June 13, 2010

A possible solution to global warming - Eliminate global dairy and cattle production

According the United States Environmental Protection Agency the 100 million cattle in the US emit 5.5 million metric tons of methane. Globally, cattle flatulence and belches account for 66 million metric tons and methane is 25 times more potent as a greenhouse gas than CO2 - carbon dioxide.

What if we ended dairy and beef operations today? What might be the possible long term consequence? Felisa Smith of the University of New Mexico, Albuquerque, may have the answer.

She suggests that 13,400 years ago the Americas were extensively populated by large herbivores particularly 12,000 - 20,000 pound woolly mammoths. This was the end of the Wisconsin glacial period and a time of rising temperatures. By 11,500 years ago and roughly 1000 years following the development of Clovis technology, 80% of these animals were extinct. Dr. Smith postulates in Nature Geoscience that human predation (and a warming environment) led to their extinction which led to a corresponding plunge in methane levels. She calculates that 13,400 years ago, these mega-herbivores produced 9.6 million metric tons of methane per year. She suggests that the resulting drop in methane levels shown in ice cores from 700 parts per billion to 500 was a direct result of extinction leading to a rapid global cooling and a "mini ice age," 12,800 to 11,500 years ago, at the very end of the Wisconsin glacial period.

If Smith is right, humans have been changing global climate for millennia. Significantly, today, if humans change their lifestyle and diet, eliminating herbivores from our diet, we may have a realistic approach to reversing the warming we have created.

March 9, 2010

Gypsy - 1996 - 2010


Gypsy_along_the_oath.JPG


February 6th, Saturday night, on my way to bed, I passed Murphy, our lab-cross, in the hallway. I climbed the first flight of stairs to our bedroom and in the near darkness, a dog flew passed me. Rounding the winding staircase, I looked up and watched as a white tail wagged in front of the bedroom door. I was totally confused. Murphy doesn't have a white tail. I looked down the stairs and looked back-up - no tail, no dog.

I called Murphy; heard her coming behind me. I stopped, stunned.

The first dog up the stairs? Gypsy!

He had died the night before. Months ago, when he was able-bodied, he would run ahead and wait at the door to go to bed. He hadn't been up-stairs since early October.

That first February week began auspiciously. For the first time in several months, Gypsy was nearly able to get up on his own. He begged for treats and played with his toys. That was Monday. But quickly he grew weak and by Friday, he was failing and after four months of near immobility due to arthritis his heart gave-up. He died as I was petting him.

I didn't know how to announce his passing. He is already missed by our friends and staff and by guests returning to the inn.

February 26, 2010

The Canadian Advantage - Why Canadians are Smiling

During its reportage of the Vancouver Winter Olympics, NBC is covering all thing Canadian and are correctly portraying Canadians as generally polite, reserved, dedicated, hard working and happy. At the Inn some of our fellow workers were talking about how much more friendly Canadians seem to be.

Canadians are not friendlier than Americans. Nor are they more generous. Traveling and living in both countries, my experience is that Americans and Canadians are equally generous, helpful, polite and outgoing. But there is a profound difference.

Canadians are more "comfortable" - I don't know how else to put this.

Thinking about it, their comfort comes from the knowledge that if they become ill, they will not lose their homes because of high medical costs and potential bankruptcy. In Manitoba, where Joan was born and where we both attended graduate school, their version of "universal health care" is paid for from general Provincial revenues. As a Canadian and Manitoban resident I was issued Manitoba Health Services card on January 1, 1974.

Today I am insured with our employees under an Anthem policy with a huge deductible. It is what we can afford. Medical insurance issues occupy considerable staff time just in management alone. And it is very expensive. Twenty-seven years ago, we could afford to insure all of our staff, part and full time, paying 100% of the employee's costs for a low deductible policy. Today, we cannot. We now pay only 50% and only for full time employees. We wish we could pay more and for a lower deductible policy. But to do so requires raising rates, which at this time and in this economy is problematic.

Manitoba's medical care simply eases life. And don't be fooled with regard to claims that Canadians do not get the medical care they need. We have never heard anything like this. Quite the contrary - we have only heard plaudits: People with cancer, heart disease, rheumatoid arthritis - all feel that they received essential, life saving care. If they need a specialist, even in another province, their "insurance" provides for travel and the necessary treatments.

