2 May

Lamb!

by Jon Katz
Lamb!
Lamb!

We pulled into the farm driveway just as the first lamb of the season slid out of Susie (not Zelda). It is a boy, Susie is a great mother, calm and attentive, she has been cleaning him off. We walked the lamb and his mother into a stall in the barn, gave him his vitamin shot, cut and disinfected the umbilical cord, gave Susie some water laced with molasses and fresh hay and put two heat lamps over them. They’ll stay inside the barn for several days. Maria is going to name him.

Everybody looks health, both are resting now. My wife is very happy. Me too.

2 May

Responsibility And Judgement: Being Pre-Diabetic

by Jon Katz
Being Pre-Diabetic
Being Pre-Diabetic

It’s been a little less than a year before Karen Bruce, a tough, compassionate and quite direct nurse-practioner, treated me for Lyme Disease. That was the sickest I have ever been, and it might have made me a bit more accommodating than I usually am. I had pretty much walled myself off from conventional medicine. I didn’t trust it or believe in it.

I remember sitting in a cubicle at the Hoosick Falls Family Health Center, dizzy and feverish,  while Karen leaned forward and squinted over the computer in the examining room pondering my blood results.

She turned and looked me in the eye. “Jon, these numbers are just too high,” she said.  I started to protest, I sputtered for a bit, and then dropped it. A voice inside of me recognized the truth when I heard it, especially in the voice of an honest and caring professional. My delusions sort of collapsed. To be honest, I was  shocked but not shocked. I had been diagnosed with genetic diabetes six or seven years earlier, I had been treating it holistically, mostly with diet and holistic medications and food supplements. I had staved it off, I thought I could do it forever.

led an active life, I had worked on stress,  had studied nutrition, I thought I had it in hand, but I suspected I did not. Holistic medicine, like nostalgia, can be a trap if you use it to avoid reality.

Karen Bruce awakened me to the responsibility I needed to take for my life. I had diabetes, the numbers were too high, the numbers do not lie, not really.  I had Maria now, I was rebuilding a shattered life. I was happy in it.  I did not want to leave her, I had many more books to write, animals to talk to, blog posts and photos to share. I wanted to face the truth about myself and my body, about this illness which my grandfather had. The journey to self-discovery and authenticity does not ever end, it just takes us around different corners and to different places.

Karen and I began this journey together, we are on it still. My life changed that day. I went immediately on regiment of insulin injections and other medications meant to work with them, flush the sugar in my body, preserve my kidneys and other organs. I learned what I already suspected, that every medicine has side affects. I dealt with nausea, dizziness, dry mouth, diarrhea, headaches, injection reactions,  sleepless and a score of other things as my body began to reconstitute itself. I was determined to master this chronic disease. I learned to disregard the rumors, panic and horror stories that people love to tell on the Internet. You can have diabetes and feel things in your feet, you most often don’t need to wear white sox or giant shoes, you are not likely to lose your fingers or toes.You can live a long and healthy life.

With the big If. If you take care of it.

I learned what I could do – walk for miles – and would not do – go to a gym and sit on one of those machines while TV sets blared overhead. I continued my long education on nutrition – a science that changes its findings and conclusions almost every hour of every day. I remembered to keep track of my pills and needles, my strips and wipes. I kept packets of dark chocolate around for when my numbers got to low (the problem with diabetics like me is that I am much more likely to have low numbers than high ones), learned to feel the symptoms when the numbers got too high. I gave blood regularly to monitor the all important AiC number, which tells how good or bad the disease is – the doctors say diabetics should aim for 7.0, it was over 9.0 last August when Karen woke me up.

Several people told me I should get a Diabetic Therapy dog who could be trained to bark when my numbers were off. I’d rather have a sheepdog and use a blood meter.

I was plunged deeply into the world of health care, the Byzantine government regulations, the pharmacies, the out-of-control pharmaceutical companies, the pharmacists and their assistants, the authorizations, co-pays, needles, syringe pens, pills, strips, glucose testers, the vast literature on protein carbohydrates and glucose (every day we learn that what we thought was bad for us is good for us, what we thought is good for us is bad for us.) Diabetes is not just a disease, it is a way big business, it earns billions of dollars for people.

I see firsthand the the insurance companies, not the doctors, determine the true course of treatment. I see so many people who can not get the treatment I have been fortunate enough to receive. Through all of this Karen held my hand and steadied me, straightened me out, answered my many e-mails and kept me on course. “I want to see my diabetics when they sick,” she warns, and I have learned to stay health.

Health care in America really can work, you just have to be lucky in the disease and the people you find to get through it..

