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THINGS TO DO IN WOOSTER OHIO 2022
You may find some of the greatest things to do in Wooster, Ohio, on this site, many of which have been suggested by locals of Wooster. In addition, I’ll share some of my own experiences to help you decide whether or not to go there. But first, let’s look at some interesting information about Wooster, Ohio. The city of Wooster, named after a soldier in the American Revolutionary War by the name…
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Today is National No Excuses Day! Make the time to do things such as seeing old friends, reading a book, learning something new, eat healthy, and starting a workout routine. No excuse is good enough today! #freightforwarder #freightbroker #nationalnoexcusesday * * * * #ilsdelivers #ltl #logistics #trucking #freight #logisticsmanagement #transportation #transport #cargo #truckingindustry #freightforwarding (at Wooster, Ohio) https://www.instagram.com/p/B26gw3Xpsgs/?igshid=17194vxwpo656
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When the doctor is the patient: UW Health cardiologist gets rare heart-kidney transplant Dr. Matt Wolff, a UW Health cardiologist, got a rare heart-kidney transplant in October. He has a genetic heart condition that cut short the lives of many family members, including his father, who died at age 50. “I’m 60, so I’m doing way better than the odds,” said Wolff, who has an art studio in a shed at his home near Cross Plains. JOHN HART, STATE JOURNAL David Wahlberg | Wisconsin State Journal Dr. Matt Wolff became a cardiologist, treating heart disease, before learning he has a genetic heart condition that can cause people to die suddenly as his father did at age 50. After spending years as UW Health’s chief of cardiology, replacing heart valves and doing angioplasties to clear blocked arteries, Wolff has undergone a major procedure himself: a heart-kidney transplant. Wolff, 60, received a heart and a kidney from the same deceased donor at UW Hospital in October. He was one of five people to get the double transplant at UW last year, a record. It’s a step he tried to avoid through diet, exercise, medications, implanted devices and research into his family history, which led to the discovery that his great-grandfather died from the heart condition at 40 in 1900. Other relatives, male and female, died from it in their 30s and 40s. “I worked hard to not have to get a transplant, but there’s no escaping genetics,” Wolff said. His heart problems led him to stop performing procedures in October 2019 and start working half-time seeing only clinic patients. But with his new heart and kidney, he’s back to hiking the Ice Age Trail near his home north of Cross Plains, where he grows organic vegetables. He hopes to return to work part time this spring. “These organs are working perfectly, as best I can tell,” he said. “I’ve started thinking about all the things I’m going to do now that were out of the question before.” When Wolff’s father died from heart failure and an abnormal heart rhythm in 1978, doctors told the family the condition wasn’t hereditary. Wolff was 18, a freshman at the College of Wooster south of Cleveland, not far from his hometown of Tiffin, Ohio. He majored in biology and went to medical school at Johns Hopkins University in Baltimore. Wolff gets a checkup at UW Hospital three months after his heart-kidney transplant from Dr. Fahad Aziz, right, and Dr. Kurtis Swanson. “It’s weird to be on the other side, laying on the table,” he said. “You kind of want to tell them, ‘Go that way, buddy.'” JOHN HART, STATE JOURNAL During his residency at Johns Hopkins, at age 27, he decided to specialize in cardiology. He was intrigued by the heart’s complex blood flow and drawn to procedures that could make people better quickly. He wasn’t swayed by his dad’s fatal heart condition, at least not knowingly. “If it was an influence, it was a subconscious influence,” he said. Wolff was swimming in the Chesapeake Bay at age 29 when he felt an irregular, rapid heartbeat. He wondered if it was connected to his dad’s disease. “It did sort of light a little bulb in my brain,” he said. In his early 30s, he had more irregular heartbeats, or atrial fibrillation. He read about a family with a genetic form of dilated cardiomyopathy, in which the heart muscle becomes weakened and enlarged, impeding blood flow and potentially causing heartbeats so irregular they can be fatal. Soon, he was convinced he and family members who died young or developed heart problems had the same condition. He read his grandmother’s life story, which said her father died in 1900 from “dropsy,” an old-fashioned term for swelling from excess fluid. The condition, known today as edema, is frequently caused by heart disease. Researchers in Boston tested Wolff’s family and four others, identifying a gene mutation that gives each child of an affected parent a 50% chance of having genetic dilated cardiomyopathy. The study traced the inheritance in Wolff’s family to his great-grandfather. Dr. Matt Wolff walks near his home north of Cross Plains. He exercised regularly before his genetic heart condition caused heart failure and abnormal heart rhythms so life-threatening that he needed a heart-kidney transplant. He’s feeling much better today, he said. JOHN HART, STATE JOURNAL When the researchers reported their findings in 1999 in the New England Journal of Medicine, Wolff was listed as a co-author. In the paper’s chart of family trees, squares and circles symbolizing people affected by the condition are shaded and those without it are blank. Wolff’s square is half-shaded — which he said he insisted on to the dismay of the lead authors — because he wasn’t convinced he had all the signs. “It was great stubbornness on my part,” he said. “I wasn’t fully prepared to admit it at that point. Psychologically, this is a bit of a struggle.” Becoming sicker By the time the paper was published, Wolff had been at UW Health for nearly seven years. He became chief of cardiology before moving to UnityPoint Health-Meriter for a while and returning to UW. His episodes of arrhythmia were rare but dangerous. “I had to lie on the floor, put my feet up on the chair, pull the telephone down by the cord and call somebody to get me,” he said, recalling one incident in his office at UW Hospital. “I was that close to death.” Wolff goes to an appointment at UW Health’s Transplant Clinic. He is one of five people at UW Hospital and 289 in the country who got a heart-kidney transplant last year. JOHN HART, STATE JOURNAL He received a pacemaker to counter abnormal heart rhythms. The device was upgraded to an implantable defibrillator, which delivers corrective shocks when it senses life-threatening irregular rhythms. Support Local Journalism Your membership makes our reporting possible. featured_button_text He took numerous medications for his heart problems, including an experimental one he first tested in mice in his lab. The drug, developed by Array Biopharma, now part of Pfizer, is in a phase 3 clinical trial. He exercised regularly, jogging and doing yoga. He and his wife, Kelly, a marketing executive at La Farge-based Organic Valley, ate mostly a heart-healthy Mediterranean diet using the vegetables grown in their sizable garden. But by last summer, Wolff could no longer hold back ancestral fate. His weakened heart left him unable to garden or do yoga. “It got hard to walk up a flight of stairs,” he said. The life-threatening abnormal heart rhythms started occurring more frequently, and drugs no longer helped. Neither did a procedure to burn some of his heart tissue to try to block errant electrical signals. After being hospitalized Oct. 12, Wolff was put on the transplant list. As he waited, doctors inserted a balloon pump in his aorta to help his ailing heart keep pumping blood, a procedure he has performed on others. “We weren’t sure we were going to be able to get him to transplant,” said Dr. Jason Smith, a UW Health heart transplant surgeon. “He was close to being as sick as you can get and still survive.” Double transplant Multiple-organ transplants are rare but increasing, with 289 heart-kidney transplants done nationwide last year, more than double the number from five years earlier and nearly five times the total