Man Cold: Symptoms, Diagnosis, Treatment

A friend of ours was sick this past weekend. Actually, two friends: a man and his wife. They were supposed to join Jodi and me and two other couples for an evening of dinner and faith-building conversation, but (according to the message we received as the rest of us were gathering), he had the “man version” of the cold she had, so they were unable to come.

The men gathered for dinner immediately fell silent in sympathy and concern. The women laughed. They are not ordinarily so hard-hearted, so I began to wonder: why is the man-cold so misunderstood and easily dismissed by women?

When we returned home, my bride relayed the tale to my second son, Gabe, and that conversation yielded valuable insight into common misperceptions about man-colds.

Jodi (laughing): “She had the same cold that he had!”

Gabe: “That’s not possible. He has a man-cold, and she is not a man.”

Jodi (smiling): “Okay. She had the same SYMPTOMS as he did.”

Gabe: “That’s not true: she wasn’t bedridden.”

Jodi (exasperated): “Look, she was just as sick as he was!”

I was proud of my teenage son. Already at age 16, Gabe has come to understand that there are, in fact, fundamental differences between men and women and how they experience and interact with the world, and his polite but firm insistence that a man-cold is no laughing matter will one day garner his mother’s respect, even if in the moment she wanted to bean him with her Yeti tumbler.

At any rate, these two interactions led me to research and reflect upon the symptoms, diagnosis, and treatment of the man-cold. Here’s what I discovered.

Symptoms
Perhaps the best summary of the symptoms of a man-cold appears in the classic YouTube video below:

In addition to the typical symptoms of the common cold (runny nose, congestion, fatigue), the victim of the man-cold—invariably men, not women or children—are nearly always bedridden, finding it nearly impossible to rise, and may also experience burning sensations especially in the head; vocal hoarseness, faintness, and strain sometimes experienced by the listener as whining; extreme lethargy and heaviness of limbs; intimations of impending mortality; and an overwhelming desire for maternal care and physical proximity and affection.

Diagnosis
The fact that these additional symptoms are so rarely experienced by women does not make them any less real for afflicted men, and this disconnect is the cause of much misdiagnosis, mistreatment, and marital strife, as evidenced by this more recent video. (Warning: What follows includes examples of inappropriate gender-based “humor” and is difficult to watch, but unless we confront the reality of misunderstanding and neglect, we cannot hope to treat man-colds properly.)

Let’s start with the positives, such as the are: the woman in this video is at least minimally responsive to the needs of her spouse and appears to have a sincere desire to keep the household functioning despite her own minor ailment and the absence of her husband’s no-doubt considerable contributions. But from the start, she equates her cold with his, despite the clear difference in symptoms and severity (most obviously, she is vertical; he is not), and the sarcasm and lack of sympathy demonstrated here is disturbing, but unfortunately all too typical.
It turns out that diagnosing a man-cold is actually relatively simple: If the patient is an adult male and has any of the symptoms of a common cold, plus any of the following additional symptoms, he has a man-cold:
  • Inability to rise from bed, couch, or recliner (or in some severe cases, the floor)
  • Inability to change positions without groaning, crying out, or otherwise vocalizing discomfort
  • Rapid fluctuation in felt temperature (“burniness” or chills) resulting in piling up or throwing off covers—again, accompanied by vocal expressions of discomfort
  • Concerns about obscure or unknown diseases, viruses, or parasites
  • Feelings or visions of doom or death
  • Intense limb heaviness, achiness, fatigue, lethargy, work avoidance and antisocial behaviors, depression, unhappiness, acedia, or ennui
  • Deep desire for physical contact (hand-holding, back or head rubs, forehead kisses, and the like) and child-like need for maternal warmth and affection
  • Fluctuating appetite and desire to eat only particular foods associated with past (especially childhood) recoveries
  • Any other manifestation of the victim’s inexplicably faltering body or immune system
Generally, the difficulty is not with the initial diagnosis itself, but with sustained confidence in the diagnosis, since the symptoms are so severe and persistent, and since in most cases the primary caregiver has no firsthand experience with a man-cold and no ability to measure these additional symptoms independently of the patient. 
This is why early diagnosis and treatment is so critically important: a man with an untended man-cold could potentially spiral into a more severe state in which he begins to hallucinate and his ability to gauge the severity of his own illness is compromised.

