Eaker Family Christmas Letter Circa 2011

It’s been another fascinating and baffling year at the Eaker’s so, because I know you have nothing better to do than spend 20 minutes reading my diatribes instead of bathing your pet squirrel, here is the 2011 edition of the Eaker Christmas Letter, or How to Not Win Friends and Influence People.
We sent our first born to college this year, and for those of you who haven’t experienced this treat, grab your wallets and come on along.
There are certain milestones experienced in life that signify you are getting older. I am steadily racking up these watershed events like an extreme couponer gathering Sunday paper inserts. These touchstones include walking on the beach and discovering you’re wearing black socks with sandals, acknowledging that Metamucil is one of the four food groups, and having 68 pairs of reading glasses stashed throughout the house. The most recent reminder that the grim reaper is salivating over my aging rear end is taking my oldest daughter to college. Katie is my adventuresome child. She sees herself climbing peaks in Nepal, teaching yoga to Native American preschoolers, or snowboarding in Norway, all thanks to a grant from the National Endowment of Daddy. Her two criteria for college were first, it had to be out of the South (“I can’t see myself living out life as a bit part in Steel Magnolias”) and second, it had to be in a big city ( translated in dad speak to high rents, high crime, and high anxiety for parents). After an extensive search and expensive tour she applied to and was accepted at a small liberal arts school in Chicago, home of the White Sox, Bank of America marathon, and the highest coed kidnap and ransom rate in the country ( okay, maybe a bit of an exaggeration on that last one).
We got to Chicago, settled in our hotel room and ventured to the college campus. I had already retrieved a map of campus, not to be efficient but to find out where all the bathrooms were, and it was off to meet the roommate. One of the great shocks I had as a dad, and an older dad to boot, was the number of co-ed dorms on campuses now. In fact, single sex dorms seem to be as popular as liberals at a tent revival meeting, and as rare. There is nothing more comforting to a dad then to walk down the hall of his demure 18 year old’s dorm and come face to towel with a 6 foot 5, 285 pound ex con masquerading as a underclassman linebacker fresh from his weekly shower. He seemed to take it all in stride smiling like a cheshire cat who had just eaten twelve mice. I casually mentioned to the half clothed behemoth that I was a small arms dealer for a Middle East consortium and wondered if he had seen the concealed weapons permit I had dropped somewhere. Times are indeed changing, but not always for the best.
After bumping into Bubba the love behemoth, I cautiously wandered into my daughter’s dorm room apprehensive about what I would find. Pleasantly surprised, and definitely relieved, I found 3 girls, one being her roommate (a female thank God). Her roomie was a Vietnamese native who grew up in Norway and went to boarding school in Sweden and was now making her first trip to the US. I’m not kidding here. I couldn’t have made that up. Her two friends were equally as cosmopolitan as they were from Swaziland (I’m not even sure where Swaziland is!) and Palestine. Boy how times have changed. When I went to college my roommate was a beer gutted, tobacco chewing NASCAR lovin‘ Billy Bob from Bellbuckle, Tennessee. Times are indeed changing, and this time most assuredly for the best.


Soon Katie somewhat unceremoniously hinted that it was time for her mother and I to leave. We knew we would see her the next day so this was not the obligatory mushy goodbye. This was more “I’ve had about enough of parental bonding to last me the whole semester so let me begin to pave my own way” kind of goodbye. The not so subtle hint was appropriately received and Susan and I walked back to our hotel. I noticed that the walk back was much less strenuous than our walk to the college that morning, and I discovered that it was mainly due to my much lighter wallet!
Back at the dorm the following morning it was finally time to say our goodbyes. Katie knew she had to be quick because her mother was a skinny minute from a complete melt down. I on the other hand was a rock solid bastion of stability...Not! Combine the posture of a jelly fish and the composure of Jimmy Swaggert admitting he was smoozing prostitutes and you get a pretty good idea of where I was at. After all, this was my first born, the first fruit of my loins, my genetic legacy, my baby. Of course I shouldn’t have blathered those exact terms to her at that moment as she could only look on in epic embarrassment and vow never to bring us back to college. Somehow we struggled through and she vaulted up the dorm stairs eagerly anticipating the rest of her life, and Susan and I skulked slowly, purposelessly back to the hotel.
Caroline, our youngest paved her own way this year. I have learned many things, such as never say cheerleading without the necessary modifier “competitive cheerleading”. In our house there is a massive distinction between the wimpy sideline stuff (you know, gimme an A ...) versus the intense, demanding, horrifically dangerous sport of death pyramiding some call competitive cheerleading. This sport has a higher injury rate than football and requires 3 hours of makeup application and preparation to boot. I don’t see many 300 lb lineman worried about their uniform making their butt look big, but welcome to the world of power stunts and plastered grins. Caroline is a tumbler and a base. In other words she gets to hurl her body into the air with more gyrations than Shakira and then try to catch the “flyers” as they descend from their perch on top of the stunt pyramids. There is something majestically disturbing about a 5 foot 3 one hundred and ten-ish 16 year old standing between you and a fractured pelvis. But she loves it so who am I to object to her antics. Remember, this is the child who jumped 2000 pound horses when she was 6. She also debuted at Social. For those uneducated uncouths, a bit of explanation about Social is warranted.
Social is a fascinating study in adolescent herd behavior that oozes forth from the primordial southern small town gestalt and takes hormone ravaged teens and creates mannered, gentile belles and beaus. In other words, its a cash cow that thrives on peer pressure and moms desires for little Johnny and little Sally to not be social misfits. Begun in a more gallant age, Social attempts to harness World-of-Warcraft playing, acne aversive boys and teach them the importance of proper escort position and which fork to use and help girls to realize that exposed belly buttons and halter tops are are “hooker-chic”. And they do a surprisingly good job at it!. Imagine the difficulty in taking a video game obsessed man-child fresh from blowing up an online demon Ork and putting him in tails and gloves and have him utter such phrases as “So nice to meet you” and “May I have this dance?” This is about as natural to these kids as telling the truth is to a congressman, but the Social instructors somehow pull it off year after year.
The Spring formal is a particularly interesting affair as it is the culmination of a years worth of cajoling, gum extrusion, scolding for excessive talking, and mortgaging the house to pay for a Social dress. As the father of two daughters who have pranced and paraded around the Civic Center floor for Spring Formal, I can say that the money I have invested in ball gowns is equal to the gross national product of Grenada. However, Caroline never looked more beautiful (thank God she looks like her mother). As I watched the immeasurably infinite Grand March, (thousands upon thousands of kids streaming in the auditorium that, when assembled, looked like a collection of extras from Gone With The Wind) I fantasized about owning my own dress shop and capturing this market each Spring. The thousands upon thousands of dollars spent on fabric and flowers no doubt does more for the local economy than a government bailout, and I am told there is a fortune to be made in dress consignments. The amount of money generated by this one event must make Bernie Madoff jealous; however, I am warmed to know I am providing the college tuition for some seamstresses' kid year after year. Nevertheless, sitting at the Civic Center counting bodies reinforced that the CSRA is probably the shag and fox trot capital of the Southeast, and that alone is worth dipping into the 401-K for.
When I rant about Social, my wife is fond of reminding me that I am only jealous because I didn’t have such a privileged upbringing. Raised in east Tennessee, we were more concerned about stocking the outhouse than which fork to use with the salad. In my home town, a divorce and a tornado were very similar in that someone was bound to lose a doublewide trailer. Don’t get me wrong, I don’t wish my backwoods hillbilly genes to be passed on to my sophisticated daughters, but I guess I feel I turned out okay in spite of not knowing the intricate choreography of “Amos Moses”. She maintains that Knoxville probably had a Social or its equivalent and that I was too busy climbing the nerd ladder to notice, but I insist that no such group existed in Rocky Top. Can you imagine a hundred of Knoxville’s finest Cotillion debutants decked out in bright orange dresses to match their dates overalls. My wife grew up in Macon, Georgia where Social was as intrinsic to the culture as Little Richard, and she reveled in the experience. To this day whenever she hears “I Love Beach Music” she spits out her gum and hurriedly forms a line. Those of you who did Social understand that reference, and those of you who didn’t...well you are probably way to unsophisticated to understand it anyway. Do I feel socially inferior and manners handicapped from not doing Dance Club and Cotillion? Not really, but I will admit that today on the dance floor I look like a severely spastic John Travolta trying to keep the beat as only a lily-white boy can. There is no doubt in my mind that had I been subjected to Social as a teen I would today have the panache of a Fred Astaire, the moves of a Gene Kelly, and the looks of a Homer Simpson.
Caroline is sixteen and driving. I realize this shouldn’t make waves of nausea crash over your duodenum like other ominous statements such as , “Armageddon is scheduled for next Wednesday” or “It’s just a little audit”, but it does, nevrtheless. The thought of this delicate flower trying to change lanes with a tattoo wielding, one tooth 18 wheeler-driving son of the Confederacy makes me squeamish. I have tried on numerous occasions to convince her that it is not her lack of judgment that scares me; it is the millions of fools that are on the road with her that give me pause. I mean, 24 million folks voted for Barak Obama. That should scare any self respecting father! Nevertheless, time marches on and so does the insurance premiums. But she has proven herself a very safe study. Maybe it’s the Sherman Tank I make her drive!

Susan and I have simply survived another year. Let’s face it, at this season of our life our kids take precedence. The last time we did anything remotely resembling a social outing that had nothing to do with the kids was at a “Bill Clinton is the Antichrist Rally” when he took office. Yea, we have cured cancer and solved world peace, but that takes a back seat to high school football games and texting. We have had a great year watching our girls grow and mature and become fine young women. What else do we need?
We hope you and yours have a blessed Christmas and new year and may all your days be filled with laughter!

