

I must add that this fascination never moved me in the direction of becoming a doctor. Continue reading “Medical Neep”…

Food memories

personby Gillian Polack
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While I was thinking about what I should write this week, I began some chicken soup. Boiling chickens are very hard to come by now, and that sent me back in time to four winters ago, when the bushfires kept me indoors and there was no COVID. I was making chicken soup then, too. The post was for BookView Cafe and when they fixed their website, it came down, alas. So… here it is again. It amuses me that despite my whole life changing over four years, I can still be relied upon to make chicken soup in winter. And I still play with time.

 

Today I’m a bit timewarped. My July and August are basically impossible, so I’m spending a freezing July evening pretending it’s an even more freezing evening in later July or maybe a milder evening in August. I hope to be back to writing a few days before I post later in the year: this means you’ll get timely blogposts then. Everything I write today is influenced by today, even if I try to take my mind into the world of two weeks’ time or a month’s time.

My hands are so cold I can’t even type properly. The heater is on and I’m making chicken porridge and chicken soup and still my hands are cold. Midwinter is midwinter is always, always midwinter.

My own chicken soup is my traditional way of getting through midwinter. I bought a cheap boiling chicken (the label proudly proclaims ‘steamer’ but it knows it’s a chook meant for soup) and I put it in the slow cooker with bone left over from my chicken porridge. That and four litres of water will take me through until this time tomorrow. That’s when I’ll add onion. Saturday I add carrot and take half the soup away. On Sunday I buy parsnip and celery from the market, top up the water by a large amount, and finish the soup off.

The soup I take off will have other things added to it, including tiny dumplings. I bought the wrappers yesterday. I’ve got some vegetables and sesame oil and other nice things and will shred the chicken currently working valiantly to make the soup. I’ll mix all this together for my dumplings. That’s lunch every day next week.

The rest of the soup will be a base for dinner. My next six nights’ worth of dinner, though, is that chicken porridge, with the chicken from it and various vegetable dishes on the side. The chicken is already in a bowl with its sauce, and I’ve made some pickled daikon. It’s a substantial meal, but also not too heavy. Full of garlic and warm tastes.

Just making these things has warmed my fingers up somewhat and I now have a big cup of tea, which makes them all kinds of happy. Happy fingers are a good thing when one has a lot of typing to do. Having most of my food cooked before the week is even better. All I need to worry about is more vegie dishes or salads on Sunday and I will be eating well and staying warm and have every change of meeting my deadlines.

This is Australia in winter. We’re at the start of the financial year and we’re impossibly busy and we turn to food. So many people are talking seriously about food right now, and getting their tax papers ready.

During my busy periods, I usually cook from Thursday to Sunday and then spend a few days finishing everything up. This is what happens in many Aussie households. My days are different because my working week is a bit odd and I have little control over when I get to shop, but a lot of my friends cook for the week ahead rather than cook on the day.

What strikes me is how many Australians cook. We are one of the countries that has farmers’ markets and takes fresh ingredients for granted. This need not have been the case. Our distances our so great and our basic cuisine so English that we could have made quite different food choices.

Not everyone cooks here, but those who don’t can be very apologetic. At functions where we ‘bring a plate’ those who bring a plate of their home cooking are seen as doing the right thing and those who’ve picked something up on the way are not bad people so much as people we look at and hope that this means they were busy rather than that they can’t cook.

I once went to a dinner party where someone had ordered the food in. For casual eating we all do that. We love our food, so we love many kinds of food, so it’s fine to order in for casual eating, but not for formal dinners. The host and hostess didn’t mention what they’d done and everyone was happy for the food was delicious.

The trouble our hosts faced that night is that we all ask questions about food. “What’s in this?” and “How do make that?” MasterChef is one of Australia’s favourite TV programs. I was the first person to cause a problem, for our hosts had no idea if a dish had nuts and I have a severe allergy.

“Try it and see,” suggested the host.

“How far is the hospital?” I asked.

“Twenty minutes.”

“Then I won’t, today. It looks good, though.”

A few minutes later the person opposite me said, “This dessert is terrific. Can you share the recipe?”

The whole table was silent. I looked at the person asking. They had worked out that the food was not home made and that there was a recipe. Their child also had a peanut allergy (we’d chatted about it) and they were making a point… politely.

That was years ago, people are more careful about allergies. I get many fewer dinner invitations because a very few people prefer to avoid the whole issue, which is a funny cultural shift.

The other funny cultural shift is how the tendency for those with income to eat out or send for a home delivery or buy premade food from the supermarket make sense of US movies for us. I’ve noticed that the recipes shared on local fora are more often basic recipes, too, because not as may people know how to cook.

Still, a large percentage of Aussies cook. This still informs our foodways. I am not the only one cooking reassuring food this week to get through midwinter.

 

Epiphany at the Ear Doctor

personby Nancy Jane Moore
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I had no idea the closet door squeaked so loudly. Wow, you can hear the shower in the neighbor’s apartment! And I definitely need to turn the volume down on my phone.

