The First Day of Nursery School

1990

De Paul University

Writing from the Inside

Teacher: Zoe Keithley 

The First Day of Nursery School

This was a big day. Jenny’s first day at nursery school. I was full of ambivalence: was it really awful to want time (4 hours a week) without the kid? would she think I was abandoning her with strangers? would this be a major life trauma to my little 2+ 3/4 year old? Or was it a healthy, stimulating, good experience for her socialization? Oh God, how I debated doing it. Oh, the guilt I felt. Oh, how I longed for 2 hours twice a week to have to myself. Oh, to take a leak uninterrupted. Oh, to go to the grocery store and not have to worry about being thrown out because she knocked down the can pyramid or toppled 12 thousand oranges.

The drive there took forever. She asked a hundred questions. Will there be other kids there? How many kids will be there? Will there be any kids I know there? Will it be a man or woman teacher? How long do I get to stay there? Do they watch Sesame Street in that school? Do they play games? How did even a mom know all of this?

As we drove into the parking lot I saw her raise the door lock. As soon as the car stopped, she was out the door. I hurried to catch up with her. We found her room without much trouble. The teacher was very nice. Miss Collins began to explain to Jenny what they did in nursery school. She introduced herself to the other students. She came to walk me to the door as Jenny went with the other kids to check out the gerbils in the corner. The teacher said I could go now and that it would be best if I kept walking when Jenny started to cry; they all do when they realize that mom won’t be staying. She said just to keep going and act like it’s normal to leave your child. Oh my God, I wasn’t sure if I could do it or not. Did I really have to have 4 hours a week to myself? Did Jenny really need to learn to socialize with other kids?

I got as far as the door, stepped just outside the door, and peeked back in; I was being brave and risking the sight of her tear-streaked face. I saw none. I saw her running up to the door, grabbing it by the handle, and pushing it shut in my face.

I have never felt guilty about pawning off my kid at nursery school. Obviously, she needed to enjoy other kids, to learn that others can care for her, to be away from mom, and to grow on her own. 

The Big Lie

Writing from the Inside

De Paul University

Fall 1990

Teacher: Zoe Keithley

The Big Lie

Here we are driving to nursery school. I am on my way to work, and Jen is looking forward to her day in nursery school. Suddenly out of the blue Jen says, “You know mom, I think you lied to me”.

“I did? About what?” As I searched my brain – I thought that I was very honest with my 3-year-old daughter.

“About a baby being in the mother’s stomach. I don’t believe that”. She says knowing somehow that she is right.

“You are right Jen; the baby is actually in the mother’s uterus”. I say hoping things will be ok now.

“I thought so, it had to be some other place because if that baby was in the mother’s stomach the baby would choke when the mother drinks pop or eats food?” She says with utter surety.

“Oh my God Jen, I didn’t mean to lie to you. I have just always heard moms say that to their very young kids because it is a complex thing to understand. I had planned to tell you about the uterus when you got older”. I say hoping she will now believe me; hoping I hadn’t totally eroded the trust of my 3-year-old.

“Its ok mom, but I thought that I was right. I thought about it a lot. You don’t need to lie to me anymore”. She says with forgiveness.

“Jen, I will never try to cover up a complex issue with you again”. I say with amazement that a 3-year-old would put so much thought into what is told to her. I will try not to underestimate her again.

The Anatomy Lesson

1990

De Paul University

Writing from the Inside

Teacher: Zoe Keithley 

The Anatomy Lesson

“Mommy I want to take my nap with this skeleton. I really like him”. Says my 3 1/2 year old daughter.

“Well, I guess you could”. Say I, the mom.

It was one of those paper life-size skeletons that you tape to your window for Halloween decoration. What harm could it cause? What damage could Miss Innocent do with a skeleton?

She’s not sleeping yet, I hear her talking to the skeleton. I can’t make out clearly what she is saying. Within a few minutes, she calls me hysterically. She is very excited because she found a new bone! (We had spent hours naming the bones on him. I even had to ask an orthopedic M.D. the technical name for the elbow because I forgot and she HAD to know it.)

“Mom come on, I have to show you this bone I found”. Says Miss Anatomy.

“Ok, Jen show me this bone. (who could believe a 3 1/2 year old could get so excited about a bone?) Say I.

“Mom look right here in front, see this tiny little one right here”. She says pointing to the coccyx bone which hangs down from the spine; it’s like the tip of the spine.

“And mom see I know right where this bone is on my body”. As she points to her clitoris. I can see by the size and shape that a kid could surely get the two mixed up. Dear God, I pray to myself – Don’t let her ask me what that bone is for.

“Jen, you were really thinking about that bone and trying real hard to find it on your body, you are close, but it’s not there in front, but it’s in the back and it hangs off the end of your spine; it’s called the coccyx bone.

“Are you sure Mom? It really looks like this little bone right here”. She says still pointing to her clitoris and doubting my intelligence.

“Yes, Jen, I’m sure its your coccyx bone on the end of your spine”.

Well, thank God she didn’t ask what her clitoris was for; I’m sure that will come up another day. In the meantime, I have time to think about what I will tell her.

Christmas With Jenni

1990

De Paul University

Writing from the Inside

Teacher: Zoe Keithley 

Christmas With Jenni  

We always bought a 6-foot tree; we always decorated it with homemade ornaments, the ones Jenny made from the time she was in nursery school all the way to seventh grade. I recall the fun of taking out those ornaments and Jenny thinking that they were so ugly that she could do better now that she was a year older. Even the empty toilet paper roll covered with glitter was beautiful. There were always tons of presents under the tree, mostly for Jenny, the privilege of being an only child. There were those wonderful store-bought Christmas cookies; thank God, Jenny accepted me the way I was and that I was not a baker.

One year she told me she hoped I would never make Christmas cookies again because it made me so crabby. God love her!    

The lights were always hung around the fireplace, up the wall, and around the bar in the rec room; it made the place look so romantic. Jenny’s drawings covered that one wall in the living room. All the Christmas cards were hung all over the refrigerator and the dishwasher. There was that wreath Jenny made from plastic bags that had to go on the front door.

Christmas Eve was the time we went to his parent’s house. God, the presents there were unbelievable! It was hard to fit our chairs in the living room because of all the gifts. His mom would make everyone’s favorite pasty……hmmmm; the smell alone said Christmas. His dad would be sure that we all had a drink of some kind of booze, just to take the tension off each of us – just a taste to celebrate. The hugs were the best part. I’m a real hugger. A hug was the designated thank you for each gift; I really liked that idea. His two brothers would always amaze me with the lovely gifts they would pick out for me. How could they do it – both single, never married, and knowing just what to buy their sister-in-law?

On Christmas morning it was just the three of us. When Jenny woke up she was always forbidden to go downstairs until she got us up; no way did we want to miss Santa’s big drop in front of the tree. Her face was always radiant, and I always had my camera ready to capture the moment. John always surprised us with some homemade fudge, and we were even allowed to eat it for breakfast. Who would want to leave all the presents to go make breakfast? John and I would put toys together, play games with Jenny, and generally act like the kids that we used to feel like on Christmas morning.

Now, on Christmas afternoon it was time to go to my mom’s house. My sisters were always there with their husbands, my sweetheart of a nephew, cousins Johnny, and Denny, Aunt Marc would come with her latest boyfriend, and the next-door neighbor would always bring that yucky fruitcake – we gave it away every single year. Nothing changed much after we three girls were married, had our kids, and were set up with our normal married lives. The grandparents were quite comfortable doing their grandparents’ thing. The kids always felt Christmas was a big deal and looked forward to it for months. Except……………..

John and I got divorced and Christmas was never to be the same again. No one tells you how to keep up traditions when your whole life has changed. That first Christmas was devastating. John and I had joint custody of Jenny; he wanted to split her up so that he could have her on Christmas Eve, and I would get her Christmas afternoon so we wouldn’t be disrupting the rest of the family’s traditions too much. Oh my God, it was so painful. I volunteered to work Christmas Eve just to avoid being alone, I could not have taken it. At work things were sad too; I realized that patients come to the hospital at times like this (especially at an inner-city ghetto hospital like this) when they are lonely. When they are hungry. When they don’t have anywhere to go and it’s such a special day. They must have had some “Always” type of things in their life before they were alone. It deepened my sadness to take care of them but also did give me some joy just knowing I was there for them – at least I felt worthwhile despite my deep sense of loss.

We all take for granted those “always” things in our life, we are sure Christmas will always be joyous – when we have not known any different.  It was not a waste as I see it though. Working in this ghetto hospital made me more aware of what Christmas must be like for kids who can’t afford for Santa to come. At least each of us could still buy gifts.

One “always” about the previous year that had more meaning was Jenny going through her toys and giving the ones that she had outgrown to Toys For Tots; I sensed without words that we were both finding solace in this charity that we had not appreciated in the past. I recall her once asking me why Santa did not bring toys to the poor kids, why were we bringing them toys? I told her that the parents had to leave Santa a check – what a bubble burst for a 4-year-old. Anyway, Christmas will never quite be the same; yet from surviving this very sad Christmas, future Christmases will mean more; we will have grown from the hurt that we survived.   

Here I am 6 1/2 years later and yes, we have created our new traditions, our new “always”. What seemed impossible came to be quite nice. Now we always play Christmas by ear; we plan it around what feels best, we are free to invite new friends, and we are free not to invite someone rather than be forced to do so by traditional traditions.

All men are created equal EXCEPT …

Writing from the Inside

De Paul University

Fall 1990

Teacher: Zoe Keithley

All men are created equal EXCEPT …

-If you are black. If so, you must walk around each day feeling THEM look at you with that condescending look. You can’t hide it ever. THEY always know who you are. How long will it be before the “Dream” of freedom is fulfilled?

-If you are a woman. You must walk with fear in any place where men may be. You must always be on the defensive; you must always protect yourself. You never know which ones are the protectors and which are the abusers. You must always be aware of not enticing THEM because otherwise, the system will blame you for what THEY do. You cannot hide what you are either; THEY always know you are female. How long must women fight for equality?

You must repress and deny their abuse and oppression of your sexuality – your very humanness. If you don’t how can you go on each day? Where do you escape to? You can’t even protect yourself from an abusive husband; the self-defense law wasn’t written to include you.