One has to admit, there is something intrinsically humorous about being an obstetrician/gynecologist. Putting aside the prepubescent school boy snickers, dealing with the subject matter of reproduction, intimacy, and “those parts” lends itself to jovial anecdotes and curious situations. I have discovered over the years that laughing at myself and the predicaments I attract is as necessary as peanut butter is to jelly.
A few years back I was working in my home office when I heard my then 5 year old daughter playing with a friend in the hallway. The friend proudly announced, “My daddy is a banker!” Half listening, half working I waited for a response from my daughter. After a few seconds she planted her hands on her hips and stoically responded, “Well, my daddy is an obstruction and groinocologist!” My laughter was only muted by my spewing diet coke from my mouth.
Not long ago I was speaking at a church gathering and concluded my talk with a call for questions. One lady who looked vaguely familiar stood up and said, “Dr. Eaker, I know you won’t recognize my face because I am a patient of yours...” I couldn’t even hear her question as the crowd burst into raucous laughter. She realized what she had said and turned the shade of a blood rose and immediately sat down.
I often shirk going to social occasions simply because I have been told numerous times that some patients are uncomfortable seeing their gynecologist in public. In all honesty, it doesn’t phase me in the least, but I understand how some folks may be a bit taken back thinking I remember every detail of every exam. Indeed I have seen piercings in places where holes were never meant to be and tattoos placed such that they must have been both painful and interesting to obtain. However, there is a group of patients that migrate to the other extreme. They will approach you in public and discuss any manner of intimacies with complete disregard for surroundings or appropriateness. For example, I was lounging by the side of a community pool one summer’s day, lazily watching my daughters splashing and frolicking in the cool water, when a young lady approached me. She was in her early twenties wearing a bikini that was little more than a thread holding together a napkin. She eagerly sat down beside me at the water’s edge and reminded me that she had been in to see me at the office a couple of weeks ago. I vaguely remembered her (not to insult anyone but we will see sometimes 30-40 people a day) yet I feigned recognition and asked her how she was. As my daughter paddled by she recounted the intimate details of her last sexual encounter that led to her visit and, in a voice that I was sure was heard on the next block, inquired about the result of her sexually transmitted disease cultures. I admitted that I didn’t remember her results and that as soon as I got back to the office on Monday I would try to track them down. She seemed satisfied and went back to her boyfriend sitting behind us. He had obviously overheard the conversation, as had most of the county, and looked like he had seen a ghost. I noticed that throughout the afternoon he made several trips to the bottle of hand sanitizer on the life guard stand. My daughter, always the curious one, wasn’t satisfied until she knew why the nice lady wanted to know if she had “chirpies”.
Unfortunately, if you practice medicine long enough you will have patients die. Luckily in my area, that doesn’t happen often, but when it does it is a likely more tragic and untimely. I attended the viewing of one such former patient a while back. There was an open coffin and my wife and I stood respectfully at the edge of the resting place remembering this sweet lady. I startled as I felt a light tap on my shoulder and from behind heard, “Dr. Eaker I’m so glad I saw you here. Do you have a second?” I was too flustered at the interruption to say what I wanted (which was, “No, I don’t you inconsiderate fool) so I just grunted which she took as an opening for conversation. It turns out she had been in the office a few days past and I had recommended a particular medication for a benign condition. She had gone home, jumped on the Internet and become an instant PhD regarding her situation. I am all for patient responsibility and self education, but thinking you have the big picture by pulling up www.KnowItAllDoc.com and reading about some lady in Peoria who treated her problem with beetle dung juice and sandpaper is a mistake. Not only is Internet voodoo not good science, but asking about it during a wake is poor form! If I had been thinking I would have turned to the recently departed and said, “Gee Mildred, what do you think?”
If laughter is the best medicine then I should be immune to about anything!

We gathered in plastic chairs on a cement precipice overlooking the Caribbean. A circle of 16 as diverse as snowflakes yet bonded in a brotherhood of common cause. We had just completed a week of medical mission work in St.Mary’s parish, Jamaica and were tired but joyful. Rev. Scott had suggested we close the week with a communion celebration and we all agreed that was a grand idea, so there we were. Situated in a cathedral that could only have been constructed by a God unlike any other - stars lathered like glitter on felt - frogs belting out their high pitched siren’s song - a welcomed breeze wafting intermittently off the cool waters - we faced each other remembering a few days ago when we arrived. Some new to the team, others veterans of prior excursions, we arrived in Montego Bay eager to experience what God had preordained.

“On the night in which he gave himself up for us,
Our Lord Jesus took bread, gave thanks to you, broke the bread
gave it to his disciples, and said:
"Take, eat; this is my body which is given for you.
Do this in remembrance of me."

The first night was filled with busyness and preparation. We were returning to Hampstead, a blighted, desperately poor section of the parish filled with beautiful children and wizened elderly. The rural areas of Jamaica are a fascinating mix of young and old. Adolescents too young and not yet able to try to escape the poverty, and the aged who have no chance of ever being anywhere else. There is a paucity of middle age folks, either due to their early demise from hypertension or diabetes, or from their migration to Kingston or some other urban area in search of jobs. This is a country where few are committed to returning once they have relinquished their rural, poverty laden chains. This leaves mainly single moms and extended families to work the land and provide sustenance for a burgeoning underclass of children. In Hampstead clinic, a wild west saloon like building, we saw mom after mom, often in their early twenties, with three or four children under six. With an unemployment rate hovering around 85% these children with children must grow their food since there is little money to buy any. And what is available to buy is processed, calorie dense diabetes in a bag. That first day we saw blood sugars in the 400s, enough to buy you a hospital admission in the US, and the best we could do was to provide Metformin, a tablet to lower glucose in the blood, and a rudimentary nutritional education. Even that small effort will save lives, or at least ward off some strokes, blindness, vascular insufficiency, and multiple other complications of long standing diabetes.

Likewise, when the supper was over, he took the cup,
gave thanks to you, gave it to his disciples, and said:
"Drink from this, all of you,
this is my blood of the new covenant,
poured out for you and for many for the forgiveness of sins.
Do this, as often as you drink it, in remembrance of me."


The next day we traveled only a few miles from our base to Albany clinic. We had been in this location the previous year and were warmed with the recognition by some of the citizens. Our dental team, two stalwart extractors and their merry support crew, set up outside as usual with tarps as ceilings and fans as air conditioning. Fueled by a diet of fruits and sugar cane, dental caries is as common as coconut trees on the island. Our dentists would pull close to 500 teeth in four days, numbing, digging, and extracting on kids and octogenarians alike. There is little doubt that dental hygiene and preventive care has to be a priority if future generations of Jamaicans are to be healthy. The locals would explain that having one’s teeth puled actually was a badge of honor as it represented the fact that you had access to dental care. What a different mindset from the US where a pearly white set of choppers signified good dental care in contrast to an empty mouth in the poor areas of the island. By the time we see these folks, extraction is the only option, and one that is met with joy by the patient whose rotting tooth had been punishing them for months.


And so, in remembrance of these your mighty acts in Jesus Christ,
we offer ourselves in praise and thanksgiving
as a holy and living sacrifice,
in union with Christ's offering for us,
as we proclaim the mystery of faith:

Rock River is a rural mountainous clinic that requires a NASCAR like driver to access. The roads in rural Jamaica are as pockmarked as a teen’s face. Barely wide enough for one vehicle and perched tenuously on ledges inches from the embankments, a skilled operator must negotiate washouts, pedestrians, and other vehicles with the dexterity of a machete juggler. Trevor, our friend, bus driver, interpreter, joke teller, tour guide, companion, advisor, and historian guided us through hill and valley to safely deposit us in our daily clinic site. One of the great accomplishments of ACE, the ministry with which we partnered, was their commitment to integration into the St.Mary culture. These folks were a part of the community, not some isolated one facet, in and out approach that some groups espouse. ACE is involved in micro-businesses, education, evangelism, medical, dental, child enrichment, and even provides a place for local swimming lessons for community kids. As their mission statement says, they are the hands and feet of Christ to the people of Jamaica as they impact today for change tomorrow, and trust me, those hands and feet are dirty and calloused from use.


Christ has died;
Christ is risen;
Christ will come again.

The last day of clinics was one of newness and surprises. We had never been to Brainard, a remote collection of agrarian homesteaders in the foothills of the Blue Mountains, and the trip inland was filled with lush landscapes and precarious roads. The clinic was in reality a church building constructed with love and cinder block situated down an embankment from the main road. A gaggle of folks awaited us on our arrival and so did some ominous clouds. Rain had visited with a vengeance the day before, but with our appearance it was as if God had sponged up the standing water and created a dry haven for us and our patients. During the entire four days only sporadic rain showers came, and then simply to cool the air and not hamper the operations. Combined dental and medical we saw around 130 men, women, and children that day with illnesses ranging from sinusitis to malignant hypertension. By this point the team was an efficient organism fueled by compassion and concern, triaging and treating on the minister’s platform at the front of the church. A fitting environment for our cause as we were preaching not with words but with actions. Pastor Watson, local leader of a burgeoning congregation at the Galina Breeze hotel, had reminded us in a sermon the prior Sunday that grace was extended to us from a loving Father, and we in turn could pass that on by what we did. True grace is extended with no strings, no expectations, and no demands. Learning this lesson was not a result of Bible study but of getting our hands dirty in the trenches of need.


Because there is one loaf,
we, though we be many, are one body,
for we all partake of the one loaf.
The bread which we break,
it is a means of sharing in the body of Christ!

And the cup over which we give thanks,
it is a means of sharing
in the outpoured blood of Christ!