Canadians do have this on us. Americans simply do not have a clue regarding how much easier life is without having to worry about their medical care.

January 11, 2010

Happy New Year - and an update on Vada.

On November 19th I wrote about the shooting of Vada Vasquez in the South Bronx. For those who read this entry, please note that our daughter reports that she made a great recovery and was home for the holidays.

I apologize for not writing for the past couple of months and especially for not letting readers know that Vada was able to go home.

We have been taking care of Gypsy. His arthritis flared up and he fell hurting himself in middle of November and we have not been able to get him to the Inn and we are spending much more time at home, helping him up and walk outside. He's vegan - we know that helps. But he does not tolerate NSAIDs, including aspirin, ibuprofen, Rimadyl. Today we are adding turmeric to his repertoire of seaweed, Traumheel, peony and licorice, cetyl myristoleate, etc.

We'll keep you informed - please wish him well. And we wish you a wonderful New Year!

November 19, 2009

Violence - and diet.....

Yesterday, November 17th, a friend as well as a former employee called from across the continent. We talked for quite a while. During the conversation, he mentioned that he believed that I hadn't been happy with him when he last lived and worked here because he wasn't vegan. He told me that it takes some time to "digest" the information regarding the health effects of a vegan diet vis-à-vis the animal based American diet. He said that I had time to understand all of this but he hadn't had enough time.

He was wrong. First, I wasn't disappointed that he had not become vegan. I knew that he didn't understand. Second I hadn't become vegan for physical health at all.

I told him that it was a simple change: Twenty-four years ago, I injured myself and couldn't work for a couple of weeks and something - maybe a show on TV or a book - caused me to realize I could not kill an animal for food, yet I ate meat. "Aha," I suddenly knew that I was a hypocrite: Essentially I "asked" others to kill for me. This realization meant I was vegetarian and done with meat. I told him, that I grabbed this opportunity to reduce my hypocritical burden.

While we talked a 15 year old Bronx Latin student was shot in the back of the head down the street from the school. Our daughter, Kate, called to tell us, crying. The girl who was shot, Vada Vasquez was Kate's student when Kate was with Teach for America. A vibrant, talented musician and student, Vada is presently in an induced coma and not breathing on her own.

Vada Vasquez was shot by a 16 year-old boy when he fired a salvo of bullets at a 19 year old. Up to that time he had a "clean" record. His cohorts did not.

Of course, we didn't know this when we talked. But Vada's shooting reminded me how much we need to reduce violence in our lives - from the violence on the streets erupting from poverty to the violence which brings food to our table. We need to do this with love - as nurturers, helping to nurture one another, the animals who are in this world with us and the very planet itself.

I am unable to finish this post on an upbeat note. For too long we have tolerated violence. Perhaps our unwillingness to confront violence and the problems which underlie it comes from our failure to acknowledge the violence that feeds us - our treatment of all but a few dogs, cats and horses. Where is our outrage?! We have become inured to it and that is wrong.

October 4, 2009

Our Passion: Creating an Evocative Destination

Joan and I have been innkeeping for 34 years. The average length of time in this business for "owner-innkeepers" used to be 7 years and we are certain that we have raised that average.

We remain innkeepers because we are essentially educators - in the truest sense of the word. The word educate is related to educere in Latin - "to lead out" or to "evoke." We are evokers - at least Joan is - I might be more a provoker.

The inn is our "campus" and every guest room, common rooms, the gardens, and the river are classrooms. Text books are our newsletter and the books that we offer for sale or inspiration (usually inspiring guests to order from Barnes and Noble, Borders, Amazon or, better, their local bookstore).

Murphy at door Blog.JPG

We would have left innkeeping years ago if it were not for our passion to show that it is easy, practical and delightful - even revelatory - to live sustainably. However we did not get into the sustainable movement: It found us. We pursued "sustainable" practices before anyone applied the word to what we do. We only wanted to live harmoniously and to create a life based on the premise "Do no harm" or practically, "Do the least harm." We started organic gardening because it is productive, healthy and less harmful than conventional. We recycled because we hate waste. We composted all organic matter - garden and food wastes. We separated California Redemption bottles from other glass and plastic bottles; we divided paper into newspaper, cardboard, and office paper. At first we hauled all of this to a recycling center and when Waste Management offered to pick up recycling, we said, "Sure!" After a while, we noticed that the driver was emptying the containers into a single bin on his truck. We asked why, "We've gone to single stream recycling." Apparently Waste Management caved to Northern California's laziness; too many people were unwilling to separate their waste. Now we single-stream and believe that we need to ask more of our neighbors so that we can return to multi-stream recycling. We store our old electronic gear - computers, cell phones, printers, monitors, etc., because we can't be assured that this equipment won't end-up poisoning children in India or China.

