The end of this story is the best place to begin: The NSTEMI not only did not kill me, I barely knew anything unusual was happening … until everything started becoming visible in the rear-view mirror.
For the non-cardiologists among you, an NSTEMI is a “non-ST-Elevation Myocardial Infarction.” Apparently not as serious or life threatening as a STEMI, it is still no fun, especially when you are as risk-factor-rich as I am: family history of heart disease, overweight, high blood pressure, high cholesterol, too much alcohol, and too little exercise. Holy crap! It must be a minor miracle that I am alive at all! In my case, the culprit happened to be the “left anterior descending artery,” with a high blockage that is affectionately called “The Widow Maker” because it can cause such quick and deadly heart attacks. Mine was 80% blocked. A stent and 48-hours in the hospital did the trick. It was all so painless and fast that I never realized anything serious was happening!
Here’s the story. Twelve years ago, my baby brother had emergency bypass surgery. He damn-near bought the farm. I argued for some cardiac testing and ended up getting a treadmill dye test. Everything looked good, so I kept taking a daily dose of 81-milligram aspirin along with blood pressure and cholesterol medication, and I stopped worrying … for a while at least. The prospect of coronary disease never really appealed to me, so I asked my doc what I needed to do to get a thorough cardiac work-up. “Show some symptoms,” she said. I did not know at the time that my older brother had needed some heart work done too. 100% of my brothers with cardiac disease may have convinced the insurance companies that testing was in order, but it might not have. Apparently, the tests are too expensive and the results are a bit too uncertain and unpredictive. Showing symptoms seemed like my best option … as long as they were not too severe or with too fast an onset. I turned out to be one lucky buckaroo.
In mid-February 2017, Rebecca and I were in Atlanta visiting my mother while avoiding the New England winter. I was supposed to travel to western Michigan for a few days of work in early March, followed by a week in Ann Arbor visiting my daughter, son-in-law, and new grandson. When the Michigan work got postponed until the fall, Rebecca and I found some cheap tickets from Atlanta to Detroit and flew north on February 17 to hang out with the grandboy for a few days.
The next part of the story is pretty irrelevant and stupid, so skip ahead if you want. Allie and Mike had bought a new gizmo to attach to their toilet for spraying the poop from Ronan’s cotton diapers before throwing them into the wash. (See what I mean. This part has little or nothing to do with a heart attack, but I am pathologically scatological, so I hate the idea of omitting it. Plus, it could have provided a good excuse for doing nothing on Monday morning, but it didn’t, and I did something anyway.)
On Sunday afternoon, while lying on the bathroom floor scooched uncomfortably around the toilet, I turned off the water supply and unbolted the water feed line. The shutoff valve was tight, so I muscled it shut before disconnecting the hardware. The line itself had become brittle and was about 2-inches too long. Instead of bending it and risking the prospect of a break and no toilet, I reassembled everything and planned a morning trip to the hardware store for a shorter, more flexible feed line.
Monday morning, I had the full shopping list in my head and sauntered off on my usual Ann Arbor morning walk: 1.5 miles to the local Ace Hardware and back again. But something wasn’t right. I felt a weird tightness in my chest. Not a serious tightness, but more like a tightness caused by muscling a stuck valve from a weird position behind a toilet. I ignored it successfully until I felt some radiating pain in my left arm above my elbow.
“Aha,” I thought. “These are the cardiac ‘symptoms’ I have been waiting for.” With that, I turned back toward Allie’s house and called Rebecca, who had also been walking in the neighborhood. (We rarely walk together since she walks so much faster than I do.) “I don’t feel quite right,” I told her on the phone, “and I want to have this tightness checked out at the hospital.” She walked around the corner and met up with me.
At almost the same instant, Allie called. She had just left a meeting and was driving near her house on her way back to work. I told her what was up. Without a lick of panic, she canceled her lunch meeting and met us at the house. By then, the tightness had all-but subsided, but the die was cast. I was going to get that cardiac work-up no matter what!
Within about 30 minutes of the initial tightness, we were in the emergency room of the University of Michigan Medical Center. Still no panic, but not a wasted second either. Emergency rooms don’t mess around with chest pains in old fat men. The EKG came back normal, and we all got pretty chill and relaxed. We weren’t going anywhere for at least 8 hours, while we waited for a second test of my troponin levels.
