Say Goodnight Dick.

Before embarking on my soon-to-end career, I took a course called “Labor in Literature and the Arts”. For that course I wrote a series of poems about work (including delivering newspapers, selling concessions at football games, driving cab, plumbing). After several years working in healthcare, I realized I had not yet written about that endeavor. I decided to do something about it.

Fast forward a dozen years. I was looking for some old photos on a seldom-used hard drive. I came across some poems about health care that I’d forgotten about. I’ll reprint some here so that you can forget about them, too.

Surgery

Surgery is better than medicine.
That’s why surgeons get paid more than physicians.
If I give you a medication,
You have to keep taking it.
But if I cut something out of you,
It’s gone forever.
But then maybe you’ll have to take
Some medication.

I used to be a plumber.
I could be a vascular surgeon.
It’s the same work,
But it pays better.
It’s usually cleaner
And doesn’t smell as much,
But that’s not always true.

I can use a snake to clear a clog
But in your arteries we give it a different name.
I can replace your pipes
And if I were a surgeon I wouldn’t even have to
Know how to solder.

I used to be carpenter
But now I’m an orthopedic surgeon.
The tools are pretty much the same
But smaller and prettier.
I love stainless steel and titanium.
The work is still the same
But I get more respect.
I get paid ten times as much
And no one complains about the bill –
Not to me, anyway;
No one wonders if I’m worth that much.
No one complains about the materials cost
And asks me if I could use something cheaper.
No one tells me they can get a hip for less at Menard’s
And asks me if I can install that one and only charge for labor.

Alphabet Soup

There is a poem waiting to be written
But I don’t know how to write it.
I’ve been in this hospital for ten years.
There are stories to tell
But I still don’t know how to tell them.

You come in with a medical history written in code.
CAD, DM II, CHF, ESRD on HD.
The we ask you what’s wrong
And make a diagnosis.
Diagnosis means telling you what you just told me,
but saying it in Greek and Latin.
Just because I can recite your symptoms in another language
I get paid in 6 figures. 
Well, not me
But someone like me.

We still don’t know how to fix it.
We can give you some drugs.
They’ll make some of the symptoms better
But only as long as you keep taking them.
The drugs will cause some other symptoms
But we have a drug for that.

We don’t use the word “drug”.
That’s how you know I’m not really a doctor.
If I were a doctor I would have said
“Medication”.
Drugs are what you take.
Medications are what we give you.

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Hurricane

Since we’ve been cleaning our favorite stretch of highway, the most discarded item has been the Busch Light beer can, consistently through the years. Busch Light has been dethroned by Hurricane, a malt liquor from the same manufacturer, so Anheuser-Busch retains the distinction of being the most-littered company.

Music starts at about 2 minutes in .

It is a cold and wet spring; not the most conducive to training for a coast-to-coast ride…then again, we will be riding in all kinds of weather so I’d best hit the road. Last week’s evening club rides were rained out. Sunday’s ride was cold and wet and started an hour earlier than the previous Sunday rides. I missed it. After cleaning the highway I got on the bike for a “choose your own adventure” loop of unknown distance. The temperature topped out at about 50 degrees (10 C).

I headed out on favorite highway F to ID (old US 151) with a plan to turn down JG to Little Norway. I was feeling good along the ridge and missed the turn, deciding I might as well ride along the ridge into Mount Horeb and take JG to Stewart Lake instead. And so it went. An unplanned ride, long enough to get some exercise, not long enough to get tired after 4 miles of walking up and down the highway picking up beer cans.

Rubin “Hurricane” Carter was a middleweight boxer in the 1960s. Being the child of a boxer, I grew up watching boxing on TV every weekend. As Dylan’s song tells, Carter was wrongly convicted of murder. He was eventually released from prison and died of prostate cancer at the age of 76. He was cared for at the end by John Artis, who had been convicted of murder along with Carter but released on parole. After two dubious convictions, all charges against both were dropped eventually. Carter later worked to exonerate other people who were wrongly convicted.

Tuning up

I have turned in my notice at work. I’ve told you in these pages that I’m doing it again. That requires tuning up – both me and the bike. Four years ago I wrote about training. I won’t do it again. Write about it, that is. Doing it – training – is even more imperative when 70 is right around the corner.

In one of those “If You Give a Pig a Pancake” moments, I decided to replace my cables for the coast-to-coast trip. I figured I’d do those before the season, since there could be some stretching and adjustment needed. I’d replace the chain closer to the ride date, and mount fresh tires for the trip. So it was in March that the bike first went up on the stand…

When I put the bike up on the stand, I realized it was dirty. No sense putting clean parts on a dirty bike, so cleaning comes first. If you’re going to clean anyway, you might as well take off some parts to get at the dirt…

Calvin and Hobbes, copyright Bill Watterston 1993

Cable fishing

One of the more fun aspects of owning a bike with internally-routed cables is actually routing those cables. If you’ve ever tried it, you know I’m being facetious. Park Tools makes a kit for the job. Unfortunately, their expensive tool does not work on some bikes. One of their options is a plastic sleeve that goes over the cable end and attaches to a guide. Another is a thin cable with a magnet on the end to thread through the tube and attract your cable end. The problem there is that the opening at the end of my chain stay is smaller than Park’s guide and magnet. A third option is a magnet to run along the outside of your tubing to attract and guide the cable. The problem there is that high quality cables are stainless steel and therefore not magnetic. What to do?

I fabricated a series of tools from old spokes that accomplish these and other tasks.

Here are the tools. How they work will follow.

Trying to route cables using your old housing but you don’t want to redo your bar tape and the cable won’t go? The tool at the top will do the trick.

You are looking down at the brake/shift lever from the front. Hood is peeled back at lower right. Cable is coming from lower left and going under bar tape and into (unseen) housing at the thumb. The tool holds the cable down and guides it into the next opening. (It wants to go straight up, not make that bend.)

Trying to route through the tiny hole at the back of the chain stay? Superglue and thread.

Leave the old cable in place and cut it at the bottom bracket. Remove the top half. Thread the new cable to the bottom bracket. You might need the tool above to get it under the bar tape. Go to the bottom bracket where you now have both cables. Put a drop of Superglue on the end of the old cable. Spread the glue a bit. Wrap thread tightly around the end of the cable. Let it dry. Place cables end-to-end, put a drop of Superglue on the end of the new cable, wrap thread tightly, let it dry. Now go to the exit hole at the back end of the chainstay. You will use the old cable to guide the new one through the chainstay. Gently pull the old cable through, guiding the new cable into the chainstay at the bottom bracket. Keep pulling (and gently feeding the new cable) until both come through. You should have enough cable that you can cut above the Superglue before threading into your derailleur.

Rear brake cable travels along the top tube with no problem, but now you can’t get the end out? Try the hooks.

There’s the cable sitting in the top tube. (Looking down from above) Now what?
The middle cable hook sits on the bottom of the tube. The cable will slide onto it and you can lift it part way. The bottom hook will lift it out of the tube.

No patents on these tools. No cost beyond some old spokes and time with a file and pliers. Feel free to make some and try it yourself! The tools you need may vary with your bike. If you have a few old spokes, play around until you make the tool you need.
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