from 2010. Smith UW-MADISON Other transplant combinations include kidney-liver, kidney-pancreas and heart-lung. Each is relatively rare compared to single organ transplants. It’s hard to access two suitable organs from the same donor, Smith said. Using organs from separate donors would make it more likely the recipient’s immune system would reject them. Medications used after transplant for one organ can be hard on the other, Smith said, and patients needing more than one organ tend to be sicker so the operations can be more risky. “It took the field a long time to understand who are the right people to get it,” said Dr. Dixon Kaufman, director of the UW Health Transplant Center. Kaufman UW-MADISON Wolff’s heart problems had caused his kidneys to fail, making him a double transplant candidate. On Oct. 23, a heart and kidney became available from the same donor, and Wolff matched. Smith and his team transplanted the heart early the next morning, and then Kaufman and his team put in the kidney. Wolff was discharged on Nov. 3, Election Day. Brighter days Recovering from the transplant has given him a new outlook. Previously, with his poor health and the significant upkeep on their property, he and Kelly thought they would need to downsize. Now, they plan to stay another five years. Family trips with their three daughters, which had involved exploring Europe or hiking and rafting out West, had seemed impossible for Wolff to continue. Now, he hopes to join in again once the COVID-19 pandemic ends. “I had pretty much stopped planning for the future,” Wolff said. “Now I’ve realized I’m going to be able to do all that.” His daughters, ages 26 to 33, live in Portland, Oregon. They visited for two months after the transplant, following strict coronavirus prevention measures. He declined to say if any of them have the gene mutation for the heart condition. Before he got a heart-kidney transplant in October, Wolff and his wife, Kelly, thought they wouldn’t be able to continue living at their home and sizable property near Cross Plains. Now they’ve decided to stay. JOHN HART, STATE JOURNAL Wolff has adjusted to seeing only clinic patients, missing the adrenaline rush of procedures but not being on call in the middle of the night. His transplant gave him more insight into the patient experience, he said, from taking difficult combinations of medications and filling out complicated forms to providers sometimes not showing up for appointments on time. “There’s some inefficiencies in medical care that become more apparent when you’re on the receiving end,” Wolff said, adding that his care was excellent overall. He doesn’t know anything about his organ donor, including the person’s gender or age. But he understands the events that transpired, as they do for any deceased donor transplant. Someone had to die — likely suddenly and unexpectedly, with a grieving family — in order for him to stay alive. In a letter this month to the donor’s family, Wolff expressed sorrow for their loss and appreciation for his gift of life. “Your kindness, selflessness, and generosity in the setting of what I imagine was terrible and unexpected grief is inspiring,” he wrote. His transplant is a gift, he wrote, “that I will remain grateful of every day, one that I will work to my utmost to deserve, and one I will try to pay forward.” Get local news delivered to your inbox! Source link Orbem News #cardiologist #cardiology #cardiomyopathy #covid-19 #Doctor #full-longform #Genetic #Health #health-care #heart #heartkidney #hereditary #Kidney #mattwolff #medical #newenglandjournalofmedicine #Patient #rare #transplant #uwhealth
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February Updates
Hello! This is Jackie, co-founder of Blank Slate. It's been a minute since I've written a blog post. Today I feel that it's appropriate because the only things I feel motivated to do are talk about Blank Slate and play with my pets. (I successfully played with Ruffles and Snowflake for an hour this morning)
TL;DR Blank Slate is a punk venue. Last night was fun. We have many upcoming events in February. The art gallery looks great. Our bills are scary.
"What is Blank Slate?" you may ask. It's a DIY venue in Elyria, Ohio. We host live music shows, an art gallery, community get togethers, among other things. The whole idea is to provide a location for artistic expression and community. We are volunteer run and are always seeking out more people to get involved with us. We really want to see you book events in our venue.
You may now be wondering, "What has Blank Slate been up to?" Well, lots of sh*t!
Music Shows
For one, our hip hop game is only getting better and better. For months Eddy (co-founder and guy who books like all the music shows) booked a lot of hardcore, indie, and punk shows. But now I'm seeing a lot more hip hop shows booked mostly by Orcko Occult. And by "a lot more" I mean that there was one last Saturday, there is one this Tuesday 2/7 and Saturday 2/18.
Also upcoming is Anderson's PAL-entines day Lonely Hearts Open Mic on Tuesday 2/14 (ps Anderson is an art gallery juror & very important volunteer). I think there are plenty of open spots, if you're interested.
Shaun (a founding board member) has Meet Me in Montauk on Monday 2/13. Eddy has an indie punk show on Friday 2/17 with Tiny Engines backed Signals Midwest.
Art Gallery
The art gallery team has been killing it. I'm so proud of Shelby, Michelle, and Anderson. I'm the administrator for the gallery, which means that I do a lot with coordinating artists and assisting the team. Shelby is in charge of the group. Together they select the pieces, install and take down the art, plan the monthly art receptions, and are there for weekly gallery hours. Yeah it's a lot of volunteer hours. Too bad we aren't applying to college anymore. This would look great on a scholarship application.
Last night we had our February Art Reception with live music performed by Matt Deulley (of A Work of Fiction). The gallery is currently featuring the work of artists Dan Manion (Athens) and Blair Griffith (Cleveland). Both of their work have similar themes of abstraction. But it's pretty sweet because they approach the idea in very different ways. Their work will be up all of this month. You can view it Sundays from noon to 3pm and also at any of our events. Next month we have artists Timothy Gaewsky (Cleveland) and Rhiannon Massaro (Wooster). Their work uses lots of color and are similarly trippy.
Film Screenings
Last night following the February reception we had a screening and discussion of Japanese thriller Woman in the Dunes hosted by Stephen (one of our artists back in November '16). It was super creepy and thought provoking. Now I'm wondering, "Would I be more trapped in my current life or enslaved/ enslaved with a lady in the dunes?" That doesn't make any sense to you? You just have to see the movie. Next film screening is coming up in a month or so.
Girl Gang
Michelle, Courtney (January '17 artist & very important volunteer) and I started the Girl Gang Meet Up a few months ago. Our goal is simply to help girls make friends with girls. And by girl, I mean any person who includes girl as a part of their identity. For example, if you are a non binary or trans person who is interested in being part of a girl gang, then I totally want you to come. I want moms to attend, too. At each meetup we have bitch support group and an arts and crafts project. The next event is Wednesday 2/15. I think we are making water marbled coffee mugs.
Finances
It's been a challenge to pay our bills for the last several months. Attendance at shows hasn't been great and that's how we make all of our money. Yeah we sell art and zines sometimes, but it's all about the money we make from admission at shows. I know, it's cold out and netflix exists. But I personally want to encourage you to come to shows! I'm working on being more fun, too, so maybe you will see me and we will become best friends 4 eva.
Alright, that's a lot of information. If you made it this far, congratulations and thank you! If this post got you thinking about how you can get involved, be on the look out for the March public meeting. The public meetings are a great way for new people to get to know us and for everyone to share ideas.I'll make a facebook event for it soon.