-If you are gay. You can hide somewhat if you are not an effeminate male or a butch female; some of you can hide. If you don’t hide you must then face THEIR disapproval, disdain, and disgust; THEY fear and hate you. It deeply affects your world. You just want to be free to be who you are. Is that asking too much?

A WAY TO DIE?

1990

De Paul University

Writing from the Inside

Teacher: Zoe Keithley 

A WAY TO DIE?

I was just touching him, caring for him

He was a kindly old soul

I found joy in comforting him

His unseeing eyes, said thank you

His unhearing ears, heard my concern.

His spirit left before his heart stopped

The alarms sounded, they came running – The “Great Saviors”

I held his hand, his body shook –

They pounded his chest, they forced air in.

“They” did this – the intruders.

At 91, who should force his stay?

How dare they slow his natural way.

He needs to go, I let him go

I tell him so aloud!

They are aghast – at my candor.

I touch his face

A wrinkled, now unfeeling face

This touch is for me

I’m glad to have been with him

That he was not alone.

Published in Poetry Annual

A Feminist Folk Tale

1990

De Paul University

Writing from the Inside

Teacher: Zoe Keithley 

Once upon a time, there was this feminist. She lived in downtown Chicago, on North Michigan Ave – the ritzy area. In the 1990’s she was doing pretty well for a woman. She owned a major TV station, was CEO of a major advertising agency, and was president of her local NOW chapter. I know it is hard to imagine that women needed the National Organization for Women back then, but they certainly did. It is good for us to occasionally look back in history to see from where we have come.

“You are my best friend, I hope you will understand that I am not losing my mind. I am just so sick of the way men treat women I can hardly go on.” Says the feminist to her best friend.

“I do think that you are working very hard, and a rest might help you to cope with the jerks.” Says her friend.

“It is not resting that I need! I walk from my apartment to the studio, and I have to put up with catcalls, whistles, obscenities, and the degrading feelings that this treatment causes. Then I get to the station and despite being the owner I still am discriminated against by my peers in the business who do not include me in their “good old boy” network in which they share the industry’s goings on. I still have mountains of advertising proposals that I must reject because they are degrading to women. I face this shit every day, every other minute!” Says the feminist.

“You take this all so personal. All of us women do face this every day, but somehow we get by.” says her friend.

“How can you be the vice president of NOW and say that? How can you betray your own kind?” Says the feminist about to lose her cool.

“Because it takes so much energy to fight it all the time, I guess I just want to live and enjoy life. If I deal with my anger and rage all the time, I wouldn’t get anything done in the rest of my life.” Says the friend, now feeling a little guilty.

“I have hesitated to tell anyone this, even you, but I am desperate. I know how to access a female sorcerer, from the planet Orbious. This sorcerer was responsible for that planet finally obtaining equality for their women.” Says the feminist, wondering if her friend will think she has lost her mind. (Little do these ladies know, but history has already shown that it did take a sorcerer to solve the problem of women’s obtaining equality).

“Run that by me again, I think I’ve lost it.” Says the friend.

“Look haven’t you noticed that since women’s liberation started in the late 70s that the patriarchal system has dramatically increased its violence against women? The statistics show that I am right. Look at all the women killed by serial killers. Look at all the women beaten, shot, stabbed, and killed by their husbands. The courts don’t even send husbands to jail until they kill the woman. I feel that we are now desperate to get help for our fellow women – even if it is from another planet.” Says the feminist.

“OK, I’m with you. I cannot deny it anymore. What can I do to help?” Says the friend.

“The sorcerer is hidden in IBM computers; I have the password and the serial code number. Meet me at 4:00AM at my office and help me try to access her.” Says the feminist.

“OK, I’m with you. I cannot deny it anymore. What can I do to help?” Says the friend.

“The sorcerer is hidden in IBM computers; I have the password and the serial code number. Meet me at 4am at my office and help me try to access her.” Says the feminist.

“OK, I’ll see you in the am.” Says the friend.

Neither slept that night nor knew the impact their plan was to have on history.

“Good morning, you sure about this?” Said the feminist.

“Yeah, the more I thought about it the more I realize that its time to do something out of the ordinary.” Said the friend.

“You know men call the sorcerer a computer virus; they can’t explain her doings at times and of course would never guess that a sorcerer was in their computer – so the term computer virus.” Said the feminist.

(Little do these men and women know that this so-called virus, the sorcerer will be the only way that women ever find to obtain their equality and thusly save the entire species.)

“Is that what that is, I’ll be damned.” Said the friend.

“Here we go I hear the system checking itself now that I have turned it on. Here it is the C>.” Said the feminist.

“Oh God, this is scary.” Said the friend.

“Let me put in the password – Gizmo – . Look now the prompt says Gizmo. Oh boy, now for the serial code number – fe666wo666eq666.” Said the feminist as she entered the data into her system.

“There’s smoke coming out of the monitor, through the disc insertion slot and between the keys on the keyboard. I don’t believe this. What is going on.” Says the friend.

“Hey, I don’t know either.” Said the feminist.

As the smoke died down the ladies saw the screen turn into a large face. The face of a woman from another planet. She looks like our women except that she has a purplish hue.

“Hello. I am a feminist. I heard that you were responsible for obtaining equality on the planet Orbious. I was hoping that you could help our planet too.” Says the feminist.

The face doesn’t move, doesn’t change, or show facial expression. It just stares at them.

“Are you in their sorcerer?” Says the friend.

“I am here. I know all about your planet and its oppression of women. I can’t believe that you have waited this long to protect yourselves and your children. You have been allowing yourselves and your children to be tortured every day of their lives. This sickens me, but I am unable to help unless you seek me out.” says the sorcerer.

“I am ashamed of what has gone on earth. We have been so long in deciding enough is enough. Can you help us now?” Says the feminist.

“Yes, I can help. What exactly do you want?” Said the sorcerer.

“Well, we want to be equal with men.” said the feminist.

“You know that you are equal to men, so this is not what you need.” said the sorcerer.

“What do you mean we are equal?” said the friend.

“Just what I said, you are equal, the problem is that you are not perceived as being equal by society, men and women included.” said the sorcerer.

“Ok so what can we do to change the perception?” said the friend.

“You, feminists must use the TV station. For a 24-hour period, you must show one movie, the Exorcist, continuously. I will work my magic through the movie. I cannot explain the magic to you otherwise it won’t work.

There will follow a period of one week with all men staying in their favorite living room chairs looking as if they are dead – they are not dead but are undergoing megamorphenesis.” Said the sorcerer.

“What is that?” Said the feminist.

“Well it is not of your planet; this is a drastic spell that must be used when a group of people is bent on destroying itself. Your planet is not equipped with the mental ability to think at our level – obviously if women are seen as unequal on your planet you are not very evolved.” Said the sorcerer.

“How can we increase our evolution.” Asked the feminist.

“You can’t at this point. You can only begin by doing what I have told you. I must go now.” Said the sorcerer.   

“Turn off your system and go on with your normal lives once the movie has started.” Said the sorcerer.

Neither of the women understood what was going to happen, but they knew they had to do something – women couldn’t take being oppressed any more. They showed the movie on her TV station as instructed. The sorcerer was right all the men stayed in their favorite chairs for one week. They knew this must be magic because no one thought that this was out of the ordinary.

The world went on without the men for one week. The women had a week without being victims, without being beaten, without being taken for granted, and felt free, competent, and functioned at amazing capacity. The women were growing at 100 miles an hour, according to Orbious measurements.

“Do you believe how things have been this week? I have not been degraded, insulted, or the victim of catcalls all week. How has it been for you?” Said the feminist.

“It has been beautiful. I have sailed through the days and have had a sense of accomplishment because no one has been putting down my work. No one has insinuated that it isn’t as good enough because I’m a woman.” Said the friend.

 The men return to the scene after undergoing metamorphenesis. No one seems to think anything is wrong except the feminist and the friend. The men now see women as witches and fear them. The world is now full of cowering, sniveling men beneath the women’s feet.

“What is going on here, this process of megamorphenesis must have been missing an ingredient or something. Maybe it works differently here on earth.” Said the feminist.

“Yeah, its not what we wanted, we don’t want men afraid of us; we don’t want them to be oppressed by us – we were not looking to turn the tables.” Said the friend.

“Let’s get back into your system and talk to the sorcerer.” Says the friend.

“Ok, your right we have to fix the world’s men.” Said the feminist.

“Come on IBM, bring us the sorcerer. Here goes the password – gizmo – here’s the serial code number – fe666wo666eq666. God here comes the smoke again.” Says the feminist.

“What do you ladies want now, didn’t I fix your men?” Said the sorcerer.

“We didn’t want our men turned into children who feared us.” Said the feminist.

“We wanted to be seen as equal not feared.” Said the friend.

“Ok, let me try again, perhaps if I use phyenopotosis that will work.” Said the sorcerer.

“Go ahead use whatever you think will balance our world.” Said the feminist.

“At midnight tonight, all the men in the world will enter a deep sleep, stay in their beds for one month, and will require lots of blankets on them to ward off bad colds.” Said the sorcerer.

“Is there anything we need to do?” Said the friend.

“No just turn off this damn computer so I can get back to Orbious. Said the sorcerer.

The ladies turned off the computer. They saw the effects of the sorcerer’s work the next month. This time when the month was over and the men went on with their lives they did not know the difference between men and women. Can you believe that? Well, that’s what happened. The world was definitely topsy-turvy. No women got pregnant, there was no romance and everyone was lonely. We all had a feeling that something was missing. The men felt the same as the women at this time.

“Oh, we have another problem that we must go to the sorcerer with. We surely can’t let the world go on like this.” Said the feminist.

“I can’t believe that the sorcerer doesn’t understand what we want; she says her planet solved this problem.” Said the friend.

“Let’s go to my office and bring up the system again.” Said the feminist.

“I’m ready, let’s go.” Said the friend.

They brought up the system on the feminist’s IBM. They waited for the C> and put in the password then the serial code number. The sorcerer appeared as before after the smoke cleared.

“Ladies I have spent a great deal of time and energy on your requests. I have used my planet’s technological superiority to help you and look you’re here again bothering me. Why aren’t you busy enjoying your new world?” Said the sorcerer.   

“The scientific process you used didn’t work the way we had hoped. The men don’t know the difference between themselves and us. There hasn’t been any romance, nobody got pregnant, and everyone felt lonely and like something was missing.” Said the feminist.