In other words, we think about what we do and we ask that our staff thinks about what they do for us. We anticipate that our inn guests, diners, paddlers, and bicyclers might pick up on the attention we give to the details of living in and operating a rural resort set in a garden. We don't know if we are particularly successful but we have touched a few guests, some of our staff and some members of our small community. We could do this no other way.

September 26, 2009

Remembering BS Sessions

Not long ago I found a paper I wrote with a friend while we were at the University of Manitoba. I was taking every undergraduate class in anthropology in order that I could enter graduate school the following term. I already had a BA in economics and had only taken one general anthro course. My friend, Nelson Jones, was finishing his undergraduate degree in architecture and this was a project for one his classes. In any case, it presaged many of the changes I later experienced.

Sharing the common ecstasy must go further than sharing emotional time with fellow men, for ecstasy requires the deep appreciation of man and his relation to the planet upon which he lives. This is awareness of a fuller extent: Once man is able to share, once each individual is fully able to relate to another human being, it will become absolutely apparent that man is also in a symbiotic relationship with his environment - that man is and can only be a part of all he is able to perceive. Godness is extended to all that is, to all which man is a part. This is absolutely a defiant understanding of man, for through the traditions of Western, North American society, man understands himself as dominant, as being able to take from the earth as he wishes, the more the better. Breed as much as he wishes, the more the better. Consume whatever he wishes, the more the better. The living planet is in agony and its agony is felt by man in terms of starvation, over population, destroyed natural resources, pollution, and the other harsh cruelties which man bestows on this planet, on himself.

I share this because it is so collegiate - wordy, excited, and meaningful. There's a joyousness in the premise that human relationship can be inspirational leading to the experience of a greater relationship to the entire planet. This human expansionism is an essential theme of Thaddeus Golas' The Lazy Man's Guide to Enlightenment (1983).
(Check out this slim volume - it's a great introduction the expansion of consciousness that many sought and still seek with drugs.)

How many students have walked through that door connecting with another? How many have experienced the ecstasy of knowing another - of discovering a friend - a twin, and not just focusing on each other, like staring into a mirror, have expanded into an awareness of the connection of all things. How many have gone deeply into appreciating the essence of experience and realized this joyous connection with the planet? And how many, then, walked back into ordinary life without acting on the knowledge gained from such an intense experience? Well, I am one. I don't know about Nels: I lost contact with him years ago. But the connection to life on the planet re-awoke a few years later and I became vegetarian.

I am now vegan - that is, I eat no animal products at all. Consuming animal products extends the suffering Nels and I wrote about. The planet suffers, too, from improperly growing and handling plants - in particular the "processing" of plant foods. Here, we prefer whole foods. Prepared foods (such as soy protein isolates or cakes like Twinkies) are usually are not whole foods. Lentils, almonds, avocados, sunflower and flax seeds are. Processed foods require substantial energy inputs and the output is never as nutritious.

It took me years to live this part of this philosophy.

So this entry is about remembering! Remember those intense discussions, what we called "BS-ing" or "BS" sessions. Remember the discovery that you were connected to another person - that there was a resonance and a joy in that recognition. (Often this happens with friends, not girl friends or boy friends, because that gets complicated.) Remember that exploration of ideas and feelings and remember those occasions that you were more inclusive - expanded beyond just your fellow explorer and the room - and in touch with the planet, and beyond, to the cosmos.

These remembrances might be life changing!

September 5, 2009

Cellphones, Cordless Phones and Cancer - Real Warnings!

This is one of most important entries I have written. I feel badly that I haven't posted this information earlier, but I wanted to do additional research. I have sent emails to people I know with phones which appear to be more hazardous than I ever expected.

For the last 15 years, I have been following research on the effects of non-ionizing radiation produced by cellphones. Our entire family and most of our staff and guests use them. Knowing their hazards makes using them a bit geeky and definitely less convenient, but, importantly, somewhat safer. In any case - let's start with the recommendations from a stellar panel of scientists from the planet's premier universities.