“Troponin” is another word I had never heard before and that is now an everyday part of my vocabulary. It is the enzyme that goes up when heart muscle is damaged by a heart attack … or myocardial infarction in hospital-speak. The emergency room measures a baseline level of troponin upon admission and then tests again 8 hours later; that is how long it takes for the enzymes to appear in the blood. No elevated troponin and a normal EKG: no heart attack. Elevated troponin: something’s wrong. Mine was up ever so slightly, but up nonetheless. It was a sure marker of a heart attack, albeit a small one that resulted in little or no tissue damage.
With that information, I was admitted and became an official patient of the UofM hospital. Some of those experiences were right out of the hospital stay playbook; others were a little more unexpected or surreal. At about 1:00 A.M., Tony the night nurse subjected me to a long list of new-patient questions. “Have you ever been physically abused?” “Are you afraid to go home because of what someone there might do to you?” “Are you afraid of being hurt by a caretaker or someone in your family?”
“Wow,” I thought. What must Tony the night nurse’s shift be like when people answer in the affirmative? “Those must be hard questions to ask,” I commented. “No,” he said, “I’ve gotten used to them.”
“No,” I said, “I mean it must be hard when people answer them affirmatively.”
“That never happens,” he said. “People just lie.”
The whole conversation came as a bit of a shock: that hospitals must ask such sad and troubling questions, and that people feel compelled to lie rather than come clean about how miserable their lives might be. It was yet another in a long, long list of reasons to feel like one of the luckiest people in the world. Never in my life would such questions have ever entered my head, yet they are commonplace upon admission to the hospital. Yikes.
Another surreal moment came on Tuesday morning, well before my gurney trip to the cath lab. A team of practitioners, all of whom happened to be female, trooped into the room, and instructed me to get out of bed and drop my trousers. They were the skin-care team making their twice-weekly rounds to check every patient in the hospital for bedsores and skin maladies. Always the cooperative patient, I did exactly as asked. “Beautiful” the team leader gushed; “it’s perfect.”
“Did you hear that?” I cried gleefully to Rebecca and Allie! And to the team of ladies, I said, “Please repeat to them what you just said to me.” They complied. “Wow,” I said excitedly. “No one has ever looked at my ass and said “Beautiful. It’s perfect.” It is a moment I will relish forever, for I never expect a repeat in my lifetime.
Yet a third came as I was being prepped for the catheterization. When the nurse started to remove my outerwear (since I was in the hospital, I was already wearing no underwear), she asked in a not-very-matter-of-fact way, “what’s all these wires doin’ in your stuff?” Apparently the endless tubes and wires associated with IV drips and EKGs had managed to wrap themselves around places where they had no business being. At that moment, I was genuinely concerned that the cardiologist might find enough arterial damage to warrant full-blown bypass surgery, and that, like my brother before me, I might wake up in a surgical recovery room with my chest having been split open. Those fears notwithstanding, we all laughed until we cried. Just like the old Reader’s Digests used to say, laughter really is great medicine!
I have no clue what the staff is like at most hospitals. Thankfully, the University of Michigan Medical Center is my only real point of reference, and its staff is incredible … and I mean everyone! The nursing staff, the technical staff, the housekeeping staff, the dietary staff, the medical staff: it was remarkable what kind, friendly, compassionate, and professional people I met. I wish I remembered every one of them by name. Even the food was delicious. Amazing.
The two who stand out the most were the recovery room aides who stood over my groin pressing on my femoral artery for over an hour after the catheterization. Here’s why: the cardiologist sticks the catheter – a flexible tube the diameter of a ballpoint pen refill – into your chest cavity through a hole in your groin. (Like I said, a lot of this experience was totally surreal.) Before poking that large hole in your femoral artery, however, these sadists spend about 18-hours filling you with heparin, a strong blood thinner. Yep. They turn your blood into something with about the same clotting ability as alcohol, and then pop open one of your arterial interstate highways. Cute. Once the procedure is complete, they work hard at sealing you back up, which requires two distinctly different efforts: you lie perfectly motionless for 4 hours while a couple of aides apply really, really hard direct pressure to the wound for the first hour or two. My wound decided to form a golf-ball-size “hematoma” almost instantly, which gave me no pause whatsoever because I had no idea what it meant, but it scared the crap out of the recovery room staff. They never let up: two bodies and four hands of non-stop pressure for well over an hour. Those ladies were monsters, and 100% professional. I guess when I think about it, without them, I might have bled to death. The pain subsided after about a week; the bruising took almost 2 weeks to heal. It was my only physical reminder of the ordeal/adventure.