That’s Snowflake my pet rabbit ^^^
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The insane story of Purell and the coronavirus
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Bottles of Purell hand sanitizer sit on display screen. (AP Photo/Charlie Neibergall)
The drag of the coronavirus on the international economy is huge. While the genuine disaster is lives lost, the financial result is an extremely considerable secondary consideration. Businesses around the world are feeling severe pain. An economic downturn may be in the offing.
some companies are benefiting from the crisis. Not because they necessarily sought to but because they happen to have the right product or service. Zoom Video which provides conferencing that obviates the need for in-person meetings, is one. Clorox, which of course produces bleach, 409 and other cleaners, has seen its stock rise 13%year-to-date (while the market is down over 9%), is another.” data-reactid=”33″ type=”text”> some business are benefiting from the crisis. Not since they always looked for to but because they happen to have the ideal services or product. Zoom Video which supplies conferencing that obviates the requirement for in-person conferences, is one. Clorox, which naturally produces bleach, 409 and other cleaners, has seen its stock increase 13%year-to-date (while the market is down over 9%), is another.” data-reactid=”33″ type=” text” > And yet some companies are benefitingfrom the crisis. Not because they necessarily sought to however since they take place to have the right services or product. Zoom Video which offers conferencing that prevents the need for in-person conferences, is one. Clorox, which of course produces bleach,409 and other cleaners, has actually seen its stock increase 13%year-to-date (while the market is down over 9%), is another.
And then there’s Purell, maker of the famous hand sanitizer– which must be offering like insane? That’s most likely the case as it’s sold out all over the place, yet we do not actually understand since Purell is owned by a private company, GOJO Industries.
So what’s up with Purell and GOJO? We did some digging around and learnt.
ramping up production, it declined to inform us by just how much, or just how much Purell it offered last year. GOJO would not respond to any of our questions and rather sent us a Q and A ready for media that it said we might associate to GOJO representative Samantha Williams. It reads:” … orders of the company’s products have actually increased extremely considerably. We stepped up production in January and are continuing to bring extra capability online to satisfy this increased need should it continue … We have actually included shifts and have staff member working overtime.”” data-reactid=”36″ type=” text” > First, while the Akron, Ohio-based company says it’s ramping up production, it decreased to tell us by just how much, or just how much Purell it sold in 2015. GOJO would not address any of our concerns and rather sent us a Q and A ready for media that it said we might attribute to GOJO spokesperson Samantha Williams. It reads:” … orders of the company’s products have increased very considerably. We stepped up production in January and are continuing to bring extra capability online to fulfill this increased need ought to it continue … We have added shifts and have staff member working overtime.”
I wager they are.
The communiqué likewise notes that GOJO utilizes about 2,500 people and manufactures Purell products at facilities in Wooster and Cuyahoga Falls, Ohio, and France.( You have to question if these staff members would be exempt from a work-from-home order.)
Next concern, how reliable is Purell versus the coronavirus?
The company specifies that” Purell … kills9999%of most common bacteria that can make you ill.” Sounds outstanding, but note the expression, “most common bacteria.” Does that consist of COVID-19? Nobody actually understands.
the FDA sent Purell a letter warning the company about statements in its FAQ sections of websites which suggested “that PURELL® Healthcare Advanced Hand Sanitizers are intended for reducing or preventing disease from the Ebola virus, norovirus, and influenza.” The FDA noted it had no evidence that Purell is effective against those diseases.” data-reactid=”41″ type=”text”> the FDA sent out Purell a letter cautioning the business about declarations in its Frequently Asked Question areas of websites which suggested “that PURELL ® Healthcare Advanced Hand Sanitizers are planned for reducing or avoiding illness from the Ebola infection, norovirus, and influenza.” The FDA noted it had no proof that Purell is effective versus those illness.” data-reactid=”41″ type=” text “> In reality, on January 17, simply as the coronavirus was becoming a worldwide newspaper article, the FDA sent Purell a letter warning the company about declarations in its Frequently Asked Question sections of sites which suggested “that PURELL ® Healthcare Advanced Hand Sanitizers are intended for lowering or preventing disease from the Ebola infection, norovirus, and influenza.” The FDA noted it had no evidence that Purell works against those illness.
The FDA specified:” … we are not knowledgeable about proof showing that the PURELL ® Healthcare Advanced Hand Sanitizer products as developed and identified are typically recognized by competent experts as safe and reliable for use under the conditions recommended, advised, or prescribed in their labeling.”
informed FOX Organisation at the time the company immediately did something about it after receiving the letter and “have begun upgrading pertinent site and other digital content as directed by the FDA.”” data-reactid=”43″ type=” text” > Williams told FOX Company at the time the business instantly acted after getting the letter and” have started updating pertinent website and other digital content as directed by the FDA.”
So does Purell do anything to prevent COVID-19? The active component of Purell is actually just70%ethanol or ethyl alcohol. Specialists generally agree that an option consisting of in excess of 60%alcohol can be effective in some circumstances, like for cleaning down a tray table on an airplane, and perhaps as a hand sanitizer.
Actually, that distinction– surface areas versus hands– falls under the auspices of the EPA, in regards to the former, and the FDA for the latter, as the GOJO Q and A shows. Check this out:” … under the EPA’s Emerging Pathogen assistance, our PURELL ® Surface Spray can be utilized to kill COVID-19on difficult, non-porous surfaces when utilized in accordance with the directions and a 1-minute contact time.” However it goes on to say, “The FDA, which controls hand sanitizer, and the EPA, which controls surface area disinfectants, have various rules. The EPA permits producers to address questions about effectiveness against infections.”
Tanya Crum, an assistant professor of biology at Benedictine University in Lisle, Illinois says that soap and water is always best, however that “if you’re someplace where soap and water is not readily available, having hand sanitizer is terrific. I wouldn’t utilize it initially, I would utilize it just in case or second.” Crum also states that “There’s differing efficiency in terms of hand sanitizer killing viruses,” however that’s due to the fact that COVID-19 is an infection with a capsid protein or what’s called a coat, it may be much easier to kill with a hand sanitizer. Possibly excellent news there for Purell.
Purell’s humble beginnings” data-reactid=”51″ type=” text” > Purell’s simple beginnings
GOJO has an all-American backstory. The business was founded in 1946 by Goldie and Jerry Lippman( and is still controlled and run in part by member of the family). Goldie and Jerry worked in tire and aircraft factories in Ohio during World War II. They discovered they had a hard time washing tar and other greasy things off their hands after work, and so the couple dealt with a chemist at Kent State to establish a hand cleaner.( The first product was” GoGo, Goldie’s nickname, however another business had already utilized the name, so the founders developed GOJO, with the “G” representing Goldie and the” J” standing for Jerry,” according to company history.)
The company happily reports: “Every soap dispenser on the wall today, anywhere in the world, is a descendant of that very first dispenser Jerry developed!” GOJO didn’t develop Purell till 1988, but it has ended up being the company’s flagship item. Pfizer distributed Purell for a time in the 2000 s, a business that was purchased by Johnson & & Johnson, however GOJO reacquired Purell from J&J in2010 Smart move. Along the method someone put Purell dispensers in almost every elevator bank in nearly every office complex in America.” data-reactid=”53″ type=” text” > Later Jerry came up with the first-ever portion-control dispenser, for which he was granted a patent in1952 The company proudly reports: “Every soap dispenser on the wall today, throughout the world, is a descendant of that very first dispenser Jerry created!” GOJO didn’t create Purell until 1988, however it has become the business’s flagship product. Pfizer distributed Purell for a time in the 2000 s, a company that was purchased by Johnson & Johnson, however GOJO reacquired Purell from J&J in2010 Smart move. Along the way somebody put Purell dispensers in almost every elevator bank in nearly every office complex in America.