“So you do like the difference between men and women, you don’t like the men to fear you ladies, I am left with doing the most drastic thing ever. Are you ladies sure you want your planet tampered with?” Said the sorcerer.

“Yes, we can’t stand the world the way it is.” Said the friend.

“Ok, I will use frapomusion this time.” Said the sorcerer.

“Go back to your normal lives, do not contact me again ever. Do not ask any questions – just go.” Said the sorcerer.

The sorcerer made up frapomulsion, there was no such thing. She knew that the women actually had control over the men simply by virtue of the fact that they raise the children. All the sorcerer did was change the way women see themselves – that’s all that was necessary; when they saw themselves as great, worthy, powerful people equal to men they raised the sons from this vantage point and the sons grew up to see women as equal. That’s why we have the wonderful equal world that we do today in this year 2050.

Rising Above: “I Can” Stories  

Interviewing 325

April 11, 1989

Teresa Carlini

Grade: A

Teacher comments: Held a special meeting with me to tell me this paper ought to be a book.

Introduction

I chose “Rising Above” as my topic because I think that it is the ultimate human growth experience. I feel myself, as Maslow described, “self-actualizing”. It’s how we strive to reach our own unique potential. It is going beyond where you were taught to think that you could go in life.

I had hoped to capture the spirit of this growth; understand it and perhaps obtain the ability to share it. I have fantasies that someday I can infect others with these feelings; I had hoped to gain insight into how we can foster and inspire this growth where it might not otherwise be fertilized.

I feel that I have “risen above” the oppressive attitudes that I grew up with; my dad was like “Archie Bunker”, so need I explain the typical attitudes I was nurtured in? I feel free now to go after my dreams. I want to share my good feelings. I went from thinking that I was dumb to know that I am very intelligent; I used to think that I was unworthy and now think that we all deserve the best. I have come to see the whole world differently. How did this happen? Has it happened to others? Do they know how it happened to them? How do average people evolve and become one of the “Greats” like Martin Luther King?

The value of my topic is immeasurable to us humans. Imagine the effect of rising above oppressive attitudes could have on just one aspect of our life. For instance, the Klu Klux Klan, imagine if they could be taught to rise above their racial intolerance?  Imagine what would happen if we could inspire black females to take charge of the inner city ghettoes; imagine if they came to believe that they had the power to do it, and did it! The value is that it holds hope for bettering our lives through studying positive change.

Studying human experience is precious; one small bit of knowledge about our humanness can profoundly affect us and lead us to learn even more. For instance, psychologists know that human infants would die without being touched; if they die without being touched, can we then stimulate health with the right kinds and amounts of touch?  Couldn’t we use this knowledge about ourselves in these first few days of life to enrich the rest of our lives? Doesn’t this correlate with the fact that when one elderly spouse dies the other one frequently follows suit; perhaps the loss of meaningful touch can lead the elderly to lose hope and die?  Can we through studying ourselves unlock untapped parts of ourselves?  Sharing our human experience is one of the most valuable gifts that we can give to one another; we can learn how to make all of our lives better.   

Methods & Responses

I opened my interview with female #1 by asking her what made her choose my topic. I wanted to learn what it meant to her.  I then explained why I chose the topic and what it meant to me.  She did feel that she had ” risen above” in their life and could identify with my interest in the subject. She was easy to interview; I sensed that she trusted me from the start and was glad to have someone to discuss the subject with.

She is single, 30 years old, and lives in an apartment with a roommate.  She felt she had “risen above” having a severe physical deformity. Without my asking anything further she talked for a long time; she described all her ups and downs struggling to rise above it. She said she thought that her parents were the ones who could not handle her deformity. She described how she would get over one major hurdle only to find herself faced with another.

I asked, “What got you to this point? (Meaning the positive point she was at now). You did it several times and you seem to have gotten stronger each time”.

She described her faith in God, in herself, and in the goodness in the world; she read the WHOLE bible. She read about loving yourself and developed faith in mankind. She said it was a slow process that came as revelations. She found that it was OK to let go of bad thoughts like those of being hurt again.

I said, “It sounds like it is helping you to turn negative experiences into positive ones that you will share in the future”. She said, “Well, yes, it goes from anger that I have to live with this, to, I have to learn to accept this, so I’m going to accept this”. She felt babied as a child; she felt that “they” her parents, thought that she couldn’t accomplish it, so she developed an attitude of “I’ll show them”!  She felt that she always had the inherent power to rise above it. She said you must rise above what people say that you are going to do.

I said, “Just be you and you’re OK”?

She said, “Yes”. This made us both smile and get teary-eyed with joy. 

She said it helped her to look at herself the way she looked at others; her friend lost her little finger and is very self-conscious about it; she said who the hell cares whether or not your friend has a missing finger; so she came to look in the mirror at herself and say, “Who cares if her mouth isn’t straight”?  She knew that a friend wouldn’t care; she came to have faith that if people got to know her, they could look beyond her appearance to the good stuff inside.

There was an “afterglow” after the interview in which she had a revelation that her mom really did help her to rise above; at some point, I had asked her if she thought her parents somehow inspired her to “rise above” and she had said “No”. But now she suddenly feels different about it and feels that she has something new to think about. 

Female #2 is 37 years old, divorced, with 2 kids. She shared my wonder about Martin Luther King. The subject caught her attention because of its idealistic value; she also daydreamed about becoming a person who does great things. I said that I felt free to do the same; we had something in common; this made for a relaxed, easy interview.

She was taught that school for a girl was only marginally important, and that a man would come along and take care of her. After getting divorced she found that she liked being independent; she now feels that she is on an upward swing.

I said, “How did you get on that upward swing”?

She said that she had no idea. She says that she is not a realist, that she’s an idealist who looks through the world with rose-colored glasses. She now wants a lot more out of life, meaning personal satisfaction. She wants to do things that she really believes in.

She says she always felt inspired to do good but, in the past, lacked the self-confidence to act on it. She came to realize that influential people had the same insecurities that she did.

I asked, “Picture herself kicking up your heels because you did something super; can you imagine how that feels and what do you think you might have done”?  She said that she feels at that point now. Her job has been giving her confidence lately. She was instrumental in starting up communication between the people in her business; they had had poor communication for 40 years. She feels that she has been instrumental in improving working conditions and major attitude changes. It makes her feel really good. It makes her feel like jumping up and down and screaming; this good feeling keeps her going.

I said, “Where did this good feeling come from”?  She said that she thinks that it has always been in her.  I said,” Did you know it was there before?  She said, “Yes, but I didn’t know how to let it out.  She feels that she has handled her kids well as a single mom. I said, “So you feel effective”?  She said, “Yes, and now in school I want to learn how to use other good stuff that I know I have in me.”

I asked her how she thought that we could share this good feeling with others. She said she’s not sure that you can actually teach or share inspiration but thinks that you can really motivate. I asked her if her husband was supportive of her growth. She said, not at all; this was the hardest time of her life because she always had supportive people around her. Her husband was an alcoholic. She says this bad experience gave her a lot of strength.  

I asked if she thought that her parents inspired her, and she said no; they just expected her to do “OK”.  She said that teachers helped when they put high standards on what they expected from you; it made you reach further and see that you could get there.

I asked her what happened to her after she got divorced as far as her own personal growth. She said she grew to feel content with her family life and in getting older. She came to feel that age didn’t matter; the growth forced her to just improve herself. She now feels OK in concentrating on what she wants. She said she felt like she was “just” a mother or a maid while married, so how could you think about fulfilling your dreams?       

In my other two interviews, I felt that I was assisting the two males in attempting to “rise above”. Both were slower than the women to open up; I found them harder to interview.

Male #1 was only 21 years old, single, and living at home with his parents. I started the interview by asking about his interest in my topic and he said that he is a musician who has been playing in a band since he was 9 years old and felt that through writing music, he was able to express his most sincere voice. (I sensed that he thought I was too old to possibly understand his feelings; he did not turn his body toward me and frequently looked away until near the end of the interview). I asked, “Is that how you let your insides out”? (Meaning through music).  He said, “Yeah”. I said, “You can really communicate through music”?

He said, “Yeah, exactly, but coming from this area it’s impossible to go anywhere”.  I said, “Do you mean that no band has ever made it out of Indiana? (He’s shaking his head. Yes) So you’ll be the first”! He said, “That would be great, that’s what I’m hoping for”. 

He went on to describe how he and the other band members were in college and didn’t have time now to concentrate totally on their dreams with the band. I said, “So what you are doing now is PLANNING to rise above”? He was shaking his head and, I said, “So tell me about your plans to rise above, it will give me a whole new aspect”.

He said, “We’re constantly recording to get a tape put together to send to the West Coast to a record company. If you want decent distribution nationwide for a reasonable price you send it to an independent label out west”.  His short-term goal is to get a record out independently. He’s also going to college to study broadcasting; other band members are in college too.

I said, “It sounds like there’s more to your group than just wanting to make a record; you’re in the process of educating yourselves in related fields; you guys are smart, you planning more than one way to make it in life”. He said, “Exactly, what I want out of life is not really money; I’m always writing stuff, you know, the creative process. The greatest thing for that is not necessarily the finished product, but some kind of manifestation of what you wrote.” I said, “Your thoughts become things”?

He said, “Exactly, that’s what I want out of life! For someone else to say, hey, I can identify with that. I don’t know what kind of deficiency causes that – ”  I said, “Deficiency”?

He said, “That’s what I think”. I said, “I see the opposite, I see someone who wants to be creative and express themselves in an art form as having something on someone who just wants to go to work every day for the rest of his life”. He said, “Maybe, it’s not fair to say it, but maybe I have more to say”. I said, “NO SHIT”! I think it takes intelligence to do things that way”. He said, “Yeah, but it seems like someone who busted their ass everyday for 30 or 40 years would have more to say”. I said, “I don’t think so, I see your dreams as very realistic and possible.”

He said, “Yeah, I know it’s possible, but sometimes I question whether I really want to pursue it, like just basically writing a song, it’s really a stupid way to look at it I guess, but if you were really an efficient human being you would just say what you wanted to say and be done with it – “. I said, “Why are you putting yourself down? Is this what you’re going to rise above, your own put-downs?” He said, “It gives me something to write about.” I said, “You’re giving yourself blocks to overcome”. He said, “No, No”. I said, “I don’t really see that you have much in your way to pursue your dream, you have all this creativity in you, your smart, you’re going to college, your very young yet, you have all this wonderful potential and your saying “I don’t know”, I think you must be crazy”! He laughs very loud and then says “no”. I said, “You’re putting your own blocks in, why?” He said, “I don’t know, that’s a good point. I never thought about it like that.”