The acute part of the experience is now history. I never felt bad or lethargic. Other than the bruising on my groin, I never felt any pain. (Oh wait. Yes I did! They kept sticking EKG leads onto my unshaven chest. Pulling those things off killed!)
Now chapter 2 sets in. A few days after the event, I drank my first — and last — scotch. For those of you who do not know me too well, I have, for all practical purposes, been drinking scotch every day for the past 51 years. I entered Tulane as a freshman at the ripe age of 17 in 1966; New Orleans being New Orleans, I was never once asked for an ID. I started my regular scotch drinking then; I fear it may have ended on February 26, 2017. By the Sunday after the event – a full week since my heart attack, for God’s sake – I had my first drink. On Monday, my entire body went on vacation. I couldn’t budge. Every part of me was exhausted, and I felt utterly hung over. I stayed in bed until 11:00, took 2 naps during the afternoon, went to bed about 8:00, and slept soundly for 11 hours. By Tuesday morning, I was almost back to normal, but I have not had a hankering for a scotch since. I wonder if my drinking days are over. I certainly hope not! Only time will tell.
Not drinking might be a very good thing for now. Through temperance alone, I have reduced my caloric intake by about 200 per day. I have also become much more mindful of salt (less than 2 grams per day), fat, and exercise. It’s been a month now. How come I am not losing weight? This being fat crap is for the birds. I always figured that fewer calories in and more calories out would do the trick. I guess it’s more complicated than that. For those of you with chronic bellies, I’ll keep you posted on what I learn. I weighed 165 in high school. Today, the scale tips at 205. I wonder what size pants I will wear at 160. I wonder if my blood pressure and cholesterol will actually go down. I also wonder if the girls will swoon over me or if I’ll feel like wearing speedos. (Insert smiley face here.)
This week, I met my new cardiologist. I expect we will get to know each other way too well. With his help, I have a whole new list of activities: a treadmill stress test, an echocardiogram, more medications. It’s a good thing that I get excited about making new friends. Every time this adventure opens a door, I appreciate it in a brand new way: Cool. I get to experience it. I don’t think any of this would be nearly as fresh or exciting if I were dead or infirm. Not dying is up there with having kids as one of the greatest experiences of my life.

We spent our first week or so in Orange County in a perfect living situation. Arlis and I have worked together for her employer for a few years, and now we are embarking on a team teaching adventure. (Having a wicked smart mechanical engineer at my side who also happens to be a great writer is a new … and welcome … experience!) She lives with her dog Zoe in a nifty neighborhood in a really cute house next door to her parents in Costa Mesa, in coastal Orange County. We hung together, taught together, cooked together, and ate together … including Dad, an enthusiastic high school physics/chemistry teacher and robotics coach, and Mom, a really creative and thoughtful elementary teacher. While there, we also had a chance to spend a great-fun evening with my fraternity Big Brother from Tulane and his wife. He’s a lawyer/business guy who has also managed to collect same fantastic art.
Our lodging and dining stayed as memorable in LA as they have been throughout this adventure. Following our time downtown, we spent a long weekend at a friend’s house in the Rustic Canyon section of Santa Monica. We fed them a fine New Orleans meal, had a delightful evening of conversation and laughter, and then bade them farewell as they went off to Palm Springs and left us tending the house and pooch. Ahhh. Delicious quiet surrounded by a canyon-load of 1950’s modern architecture that had once been home to the likes of Will Rogers and Charlie Chaplin.
From LA, we headed north. I had a day of work at the north end of the San Fernando Valley, so our first stop was Thousand Oaks. In addition to a fine day of teaching, Rebecca took advantage of the time to get a new set of tires for Barney, our trusty Ford Escape that has been the picture of comfort and reliability on this journey. Anything we can do to make Barney happy makes us happy. He seems very pleased with his new shoes.
Our walk through San Luis Obispo triggered memories of one of my all-


Eva was a college roommate of Allie’s. I successfully pulled off a Louisiana shrimp boil for her and Brandon’s wedding in New Hampshire a summer or two ago. We became really good friends, and what a ball we had in the City by the Bay! We walked the beach, cooked some meals, walked across the Golden Gate on what must’ve been the prettiest day in a decade. We also got to hang out a lot with Rebecca’s grand niece Ashley and best pals Leela (in Berkeley Hills) and Rosanna (on the Peninsula).



for breakfast at the Hotel Congress, a magnificent relic where in 1934 an employee recognized the face of hotel guest John Dillinger, which led to his capture. What a place! (And for the nostalgic men who remember the good-ole days at the ballpark, the men’s room off the lobby also has a classic trough urinal. You just don’t see enough of those these days.)