First, this information is from a study released in August, Cellphones and Brain Tumors 15 Reasons for Concern - Science, Spin and the Truth Behind Interphone.
The authors advocate the adopting the precautionary principle"

The precautionary principle applies where scientific evidence is insufficient, inconclusive or uncertain and preliminary scientific evaluation indicates that there are reasonable grounds for concern that the potentially dangerous effects on the environment, human, animal or plant health may be inconsistent with the high level of protection chosen. (European Commission Communication on the Precautionary Principle - 2nd February 2000: In Cellphones and Brain Tumours....)

Finding that published information regarding microwave radiation to be insufficient, uncertain, manipulated and even biased and that a variety of peer reviewed studies demonstrate correlations between the use of cellphones and cancer, the study recommends taking personal responsibility and lists actions you can take. Below is a modified version of their list:

  1. Use a wired headset, speaker option, or text. (Bluetooth uses microwaves to communicate with the earpiece.)
  2. Keep the cellphone away from your body. Use a holster; keep on the outside of a purse, messenger bag, backpack, etc.
  3. Avoid use in a car, train, bus, or plane. Vehicles are metal and microwaves are reflected by metal ricocheting until they dissipate their energy.
  4. Avoid use in rural areas moving vehicles or wherever there are less than full bars. The greater the distance from antennas, the greater power the cellphone will generate. Distance equals "more power"
  5. Use cellphones as answering machines. Leave off until you can use it to check calls.
  6. Use a corded landline whenever possible to return calls.
  7. Avoid cordless phones. Recent studies indicate that they also increase the risk of cancer.
  8. Avoid use inside buildings, particularly with steel structures
  9. Do not allow children to sleep with the phone - under their pillow or on their bedside table
  10. Do not allow your children under 18 to use cellphones except in an emergency

For those of you who have stuck with me - the following are details from the above study.

Here are the 15 reasons for concern summarized:

  1. Industry's own research showed cellphones caused brain tumors
  2. Subsequent industry-funded research also showed that using a cellphone elevated the risk of brain tumors
  3. Interphone studies, published to date, consistently show use of a cellphone for less than 10 years protects the user from a brain tumor.
  4. Despite the systemic-protective-skewing of all results in Interphone studies, significant risk for brain tumors from cellphone use was still found.
  5. Studies independent of industry funding show what would be expected if wireless phones cause brain tumors.
  6. The danger of brain tumors from cellphone use is highest in children, and the younger a child is when he/she starts using a cellphone, the higher the risk.
  7. There have been numerous governmental warnings about children's use of cellphones.
  8. Exposure limits for cellphones are based only on the danger from heating.
  9. An overwhelming majority of the European Parliament has voted for a set of changes based on "health concerns associated with electromagnetic fields."
  10. Cellphone radiation damages DNA, an undisputed cause of cancer.
  11. Cellphone radiation has been shown to cause the blood-brain barrier to leak.
  12. Cellphone user manuals warn customers to keep the cellphone away from the body even when the cellphone is not in use.
  13. Federal Communications Commission (FCC) warning for cordless phones.
  14. For Digitally Enhanced Cordless Technology, the FCC warns, "This equipment should be installed an operated with a minimum distance of 20 centimeters (almost 8 inches) between the radiator and your body." The radiation from these phones is based on GSM cellphone technology.
  15. Male fertility is damaged by cellphone radiation.

One of the studies cited by the authors is particularly striking in its indictment of not only cellphones but also cordless phones. Pooled analysis of two case-control studies on use of cellular and cordless telephones and the risk for malignant brain tumours diagnosed in 1997-2003 reports odds ratios with a confidence level of .95 of 3.7 for digital cellular phones and 2.3 for ordinary cordless phones for malignant brain tumors when used for more than 2,000 hours. Worse, odds ratios are higher for younger users. (Odds ratio is a measurement between two groups - those who have used the devices versus those who haven't.) To summarize their findings: Cumulative use of cellular and cordless handsets, particularly on one side of one's head, is correlated with increased risk of malignant tumors including gioblastoma.

This study alone is alarming. And it is only one of many cited by the authors of Cellphones and Brain Tumours...

