marriage

Michael Litrel, MD, FACOG, FPMRS
Dr. Litrel's Blog

A Midlife Crisis

Both Ann and I are early risers. Since the first days of our marriage, we have sat most mornings in the darkness before dawn, talking together and enjoying our morning coffee. It’s my favorite part of the day. Communication is the foundation of any healthy relationship, and I have been blessed with a spouse whose conversation I (usually) find interesting. But last month, that suddenly changed. No longer was Ann the scintillating woman to whom I had been married for over twenty years. Almost overnight, she had become… Boring. As a rule, our morning “coffee talks” have held my interest. The topics of conversation range from thought-provoking spiritual insights to friendly verbal fencing that leaves us both laughing. I was worried. Why did my wife suddenly seem so dull? Secretly I pondered possible causes. Maybe I had fallen victim to a low-grade, sub-symptomatic virus. Could being bored by your loved ones be a symptom of the swine flu? Indeed, a virus would explain the fatigue and irritability I was experiencing throughout my work day, tempering even my usual enthusiasm for practicing medicine. But on the other hand, a virus didn’t seem to fit, because overall I remained fairly healthy. Besides, I had already received my vaccinations. Then the headaches began. Each time a patient of mine suffers from a new pain, my underlying concern is cancer. Likewise, I worried about myself. Was this the first symptom of a brain tumor? But just as I was entertaining the idea of getting a CAT scan, an even more disturbing diagnosis occurred to me. Maybe I was having a Midlife Crisis. A midlife crisis is no laughing matter. I have watched friends and patients suffer through these things, and I’ve read about celebrities’ lives ruined as tabloids expose every last detail of their midlife indiscretions. A midlife crisis seemed an even worse possibility than a brain tumor. When you are confused about yourself, about the meaning of your life, when you have no connection with the higher purpose for your existence, you can make bad decisions that cause a great deal of pain down the road. I was reasonably certain I was not having an extramarital affair. But Tiger Woods took me by surprise, too, so I guess you never know. I was thinking about checking my cell phone records just to make sure. But before I did, one last diagnosis occurred to me – a diagnosis that could explain every one of the symptoms I was experiencing. But I just couldn’t imagine Ann would betray me in this way. Sadly, when I confronted her, she had to confess. Clandestinely, Ann had changed my morning coffee to decaf. It was an outrage! A tumult of conflicting emotions washed over me: anger, relief, disbelief – and then concern. Is it possible my marital relationship is not based upon love, respect and admiration – but rather on caffeine? Was my wife the source of my morning happiness – or was it Starbucks? As a physician, I endeavor to be a role model for my patients. I can say with certainty that couples who make time for each other – even if it comes with coffee – grow healthier marriages than those that don’t. Certainly decaffeinated coffee is healthier for you than the hi-octane I prefer. But the way I see it, divorce is not healthy either – particularly from a loving, supportive – albeit surreptitious – spouse such as mine. So Ann and I have since compromised on the coffee, now brewing half-caffeinated, half- decaf in the mornings. And even with this diluted morning mix, my marriage has never been better. I just make sure I drink two cups. -Dr. Mike Litrel

Michael Litrel, MD, FACOG, FPMRS
Dr. Litrel's Blog

Endless Love

It was Saturday morning, and already my wife had been working for several hours at the computer, sitting ramrod straight in her chair. No doubt she was stressed out, with too many projects on her plate. It seemed like the perfect time for the surprise I had been planning. With a flourish, I invited Ann to come with me to my office. She raised her eyebrows. “Can’t it wait?” I said no. Reluctantly she accompanied me upstairs. Once in my office, I moved to my computer and selected a song I had recently added to my play list. The music began, and everything was ready. I asked Ann to dance. Lionel Richie and Diana Ross’s duet “Endless Love” was all the rage back in the day. I remember dancing to the song, feeling deeply in love. The piano played softly, and then the lyrics came… “My love…there’s only you in my life…the only thing that’s bright…” What a charming romantic I was! Ann rolled her eyes and reminded me she had been busy. Her reaction surprised me. I thought she would gaze adoringly into my eyes with the look I remembered from years before. But Ann’s body remained stiff. Instead of feeling like the star high school quarterback dancing with the head cheerleader, I began to feel like the nerd the girls feel sorry for but try to avoid anyway. I was annoyed. Fall in love with me again, why don’t you already? Tactfully I expressed my concern that our once special memories of dancing to our song meant nothing to her now. “Our song?” Ann pulled her head back to look me in the face. “We never danced to that song – I never even LIKED that song!” Oops. That was an unexpectedly awkward revelation. Well, at least that explained why she wasn’t exactly melting in my arms. I could feel Ann’s body tensing even more as the implication of my mistaken memory became clear to both of us. Our dance became more and more stilted until we were essentially standing still in the middle of my office. I could feel the question coming. “So Michael,” Ann opened, “which one of your ‘past loves’ did you enjoy this wonderful song with?” Funny you should ask my dear, I thought to myself, I was just wondered the same thing myself. A surgeon in the middle of an operation would call this “getting into unexpected bleeding.” It had seemed like the perfect plan – play a song of tender memories, and instantly transform Ann from the “I have too many things to do” stressed out woman to the “I am so lucky to have you as a husband” happy wife. A beautiful Saturday afternoon would follow, with Ann gazing at me adoringly whenever I walked by, even if I was just scratching myself. Now all I wanted was to get this angry hellion out of my office. The music continued to play as I held a now jealous wife in my arms. This was not “Endless Love.” This was “Endless Dance.” Would you please shut up already, Lionel? “It wasn’t that we ever danced to this song,” I explained disingenuously.“It’s just that whenever I hear it I think about you and how much I love you.” It was the right thing to say, a good line, really – but I delivered it half heartedly voice, in a perfunctory oh-let-me-just-say-it- and-get-it-over-with sort of way. Ann surprised me by laughing out loud. She seemed delighted by my obvious lack of candor. ”Oh really?” She betted her eyelashes batting coquettishly. “Do you really mean it?” “Oh yes,” I responded, smiling at her like used car salesman. “I would never lie to you, my darling.” Ann laughed again. And remarkably, she rested her face against my chest with a happy smile on her face. Her body relaxed. “I’m sorry I’ve been so stressed out lately,” she said a few moments later. My plan had worked after all! Ann had actually melted in my arms. Womanhood, what a remarkable mystery. Maybe it’s not choosing the right song that matters most. Sometimes you get credit just for the effort. -Dr. Mike Litrel