I said, “Are you afraid of success?” He said, ” Possibly”.

I said, “Women sometimes have that, fear of success.

Maybe you have some form of – “Holy shit, what if our band makes it. Or what if I have a famous song, what if I become another Burt Bacharach or a Lerner and Lowe?  Almost as if you see yourself as a regular guy and they aren’t supposed to do great things”.

He said, “I never thought about it like that, it’s true I’m throwing bricks in my own way. Pauses to think. It’s something that I have to do, I have to have a go at it. It’s almost as a defense mechanism if I fail – “. I said, “Oh, I see, but you already have a plan for that, you’re studying broadcasting, you’ve already got yourself a backup”.

I said, “What are your parents telling you?” He said, “That it can only be a hobby”. I said, “Oh, that’s where your blocks are coming from; from parental messages”.  He said, “They told me that from day one”. I said, “So they are the ones you have to rise above, not you? You know that you can do it. Maybe they have a lot of traditional attitudes that you have to rise above”.

He said, “Uh, Uh. They would never believe that a kid could -“.  I said, “But you do”! 

He said, “Yeah, what’s really nice is the people around us; we have a pretty large gathering of friends that come to see us play. That means that we must mean something to somebody”. I said, “So how are you going to rise above it”? He said, “When things start to balance out and we start making decent money we can work on better and better projects. Try to develop a following in the city; in the long term make a record and end up in the newspapers like the Reader.  I said, “So you’re getting a lot of exposure working in Chicago bars”? He said, “Yeah, we are better than 3 out of 4 groups in the area”.

I said, “Tell me what it feels like when you are up in front of the audience”. He said, “There’s no feeling like it in the whole world, it’s really exciting”. I said, “It brings out the ham in you”? He said, “Pretty much, with his head down, embarrassed. There’s something about being out in front of a crowd of people, your adrenaline is pumping, and it’s great. Just writing about stuff that happens, not sloppy love songs, songs about nothing and about stuff that happens. Being able to write a song like that and have people say, Yeah, I can identify with that”. (He begins to turn his body toward me and have more eye contact; he’s more spontaneous).

I said, “Have you thought about writing a song about what it is that you want to do”? He said, “I was thinking about that just now”!  I said, “Yeah, about the parental messages that you need to rise above, I bet a lot of people could identify with that”.

He said, “That’s a great idea, I’ll give you credit”. I said, ” No, just give me tickets to come and see you do your thing”. 

I said, “Can you think of something in the past that you rose above?” He said, “Yeah, in high school the biggest thing that I wanted to do was play in front of a lot of people; starting our first year of college we got our first gig in Portage, and we played in front of a few hundred people”. I said, “So tell me how it felt”. He said, “I felt like I was on top of the world, it was great”. I said, “How did your body feel”? He said, “I was so nervous, and to this day when I get up to play I’m very nervous. It was like stage fright. It took us about 5 minutes to get ready to play. I had been playing for so long and now was my big manifestation of it. The first song I was so tense I could hardly play”.

I said, “So when you went home that night and you were alone, how did you feel?” He said, “I don’t think I went to bed that night”. I said, “You stayed up all night, you wanted to keep feeling that feeling”?  He said, “Yeah, I was so fired up I didn’t want to lose it. It was awesome. What’s neat is that this feeling hits you every time you play. It’s a really big reward for playing”. I said, “That’s what keeps you going”? He said, “Yeah, recently we practiced after not doing it for a while and when we were playing great it felt so good like we were really communicating without saying anything”. I said, “It’s a deeper communication”. He said, “Yeah”.

I said, “So it sounds like your parents have placed some blocks in your way; you recognize them, yet somehow I’m getting a message that you are going to overcome them when you’re ready”.

He said, “Yeah!” I said, “Don’t you think there were people who told Martin Luther King that he couldn’t do what he wanted to do?  You are in the infant stages of rising above; I feel like I want to fertilize you. I think I would be proud to have a caring person like you writing music that my grandchildren will listen to. (At some point he said that he was concerned about some of the junk music that gave kids bad ideas about drugs and stuff).

He said, “Thanks”.

Male #2 was 35 years old, divorced, had several physical deformities, and lived at home with his parents. This was the roughest interview. He refused to be taped, and insisted on sitting in the canteen room where there were lots of people around because he had to smoke. I felt a wall of hurt and machismo between us. After explaining my reasons for the subject, I asked him why he picked my topic. He said that he had always been introverted; he went on to describe the positive feelings that he had after giving a speech last semester in a public speaking class. (I think he was saying what he thought I wanted to hear).

I repeatedly asked him how he felt when he got home after the speech; each time he smiled broadly and described elated feelings. Then he went on slowly to what he was really feeling.

He told me about having polio as a child; about being an adolescent unable to play sports like the rest of the guys because his legs were crippled. He said all he wanted was to be like the other guys, you know, have girlfriends, have a few beers. He seemed positive about rising above these problems. I rewarded these Responses by telling him that this was the kind of information that I was looking for and tried to encourage his sharing with me how he thought that he did it.

However suddenly things changed, and he started telling me about his divorce; he said his wife used to disappear for days at a time; he followed her once and found her with another man.

Soon after getting divorced, he lost his job at one of the mills where he had worked as a machinist for 14 years; he didn’t know how to do anything else. He did find another job, but then had to have brain surgery and could not work as a machinist anymore. He hates the fact that he has to take medication to prevent seizures for the rest of his life.

He’s now in a vocational rehabilitation program that’s paying for him to go to college; he’s having trouble handling full-time classes, no money, living with his parents, and having no one to talk to who understands him; he’s afraid that he’s not going to make it in school and then what will happen to him?

I sensed desperation in him; I sensed that life had just thrown too much shit in his way for him to handle.

He said that he used to hold his feelings all the time; I said that I thought he still had a lot of feelings to work through further. I asked if he had ever considered professional help; when this did not appear to make him angry at all I said that I thought it might be of help to him. I said that he rose above before, but that perhaps there are times when we could all use help in our rising above. He was not insulted but did not pursue the subject.

At one point near the end of the interview, he finally leaned forward toward me while speaking and I could then feel that he trusted me. I sensed that he wanted to let his guard down more, but there were other students around.

He discussed the fact that he likes guns and that the day he went after his wife his friend told him to leave his gun at home and that he’s glad he did because he might have used it. He talked a lot about guns; I was honest and told him as a nurse I hated guns for what I saw them do to people. I worry about this man with guns; I think that he desperately needs help to rise above again.

Theme

“Rising above” as an experience is the development of an attitude that allows you to do what others have either said that you couldn’t do or that seemed to be impossible due to physical limitations. It’s an internal process that leads to the development of self-confidence in yourself despite negative attitudes from the past. “Rising above” is a slow, continuous process; one occasionally takes large steps backward before being able to take small steps forward. Some adversity is essential! If there is nothing in the way of your rising above, you may never see the need to do so. (Attitudinal barriers ARE actual barriers). 

All of those that I interviewed had things that they perceived as being somehow in their way of succeeding. Perhaps we were not programmed to succeed without challenges; perhaps we should look differently upon so-called physical deformities, oppressive attitudes, and negative parental messages; perhaps it’s our attitude toward them that should be changed, why not see them as a hurdle before growth?  Perhaps we should study to learn what is the crucial limit in what will serve as a challenge and what will depress our limits to “rise above”.

Limitations

My study has numerous limitations; too few people for one. For the study to be really meaningful I would have had to interview Mrs. Martin Luther King, Gandhi, Mother Teresa, and other Nobel Peace Prize winners in many different fields. I would have had to interview the homeless and those seen as average citizens; what is the difference between these people? 

Not enough time, especially with the men who took much longer to “open up” to me. Months, not hours, would be needed to really obtain qualitative data.

A scale or some sort of measuring device would need to be developed to weigh the limits of blocks that would lead to growth.

Repeated interviews would have been good; they could have thought about the first discussion and added comments from it in the second interview. It really does help to think about this type of subject for a while; we don’t usually go around thinking about this type of subject.

Perhaps experiments could be invented that would somehow measure the limits and types of physical or psychological blocks that would stimulate “rising above”.

We could develop classes to then use what was learned in the experiments to stimulate rising above attitudes in students. Longitudinal studies could then follow the students and evaluate their “rising above”; did they rise above beyond that of students in their graduating class who did not have the class?

Summary

“Rising above” is a unique and individual experience and at the same time, it’s really quite the same. I think the limit of what we are able to “rise above” on our own, with just our coping mechanisms has a limit, as shown with male #2, who was pushed beyond what he thought that he could “rise above” even though he had the experience of doing it before.

With the two females, I felt that they were both glad to have an audience to express their positive feelings with; one that would not look down upon them for what they may have learned was “bragging”. I think that both of the females will go on to do things of value in our society. Their level of growth and altruistic feelings will bring them to serve us all.

While interviewing male #1, I could actually “feel” him being fertilized by my positive responses to his goals. I sensed that with someone behind him whispering “Yes you can” he could.

I think that male #2, needs professional help; he has poor self-esteem and is not coping well with his life situation; this does not make for a happy mix with an attitude that is positive about guns.

Conclusion

In conclusion, I feel more surer than ever that someday I would like to organize a class of some sort that would give the average person of any age some insight into “rising above” what he thinks now. So many of us don’t think about or question things that we were taught.  Sometimes we are taught not to question or not to tamper with the status quo, even our own status quo, which I would call stagnation.

When my dad was dying of cancer his doctor told him, in front of me, that he would have to go to the hospital and have tests done; in front of the doctor, I said that he had other options, like going home and taking medicine to make him comfortable. Older people were taught that they “HAD” to do what the doctor said, no one ever told them that it was OK to ask for other options. The doctor told my dad that he certainly could do what I said but had not offered the option. My dad was delighted to go home, get relief from pain, and die two days later with his family around him. Even my old, ” Archie Bunker” like dad could accept a new attitude that surprised even me. 

I would love to see creative minds find ways to encourage and nurture positive attitudinal growth in people of all ages. 