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Purell hand sanitizer dispenser at the preliminary of the Arnold Palmer Invitational Presented by MasterCard at the Bay Hill Club and Lodge on March 05, 2020 in Orlando, Florida. (Picture by Kevin C. Cox/Getty Images)
take action to stop third-party sellers from price gouging Purell. Reuters reports that “a box of small Purell bottles that usually sells for $10 was listed online for $400, he said. One third-party seller listed a bottle for $600 on Wednesday afternoon. However, the Amazon brand of hand sanitizer was listed for $8.25 for a large bottle.”” data-reactid=”74″ type=”text”> do something about it to stop third-party sellers from cost gouging Purell. Reuters reports that “a box of little Purell bottles that generally costs $10 was noted online for $400, he said. One third-party seller listed a bottle for $600 on Wednesday afternoon. However, the Amazon brand of hand sanitizer was noted for $8.25 for a big bottle.”” data-reactid=”74″ type=” text” > Individuals certainly are crazy for Purell now. Stores are sold out. You can’t purchase it online– well you can however for ludicrous prices. This week, U.S. Senator Edward Markey (D-Mass) sent out a letter to Amazon requiring it do something about it to stop third-party sellers from rate gouging Purell. Reuters reports that “a box of little Purell bottles that generally costs $ 10 was noted online for $ 400, he stated. One third-party seller noted a bottle for $600 on Wednesday afternoon. The Amazon brand name of hand sanitizer was noted for $ 8.25 for a big bottle. “
This article was featured in a Saturday edition of the Morning Brief on March 8,2020 Get the Early morning Short sent out directly to your inbox every Monday to Friday by 6:30 a.m. ET. Subscribe
Read the latest financial and business news from Yahoo Finance” data-reactid=”79″ type=”text”>
Andy Serwer is editor-in-chief of Yahoo Finance. Follow him on Twitter: @serwer” data-reactid =”78″ type=”text” > Andy Serwer is editor-in-chief of Yahoo Finance. Follow him on Twitter: @serwer
Check out the current financial and organisation news from Yahoo Financing” data-reactid =”79″ type=”text” > Read the latest monetary and organisation news from Yahoo Finance
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3 essential forces, working in show, we can’t control
What will the coronavirus do to travel ships
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from Job Search Tips https://jobsearchtips.net/the-insane-story-of-purell-and-the-coronavirus/
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Jealousy
Is You Is Or Is You Ain't My Baby
Words & Music by Billy Austin & Louis Jordan
I got a gal that's always late
Every time we have a date
But I love her
Yes I love her
I'm gonna walk right up to her gate
And see if I can get it straight
Cause I want her I'm gonna ask her
Is you is or is you ain't my baby?
The way you're actin' lately makes me doubt
Yous is still my baby-baby
Seems my flame in your heart's done gone out
A woman is a creature that has always been strange
Just when you're sure of one
You find she's gone and made a change
Is you is or is you ain't my baby
Maybe baby's found somebody new
Or is my baby still my baby true?
Postmark Sep –6 ’85, Cincinnati, OH
3:45
Dear Susan,
What a conversation we just had!
Ok, here are my thoughts:
Other people thoughts
I’m not sure why I am so insecure, but I need to be CONSTANTLY reminded that you really care about me. If I know that, I can wait forever for you. I’m frustrated as hell because I have NO female contact outside of you and my mother.
There are 3 girls in all of my classes put together. All of them have boyfriends, and don’t talk to other guys much. You have lots of guys to talk to, and that’s nice. I don’t have any female friends here right now, and it sucks! In the right environment, I turn into a true “social butterfly,” but this is not that environment. I really don’t want to “go out” with anyone else, but I sure would like someone to talk to until 3:00 A.M. on Saturday nights!
On to the Cheery stuff!
I’m about to record some more Pat Metheney for you and Roz to jam out to.
I decided that I like my course schedule.
There was no way I could have stayed until Tuesday before. Now, maybe. More time for some projects (Pinto) too.
I got 2 letters today, not just 1.
I got your map, too.
Your letters aren’t as silly as they used to be! Did you know that?
Be Thilly!
I love you! Talk to you on Sunday.
Love,
Ross
I tested out of the required basic writing course, and applied to participate in the new “Freshman Ventures” program. I still took an English course, but by design the professor coordinated with the professor of the Philosophy course, and the same group of students took both classes. In theory, we were to become a close group to share and espouse ideas that related to both classrooms. To complement English and Philosophy, I signed up for calculus and an art class, drawing and painting. Fortunately, no class started before 9:30. I couldn’t hack getting up early; I’d never make it to class! Calculus was an evening course, and my art class was held once a week on Friday afternoons.
My floor-mates were friendly, intelligent, and well-meaning. Since we were from all over the country, the variety was fun. We laughed while comparing experiences. But being away from home was hard and I wasn’t doing it very well. I assumed others were coping just fine – they seemed happy with their college choice, enjoying the classes, projecting a confidence and self-discipline I lacked. If they felt homesick, they suffered privately, whereas I wore mine on my sleeve. I missed familiarity. I missed inside jokes. We did not yet have a “common” in our community.
Already I suffered extreme mood swings; happy and bubbly one minute, I crashed hard and felt tired and miserable soon after. I missed Ross desperately. I wanted him with me, or I wanted to be home. Home, with a car at my disposal to drive where I wanted, when I wanted. Home where I knew North from East and South from West. On campus, my orientation was all mixed up; I used to know that south was the Ohio River, which flows East to West. Here in Rochester the river flows north to the lake. It really had me all befuddled. Such a simple thing had me so disoriented – I still haven’t figured out the north-south continental divide that must exist in the mountains of Pennsylvania and New York.
My letters weren’t silly? Imagine that – look back at your own letters, Ross. His letters weren’t always silly – he mocked his own loneliness, and tried drowning his own emotions in music. Besides, he rarely answered any of my letters his first semester away from home. Granted, we weren’t dating then, but two years later, I was only gone two weeks and he had already received three letters and numerous phone calls. Had he forgotten what it was like?
Weirdness. Earlier in the summer, Ross and I discussed sex often enough. Ross was my only experience and his challenging confession of enjoying cross-dressing unnerved me. No, he definitely was not homosexual, nor even transsexual. We enjoyed each other too much for that to ever be in doubt. But he took great pleasure in wearing women’s clothing. In retrospect, I realize it was a harmless fetish, one that I might have warmed up to and enjoyed. But with my inexperience and naivete, the news was devastating. I took his fantasies as an affront to my own sexual identity. How dare he find satisfaction elsewhere? Didn’t I satisfy his pleasures? I incorporated a sense of inadequacy into my being. Somehow his harmless fantasies, deviances I believed then, were a result of something I did wrong.
