As an infectious disease physician who frequently searches for answers to medical enigmas, I did not accept his response and asked him to undergo a few basic blood tests, to which he reluctantly agreed.Ī few days later, when I received the results in my office, I was in for a surprise: His renal function had deteriorated considerably, nearing what is considered end-stage kidney disease. “I just don’t feel like reading the paper much anymore,” he replied. But when Dad began to consistently fall behind in reading his newspapers, many left in their original plastic wrappers, I became concerned and wanted to know why. I wasn’t worried at first after all, he was going on eighty-eight, and a recent visit to his doctor had not turned up any surprises. In retrospect, the first indication that something might have been amiss with Dad’s health was when my mother grumbled that he was taking too many naps during the day despite sleeping soundly at night. As Dad grew older, his definition of quality of life became simpler: maintaining his health living in the comfort of his home with the love of his life, my mother reading his daily newspapers solving Sudoku puzzles watching his favorite sports teams on the television indulging in my mother’s culinary delights listening to Johnny Cash and getting behind the wheel of his favorite toy, an ever-spotless metallic gray Chevy Suburban. Despite these setbacks, he entered the eighth decade of his life relatively healthy compared to many of his contemporaries, who seemed to spend much of their lives in hospitals or nursing homes. Decades of smoking cigarettes-beginning after he joined the military-caught up with him years later, in his sixties, when he was diagnosed with coronary artery and peripheral vascular disease. And like many in this generation, he had declining health. At the age of eighty-seven, Dad was part of the ever-dwindling “greatest generation” of men and women who served their country by fighting in World War II.
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