Transitions

The ‘wisdom’ tells us there are 3 stages of retirement: go-go, slow-go and no-go. I hadn’t given much thought to transiting to the second stage as I was too busy in the go-go stage. Besides, other than a brief episode of atrial fibrillation, I was physically unrestricted. I wasn’t happy about weighing 20 pounds more than when I retired but was working at it and I hadn’t been sick and kept up the recommended booster shots against ‘flu and Covid. Nothing had changed and aging was just a number. I vaguely thought that I would ease into the next stage sometime in the future, like a controlled motion down a gently inclined ramp until you reach the point where an activity seems too much effort. You are now a go-slow.
I have since learned that the gentle ramp is more like a set of stairs and some of the steps have deep drops. It began as a free-fall, suddenly, with a viral bronchitis which made breathing difficult unless I continually coughed. In 6 weeks it had progressed to edema of my legs secondary to congestive heart failure and oral diuretics were not much use in controlling the edema. This caused profound shortness of breath with any muscular movement. Additionally, the edema was such a degree that any movement such as getting into a car was a struggle because my knees were so tight with edema they wouldn’t bend enough to get in a car. Extensive work up showed all the usual suspects were working well: heart, kidneys and liver. However, your heart is surrounded by the pericardial sac; this holds the heart and attaches the heart to the upper rib cage. Ultrasound showed that here was fluid inside the sac that compressed my heart to a degree that the heart could no longer fill with enough blood for my needs. My heart was getting shrink wrapped. This resulted in a procedure using a hook to tear a hole in the sac to let the fluid out, but it was minimal help. It had now been present for 4 months and as the edema progressed the shortness of breath got worse. Hospital admission for maximal treatment of my edema was successful enough that they decided that they would open my chest and cut a window from the pericardium. The relief of my shortness of breath was notable from the first post op day. I lost the 40 pounds of edema, but all the lying around in bed had resulted in loss of muscle mass and my weight now is the same as in high school. So far it has been 9 months of improvement in strength and endurance.
Mentally, I was fine and scoured the internet for various subjects like AI and the projected/unexpected consequences, thoughts on rebuilding the destruction of Palestinian Gaza, and annoying the Moldovan university student I am sponsoring with financial realities. I am also minimalizing my life by purging things I haven’t used or thought of for 10 years. I have since learned this is called ‘Swedish death cleaning’.
What have I learned as I enter what I hope will be a long go-slow period? The go-go years can end abruptly so do not postpone any physical interests because you have “plenty of time”. Remain curious and act on those interests: take up mountain climbing, martial arts or whatever.
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