Polio: Our Parents’ Plague

“Your mom walks funny” a friend said one day in elementary school. I had never noticed my mom walking any different than anyone else. Just like I didn’t realize my dad had a Czechoslovakian accent. That is when I found out my mom had polio 40 years earlier. The virus had attacked her gastrocnemius muscle, the calf muscle in her left leg. She had a slight limp. She was one of the lucky ones.

Lorraine (left) Lucille (right) – edited since first published {I got it mixed-up, my sister corrected}

At age 5, the ever popular Eder twins went to a birthday party. My mom contracted the virus at that party. Her identical twin Aunt Lucy remained healthy.

In the first half of the 20th century people lived in fear of summer, “Polio Season”. Pools, fountains and movie theaters were closed. The virus, poliomyelitis, produced inflammation of the spinal cord. Speculations about what caused the illness ranged from bananas injected with tarantula poison to cats to wireless electricity to doctors’ beards. To this day, I never eat the very bottom of a banana, that is where the tarantulas inject! Parents were blamed for tickling their children. Unlike Covid-19, polio targeted children under the age of 5, a horrifying thought. Adults were also at risk.

Unlike Covid-19, polio spread from one person to another by fecal – oral transmission, by way of food, water or poor hygiene. Symptoms ranged from mild (sore throat and fever), to paralysis in about 1 in 200 cases. Although the paralysis was transient in some, many victims were confined to crutches and wheelchairs for life. Prognosis and morbidity depended on which muscles were effected. My mom was lucky that the virus settled in her left calf only.

When the virus attacked the muscles of the chest, often the iron lung was the fate. While the iron lung was primarily for acute illness, there were people that lived in the chamber for decades. The iron lung is the predecessor of todays modern ventilator. Unlike the ventilator, intubation was not required and it utilized negative pressure rather than positive pressure to achieve the same effect. The price was $1500, considered extremely costly at the time. The iron lung covered the body up to the neck. The image of hospitals full of these massive metal cylinders are chilling.

New York was badly affected (sound familiar)? Health officials entered homes and playgrounds and physically removed children thought to be infected. Asymptomatic spread explained why quarantining sick people in New York City could not contain the virus.

In 1952, the peak number of cases in the United States was near 60,000, resulting in 3,145 deaths.

There was no cure. A vaccine needed to be discovered urgently. Franklin Delano Roosevelt, the President at the time, contracted the virus at the relatively late age of 39. Strategic event planning succeeded in keeping his disability from the public eye. Roosevelt started the National Foundation for Infantile Paralysis, later known as the March of Dimes. People were encouraged to send dimes, conveniently slipped into cards.

Jonas Salk was 33 years old when he started working on a vaccine at the University of Pittsburgh, funded by the March of Dimes. Three floors above his lab was a polio ward filled with people encased in iron lungs. His idea was to use killed virus vaccine, rather than a live-attentuated one.

The first vaccine for polio was given to more than 200,000 children. The process used to render the virus inactive was defective. Within days and months, reports of paralysis in 40,000 children and death of ten children forced a stop to its administration. This became known as The Cutter Incident Jonas Salk was well aware of the tragic outcome of that vaccine.

It took Jonas Salk two and a half years to develop the polio vaccine. In 1953 he tested the virus on himself. This vaccine, administered in four separate shots, was tested in a massive placebo-controlled trial and approved.

That vaccine changed the world. An oral live-attentuated vaccine was developed by Albert Sabin several years later, which replaced Salk’s, due to ease of administration and higher efficacy.

Post-polio syndrome can affect 25-40 out of 100 survivors decades after the initial infection. It is not contagious. Muscle weakness, fatigue and joint pain are the primary symptoms. It is not life threatening but can make life challenging depending on severity.

All of this virus-speak is no longer foreign to us. The fear and terror are all too familiar. Thanks to cooperation, persistence and gifted scientists, the United States has been polio-free since 1979. The disease exists in a few countries in Asia and Africa but steps are being taken toward eradication.

This is a story of HOPE. We must be patient waiting for a safe effective vaccine that has gone through vigorous clinical trials. The agonizing story of polio is part of our recent history. The impact of the vaccine is one to be celebrated. My mom made sure we knew about Jonas Salk. He was her hero.

Lia Koplin-Green, 4/2020

Home

Since we are home, and being ordered to stay home, I am re-publishing an article I wrote two years ago.

The first paragraph sounds like a different lifetime but still, read on..

Walking down the narrow corridor between the rows on an airplane, waiting as people delight in finding a space to hoist their large bags into the overhead. I find my row and settle in to my aisle (always aisle!) seat. I tuck my water bottle, iPad and Us Weekly (my little airplane indulgence) into the front seat pocket. I then turn my attention to the stranger beside me and we exchange the usual small talk:

“Economy Plus, so worth it.”
“Is this a full flight?”
“Oh no, a baby near us. I remember those days traveling with a baby.”
At some point in that interaction, I am asked the question “Where is home for you?”