I learned how to take the insulin and medications in a way that would keep me from throwing up, seating, getting dizzy, drying out, running to the bathroom every five minutes. I am learning how to take them, when and in what doses, and my body is getting used to them. I am always learning what I should eat and shouldn’t eat, no matter what the pamphlets say, how to measure brown rice and blueberries. I’ve had two or three episodes – scared Maria and I at first – but have learned how to avoid them. I take my blood regularly, and I know now when to pay special attention to it.

I use maple syrup as a sweetener, I eat lots of blueberries, small pieces of dark chocolate are good for me, I avoid cholesterol, red meat, fried things, processed sugar. I eat nuts and berries like a squirrel.

Diabetes is a management disease, it is complex, it takes common sense and commitment. You have to pay attention to it, most of the time. You can’t take an insulin shot and not eat. You can’t forget about it or it will rear up and remind you that it is there. Karen Bruce kept my morale up by telling me I was the best patient she ever had with diabetes, I worked at  it diligently, experimented, paid attention and was committed to mastering it, trying new things and communicating with her. We have tried some new things, some worked, some didn’t.

Karen said I was the rare patient, her best patient. Maria has gotten quite used to my hauling needles and pills around with me in little cases, parceling them out every night for the next day  before I go to bed. I rarely forget them, they are important to me now.  I’m not sure whether or not she tells  all of her patients that they are the best, but it is surely the way to motivate me. I want to be the best at everything I do.

Thursday I went to the Hoosick Falls Family Health Center. I like it there, the staff is friendly and responsive, it does not feel alien or cold.  I wouldn’t bring Red in there, but they would love him. We talk about our families, our dogs, the weather, and I can give blood and be out of there in five minutes. I like to bring copies of my books, they pass them around there, and sometimes I get a gold star when I am good. I suppose nobody loves to go to Health Care Centers, but this one is as pleasant as one can be.

I think I will get a gold star this week. Karen e-mailed me to give me my new A1C number, it is well below 6.0, I went and looked it up online, I am now officially “pre-diabetic.” I am proud of myself, I deserve it, so does my body. So does Karen, the key to good health care, I think, is avoiding doctors and avoiding men. The women seem to have a grip on it.

Diabetes is a partner in my life now, it is never far from me, never too far out of mind. We are co-habitating well, it is not keeping me from my life, it is helping me to live my life. I have given my body and the organs that power it – my heart, kidney, circulation – a great gift. Everyone’s diabetes is different, is not the same thing for everyone. Many of us are lucky to have a chronic disease that can mostly be managed if we are willing to take responsibility and do the work. It was a challenging year for me, I have never had a chronic disease before.

But I am happy to now officially be a “pre-diabetic.” I am proud of myself, it is an accomplishment. I mean to be Karen’s best patient this year as well. It doesn’t mean I don’t have diabetes, it doesn’t mean I can give up my vigilance and medications, my needles and pills, it doesn’t mean I can eat what I wish and start wolfing candy bars down. I don’t want to,  either, which is the interesting part. The way to deal with something like this, I think, is to decide to have it in the best possible way. It just means it is under control, I am not permitting my delusions and fear to punish my body.

Life happens, life is what I make of it.

No whining, no struggle story. I will find smart women and listen to them. And as always, I will take responsibility for myself.

 

2 May

Parable: A True Carriage Horse Story, From Russia to Brooklyn For Freedom

by Jon Katz
Parable: True Story
Parable: True Story

 The following story was sent to me by Sara,  a scholar of Russian studies who lives in Washington, D.C, and who has been researching stories about rural and animal life in the Soviet Union in the 1930’s. She has been reading my writing about the New York Carriage Horses and believed a story she found might be relevant. It is. I thank her for it. It is a true story, told by a Russian carter and found in Brooklyn as part of an archive on Russians who emigrated to the United States before World War II following the collectivization of Russian farms and the confiscation of farms and farm animals by Josef Stalin. Crandall provided me with her research, some written in the hand of Arseny Yenotov, a Russian immigrant to the United States, and his children. I wrote this parable from her information and Yenotov’s own accounts.  The story does not need elaboration from me, it speaks for itself.

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Arseny Yenetov was  the son of a poor Russian peasant family in the village of Pyrohiv, a small town South of Kiev in what is now the Ukraine, he was born just before the turn of the century, a time of great upheaval for his country..

Life was hard for Yenetov’s family. His father eked out a living on their small farm, and also from their big draft horses, who transported goods for merchants and farmers, carried people who had no horses or carriages of their own, and were rented out to farmers to help them plow their fields and haul lumber. The horses did hard work for long hours, but Yenetov senior was careful to give them rest whenever he could.

