So I spent the six hours or so at the Mayo’s emergency room yesterday. Wheezing. I’ve never wheezed before in my life.
Besides being flicking miserable, it was an interesting experience.
The place was absolutely mobbed. People come from all over the Valley, largely, I expect, because so many local hospitals are not all that great and because the Mayo is one of the very few in the state that rank among the top clinically and in terms of safety. I met people who had schlepped to their ER all the way from Mesa, and I spent most of the six hours with a pair of elderly Michiganders who had driven in from Apache Junction, where they spend the winters in their RV.
Because of the overcrowding, once they let us in to see doctors, there were no rooms for us, so the old guy from Michigan and I were stuck on gurneys in the hallway. This, of course, allowed each to hear in detail what was ailing the other.
He was really a sweet old guy, never complaining and always good-natured despite what must have been a great deal of suffering. As it developed, he had come down with diabetes in his old age, shortly after a botched knee replacement. He ended up with chronic painful, itchy swelling in his lower legs, which were covered with chronic sores that refused to heal. One wound had been open for 18 months. His wife had dragged him in to the Mayo because he wasn’t getting adequate care (he was being treated by a PA—hadn’t seen a doctor more than once or twice!) and she figured he could get better attention there.
When the doctor came around, she was visibly horrified to learn the quality of care he was receiving, though she tried to hide it when she was face-to-face with him.
Part of what ailed the old fellow was impaired circulation in his legs. This, she pointed out, was caused by his pack-a-day smoking habit. She suggested that if he quit smoking, he might have less pain.
If he lost about 60 or 80 pounds, too, he certainly would have less pain. Both he and the missus were pretty overweight. She could have done without 40 to 50 pounds and he, upwards of 60. Even if losing some avoirdupois didn’t help the diabetes (as it might), it would at least take some of the pressure off the poor old guy’s legs.
I thought about the old man, driving home at the end of the day. It made me feel terrible that such a nice old fellow was suffering like that.
He had no intention of knocking off the cigarettes, and said so.
The people who manufacture those things are murderers, plain and simple. They know they’re putting out an addictive product that kills, and they do it anyway. That makes them killers, and it makes the legislators who facilitate their drug business murderers, too.
But that’s neither here nor there.
The question is, let’s say you’re an old person. Let’s say a doctor gives you a choice: do without something that gives you pleasure and relaxation in your daily life and live several years longer, or keep enjoying that something and take those years off your life. Which would you pick?
The answer, to my mind, is not as obvious as it looks.
At a certain age, you realize you’re going to die sooner or later. And you realize you may or may not go through a period of intense suffering before that happens. Maybe forgoing a pleasure that relieves your boredom and distracts you from discomfort today isn’t worth a few extra months or years on the other end: extended life that may be full of pain and misery.
At 20, it’s obviously worth picking and choosing your vices: stay off the fatty foods, stay off the booze, stay off the tobacco, and stay off your fanny. With any luck, you’ll reach old age and old age will be tolerable.
But if you’re already there, or even halfway there? Hm.
What’s your choice? Longer life with asceticism, or shorter life with pleasurable bad habits?