Paul's Heart

Life As A Dad, And A Survivor

Archive for the category “Food”

Paul’s Heart Milestone – 100,000 Views!


It certainly took long enough, definitely longer than I thought it would, and then last night, as I realized it was going to happen real soon, it took even longer. I was taking screenshots of the counter, for just before, and then when 100,000 was hit. But as most things in life, not having control, my counter went cuckoo as multiple visits registered at the same time.

Though I am a 37 year cancer survivor of Hodgkin’s Lymphoma, I did not start the concept of Paul’s Heart until thirteen years ago, five years after I became aware of the complicated health issues I had and was developing due to the treatments of my cancer back in 1988 at the age of 22, just out of college.

I have always enjoyed writing. I actually have kept school assignments from elementary, junior high school, and high school. I always got good grades. In junior high school, I began writing song lyrics (though very tacky and cheesy) and poems, but it was documentary and testimonial pieces I enjoyed writing most. In college, I experienced my first bad and quite rude critique, and the way I handled it was definitely wrong. My professor not only handed me my first “F” (I had never had less than an “A” on any writing assignment), but my professor also wrote in big RED letters, “you don’t have the intelligence to get past a comic strip page.” And with that, I dropped out of her class. I was devastated. I felt I was a good writer. It was one thing to get a bad grade, after all, grading a paper is subjective, but the insult definitely crushed me. And I stopped writing, for a long time.

But it was during my later years of survivorship, my passion and my need for writing returned. As a patient and survivor advocate, I often encourage people to put their feelings and experiences down in writing. There is a catharsis, a releasing of pent-up emotions, stress, or trauma, resulting in a feeling of relief, renewal, or emotional cleansing that comes when you let those feelings leave your body. This is especially good if you have an aversion to speaking to a therapist, which I can tell you, is also a good option.

In 2013, I created Paul’s Heart originally with the web address http://www.pedelmanjr.com , later adding http://www.paulsheart.com . I have published 1323 posts over those years, averaging about 8 posts a month, sometimes a lot more, sometimes a lot less. I still have 285 sitting in a cue to finish, stalled by writer’s block or distracted by other topics that came up in the meantime, now sitting in their own purgatory. I have 48 pages, short stories also published on this site, as well as links to other resources. I have allowed comments to my posts, well, except for a few trolls (their comments are actually saved should I ever decided to approve them). I avoid only two topics by choice if it can be avoided, politics and religion, unless there is a tie to cancer, health care, and survivorship.

It definitely took a lot long to hit this milestone than I thought. At least in the beginning, average views to the page were around 20, and depending on the topic, there would be hundreds of views. It had been my hope, that in spite of Hodgkin’s Lymphoma being considered a rare cancer, Paul’s Heart would hopefully finally get Hodgkin’s on the conversation map. I am a small fish, not like the American Cancer Society or the Leukemia Lymphoma Society, but unlike them, I am solely focusing on Hodgkin’s and long term survivorship. Little ol’ me, not famous, not rich, and without the help of anyone famous who had also recently dealt with Hodgkin’s who had an opportunity to draw attention to the cancer we shared (Michael C. Hall “Dexter”, Martin Fry – lead singer of 80’s band ABC, comedian Dick Gregory, actor DJ Quals, literal “Survivor” Ethan Zohn, Pittsburgh Penguin hockey great Mario Lemieux, Kansas City Chiefs Eric Berry, and though he has passed, Microsoft founder Paul Allen), though in fairness, as anyone who has dealt with cancer, nobody wants to stay in the cancer world once they are done with treatment and in remission. I am an anomoly. For me, it is my way of giving back for the efforts of those who saved me.

So yes, I am doing this one post at a time, one person at a time. I am also doing this organically. This count was done with the efforts of those who follow or read Paul’s Heart, and then share it. Word only gets out, when it gets passed around. Not once did I ever pay to publicize any of my stories here. 100,000 views is a legit and honest effort!

I have also expanded Paul’s Heart with 2 Facebook pages, both titled Paul’s Heart, I am on Youtube at @paulsheart, and have a Paul’s Heart page on Tiktok at @paulsheart2022 where I rank in the top 10% of creators with the similar follower counts.

I have been doing peer to peer counseling with patients and survivors nearly my entire survivorship. I have given countless survivorship speeches and interviews on cancer survivorship, though still waiting for that one big opportunity with major media, but I realize the big ones don’t care about publicizing happy stories. And then of course, I got to publish so many projects, newsletters and book anthologies for other organizations (like Memorial Sloan Kettering Cancer Center). I even got to have one of my stories performed by broadway actors, that was way cool (see the link on this page “My Dad Was Just Like Me”). And then finally, my biggest effort, publishing my own book, called “Paul’s Heart – Life As A Dad And A 35-Year Cancer Survivor,” available on Amazon. And I have four more book projects started and undoubtedly will either need to do another book on my survivorship as I have lived even longer, or at least do a second edition. I am also working on doing an audible version of the book. One other thing I would like to do, is create a podcast.