It was a difficult issue that we lacked the maturity to address properly. It’s not like that was a topic covered in our junior high school health classes. “Harmless sexual fetishes that can enhance or destroy a relationship; cross-dressing, fellatio, bondage, sex toys, and the role of pornography in bedroom sex.” I’m sure our public school teachers would have been very comfortable discussing that in the classroom with pre-pubescent animals. (note sarcasm, please) Of course I had no experience, so no sexual reference to compare. Ultimately his fetish weighed in on later decisions. Would I ever be able to accept his differences? Would he? Would I ever be able to embrace them? I just didn’t know.
I appreciated the tape. It was one of the ones I re-discovered in the months following his death, finally buying the CD to replace the worn copy made all those years ago. But at the time, no one I encountered was familiar with the music of Pat Metheny, and they didn’t seem to be particularly interested either. What fun is music if you can’t share it? I choo-ed a lot, which no one understood at all. I did or said something dum and choo-ed, allny. Nobody got it. Had to break that habit, didn’t I?
I missed Ross. I missed being with him. I missed our comfort together. I really looked forward to Ross’ visit. Tell me again, why did I leave? Why did Ross let me go? Why didn’t he fight to keep me home?
* * *
I looked up Yellowjacket Day in an old yearbook at the University library. I remember the warm late summer afternoon, the leaves just starting to tinge yellow. Certainly the green was dark and tired. Floor-mates and I wandered over to the quad where the carnival was set up with a midway of sorts, games of skill, games of chance. The Greek quad was full of beer swilling parties. Unfamiliar professors and staff swarmed campus with their families. The folks I went with weren’t excited about the few rides – Scrambler, Octopus and Ferris Wheel, but even so, we told each other we enjoyed the distraction. I returned to my dorm room and sat on the radiator and stared down on the construction, wallowing in how different everything was. Yellowjacket day was no school May Fete. I thought about Ross and how he was likely working on the Pinto.
Postmark 10 Sep 1985, Cincinnati, OH
Tuesday
9-10-85
Dear Susan,
Hiya! Hiya! Hiya! Right now I’m sitting in the customer service waiting room at the Sears Automotive Center, waiting for them to replace the battery on the Olds. A headache provoking situation.
Last night I left class early because I felt like crap and I had my program done. I was driving up I-75, trying to figure out where to go since I really didn’t want to go home, so I went up to Miami to see Julie and Valli. Valli had called (on your recommendation (?)) me early (9:00?) yesterday because she was really bumming about school, as I guess you probably know. Well we had a good talk, and I was able to get back home about 10:30, so my parents never knew the difference! My Dad would have been really pissed. He’s getting on my nerves!
I miss you much much much (!) and cannot wait for the 19th (Thursday) which is when I’ll leave. I’ll get into Roch. Around 6:40, and leave Sunday around 11:25 a.m. (UGH!) That was the latest flight on Sunday.
Enclosed: some comics, Remember This? (picture) Then we went to Denny’s and the next day couldn’t find the Visa!
I love you Much Much!
Talk to you soon (hopefully).
Love,
BOK
Or (depending on mood.)
Ross
I love you soozin-X!
“I’m sitting in the customer service waiting room at the Sears Automotive Center, waiting for them to replace the battery on the Olds. A headache provoking situation.” Without a doubt, sitting and waiting for a technician to replace a battery on a vehicle that Ross was perfectly able to do on his own for less cost, was certainly a headache-provoking situation. But had Ross done it himself, his father would have hit the roof. How miserable Ross must have been at Wooster, can only be understood once you knew that staying home and enduring such directives from a domineering father was an improvement.
And Valli, poor desperate Valli. Under the thumb of her domineering mother, Valli was self-destructing. Her roommate Julie tried to help, but had to concentrate on her own challenges. And how do you help a friend whose mother was blackmailing her daughter emotionally and financially. “You will take chemistry, if you do not, you will have to re-pay all the tuition we’ve paid.” “You will pledge a sorority, if not, you will have to re-pay all the tuition we’ve paid.” And when counseling was sought, the family chose a “Christian Counselor” who told Valli to “Honor her father and mother”. Valli, once vibrant and independent, with an interest in biology and physical education, now has her PhD in Nutrition, just like her mother. If women were called “junior” such would be Valli’s fate. I was glad Ross went to see her. She needed a familiar face and a non-judgemental shoulder to lean on. I just wished Ross could make the same trip to see me.
Denny’s…if we ate at Denny’s once, Ross and I ate there fifty times. I think he liked it because it was open twenty-four hours. At one a.m. after the late movie we could order breakfast, lunch or dinner – depending on our mood. I asked for a glass of water, no ice, and could substitute onion rings for French fries. Of course there was always dessert.
Mom mailed me my voter registration card. Dad was up for election again. He wanted me to vote for him, so had Mom send me the paperwork to get an absentee ballot. My first chance to vote, and I’m voting absentee! Roz was intrigued at the prospect. The ballot arrived in a manila envelope at my post office box. I carried it across campus, and sat down at my desk in our room and read the various races. So-and-so for judge, county commissioner, then I punched out the holes with the stylus provided with the voting kit. Roz was fascinated that my parents had followed through for me to vote. She looked through the materials, intrigued. We talked about my Dad being councilman in our little suburb. Her dad is a psychiatrist, an overeducated MD/PhD, not “just a PhD.” I walked back over to the post office the next day and mailed my ballot in the envelope provided by the Board of Elections. It wasn’t even a “fun” election that year – no presidents to vote for, no senators, just local politics. I couldn’t even pretend to argue politics with anyone.
Supposedly I went to college to take classes and learn stuff, academics and all that, but I was lost. Assigned to an advanced calculus class based on my SAT scores, they didn’t know I kick butt on standardized tests, but that didn’t mean crap. First, calculus was an evening course. Three hours one evening each week. The professor was Jewish, and that year class nights fell on all the Jewish holidays so we had a TA more often than the professor. The TA was no help; he barely spoke English. When the professor was teaching, he loved to talk, but I had no clue what was going on. He was enthusiastic about the subject, but I was lost. Sigh. My philosophy class was kind of cool, though. And my English class was okay, except the professor really wanted to be back teaching at the far superior University of Chicago, instead of in the provincial town of Rochester. How did we know? He informed us of this on a regular basis. It became a class joke. Clearly we had all erred in our decision to attend the University of Rochester; University of Chicago was a superior place to be.
Other students were taken aback by my nonchalance toward English. They all had these “sit in the classroom and take notes” English classes for years, and didn’t know how to speak up and challenge the instructor. Lucky me, with an odd twist of school district teaching assignments, I had Bob Moses for five consecutive years. (For Honors English in Eighth Grade, Oral Communications as a freshman, an advisor sophomore year, English again junior year and senior year...well that year he got a little too chummy with one of our classmates. Their friendship passed the acceptable parameters of appropriate Student-Teacher relations, and he was encouraged to find employment elsewhere. Our classmate dropped out of school, earned her GED very quickly, and enrolled early at the University of Cincinnati.) I hadn’t taken a note in English class since junior high school. You read, you gab, you write an opinion paper. Spelling and grammar didn’t count, only your ideas were important. Did you have an original thought? Did you carry it through? Did you learn something from the text? Write it down as best you can. I’m one of the few who knew how to participate in that class, if only I did the reading. Usually, I bluffed my way through the fifty minutes.
