Alexa Fleckenstein M.D.

Today is the perfect summer day outside: Warm but not too hot. With brilliant light, the roses in their second flush. So I want to go out into the garden, and give you just a tiny thought for the day. In my life, I have met interesting people of all kinds of walks. Can't say I tend to worship heroes - but here is one: Many years ago I had a patient, a friendly middle-aged (aside: I am always astonished what Americans call “middle-aged”; where I come from, “middle-aged” is from thirty to fifty…) small man, a light-colored black man, working as a janitor. As it turned out, with some Native American blood thrown in. The Native American blood must have made him prone to diabetes – he certainly was not overweight. But he was eager to accommodate to some lifestyle changes. When I said “No cake, no cookies,” he shuffled on his chair, and asked “Not even for birthdays?” We negotiated birthdays exceptions. But for several visits, his sugars did not come down. I finally decided to get a bit deeper into the cookie business, mindful of the former hospital patient who had agreed to a “one cookie per day” policy, and whose sugars were so abject that we could not send her home. When I inquired about that one cookie, she nodded to the drawer of her nightstand, giving me permission to see for myself. I found a “cookie” the size of a dinner plate. Only one, though: She had stuck to our agreement… With that in mind, I sat my nice little man down and asked him how many birthdays there were in his life. Turned out he had about ten children and who knows how many grand-children - it boiled down to at least a birthday a week! You wonder why he is the man I most admire? He got all his children through college – including the one son who was wheelchair-bound from an accident. This nice, unassuming man had, against all odds, kept his family together and made a success out of his life. Who is your hero? Read More