Thursday, February 26, 2026

Writing Poetry

 

You might surmise that someone whose education was in computer science and business and who spent his work career in those same fields would not have much writing or creative ability. But you’d be wrong. I’ve had the opportunity this week to write two different poems and would like to share them.

 

The first was due to a posting that was shared by a high school English teacher of several discarded first lines of potential poems that had never been written. This inspired me and I chose a first line that I thought would work well. You can see the result below. This took me only 20 minutes or so.

 

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Like a Bowl

 

I am a bowl, chipped at the rim,

Still to be used, but without the fine trim.

Some look at me and turn up their nose

But I'm useful still, and better than those.

 

A lot of people are just like that,

They're worn down from use, but handy to have,

Battered and scraped, and looking quite poor.

So love that old bowl, and use it some more.

 

 

This next one was from an English assignment from one of my grandsons. He freely admits that writing is not one of his skills. But he had to write a sonnet. So he provided the topic, and I gave him possible rhyming words. He then put his ideas down and I did the necessary wordsmithing to put it all into iambic pentameter as required. The below joint effort took about a half-hour.

 

 

Ode to a Choo-choo

 

I see them on the road through nearby town

It’s riding on a track that’s made of steel

It has more cars when going up than down

I love the way it roars and how it feels

 

The wheels on all the cars are set in pairs

The sound they make is always clicky-clack

When going fast they move a lot of air

The engine’s on the front but not the back

 

The ones between might be a box or tank

There’s no caboose, they’re all now very dead

Most cars are written on, and never blank

The final car has lights, it’s called a FRED

 

To know these things I need to use my brain

The thing I love the most is called a train.

 

 

So what do you think? Have I lost touch with my creative side? I freely admit that I’m better at structured writing, i.e. poems with rhyme and meter, than with the blank verse that’s more common these days. But this kind of writing is still quite fun to me.

 

Friday, February 20, 2026

All in the Numbers

 

When getting bloodwork the result is most often expressed as some sort of numeric value. I’ve decided to pull many of these number over time to give a summary for my primary care physician whom I’ll be meeting with in a few weeks. For the most part, the final number in each of these areas is fairly recent, i.e. in February, if not, I’ll indicate in the commentary. There are many more such numbers in my test results, but they are all pretty consistent and not an issue in the various medical issues I’ve been dealing with.

 

Weight: 234 >> 213 >> 203

I’ve started a habit of checking my weight once a week and recording it. The first in this series dates back to last April, i.e. 10 months ago. It was then that I started taking Mounjaro to help reduce/manage my blood sugars (which it has done a good job of doing). But a side effect of the GLP1 is to reduce your desire for food and thus impact your weight. The second number is a resultant reduction of my weight of roughly 20 lbs. The last 10 lbs is the result of my wife managing my diet because of my liver problems. I’m pretty satisfied with my current results, but wouldn’t mind another few lbs (I’ve had one of my grandsons make two new holes in the belt I most commonly use).

A1C: 8.9 >> 5.3 >> ??

The medications (Metformin and Lantus) I was taking to try to manage my diabetes needed some additional help, so last April I was prescribed Mounjaro as well. The goal of the endocrinologist was to get me under 7.0 into the “managed” diabetes range. However, by the time of my first episode of HE in November, I was down to 5.3, the more typical non-diabetic area. With the permission of my endocrinologist, we reduced my Lantus dose from 38 to 33. I monitor my blood sugars on a daily basis, but I’m still waiting to get my A1C checked again next month when I will see her and get a new rating to see if further adjustments are needed.

Ferritin: 11 >> 15 >> 51 >> 114 >> 138

Separately, it was noted two years ago that my iron levels were too low and I no longer qualified to give blood. I had a total of 3 IV infusions with a goal of getting my level over 100 – which you can see were successful. I was a little surprised in February that my reading had continued to rise, but this is still in the “normal” range. I was able to once again donate blood.

Triglycerides: 481 >> 312 >> 296

My triglycerides have always been too high, peaking at around 900 several years ago. I had brought them down into the 300-400 range with medication, but when that medication was no longer available my level started back up again. I am now taking a fairly expensive fish oil supplement and trying to be very consistent and my rate is coming back down to even less than it had before. Since the goal is to get my level closer to the “normal” range of <150, I still have a ways to go. This will be one of the discussion items with my PCP next month.

