Hello from the GI/Nutrional Center at Geisinger,
I am currently waiting for a recopying of paperwork that I managed to misplace before I even got out of the hospital today. I am not sure how I managed that, but I did. I have been diagnosed with something called Short Gut (or Bowel) Syndrome, which is a direct consequence of the surgeries I have endured because of Crohn’s. It is primarily an issue of malabsorption of the intestinal tract. In my case, it is the combination of the removal of the large intestine (or total colectomy, which began in 1986) and the eventual removal of a significant portion of the ileum or part of the small intestine (which occurred completely in 1997, after reconstructing it in 1991 and again in 1993). For me the malabsorption is really no absorption because those parts of the intestinal tract are no longer present. The present treatment as it appears will include shots, vitamin supplements (of or for a number of things), a change in fluid intake, and a different diet. At least for the time being, I will not need parenteral nutrition (which would be vein feeding). The significant point in all of this is pretty simple. Once again, I have some sense of what is happening and why. Now I merely have to make the changes necessary to manage all of it. Most of my life has been about managing a situation where it seems things might have come up a bit shorter, smaller, or earlier than imagined.
Throughout high school and even into, and for most of, the service, I was the younger one, the shorter one, the smaller one, and probably, though difficult to say, the more immature one. All of those things had consequences for me. Being shorter created what might some call in today’s world bullying, but I saw it as a sort of teasing, and, indeed sometimes it had negative consequences. On the other hand it taught me how to cope; i learned how to manage difficult situations with both decorum and a sense of humor. That was significant because if I had been inclined to fight over most of it, I would have spent most of my childhood getting my ass kicked. My Great-aunt Helen once told me that I had developed a pleasant and pleasing disposition early in life (like before I was 2). Being shorter meant I was always in the front row in those group elementary school pictures. Being shorter meant that I was not going to be a basketball player and the fact I did not weigh three digits until I was senior in high school meant football was probably not a healthy choice. Instead, running and such were much more suited for my shorter, lighter physique. Then there was the fact that I looked even younger. Where I went to school, we had a junior/senior high school. Seventh (7th) graders were initiated, sort of like college freshmen and beanies back in the day. Looking as young as I did, I was still be initiated when I was in 10th grade. I remember going to a youth event for my church and being embarrassingly mortified when one of the older members of my youth group made fun of my minimal body hair when I was in 9th or 10th grade. Maybe that is why to this day, I have only been clean shaven twice since I was perhaps 23. I never really thought about that or made that connection. Starting school at the age of 4 seemed like a good idea to my parents, and probably to me, when I began kindergarten, but it had consequences when I got older, but was still one of the younger ones. Amazing that for the first third of my life, I was always that person: younger, shorter, smaller, and yes, still the immature one. That continued through my time in the Marine Corps. When I tried to enter the Marines, I did not pass the physical because I was too light. When I got to boot camp, I was named Private Chicken Body because I was so small. I was told if I lost weight I would be dropped to PCP (not a drug, but Physical Conditioning Platoon). Even when I got out of the Marines, I did not look like your typical veteran.
When I got to Dana, for the first time I was not the younger one, but actually one of the older. I was 24 when I entered as a freshman at Dana. While I had been to college before that first foray into higher education was less than stellar. When I started Dana, I was more immature than most realized, or more accurately, I was more frightened. I was afraid of failing again, and I was determined to not make the same mistake I had made previously. While those four years did a lot to shape the person I am today, there was still so much to learn. There was the need to believe in myself. There was the necessity of believing that I was worth something, that I was capable, that I belonged. Those maladies affected me more than most will realize. The maturity aspect of this is what I believe has been more inopportune for me than the shortness, smallness, or being younger. It seems, particularly into my 40s, that I was behind my peers. In my 20s that gap seemed to be 4 or 5 years, even when I was chronologically older. When I got into my 30s, and especially when I was a parish pastor, there was the necessity to catch up. In some ways, I did, but emotionally, not so much. This created more adversity. I remember having to work with so many people and so many things. I was theologically and practically prepared, but the little person, who was still such a profound part of me and that few saw, felt totally unprepared and inept. It created more problems that I have probably admitted in my personal life also. While there were ways I was ready to be married (and by that time I had been married for 5 years or so), there were other ways I really was not as prepared as I believed. There is an irony in that because while I was certainly older and more prepared in some ways, I was probably not any more prepared than she was, but I was viewed as older and wiser. It was not always true.
