It’s a world of difference, turning 70. In 2013 I wrote a remembrance of growing up, maturing and turning 59. But, life kept moving. Suddenly, things have radically changed. I decided to retire at the end of a long career in general surgery. While working, I always had to squeeze in the time for training for half and full marathons, several shorter races, and for my annual cycling vacation with friends in Northampton, Massachusetts. One of my favorite cartoons shows a peasant training for a marathon. This cartoon, by Frank Cotham, publishedin The New Yorker 3/12/2018, captured my style. (My wife bought a print for me for Christmas and I have it hanging next to my race medals).

After 59, I still had room to improve. Almost 61, I ran my half marathon PR, at the Caesar Rodney half in Wilmington, March 22, 2015.

I was doing pretty well the next few years, at work and at play. My good friend Brandon, with whom I’ve run many training miles, often told me that once I retire, I can train even harder and really do great things.

Due to unanticipated problems, that didn’t happen. Or, at least, not as I wished. We experienced the covid pandemic, but I cannot say that affected me personally, too much. People still needed surgery, so other than three months in 2020 when we postponed certain elective procedures, we still worked. I got my vaccines when they became available. Running, though, was a great way to get outdoors, mask-free, and enjoy nature. But a couple of problems came up. Two years ago I was out for a run and got a shearing pain in my right calf. It came on suddenly, like a knife wound. It turned out I had ruptured a Baker’s cyst, which is a thinning and bulging, then tearing of the joint capsule around the knee, releasing joint fluid into my calf muscles. I had an MRI of the knee which also showed A complete tearing off of my medial meniscus. Consulting with three orthopedic surgeons, they all came to the same conclusion. Surgery won’t help, you are kind of old. I attribute this condition not to running, but to standing hour after hour in the OR, constant pressure on the joints, and hyper-extending my knees to be able to get procedures done. This waylaid me for months. After about four or five months I tried running again, very gingerly. While it felt okay, I was still limping and had some pain in the knee. Also, no running for that long makes getting back into fitness a big challenge. Slowly, I hauled myself back, into running and cycling. Yet, I found myself going much slower than before.

Over the next year, things slowly improved. I felt fitness returning. I signed up for a 100 mile bike ride in London, the London-Essex 100, put on by the London Marathon Association and scheduled for the end of May, 2023. I got in some good training, including the Delaware Gran Fondo, a 65 mile ride with 5000 feet of climbing. The London ride went great! I had a good ride, finishing under six hours.

It was then I decided it was time to retire. Work was as busy and satisfying as ever, but taking call, having to wake up in the middle of the night multiple times, sometimes having to go to the hospital at night and still work the next day, was too much. I gave my six months notice. At first, six months seemed like a long way away. As time went by, though, my wife and I had to start planning for Medicare and Social Security. It turns out, there is a lot to do for both those items. The last two months of my employment we spent deciding on things like a Medigap plan and Medicare part D drug coverage. Up to late August, I didn’t need drug coverage. But my blood pressure got the best of me and my friend Glenn, cyclist and physician, started me on a pill. Then, when that wasn’t enough, he switched me to a pill twice a day. Still, not too bad. But in early November, I went for a run after a day in surgery. I got a tenth of a mile and the muscles of the front of my left thigh, the quadriceps, became painful. I stopped, and the pain went away. Being obstinate, I did this numerous times, but had the same problem repeatedly. I tried again the next morning, a Saturday, but still had the same result. When I got home I noticed my left leg and thigh were swollen and bluish. I can recognize a vein thrombosis when I see one! My wife took me to our ER, where I entered like I usually do, the back way, and chatted with the ER doctors. They set me straight, got some imaging done, and discovered I have a condition called May-Thurner syndrome, or a thrombosed left common iliac vein. I was started on heparin, a blood “thinner”, and the next day had surgery to open the vein. Since then, I am on an oral blood thinner which happens to be very expensive. So, now I need that Medicare drug plan. On the positive side, I’m able to cycle and run again.

There is some pressure applied when one retires. Many of my friends have said they are eagerly waiting to see what I do in retirement. They predict all sorts of great projects and activities. That’s a lot to live up to. Right now, I have taken a week off to visit my daughter’s family in Texas, and help my brother-in-law work some calves and cows on our ranch in Oklahoma. But this feels like a regular vacation, as if I’ll return next week and have a full schedule in the OR. Nope. But I will be starting a teaching job at our med school teaching first and second year students. This means I have to relearn all that I learned in med school plus all the new information discovered the last 40 years. I will have more time to run, though….