Bilirubin: 2.8 >> 2.3 >> 1.6

When my liver started having issues a few years ago, one of the few signs was my bilirubin. I peaked at a reading of 2.8 at the beginning of 2026. Now with a reduced diet that my wife is keeping me on, I have successfully brought it back to normal levels. This is a major factor in my MELD score, which I’ll discuss next.

MELD: 17 >> 12

I only got my first reading of this back at the beginning of the year. This score can range from a low of 6 to a high of 40. 10 or less is considered as normal with increasing concern as it gets higher. The only way to “fix” a liver permanently is a transplant, but not only am I considered too old, but with the number of livers available being rather small compared to the demand, anyone with a score of <25 is not eligible (and a score above 30 is indicative of being in a coma). But since the only symptom I have is my 3 episodes of HE (i.e. no jaundice, no ascites, etc.) taking it back down so quickly just through the use of two medications is a good sign. I’ll see the gastrointestinal doctor again at the end of June and also get a new MELD score at that time and see what she says.

Ammonia: 191 >> 181 >> 164

One of the goals of the two HE medications I’m taking is to change the ammonia (NH3) in your blood to ammonium (NH4) so it is not absorbable by the liver and leaves the body via your intestines. This measure is one indication that the medication is working and I am VERY faithful at taking my daily medications. The “normal” range for ammonia is 72 or less.

 

In general, I’m pretty pleased with the results above. I’d still like to see improvements in my triglycerides and ammonia. But if I can stay on the path I’m on, through diligent following of my medications and with the oversight of my diet with the assistance of my wife, I hope to continue to have a reasonably long life to enjoy with her and all my family and friends.

 

Tuesday, February 17, 2026

Liver Cirrhosis

I’ve made a number of postings related to Hepatic Encephalopathy. Now I’d like to delve a little deeper into the cause of HE where the term Hepatic refers to the liver, in particular cirrhosis of the liver. I originally thought I could do some research and post my findings, but, as I have discovered, the pathology of the liver and its relationship to other organs is a very complex subject. Thus, instead, I’m going to list a few links to research that others have done and then a little about how this relates to my own case.




Here are three good links which have a lot of information (don’t try to follow all the details in them unless you have a good science background):

·        https://my.clevelandclinic.org/health/diseases/15572-cirrhosis-of-the-liver

·        https://www.youtube.com/watch?v=junNUlypCwU

·        https://www.youtube.com/watch?v=kHB5e-4q7l8

So, how am I doing at managing my liver issues? Back in early January when I was going through my last bout of HE, my bilirubin peaked out at 2.8 (normal range is .2-1.4). That’s when I started on the appropriate medications (which manage the issues but cannot reverse them). My primary care physician commented at the time that I had brought that level down to 2.3. I had some additional bloodwork in early February and my bilirubin was down to just 1.6, only slightly elevated from the upper end of “normal”. So that’s a really good sign.

The other factor that I was watching was my ammonia level, something that I had only recently been tested for after my HE began. At the end of December I peaked at 191, where the “normal” range is 18-72. I was down slightly in early January to 181, and then in mid-February by nearly 10% more to just 164. I still have a long way to go in this measure, but a drop of 15% cannot be ignored.

Thus, while my overall MELD score is still a 14, I’ve made quite a bit of progress in the right direction. I remain a long way from having a high enough MELD score to qualify for a liver transplant, but as long as I can arrest the symptoms like the above ones (and thanks to my loving wife who is focusing a lot of her time on getting me on the appropriate diet), I’ll have a reasonable chance of living for several more years. But this is not a fun journey and not something that I would wish on anyone.

The End of an Era

This past Sunday (2/8/2026), at our church’s annual meeting, I was recognized for my retirement from the position of elder. While that took only a few minutes with a formal speech by the current chairman, my mind was racing through all the things I have been involved in for the past 40+ years. It’s going to take a lot longer to read this blog than that even took, and certainly it’s taking me a lot longer to capture in written words that event. But it’s important to me that I do so.

 

History

The organization of what is now the Bible Fellowship Church did not originally include a board of elders. Only the pastors were elders and they were overseen by a pair of District Superintendents. At the annual meeting, the Stationing Committee assigned pastors/elders to the various churches – effective immediately. So a church would say goodbye to their pastor when they were sent off to the annual meeting, not knowing if the same individual would return. In order that a church/pastor did not gain too much familiarity and the pastor have too much control of that church, the terms of service were limited to six years. The church had an “official board” comprised of individuals in leadership positions (Sunday school superintendent, teacher of each SS class, head of Women’s Missionary Society, worship leader, etc.)