Friday arrived with a burst of sunshine like every other morning, but we all knew that we were just a bit different by that daybreak. You can’t be there, or serving in any capacity, and not be changed. Even a subtle difference, one that may not even be perceived until later, is born with a thought or an experience that challenges who you are and what you believe. Most will say that any mission trip will leave you altered in some way, and I believe that is true. It may not be a massive shift in consciousness, or even a minor change of heart, but something changes because, as one person commented after our communion, once you have seen, you can never forget. It is in the remembering that we find that desire to be a better person. It is in the remembering that we realize our own brokenness. It is in the remembering that we acknowledge our commonality. With our communion of festival bread and juice we celebrated our week of service and worshipped a God who loves his children. We came together as the body of Christ, understanding that whether in Jamaica, Augusta, or Katmandu there is reason to both rejoice and rage. Rejoice at what a loving God can do and rage against what a sinful man can create. Sitting under the canopy of stars it’s easy to get lost in the vastness of it all; a universe of light year distances and unimaginable spaces. But then you think of the immediacy of the Infirmary, a place where Jamaicans are left to die, or the hopefulness of the sponsored children in Galina elementary school, and you put aside any concerns about intangible space and time and see only the present. Sitting in nature’s sanctuary, perched on the edge of the ocean, you don’t worry so much about the big questions of theology as much as you do about the needs of the individuals you talked to, held, and prayed with that week. You think about Richard, a long time Infirmary resident, spontaneously clapping and dancing in Sunday worship. You think about the young mom whose crying baby simply needs a round of antibiotics to cure the infant’s raging ear infection maybe preventing future hearing damage. You think of Emmit, weary from a life of farm labor, smiling ear to ear upon receiving a tube of cream to ease his sore and overused muscles, and you think of Alice proclaiming the blessings of God while struggling to walk on a hip broken and improperly set. It is these memories that keep us coming back, not some existential desire to do the right thing or be a good person. We are all in need, and it is just a matter of trying to meet some of those needs in the ways that God has graciously gifted us.

Through your Son Jesus Christ,
with your Holy Spirit in your Holy Church,
all honor and glory is yours, Almighty Father,
now and forever.

Amen

There are certain milestones experienced in life that signify you are getting older. I am steadily racking up these watershed events like an extreme couponer gathering Sunday paper inserts. These touchstones include walking on the beach and discovering you’re wearing black socks with sandals, acknowledging that Metamucil is one of the four food groups, and having 68 pairs of reading glasses stashed throughout the house. The most recent reminder that the grim reaper is salivating over my aging behind is taking my oldest daughter to college. Katie is my adventuresome child. She sees herself climbing peaks in Nepal, teaching yoga to Native American preschoolers, or snowboarding in Norway, all thanks to a grant from the National Endowment of Daddy. Her two criteria for college were first, it had to be out of the South (“I can’t see myself living out life as a bit part in Steel Magnolias”) and second, it had to be in a big city ( translated in dad speak to high rents, high crime, and high anxiety for parents). After an extensive search and expensive tour she applied to and was accepted at a small liberal arts school in Chicago, home of the White Sox, Bank of America marathon, and the highest coed kidnap and ransom rate in the country ( okay, maybe a bit of an exaggeration on that last one).

In a merciful act of benevolence, mainly due to the 14 hour drive between Augusta and Chicago, we decided to fly to our destination. I initially wanted to drive to save money but my wife educated me on my idiocy.
“But honey, we can carry all her stuff in the car.”
“It’s a 14 hour drive.”
“ But plane tickets are expensive.”
“It’s a 14 hour hour drive.”
“We can have a bonding road trip experience.”
“It’s a 14 hour drive.”
“We will have a car in Chicago.”
“It’s a 14 hour drive and if you want to live you will go on the Delta website right now and book 3 tickets.”
“Yes dear.”


So off to the airport and college. There are some things a dad shouldn’t do with his soon to be freedom obsessed daughter, like shop for bathing suits and discuss tattoos. One of those things is going through airport security together. I have discovered that you learn some things that may have been better left unknown. I trailed behind my daughter as one of Augusta’s finest TSA agents waived her through the metal detector. The loud shriek of the machine unceremoniously signaling some adorned metal pierced the haze of my “way to early a flight” mental fog. Katie stepped back through the device and looked confusedly at the agent.
“Any jewelry, watches, stuff in your pocket?”
“Uh...no sir. Oh wait, what about this?” She pulled back her recently coifed hair uncovering her right ear revealing an array of ear studs previously unbeknownst to her papa. I looked with amazement at my wife.
“Did you know about this?” I inquired, already knowing the answer.
Katie rolled her eyes in that “Oh dad get a grip” sort of way and carefully removed her metal ear candy gingerly placing the decorations in the offering plate like bowl. She proceeded back through the detector as I held my breathe not wanting any other renegade piercings to be revealed. The machine was generously silent this go around and Katie reloaded her ear after retrieving her decorations. I just shrugged my shoulders, smiled at the guard while muttering something about always being the last to know things and continued to the gate.

We got to Chicago, settled in our hotel room and ventured off to the college campus. I had already retrieved a map of campus, not to be efficient but to find out where all the bathrooms were, so it was off to meet the roommate. One of the great shocks I had as a dad, and an older dad to boot, was the number of co-ed dorms on campuses now. In fact, single sex dorms seem to be as popular as liberals at a tent revival meeting, and as rare. There is nothing more comforting to a dad then to walk down the hall of his demure 18 year old’s dorm and come face to towel with a 6 foot 5, 285 pound ex con masquerading as a freshman linebacker fresh from his weekly shower. He seemed to take it all in stride smiling like a cheshire cat who had just eaten twelve mice. I casually mentioned to the half clothed behemoth that I was a small arms dealer for a Middle East consortium and wondered if he had seen the concealed weapons permit I had dropped somewhere. Times are indeed changing, but not always for the best.

After bumping into Bubba the love behemoth, I cautiously wandered into my daughter’s dorm room apprehensive about what I would find. Pleasantly surprised, and definitely relieved, I found 3 girls, one being her roommate (a female thank God). Her roomie was a Vietnamese native who grew up in Norway and went to boarding school in Sweden and was now making her first trip to the US. I’m not kidding here. I couldn’t have made that up. Her two friends were equally as cosmopolitan as they were from Malawi (I’m not even sure where Malawi is!) and Palestine. Boy how times have changed. When I went to college my roommate was a beer gutted, tobacco chewing NASCAR lovin‘ Billy Bob from Bellbuckle Tennessee. Times are indeed changing, and this time most assuredly for the best.

We next ventured to the academic hub of the campus and reviewed her upcoming schedule. I was pleased that I recognized the courses she was enrolled in because as I perused the catalog I spotted several areas of study that were somewhat foreign. It seems that some college kids revel in such offerings as Medieval chants and charms, cooking for one, badminton (competitive), and dog whispering. What a marvelous way to spend $30,000! I could feed half of Rwanda for what some will spend on learning how the Harry Potter series parallels ancient Greek mythological archetypes.

The dining hall was next on the world wind tour. Here the toughest decisions of the day were vetted. The variety of meal plans rivaled the number of insults in a “What Not to Wear” TV show. The plans, as best I could tell, could be broken down into three categories: vegetarian (basically bird feed and tofu), burgers and fries and more burgers and fries, and the elite “hogs are us” plan that features a feeding trough that would make Golden Corral jealous. This is where the notorious freshman fifteen ( and I don’t mean hours studying each day) finds it’s fulfillment. After viewing the smorgasbord laid out for the students I felt a more conservative estimate was a freshman forty! I remember eating meals cooked on a hot plate and thinking Raman noodles were a gourmet addition to macaroni and cheese.

The bookstore was our next stop and I swear it took me 30 minutes of purposeful wandering before I found any books. After wading through jerseys, coffee mugs, hoodies, posters, banners, jewelry, t-shirts, and the ticket counter for football games, I finally came upon the actual textbooks. It was like they were the whacky uncle everyone tried to forget, shoved in the back of the room. I noticed that some of the text were prepackaged and set aside in sacks above the shelves. They had various students names on them and I assumed that there was some service the bookstore did for those wise folks who pre ordered their texts. The young clerk corrected me when I asked and said that those were the books for the scholarship athletes. They packaged them up so they could simply wander down to the bookstore and conveniently pick up their books for the entire semester. The only problem was that some of the packages were from 3 semesters ago and had never been picked up! Some things never change no matter how old you get.

We wandered back to the dorm and Katie somewhat unceremoniously hinted that it was time for her mother and I to leave. We knew we would see her the next day so this was not the obligatory mushy goodbye. This was more “I’ve had about enough of parental bonding to last me the whole semester so let me begin to pave my own way” kind of goodbye. The not so subtle hint was appropriately received and Susan and I walked back to our hotel. I noticed that the walk back was much less strenuous than our walk to the college that morning, and I discovered that it was mainly due to my much lighter wallet!

The next morning I went out for my mandatory run. Anytime I travel I have to do a run as it is as much a tradition as getting terrified by cabbies who speak no English. Running is by far the best way to see a community and get a feel for the nature of folks who populate the streets at 6 am. I have had a number of experiences ranging from dodging hung over transvestites in Las Vegas to being chased by a rat like Lhasa Apso in Boston who thought I was a moving pork chop. In Lake Forest the only thing I had to dodge was the heavy fog of wealth hanging over the community. This is a very prosperous suburb of Chicago where Jaguars and Mercedes are as prevalent as Mononucleosis in a coed dorm. Even the dog houses had manicured yards and pea pebble driveways. As I sweated in my Target shorts and Wal-mart t-shirt, I fantasized about who lived in these mansions. My generation would suppose some titan of business or publishing baron sojourned there whereas my daughter’s contemporaries would immediately think they were inhabited by pimp my crib rappers named Sweet Ice-T and Biggie Butt Jello for Brains.