This increase in noise level is the result of finally going to the doctor to have my built-up ear wax scraped out after over a week of suffering from stuffed up ears. I suspect it was a couple of years worth of ear wax and that my ears had been filtering out the edges of daily noise for some time, but it was only over the past week or so that I really couldn’t hear much of what was going on around me.

I knew what the problem was. I’ve had this problem all my life. My ears don’t shed ear wax very well. When they start getting stuffed up, I try to do something about it. I have drops. I have a bulb for shooting water into my ears.

I prefer to have it removed by a professional, because shooting water into my ears always ends up making me lightheaded and a little nauseous. Also, it rarely works. But over the years, I’ve gotten the impression that I’m considered a nuisance when I go to the doctor for this sort of thing.

Except this time. When the doctor finished cleaning out my ears, she said, “You should have that done every three or four months.”

I cannot tell you how much joy those words brought me. (I have another appointment in March.) I don’t have to put up with this problem. I don’t have to get to the point where I can’t hear and then beg a doctor to do something.

I can just schedule a regular appointment, like for teeth cleaning. I had no idea this was possible. Continue reading “Epiphany at the Ear Doctor”…

Still Dreaming of the Middle Ages

personby Gillian Polack
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I spent much of last week in the Middle Ages, as you know. I emerged about lunch time yesterday. The thing about an academic conference is that it doesn’t present a picture of the whole subject. It’s a bit here and a bit there from what the scholars are currently researching. The subject specialisation is wonderful (such interesting research!), but fitting it all together can be problematic.

This week I’m back into my own contemporary research. The first thought I had when I picked up a book about contemporary Irish folklore was that I have contexts for it. In fact, I went to Ireland before the world went awry and I worked very hard to develop those contexts. Do I have contexts for the Middle Ages?

The answer is, of course I do. I spent many years of my life developing them. I started when I was eighteen and learned Old French in second year university and have never quite stopped. I learned new things then found out that I didn’t understand where those new things came from nor what their companions were, culturally and historically speaking. One of my big dreams has always been to understand. This includes understanding what I know and how I know it, and continuing to learn and to frame my knowledge so that I can learn more about subjects that I think I might be beginning to understand. It’s been a while since I’ve been able to do this full-on for the Middle Ages. By ‘a while’ I mean since The Middle Ages Unlocked was released. Since then, I keep it all together by going to conferences and reading books and teaching and talking and by using it in my fiction. To maintain the complex reality of a subject this rich is wonderful place to be, intellectually. I’ll never know everything or understand everything, but it’s so fulfilling to continue learning.

In my library I have a selection of books that I recommend to people as doorways into the Middle Ages I know. The period is so much more interesting than the popular Middle Ages, so it would be very churlish of me to keep it to myself. Also, there are a lot of trashy books out there. I like to introduce people to good books.

I walked past my shelf. The question I asked as I let my brain wander was what subject didn’t I encounter last week that I want to introduce people to? Medicine. Medicine is so important. The way the wider public talks about medicine in the Middle Ages mostly bears little relationship to actual medicine in the Middle Ages. This popular view creeps into some of the best fantasy novels.

I thought about medicine last week. Monica Green was in the audience at a panel I was also in the audience for. I didn’t talk to her. I was shy. Her work is utterly amazing. It’s also seldom a 101 guide for the topic.

There are two books I send people to, first, and, when they say “I need more” I nod sagely and tell them to look for the work of Monica Green. Here’s the book by Green that I need to add to my library sometime, just so that you have a Green title to look for . There are also two lovely volumes by Tony Hunt on Anglo-Norman medicine check here and here , but they’re for after you’ve read a lot of Green and feel up to looking at an edition of medical texts (it also really helps to read Old French). And that’s just the beginning. Medieval European medicine is a big subject, and the European Middle Ages is just a small part of what was happening in the wider world at that time. That’s why I try to find one or two books to suggest to get people started. If you begin with the whole world, then the subject is too big. Since I am, by training and knowledge a European Medievalist, the countries I know best (France and England) tend to dominate my recommendations.

The two books that I suggest starting with (especially to historical fiction and fantasy writers) are Nancy Siraisi’s Medieval and Early Renaissance Medicine  and Carole Rawcliffe’s Medicine and Society in Later Medieval England.  Because I haven’t looked at new introductions to medieval medicine for a few years, there might be something else that has emerged that I know not yet of. Medieval Studies is a vast field and there is often something new and exciting and intellectually vibrant to look for.

Now my mind has wandered to Montpellier. A year or two after I had sorted out the underlying patterns and structures and just how things happened in the various worlds of Medieval medicine, I was in Montpeller. Montpellier was my research base for my novel Langue[dot]doc 1305. I had to go to hospital, just for two hours, my first day there. It amused me no end that the hospital I went to was one I knew about from my forays into the Middle Ages. It was a university hospital and the only one that didn’t limit its teaching of medicine to Christians in the very Christian part of the Middle Ages. One day I’d like to go to Salerno, and visit the campus there, the one that was famous for teaching women how to be doctors in the Middle Ages.

And now it’s so close to my Tuesday morning that I think I might sleep. If any of you are interested in me turning this into a series “Books you can read about the Middle Ages” (to appear on this blog on Mondays, when I feel like it) then please let me know, because it would be fun to write.