1989 Estate of Longeway vs Community Convalescent Center Brief

De Paul University

Class: Law & Values

Teacher: Jack Morn, JD Spring 1991

Facts:     

In re Estate of Longeway, (Dorothy M.) Ill SupCourt, No. 67318, 11/13/89.

Mrs. Longeway was a 78-year-old, Naperville nursing home resident (The Community Convalescent Center). Longeway’s daughter, Bonnie Keiner, asked the court to allow tube feedings to be discontinued after her mother had several strokes. Longeway had been unconscious for 2 years and could not chew or swallow. She was not brain dead, nor comatose, but her prognosis was very poor. Mrs. Longeway did not have a Living Will or Power of Attorney for health care.

Issue:     

Whether the guardian of an incompetent, seriously ill patient may exercise a right to refuse artificial nutrition and hydration. And if so, how can this right be exercised? Whether a patient has a right to refuse this type of medical treatment.

Law:                

The court found the right to refuse life-sustaining treatment could be found in the state’s common law and in the Illinois Probate Act (Section 11a-17).

Reasoning:    

Other states that have allowed the removal of sustenance have labeled them as medical treatment (differing from spoon or bottle-feeding). Termination of these “intrusive” procedures will not be the cause of the patient’s death; their death was caused by the disease that left them unable to swallow or chew.  The court said that since they had no guidance from the U.S. Supreme Court, (Cruzan came 3 weeks later), they decided not to address the federal right to privacy, nor the privacy provision of their state constitution. The justices claim that a patient, under common state law, can refuse medical treatment, and under the right conditions nutrition & hydration. The Probate Act gives a guardian the right to refuse artificial sustenance on behalf of the ward. The agent may terminate sustenance if the patient had previously issued a power of attorney, under the Powers of Attorney Health Care Law. In the majority opinion by Justice H. Ryan, the court said, “Food and water are emotionally symbolic in that food and water are basic necessities of life, and the feeding of those who are unable to feed themselves is the most fundamental of all human relationships”. For patients who are not able to make decisions, tube feedings can be discontinued by a guardian of a terminally ill patient. They defined terminally ill as, “an incurable and irreversible condition, which is such that death is imminent, and the application of death-delaying procedures serves only to delay the dying process.”

Holding:

In a 4-2 decision, the justices said a guardian may exercise the right to refuse sustenance on behalf of an incompetent ward if certain conditions are followed:

         1.      The incompetent person must be considered terminally ill, in an irreversible coma or in a persistent vegetative state.

         2.      In addition to the attending physician, 2 other physicians must agree on the patient’s diagnosis.


Four state interests must then be considered:

         1.      The preservation of life

         2.      Protection of innocent 3rd parties

         3.      Prevention of suicide

         4.      Maintenance of the ethical integrity of the medical profession.

The next step is the determination of the patient’s wishes. The courts have used one of 2 theories:

Best interests – the surrogate decides which medical procedures are in the patient’s best interest. (The problem here is that one person is deciding on the quality of life for another which could end up undermining the very reason for self-determination and inviability of the person on which the right to refuse was intended). The court said cases must use:                      

Substituted judgment – the surrogate attempts to establish the decision that the patient would make if he were able, by either expressed intention or what seems to fit the patient’s value system.                              

Courts must use the clear & convincing evidence standard.

The final step is in determining the court’s role. They said that the majority don’t really need a court, but to withdraw sustenance they think it’s a good idea because:

Illinois has a strong public policy preserving life’s sanctity. The key element in the decision to refuse is the determination of the patient’s intent, requiring clear and convincing evidence. They also hope to guard

against the possibility of greed as a motive.

Dissent:

The right to refuse is dependent on and rooted in the patient’s capacity for making informed decisions which the incompetent patient cannot do. Justice J. Ward.  The issue should be studied fully by the legislature. Justice J. Clark.

———————————————————————————————–

Brief

Facts:     

In re Estate of Greenspan, Ill SupCourt, No 67903, 7-9-90.

-The wife, 2 daughters, an employee of and the rabbi of a 76-year-old man, who had been in a chronic vegetative state for 5 years, without reasonable hope to recover, sought to remove sustenance; they felt he would not have wanted to be maintained in such a way. There was no living will or health care power of attorney. 

-The public guardian’s petition (Cook County) was granted by the circuit court to appoint the patient’s plenary guardian. The public guardian then tried to discontinue the life support systems. A court-appointed guardian ad litem recommended that the public guardian’s petition be granted, but the trial judge said that the Living Will Act prevents withdrawal of sustenance if it would lead to death from starvation rather than the terminal disease.

-The guardian ad litem and the public guardian both sought Supreme Court intervention. The Americans United For Life Legal Defense Fund (AUL) presented opposing arguments. They claim that the public guardian was not acting in the best interests of the patient because     

stopping the feeding would result in death and how could that be in his best interest?

Issue:

AUL asked the court whether a guardian has the authority to order such removal from an incompetent. But instead of ordering the withdrawal of sustenance on the basis of any authority of his own, the public guardian tried to get the court to order withdrawal as the patient’s surrogate. The question initially stated by the AUL was whether that would be in conflict with the duties of the public guardian. 

In Longeway, artificial nutrition, according to the Illinois Living Will Act, was death-delaying treatment (even though the act prevents withdrawal if such withdrawal would result in death “solely” from the withdrawal

instead of the condition). Artificial nutrition and hydration are considered medical treatment under the Powers of Attorney for Health Care Law and may be discontinued. The Act nor the Law apply to this person because there is no living will or health care power of attorney. The fact that the statute’s referring to nutritional sustenance as medical treatment and not just as nourishment instructs the court on the issues here.

Law:                

Illinois Living Will Act.

Powers of Attorney for Health Care Law.

The 1975 Probate Act and common law.

Reasoning:    

The justices made analogies with Cruzan and Longeway’s decisions. In Cruzan, it was held that guardians lacked the authority to stop medical treatment. 

As in Longeway, when the patient can’t chew or swallow because of a terminal illness, the ultimate cause of death is the disease, not the withdrawal of feedings.

The Living Will Act doesn’t prevent the public guardian from having the feedings withdrawn. It does not apply to a patient without a living will. The Powers of Attorney for Health Care Law led to a public policy holding that discontinuance of tube feedings is allowable through a health care agency. If the person under the health care power has a living will, it will be mute, so long as the agent under power is able to act. The legislature recently amended the Living Will Act to say that a qualified patient, (one who is terminally and with a living will) should not be deprived of nutritional sustenance if that alone would be the cause of death.     

Holding:

Under section 2(h) of The Living Will Act, a terminal condition is one in which (1) death is imminent and (2) death-delaying treatments just prolong the dying process. For the purposes of defining terminal illness,   

“imminent death” must be judged as if the death-delaying treatments were absent; death would be imminent without the tube feedings. They allowed the feeding tube to be discontinued. Justice J. Stamos.

Dissent: 

The majority ignored the requirement that the incompetent patient must be terminally ill according to the Living Will Act which allows their withdrawal only when they are futile. They also disagree that the cause of death would be from the underlying disease. Justices Ward and J.J. Calvo. , (Dorothy M.) Ill SupCourt, No. 67318, 11/13/89.  Mrs. Longeway was a 78-year-old, Naperville nursing home resident (The Community Convalescent Center).

Longeway’s daughter, Bonnie Keiner, asked the court to allow tube feedings to be discontinued after her mother had several strokes. Longeway had been unconscious for 2 years and could not chew or swallow. She was not brain dead, nor comatose, but her prognosis was very poor. Mrs. Longeway did not have a Living Will or Power of Attorney for health care.

Issue:              

Whether the guardian of an incompetent, seriously ill patient may exercise a right to refuse artificial nutrition and hydration. And if so, how can this right be exercised?

Whether a patient has a right to refuse this type of Medical treatment.

Law:                

The court found the right to refuse life-sustaining treatment could be found in the state’s common law and in the Illinois Probate Act (Section 11a-17).

Reasoning:    

Other states that have allowed the removal of sustenance have labeled them as medical treatment (differing from spoon or bottle-feeding). Termination of these “intrusive” procedures will not be the cause of the patient’s death; their death was caused by the disease that left them unable to swallow or chew.  The court said that since they had no guidance from the U.S. Supreme Court, (Cruzan came 3 weeks later), they decided not to address the federal right to privacy, nor the privacy provision of their state constitution. The justices claim that a patient, under common state law, can refuse medical treatment, and under the right condition’s nutrition & hydration. The Probate Act gives a guardian the right to refuse artificial sustenance on behalf of the ward. The agent may terminate sustenance if the patient had previously issued a power of attorney, under the Powers of Attorney Health Care Law. In the majority opinion by Justice H. Ryan, the court said, “Food and water are emotionally symbolic in that food and water are basic necessities of life, and the feeding of those who are unable to feed themselves is the most fundamental of all human relationships”. For patients who are not able to make decisions, tube feedings can be discontinued by a guardian of a terminally ill patient. They defined terminally ill as, “an incurable and irreversible condition, which is such that death is imminent and the application of death-delaying procedures serves only to delay the dying process.”

Holding:

In a 4-2 decision, the justices said a guardian may exercise the right to       

refuse sustenance on behalf of an incompetent ward if certain conditions are followed:

         1.      The incompetent person must be considered terminally ill, in an irreversible coma or in a persistent vegetative state.

         2.      In addition to the attending physician, 2 other physicians must agree on the patient’s diagnosis.

Four state interests must then be considered:

         1.      The preservation of life

         2.      Protection of innocent 3rd parties

         3.      Prevention of suicide

         4.      Maintenance of the ethical integrity of the medical profession.

The next step is the determination of the patient’s wishes. The courts have used one of 2 theories:

Best interests – the surrogate decides which medical procedures are in the patient’s best interest. (The problem here is that one person is deciding on the quality of life for another which could end up undermining the very reason for self-determination and inviability of the person on which the right to refuse was intended). The court said cases must use:    

Substituted judgment – the surrogate attempts to establish the decision that the patient would make if he were able, by either expressed intention or what seems to fit the patient’s value system. Courts must use the clear & convincing evidence standard.

The final step is in determining the court’s role. They said that the majority don’t really need a court, but to withdraw sustenance they think it’s a good idea because:

Illinois has a strong public policy preserving life’s sanctity. The key element in the decision to refuse is the determination of the patient’s intent, requiring clear and convincing evidence. They also hope to guard against the possibility of greed as a motive.