My running and backpacking friend Christine and I headed into the woods last weekend for a three day two night backpacking adventure. We knew rain was forecast for the first day and steeled ourselves to it, thinking we are equipped for rain, so we can deal with it. Our only concern was would we be able to get a fire going with everything thoroughly soaked.

The Pinchot Trail is in the Pinchot State Forest, about 18 miles east of Wilkes-Barre, Pennsylvania. This land was purchased from lumber companies in the late 1800’s, by the actions of Dr. Joseph Rothrock, a pioneering environmentalist and first president of the Pennsylvania Forestry Association. It had been clear cut of old growth trees and left as tree stumps and dried out tree tops. Much of Pennsylvania’s forests had been treated this way. The man after whom the forest was named, Gifford Pinchot, was a prominent forester, served as Governor of Pennsylvania, and was the first chief of the U.S. Forest Service. He promoted clearing and replanting heavily clear-cut areas to preserve the land from fire and erosion. The state forest began small, in 1902, at 2854 acres. It has been greatly expanded several times, most recently in 2005, to 49,635 acres.

The trail layout was created by connecting multiple shorter trails into two loops, a north and south loop, an effort spearheaded by Frank Gantz. He organized forest service workers and volunteers who blazed the trail with orange blazes.

We parked our car at the entrance to the south loop. A light rain was falling with the temperature was in the mid 60’s. We put the rain covers on our backpacks and headed off. We didn’t wear rain jackets, figuring we would just sweat in them and get wet anyway. Once underway, we really were not bothered by the rain, even though it got heavy at times. A unique feature of this trail are long tunnels of rhododendrons arching over one’s head.

This being autumn, there were no blossoms, but I could imagine them in the spring. The terrain at the start was mostly flat, but into the south loop there are some changes in elevation. The trail passes through hardwood forests (newer growth), the rhododendrons tunnels, and some open meadows. There is a fair amount of mud, standing water and shallow streams to get through, with some parts of the trail quite rocky. We came upon the remains of a stone tower, reported to be a monument to someone who died in a boating accident, although I could not find detailed information on that.

Farther on, the rain did not let up as we made our way through the mostly narrow trails. We found it hard to stop for a break. Any downed logs to sit on were water-soaked and soft. We took a short break standing in the now light rain to have a snack and water then headed on.

We came upon this little creature.

This is the eft form of the eastern newt, which is between the larva and adult stage. According to Wikipedia, this stage lasts about three years, during which time the eft travels seeking a new pond. The bright coloration is an example of aposematism, warning coloration to predators that the tissues contain a toxin, tetrodotoxin.

About 7 miles into the south loop, one reaches the waterfall on the Choke Creek. The water was flowing briskly when we got there, making for a beautiful spot to rest a few minutes and enjoy the view. According to write-ups about the area, the falls are not too far from a road, so in the summer, it is a spot crowded with visitors. But on this rainy and chilly Saturday in October, there was no crowd, just us.

Another two miles and we were at our campsite along Choke Creek. The campsites along this trail are flat areas, usually close to water, with fire rings. The one we chose was very nice, with room for our tents and next to a confluence of creeks forming the larger Choke Creek.

In defiance of the wet weather (the rain stopped about a half hour before we got to camp), we were able to get enough wood and get a fire going. This was the result of our carrying folding saws and Christine’s remarkable fire building talent. Also, she carried a piece of fat wood with her, knowing it would be a challenge.

As it got dark, after our dinners of freeze-dried meals, we sat in front of the fire as the temperature was descending, drying boots and socks for the next day.

It got chilly overnight, to about 37 F, so we got the fire going in the morning to keep us warm for breakfast. We then broke camp and headed out for the second day’s hike which would take us close to our starting point then on to the north loop.

To get to the north loop, we decided to avoid a section called “the swamp”, part of an actual swamp which, given the rain the day before would have been a real trial of mud and muck. Christine hiked through the area previously on a dry day and said it was miserable. We had to take a long bypass around it, adding a mile or so to the hike that day. We also walked along a gravel road lined the whole way with dense rhododendron bushes.

On the north loop, the terrain changed, with narrower trails, more rocks and a change from hardwood trees to a mix with pines. While there are no real vistas, the trails are very well marked and, with the fall colors, very eye-pleasing. Again, we had tunnels of rhododendrons and water under foot.

Our second day hike to our campsite along Painter’s Creek was about 11 miles, due to our diversion around the swamp. Our campsite was a peninsula bordered on three sides by flowing water. The sound from the water was very peaceful. We gathered wood for our campfire, and had to rebuild the fire ring which was not in good shape. One luxury we afforded ourselves, knowing it adds to the weight of the pack, was carrying a beer, which we chilled in the creek and shared sitting in front of the fire.