In 1971 that arrangement changed to one where each church was controlled by a local Board of Elders. Thus in 1972, the “official board” was disbanded and the Board of Elders replaced it. The pastor of the Emmaus congregation, Harvey Fritz, who under the old structure would have been reassigned (he started at Emmaus in 1966) remained on. For the most part, except that women on the official board could not be elders, the new elders were simply the former members of the official board with new titles.

One of my God-given skills is the area of procedure and organization. My wife and I began attending Bethel in August 1976 and we became members the following year. One of the things that I noticed early on was that although the organization structure had changed, that was not reflected in any official documents. It had simply been easier to keep doing what they had before with Pastor Fritz leading the church and the Board of Elders following his lead. As a result the church had no bylaws or policy manual. I began writing down what those documents should have in them. I was not even invited to the elders meetings, so I was assigned to work with one of the other elders who would present my material and get it passed.

In the church elections in 1982, now having two children in our family, my name was placed on the ballot. (A side note – when we brought our children home from the hospital where they had been born, we stopped at the church on the way. Going up to the empty sanctuary, we brought our newborn to the altar and dedicated him/her to God in a private service of just the three of us. It has always been important that church play an important role in the lives of all our family members.) Probably because of my involvement in writing the new church bylaws and policy manual, I was elected to serve on the board. This began my 4+ decades of service. Although the Bible Fellowship Church also gave certain authority to a board of deacons, Bethel did not have one. Thus, in my first year as an elder I was given responsibility for baptisms and preparing the elements for communion. We finally created a board of Deacons in 1983, so I passed that responsibility over to them.

 

Service on the Board of Elders

            Over the 43 years from 1982 to 2025, I served in a number of positions. I was the chair, the secretary, and the treasurer. Besides my oversight based on the BFC and church policies, I also served on a number of different committees from time to time. I had my largest impact while serving in a finance position. I’d like to mention some of the incidents I was involved in.

            In 1988, as we were completing the church addition that includes the gallery and the offices below them, both the church treasurer and the financial secretary chose to resign. As the person on the board with the most interest in that area, I took over those positions. I was also one of the few people in the church who owned a computer and knew how to put together spreadsheets to help with my calculations. As I began pulling in all the information from the 8.5x14 papers which they had been using, I quickly discovered that the annual reports to the congregation, the annual summary to the denomination, and the amount of money in the bank were three different figures. So, while I trusted the individuals who had been making all the entries, I needed to find the cause of the discrepancies. To help me, I had all the giving envelopes for several years (enough to fill several large boxes), as well as all the financial statements.

            Working back through the years, I was able to identify several simple mistakes. Just one example: One of the annual expenses was $100 to the church’s delegate to annual conference. That happened to be Gerald Schlonecker. But instead of cashing the check, he gave it back to the church, saying “I don’t need it.” But the financial secretary did not have a way of taking as income a check that the church had written but never cashed. Instead he entered it incorrectly and there was thus a $100 discrepancy. There were a number of such easy mistakes over the years. At the end of this reconciliation process, the annual reports were within a few dollars of each other. However, that amount was considerably different than what we had in the bank. Since we had just completed the construction of the addition, I separately recorded all the withdrawals from the construction loan.

            Emmaus has a policy that when a project such as this is undertaken, that they require a hold of the cost of replacing the torn-up sidewalk in the event that the organization does not do it, then the borough will have the funds to do so themselves. That holdback was done, but the church did the work to install the new sidewalk. However, the bank still had a hold on the loan for the amount of the work. Thus, they closed out the construction loan and rolled the entire amount over into the mortgage even they had never given the church the full amount of the loan. Using my figures, I scheduled a meeting with the bank officials. They agreed with my analysis and transferred the amount of the holdback into our account. This final correction put all three figures into agreement within about $100. Thus, the annual report to the congregation merely showed a reconciliation to properly “balance the books.” Problem solved. And I could then have an envelope burning celebration in our fireplace of the several years worth of giving envelopes. No stealing of funds had taken place, but evidently the effort of managing a construction loan as well as the regular giving was what encouraged the treasurer and financial secretary to throw up their hands and resign their position. And my having access to a computer made it all fairly easy.

 

Non-church Activities

With my God-given skills and interests, I was also able to use them in denominational projects. There were four such projects over the years.