Continue Reading

Bidet?

I rarely talk about products on this blog. Remember when I saved you $38 by advising you not to buy Sex Dust?

The shortage of toilet paper right now is real. Keeping two houses stocked is a challenge, especially when you are limited to one pack per order.

We all would rather have the companies making PPE, and if in this country we can only do one thing at a time, let it be that.

A bidet may be one answer. Bidet is the French word for “pony”, because of the straddle position and the fact it was used by the royalty to clean up after a ride. It started as a fixture in the bedroom, often made of wood or leather. It was an indulgence of the aristocracy and upper class. In the 1800s, with modernization of plumbing, the bidet found its way to the bathroom, next to the traditional toilet. It took on the more modern version looking like a tiny tub that could be filled with a faucet at either end.

LOUIS-LEOPOLD BOILLY

A bidet has always been a hard sell in the states. Our puritanical past associated it with sex. In 1936, Norman Haire, a birth-control pioneer stated “The presence of a bidet is regarded as almost a symbol of sin” because bidets were considered a form of birth control. People also associated them with the most taboo thing of all…menstruation.

Americans avoided – and continue to avoid – anything associated with women’s sexuality and biology.

The mission of the American Bidet Company, founded by Arnold Cohen was to

“change the habits of a nation, weaning us off the Charmin.”

If ever there was a time to wean off, if is now.

Cohen was initially motivated to develop an alternative to the toilet for his elderly father, based on research that bidets can help “rashes, irritation and hemorrhoids” besides the benefit to the environment. America ignored and Japan listened. The Japanese company, Toto, using Cohen’s model, began manufacturing the popular washlet and smart toilet we see today.

Americans opted for cheaper, flushable wipes instead. We have all used them. Dude Wipes, Bro Wipes and others are now a multi-billion dollar industry. They may be “flushable” but that does not mean they break down. Our sewer systems and oceans are a disaster as a result.

The answer may be My Tushy. When you Google it, please be sure to Google hellotushy.com NOT mytushie or tushy. Trust me. You will get very bad porn unless you follow this exact link. You’ve been warned…

Hello Tushy is marketed “for people who poop.”

Disclaimer: I do not own this product. It was recommended by a trustworthy source. I have no financial connection to Tushy. I have read reviews. I purchased one but it will not be delivered until May. I’m telling you about it now to give you a heads-up that this might be a worthwhile purchase. Or something like this.

Most bidets require an electric outlet within 5 feet of the toilet seat. For most of us that requires an electrician. Who is going to have an electrician come over now? This one is an attachment to your current toilet seat. It does not require electricity. There is a Tushy Classic ( $89) and a Tushy Spa ($109). The Spa has an additional hose that runs to your hot water connection and allows you to adjust the temperature. The reviews are fantastic.

You’re probably thinking what I was thinking – Isn’t it dirty water? “It is not toilet water, it is water straight from your water source (the same water you brush your teeth with)” per their website.

This is a time where all of us are out of our comfort zone. We have so much on our minds, it would be a relief not to have to worry about toilet paper. Add this to the list of uncharted territory that makes a lot of sense right now.

Have a peaceful weekend and STAY THE FUCK AT HOME.

TUSHY CLASSIC

With love, Dr. Annie K.

Soup

There’s a tradition in our family started by Eva, my dad’s wife, to make a big pot of soup and have it ready when someone comes home from a trip. When you are jetlagged, the last thing you want to do is go out to a restaurant or cook. After a shower, opening the refrigerator and seeing a beautiful pot of soup in the fridge is nirvana. Soup made with love – you can taste the difference. 

I made a pot of homemade chicken soup and matzoh balls about two months ago in anticipation of Jeff coming back from Israel. He had been there since January, working in a busy Emergency Department in Ashdod, Israel. Today, I am defrosting the soup made for him. I don’t think I’m going to see him for a while.

I know for some of you it’s tough to quarantine with family. Tempers are short. You don’t have the usual distractions. But quarantining alone is no picnic. Everyone in my family is on lockdown in their prospective countries.  

My brother is staying here. He too, separated from family. And it’s kind of weird to live with your brother for weeks in the house you grew up in. It just adds to the surreality. 

We are both in Milwaukee with our 99 year old father. Even for a Holocaust survivor this current situation “feels like the end of the world”. He watches at a distance, as an outsider. His joie de vivre, social interaction, has been snatched from him. His hospice nurse recommends the two of us “use FaceTime or something” instead of visiting. His apartment is a short walk from my house. Going there makes me anxious but not going is even harder. Isolation and loneliness are leading to a huge decline in his quality of life.

