Here’s a simple little story that was a total day-brightener for yours truly. It’s about La Carreta Mexican Grill, a small restaurant in Iowa that mixed politics with business and some of the blowback that resulted. My hat’s off to Alfonso Medina for his clear thinking in these murky days. This guy is the sort of citizen that will help bring us out of the mess we’re in. Someone who believes in the promises of America and acts upon those beliefs.
A man who is closing his place of business on Election Day so that his employees can vote, while he himself volunteers as an election worker. (BTW, he is also paying those employees their salary on that day.)
I wish we lived closer to Marshalltown IA … how could their tacos not be excellent?
BTW, about Mexican restaurants. My first visit to a new one is always the same. I order their beef tacos.
I think of my “system” as a sort of biopsy of the kitchen output, if you will pardon the clinical comparison. It tells me what I need to know about the place. If that simple, uncomplicated item is not savory, if the sauces are lacking in interest and authority, if the shells are stale … why bother with the Camarones a la Diabla? They are very likely to be an expensive disappointment.
Oddly, one of my favorite tacos was served up not in a Mexican establishment but at the salad bar in the Bonanza restaurant in Yankton SD. I say “was” because try to find a Bonanza steakhouse anywhere today. There are only a handful left in the U.S., victims not of Covid-19, but of rising beef prices and changing dietary tastes.
We have a number of Mexican-themed dining places here in Paradise, most of which are interchangeable and unremarkable. Close your eyes and you wouldn’t know which one you were in. They have the same offerings, the same plastic menus, the same unadventurous menu items. No one with chiliphobia would be threatened by what what comes out of their kitchens.
I have lived in Montrose for nearly seven years, and before that in Yankton SD for several decades. In all that time, I have not had what I would consider a thorough physical examination. The kind that I was taught to do in medical school. The kind that picks up problems when they are smaller and potentially more treatable.
Now, for me personally it has not been a disaster. I can fill in a lot of the gaps with my own self-exams, at least of the places I can reach. I can stand in front of a mirror and check probably 90% of my skin surface. In this way I try to avoid nasty surprises. Otherwise the physicians that I have encountered have basically looked at only what I was complaining about, and usually in a more superficial way than I was taught to do.
My present doctor, who seems a capable person, has never asked me to undress, but listens through my clothing to my heart and lungs, a poor second to placing the stethoscope directly on the skin. I could have a skin lesion the size of New Jersey and she wouldn’t know it unless I brought it up. During my very recent brush with a serious problem (and although I am soooo grateful for the excellent care that saved my personal bacon), no one ever did a complete neurologic exam, or looked at the rest of my body for indications of possible reasons I might have had a stroke at the tender age of only 80 years. This in spite of the fact that my disease was of the central nervous system.
On the other hand, I had two CT scans, an MRI, an echocardiogram, and beaucoup lab tests. It would have been hard for any occult disease process to make it past those inquisitors, so I am not too worried.
My own training was at a very different time, I admit. A time when we were much more dependent on the physical exam to help us come to a diagnosis. The CT scan, the MRI, and the echocardiogram were yet to be discovered. So it would seem that extensive and time-consuming physical examinations are not prized the way they once were, and maybe that’s not a bad thing. Maybe they are only artifacts of a dinosaur age of medicine.
But god forbid that these physicians ever have to go to work on a day when the electricity is off.
In the Humor section of the New Yorker this week was a series of caricatures of “other otuses.” This was one of the most tasteful of the lot.
Today I will haul myself to Grand Junction for a visit to the Stroke Clinic. I have a few questions for the neurologist, and also wanted to give him the chance to see me with pants on. I am a much more impressive person when fully clothed, and in the name of full disclosure, I think he deserves to know that.
Otherwise I am doing well and the only change in my life is a single new medication. I have no problems that I didn’t have before my adventure of two weeks ago, and those basically come down to remembering where I put my car keys and to zip up before I go out in public.
Yesterday I was on the phone with friend Bill H. and he asked if Robin and I planned to cut back on our explorations and hikes because of this hour-long brush with an alternative reality. The idea being that we might be sometimes hours away from the terrific care that I received this time. And in the case of a stroke, everyone knows that hours is too long.
I have given that a lot of thought, and decided against making big changes. If I were to push this line of thinking all the way I’d have to rent an apartment across the street from the hospital and have my groceries delivered, just in case … . So we plan to live our lives as before, not out of some false sense of bravado, but because making sure that we’re never more than an hour from a stroke unit doesn’t work out well in real life. We will minimize the risks where we can, but there is really no risk-free existence, is there?
The number of ways that life could catch any of us unawares is infinite. So we all cover the bases we can, and then we lock the door behind us and go out into the that uncertain world, anyway.