After my run, Katie met us for a short trip to Target. Now for those of you who are college move-in illiterate, if they don’t have it at Target, you don’t need it. This is in contrast to real life where most of what you don’t need is at Target. The only problem with this outing is that in Beverly Hills East the nearest Target was a 30 minute cab ride. My blood pressure rose in concert with the cab’s meter and soon I realized that I could have bought half the store for what it cost me to get there. I do feel a sense of joy in paying a cabbie's son’s Fall tuition for college. Once at Target we completed our purchases (actually I sat in one of the Lazy Boy pleather recliners while Susan and Katie scorched the credit card.)

Back at the dorm it was finally time to say our goodbyes. Katie knew she had to be quick because her mother was a skinny minute from a complete melt down. I on the other hand was a rock solid bastion of stability...Not! Combine the posture of a jelly fish and the composure of Jimmy Swaggert admitting he was smoozing prostitutes and you get a pretty good idea of where I was at. After all, this was my first born, the first fruit of my loins, my genetic legacy, my baby. Of course I shouldn’t have blathered those exact terms to her at that moment as she could only look on in epic embarrassment and vow never to bring us back to college. Somehow we struggled through and she vaulted up the dorm stairs eagerly anticipating the rest of her life, and Susan and I skulked slowly, purposelessly back to the hotel.

There is such extremes of emotion that arise in moments of transition like this that you can only stand back and let them flow through you and topple whatever is in their existential way. I rejoice for her present and future but worry about all the inevitable heartaches and mistakes punctuating that journey. Her mother and I know we have done our best to poison her mind with our morals and foundational beliefs, but we worry about what she will eventually choose. I am excited about the limitless possibilities she will encounter, but I cringe at the cruelty of the real world. This Yin and Yang, this stratospheric struggle of opposites, this dichotomy of possibilities all create a cognitive dissonance of emotions in parents. We love our children limitlessly and want to have them close and protect them, yet our goal is to raise them to be independent from us. Kids foraging their own way with confidence and purpose is a sign of good parenting, yet giving up physical and emotional bonds is massively difficult. Going off to college is one of those transition points, like the beginning of the mythological heroes quest, that teaches both the parent and the child valuable lessons about purpose and meaning. It’s a time of great joy and great apprehension, but it is those pressure points that create a new substance. The diamond is born from the pressure of the ages and so a new creature, your child, is created anew from the challenges and decisions required in this fresh chapter in their lives. Likewise, parents enter a new stanza in the song that is our lives, and we now also have a chance to make that soaring melody one of triumph and celebration. Or we could just let it die in a pitiful, debt ridden, miserable, regret laden whimper like I suspect anyone who was on Toddlers and Tiaras would do. Anyway, I have no doubt that the next six years will be the happiest four years of college Katie will ever experience, and for that I am both overjoyed and blessed.


A small ringlet of sweat meandered from the posterior aspect of my neck to the pool beginning to form in the small of my back. My once crisp white oxford dress shirt was pockmarked with translucent water marks like butter on wax paper and my “manly-man” deodorant was now as fresh smelling as a twelve day old bass. The 4 o’clock sun seemed to leap towards the earth increasing its intensity making me a believer in global warming, at least in my segment of the universe. No, I wasn’t in sub Saharan Africa or a beachfront in Jamaica, I was standing in line to save a seat at the Social Spring Formal.

For those of you either new to the area or just now crawling out from under your rock, Social is a fascinating study in adolescent herd behavior that oozes forth from the primordial southern small town gestalt and takes hormone ravaged teens and creates mannered, gentile belles and beaus. In other words, its a cash cow that thrives on peer pressure and moms desires for little Johnny and little Sally to not be social misfits. Begun in a more gallant age, Social attempts to harness World-of-Warcraft playing, acne aversive boys and teach them the importance of proper escort position and which fork to use and help girls to realize that exposed belly buttons and halter tops are are “hooker-chic”. And they do a surprisingly good job at it!. Imagine the difficulty in taking a video game obsessed man-child fresh from blowing up an online demon Ork and putting him in tails and gloves and have him utter such phrases as “So nice to meet you” and “May I have this dance?” This is about as natural to these kids as telling the truth is to a congressman, but the Social instructors somehow pull it off year after year.

The Spring formal is a particularly interesting affair as it is the culmination of a years worth of cajoling, gum extrusion, scolding for excessive talking, and mortgaging the house to pay for a Social dress. As the father of two daughters who have pranced and paraded around the Civic Center floor for Spring Formal, I can say that the money I have invested in ball gowns is equal to the gross national product of Grenada. However, my girls never looked more beautiful (thank God they look like their mother). As I watched the immeasurably infinite Grand March, (thousands upon thousands of kids streaming in the auditorium that, when assembled, looked like a collection of extras from Gone With The Wind) I fantasized about owning my own dress shop and capturing this market each Spring. The thousands upon thousands of dollars spent on fabric and flowers no doubt does more for the local economy than a government bailout and I am told there is a fortune to be made in dress consignments. The amount of money generated by this one event must make Bernie Madoff jealous; however, I am warmed to know I am providing the college tuition for some seamstresses' kid year after year. Nevertheless, sitting at the Civic Center counting bodies reinforced that the CSRA is probably the shag and fox trot capital of the Southeast, and that alone is worth dipping into the 401-K for.

When I rant about Social, my wife is fond of reminding me that I am only jealous because I didn’t have such a privileged upbringing. Raised in east Tennessee, we were more concerned about stocking the outhouse than which fork to use with the salad. In my home town, a divorce and a tornado were very similar in that someone was bound to lose a doublewide trailer. Don’t get me wrong, I don’t wish my backwoods hillbilly genes to be passed on to my sophisticated daughters, but I guess I feel I turned out okay in spite of not knowing the intricate choreography of Amos Moses. She maintains that Knoxville probably had a Social or its equivalent and that I was too busy climbing the nerd ladder to notice, but I insist that no such group existed in Rocky Top. Can you imagine a hundred of Knoxville’s finest Cotillion debutants decked out in bright orange dresses to match their dates overalls. My wife grew up in Macon, Georgia where Social was as intrinsic to the culture as Little Richard, and she reveled in the experience. To this day whenever she hears “I Love Beach Music” she spits out her gum and hurriedly forms a line. Those of you who did Social understand that reference, and those of you who didn’t...well you are probably way to unsophisticated to understand it anyway. Do I feel socially inferior and manners handicapped from not doing Dance Club and Cotillion? Not really, but I will admit that today on the dance floor I look like a severely spastic John Travolta trying to keep the beat as only a lily-white boy can. There is no doubt in my mind that had I been subjected to Social as a teen I would today have the panache of a Fred Astaire, the moves of a Gene Kelly, and the looks of a Homer Simpson.

When it comes down to it, with all the costs, hours of watching and waiting, more costs, and additional watching, Social, I have decided, is a pretty good thing. It is the only place where potential delinquents (and we all know how close we are) can be shown that manners, politeness, and respect do matter. It is a place to check attitudes at the door or suffer the wrath of instructors who are hired by the marines to tech drill sergeants. It is a place where kids from virtually every school in the area can come together in peaceful camaraderie with the common purpose of seeing how hot the guys and girls are at every other school but yours. It is about showing each other respect, and anything that promotes that can’t be all bad...expensive, but not all bad!
After another morning run, the final day in clinic loomed large. We were going into unchartered water, even for the ministry, as the place we were seving today, Islington, was new to the medical teams and was known to serve around 7000 persons in the surrounding community. The good news was that it was the most “modern” of the clinics, the bad news is that meant it may have a light in each room. We arrived at Islington to find a mass of patients already assembled in a large anteroom in what appeared initially to be a chaotic congestion of hot, ill humanity. Once we began to set up, Mr.Myers, an employee of ACE who was 75 years young and looked about 50, took control, along with Jesse, and herded the flock into a semi-organized line up of patients. Again, Susan, as the slave driving patient router, kept all the providers busy. In fact, I think she took pleasure in telling me continually, “Just one more Pap” about 15 times. I was well past my hard earned peanut butter and jelly lunch break as I would see her lovingly sort another gyn patient my way. It was fun to watch her direct folks in what looked like a random fashion, yet she knew exactly who needed to go where and when. I am lucky to be married to such a take charge wife. She exhibits the same efficiency at the mall with our kids.
“Okay Caroline, you go to the Gap. Katie, over there to Macy’s. I’m heading this way since I am next in line at Wongs pedi-mani emporium” As I said, we all have our gifts.
As the day drew to a close, Betty,Mr. Myers, Susan and I and a couple of team members got into a van and ventured out into the countryside. One of the ACE programs involves child sponsorship providing a school uniform, school supplies, and, when available, some food products for their families. There were a few bags of rice in the back of the van so we sought to distribute what we could. When you see these folks in the clinics its easy to fantasize that they will get treated and go back to their houses and watch CSI Miami and eat TV dinners. There is a certain comfortable ignorance in seeing people dressed well (out of respect many patients would wear their nicest clothes to the clinics). Also many of the Jamaicans spoke very well so my western prejudice didn’t immediately associate them with the abject poverty that was their reality. I was soon to have that misconception exploded into a million pieces. We traveled down some barely passable roads, eventually having to walk as the roads became nonexistent, and visited some of the sponsored children’s hovels. Many of the kids were still in school so we met the moms, the dads were nowhere to be found, and gave them the foodstuffs. There was universal appreciation and warm and friendly hellos and goodbyes at each stop. The poverty was disturbing, but the spirit was strong. These are proud and friendly people who appreciate kindness and understand it is a leg up and not a hand out. ACE firmly believes that people respond better to ownership and responsibility rather than charity. A person’s dignity is the first wrung of the ladder from which they can climb out of their predicaments, and if they accept their responsibility to make sure their child goes to school and is looked after (which ACE insists upon), everyone becomes a winner. ACE is fostering a culture of self sufficiency and production, not dependence, and it’s accomplished with an attitude of Christian compassion,not pity. This demonstrable witness screams louder than any Bible tract or sermon. And it’s changing lives. The final house we visited was several miles down a back road thick into the countryside. Approximately 2 miles from the elementary school we spied Jonathan, a 6 year old sponsored child, making his way home from school. We picked him up and carried him the remaining 1 1/2 miles to his house. The fact that Jonathan walked 3 1/2 miles to and from school each day was not lost on us. He was a shy tyke, but warmed up immediately as Mr.Myers, a surrogate grandfather for many of these kids, hugged him and asked him about his school day. People can’t help to respond to sincere compassion and Mr.Myers oozed compassion. I think that was the thing that struck me the most about ACE; they really cared. This was not some “do what I say, not what I do” group of folks. These were people that, in their actions, words, and prayers, tried to be true to their calling. From Marla to the guys working on the landscape at the hotel, everyone keeps foremost in their hearts the necessity of a servants heart. Without that they couldn’t do what they do every day. These are people who are firmly grounded in the reality of their situation; they know for example that sometimes it takes some smoozing of local politicians to get things done; yet, they never lose the undercurrent of why they are there. They love these people and that is the simple yet powerful thread that binds them together. I’m sure there are times they get frustrated and upset at the mountain of problems they encounter, yet I sense that frustration and heartache is countered by having a vision for a better future, both here and beyond.
The flight home was not as eventful as our battle with customs on our way in, although Tish, the dental hyena who was Dr.Mike’s left, right, and middle hand, was briefly detained in the Atlanta airport by security for a “random” pat down, search, and otherwise hapless harassment. She was the sole African American on our team, and not to say that had anything to do with anything because we know that TSA doesn’t profile, but still I thought it rather bizarre that she was singled out. I suspect that if she had worn a Burka and veil she would have been waived right through! She was no worse for the trauma and vowed to return with us next year, but she insisted that she was going to drive herself to Jamaica next time and bypass the airlines completely! In the end we all returned safely and although we took our separate routes home, we knew we would be forever bound by the memories of our week on the island.