It got even colder overnight, to 36 F, but we came prepared. The next morning Christine got the fire going again, and we had a hot cup of coffee with breakfast.

Heading out for the third and last day, our first effort, after breaking camp, was to cross Painter’s Creek. We managed to find some extended tree roots and slightly submerged rocks for footing, so did not need to roll up the pant cuffs and get our boots soaked. The north loop has some long trails with knee-level scrub, lots of rocks, and the width of the trail is about the length of a boot. One of the trail segments was the Sassafras Trail, and sure enough, we found sassafras growing there.

The rocks and boulders made for slow going, but we also came upon spring-fed creeks coming from under the boulders.

There was some lumber industry activity along the trail, which, according to the Pennsylvania Department of Conservation and Naturall Resources is part of an ongoing plan for management of the Pinchot State Forest.

Clambering up some steep bouldered trail was our challenge for the third day’s hike. Along the way, we found some bear scat on the trail, but saw no bears. We also spotted a six point buck who quickly ran off when he saw us looking at him.

The last day’s hike was about six miles, plus another mile or so on the road to get back to our car. One thing other hikers have mentioned is the number of ticks they picked up going through the narrow trails and scrub brush. At this time of year, though, we got no ticks on us. We came across other backpackers on the trails, but just a few. While this trail gets crowded in the summer, this was an ideal time to hike it.

This is a brief ode to sitting in my garden. After a long and very busy day, there is little more satisfying than sitting in my garden. The last bit of light from the setting sun is fading from the sky. The heat of the day is gone, but the humidity stays on. The cicadas loudly vibrate their tymbals, making their familiar droning chorus as they try to draw in a mate. Traffic noises are rare. Although mosquitos are around my insect repellent seems to be working, thankfully. It is peaceful in my garden.

A group of my friends and I are heading to the woods soon for three days of backpacking. Conflicts make stories. Classic conflicts are man vs man, man vs himself, and man vs nature. Added to that can also be man vs society. I am referring to people, not a specific sex. I am not anticipating any significant man vs man conflict as we are a group defined by our equanimity. Not to say it couldn’t happen, but I feel confident we can work out any difficulties. Man vs himself is certainly possible. Taking on a rugged hike, setting up a campsite in the woods, one does look inward and face doubts. Age and infirmities take their toll, and a person will wonder if he or she is up to the challenge. Knowing that one has prepared, trained, and come equipped to handle emergencies helps overcome these doubts, yet still there is a fear that must be ignored. To me, man vs nature carries the implication that nature is working to defeat man. However, nature is just there, and man must adapt to it. We have constant natural challenges, but to go hiking in the woods, or take on any adventure means facing sometimes extraordinary and difficult challenges. I can think of many that are specific to backpacking, such as not getting lost, scrambling up and down steep hills with a heavy pack, keeping warm, well hydrated and nourished, avoiding injury, dealing with wild animals, including insects, knowing one’s limits, to name a few. The rewards of taking on these natural challenges are many and they are enriching to the body and spirit. I’m very excited to be going on this trip, and many more in the future.

Fungus is a kingdom, in the biologic sense. Roughly 100,000 species of fungi have been identified, although an estimated 1.5 million species exist. These organisms range from single-celled invaders of the bodies of humans and other animals, such as candida, to massive connected life forms thought to be the largest living things on earth. An example is the Armillaria ostoyae, which covers 3.4 square miles of forest in Oregon, and has been living for more than 2000 years. Fungi are eukaryotic organisms. This means they have a nucleus in each cell which contains their DNA. They are more closely related, genetically, to animals than to plants, and the earliest fungal life arose about 450 million years ago.

This is a fairy ring. Depending on your culture, it can be evil or good, but evil, witchy or hedonistic elfin seems to win out. If you look carefully, you will notice the darker ring of grass where the mushrooms are popping up. The mycelium, an outward spreading network of hyphae, causes this appearance. Hyphae are the strands of multicellular growth of fungi, in this case, underground, which allow for propagation. Where the mushrooms are popping up, the hyphae are secreting enzymes which digest nutrients outside the hyphae, allowing them to diffuse back into the hyphae and support growth. As part of this, nitrogen compounds are released into the soil for the nourishment of the hyphae, but are also available for grass roots to use, making the grass taller and darker.

Not intending to write a treatise on fungus, I want to display some of the amazing forms mushrooms take. Mushrooms are the fruiting bodies of fungi, which spread spores and enable fungi to propagate to new locations. Many are deadly poison to humans, some only a little poisonous and some edible. All, to me, are fascinating.