I would be remiss if I did not at least acknowledge the possibility that some of these additional symptoms experienced by men may, in fact, be psychological. The reasons behind this are hazy, but are likely rooted in the man’s inherent role as provider and protector. Consider: especially in humanity’s early days, men were required to hunt and to kill, to provide for and defend their own lives and the lives of their family with their physical strength and prowess. And it is well known that both predators and enemies target the sick, the injured, and the weak—thus beginning in prehistoric times, men would have lain low at the slightest sign of infirmity, lest they be killed and leave their wife and brood utterly alone and undefended. 

That feeling of vulnerability and mortality is still manifested in today’s men, who are ordinarily bold, robust, strong, striving creatures unaffected by fear, fatigue, or pain. Imagine if you can the emotional impact on that heroic figure of being cut down in his prime by an invisible (microscopic, we now know) enemy and thereby exposed to saber-toothed cats and club-wielding neanderthals intent on dragging away their brides and children to who-knows-what brutal misfortune. That strength of purpose and fear of failure persists today, even in the lowliest pot-bellied office drone, and must not be regarded lightly.

Treatment

The good news is that treatment of the man-cold is simple: in addition to the steps and precautions one would take with a common cold, you need only supplement with patience, affection, and understanding—and though many people (men and women alike) insist that the man’s mother is the only suitable caregiver in cases of man-cold, this is not true. As awareness of the reality and seriousness of the man-cold spreads, wives can, in fact, become the preferred caregiver—especially for men who have already fathered children and find their mother’s affection for them diminished in favor of her grandchildren.
Wives are, in fact, naturally suited to this role and, when motivated, can be trained as effective man-cold caregivers. First, they have their own peculiar strength that enables them to persevere in loving service even at the cost of their own comfort and wellness. (It is worth noting that this can be a source of added tension in a marriage afflicted by illness, as in the second video above, or in the case of confused husbands who see their wives up and around and naturally assume they feel better: “If you’re sick, take something and lie down! The kids can fend for themselves— it’s good for them!”) Second, they are expert and efficient at taking in the worst in life, transforming it, and pouring it out again again in love (as evidenced by pregnancy and childbirth, leftover night, and their apparently honest affection for snot-crusted children, wilted dandelion bouquets, and abstract crayon drawings).
Advancing the treatment of man-colds requires that wives recognize these inherent strengths and abilities as such and apply them to the men in their lives. This can be challenging, given the difficulty of the caregiver ever truly understanding the magnitude of the patient’s illness in that moment—but it is not impossible. Visualization training can help female caregivers grow in sympathy and patience. Encourage the following visualization exercises:
  • Young Love. Your wife should envision you in your prime or when she first fell madly in love with you and recall how she desired nothing more at that time than to be near you and spend time with you—then awaken and apply that dormant desire to your current illness. Please note that back hair, bald spots, spare tires, and other natural signs of masculine maturity can unfortunately reduce the effectiveness of this approach.
  • Momma’s Here. Your wife should call to mind her affection for your children at there tiniest, cutest, and most vulnerable (or at whatever stage in development appeals most to her maternal instinct), then recall that the child she loves so dearly is a manifestation of her husband’s love for her. She should then recall that, in this moment, he is every bit as vulnerable and helpless as that child and needs her loving care and attention. At all costs, men should resist the urge to spark this maternal instinct in their brides by assuming the fetal position or reverting to crying or other forms of pre-verbal communication. These approaches have been known to backfire.
  • Martha Kent/Nurse of Heroes. Your wife should remember your natural call to protect and provide and envision you as the heroic figure you are meant to be—she need only restore you to health for you to strive and reach that magnificent potential. This approach requires the most imagination and effort on the part of your spouse; if undertaken seriously, it can be effective, but most early trials have resulted in eye-rolling and fits of hysterical laughter, which can be detrimental to the patient’s emotional well-being.
Man-colds are no laughing matter and, to the victims, can seem debilitating or even deadly. However, they are treatable. With further research and understanding, the scourge of man-colds and accompanying sarcasm and ridicule, can be, if not eliminated, at least effectively managed to the benefit of men, marriages, and families everywhere.