I settled into a routine – classes, lunch, occasionally I was awake in time for breakfast. One of the guys on the floor had to eat dinner incredibly early because he had a lab at 5:15. Every afternoon Stephen Paul watched Thundercats at 4 o’clock, then at 4:30 we hiked up the hill en masse to have dinner. By 10:30 we were hungry again, so ordered pizza or wings or both and went broke. The up side of this program was that we were always the first in line at the dining center before the food got gross. The meal of the day was still edible, you might even say tasty. But Roz and I ate dessert first, because no one told us not to! Away from home, no one told us how or what to eat, so let’s have ice cream, THEN the entrée. Now I know where the Freshman Twenty come from – ice cream and alcohol.
Marvin, friendly and outgoing and a real sweetheart, his job at the dining center, while it used to be a cashier, was to slide the ID cards through the reader to deduct the money from dining center accounts. He only swiped my meal card half the time. Heck, he only swiped half the cards half the time! This was a blessing because after a short while many of us had no money left whatsoever. Every once in a while his supervisor watched him slide the cards through the reader. Those of us in line groaned silently over the supervisor’s presence…and mentally re-calculated the amount of money left on our dining center accounts. Marvin’s gentle and caring demeanor helped him become a campus celebrity, and we invited him to participate in floor events.
Remember those food tricks? Crunching Wint-o-green Lifesavers (try it at home!) and dropping chocolate chips from your nose to your mouth? Another fun one is raisins in 7-Up. Pour yourself a glass of 7-Up (Sprite will work, too) no ice, and drop a few raisins in. Not a lot – no more than say, four or five at most. Then, watch them rise and fall as the carbonation collects in the crevices of the raisin – the raisin rises to the top, the carbonation bubbles burst, and the raisin drops to the bottom of the glass. It’s a fun game. I taught my floor-mates that one in the dining center one afternoon. We laughed and giggled and pondered “How does that work?” The physics types talked about bubble formation and tensile strength and how massive an item could be and still be lifted up by carbonation bubbles. I shook my head wondering, “Just enjoy the thrill of the raisin – why analyze? How geeky are these people, anyway?” Pretty geeky on a geek-meter scale, it turns out. That was an “up” for the gang at school.
* * *
Stephen Paul took me through my first drive-through car wash. At home, Dad and I washed the cars in the driveway. Dad or I dragged out the hoses and buckets, added soap (dishwashing liquid usually), hosed down the car, filled the buckets, grabbed sponges and started washing. When I was little, it was my job to scrub the hubcaps, wheel-wells, headlights, front grille and anything below the striping on the side of the car. As I grew, I “graduated” to hood and trunk duty as well. Dad had a chamois cloth to dry off the car, and on occasion he pulled out the Turtle Wax to shine, shine, shine. (Occasionally I was handed the Bug and Tar remover and a rag to attack the chrome.) While he waxed, I washed windows using a spray-bottle of Windex and a roll of paper towels. Inside and outside, and the rearview and side view mirrors I wiped those windows clean.
Windex changed over the years. Early on, it was the fun foam, I sprayed words and smiley faces on the windows, then wiped them away as they slid down the glass. The foam was replaced by the blue stuff in a ho-hum spray bottle – which wasn’t nearly as fun. Finally, if we were really serious, we dragged out the Shop-vac to vacuum the seats and carpets. But a drive-through car wash? What a concept!
One afternoon I was with Stephen Paul for whatever reason, avoiding homework and desperate for a change of scenery. We stopped at the El Rancho Gaseteria and filled his tank with gasoline, and then got in line to drive his Land Yacht through the Delta Sonic car wash. He maneuvered the car onto the conveyor, we entered the tunnel and the water started spraying the car. As the conveyor belt pulled us forward through the car wash, pink white and blue colored foam drenched the car, including the windows and windshield. Then the brushes started spinning against the sides, the hanging strips of sponge swept over the hood, roof and trunk. Finally we were pulled through to the rinse cycle where hundreds of sprayer nozzles showered the car clean. The blowers then whistled the water off the car with a force that blew the windshield wipers up off the glass. The plastic curtain opened, the conveyor released the car, and we coasted toward the vacuum station. The car was clean! For five bucks in less than five minutes. MAGIC! Can we do that again?
* * *
Construction continued outside my dorm room window. I watched as workmen climbed down in the trenches, checking pipes of various sorts. I presumed they were the water pipes and gas lines and sewer lines and electrical service. Trucks pulled up with loads of PVC, copper and lead pipe. Then men in hardhats and steel-toed workboots unloaded the trucks and stacked the various sizes, kinds of pipe next to the trench that would eventually be the new roadway. Bulldozers were brought in to remove what used to be a grass island. I found it more interesting than the reading that had been assigned in my English and philosophy classes. And certainly more understandable than the homework that was supposed to be Calculus but might as well have been ancient Sumerian for all I understood.
I was so excited to see Ross, and have him meet my new friends, and know what I’m talking about when we spoke on the phone together. I missed his smell, his taste, his sense of humor. People here just didn’t get it. Allny.
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Flower Gardens
Great Time to you all, and also thank you all for being actually listed below along with our team today on Garden The Easy Technique, this is actually Ken as well as My spouse Marilou. Dill increases fast and easy off seed, even reseeds on its own listed here in core Alberta. Choosing exactly what things to vegetation, in just what means to prepare all of them, and also ways to structure your yard all require creative thinking and also development. Congratulations, you have actually merely finished your first small container water landscape. Yard from Lifestyle's Primal Protection strategies include an unique whole meals combination of probiotics along with Homeostatic Soil Microorganisms (HSO). It is actually best for increasing inside your home in http://form2017Today.info chilly temperatures, or if you don't have accessibility to a backyard. Self-made compost or special compost preparations accessible off landscape providers are actually the basis of this particular tea. Because butterflies may find some different colors, it's a great idea to consist of a wide array of different colors in your butterfly backyard. Preferably, consist of an exterior table as well as chairs and also devote some time there amusing good friends, laughing as well as enjoying, or just exist by yourself relaxing and smiling upon your landscape. I am going to carry on later along with my next article increase backyard garden tomato tips on care, collecting and some holding pointers that are going to be useful. If you 'd like to add fish, it is actually finest to hang around 4-5 full weeks after you've made your water yard to ensure that the situations in the water have actually been actually allowed to support.
Hello, and also appreciated back listed here today on Garden The Easy Way, this is Ken and Marilou. I would certainly additionally planted some leftover turnip seeds off last year which expanded excellent; young, tender turnips off the yard are actually a great deal more delicious compared to those giant tough ones off the grocery store. A further decline in Olive Garden openings listed below 15 will really cost cash now, provided where our company remain in the growth pipe. Bayerischer Rundfunk pointed out police as stating witnesses had actually mentioned hearing a loud bang prior to finding a burning luggage in a slice yard. Likewise exciting if you remain in the place is the flower garden at the OARDC school of Ohio Condition in Wooster. Compartment or pot: This is actually the procedure most often made use of by gardeners who intend to deliver cannabis in off an outdoor garden for wintering. Coming from the coastline front, Boracay Garden Resort appears similar to other resort in the island. Garden leading pieces made by using slate, travertine and marble offer an enduring lasting surface are industried in various designs, shades and finishing. Rather than getting rid of food items and garden refuse, compost it as well as make use of in your garden as an all-natural plant food for your plants. Creating a hoop residence for your landscape is an effortless Do It Yourself project that may significantly boost your gardens efficiency and also extend your season by a month under the appropriate situations.
