• “Cuba-to-Florida Quest Defeats Swimmer at 61,” the headline reads in today’s New York Times. Diana Nyad, famed marathon swimmer, tried to make her way from Cuba to Key West without a shark cage in one go.  Her shoulder cramped.  She kept swimming. She had an unexpected bout of asthma.  She kept swimming. She began vomiting uncontrollably.  She stopped swimming. Her handlers pulled her from the water, and that was that.

    I want to be supportive of pretty much anything anyone does to challenge themselves, but this venture struck me as kinda dumb. But, then, I don’t get mountain climbing, either. So what if you can swim from Cuba to Florida? Or climb K2? Seems like a huge waste of money, plus it’s really dangerous. And you could leave people who love you feeling awful forever if something bad were to happen. Like if you were to die.

    In addition to my usual “hunh,” I didn’t respect Nyad’s motives.  She told reporters she was feeling bad about getting old. Or older. Whatever. She announced that “60 is the new 40″ and that she wanted to do something that would prove she was in great shape physically and in better shape mentally than ever. “People my age must try to live vital, energetic lives,” she said. “We’re still young. We’re not our mothers’ generation at 60.” And this: “I’m standing here at the prime of my life; I think this is the prime, when one reaches this age.” I rather lost patience when Nyad counseled to “[b]e your best self.” Didn’t Oprah retire, already?

    In yesterday’s newspaper I read about 70+ year olds clamoring for elective plastic surgery. I don’t want anyone discriminating against my saggy old self. But, really, when do I get to let go a little? When can my “best self” admit that it’s not in its prime any more, that it can’t do what it did at 20? When can my “best self” have a bad knee and crow’s feet?

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  • There are so many reasons to celebrate President-Elect Barack Obama’s victory last night: what it means for upcoming appointments to the Supreme Court, the significance to our ability to interact with the rest of the world in positive ways, exiting gracefully from Iraq and bringing home our troops, the implication that the best (not just any) person can win regardless of race or gender, the warm fuzzy feeling of the country coming together in a lovely shade of blue. Yes, all of it.  All of it.  It’s so exciting.

    And then there’s my knee.

    My right knee, specifically.  

    When I saw the knee specialist last spring, he reconfirmed that I have a growing hole about the size of a quarter in the cartilage underneath my right kneecap.  When I put pressure on the knee, bone rubs on bone.  It hurts.  At the ripe old age of 46, I don’t hike or backpack, play tennis, run, or do anything that causes impact to my right knee.  Instead, I get in the pool for my own water aerobics routine, ride a recumbent bike at the gym, and do lots of stretching.  More than you wanted to know, but there you have it.

    I asked the knee guy if I’m a good candidate for knee replacement surgery.  Or maybe a partial replacement.  Not really, he told me.  For this particular problem, doing nothing is about as effective as undergoing invasive surgery.  I told him I felt a little helpless, given the lack of options.  

    The knee guy leaned in.  ”Your best bet?  A new administration.”

    Hunh?

    Research scientists have successfully manipulated stem cells in non-human animal models to re-grow cartilage after trauma.  Whether the process will work in degenerative disease is still an open question.  And whether it works in humans is a matter of electing a presidential administration open to regulated stem cell research.  Might take three or four years of trial and error, but, he said, there’s an excellent chance that an injection of engineered stem cells would patch the cartilage hole.     

    Along with all those other people out there hoping to get fixed — those harboring identifiable genetic mutations predisposing them to disease, those hobbled or stilled from injury or deterioration — I’m nursing a bad case of hope today.  Maybe the knee guy is right.  Maybe with a new administration, there’s a chance for a fix.

    My right knee offers thanks all who voted Democratic yesterday.  It would bend deeply in gratitude if it could.  But it can’t.  And that’s the point.

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