The bad news just keeps coming: A few years ago when I looked-up information concerning the nature of microwaves' effect on the brain - the only effect was understood to be as a point source of heat. This newest report points out that there are unknown effects other than heating: "...why does medicine use these fields for healing bone fractures that did not previously heal with a cast, and the military use them to discourage the enemy?" (Cellphones and Brain Tumours...)

Cellphone manufacturers are providing more substantive warnings than even five years ago. For example, BlackBerry specifies that users carry the phone in an approved holster or keep the phone approximately 25mm or nearly an inch from the body. The company warns that the popular Curve should not even be carried on the body if not in an approved holster that must have a belt clip.

Carrying solutions, including RIM approved carrying solutions and carrying solutions not approved by RIM, that do not come equipped with an integrated belt clip SHOULD NOT be worn or carried on the body. For more information regarding the wearing or carrying of this BlackBerry device without using a RIM approved carrying solution equipped with an integrated belt clip, see the Holster information in the Additional safety guidelines section of this document. http://docs.blackberry.com/en/smartphone_users/deliverables/5451/SIB_8300_series_169506_11.pdf

The iPhone is 10mm better.

For optimal mobile device performance and to be sure that human exposure to RF energy does not exceed the FCC and European Union guidelines, always follow these instructions and precautions: When on a call using the built-in audio receiver in iPhone, hold iPhone with the 30-pin connector pointed down toward your shoulder to increase separation from the antenna. For body-worn operation, keep iPhone at least 15 mm (5/8 inch) away from the body, and only use carrying cases, belt clips, or holders that do not have metal parts and that maintain at least 15 mm (5/8 inch) separation between iPhone and the body. When using the EDGE data transmission feature of iPhone (see the iPhone User's Guide for more information), position iPhone's antenna at least 15 mm (5/8 inch) from the body."http://manuals.info.apple.com/en/iPhone_Product_Info_Guide.pdf

There's more information. But more is not necessary. Just be careful. Use the precautionary principle - be sure to use wired headsets. Don't carry your phone in a pocket and particularly near organs. If you need to use your phone in a vehicle - stop, open the windows. Similarly, use your cellphone outdoors as much as possible or by an open window. A local RF engineer told me when that dual pane glass reflects RF signals, which will cause the phone to power-up. (Interference AND distance = more power!) The cellphone is a wonderful product and a BlackBerry, iPhone and other smart phones are computers usually smaller than a cigarette package - and perhaps far more dangerous. Take care!

September 2, 2009

Dining on the Road - Three Thai restaurants to note: Arun's, Chicago; Sokhothai, Winnipeg, MB; & Siam Thai, Billings, MT

We are vegan and are no longer challenged to find decent restaurants on the road with the explosion of Asian restaurants- particularly, Chinese, Thai, and Vietnamese. With the exception of East Indian restaurants, most other ethnic restaurants are animal based. Just twenty years ago, there were Chinese restaurants that did not serve "bean curd" - tofu.


A note on reviewing:
Rarely do we discover restaurants worth reviewing. We are not interested in punishing restaurants, hotels, activities, etc. by writing bad reviews. That's too easy - in fact I used to negatively criticize just because it made me feel better about myself - that I was able to find something wrong with some aspect of some business, event. I felt "smarter" because I could identify someone's error, poor service. Reflecting on this, I found that I was damaging myself - residing in the negative and, really, in "pride." Thus, here are some positive reviews:

Last month, while on vacation, we experienced two "new to us" incredibly fine Thai restaurants - Sukhothai Restaurant in Winnipeg, Manitoba, Canada - which ranks as the best standard Thai restaurant we have found and Siam Thai in Billings, Montana, the second best. (The consideration "standard" is required to distinguish most Thai restaurants from the artistic Arun's in Chicago. More on that later.)

At Winnipeg's Sokhothai Restaurant vegetables are perfect - sauces complex, spicy and yet absolutely flavorful. Service is attentive and knowledgeable. We appreciated the menu's pricing - animal based dishes are $1 to $2 additional - partially reflecting the greater resource cost for animal foods. (There's no way to quantify the suffering.) Sokhothai is located at Osborne and Gertrude on the south end of Osborne Village.

Siam Thai in Billings, Montana is in the west end of the city at 3219 Henesta in a small strip mall. Although we only ate lunch, it was remarkable and this restaurant is our second favorite standard Thai restaurant in North America - the first being Sokhothai in Winnipeg. Admittedly we haven't explored Thai Restaurants in Montreal, Toronto, Kansas City, St. Louis, etc. But we have in California's major cities, New York City, and Chicago.