Michael Litrel, MD, FACOG, FPMRS
Dr. Litrel's Blog

The Night the Caterpillars Ate My Dinner

Many years have passed since the night I delivered my first baby and, in retrospect, it is clear that practicing obstetrics was the path the Creator intended me to take. But I confess that after a thousand deliveries, the blaze of emotions that once accompanied each one has subsided to a softer glow, flaring up again only at those times when danger, or joy, bring the world more sharply into focus. So it was with a recent difficult birth. The mother and her family were well known to me. Two years earlier I had delivered my patient’s second daughter. Her first daughter, then an irrepressible nine-year-old, had gleefully cut the cord. But with this labor, the third daughter, there were complications. The baby’s heart rate kept falling. It was obvious to my patient that I was worried. Every five minutes I came into the room, obsessing over the baby’s heart rate like an anxious stockbroker watching the ticker tape. I maintained a professional demeanor with my patient, trying to give her as much reassurance as I could. Her anxiety level was rising and, for a moment, I felt bad. When confronted with worrisome clinical circumstances, doctors tend to pull back emotionally. It helps us think clearly and, hopefully, make the right decisions. It’s a mistake to think that any physician knows exactly what he or she is doing at all times, and, at this moment, I was no exception. I was uncertain about what was wrong. But finally a routine procedure improved the baby’s heart rate, averting emergency surgery. The baby was born. My patient’s first daughter, now eleven, delightedly cut her second cord. Her little sister’s cry filled the room. My tension dissipated. I was a third year medical student discovering my destiny once again, and my soul hummed with the joy that swelled the room. When I arrived home that evening, my stomach was also humming—with hunger. I looked forward to a nourishing meal and sharing the stories of my day. My wife, Ann, is my soul mate. Well, she’s either my soul mate or just a very good listener. It doesn’t matter. Ann is a loving person, a supportive friend, a great mother to our children and, most importantly, an attentive audience. So even though she’s heard me talk about clinical cases hundreds of times, I knew she’d listen to me with polite fascination. And, she would feed me. But this night I was wrong. When I walked in the door my first clue was that supper was nowhere to be seen. My second was that Ann expressed no interest in the heroics of my day. Instead, she wanted to tell me all about her day. It was an outrage. Incredibly, Ann and the boys were actually ignoring me. They were engrossed in a large glass jar on the kitchen counter which contained, upon inspection, caterpillars. I groaned under my breath—the evening’s conversation was going to revolve around Ann’s butterfly garden, again. She shot me a dark look. My groan had apparently been less discreet than I intended. I gave myself a mental kick. Now I’d have to work even harder to feign interest. Last year, after months of research—otherwise known as shopping from gardening catalogs—Ann created a butterfly garden in our backyard. She told me all about it but the details escape me—something about attracting lots of bugs to our yard. In its execution, the project fell short of Ann’s expectations. Deer and rabbits showed their enthusiasm by chowing down on her plants. In the end, Ann counted a grand total of five butterflies the entire summer. She was depressed. So was I. All the plants she’d ordered had been a waste of money, and now I had to console her about it, to boot. Then, one morning, Ann returned from a visit to her garden practically skipping. Two monarch caterpillars were eating her milkweed plants. Several times a day, Ann took our two sons out to watch the bugs. After a few days, according to their frequent and detailed bulletins, the caterpillars had eaten all the milkweed. So, I came home this particular evening in a good mood after a delivery to find that Ann and the boys had spent two hours gathering food for the caterpillars. The air went out of my balloon. Ann enthusiastically badgered me into pressing my ear against the jar so I could hear the caterpillars munching on the milkweed leaf dinners she and the boys had so thoughtfully and painstakingly prepared. I took the subtle approach: “They sound really hungry. I know how they must feel.” “Boy, it must be nice to eat your fill.” “You’ve done a really nice job fixing dinner—for the caterpillars.” I tried to be a good sport. I’d heard that Monarch butterflies are endangered. Freezes in Mexico and genetically-engineered corn with poison pollen are said to be wiping them out. These are the facts you pick up when your wife has a butterfly garden. I proudly recited my extensive knowledge about Monarchs in an effort to show Ann that, in fact, I was listening to her all those months. But she informed me, to my surprise, that Monarchs may not be so endangered after all, just underestimated by butterfly experts. That was the final straw! A couple of bugs not even on the endangered species list were keeping me from my dinner. But Ann was so enchanted, she didn’t notice how annoyed I was. I adopted the guise of supportive husband and took the family out to the local pizza parlor. The caterpillars came along for the ride. My mouth was watering by the time the cheese breadsticks arrived. Joseph, our five-year-old, launched into a rambling grace, thanking God for the caterpillars who had come to our yard … who were going to grow into orange butterflies … and fly away into the sky …. As I half-listened to his thankful litany, my mind wandered back to the delivery. I gave silent thanks