Dissent: 

The right to refuse is dependent on and rooted in the patient’s capacity for making informed decisions which an incompetent patient cannot do. Justice J. Ward.  The issue should be studied fully by the legislature. Justice J. Clark.

———————————————————————————————–

Brief

Facts:     

In re Estate of Greenspan, Ill SupCourt, No 67903, 7-9-90.

-The wife, 2 daughters, an employee of and the rabbi of a 76-year-old man, who had been in a chronic vegetative state for 5 years, without reasonable hope to recover, sought to remove sustenance; they felt he would not have wanted to be maintained in such a way. There was no living will or health care power of attorney. 

-The public guardian’s petition (Cook County) was granted by the circuit court to appoint the patient’s plenary guardian. The public guardian then tried to discontinue the life support systems. A court-appointed guardian ad litem recommended that the public guardian’s petition be granted, but the trial judge said that the Living Will Act prevents withdrawal of sustenance if it would lead to death from starvation rather than the terminal disease.

-The guardian ad litem and the public guardian both sought Supreme Court intervention. The Americans United For Life Legal Defense Fund (AUL) presented opposing arguments. They claim that the public guardian was not acting in the best interests of the patient because stopping the feeding would result in death and how could that be in his best interest?

Issue:

AUL asked the court whether a guardian has the authority to order such removal from an incompetent. But instead of ordering the withdrawal of sustenance on the basis of any authority of his own, the public guardian tried to get the court to order withdrawal as the patient’s surrogate. The question initially stated by the AUL was whether that would be in conflict with the duties of the public guardian. 

In Longeway, artificial nutrition, according to the Illinois Living Will Act, was death-delaying treatment (even though the act prevents withdrawal if such withdrawal would result in death “solely” from the withdrawal instead of the condition). Artificial nutrition and hydration are considered medical treatment under the Powers of Attorney for Health Care Law and may be discontinued. The Act nor the Law apply to this person because there is no living will or health care power of attorney. The fact that the statute’s referring to nutritional sustenance as medical treatment and not just as nourishment instructs the court on the issues here.

Law:                

Illinois Living Will Act.

Powers of Attorney for Health Care Law.

The 1975 Probate Act and common law.

Reasoning:    

The justices made analogies with Cruzan and Longeway’s decisions. In Cruzan, it was held that guardians lacked the authority to stop medical treatment. 

As in Longeway, when the patient can’t chew or swallow because of a terminal illness, the ultimate cause of death is the disease, not withdrawal of feedings.

The Living Will Act doesn’t prevent the public guardian from having the feedings withdrawn. It does not apply to a patient without a living will.

The Powers of Attorney for Health Care Law led to a public policy holding that discontinuance of tube feedings is allowable through a health care agency. If the person under the health care power has a living will, it will be mute, so long as the agent under power is able to act. The legislature recently amended the Living Will Act to say that a qualified patient, (one who is terminally and with a living will) should not be deprived of nutritional sustenance if that alone would be the cause of death.     

Holding:

Under section 2(h) of The Living Will Act, a terminal condition is one in which (1) death is imminent and (2) death-delaying treatments just prolong the dying process. For the purposes of defining terminal illness, “imminent death” must be judged as if the death-delaying treatments were absent; death would be imminent without the tube feedings. They allowed the feeding tube to be discontinued. Justice J. Stamos.

Dissent: 

The majority ignored the requirement that the incompetent patient must be terminally ill according to the Living Will Act which allows their withdrawal only when they are futile. They also disagree that the cause of death would be from the underlying disease. Justices Ward and J.J. Calvo.

Speech – Flirting: An Anthropological Look

Taken From:

1983.  Givens, David B., Ph.D., Love Signals: How To Attract A Mate.  Pinnacle Books: New York.

Purdue University

Fundamentals of Speech (Public Speaking)

Com 114, November 1, 1988

Grade: 93%             

Teacher comments:  Good relationship with an audience, very nicely done

Flirting: An Anthropological Look

SPECIFIC PURPOSE STATEMENT

To inform the audience about courtship behaviors.

THESIS STATEMENT

Courtship behaviors are instinctive, initially nonverbal, and mandate conversation before touching.

BODY

I.       Courtship behaviors are instinctive.

         A.     Our brains are pre-wired with all the courtship cues that we need.

         B.      Thought and mating centers are on different neurological floors.

                  1.      Defies reason

                  2.      Nuclear physics and flirt

                  3.      Nonverbal cues better

         C.     Courtship is slow, cautious and gentle in all human groups. 

                  1.      Myth of caveman

                  2.      Wolf spider

II.  Courtship behaviors are initially nonverbal.

         A.     The main goal initially is to establish harmlessness.

                  1.      Stranger fear

                  2.      Shrug vs. military shoulders

                  3.      Head tilt

                  4.      Unfolding

                  5.      O.K. to scratch

                  6.      Casts

                  7.      Men armless and strong

         B.      There are signs we can look for to see if someone is attracted to us. 

                  1.      Pupil dilation and eye blink rate

                  2.      3 second gaze

                  3.      Forward lean

                  4.      Body alignment with reach out

                  5.      Smile closed or Jimmy Carter

                  6.      Female intuition

III.    Courtship behaviors mandate conversation before touching.

         A.     Conversation with a potential sex partner not only puts you on the line, it hangs you over the edge.

                  1.      Secret not to threaten

                  2.      Soft voice (cuddle response)

                  3.      Where is the bathroom

                  4.      Shared focus

                  5.      Share food (vulnerability)

                  6.      Be yourself

                  7.      Show meekness

         B.      Touching has deeper meaning than speech and leads to the end of courtship, which is intercourse.

                  1. First-touch accident

                  2.      Body extension

                  3.      Hugs (security and comfort)

                  4.      Females make love to get hugs and males give hugs to make love.

                  5.      Kissing childlike feelings

                  6.      Touch faces

                  7.      Prolonged kissing auto pilot

                  8.      Making love ends

Empathy Speech:          

Civil Rights: Similarities Between Blacks and Women

Fundamentals of Speech (Public Speaking)

Com 114, Fall 1988, December 6, 1988

Grade: 96%

Teacher comments: You improved more than you know

Outline

Civil Rights: Similarities Between Blacks and Women

Specific Purpose Statement 

My goal is to gain the audience’s empathy in regard to my strong feelings about civil rights

Thesis Statement

-I am in awe of the accomplishments of Dr. Martin Luther King Jr

-I feel a sense of shame for what blacks went through in our country

-I am thankful to Martin Luther King for his tenacity in fighting for civil rights

Introduction

-I first learned about civil rights as a 6- or 7-year-old who came home and said the word nigger; I had no idea what it meant. My dad promptly spanked me and forbade me to say the word. He gave two reasons: one, it hurt colored people and second, if said in the wrong place, could get you knifed. Dad went on to say that colored people were the same as pollocks; some were good, and some were bad. He ventured further to say that the blacker they were the nicer they were. This was his left-handed, Archie Bunker way of saying “All men are created equal.” Yes, Dad lacked eloquence, but he was able to get his message across. I feel ashamed for what whites did to blacks in our country, I am thankful to Martin Luther King for his tenacity in fighting for civil rights, and I empathize with the fact that blacks were compelled to fight for their freedom.

I.     I am in awe of the accomplishments of Dr. Martin Luther King Jr

         A.     He received his Ph.D. from Boston University in 1955

         B.      He was the founder and director of the Southern Christian Leadership Conference in 1957

         C.     He gained national attention when he organized a boycott of the buses in Montgomery, Alabama

         D.     He was an advocate of non-violence

                           1.      Accept blows without retaliation

                           2.      To create tension and force negotiation

                           3.      He was jailed 14 times

                           4.      In 1964 won Nobel Peace Prize

         E.     He presented an eloquent explanation of why he believed in nonviolent direct action

                     1.            He surely persuaded me that the city where his organization practiced was the only for blacks to demand an end to their oppression

                     2.            Injustice anywhere, is a threat to justice everywhere

II.     I feel a sense of shame for what blacks were forced to endure in our country

         A.     Slavery was a disgrace

         B.      The Klu Klux Klan should be abolished from the face of the earth

         C.  Poor blacks are still oppressed today, in our supposed free country

                     1.   Ghetto hospitals

                     2.   Patients are the same

         D.     He had defined just and unjust laws

                     1.   Just laws

                     2.   Unjust laws

         E.     He thought that the discontent that blacks felt was normal and healthy in their oppressed situation

                  1.      I empathize with their anger

                  2.      I empathize with their hurt

III.    I feel thankful that Martin Luther King continued his so-called civil disobedience to secure long-overdue civil rights

         A.     The Supreme Court banned segregation in public schools in 1954

         B.      It is impossible today to imagine a black person not being able to get a room in a hotel because he was black 

         C.     Martin Luther King is a true humanitarian that I did not appreciate until recently  

Conclusion

In conclusion, I am ashamed of what whites did to blacks in our country, I am thankful to Martin Luther King for his tenacity in fighting for civil rights, and I empathize with the fact that blacks were compelled to fight for their freedom. I hope I was able to share with you just how deeply I feel about human civil rights; I also feel that attitudes can be like unjust laws and be followed just because they are there without much thought about the profound effect on us. No human being should be trapped by attitudes that prevent him from seeking his dream.