From the dunes, we entered the Imperial Valley. In minutes, we went from scrubby desert to barren dunes to incredibly verdant fields spanning the horizon! The Imperial Valley is one of the world’s richest salad crop producing regions. The juxtaposition of desert and farm is utterly surreal. Oh yeah, the occasional dairy farm also provided a bit of variation to the landscape: thousands of tightly housed cattle doing sad little with their lives except eating, mooing, shitting, and giving milk. Need I mention anything about the stench?
As a result of evaporation, exacerbated by the ongoing California drought, the sea continues to shrink, so the shoreline, where the developers once envisioned vibrant marinas and restaurants, continues for hundreds of feet before water finally appears at an unreachable distance.
I had been itching to take Rebecca to Saffron’s, a tiny Thai take-out place on India Street near Washington. The actual history of the place is a tad too arcane for my brain, but the abbreviated story goes something like this: Su-Mei Yu immigrated from Thailand and became a successful restaurateur in San Diego, known far and wide for her Thai chicken. In 1992, she became romantically involved with the Italian-born artist Italo Scanga. They lived together thereafter at her home in La Jolla. Scanga
and his friend Dale Chihuly were artistic muses for each other. As a result, not only is the food terrific, and not only are the walls adorned with photographs of Su-Mei Yu and countless celebrities, but they are also adorned with Scanga art and probably 30 or 35 original pieces of Chihuly glass. As good as it is as a hole-in-the-wall restaurant, it is even better as an art gallery. Man, I love finding places like that … and like the First State Bank in Uvalde, Texas.
From Balboa Park, we headed south to Logan Heights, an old Hispanic neighborhood just south of downtown. Risa knew of a tamale joint she thought we should try, Las Cuatro Milpas. It’s been in the family for over 80 years, and their business plan is simple: make only a few dishes, including tamales, rolled tacos, carnitas tacos, and rice and beans; charge only $5 cash for each item; and stay open as late in the afternoon as necessary to sell out of everything. The three of us spent $15 total. The food was incredible. The place exuded personality and great vibes, thanks in some part to the palette of white and blue collars, including no shortage of bus drivers and city workers. We each ate lunch. Nothing more. We drank water. We were so full that all three of us skipped supper, and Rebecca and I ate little more until dinner the next day.

The two most unexpected sights we saw were in Uvalde, TX and Silver City, NM. In Uvalde, we spent about an hour in the First State Bank building. Dolph Briscoe, Jr. served as president of the bank until he served as governor of Texas from 1973-1979, replacing John Connelly. He also happened to be the largest single landowner in the state, and by the time he died in 1980, the Briscoe family had accumulated a net worth of $1.3 billion. The bank constructed its main building in 1979, and Briscoe and his wife, Janey, decorated the space with magnificent period furniture and their personal art collection: mostly western art coupled with a couple of original 500-year-old Rembrandt etchings. The art collection is totally open to the public. One of the officers greeted us, chit-chatted us, and then escorted us as we toured the collection. The bank president simply could not have been more cordial or welcoming. It’s worth making Uvalde a destination just to spend an afternoon in the bank.



With the exception of the art collection and cordiality of the First State Bank in Uvalde, the best parts of the drive from Greune to Del Rio were the road runners, the company in the car, and the occasional roadside hilarity, like the full-size canoe sculpture in the desert. The Looney Tunes geniuses who created Roadrunner and Wile E. Coyote had obviously paid some dues by spending time on the same route we
drove. Road runners are hilarious birds, darting across the road and through the cactus. Coyotes stealthily rule the desert. With the endless mesas and buttes, it was easy to envision Wile E. plotting strategies to nab supper by outsmarting one of those ridiculous birds … and imagining the roadrunners looking at him, smiling, and thinking, “You’ve got to be kidding me. I’m outta here. BeepBeep.”
Not only is the Park stunning and majestic, it also embodies the sensitivity and competence of the Park Service. We drove about 25 miles through the desert on a dead-end road from the lodge to Santa Elena Canyon, where we hiked. Just before the Canyon, we arrived at the Castelon Visitor Center. It is an old army barracks from the Mexican Wars with a few pieces of old steam-powered machinery because a nutcase in the early 20th Century tried to establish the area as a cotton growing mecca. (The closest railroad was in Marathon, a treacherous three-day wagon ride away.)