I write all this after being home about a week from the trip, mainly for my own edification as the creeping years create lapses in memory. I know I have left out some details, and heaven forbid, I might have even embellished a few things, but I assure you the people, events, and experiences were all true. My prayer is that this be the first of many medical trips with ACE and we can continue to serve Jesus and Jamaica. As I said early on, I am not really a mission kind of guy, at least not what I used to think missions were all about. I was one of an ocean of mission illeterates thinking that if I just dove under the sea when a need arose, I would be safe in my watery cocoon. I no longer have the safety of ignorance as I can never forget the need. We all have a duty, whether we acknowledge it or not, to make this place just a bit better than we found it, and inevitably it starts with one act. It doesn’t matter if it is at home or halfway around the world, the needs are the same. The only failure is failing to try. I, and I feel safe in assuming, all our team members will be just a bit different when we get up tomorrow. We will go to our jobs, wake our children, drink our coffee ...and remember. Its not what we have done already that matters so much, It is what we do with that memory that will determine our legacy.
After a record setting day at Albany the fatigue seem to creep over us like a fog. We were all a bit more reserved on the trip back to the hotel, but it was a fatigue well earned. The third clinic day is often like the third quarter in a football game. You have lost the adrenaline surge of the first half and don’t yet have the finality of the last quarter. We knew this was a common feeling as our team leader had prepared us that morning for the emotionally challenging day. Often it is in the quiet of the routine that frustrations arise, yet our team marched forward on that busiest of busy days to remember why we were there. The service attitude never faltered, and for that I am most proud. We arrived at the Galina Breeze for dinner and enjoyed another Jamaican version of the S and S cafeteria. One of the team members had mentioned to Marla that the Country Music Awards were on in the States that evening and Lady Antebellum, with their strong Augusta connection, was up for seven awards. The normal ban on television was lifted and we decided to have our own CMA party surrounding the pool at the lower level of the hotel. Jesse and the hotel staff rigged up a TV and a makeshift sound system to ready the revelers. We all knew that Angie, mother of chief song writer and musical instrument aficionado Dave, had sacrificed a trip to Las Vegas and the red carpet to be with us on the island. Amy, a physical therapist and head team sneak, thought it a shame that Angie miss the red carpet experience (as Dave had asked her to the event as his date) so she schemed to have our own little red carpet in Jamaica. As Angie was getting dressed to watch the program with all of us, Amy found a red bath mat and brought it out and laid it on the ground in front of the TV. Angie emerged from her room to the flashes of countless cell phone cameras and applause of the masses. Mission Mike, our resident comedian and Abbeville ambassador, took the spotlight and interviewed Angie about her choice of attire for the nights festivities.
“Why, I am wearing a designer scrub suit from Dior and my jewelry is Tar’get. I took a shower yesterday and my socks are three days old. Thank you all.Thank you very much!”
The team loved it and the celebration continued as her son’s group won record of the year and group of the year! Again I was struck by the contrast of the night. After a days work with some of the poorest of the poor we were watching a gathering of some of the richest. I realized that it was all good. There was no guilt, no false piety about how good we were and how superficial they were. It was all good. Each of us has gifts and graces and what is important is how we use those. Some can hold a hand and wipe a runny nose, and that is good. Some can write and perform music that touches hearts and souls, and that is good. We all are blessed in some way and the key is figuring out how to apply that in a meaningful manner. Transforming lives takes many roads, and no one journey is any less meaningful than another. We discovered that week that each of us had different things to offer. One of the biggest concerns of a few of the folks who were non medical was of what use could they be. As it turns out each non medical person played a vital role in the organism that was this team. This living beast would have shriveled up and died if it wasn’t for each person doing their part. The ladies at registration were amazing at organizing the crowds, but more importantly setting the tone for the encounter. Their loving, compassionate ways, even in the face of oppressive crowds and minimal facilities said loud and clear that we were there to serve and to care. Once the patients passed through registration they were greeted by our triage team. These gifted nurses had the unenviable task of consolidating the patients problems into manageable tasks. They proved to be critical to the providers as they weaned the problem list to two or three major complaints and then pursued those issues with the persistence of a pit bull after a postman. And they did it with grace and humility and with respect for each person’s dignity. A quarterback knows that he is only as good as his offensive line, and we had some of the best blocking for us. I don’t mean to imply that our triage nurses were all 6 foot 8 and 325 pounds. They most certainly were not, but they were as vital to the operation as a lineman is to a winning team.
That evening we learned that our medicine bags had been released after much gnashing of teeth and greasing of palms. We had brought in about $3500 worth of antibiotics, anti hypertensives, diabetic meds and a host of creams and antihistamines
and now we would have access to them for our last clinic day. Retrieving them was indeed a blessing yet we had not suffered at all in our service during the first three clinics. It was as if God had showered manna from heaven as our small pharmacy/storage closet at the Galina had just the right stuff we needed and in quantities to assure unbroken care. I am convinced our two pharmacists had a hot line to heaven as this was only one of the miracles the pharmacy perpetuated during the trip. Jenny, from Augusta, and Joyce, from Texas, had never met before this trip but became two efficient peas in a pod when it came to organizing the drug supplies pharmacy. A critical component of our mission is treating chronic diseases such as hypertension and diabetes, and much of this involves education and medicines. Without a proper distribution system and supplies we are about as effective as a screen door on a submarine. The entire pharmacy team not only raised the bar for quality and productivity, but they often did it in the dark! The first day the pharmacy was literally in a no-light zone due to the physical constraints of the building. It must have felt like working in London during the blackout to quell the Nazi air raids. Yet they lit up the room with their smiles and laughter and made sure I didn’t give my patient with hypertension a yeast pill by mistake. Her blood pressure might skyrocket but she certainly wouldn’t itch!
Tuesday night at the hotel Marla shared her vision for ACE and the various outreaches it sponsors. One of the most exciting projects is the GreenLife farms. Designed to be the first self sustaining, totally organic farm on the island, it will serve as not only a revenue source for local farmers, but a haven for abandoned and abused children. ACE is committed to integration in the community and all of their projects have Christ at the center, but wisely they acknowledge that there are many ways to show the love of God. ACE began with a vision of what could be, and has found a way to make it what is. How often is it that we either don’t listen to what God is telling us or drown out His vision with our own schemes? I know I do with the regularity of a Swiss watch. In fact, when I first visited ACE a couple of years ago I never dreamed I would return, much less in a medical capacity. I kept thinking that my only usefulness was limited to waiting for someone’s water to break or counseling Jamaicans on hot flashes; not exactly high priority needs in a tropical setting. I was looking forward to going on a medical mission about as much as I was excited about attending a Britney Spears concert. A wise mentor ( my wife) sat me down and simply said, “Listen dummy (it’s a term of endearment) it’s not about you! It’s about you listening and responding to something more than you.” She was right, as I tell her on an extremely regular basis, and I made her promise that if I found myself heading to Jamaica on a medical mission that she would have to go with me. She reminded me that it was not about her either, but I prevailed, and so we rented the kids out for a week and here we were. Initially we had wanted to bring the whole family on this trip, but school commitments kept the kids at home. They were ecstatic at the prospect of being rid of us for a week (their grandmother was to look after them) but I made them promise if we came back when school was out they would come. It didn’t take much
convincing.