The big horses made the difference between starvation and existence.

In harsh times, Arseny’s father would have no choice but to kill one of the horses – he never had more than a half-dozen –  to provide food for himself, his wife  and his children. Arseny wanted to follow in his father’s footsteps, but there was little work available in Kiev or anywhere else for the son of a peasant farmer, whose family existed on rabbits, cabbage and potatoes and beets – those  in good times. He often had stew for breakfast and dinner, very often there was no lunch.

The summers were brutally hot, the winters harsh, there was unimaginable poverty and suffering all around. The horses worked almost every day of the year that the weather would permit.  When he was 17,  Arseny’s father came to him and gave him a gift of Litany, the boy’s favorite horse. His father told him that their working horses had always kept the family alive, had always provided work, and he hoped Litany would do the same for him. Arseny gratefully accepted ownership of the horse and decided to become a carter.

He and Litany were business partners, he told the horse. They would run their new business together. Arseny had always loved the big black horse, he loved him all the more now.

Arseny built a wagon out of wood that he cut down in the forest. That hand-built carriage was his office and his business. He and Litany began hauling lumber, goods,  and crops back and forth to Kiev and other cities in the Ukraine. Arseny and his wife worked  hard – she was a seamstress –  but they almost always enough for them and their three children. Litany was providing.

It was a terrible time for rural people in Russia.  In the late 1928, Josef Stalin had ordered the collectivization of farms,  a program that lasted from 1928 to 1940 that was designed to force individual farms into giant collectives. The government and the ideologues and theologists of the Communist Party sought to end private ownership of all farms, crops  and animals.

The collectivization movement – an ideological movement spring from within the Communist Party  and embraced by Stalin – was fanatic and unyielding in its pursuit of the Russian farmers who owned their land and their animals. There were no exceptions, there was no negotiation, no dialogue, no mercy or compassion, no empathy. It was, as history soon demonstrated, an irrational movement based on theory and party fantasy, not on fact or common sense. “It was a fever,” wrote one historian, “a kind of hysteria.”

Millions of  people and animals were to perish of starvation and violence in the great confusion, inefficiency, corruption and famines that followed.  The country’s farmers and rural people were ordered to surrender title to their lands and their animals to Communist Party officials. Many resisted, some violently, burning their crops and killing their animals rather than giving up their property and way of life. They were brutally punished, killed or sent to labor camps in the far north.

Arseny struggled to keep his own family alive, but he could not save his parents. His father  resisted the collectivization program – he tried to organize the other farmers – and he was taken away in the night and was shot. Arseny’s  mother died of a lung infection in the weeks that that followed. The story of the Yetenov family was by no means unusual, it was the story of many millions of Russian farmers.

Day after day, Arseny read and heard the warnings, the threats and pledges that no farmer could own any longer own his own farm or his own horse or cow or donkey. At first, he couldn’t believe it, he didn’t imagine it could be true. One day a local official came to Arseny’s barn and he told him that a complaint had been filed against him by some of the other villagers, they had reported him to the police and the party ideologues. It was said that he had kept a patch of beets and potatoes for himself, and had also kept his horse rather than turn him over to the collective outside of Pyrohiv.

At this time, a second wave of collectivization had been ordered, many farmers were being rounded up and arrested. The official told Arseny that he had to surrender the horse or face arrest. There was no appeal, no negotiation.

Under the ideology of collectivization, farms and property no longer belonged to individual owners, private ownership was now considered a cruel betrayal of the people.  Arseny had been denounced in his own village, insulted and shunned. He was suddenly a hated man, ordered to appear before the town’s mayor, who was also a Communist official.

Defiant, he told the mayor that collectivization was unjust. He had committed no crime, he said, broken no laws.

The mayor and the other Communist Part officials – the ideologues of the party – were immovable. They accused him of being a capitalist, a greedy man, a betrayer of the people and an abuser of the system. Arseny protested that he was doing what farmers had been doing for thousands of years, that he loved his horse and had raised him from a foal. No one had the right to tell him what to do with his horse or to take his horse from him or force him to do work he did not want to do, certainly not in the name of the people. Was he not one of the people also?

The ideologues of the Communist Party did not listen, they said Arseny was a greedy criminal, an enemy of the people.

Arseny was escorted out of the meeting, beaten in the streets, escorted home. He knew his troubles had just begun. That afternoon, the secret police came to his home, confiscated his rough wooden cabin and evicted him and his family. They had been give one night to prepare to leave.  He was told he would be leaving the house in the morning with his wife and three children and would be taken to work on  a farm collective 100 miles from their home. The farm was chosen for them, they had no choice about where to go.