I have tried to balance my topics here not just with things related to cancer and survivorship, but with all things, life after cancer, a life that definitely was no longer like what I was doing before cancer. I have shared stories of other survivors, and memorialized those who have passed. I have dealt with everything from relationships (married twice, divorced twice), to employment issues, and even dabbled in local politics as a school board candidate (an interesting experience). But perhaps the biggest thing that I got to share here, was my experiences with parenthood. The BEST THING hands down about my 37 year cancer survivorship is being the Dad of two of the most wonderful, intelligent, beautiful, kind, empathetic, all around, best daughters a Dad could ever hope for. They were not there when I dealt with my cancer, but they have witnessed the last 18 years of my difficult survivorship with all the health issues that I face. Only in recent years do they understand the gravity how serious some of these issues are, because now as adults, they are included in all of my appointments. There is no one that matters more to me than my daughters and each and every moment I get to spend and witness with them. This unconditional love has been the bond that has kept us together, and going, and keeps me going wanting so many more years of time with them, to see what else they accomplish.

Today is a big day for Paul’s Heart. It is a compilation of so many things that have come together, hopefully achieving what I set out to do when I was told I was in remission, making a difference, wanting to inspire others facing cancer and survivorship, even if one at a time.

And though I am sure that old battleax of a professor is no longer in this time and place, whereever she is, I am hoping she can see the two finger salute I am giving her. Her words did not stop me forever and I am quite proud to have done what I have. And finally, my daughters have their legacy of their Dad to be immortalized forever, right at their fingertips.

Root Forward, Don’t Scratch Backward


(photo courtesy of Facebook Pennsylvania German)

As someone with Pennsylvania Dutch (German) heritage, there is a custom in my family, that on New Year’s Day we eat pork. Of course, all the holidays seem to have their “meat” of the holiday, whether it be turkey on Thanksgiving, ham on Easter, and though I have never had a Christmas goose, we usually had some sort of fowl. But on New Year’s Day, the menu was pork and something called sauerkraut. Yes, the same condiment you put on hot dogs at a ball park during a baseball game.

If you like cabbage, chances are you will like sauerkraut, because that is all that it is, finely shredded cabbage. It is fermented with salt, and the smell is likely what turned me away from it as a child. My grandmother was notorious for fermenting and pickling (with vinegar) vegetables. The pungent smell in the house lasted for days.

The truth is, sauerkraut is actuall good for you, packed with vitamins and minerals, boosts gut health, the heart, and the immune system. And you would think this would be a convincing argument for me with my health history to make this a part of my daily diet. Nope. I am permanently against sauerkraut. Now to get all nerdy about the fermenting process, it is driven by lactic acid, which squeezes out the juices of the cabbage, then the cabbage sits in that juice and ferments.

Now for the super nerdy… isn’t lactic acid what is the cause of sepsis, a life threatening condition? I only know this because I was septic due to pneumonia back in 2012. So relax, there is no conspiracy against sauerkraut, but there is a difference between the lactic acids in suaerkraut and the lactic acid produced in the body, which I did not know about until I wrote this post. Simply, the lactic acid in the body is considered an L-lactic, while the lactic acid in sauerkraut is D-lactic, and there is a difference. I am not going into that science lesson on this post, just know there is a difference, and you are okay to eat sauerkraut if you can get passed the smell and bitter taste.

So, getting back to the pork on New Year’s Day and why. The Pennsylvania Dutch eat pork on New Year’s Day, because a pig roots forward, and fowl, like a chicken (we never had chicken on New Year’s Day), scratches backwards. So, you go forward into the new year and leave the old year behind. The picture above is exactly what our plates looked like at dinner on New Year’s Day, except mine was missing the sauerkraut.

Oh, one warning, if you were out the night before as many New Year’s Eve revelers do, and drank heavily, and still under the influence just now a hangover, you might want to skip the sauerkraut. Not a part of the custom, and definitely not the way you want to start the new year.

Arachnaphobia, Ophidiophobia, Acrophobia, Trypanophobia


(image courtesy of Dr. Vinod Mune, Psychologist)

Playing the game “one of these is not like the other,” assuming you know the definition of the word “phobia”, meaning fear, all four words are in fact fear related. And I can admit, with no shame, that these are four fears that I do have. I actually have others, but these are my worst, because I am constantly confronted by them.