Wednesday morning arrived with the music of Lady Antebellum blasting from my phone alarm. How appropriate that Angie, one of the team members, had given birth to one third of this ridiculously successful music group many years ago and had given up a trip down the CMA red carpet that night to commune and serve with us in Jamaica. We were to reward her in our own way that night. I rolled over and nudged Susan and reminded her that we had promised to run with Maggie, another team member, that morning. If it had just been me she was snubbing she would have told me to go jump off the cliff but since she knew Maggie was depending on us, and we had been given explicit instructions to run in a pack (like rabid dogs) if we left the property, she aroused and donned her running outfit. Our morning runs in Jamaica were amazingly refreshing and allowed us to start the day with more than the java jolt provided by the Blue Mountain coffee. We opened up the runs to any and all comers, yet most of the team was infinitely wiser than us and opted to exercise in their sleep. Dr. Mal, our token colo-rectal surgeon, ran in the mornings also, but he elected to be a renegade and travel solo surprising the night watchman on a couple of occasions. Once our run was completed, we showered and donned our scrubs and headed to breakfast. Food at the Galina Breeze is purchased locally and prepared by a Jamaican staff and it is a treat to the senses. I have a basic tenant of not eating that which I can’t classify as animal, vegetable, or mineral, yet here I made an exception. Even though I was unable to ID some of the dishes, largely due to my ignorance of anything culinary, I trusted the kitchen staff and was not disappointed. Learning that they can “jerk” about anything, including coconuts and any four footed creature on earth, I even found plenty of vegetarian fare to my liking. Fruits, breads, and greens all combined to dance across my poverty-stricken palate to provide an eating experience that would shame Rachel Ray. My most favorite dish, peanut butter fish, is an amalgamation of, you guessed it, some kind of fish and a jar of Skippy, and it was to die for. I have decided that you could put peanut butter on a anchovy and it would be palatable. The abundant and delicious bounty became a challenge to my practice of “Hara Hachi Bu” or the Okinawan’s health habit of eating until 80% full. Nevertheless, the Galina Breeze culinary staff took the bounty of Jamaican farms and created nutritious, delicious meals that replenished our energy and kept us regular!

The minute we drove up to the Albany clinic we knew we were in for a special day. Not only was there a crowd already milling about, but a few rain clouds loomed ominously to the West. As was the common practice, the dental clinic set up outside under a tarp and proceeded to work its magic in front of God and an ever present crowd of onlookers. The dental team, led by Dr.Mike, a huggy bear of a guy who could pull a tooth faster than my wife can pull out her Visa, was a diverse mixture of non medical and medical/dental folks who didn’t know each other at the beginning of the week. By the end of the week, they were putting each other in their wills and picking whose house to spend the holidays at. They meshed like tattoos on a biker chick, and by the end of each clinic day had a pile of pulled teeth stacked higher than ice cream on Rosie O’donnell’s desert tray. This was a well oiled (thanks to Richard the autoclave wizard) machine. Jamaicans have a huge dental problem secondary to poor access to proper dental hygiene and prevention and a diet that screams cavities. You can almost guess someones age by the number of teeth remaining as there tends to be an inverse relationship. Some of the most appreciative patients were those who smiled as best they could with mouths packed with gauze after having a tooth pulled that had been hurting them for weeks. After seeing the dental clinic in operation I made a mental note to call my dentist when I got home and schedule an immediate check up.

Along with dental caries a huge number of Jamaicans have diabetes and hypertension. This is largely due to a diet rich in fruit, sodium, sugars, and processed food. You would think that a predominately plant based diet rich in fruits and vegetables would be a healthy one, yet the problem lies in the limited varieties of fresh foods, access, and education. Almost all the food staples are sugar based and virtually all the diabetes is the type 2 or adult onset, which is diet dependent. We were going through metformin, a medicine to lower blood sugar, as fast as we could package it up. We tried to provide a 90 day supply of meds since the clinics were set up to be staffed once a quarter, and we knew if the medicines ran out before someone returned the sugars would rise like the morning tides. The same applied to the blood pressure medicines we distributed. For many Jamaicans, the choice to buy medicines or to buy food is very real one, and it often means months or years of frighteningly high blood pressures or blood so packed with sugar that even Dracula would pass. All this leads to a disturbingly high morbidity and mortality rate that devastates the population of middle aged Jamaicans. These are preventable diseases that simply need education and a minimal amount of care to overcome. Not surprisingly we see the same picture in the US in certain demographics where fast (fat) food and cheap calories predominate. As I related over and over to my Jamaican brethren, eat less, mostly plants, low sugar, low fat and high fiber. And never, never eat anything you can get from a drive in window...even if you walk up to it!

We saw over 200 patients that day in Albany, in spite of a few showers that quickly turned the dental clinic into a makeshift mud wrestling ring. Dr.Liz Ann, our much needed and infinitely patient pediatrician, looked in more ears than a piercer at Claires in the mall. Susan, my wife, was the patient router and she wisely sent most kids to Dr.Liz Ann while I got the Paps and assorted itches and “female” stuff no one else wished to see. Dr.Mal saw all comers with a smile and kind word. I suspect he was just thankful he didn’t have a proctoscope handy. I can’t say enough about the docs, and our nurse practitioner MaryAnn, who all rose above our perceived level of competence and realized that we were there first to care, second to serve, and last but not least to treat medical problems. We may only be scratching the surface, but if you happened to be one that was scratched, it mattered to you. Jesus loved one person at a time and we kept reminding ourselves that the next person we saw may not see another doctor for a year or two, so we best love on them all we can now...we may not get another chance.