And in Chicago is a Thai restaurant that redefines Thai cuisine and is not at all "standard." In Chicago during the run-up to the presidential elections, Alex introduced us to a remarkable Thai restaurant - Arun's. The dishes here are incredible. Chef Arun Sampanthavivat is an artist. The vegetables and flavors are just right, the sauces amazing - and the plating - outstanding. Arun serves a prix fixe 12 course dinner and a night at Arun's is memorable. Each course - six appetizers, four entrees, and two desserts comprise an exquisite evening. Although Sokhothai and Siam Thai's flavors are outstanding and wholesome, a single dish is a meal where Arun's tasting menu is twelve dishes tailored to each diner. And Arun's is in no way "standard". I know of no other Thai restaurant like Arun's: it is incomparable and for this reason, perhaps, has received a Five Diamond Award from the American Automobile Association.

Vegan Icelandic? When in Manitoba, we stay in Matlock at Joan's cottage. Just up the road is Gimli, Manitoba, the largest Icelandic community outside Iceland. Here we discovered another dining "find" in a former jewelry store, Cronshaws. Joan's oldest friend introduced us - her husband did the extensive woodworking - darkly stained paneling to invoke an intimate British pub. Although in Midwestern Canada, Cronshaws features a menu with dishes created with organic ingredients. The creators of this rural miracle in a fishing village provide a number of vegan items. And they are concerned about health: the bake their "fries" - really potato wedges. They were only able to serve us nine small wedges - because they ran out . Wat we tasted were excellent. They also offer vegan sandwiches, soups, salads and a Turkish appetizer plate with humus and baba ganoush. Cronshaws is truly futuristic.... In the Midwest, in a fishing community populated by Vikings!

In summary - from north to south we recommend Cronshaws Pub in Gimli, Sokhothai in Winnipeg, Siam Thai in Billings, and Arun's in Chicago.

August 12, 2009

Home and Canadian Health Care

Awoke this morning after a very short night (didn't get to bed until 4:00 AM). A raven called out. There were no other birds announcing their presence. I looked out over the pastures - brown and dry, dust rising up from the horses' slow walk to find grass. Mendocino is in the midst of the dry season and our fall-winter-spring visitors, killdeer, robins, redwing black birds, are gone. There are plenty of human visitors escaping inland's heat, exploring the California Coast, and/or just getting away from home, here, now.

Our vacation was wonderful: North America is magnificent - whether the plains relieved only by rivers cutting through the otherwise flat land; grain silos and trees; rolling prairies; mountains; or the coast. We discovered incredible restaurants in unexpected places. For example, a couple of Thai restaurants one in a remodeled KFC in Winnipeg's Osborne district and another in a storefront in a small mall in Billings, Montana were exceptional not only making our list of good restaurants, they are first and second of all Thai restaurants we have experienced from coast to coast.

We kept-up on the news - particularly the debate over health care. Canada's healthcare system is not perfect, but it is being misrepresented. We asked about our friends' experiences and no one had a horror-story - all were appreciative of the care they have received.

For example, in Manitoba, we spent time with a great family - a couple in their mid- thirties with a one year old girl. The father is still recovering from major brain surgery and before that radiation. In 2007 he was diagnosed with a small cell cancer. He almost immediately began radiation treatments at a specialty institution in Toronto, where he doesn't live. He and his family live in Winnipeg. Later he had surgery in Winnipeg and is now going through rehab there. His experience is in stark contrast to the experience claimed by the Ontario woman who had a non-malignant cyst near or perhaps on her optic nerve.

By the way, our friend (and relative) has been out of work for over a year because of the severity of the disease. His wife does work and he is now re-entering the workplace working part time for the company where he was working when he was diagnosed. The point is that the system in Canada provided for his treatment and recovery without bankrupting him and/or his family (his parents who would have helped financially if it had been necessary).

On the other side of the debate, Joan's mom had cataracts. She was not able to arrange to have surgery before her eyesight deteriorated to the point where, first, she didn't believe she saw well enough to drive and, second, she lost confidence that she could see traffic well enough to cross a busy street. We urged her to get the surgery as soon as possible, however there were not enough practitioners in Winnipeg and appointments were granted to the "worst first." The quality of her life deteriorated and even after surgery, she did not fully return.