Yet our team're not exactly mind audiences as well as if you don't tell me that you dislike reddish or that your next-door neighbor always keeps a loud canine next to where I was actually considering a sitting place, I'm immune to presume it. Expanding natural garlic is only the starting point, today you're ready to develop an entire organic yard. Bags from potting dirt, marketed through almost every establishment this time around of year, is actually best for your compartment garden. Staying on top of the sprinkling routine is actually undoubtedly a significant work based on the size from the yard. Residential pussy-cats are typically liked by their proprietors ... and disliked by neighbours who find their landscape vegetations squashed, peed on or rooted out by a scratching feline seeking an outdoor bathroom.
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How To Lay Laminate Flooring
Wooden flooring when fitted properly can look fantastic Wooden Beard Comb within your home and using a touch of DIY knowledge can be simple to fit yourself. Where can you begin to understand the history and culture of the place? You don't have time for any guided tour and really just want to explore and have a few drinks. Where can you begin to comprehend the background and culture of the place? You don't have time for any guided tour and extremely just want to explore and have a few drinks. Another extremely important thing to mention here may be the implementation of a pool chlorine system. More people coming into our store in Wooster Ohio possess a Kirby, than some other premium brand. MATERIALS THAT YOU NEEDED TO CONSTRUCT YOUR POOL DECK. He ended up also in Ormada and Gwadar for several times. I began to walk faster as the rumbling sound of moving trains grew louder. Check it out today!. If you visiting the Island of Lanzarote attempt to reserve a couple of days to have on trips so you can experience one other delights the island has to offer apart form its delightful beaches. The faint scent of spring flowers bursting from their buds mingled with fresh, growing grass tantalized the air. Suddenly, I was blinded through the glare of powerful headlights on trains coming from both directions toward me. Either way, though, they are a big business and so they are extremely popular in many areas of the country. Doing some redecorating inside your house?To get high quality skirting boards, visit skirting boards. If you're using fabric instead of your shower curtain, you'll need to make it standard shower curtain size, which can be about 72" x 72". If you can, you can remove all of the skirting boards and architrave within the room to ensure that the wooden flooring can go right for the wall and then replace these afterwards. Use a disposable brush to put glue within the joints of your project. If a doorway may serve as an entrance for the area, measure four inches below from your sill of door to find the upper a part of the deck joists. Thousands of mayflies, that appeared as if huge mosquitoes, swarmed over the tops of the boxcar and I jumped up and ran along the catwalks leaping from car to car until I found one that has been lower than the others. They can be purchased inside a variety of sizes so choose one which fits your cake tin the board needs to be about 5 cm [1 in] bigger all round than the decorated cake. This kind of ironing board is usually installed on doors. This board can be modified to your taste anytime you would like to iron your clothes inside a sitting position instead of standing up. 93 it's just 5 miles south to Hot Springs Road, which dead-ends at Challis Hot Springs and Campground. By: DanPartridge. Allow for the wall spacing around the end face. You can attach horizontally a board to a set of other board with screws in a ninety degrees angle. You can attach horizontally a board on to a pair of other board with screws with a ninety degrees angle. However, usually a fledgling is considered a chick which is independent from an adult because, very often, adults will always feed the chick after it has left the nest and is also in a position to fly. A strop is best hung from a metal hook that you will have to install somewhere inside your home, preferably in the bathroom rather than too near water splashes while you may wish to avoid getting your strop wet. Heart-shaped and numeral tins are available from most large stores. In Morocco he is called Black Peter. Coming back outside on to St Anne's Square, we turn left and continue to disappear in the Shambles. . Don't delay. Enjoy your bird-watching.
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Today is International Sudoku Day! Doing puzzles keeps our minds sharp. Sudoku originated in Japan around the 19th century. Things to do today to celebrate are buy a new puzzle book, invite a friend to play, and solve some puzzles! Put your mind to the test. #freightforwarder #freightbroker #sudoku #internationalsudokuday * * * * #ilsdelivers #ltl #logistics #trucking #freight #logisticsmanagement #transportation #transport #cargo #truckingindustry #freightforwarding (at Wooster, Ohio) https://www.instagram.com/p/B2MOdjdg2Ps/?igshid=b418yrdcgj53
#freightforwarder#freightbroker#sudoku#internationalsudokuday#ilsdelivers#ltl#logistics#trucking#freight#logisticsmanagement#transportation#transport#cargo#truckingindustry#freightforwarding
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When the doctor is the patient: UW Health cardiologist gets rare heart-kidney transplant Dr. Matt Wolff, a UW Health cardiologist, got a rare heart-kidney transplant in October. He has a genetic heart condition that cut short the lives of many family members, including his father, who died at age 50. “I’m 60, so I’m doing way better than the odds,” said Wolff, who has an art studio in a shed at his home near Cross Plains. JOHN HART, STATE JOURNAL David Wahlberg | Wisconsin State Journal Dr. Matt Wolff became a cardiologist, treating heart disease, before learning he has a genetic heart condition that can cause people to die suddenly as his father did at age 50. After spending years as UW Health’s chief of cardiology, replacing heart valves and doing angioplasties to clear blocked arteries, Wolff has undergone a major procedure himself: a heart-kidney transplant. Wolff, 60, received a heart and a kidney from the same deceased donor at UW Hospital in October. He was one of five people to get the double transplant at UW last year, a record. It’s a step he tried to avoid through diet, exercise, medications, implanted devices and research into his family history, which led to the discovery that his great-grandfather died from the heart condition at 40 in 1900. Other relatives, male and female, died from it in their 30s and 40s. “I worked hard to not have to get a transplant, but there’s no escaping genetics,” Wolff said. His heart problems led him to stop performing procedures in October 2019 and start working half-time seeing only clinic patients. But with his new heart and kidney, he’s back to hiking the Ice Age Trail near his home north of Cross Plains, where he grows organic vegetables. He hopes to return to work part time this spring. “These organs are working perfectly, as best I can tell,” he said. “I’ve started thinking about all the things I’m going to do now that were out of the question before.” When Wolff’s father died from heart failure and an abnormal heart rhythm in 1978, doctors told the family the condition wasn’t hereditary. Wolff was 18, a freshman at the College of Wooster south of Cleveland, not far from his hometown of Tiffin, Ohio. He majored in biology and went to medical school at Johns Hopkins University in Baltimore. Wolff gets a checkup at UW Hospital three months after his heart-kidney transplant from Dr. Fahad Aziz, right, and Dr. Kurtis Swanson. “It’s weird to be on the other side, laying on the table,” he said. “You kind of want to tell them, ‘Go that way, buddy.'” JOHN HART, STATE JOURNAL During his residency at Johns Hopkins, at age 27, he decided to specialize in cardiology. He was intrigued by the heart’s complex blood flow and drawn to procedures that could make people better quickly. He