What I am forced to admit is that my immaturity certainly did things to doom that marriage. I know some who know both of us will say that I am being a bit hard on myself, and perhaps that is true, but I am not shouldering all the blame. It seems I must merely try to be more honest about my part in that failing. The other day I was talking about that period in my life and I have known for some time that while I believed I was handling things well, again, not so much. What I know is taking a position at Suomi at that time, while it seemed to be a good fit was anything but. Living in the dorm as I went through that divorce was problematic and even being in my own apartment the second year was less than ideal. Those two years also set a course with a bishop, to whom I referred in an earlier blog, that would be terminal for my calling as a pastor, at least in terms of ordination. Then I moved onto graduate school again, and toward a second marriage. The year between leaving Suomi and getting accepted to Michigan Tech was a brutal one, working as “the most educated server in the Keweenaw” did little for my self esteem, and probably damaged my liver more than I knew. I have often said all food and beverage staffs are dysfunctional families. That along with returning to being involved with the fraternity I had pledged as an undergraduate was a blessing and a curse to me. While I somehow managed grades and such, I did not manage responsible behavior and simply put, I tried to catch up on all the things I somehow believed I had missed. In terms of a rhetorical strategy, it did little for my ethos. Certainly, some probably thought me mentally ill or schizophrenic, and quite possibly, rightly so. I made mistakes in that time that I still regret. To get back to the theme for this posting, I fell short of what was expected and I was certainly a smaller person for it. By now I was into my 40s and honestly, I there were times I acted like an undergrad socially. Somehow academically, I did substantially better. Not surprisingly, I was in counseling this entire time. One might think a second marriage might have created a better situation, and in some ways, it did, but when the marriage created more issues, life was still a problem.
As I moved into the 21st century, I was still trying to figure out where I fit and who I was. That is a bit ridiculous for a person in their mid 40s, but it was who I was at the time. While again, I was successful in my professional life at this point, my personal life was in a shambles. In fact, my counselor at this point and I had this specific discussion. There is, as I noted a second marriage during this time, but I will address that in another blog at some point. I will say that I have had contact with my second wife recently and apologized to her for my failures. I am glad I was able to do that because it is about taking accountability for those choices. There are always ways to justify our mistakes, and certainly as humans we are prone to do so, but I think I am beyond that point. Simply put, I am a person who had (and still has) good intentions. The difference from the earlier Michael and the Michael of today is I allowed my immaturity and my things that I missed out on as a younger person to cloud my judgment. I wanted to experience some of the things I missed out on. With the older Michael, I somehow had my maturity catch up with my chronology. I think perhaps the place that finally happened was in Menomonie, not in the first couple of years, but when I suddenly found myself caring for a new sort of adopted parent. I realized that I needed to do things better than I had earlier in my life. I needed to make up for what I felt was the failure of not being there for my own father.
I think I have always had some insightfulness into the needs of others and could see things that would help them, while failing to see the same exact thing in my own life. Again, somehow, my caring for the “little tornado,” as I still fondly call her, changed those things for me. Simultaneously, being in a new place professionally, and feeling a need to begin over, offered opportunities for me to finally close the gap. Interestingly, reconnecting with some and seeing things from a different perspective was helpful. Even in that reconnecting and exploring possibilities, I learned more about myself and what I needed if I am to care for myself. That was a new experience also. Most of my life I have probably vacillated between completely one side of the other, which is never good. What I am forced to admit it being short on one side or the other creates a situation that is seldom manageable. During the past 8 years I have been in Pennsylvania, I have finally closed the gap and I am probably where I need to be for the first time in my life. What I realize is I owe many people apologies for the failings, the mistakes, the inadequacies that permeated much of my life. I am sure I will make mistakes in the future, but it is my hope the failings will not cause others discomfort and struggles.
For the time being, it seems that I have a structure for my life and a structure for my health. Both things are helpful, and they are important. As I have told people, currently I have more doctors than I have fingers on one of my hands, but they are in touch with each other; as such I have an amazing team caring for me. During the past month, the care of others from students and colleagues to friends near and far, I am been blessed. Having the insight of a health professional who is also a dear friend has been my unexpected gift in all of this. The ability to ask questions and receive caring insight and advice has been both comforting and created a sense of security I am not sure I would have were the help not available. Speaking of other health things, as noted in a previous blog, one of my colleagues has passed on and the other is certainly in the closing days of his fight. Together they created a footprint on the English and Philosophy Department at Stout that cannot be replicated. In both cases, the loss is profound and life-changing, not only for their families, but for the scores of people they have touched across the country, and even the world. This is not hyperbole; it is the simple truth. As Dan has signed off on each of this letters to those of us honored to walk this journey with him, I leave you with this. Hug the ones you love. What amazing advice and what an important thing to remember.
While I have shared this video before, it seems appropriate in this time as I think of my mentor and treasured friend, Dr. Daniel Riordan.
To everyone else, thank you for reading and again, thank you for your thoughts and comments. I am blessed by you all . . . if I have offended or caused you harm in my earlier life, please forgive me.
Michael (Dr. Martin)