The first, arachnaphobia, you probably do recognize as a fear of spiders. HATE THEM! Ophidiophobia, is the fear of snakes. I am constantly crossing paths them living in the south. Acrophobia is a fear that I did not have through most of my life, until a couple of decades ago, the fear of heights. And this particular fear, I do not blame on myself, but was rather inflicted upon me. Driving through the Sierra Mountains in California, enjoying the beautiful views, my arm was suddenly grabbed tightly by a passenger followed by the loudest gasp I had ever heard, as if in a horror movie. When I asked what was wrong, my friend in her best “Shaggy from Scooby Doo” voice stuttered and pointed out, the straight drop down from the road, likely thousands of feet, and most noticably, no guardrail other than a six inch rim along the road. Until that moment, it was pure beauty, but to this day, heights are pure hell for me. This ruined me with roller coasters, ladders, even high rise buildings when I am secured by glass.

But the final term, especially given my medical history, is often a surprise to many when they hear this about me. I will go one step further, this fear for me is quite irrrational. As it could be the difference between life and death. Trypanophobia is the fear of needles. I am not talking about sewing or knitting needles, pine needles, actual medical syringes.

Between my Hodgkin’s Lymphoma days, and the last seventeen years of my survivorship esepcially, I have seen my share of needles from vaccines, to blood draws, chemotherapy, IV’s and worse. And while I have dealt with all of those, there is one thing I will not do, inject or poke myself. As a Type 2 diabetic, in a battle of wills, I am constantly being encouraged to do multiple daily sugar counts, by way of a quick finger stick (using a lancing device with a triggered needle causing the blood letting).

Here comes the irrational part. I have no problem if a nurse or tech does it to me. It is over as quickly as it is started. There is no hesitation on their part, they know their job and they are good at it. And honestly of all needle injections I face, if I have to have one done, it would be the finger stick. Ironically, techs and nurses find this thought odd. But with me, not only am I squeamish (in spite of all the surgeries I have been through), and I know I can handle the actual lancing, my hesitation with doing it myself is a deal breaker. Like I said, I have had finger sticks hundreds of times over the years, but never done them on myself. And I am not about to start, irrational as I know what my doctors are trying to accomplish, but this fear is that strong.

So, naive me, is now getting all these ads on my social pages for “glucose monitoring” devices, you know, the little button “thingys” stuck on peoples’ arms. Since I am 100% against finger sticking myself, sticking this monitor device on my arm seemed like a good option, after all, all you do is stick it to your arm, right? I have seen plenty of people walking around with these things. Unfortunately, these devices are quite expensive. So that became a deterrant for me. But my endocrinologist, undeterred, recommended a system of glucose monitoring, likely the lowest rung when it comes to reliability and accuracy, but affordable. I thought to myself, she is not giving up on me with this, regardless of my hesitation and insistance. The cost was definitely affordable to me, so there could be no excuse.

I received a small box, with two “sensors”, but it felt heavier than I felt two little discs should weigh. When I opened the box, I did not see sensors, but rather two containers approximately and inch and a half tall by an inch and a half in diameter. At first I thought they sent me the wrong thing. I don’t know why, but I decided to fast-forward, and went to YouTube to see how complicated putting this “sensor” on my arm should be, other than peeling off a cover for the “adhesive” to be exposed.

Cue the screaching tires coming to an immediate halt!

The YouTube tutorial explained that a needle from the container/sensor, would implant itself into the back of my arm. This was definitely not what I thought it was going to be. And this was going to be a problem, a deal breaker, once again, over a needle. The package has been sitting on my kitchen counter ever since.

It is clear that there has to have been some sort of trauma in my life that has caused this fear of needles, trypanophobia. The obvious fact pointed at me constantly, “Paul, you went through chemo! You’ve had so many surgeries!” And while that is true, having blood drawn or an IV being put into my arm is stressful for me, because my chemo-ravaged veins usually result in multiple attempts each time (we did not have ports back in 1988). I am good for one, maybe two attempts before I put the person sticking me on notice.

Okay, so if the solution is the lancer, why won’t I use it? And that is where I am stuck at this moment. Whatever this trauma is, I will not do it to myself. I have friends who are diabetics, and many friends who are survivors like me, all monitor their blood sugar as recommended by their doctors. Whether I “can’t” or “won’t”, it is not happening. I have several doctors trying to help me deal with this. I am so appreciative of all the outreach from my fellow survivors trying to offer tips. But as my one friend and fellow survivor found out, if she thought my aversion to vegetables was bad, this issue is a hundred times worse. And I am admitting that it makes no sense. And that is where I am as I write this.

So in the meantime, once again, I have restricted my diet to minimal sugar intake, no salt, low cholesterol, which I know will produce the results that the doctors are looking for, along with the medications that I currently take. And then, I will gently ease back into my regular eating habits which really are not that bad, and not far from what I am currently doing. I don’t smoke. I don’t do drugs. And I may have one or two beers a year. My picky diet (hardly any fruits and vegetables) is my only vice. I do not eat a lot of sweets, I do not even crave them. It was simply a time period with unusual circumstances that led to a lengthy term of bad eating habits that set of the alarms with my doctors.

Of course, with all that my body has gone through over the last seventeen years, and my cancer survivorship, my diet will not be the cause of my demise.

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