wasn’t swayed by his dad’s fatal heart condition, at least not knowingly. “If it was an influence, it was a subconscious influence,” he said. Wolff was swimming in the Chesapeake Bay at age 29 when he felt an irregular, rapid heartbeat. He wondered if it was connected to his dad’s disease. “It did sort of light a little bulb in my brain,” he said. In his early 30s, he had more irregular heartbeats, or atrial fibrillation. He read about a family with a genetic form of dilated cardiomyopathy, in which the heart muscle becomes weakened and enlarged, impeding blood flow and potentially causing heartbeats so irregular they can be fatal. Soon, he was convinced he and family members who died young or developed heart problems had the same condition. He read his grandmother’s life story, which said her father died in 1900 from “dropsy,” an old-fashioned term for swelling from excess fluid. The condition, known today as edema, is frequently caused by heart disease. Researchers in Boston tested Wolff’s family and four others, identifying a gene mutation that gives each child of an affected parent a 50% chance of having genetic dilated cardiomyopathy. The study traced the inheritance in Wolff’s family to his great-grandfather. Dr. Matt Wolff walks near his home north of Cross Plains. He exercised regularly before his genetic heart condition caused heart failure and abnormal heart rhythms so life-threatening that he needed a heart-kidney transplant. He’s feeling much better today, he said. JOHN HART, STATE JOURNAL When the researchers reported their findings in 1999 in the New England Journal of Medicine, Wolff was listed as a co-author. In the paper’s chart of family trees, squares and circles symbolizing people affected by the condition are shaded and those without it are blank. Wolff’s square is half-shaded — which he said he insisted on to the dismay of the lead authors — because he wasn’t convinced he had all the signs. “It was great stubbornness on my part,” he said. “I wasn’t fully prepared to admit it at that point. Psychologically, this is a bit of a struggle.” Becoming sicker By the time the paper was published, Wolff had been at UW Health for nearly seven years. He became chief of cardiology before moving to UnityPoint Health-Meriter for a while and returning to UW. His episodes of arrhythmia were rare but dangerous. “I had to lie on the floor, put my feet up on the chair, pull the telephone down by the cord and call somebody to get me,” he said, recalling one incident in his office at UW Hospital. “I was that close to death.” Wolff goes to an appointment at UW Health’s Transplant Clinic. He is one of five people at UW Hospital and 289 in the country who got a heart-kidney transplant last year. JOHN HART, STATE JOURNAL He received a pacemaker to counter abnormal heart rhythms. The device was upgraded to an implantable defibrillator, which delivers corrective shocks when it senses life-threatening irregular rhythms. Support Local Journalism Your membership makes our reporting possible. featured_button_text He took numerous medications for his heart problems, including an experimental one he first tested in mice in his lab. The drug, developed by Array Biopharma, now part of Pfizer, is in a phase 3 clinical trial. He exercised regularly, jogging and doing yoga. He and his wife, Kelly, a marketing executive at La Farge-based Organic Valley, ate mostly a heart-healthy Mediterranean diet using the vegetables grown in their sizable garden. But by last summer, Wolff could no longer hold back ancestral fate. His weakened heart left him unable to garden or do yoga. “It got hard to walk up a flight of stairs,” he said. The life-threatening abnormal heart rhythms started occurring more frequently, and drugs no longer helped. Neither did a procedure to burn some of his heart tissue to try to block errant electrical signals. After being hospitalized Oct. 12, Wolff was put on the transplant list. As he waited, doctors inserted a balloon pump in his aorta to help his ailing heart keep pumping blood, a procedure he has performed on others. “We weren’t sure we were going to be able to get him to transplant,” said Dr. Jason Smith, a UW Health heart transplant surgeon. “He was close to being as sick as you can get and still survive.” Double transplant Multiple-organ transplants are rare but increasing, with 289 heart-kidney transplants done nationwide last year, more than double the number from five years earlier and nearly five times the total from 2010. Smith UW-MADISON Other transplant combinations include kidney-liver, kidney-pancreas and heart-lung. Each is relatively rare compared to single organ transplants. It’s hard to access two suitable organs from the same donor, Smith said. Using organs from separate donors would make it more likely the recipient’s immune system would reject them. Medications used after transplant for one organ can be hard on the other, Smith said, and patients needing more than one organ tend to be sicker so the operations can be more risky. “It took the field a long time to understand who are the right people to get it,” said Dr. Dixon Kaufman, director of the UW Health Transplant Center. Kaufman UW-MADISON Wolff’s heart problems had caused his kidneys to fail, making him a double transplant candidate. On Oct. 23, a heart and kidney became available from the same donor, and Wolff matched. Smith and his team transplanted the heart early the next morning, and then Kaufman and his team put in the kidney. Wolff was discharged on Nov. 3, Election Day. Brighter days Recovering from the transplant has given him a new outlook. Previously, with his poor health and the significant upkeep on their property, he and Kelly thought they would need to downsize. Now, they plan to stay another five years. Family trips with their three daughters, which had involved exploring Europe or hiking and rafting out West, had seemed impossible for Wolff to continue. Now, he hopes to join in again once the COVID-19 pandemic ends. “I had pretty much stopped planning for the future,” Wolff said. “Now I’ve realized I’m going to be able to do all that.” His daughters, ages 26 to 33, live in Portland, Oregon. They visited for two months after the transplant, following strict coronavirus prevention measures. He declined to say if any of them have the gene mutation for the heart condition. Before he got a heart-kidney transplant in October, Wolff and his wife, Kelly, thought they wouldn’t be able to continue living at their home and sizable property near Cross Plains. Now they’ve decided to stay. JOHN HART, STATE JOURNAL Wolff has adjusted to seeing only clinic patients, missing the adrenaline rush of procedures but not being on call in the middle of the night. His transplant gave him more insight into the patient experience, he said, from taking difficult combinations of medications and filling out complicated forms to providers sometimes not showing up for appointments on time. “There’s some inefficiencies in medical care that become more apparent when you’re on the receiving end,” Wolff said, adding that his care was excellent overall. He doesn’t know anything about his organ donor, including the person’s gender or age. But he understands the events that transpired, as they do for any deceased donor transplant. Someone had to die — likely suddenly and unexpectedly, with a grieving family — in order for him to stay alive. In a letter this month to the donor’s family, Wolff expressed sorrow for their loss and appreciation for his gift of life. “Your kindness, selflessness, and generosity in the setting of what I imagine was terrible and unexpected grief is inspiring,” he wrote. His transplant is a gift, he wrote, “that I will remain grateful of every day, one that I will work to my utmost to deserve, and one I will try to pay forward.” Get local news delivered to your inbox! Source link Orbem News #cardiologist #cardiology #cardiomyopathy #covid-19 #Doctor #full-longform #Genetic #Health #health-care #heart #heartkidney #hereditary #Kidney #mattwolff #medical #newenglandjournalofmedicine #Patient #rare #transplant #uwhealth
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