Litany belonged to the people, Arseny was told, where he would do good, be safe, not exploited for personal gain and profit.

Arseny knew  that was not the real destination for him or his family. So many of his friends and fellow farmers had vanished into the vast system of Siberian camps known as the Gulag. He had little doubt that was where he and his family would be taken. Litany would go to a collective.

Arseny had heard – and seen –  that most of the horses on the collectives died quickly of starvation or overwork or physical abuse, as did many of the workers. The horses were whipped and beaten continuously and worked outside day and night in the brutal elements, in heat and cold, rain and snow.  He took his hunting rifle, went to the barn and, sobbing, shot Litany twice through his forehead. Litany, who was devoted to Arseny, trusted him and stood still. He started, trembled, then  fell to the ground. Arseny wrote in his diary that the horse trusted him to the end, and that he would never forget that moment as long as he lived. He said no one could ever understand what it meant to lose a good horse that you loved and depended upon.

In the middle of the night,  Arseny stole a mule from a farm down the road, attached it to his cart and fled his village with his family, following in the footsteps of Jews (Yenotov was not Jewish), farmers and displaced merchants fleeing the Stalin regime in great numbers. It took the Yenetov family – there were five of them altogether – three months to cross from Ukraine into Western Europe and then to Poland.  Along the way, one of their sons died from an infection. The family worked  as laborers  in Warsaw for five months in order to earn their ship passage to America.

They decided to go to America, Arseny wrote later in his journal, “because there, no one could ever come and take my horse and my property away from me, my  children(s) could live in freedom, they would never have to give up a horse they loved or be forced into labor they did not want to do.”

The Yenotov family came to Ellis Island in the mid 1930’s and  settled in Brooklyn, then Queens. Arseny realized that horses were the only thing he knew, the only work he had ever had or wanted. He went to the stables in Manhattan in New York City, as a number of other Russian and Irish immigrants had done, and he told the stable owners that he knew horses well, and could brush and shoe them. He began work as a stable boy, cleaning the stables, trimming the horses hooves.

Arseny rebuilt his life. He worked in the stable for several years  before he was offered a job as a carriage driver. Then, he became a carriage owner. He was, he often said, a proud representative of the American Dream. And all because of horses, they had saved his life from the beginning and always put food on the table for his family.

Arseny Yenotov loved his job, his work and life in the great city. He was never wealthy, but he always made a good living, there were always people who loved riding the carriages in the park.  He was grateful to work for himself, and in the beautiful park. He fed his family, saw his grandchildren. He had a better life than his father even imagined, and it was a life he hoped to pass on to his sons. To the end of his life, Arseny drove his carriage proudly throug Central Park, regaling the tourists and newlyweds with poems and songs from Russia. He blessed America at dinner every single day for offering him such a good life, so much freedom, so different than the awful hardships he suffered in Russia.

He named the first carriage horse he had, and every one after that Litany.

Yenotov died in 1940 from complications from tuberculosis, he is buried in Brooklyn.

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After reading his story, I wondered what to make of the effort by animal rights organizations and the city government to banish the horses and carriage work from New York.  I suppose it is a good thing Arseny did not live to see it some of his own painful history repeating itself. Here, in New York City in 2014, government officials and powerful ideologues are knocking on the door of the stables to tell the carriage horse owners and drivers that they can no longer keep their jobs, that other work has been chosen for them, and to denounce them in public hearings and protests as greedy and selfish and uncaring. They have vowed  almost daily to take their horses – their animals and the source of the food on their tables – away from them and to force them to give them to other people who will never allow them to work again. 

America in 2014 is not Stalin’s Russia in the 1930’s. Yet there are echoes of Arseny Lenotov’s story all around the story unfolding in New York. It is is perhaps not as different as it ought to be.  I think of Tony Salerno who helped save his horse and the people around him from injury last Thursday and who finds himself the target of powerful bureaucrats and ideologues in and out of government seeking  to take his work and horse away without cause. He has committed no crime either, and broken no law.  I think of one of the carriage drivers I was talking to in Central Park and what he told me, his eyes blazing. “Who are these people anyway, that they think they can come and invade our lives like this, tell us who we are and try and take our work and our horses from us?  If that happens, it will be a sad day for us, but it will also be a sad day for everybody else. Is this the same country my grandfather came to from Ireland?”

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it is possible that one of Arseny’s descendants is driving a carriage still. If so, I will find him or her. If you are interested, you call learn more about  Stalin’s collectivization program here.

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