The Still, Small Voice of God

There was a strong and violent wind rending the mountains and crushing rocks before the LORD—but the LORD was not in the wind; after the wind, an earthquake—but the LORD was not in the earthquake; after the earthquake, fire—but the LORD was not in the fire; after the fire, a light silent sound.  When he heard this, Elijah hid his face in his cloak and went out and stood at the entrance of the cave. –1 Kings 19:11-13


It is Tuesday afternoon, and I am writing from home. This column should have been done and in already. It is not, because even a job working for the church is not as important as some things.

Around 9 p.m. last night my youngest son threw up, and my bride informed me she didn’t feel well either.  Between 9 p.m. and 2 a.m. or so, my son was sick probably two dozen times. Jodi did not get as sick, but was as sleepless as Trevor—and I tried to stay clear so that hopefully I could handle little Lily in the morning and keep her from catching whatever this was.

I rose and prayed with Jodi at 5:30. She felt a bit better, and Trevor was sleeping, at last.  At around 6, Emma was sick the first time, and by 8, Lily was complaining that she didn’t feel well either. I was getting ready for work—Day 2 with our new faith formation coordinator, Andrea Zachman—but had the sinking feeling that it was only a matter of time before it hit me, and that my colleagues might rather I stayed home. I was torn—I felt fine, but so had Trevor and Emma before it hit, and I had plenty of work to do. Lily seemed fine, but if she were on the verge, I didn’t want her spreading it to her friends and their families. Jodi was torn, too—she didn’t feel great, but had a mountain of work waiting for her and didn’t feel she could afford to miss a day.

And as fate would have it, we had a blanket of fresh snow on the walk, cars, and roads.

Ultimately we compromised: we both went to work briefly to take care of a few things and bring some additional work home to do around our other duties. We were out of several basic food items in our house, so I fought the blowing snow to stock up on a few things—and now here I sit, writing furiously.

We are all called by God—do you hear Him? I often imagine the God of the prophets speaking to them in a deep, thundering voice, but that’s not what we hear in first Kings, above. Elijah recognizes the Lord in “a light, silent sound”—other translations say “a sound of sheer silence” or “a still, small voice.” God whispers, as it were, drawing us close with his words, into an intimate conversation with Him.

Unfortunately, the noise of the world too often drowns Him out. We hear the voices of our colleagues and bosses ringing in our ears; the ringing of the phone and ping of emails, IMs, and texts…the traffic report…the weather…and nothing of the still, small voice of God.

Excuse me a minute: my other high-schooler, Gabe, just called—he’s sick and can’t drive himself home. Jodi and I need to go get him and the Suburban.

We are all called to a first and universal vocation of holiness. Most of us are called to live out that first vocation in terms of a second vocation to marriage and family life—we sanctify ourselves, our spouses, and our children by imaging God Who is Love. Everything else we do and are come in below that. We are created from Love, and Love is our purpose and end. That’s all. That’s enough.

Because that’s everything.

So Grateful Tonight…

Yesterday morning we loaded the Suburban, picked up Bren’s girlfriend Olivia are 7:45 a.m. Central time, and headed to Bismarck to fetch our eldest from University of Mary. Olivia rode shotgun (five bucks who can explain why I decided to call her “Coach”) to the campus, and we played the letter game, the license plate game, talked, sang along to the iPod, and ate Hardee’s for lunch in Jamestown, N.D.