========================================

Other aspects I liked …

         A.     It was only 25 years ago that Martin Luther King was compelled to engage in non-violent direct action to force the town of Birmingham to negotiate with blacks

                  1.      Signs designating colored or white

                  2.      Back of bus

                  3.      Hotels would not rent

                  4.      No amusement parks for colored kids

         B.      Martin Luther King was criticized by his fellow clergy 

                  1.   He broke the law  

                                    a.      Parading without a permit

                           b.     1st amendment right to assembly and protest

                           e.      Segregation

                           f.       Hitler’s Germany                                        

                  2.      Left his home to sit-in

                           b.     What affects one directly

                  3.      Wait for right time

                           a.      Justice too long delayed

                           b.     Justice denied

                           c.      ? right time

                           d.     Easy to say to wait

         C.     I doubt that any of us could imagine anyone these events of the past occurring today

II.     I am thankful to Martin Luther King for his tenacity in fighting for civil rights  

         A.     I like the idea of a society where we are all equal

                  1.      I for one feel that I am equal to anyone

                  2.      I see everyone as my equal too

         B.      The small world of my apartment complex could serve as a good example of successful integration

                  1.      Summer pool has all colors

                  2.      Ducks have civil rights

                  3.      Fantasize that the world could exist like this

         C.     Thank God Martin Luther King won the Nobel Peace Prize in 1964

                  1.      Had 4 years till his assassination to know the world appreciated what he did

                  2.      His death was a tragic loss

                  3.      I want blacks to share my joyous freedom

                  4.      Freedom leads to enormous human growth and potential

Written after reading Letter from Birmingham Jail, by Martin Luther King, Jr

Other aspects I liked …

                  3.      I want blacks to share my joyous freedom

                  4.      Freedom leads to enormous human growth and potential

Jet Lag: The Effects on Health

Purdue University, English 105

Dr. Bolduc, Fall 1988      

Grade: (A)

                           Jet Lag: The Effects on Health                                                          

The entire universe operates via cyclic or rhythmic processes; from the galaxies rotating around their centers to the microscopic world of the atom. The cycle of day and night which lasts for 24 hours is caused by the earth’s rotation around its axis; the specific distance from the sun affects the amount of light and the amount of warmth present. The nucleus of an atom has electrons revolving around it which control it’s cyclic processes.

Man is also cyclic, his body clock or his physiological clock functions to tell him when to eat, sleep, be active, or when to play. Man’s rhythm is circadian. Circadian comes from the Latin word, circum which means “about”, and dies which means “day.” This biorhythm involves a period of 24 hours; also called the circadian cycle; this cycle controls our levels of wakefulness and sleep. “The cells of our bodies contain timers or “individual clocks” which in association with RNA (ribonucleic acid) process proteins in a cyclic 24-hour period.” 1 

So our actual chemical makeup contains our clock. The clock receives cues from several sources called Zeitgebers (a German word which means “time giver”). Some of these cues are external and some are internal. Light is an important zeitgeber in controlling our circadian rhythm; lighting cycles regulate endocrine function in our bodies. Our endocrine glands control the production of hormones such as adrenaline, cortisone, and thyroxin which all play a role in regulating our circadian rhythm; cortisol levels are high early in the am and low in late evening; cortisol levels rise to their highest an hour before the person awakes in the morning.                                                         

Neuroanatomists are now aware of a pathway from the eye to a spot in the hypothalamus called the suprachiasmatic nuclei which allows light to have an internal effect on the synchronization of our rhythm. These nuclei seem to be in control of our rhythms. Research has shown that if the connection between the retina and the suprachiasmatic nuclei is damaged, light can no longer reset the biological clock, in spite of the fact that the person can still see.

The pineal gland is also known to function in controlling our clock; in humans, it secretes large amounts of melatonin in young children; the greatest amounts are secreted at night during sleep. The level of melatonin declines towards puberty; melatonin also makes people sleepy; children with large amounts thus sleep more than adults. Studies with sparrows have shown that you can exchange a jet-lagged sparrow’s pineal gland with one from the new time zone and cure his jet lag. Removing the pineal gland in rodents allows the suprachiasmatic nuclei to rapidly adjust to a time zone change. The pineal gland is suppressed by some drugs used to treat mental illness; a widely used antidepressant has been found to reset biological rhythms in rodents.

An internal zeitgeber is a temperature; ordinarily, our body temperature (inside or core temperature, not on the skin) rises at midday to 37 degrees centigrade and falls at night to 36 degrees centigrade.  The temperature curve is an easily measurable indicator of our biological clock. The electrical activity of the brain shows distinct stages in the sleep-wakefulness cycles that can be measured via an electroencephalograph or EEG. 

The urinary system does most of its work during the day, the purpose being to allow undisturbed sleep; studies have shown that the byproducts of the hormones that control circadian rhythms can be found at corresponding appropriate times in the urine. Studies have shown that midday corresponds with the time that people are found to have the best ability to perform complex tasks; this correlates with the fact that most people like to be awake during the day.

Light and temperature act as cues to control our circadian rhythm, yet studies have shown that there are existent circadian rhythms even under experimental conditions with constant light and temperature; these are called free-running rhythms. Without light-dark cues the circadian cycle is said to be running in a free-running manner; it is following the natural internal timing of the body. “Sleep experiments have proved, however, that humans are capable of adapting to a slightly shorter or a slightly        

longer day.” 2 

We rarely exceed twenty to twenty-eight hours and are usually within an hour or two of twenty-four hours. Experiments attempting to change the circadian rhythm were unsuccessful. Young people placed in a cave-like environment with only artificial light agreed to go to bed when the clock said 11:45 PM and to get up when it said 7:45 AM. Though they did not know it the clock began normally, then gradually went faster till the day reached twenty-two hours. At the time the clock was at the twenty-three-hour part none of the participants had any trouble, but when it reached twenty-two hours only one person was able to keep up with the clock.          

After babies are born from a lightless uterus, they exhibit many alterations in their sleep/wake cycle during the first two to three months; the cue that tells them when to wake up is their hunger; the contractions of the stomach wake them up. It takes about three months for babies to develop enough to become curious about seeing the world and thus gradually become more light active. By nine months their body clocks are like that of adults.     

Jet lag is a disruption in this rhythm caused by traveling across a number of time zones; the traveler’s entire body functions are out of sync with those of the people at his destination. When we cross more than four-time zones we exceed our clock’s ability to reset itself. The symptoms of jet lag are many: sleepiness, headaches, alertness, and being hungry at times that are inappropriate. Intellectual functioning is affected; it is hard to learn new things, hard to concentrate, and hard to understand things when experiencing jet lag. Other symptoms are anxiety, nervousness, irritability, anger, depression, and inappropriate euphoria or depression. Usually, the return of intellectual and emotional functioning occurs in three to four days. It may take a week for sleep, appetite, and energy levels to return to normal; levels of serum electrolytes (sodium, potassium, and chloride) may take a few days longer; it may take two months for hormone functioning to return to pre-trip normals.

Examples of geographic time zones crossed are: coast to coast in the United States is four time zones, California to Scandinavia covers twelve, and from New York to New Delhi leads to a complete inversion of the sleep/wake cycle. This desynchronization causes a phase shift between the physiologic and the geographic cycle. Flying east causes things to advance and going west causes a delay in the day/night cycle. ” Most travelers adjust to a new circadian cycle at the rate of one hour per day.”  3 

The older we get the more sensitive we are to jet lag. There are very few people who are not affected much by jet lag. Some find it easier to adjust to eastbound, some to westbound flights; some say that it is easier to adjust on home turf because of the familiar surroundings. ” It turns out that your body cannot adjust to changing time zones much faster than two hour a day, as though your skin can travel at arbitrary speed but your insides are limited to about 100 miles an hour.” 4

An exhaustive study was done by Wegmann et al. in association with Stanford University School of Medicine and NASA (U.S. National Aeronautics and Space Administration) using B-747 aircrews operating regular passenger flights between Frankfort and the U.S. West Coast. The main purpose was to study sleep in aircrews exposed to time zone changes. They knew that multiple time zone transitions caused disruption in the circadian rhythm; their goal was to define changes in the twenty-four-hour fluctuations of selected variables. They studied sleep EEG and daytime sleep latency in the laboratory; they continuously recorded body temperature, and EEG and took frequent urine specimens. Additional measurements were conducted during pre-duty, during flight, and during a layover. In order to also check readjustment at home, the study continued for two days at home.

The design of the experiment was initiated because of their hypothesis: due to considerable time zone changes in the routes of the aircrews they would experience disruption of their circadian rhythms; they would then show sleep difficulties. According to their sleep log analysis, the surveys do not support the above hypothesis. The study showed that the pilots sleep much more on a layover and did not suffer from sleep loss when compared to their sleep at home. Results showed that time-zone transition did desynchronize their circadian rhythm, but with naps and staying awake for periods, and then sleeping long periods they were able to cope with the disruption. From personal conversations with the pilots, they found that they were very much aware of the potential difficulties and take serious measures to obtain enough sleep; the studies show that they are indeed successful. The study did find a difference with age; older pilots had to stay in bed longer to get enough sleep.

Another study was done by NASA in conjunction with an international research team; British, German, Japanese and U.S. research teams each associated with an international carrier along with support in their own country. The goal of this layover sleep study was the assessment of sleep changes encountered with multiple time zone changes; how sleep differ at home when compared to sleep during a trip; the subjects were long-haul flight crews. After baseline sleep EEG recordings, the crews underwent testing during nocturnal sleep followed by multiple sleep latency tests every two hours whenever they were awake and not trying to sleep; this provided objective information about the quality, and quantity of daytime sleepiness for comparison with the subjects’ own estimates.

The sleep recordings included EEG, electromyographic or EMG, and electro-oculographic or EOG activity. (EEG involves brain waves, EMG involves muscle activity and EOG records eye movements). Before each sleep recording the pilots completed a Stanford Sleepiness Scale or SSS, a mood assessment scale, and a self-report to check for adherence to standardization procedures. After awakening a questionnaire was completed involving self-reports about the quality and amount of sleep along with an SSS. Body temperature, heart rate, and urine were tested to clarify data about circadian rhythmicity. (Constant rectal temperature probes were used and all urine was collected to examine hormone levels).

NASA investigators found most crew members were able to get enough sleep during layover either by sleeping well at selected times or by sleeping less efficiently but staying in bed longer; sleep quality declined slightly in most cases; more so after eastward flights. Older (over 50 years) crew members got less total sleep and had poorer quality sleep. The human circadian rhythm is not only more disrupted by eastward flights, but also causes a longer resynchronization period. Sleep duration varies with the circadian temperature, the longer sleeps occur when the temperature is lower.