So when I cook he wants Hungarian meals from the old country like Káposztás Tészta (cabbage and noodles), cholent and Toltott Kaposzta (stuffed cabbage). And of course soup.

Make soup for someone you love, they can taste the difference.

Pandemic Pandemonium

These are unprecedented times. Every person in the world has been affected by COVID-19.

How we react is generally in line with our personalties. The anxious become more anxious and the cynics deny, deny, deny until they can’t anymore. Then there are people who have responded in a completely unexpected way. Those who know them are left scratching their heads thinking “I’ve never seen him like that before”.

We are being instructed how to act. We are required to follow rules to keep ourselves, our families and our communities safe. Despite social distancing we are more connected than ever before.

This virus cannot be seen or felt it but it is in the air. Or on that surface you just touched. * note to self – I need to disinfect this keyboard. It is a matter of being in the wrong place at the wrong time. Or maybe there is no right place, it is all wrong. Except home.

We think that suddenly we are living with uncertainty. The truth is the uncertainty is always there. We think we control it by following certain traditions, symbolic dates on the calendar and rituals.

Now our markers – appointments, work, concerts, church, sports, buying what we need at a store – are gone.

This is our challenge as humans. We will make it work – set up home gyms, watch Netflix, work from home, catch up on nagging tasks. Making it work is not enough. We need to make this a meaningful time both mentally and spiritually. We can’t just wait until it’s over – that may be a very long time.

Freedom from Worry

Now that we understand how dangerous it is to worry, readers are asking for answers on how to control it.

Physician, Heal Thyself is an ancient proverb appearing in Luke 4:23. How can a worried psychiatrist treat worried patients? My answer? Better than a psychiatrist that doesn’t know what worry feels like.

While most of us are wary of medication, it may be beneficial, even short-term. Chronic unrelenting anxiety is toxic. Medication may be needed if anxiety is so severe that it interferes with functioning. For 50% of people diagnosed with anxiety the benefit of medication outweighs the risk. Taking medication does not label you. It is you being self aware, educated and taking care of yourself.

What about us “worried well” that worry but not severely enough for conventional medicine?

This is when I take ideas from my readers. From readers’ comments from my very popular article on Worry , I gained insightful feedback I want to share.

10 MAGICAL WAYS TO FREEDOM FROM WORRYING

Write.

Get fresh air.

Talk with someone way older than you.

Love.

Make Art.

Meditate.

Plant something.

Breathe.

Play with a dog.

Get wet.

{Can anyone find a mnemonic here?}

WORRY

I come from a family of worriers. My mom and her twin sister were always “fretting.” Other family members are worriers. My friends are worriers too. I am surrounded by people who worry. They may call it by other names like insomnia, back pain, or fatigue.

I worry about health. I worry about my kids. I worry about my dad. I worry about my friends. Then I worry about my friends’ health, their kids and their dads. I worry about my patients.

I worry when I go to the doctor. I worry about going to the dentist. I worry about falling on ice, getting randomly shot, riding in elevators, car accidents and Corona virus. I worry about not finding a job.

Then there is worry on another level about this country, fires in Australia, Israel, the environment. I’m not going to go there.

I am not alone. Generalized anxiety disorder (GAD) is the most common anxiety disorder. It affects more women than men. More than half of older patients with GAD say their symptoms started after age 50. Late-life anxiety is underdiagnosed and undertreated and will have a huge public health impact as the population ages.

Besides the time and energy lost worrying, chronic anxiety is toxic to our bodies. It can lead to depression, suicide, substance abuse and poor quality-of-life. Anxiety is a significant risk factor for death after bypass surgery, stroke, hypertension and coronary artery disease. It is also associated with a higher risk of memory problems.

When your body is in a constant state of “fight or flight” there is an increase in excitatory messages in the brain. Your body is stuck in overdrive. Scientists are trying to understand how this effects the body over time.

For most of us, worrying has become the new normal. We find ways to cope with insightful podcasts and books, self care, alcohol, meditation and yoga. Others benefit from psychotherapy and medications.

I’ve been working on allotting myself only a certain amount of time per day to worry. I sometimes use imagery and dump worries into a body of water, Being present and concentrating on my breath has helped. I try to focus on what is well and good at a particular moment. Does this stuff help? Meh.

By this age we have experienced traumatic events. We know life changes in an instant. We have a solid collection of peeps that we want around us for a long time. We may or may not be afraid of dying but one thing is for sure – we don’t want to miss out.

My goal is not to freak you out about freaking out. This is a reminder to all of us to be kinder to ourselves. We need to give our body what it needs – nourishing food, movement and above all, peace of mind.