One: the church in Newark, DE, was started with Bill Schlonecker as pastor. Since our annual conference delegate was Gerald, Bill’s father, he had a conflict of interest in serving as a temporary elder there and I was chosen instead. Myself and one other individual made a day-long trip to Newark where we interviewed all the leadership, including those who had been nominated to be elder, deacon, etc. They met our criteria and we recommended to the BFC that Newark be admitted as a “particular church” instead of being a church extension work

Two: the denomination became aware that the pastor of one church extension work was acting inappropriately, specifically that he was having a sexual relationship with a lady from another church. Again, as surrogate elders, we met with that pastor, confirmed the improper relationship and recommended that his pastorate be terminated.

Three: the denomination became aware that a conflict at a small church had caused both of their elders and their deacon to resign because they could not support the position of the pastor who wanted to close their building and move to a facility elsewhere in the county. According to the laws in that state, that made the pastor the sole decision maker so he could have done so. Again, myself and another individual, were appointed as surrogate elders by the board of church health. Moving quickly, we interviewed all the parties involved. The pastor, who had come into the BFC from another denomination, was determined to have his own way – a way that would have ended up destroying the church by ignoring the wishes of the elders there. We ended the day by voting to terminate his pastorate, gave him one day to clean his personal items out of the church office (with someone to oversee him and prevent any improper action) and then to turn in his key to the building. We then began the process of calling for a meeting of the church (with appropriate notice). On the designated day, the executive director of the BFC gave the message and then we held a vote to appoint the recently resigned men back to their former role. Having gotten a unanimous vote, I and the other surrogate elder resigned, as our services were no longer needed.

Four: When the recent issue of transgender individuals was gaining momentum, the BFC felt a need to act relatively quickly to examine our Faith and Order to see what changes might be needed. Having recently written a 5-part blog based on my research into this topic (see https://ramblinrussells.blogspot.com/2016/05/gender-and-sex-part-1-conception-to.html), I volunteered to serve on this committee. We met monthly and had a resolution to present to the BFC by the following year.

 

People are Important

            Being an elder is not just meetings and committees. A key component is getting to know the people in the congregation, praying for them, bringing them to Christ, and being open to answering their questions. Being retired and being the oldest on the board gives me a number of opportunities to focus on this area. Here are a few examples:

            I became aware of a new attendee who had lived in the south for most of her adult life. When she was quite young, her mother had passed away and her father had given her away to be raised by a couple in the next county. She had now returned to the area and had been able to locate her father’s grave, but wished to know more. Using my genealogy skills, I was able to find her father’s obituary in the newspaper and show her that her name appeared there, i.e. that she had not been forgotten. But even better, I was able to find that she was a distant cousin of myself. So now, when we meet in church (which she continues to attend), I greet her with a “hello cousin” and she feels that she belongs here. Amazing what a little bit of research and those few words of greeting have changed her outlook.

            My wife and I had been part of one of the small groups of the church. We were led by another of the church elders. But when he began having some significant health issues and stepped aside as an elder, I took on the role of leading that group. In the past this would have been out of my comfort zone, but as an elder it is something that I needed to do. (Note, I received a phone call from this individual when he saw my being recognized in the church’s livestream. He asked about how the group was going, so he still has a heart for this group.)

People whom you work with includes your own family as well as others. The highlight of my career was when I had the opportunity to lead two of my grandsons to the Lord and then to baptize all four of them (the only non-pastor that I am aware of at our church who performed such a service. See https://ramblinrussells.blogspot.com/2020/09/baptizing-grandsons.html).

Witnessing to others is not just an elder responsibility, it is something that all Christians should do. I make a habit of using the time before/after church services to talk to and encourage others. Even though I now use a cane for mobility, I go up/down the stairs to the gallery as needed. Last week someone told me that he and his wife really appreciated my ministry when she was suffering from “long COVID” for several years. Even my time in rehab following my foot amputation did not stop me from sending my prayers to others. You never know how your words or your actions might be observed by someone else and encourage them in their walk with Christ.

 

Conclusion

            There have been other men in our church who have had long terms of service as an elder. The longest for many years was Gerald Schlonecker at 39 years. But with my years of service finally ending at 43, I have set a new high watermark. And since the highest on our current board is just shy of 25 years, my record may stand for a long time. I never thought when I was first affirmed as an elder back in 1982, that that was just the beginning of such a term of service. And I don’t know how many years I have left on this earth because of the various physical infirmities I am dealing with. But for as many years as God chooses to give me, I will continue to share my faith and use my skills to honor Him.