Tag Archives: daughters

ChatGPT & My Health

I posted recently about how I’m using AI to help me manage my understanding of the medical information I receive from my doctor visits and from my Apple watch. I have been sharing the sleep graphic my watch and the Health app provide me each morning. This morning, there seemed to be a bit of a disconnect between the awake time the graph showed and the analysis that ChatGPT provided me.

So I decided to add screenshots of both my sleeping heart rate and respiratory rate graphs as additional information for AI to analyze. What I got was a more thorough analysis and an explanation of what my Apple watch actually measures in determining my sleep pattern. I learned that it’s quite possible for the watch to assume I’m awake after I arise at, say, 0230, to urinate (a condition referred to as nocturia) and that I could actually be going in and out of light core sleep. This aligned well with how I felt during that period. As a result, I am now going to share all three graphs each morning.

For anyone who doesn’t follow this blog, it’s probably useful for me to point out that I am living (struggling might be a better word) with numerous comorbidities, the progress of which I’m keenly paying attention to. In no particular order of importance, these are: Bradycardia, for which I had a pacemaker implanted not quite three years ago; Atherosclerosis and Essential Hypertension, for which I take several daily medications; COPD, for which I have a daily inhaler and a rescue inhaler; Stage 4 Chronic Kidney Disease, for which I have quit drinking alcohol entirely and watch my diet, and; Type II Diabetes with Proteinuria, which has been well controlled with diet.

I had been carrying the Hepatitis C virus for somewhere between 30 and 35 years with no symptoms until a couple of years ago when everything went haywire. I recently completed and 12 week regimen of Epclusa and currently am considered cured.

All to say, as I reach the culmination of my life I’m careful to do things that help me put off the inevitable for as long as possible. I still have 22 year-old and a 24 year-old daughters living with me and my wife, and I’d like to be around for at least a little while after their prefrontal cortices mature. At the same time, I’m constantly balancing the virtues of quantity of life against those of quality of life. I tend to think I’d rather enjoy the time I have left than miss out on some things because I’m worried it will shorten my already substantial length of time on this planet.


Transference

What follows is an attempt at writing a short story from something like ten years ago. It’s based on an actual experience of mine that was both enlightening and humbling.

James had been napping for at least an hour. His lunch with Daniel proved a little too much for him, as the salt content of the food made him uncomfortable and a little uneasy. Jewish soul food sure was comforting and tasty, but it would never be mistaken for health food. This was especially true if one had hypertension, like James, accompanied by a deep love of Matzo Ball soup and kosher pickles. He was pretty sure, now that he had no choice but to think about it, he’d ingested at least three or four teaspoons of salt. Although it was now the middle of the afternoon and there remained things to do, the sensations he was experiencing were unsettling and he felt he had no choice but to nap, even if somewhat fitfully. He lay in bed, drifting between different states of consciousness, at times dreaming comfortably and at others becoming keenly aware of what was happening elsewhere in the house. 

His wife, Doreen, had come into the room earlier and asked if he wanted to get up for dinner, but James declined, choosing to allow himself a few more precious minutes of rest and relaxation prior to assuming the chores he had no choice but to perform. After all, the trash and recycle containers weren’t going to take themselves out to the curb and, since the kids were off from school the next day, he wanted to get it out that evening rather than arising early to make sure they weren’t passed up by the trash trucks that always came at daybreak. 

Unfortunately, things weren’t working out quite as he hoped they would. He could hear his children arguing at the dinner table . . . and the volume seemed to be increasing dramatically. Suddenly, he heard angry footsteps approaching the girls’ bedroom across the hall, followed by a triple slamming of the door and loud screaming. He tried to ignore it. This, of course, was impossible and he was shortly fully awake. And upset. 

He forced himself out of bed and popped his head into the girls’ bedroom. His oldest, Angela, was sitting propped up in the corner, sobbing uncontrollably. He wasn’t feeling sympathetic and fixed her with as menacing a glare as he could muster.  

“How many times have I asked you not to slam doors? I’m not feeling well and you woke me up.” 

He continued his glare. She seemed not to care, merely staring back at him with sad, tear-filled eyes. Of course, this infuriated him more. Fortunately, he managed to summon up his nurturing side; at least enough to realize he wasn’t going to help by getting angry with her. With a heavy sigh, he withdrew and moved into the family room. He sat down and instead trained his glare on the television which, to his surprise, also showed no sign of caring. 

Doreen, seeing him now awake, began to recount—step-by-step—the events leading up to this latest drama. He didn’t want to hear it. Most of the conversation, arguing, and yelling between the kids had made it into his consciousness while he was struggling to ignore it and remain asleep; he had no desire to relive it all from her viewpoint, thank you very much. If he had been feeling better, he would have listened better. He wasn’t. 

Ten minutes later, he could still hear Angela sobbing heavily in her room. James was finally convinced he wasn’t having a heart attack and now was becoming concerned for his oldest daughter’s anguish. He felt a little pang of guilt for having scolded her. Feeling a bit selfish and narcissistic, he wanted to do something about it. 

Softly, he knocked on the bedroom door. There was no response. He knocked again and heard a quiet, somewhat surly “What is it?” He now had permission to enter the room and state his business. 

James walked slowly over to the bed. Angela was still sobbing, not even looking up to acknowledge his presence. He gently sat on the bed and looked at his oldest. Her sadness washed over him and his guilt was replaced with warmth and the love he felt for this wonderful child he felt so privileged to have in his life. He took her hand. She looked up, somewhat surprised, and he stared directly into her eyes. 

“Sweetheart, I’m very sorry I yelled at you for waking me up. I know you had a fight with your sister and you’re very upset.” She continued to stare at him, softening slightly from the stone-faced, hurt child he’d seen when he entered the room. 

“I can’t stay mad at you, and it hurts me to see you like this. Is there anything I can do to help?” Her face again softened almost imperceptibly as he continued, “I’ll talk to Annie about teasing you and being so annoying. Would you like that?” The mention of her little sister brought Angela back to the feelings she had before he entered the room. Again she began to sob. James took a deep breath, wondering how he could make this better. 

Seeing one of the great loves of his life this miserable was overwhelming and, as he looked into her eyes, he felt tears beginning to fill his own. He could not look away from her and, therefore, could not hide the fact he was crying. As she saw the tears in his eyes, the corners of her mouth began to turn up ever so slightly, and her eyes took on a slight twinkle. 

“You know how much I love you, baby. Can you forgive me for getting angry with you? I really, really am sorry.” As he spoke, a tear slowly flowed from one eye and began running down his cheek. Angela’s eyes widened and she smiled at him with a look of both wonder and appreciation. 

“Would you like to come out of the room with me and see what Mommy’s fixing for dinner?” he asked. She nodded, and continued to look lovingly into his eyes. James was filled with a sense of deep relief and not a little wonder at what had just happened. He’d entered the room hoping to merely calm his daughter down a little. Now he had unwittingly achieved something far greater and more enduring. 

Somehow, his display of emotion had managed to suck the anguish out of Angela. Since he was much older than her, it was easy for him to deal with the depth of feeling he experienced and, in fact, once he saw her reaction he was filled with a profound sense of satisfaction. 

He arose and held out his hand. Angela took it and stood up beside him. “Feeling better?” he asked. She nodded. He turned and led her out of the room—this magical room where something special had just happened. Mommy was making dinner and Annie was still Annie, lying in wait out in the family room. This moment, though, was very special and he savored it. He knew there would be more—perhaps even greater—battles fought between the two of them but, for now he was content to soak up the intense connection he had found in his short conversation with Angela. Life would, indeed, go on.