“Worry never robs tomorrow of our sorrow, it only saps today of its joy.” – Leo F. Buscaglia.

Have a peaceful weekend

MOMENTUM

Momentum is everything.

Most of my readers know how much I love football. During the recent playoffs, I don’t know how many times I said/texted/tweeted the word “momentum”, but it was a lot. That sense that the team with the momentum is unstoppable, fueled by the roars from the fans in the stands. With positive momentum, the magic happens.

Momentum is a term from physics. It refers to the quantity of motion that an object has. Objects at rest do not have momentum.

Momentum runs high at the start of a romantic relationship. It is fun, playful and carefree. Both of you are reflecting over-idealized versions of each other so powerful that instincts of hunger and thirst are ignored. You believe you could live with this person in a tent until the end of time. Spending glorious days in bed in a delirious state makes it easy to ignore the tedious responsibilities of reality.

While society prioritizes this phase, the challenges of long-term relationships leave us wondering: is that all there is? The little quirks you loved at the start are now the most annoying. The two of you need to make grown-up decisions, face health and financial concerns, and cope with the drudgery of everyday life. Staying in bed all day is no longer an option and, if given the choice, many would rather be in bed alone.

**********

Has longevity made long-term relationships a mathematical impossibility? Are relationships designed for planned obsolescence?

**********

Don’t think I’m down on long-term relationships. They have great value. We just need to learn how to make them more fun.

Think about it: What made it so compelling in the beginning?

The criteria that made you an attractive mate remain the same 20, 30, and 40 years later. We do not lose our desire for adventure, spontaneity and passion. Within the context of a decades-old relationship these seem impossible. So we either accept this as is, or blame our partner or complain.

Why bother with this challenge if you have a partner and no plans to leave?

Why bother? Because not only can it save a marriage, it can enhance your life journey and lead to happier aging.

For this to happen, focus needs to shift to ourselves. It’s not about fixing the relationship. Paradoxically, stronger individuality is the catalyst for momentum.

With a long term relationship, you have the basics down. Food, protection, sleep, sex, security. As a team you navigate the tasks of raising a family, aging parents, health scares and mortgages. It feels cosy, like an old shoe.

Once the basics are stable, humans have the remarkable adaptive ability to move beyond to create music, art and literature. The key to momentum is keeping things moving.

This means men and women must be comfortable with changing it up, even in mini ways. Try out a new exercise and talk about it. I find just listening to music changes me. Recognize culinary ruts. Spend time on your own. Talk to wise elders and share stories. Consider role playing in bed. Bring more to the table. Keep the focus on yourself, not your partner.

With positive momentum we are unstoppable. At any age.

Imagine all the benefits of the stable relationship with a sprinkling of fantasy dust!

HAPPY NEW YEAR💜

loveandmedicine.com has had a great year. In case you may have missed something, here are all of the posts from 2019.

Read and reread! This year I’d love to see more comments and dialog.

ASK DR. ANNIE K. is open 24/7 and is 100% anonymous.

I know there is a lot of crap out there to read. There is an epidemic of pseudo-science and medical BS being read by millions. Would you go to a plumber to fix your teeth? Don’t go to a celebrity for medical advice. I’m guilty of it too – remember when I bought Sex Dust? That was the old me 😉. Let’s not do that. In this blog you will find facts, not fads. I do my homework.

If you are curious, the most popular post this year was How Hard Can It Be? Understanding Erectile Dysfunction. A sign I need to focus more on sex and sexual dysfunction.

Most importantly, my readers, continue to be smart and skeptical. Stay strong and open to change. Kick-ass this decade! Remember:

“It’s the small habits. How you spend your mornings. How you talk to yourself. What you read. What you watch. Who you share your energy with. Who has access to you. That will change your life.”

Anne Koplin, Author of Love and Medicine

ASK DR. ANNIE K

Post Menopause
Legitimizing Mental Illness
Breaking the Cycle
Ovulation
Pain
B12 Injections
How Mental Health Can Affect Relationships

SEX
Magic Dust and Artichokes
Understanding Sexual Dysfunction
The Lifeguard

LIFE
The Best Weekend of the Year
Hello June
Celebrate Independence
Eat A Peach
Mercury Retrograde and What Does It Have to Do With You
Hula Hoops
Friday the 13th
7 Fool Proof Tips for Fall
The Weekend
Have a Peaceful Weekend

HEALTH
Sugar, Sugar
Stopping Antidepressants
The Secret Killer in Your DNA
Self-Love

FAMILY
Intercontinental Parenting
Am I the Only One Who Thought The Marriage Story was Lousy?
How To Throw a Great Wedding
The Way to a Man’s Heart
I’m Changing My Name Again and Here’s Why
Yes, Look Back

POETRY

Inspiration

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