After a glorious nights rest rocked to somnolence by the incoming waves rolling in a short distance from our window, the team arose to whiffs of Blue Mountain coffee, exclusive to Jamaica and rumored to be the richest and most flavorful in the world. The previous night we had made assignments for the day’s clinic and organized our makeshift pharmacy (sans our confiscated drugs) and now, with the sun lapping at the Caribbean waters, we were ready to venture into what was largely unexplored territory for most of us. Many on the team were health care workers from a variety of backgrounds, docs, dentist, nurses, physical therapist, yet few of us had been on a medical mission before, and none of us to the clinic assigned to us for the day. For me, and I dare say many of the team, this was not a leap of faith but a cliff-diving, no net, free fall of faith! We were there with no expectations other than to serve and it quickly became evident that we not only left our medicines at customs but we also checked our egos. This was no place for hubris of the “great American doctors here to save the world” mentality but an opportunity to stretch our limits and be flexible. In fact, Marla had preached early on in our team training that adapting to change was a necessity in Jamaica. Just like the weather, wait a few minutes and every situation will be a bit different. Ready, excited, apprehensive, and full of Ackee (the national fruit of Jamaica) we loaded our van to head to the Hampstead clinic.
To say the roads in Jamaica are a bit rough is like saying Lindsey Lohan may have a little drug problem. Our driver, Mrs.Betty the Invincible, had the stamina of Lance Armstrong, and possibly the booty to match because the pot holes we bounced through placed the same strain on her behind as did the Tour De France on Lance’s! We bounced, weaved, and dodged our way through crevices the size of New Zealand and arrived at Hampstead clinic, shaken and stirred, and began assembling our apparatus. The building itself looked like a saloon straight out of High Plains Drifter with a Jamaican twist. Everything was cinder block (the better to fight off hurricanes) and several of the rooms were without lights. But who needs lights when you have the warm Jamaican sunshine spreading its luminosity and heat throughout! Since I was dealing with the most intimate of patients, I garnished a 5 by 8 foot room with a privacy curtain and laid out my tools for the day. Medicine has become amazingly inundated with technology and this was never more apparent than here. We were reduced to basic diagnostic acumen with a minimum of tools other than our training and our wits. Chills ran down my spine as I realized that I would have to rely on just a history and cursory physical exam to provide care for these precious people. No CT scans, no sonograms, no blood chemistry, not even a quality assurance inspector was available. The thought of depending on basic skills was both exciting and disturbing. All first year medical students learn that nothing should supplant an accurate and detailed history, as the patient will tell you of their disease with a passion and detail like no other. It is the rare instance, except on TV, that requires an extensive diagnostic journey. Sometimes it takes planting yourself in unfamiliar soil to relearn lessons previously understood, like the utility of simplicity. For centuries medical men used more art than science, yet I dare say they were more effective healers than some of the academicians of today. Not to discount modern technology, but all healing begins with physical touch and emotional connection. Some of the most everlasting truths are the most basic, in medicine and in life. The good news written in scripture is one of uncomplicated simplicity...”for God so loved the world...” Like technology, theology is a useful tool, but not at the expense of the essence of the message. A stark, dimly lit room in a Jamaican jungle forced me to remember that healing is mostly about people connecting and caring.
The medical team saw approximately120 people that first day with the unstoppable dental wizard, Dr.Mike, pulling more teeth than the tooth fairy on crack. I was struck by the number of both young and old who were ravaged by chronic preventable illnesses such as diabetes and hypertension. These were lifestyle diseases, much as it is in the States, yet the lack of education and prevention was stark. It’s hard to explain to people that their choice of snacks and sustenance (in this case sugar cane) is killing them.
Assembled back at the hotel, we “debriefed” about the first day with our team leader and resident crazy person, Jesse. A helicopter EMT (that should tell you something right there!) Jesse and his tolerant and wise wife Allison (a family medicine doc) were the heart, soul, and drill sergeants for our expedition and blessed us with their wisdom, humor and knowledge of completely worthless Jamaican trivia. We felt good about the first day, in spite of the ongoing debacle with Jamaican customs regarding our confiscated stool softeners and other assorted dangerous drugs, and I was impressed by the teams willingness to roll with the punches. In fact, this group proved to be more flexible than a Chinese contortionist in meeting the challenges of the week. It was a lesson I desperately needed to learn, as I had entered the week with a corner on the anal-retentive market. I was the one who worried about not having anything to worry about, so learning to have faith and trust in God was like mastering Mandarin Chinese. Yet, through the example of Marla, Jesse, and Trevor (the Jeff Gordon of Jamaican bus drivers) I felt the worries melt away like butter on an iguana’s back in the midday sun. To serve is first to trust, and to trust is to leave your worries in the lap of the great physician.
Day number two found the team bouncing and bounding to the Rock River clinic. This remote site could have been the setting for a Jamaican “Deliverance” movie as it was about as isolated as a liberal at a Sarah Palin rally. As we pulled up to the hillside structure we were puzzled by the stillness. A the previous day’s clinic there were folks waiting for our arrival, some getting there as early as 3 hours before our scheduled start, so we expected the same reception on this day. We unloaded the bus to an eerie quiet, wondering if we had made a wrong turn at Haiti. Jesse and I climbed the hill and found one of the Ministry of Health nurses busily doing paperwork in the front office. Her look of surprise at seeing us spoke volumes as it soon became clear that she was not aware that we were coming to her clinic that day; more importantly, neither were any of the patients! Realizing this was simply another way of toying with my obsessive compulsive nature (remember, it’s always all about me) I thought about asking if any of the team members needed a Pap smear since it didn’t appear that I would be offering such services that day, but decided that might breach protocol. In another lesson in faith and trust, Jesse and Allison calmly (at least on the outside) asked the nurse if it was possible to get the word out that super docs were in town, and we were open for business. Remember, this is in an isolated Jamaica forest nowhereville, where they were fresh out of house phones, Internet, and planes that would fly over with banners telling you which bar had happy hours. In faith we unloaded the vans as if there were thousands waiting on us and prepared for the day. Within minutes it was if the forest opened up and brought forth people like a rabbit on fertility medicine. I learned that day that people in Jamaica still understand the power of community. News and needs travel fast and what one family knows is effectively communicated round about. I don’t pretend to know how the word got out so rapidly, and even more surprisingly how small children and old folks made it to the clinic so quickly, but they did in such a fashion that we saw well over a hundred patients before the day’s end. Mystery is often God’s way of staying anonymous.
On our way home that night we experienced what was to be the most powerful moment of the trip for some people. Trolling along precarious cliffside, semi-paved roads our bus slowed to a crawl at one particular juncture. I suspected that Trevor was stopping to execute one of his patented Jamaican history/culture/culinary demonstrations by harvesting a roadside fruit, slicing it with his ever present machete (that is a story in and of itself) and passing it through the bus to tickle the nose hairs and taste buds of the brave. However, this time there was no low hanging chocolate berries but a lone pedestrian that looked as if he had stepped off the film lot for “The Bob Marly Story.” Here was an old gentleman with dread locks to his waist and a beard to match trudging along this narrow, pock filled road. Trevor addressed him in Patois, the local dialect (a melodic mixture of French, English,and African) and welcomed him on board. He was heading down the road a bit and was most appreciative of the ride. His name was Jeremiah, “like in the Bible”, and Campbell, “like the soup, mon”. I must admit my prejudices were running wild as I surveyed Mr.Jeremiah, imagining him as both illiterate and detatched. Within minutes of his arrival I was proven hopelessly wrong on both accounts. After a brief explanation of the origin of his name, he broke out into a joyful rendition of “This is the Day That the Lord Has Made” and soon had the entire bus rocking in a spontaneous praise and worship that would have made TD Jakes proud. Get this picture in your mind’s eye. Here was a 70 something Jamaican Rastafarian look alike, poorer than any church mouse ever dreamed of being, obviously worn out from a long walk, leading a group of lily white Americans in shouts of joy to a Creator who made us all in His image. I have never witnessed a more spontaneous and sincere expression of joy in my life. Jeremiah was truly joyful, in spite of his poverty, his physical challenges, his lack of designer jeans, and no Internet access. C.S. Lewis wrote a book called “Surprised by Joy” in which he describes his unlikely conversion to Christianity. Watching and listening to Jeremiah, I was surprised by his joy and saw for a brief moment the origins of contentment. Jeremiah was the professor and we were all unwitting students in the hallowed halls of happiness university. Echos of Paul writing from prison bounced around in my head as he admonished his flock to be content in all situations. Mr. Campbell seemed to be living this truth. After a couple of songs Jeremiah spied his drop off point and thanked Trevor for his friendliness and then paused.
“Before I leave you, mon, can I pray for you all?”
“Of course,” we clamored. We bowed our heads and Jeremiah began a prayer that was straight from the mouth of God himself. He blessed us and our mission. He praised a God that would use us to bring healing to his people. He thanked God for his faith and his blessings, and he poured out his words of adoration like a saint filled with the Holy Ghost. His words were heartfelt and genuine and poured from his near toothless mouth with the force of a raging river. His eloquent, impassioned prayer humbled and honored us all and at amen tears flowed as free as the love he showed us in those few minutes. Jesus might not have taken the wheel on that bus like he did for Carrie Underwood, but he hitched a ride that day and we were the better for it.
This is the first part of a series documenting my recent mission trip to Jamaica.


“I’m sorry sir, but without the correct paperwork you have to leave the bags here.”
The sweat began trickling down my temple as the Jamaican sun burst from around a cloud and both my temperature and my anger rose. I had just landed in the Montego Bay airport with four bags of medications destined for the rural parish of St.Mary, and it wasn’t going like I had planned. I was bolstered by a team of docs, nurses, and normal folks from my church who had committed to a week in rural Jamaica delivering basic medical care to the poorest of the poor. Prior to departure we had painstakingly assembled reams of paper work and government forms to assure a smooth transition through customs, but fate sometimes slaps you up side the head with a wet squirrel and I found myself negotiating with a polite but insistent clerk at the customs desk. Apparently the threat of a hurricane had freed the government to take a three day holiday and the persons responsible for stamping the forms for our passage had opted for a long weekend of Red Stripe beer and jerk chicken instead of clearing our medicines. With all the charm of a rabid badger I tried to convince the Jamaican official that I was not a drug lord recently released from lockup but a simple gynecologist from a sleepy southern town. I suspect she was convinced that impounding a vertically challenged southern doctor’s medicines would earn her brownie points with the local bureaucracy, so she persisted in her confiscatory activities and forcefully informed me that I best move on unless I wanted to spend a night in the local jail explaining my dilemma to Rasta Joe. Not wanting to test the hospitality of Jamaican jails, I relented and reluctantly completed the process to get my personal bags through the gate.

The bus ride to our hotel revealed a contrast of cultures. Decrepit hovels were interspersed with five star luxury resorts. The irrepressible beauty of the countryside was pockmarked with unfinished cinder block construction, and goats and dogs roamed freely as if they belonged on the roads and the vehicles were the intruders. Two hours after leaving Sanger International Airport we arrived at the Galina Breeze, our home for the next week. This oasis in the midst of hopelessness serves as the home base for the American Caribbean Experience, or ACE to those in the know. ACE is an amazing ministry run by the Energizer Bunny incarnate Marla Fitzwater, who for more than twenty years has been serving the people of St.Mary’s Parish, the most impoverished area of the island. Through a number of enterprises, ACE integrates into the community and puts hands and feet to the Gospel message of “Just as you have done for the least of these, you have done for me.” ACE sponsors medical clinics (which is why I was there at this particular time), micro-businesses, schools, and even a soccer team in its ongoing mission to minister to the body, mind, and souls of the Jamaican people. And what an amazing people these are; the town folk of Port Maria. In spite of devastating poverty, many of these precious souls have a joy for living and a desire to seek God in all they do. Theirs is a constant struggle against disease, violence, drugs, and poverty; yet they are some of the most appreciative, kind, and friendly people on earth.

The spiritual guide for our trip was Rev.Scott, a veteran of numerous mission trips and the proud owner of the best beard of the whole group. Rev. Scott is the kind of guy that can be comfortable in any situation. Whether it’s building a cinder block wall or preaching a sermon, he has a quiet presence that both soothes and inspires. He’s just a doggone nice guy to be around, and let’s face it, you can’t say that about all preachers. I have met some ministers who could brighten up a room by just leaving it! Rev. Scott not only challenged you in your spiritual walk but also helped you find the path. ACE is a Christian based ministry and our medical team was firmly entrenched in Christian outreach so it followed that any spiritual needs of either the team or the patients would be channeled to Scott. I seriously considered sending him an acutely menopausal woman claiming she was possessed by a hot flash demon, but thought better of it as I suspect Peter or Paul would have had trouble with this woman. As it turned out she needed estrogen not an exorcism. It must get trying for a minister to always be the one everyone looks towards when a group asks for blessings or prayers. I suspect just one time Scott would love to blurt out,”Doesn’t anyone remember Now I lay me down to sleep. Just say that for goodness sake!!” But Scott is much to gracious for such outbursts and his calming presence reminded me of the eye of a storm. He took a diverse group of folks and effectively related spiritual truths that applied to us all and left us with a sense of purpose anew. I did sit near him in the singing church though, and let me say clapping to the beat is not his spiritual gift. In spite of his lack of rhythm, Rev.Scott not only gave us spiritual comfort, but he showed us by his actions what a man devoted to the church should be.