The southwest is all about open land. Its residents have no choice but to be self-reliant, and that includes entertaining themselves, often with hilarious art. Our favorite was the store-restaurant-gift shop “trading post” somewhere northwest of Big Bend and east of El Paso. It had five or six tables with plastic tablecloths. The tables used to have 2X4 legs. Actually, they still do, but the 2X4’s are invisible. The owner explained that she got tired of looking at them, so she dressed them up. Every table leg in the place sported blue jeans and cowboy boots. What’s more, the place sports a sign reading, “Western Town available to rent for special occasions, birthday parties, quincaneras, church groups. For prices, call Mayor May Carson.”
owner, a camo-wearing iron lady with the brightest, most sparkly blue eyes I’ve ever seen, was on the phone getting impatient. “NO! I am not going to send THREE Thunder Eggs to Germany! If he wants Thunder Eggs, he can come to the show in Quartzite (AZ), buy a ton of them, and get them to Germany himself!” Joe and I entertained ourselves looking at her stunning inventory of uncut, cut, and polished rocks. (As with birds, I really wish I knew much, much more about what we were looking at!!)
From Deming to Silver City, we climbed about 2,000 feet. The snow starting falling shortly before Silver City. As gorgeous as it was, when night fell, the sheer black ice became treacherous. We slid our way into a bar for a beer and a game of cribbage. Like too many of the bars we visited, it had every indication of being totally cool … and just wasn’t … though the blandness of the bars in Silver City didn’t hold a candle to the blandness and weirdness of the bars we visited at our next stop, Globe, AZ. We made it back safely to our motel (another cheap, but surprisingly clean and quiet dump) and saw no reason to exploit any more of the town’s hospitality. The following morning, we crossed the Continental Divide at 6,355 feet in a magnificent snow-covered desert on our way to Globe.
Let’s get things straight: New Orleans is the best city in the world. No place holds a candle to its food, people, humor, or general level of insanity. As the vendor in the French Market said to us during a morning walk, “Playing music is better for you than eating your vegetables.”
We arrived at our friends Jon and Elisa’s in time for lunch after a leisurely drive along the Gulf Coast from Gulfport. They have recently finished rehabbing an old home in the Marigny, right where Treme, the Marigny, and the French Quarter come together.
Day 2 tipped the scale. I will be on a weight-loss campaign for the rest of the trip. (In truth, I really hate New Orleans. If I lived there, I would become a full-sized blimp.) Lunch: Lil Dizzie’s in Treme with our dear friend Al “Carnival Time” Johnson. Al is a New Orleans Rhythm and Blues icon. Many of you remember Al because Rebecca, Jon, Elisa, and I hosted a fund-raiser for him in Watertown after Hurricane Katrina. He now lives comfortably in a beautiful home in the Musician’s Village.
Day 3 started with an effort to walk it off. Joe hasn’t been to New Orleans for almost 40 years. There was so much to show him: Frenchman Street (an amazing music mecca), the Mississippi, and a serpentine weave through the Quarter. Café du Monde might have been fun, but on the day before the Sugar Bowl with Ole Miss playing, the line stretched 2 or 3 blocks. Jackson Square is a reliable winner; we walked past the buskers just as they launched into “Jambalaya” with its opening line of “Goodbye Joe.” “That’s Joe,” I said. “He’s my brother.” With that, the trombone and sax players slid apart, invited me to sit, and played as I clapped time. Joe and Rebecca took pics. Last year, our son-in-law Mike sat in on piano at Preservation Hall. Not only that, we met a woman at Lil Dizzie’s whose father was the first black bartender at Pat O’Briens. We simply had to walk down St. Peter Street since the two icons are next door to each other. When Rebecca and I first met, we realized we shared a favorite bar/restaurant: The Napoleon House on Chartres Street with one of New Orleans’ most classic courtyards. I read Plato’s “Republic” there as an undergraduate. From there to Iberville for a stroll past Acme Oyster House and Felix’s.
So was our brief afternoon visit with sisters Mandy and Liza, two great friends from Boston, who now teach in New Orleans and live one house from the heart of Frenchman Street. Joe and I became best friends when we lived together from 1974-76. Joanna and Allie’s friendship soared when they lived together in Ann Arbor. What a treat spending a little time in New Orleans with sisters whose lives will be forever improved by virtue of living together … much less one house from Frenchman Street.
fried chicken, black-eyed peas, cabbage, salad, and hand-made desserts from Tee-Eva’s: sweet potato pie, pecan pie, and the best pralines on earth.