Dr. Litrel's Blog

Marriage, Hot and Cold

Disagreement between a husband and a wife occurs even in the best of marriages. Sometimes this manifests as open argument. But other times, marital conflict can be more subtle, an unspoken tension permeating the relationship for years like an uncomfortable humidity. I met Ann when I was a sophomore at Wesleyan University in Connecticut. I was visiting my brother at University of Michigan, where Ann was enrolled a year ahead of me. We met at a fraternity Halloween party. She was dressed as Aphrodite, in a skimpy toga no father would have permitted his daughter to wear in public. I fell in love. Our entire three year courtship was a long distance relationship. Ann and I grew to know each other through letters and the periodic visits my budget would allow. She finished her degree a year before I did and moved to Atlanta. After my graduation we married. There has been nothing in my life I have looked forward to more than finally living with my beloved. My attraction to Ann was more than just her physical beauty; I admired her intelligence, her kindness, her discipline, her many talents. I still admire her. But after twenty plus years of marriage, I have to admit that the intelligence- discipline thing sometimes gets on my nerves. Conservation vs. Comfort Ann has tendencies towards frugality that do honor to her Scottish heritage. She also endeavors to be environmentally aware. These two qualities are evinced in the temperature settings Ann prefers for the household thermostat. During the hot Georgia summer the air conditioning is set at 85. During the cold of winter the heat is set at 60. In January when I am cold, Ann tells me to put on a sweater. In July when I am hot, Ann tells me to take my sweater off. It’s been a hot humid summer. So yesterday when Ann wasn’t looking, I snuck like a ninja to the thermostat and deftly dropped the temperature five degrees. It didn’t take Ann long to notice. “Who turned the air conditioning so low, Michael?” “Those kids,” I responded, shaking my head disapprovingly. I was not lying. I was simply making a declarative statement designed to misdirect. “The boys told me they didn’t touch the thermostat, Michael.” “Those kids,” I repeated, shaking my head disapprovingly. Ann laughed and moved the thermostat back to “where it belongs.” I didn’t argue. I understand her perspective: why burn fossil fuels to lower the temperature of my house so I am a tad bit more comfortable? But frankly, this thermostat thing can be annoying. I feel like I’m married to Al Gore, and every time I touch the temperature control it’s like I’ve sunk an axe in the trunk of the Earth’s last giant redwood. The Thermostat Battle, Redefined Over the years, Ann has also successfully colored “our thermostat decision” in what can only be called spiritual terms. With tactful language she has artfully conveyed to me sophisticated thoughts about the needs of the body versus the needs of the soul. I am not smart enough to fully comprehend exactly what she has said, but essentially her argument boils down to this: Jesus didn’t have air conditioning, Michael, so why don’t you spend more time praying and less time whining? Last month, Ann left town to visit her sister. It was like Dorothy’s house just plopped down in Oz on you-know-who. I ran to the thermostat like an unsupervised teenager and lowered it not five degrees, but ten. I was going to get all the air conditioning that compressor could muster. That night my house was so cold I needed another blanket from the closet. Immobilized by comforters, I slept like it was the dead of winter. Condensation covered all my windows in the morning. I shivered when I sat down by myself to my morning coffee. Now this is what July in Georgia should feel like! I thought about getting out that dang sweater. Maybe I should light a fire too? But after some reflection, I simply turned the air conditioning off. I missed Ann. Morning coffee is more fun with her. I remembered it’s far better to have a home that is too hot in the summer and too cold in the winter, than to suffer again through the fires and chills of a long distance relationship. A good prescription for a healthy marriage is an occasional few days apart. Truly, absence softens the disagreements – and reminds us of the love. -Dr. Mike Litrel

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