Speaking of the singing church, on Sunday before the first clinic day we loaded up the bus and rode 30 minutes to Ocho Rios, the closest “big town” to where we were. Many of you Bermuda shorts wearing, flower shirted, black socks with sandals crowd will recognize Ocho Rios as a frequent stop on various cruise lines. It is like a flea market on steroids. If you need a giant wooden phallic symbol, pirated Frank Sinatra albums, counterfeit Blue Mountain coffee, or dread locks wigs...this is your place. A carnival atmosphere is punctuated with smells of jerk chicken and Red Stripe beer, sidewalk speakers blaring kettle drum Jamaican Reggae, and hawkers eager to show you the closest ATM. We were able to bypass this circus (at least for the moment) and walk upstairs to a nondescript building in the downtown. The minute we began to ascend the stairs we heard chest pounding bass backbeats emanating from the second floor. Welcome to The Church of the Rock. Reverend Roland was presiding and the faint of heart best stay outside. A 5 member band and three back up singers were praising God and a tower of speakers assured you that no one needed a hearing aid. All this was in a space about the size of a large elementary school classroom. The sermon series was on marriage, and up front was a visual aid that said it all. A man mannequin and a woman mannequin were dressed in their wedding best, smiling under a traditional Jamaican marriage arch, complete with flowers and petals at their feet. Seeing that it was a man and a woman, I correctly surmised that this was not going to be a sermon about tolerance and Billy’s two dads. Indeed, when the praising stopped and the preaching began, Reverend Roland delivered one of the most eloquent, humorous, and theologically challenging orations I have ever heard. At the completion of the service, after a bit more praising and a bit more worshiping, we all came out of the Church of the Rock knowing that it was truly built on a firm foundation. This church was an oasis in a spiritual desert. Although Jamaica is a predominately Christian enclave, the area we were in was strongly influenced by Rastafarianism and Islam. The Church on the Rock preached Biblical truths and practical applications that obviously spoke to the local folks...and us. There could have been no better way to initiate us to these remarkable people and our reason for being there.
There are some things a dad just shouldn’t do. Now this is not going to be some sexist, misogynistic diatribe about why men should only eat meat and watch football and women should bake pies and pump out kids like a Krispy Kreme assembly line. What I mean is that in the course of everyday life, dads need to exercise restraint and good judgment which, in turn, benefits the entire family. It’s like in those old National Geographic films where the unsuspecting Gazelle wanders close to the watering hole and gets his head eaten by the lurking alligator. “Yes Marlin, watch as the normally cautious creature simply wants to have a drink and...Oh! Heavens to Betsy! Did you see how agile that gator was? Just lopped off that head in one manly snap! Yep, that Gazelle is having a bad day!” Sometimes all us dads want to do is get a drink of water and Bam! Off with our heads! Let me give you an example.
Not long ago I was minding my own business relaxing in our kitchen with a manly cup of dark roast java, and my two daughters were discussing whatever daughters discuss (in my usual manly stupor I had no idea of the topic), yet I detected a somewhat disrespectful tone to the conversation. I was brought up in a house where showing disrespect to anyone, anytime was tantamount to committing a war crime, so I have this “disrespect” radar that can sense such activity even if my mind is focused on other things like a Glen Beck rant. I sensed this tone in their conversation so I commented that I thought they could discuss boys or clothes or global warming with a bit more congeniality. Mistake! As soon as the words came out of my mouth they both turned to me and like the aforementioned Gazelle, Snap! Off with my head! A sure fire way to cure your teenagers from arguing is to instantly give them a common enemy. Never mind the fact that all the women in my household are on a synchronous hormone pattern that would make a Swiss watch maker envious. So not only had I intervened in a conversation in which I was not welcomed or needed, I had done it at a time when the alligator in each was in its most ravenous state. There are some discussions that dads just need to stay out of, and I have been rendered headless many times to validate that conclusion.
Dads don’t need to do the wash. I can hear the NOW supporters bristling in their “I Am Woman” tee shirts but hear me out on this one. I do believe in a division of labor around the house. In today’s society almost 70% of women work outside the home, so it is only fair that the responsibilities be divided from those according to their ability to those according to their need. (Where have I heard that before?) For example, I love getting the dishes out of the dishwasher. I imagine each time I am doing this that the items I am placing on the shelves are new (even if they are the same ones we have had since 1991). This somewhat delusional game makes emptying the dishwasher fun as it seems like I have a big Christmas package that I get to unwrap every night. On the other hand, my wife , who is mysteriously grounded in reality, hates doing this chore, mainly because she sees it for what it really is, a drudgery akin to working an assembly line checking bananas for bruises. So the fact that she despises this and I adore it makes it easy to understand who empties the dishwasher at our house. Don’t get me started about getting the kids to do such a thing. That would be like trying to get Barney to go straight...a battle not worth fighting at this point. So why, you ask pensively, should dads not do the wash? I guess I should clarify my statement somewhat by saying that dads with teenage daughters shouldn’t do the wash. There are things you discover in folding clothes that you were not meant to know. The other day I was sorting and folding a load of wash (yes ladies, my wife married a jewel!), and I came across a piece of fabric that confused me. It was close to Halloween and for all the world it looked like an eye patch. I tried placing it on my head in the right position and the triangular, stripped fabric barely covered my eye. During my investigation my wife walked in the room and gave me one of those “What in the name of fabric softener are you doing” looks. I asked her who was going to be the pirate for Halloween and, knowing my propensity for delusion, she just laughed and said no one that she knew, and then she calmly asked me why I was wearing my youngest daughter’s underwear on my head. Jerking the minuscule swath of cloth off my head I look incredulously at the nearly non-existent fabric and shook my head in an attempt to grasp that this microscopic snippet was used for anything besides a blanket for a baby hummingbird. Once my wife gained her composure and I voiced my fatherly objections, we agreed that maybe I should go back to emptying the dishwasher.
Dads should not dress themselves, especially if they are older like myself. We have a propensity for wearing such atrocious items as high water pants, dad jeans, and wife beater shirts. If you don’t know what these fashion items are then you certainly don’t want to adorn your form by yourself as you are probably wearing all of them. If your sole goal in life is to embarrass your children and humiliate your wife, go ahead and pick out your wardrobe everyday and you will most likely accomplish this task. Most dads get excited when we see a sale on jeans at Target or find a stash of ties for a dollar at a garage sale. Wise up guys, they are on sale for a dollar for a reason as most of these ties were rejected by Goodwill! Not everyone needs another salmon colored tie with a swordfish the size of New Jersey on it. ( I have three).
I have what I call my “bringing sexy back” line of clothing for the middle aged dad. It can be one or a combination of items that can illicit nausea and uncontrolled laughter from anyone within viewing distance. There are the “Richard Simmons” workout shorts and shirt. I got these from a clearance sale (first red flag) and the shorts look like hot pants from the 80s and the shirt is mesh see through. The first time I wore these to go exercise, my family, once they stop seizing from laughing so hard, threatened to move to California if I ever wore them in public. Then there are my black “compression socks”. Now these are legitimate tools for recovery after a long race, they just happen to look like support hose. So picture, if you dare, a middle aged man in black support stockings up to his knees, plastic like gym shorts, and a Boston Marathon tee shirt and you can see why my family wants me on house arrest.
I love being a dad, but I have learned that there are just some things we have to avoid if we want to excel at it.

As another birthday steamrolls over my consciousness, I find myself searching for that Holy Grail of anti-aging solutions that has proven so elusive. A quick survey of my current understanding of the ant-aging literature revealed that this whole body of work is misnamed. There is no such thing as not aging! It happens! We are all captives of time and space and no matter what we do or say, we will get older. A better goal is learning how to age well. Live long and healthy, then crash and burn for a brief time! I love the term "compressed senescence" because it encapsulates what I perceive as the real goal we all strive for; that is living life in a state of good health and vigor and when it is time, and there will come a time, having a rapid decline. I would much prefer to live to a vigorous ninety and die at ninety one than live to ninety five and be dependent and sickly for the ten years prior. In that vein let me expound on a few things that may help both you and me achieve that goal.

If you have read anything from me in the past you know that I feel exercise is the fountain of youth. A 30-45 minute daily routine that gets your heart rate up and your body moving is quite possibly the best thing you can do to keep healthy longer. A close second is diet. What we eat really does determine what we become. My simple rules are; eat balanced meals, whole foods as close to how God made them as possible, eat mostly plants, low sugar, low fat, high fiber, and generally less than you have been. If you follow those two things you are ahead of about 90% of the population and well on the road to a healthy longevity.

I am often asked about vitamins and supplements and their role in living a long healthy life. The simple answer is that if we eat right you don't really need anything additional...but honestly, who eats right all the time. Reality dictates that we benefit from a basic multivitamin. Don't fall for the hype of slick markerters that say their vitamin is far superior to the their guys. Most of the products from reputable companies provide what you need.

The only additional supplement that I almost universally recommend is the Omega 3 Fatty Acids. I think the data is overwhelming that an abundance of these substances in either your diet or supplements can reduce inflammation, oxidative stress, and free radical formation, all which have been associated with more rapid aging and disease. Honestly I know of very few folks who wouldn't benefit from a healthy dose of Omega 3s. Here there is a difference in the quality of the product. Numerous studies show that some fish oil capsules (a great source of omega 3 fatty acids) either contain minimal omega 3s or an improper balance of the various types. Quality and dose does matter greatly when considering the scientific data on the benefits of these substances. I recommend a proprietary brand of Omega 3s called Omega XL. It has stood rigorous independent evaluation and has shown to be consistent in dosage and effectiveness. The company that manufactures it, Great Health Works, has a long history in the supplement world and is well respected for the quality and integrity of its manufacturing process. I take it, and so does my family. That's the best endorsement I can give!

Live Well!