The study also showed that there is definite variance between individuals due to circadian type; some are morning and some are night people. Similarities were found in the baseline daytime sleep latency curves; all showed a gradual increase in sleepiness during the day with a maximum in the late afternoon followed by a gradual decrease in the evening; these sleepiness rhythms continued after the time zone shift when back to home base. It is possible that crews could predict the easiest times to fall asleep and thus develop good strategies for sleeping away from home. Data obtained after eastward flights showed that ” adhering to more structured sleep schedules and limiting initial post-flight sleep would appear to facilitate the acquisition of adequate sleep during the layover.” 5 

Jet lag is a psychological and physiological stress on the body; studies on stress have shown that the more stress in your life the higher your odds are of becoming ill. Studies on lab animals show that when their biological clocks are tampered with they are subject to higher death rates when exposed to toxic chemicals, alcohol, medications, and toxins from certain bacteria. Norman Cousins wrote about a serious illness he experienced after returning from a trip to Russia; he describes his perception of the illness in “Anatomy of an Illness” in New England Journal of Medicine, vol 295, Dec 23, 1976, pp. 1458-63; although Cousins did not say that jet lag was the cause, it is possible according to Dr. J. Greist and Dr. G. Greist. 6

The short and long-term effects of a single or a repeated experience with jet lag on our health have not been proven as yet; the type of studies that would be needed to prove the health effects would be very hard to do. Several factors are likely to be determining factors in how much we are affected by jet lag: the number of time zones crossed, the number of recent exposure to jet lag, and sleep loss. An interesting difference between the United States and the Soviet Union is that the Soviets assume that a change in the circadian rhythm would lead to deleterious effects; their cosmonauts maintain their earthly day/night cycles even while in orbit. The United States uses a variety of schedules; apparently, we expect flexibility in ourselves.

According to Dr. Strughold, Dr. R. F. Fitch, Chief of Internal Medicine at Wilford Hall USAF Medical Center, San Antonio, Texas, “the administration of hormone-containing drugs should simulate the natural circadian production pattern of the hormones, to avoid disturbing their role in running the physiological clock.” 7 

It has been reported that transplanted kidneys take about a year to get it together with their new body. Internal cardiac pacemakers automatically beat ten beats per minute slower at night.

The effects of jet lag can have serious meanings to those whose mission involves international political conferences; businessmen traveling abroad hoping to complete transactions involving large sums of money; Olympic athletes must do all they can to resynchronize themselves. There are numerous methods that have been suggested to help minimize the effects of jet lag:

Preflight adaptation is one; try to slowly adapt yourself to the time zone of your destination; if traveling east, go to bed and arise two or more hours earlier and gradually shift meal times so they are more in line with your destination. If traveling west, stay up later and get up later than usual. If possible plan to fly to your destination a couple of days ahead of time so you can become adjusted before your planned activity. President Eisenhower did this in 1955 before meeting Nikita Khrushchev in Geneva for a Summit meeting. 8  

Some companies have a rule that their executives are not to sign any contracts within the first two days after a transoceanic flight. If you are unable to take time ahead for adaptation be aware that the morning hours in the first few days after eastbound and the late afternoon after westbound are times to avoid signing contracts, making major decisions, or conducting affairs of state.

After arriving at your destination spend as much time as possible out in the sunlight, letting the sunlight help reset your clock. Joan Hamilton in Business Week magazine says that Czeisler, associate professor of medicine at Harvard, foresees that in the future airplanes may adjust their interior light to help reset our biological clocks. 9 

Socialize to stay awake and avoid daytime dozing. According to Joan Hamilton in Business Week magazine, frequent flyers get over jet lag sooner when they force themselves to socialize; she  quoted a pharmacologist at Florida A & M University as saying, “We know that extroverts seem to get over jet lag faster than introverts.” 10

Low humidity in airplanes can result in loss of water; this can lead to changes in electrolyte levels(sodium, potassium, and chloride); it is recommended that extra water is a good idea because dehydration can cause fatigue, sleep disturbances, and a reduced capacity to reset the biological clock.

Alcohol and caffeine should be taken only in extreme moderation; they have the ability to turn off the body’s antidiuretic hormone, which causes water loss which in turn will also dehydrate you. Also, the pressurized cabin at five to six thousand feet above sea level makes two drinks (of alcohol) have the same effect as three.         

The gastrointestinal system operates with rhythmic periods of high and low, so if you eat a big meal at a time when your stomach thinks it should be asleep you are just adding to the burden of time zone adjustment for your stomach. Gradually shift meal time to that of your destination. For this reason, eat lightly and at the correct time according to your destination. Increased altitude causes gas in your gastrointestinal tract to expand; carbonated beverages will thus have a worse effect than on the ground. 

It will help to make your transition easier if you rest at home before you leave; sleep or at least resting on a long flight will help, a short-acting sleeping pill may help also; Halcion and Restoril are two short-acting prescription products recommended. 11

“Intellectual function is often more noticeably affected than other biological functions”. 12 For this reason diplomats, business people and flight crews need to really take care. 

According to the editors of Discover and B. Bower in Science News magazines, researchers N. Mrosovsky and P. Salmon at the University of Toronto after experiments with hamsters think that exercise may help to speed up the resetting of our jet lagged clocks. Their study showed that active hamsters needed 1.5 days to adjust while lazy hamsters took up to 11 days. 13-14

People who work nights or periodically change shifts encounter symptoms very much like jet lag; in addition, police officers were shown to have high rates of alcoholism, sleeping pill use, accidents, and family disruptions. Lisa Bain says in Psychology Today, that neuroscientist, Charles Czeisler, of Harvard Medical School claims that “the problem is in the schedule, not the job.” 15 

Czeisler redesigned their schedule to better accommodate their circadian rhythm. There were three basic changes: one, instead of changing shifts every eight days, they changed every eighteen days; second, they changed shifts going from days to evenings and then to nights; third, Czeisler had the officers work only four days in a row so they could catch up on their sleep.   

The results after about a year were positive: The officers had less sleep problems and were generally more alert; car accidents were down by forty percent; alcohol and sleeping pill use were down fifty percent; the families felt five times better after the new schedule. Czeisler says that workers who have their circadian rhythms desynchronized frequently are functioning in an impaired state; public safety is thus a concern.

End Notes

1       T. Alexander, “Biological Rhythms,” Encyclopedia of Psychology, (New York: Wiley, 1984), vol 1 pp. 151.

2       Hubertus, Strughold, M.D., Your Body Clock (New York: Scribner, 1971), pp. 41.

3       Strughold, pp. 57. Dr. Strughold says that Dr. William Douglas, flight surgeon to the Project Mercury astronauts suggests this rule. 

4       Arthur, Winfree, The Timing Of Biological Clocks, (New York: Scientific American, 1987), pp. 4-5.

5       Graeber et al, “International Aircrew Sleep and Wakefulness After Multiple Time Zone Flights: A Cooperative Study,” Aviation, Space and Environmental Medicine, (Dec 1986, vol 57 (12, Sect II)), pp. 9.

6       John Greist, M.D., and Georgia Greist, Ph.D., Fearless Flying,  (Chicago: Nelson-Hall, 1981), pp. 71.

7       Strughold, pp. 32.

8       Strughold, pp. 61.

9       Joan Hamilton, “You Don’t Have to Give in to Jet Lag,”  Business Week, (Oct, 26, 1987) pp. 126.

10     Hamilton, pp. 126.

11     Editors of Changing Times, “Unsag From Jet Lag,” (May, 1988) pp. 104.

12     Greist, pp. 75.

13     Editors of Discover, “Overcoming Jet Lag: The Rodent Way,” (May 1988,) pp. 18.

14     B. Bower, “Hamster Jet Lag: Running it Off, Science News, (Dec 5, 1987 vol 132: no 23) pp. 358.      

15     Lisa Bain, “Night Beat”, Psychology Today, June 1988 vol 22, pp. 14-15.

Bibliography

Alexander, T.  “Biological Rhythms.”  Encyclopedia of Psychology.  New York: Wiley, 1984.  vol 1.       

Carlson, Bruce. “Pineal Gland.”  Encyclopedia Americana. ed.  Danbury: Grolier, 1986. 

“Circadian Rhythms in Metabolic Activity.”  Encyclopedia Britannica.  New York: U of Chicago P. 1988.  vol 25:487:2a.

Bain, Lisa.  “Night Beat.”  Psychology Today.  June 1988: vol 22.

Bower, B.  “Hamster Jet Lag: Running it Off.”  Science News.  Dec 5, 1987.  vol 132: no 23.

DuHamel, Meredith.  “Traveling Through Time.”  Woman’s Sport and Fitness.  Dec, 1987. vol 9: no 12

“Effects of Light on Biological Rhythms.”  Encyclopedia Britannica.  New York: U of Chicago P, 1988.  vol: 26: 519:2b.

Graeber, et al.  “International Aircrew Sleep and Wakefulness After Multiple Time Zone Flights: A Cooperative Study.”  Aviation, Space and Environmental Medicine.  Dec, 1986: vol 57 (12, Sect II).

Greist, John, M.D. and Greist, Georgia, Ph.D.  Fearless Flying.  Chicago: Nelson-Hall, 1981.           

Guyton, Arthur, M.D., “Circadian Rhythm of Glucocorticoid Secretion.”  The Textbook of Medical Physiology.  7th ed. Philadelphia: Saunders, 1986.

Hamilton, Joan.  “You Don’t Have to Give in to Jet Lag.”  Business Week.  Oct 26, 1987. 

Kalland, Gene.  “How to Reduce Jet Lag.”  USA Today.  June 1988.  vol 116: no 2517.

Kalat, James.  “Endogenous Circadian and Circannual Rhythms.”  Biological Psychology.  3rd ed.  Belmont: Wadsworth, 1988. 

Luce, Gay.  Body Time.  New York: Pantheon Books, 1971.

Morin, Lawrence.  “Biological Clock.”  Academic American.  Danbury: Grolier, 1987.  vol 3:264-265.

“Overcoming Jet Lag, the Rodent Way.”  Discover.  May 1988.

Sakmar, M.D., Gardner, M.D., and Peterson, M.D., Ph.D.  Health Guide For International Travelers.  Passport Books, 1984.            

Strughold, Hubertus, M.D.  Your Body Clock.  New York: Scribner, 1971.

“Time Dislocation: The Jet Syndrome.”  Encyclopedia Britannica.  New York: U of Chicago P.  vol 14: 641: 2b.

“Unsag From Jet Lag.”  Changing Times.  May 1988.        

Wegmann et al.  “Sleep, Sleepiness, and Circadian Rhythmicity in Aircrew Operations on Transatlantic Routes.”  Aviation, Space and Environmental Medicine.  Dec 1986.  vol 57 (12, Sect II).       

Winfree, Arthur.  The Timing of Biological Clocks.  New York: Scientific American, 1987.