We reached UMary and Gabe and Olivia retrieved Bren from his dorm. He came out with a box, a backpack, a duffle bag, a cased guitar, an uncased mandolin, and his heavy Carhartt jacket. We had room for the duffle bag and the guitar–but we stuffed it in, crossed the river into Mandan, and headed south by southwest to the Dennis Ranch in Red Owl, S.D., for supper. Bren and Olivia held the guitar at bay with the backs of their heads. At dusk the deer were moving along the roads; darkness fell quickly, and fog rolled in, so we lost time peering in the the gray-black, watching for movement.
We finally rolled up to Robert and Cindy’s new log house around 6:30 Mountain Time. The whole clan was there, waiting, including Fr. Tyler, who escaped his parishes for a Thanksgiving with his folks, his brothers Tate and Chance, and their families. Cindy, Hope, and Cass finished dinner, wrangled kids, and entertained Jodi, Emma, Trevor, and Olivia, while Bren, Gabe, and I help Robert and his sons move in a massive plank table edged in natural bark just in time for Thanksgiving. We enjoyed burgers and hotdogs, chips and salads, carrot cake, and Emma’s best oatmeal caramel chewies, and good beer (90 Shilling , picked up in Mandan). 
We visited and laughed together until around 9:30 or so, while Lily and little ones explored every corner of the  then rearranged the gear in the Suburban and loaded up for the Venjohns. Gabe needed night driving hours, so he took the wheel, with me navigating. The fog was thick, cutting our speed in half at times, but we rolled into Black Hawk and the house on Suzie Lane at 11:30  or so.  The adults were asleep, but cousins, greeted us. (Such is life: these days the adults turn in early, and the kids stay up to greet the latecomers.)
I woke this morning at 3:30, then again around 5 or so. Dozed until a little after 6, then showered and came went upstairs. Grandma Venjohn was next up, then one by one the rest of the family rose: everyone here but Jason and Carmen, who were hosting her family in Sioux Falls. Carmel rolls and coffee (and a little orange juice) for breakfast. Chris and Tally ran a Turkey Trot in Rapid City. Grandma, Matt and Brenda, and Brad and NaCole worked on snacks and dinner and watched the parade on TV, while Grandpa and our crew headed to 9 a.m. Mass at Our Lady of the Black Hills.
Their regular priest, from Poland, was sick; the old priest who celebrated Mass looked familiar, and his deep baritone and easy humor called to me from the past. Finally, halfway through the Mass, Jodi whispered, “I think that’s Fr. Bob from Wall,” meaning the priest who was at the Catholic church in Wall, S.D., when we first met and she first lured me back to Mass. I knew as she said it she was right.
He’s on oxygen now, and didn’t stand for his homily. He reminded us we are a thanks-giving people, and that Eucharist means Thanksgiving–then he told the story of a Thanksgiving day in the service, spent in the shadow of an armored personnel carrier in the Mojave Desert, eating MREs. The men were hot, the food (pork and beans) was crummy, and guys were already scarfing it down when their leader asked Father is he would bless their meal. So he did–and it struck him that we expect to feast on Thanksgiving, and to give thanks for all we have, but some people don’t have. He ended the petitions the deacon led with “For all those who only have pork and beans today, we pray to the Lord” and then, “For those who wish they had pork and beans today…”
During the sign of peace, I never more sincerely wished peace to those around me–and I’ve never felt more blessed to receive the Eucharist. We spoke to Father afterward. He didn’t remember us, of course, but knew we knew him, and (I hope) felt the love we have for him.
We got home just in time to watch the Lions-Vikings game. Gabe, Emma, and Trev were wearing Honolulu blue and were heckled by the bulk of Jodi’s family, who are diehard Vikes fans. It was a good game; Lions won a bit before dinner, and we prayed together over the food.
Not pork and beans, but turkey, ham, potatoes, stuffing, rolls, and squash. We ate, we played games, visited more, and some of us dozed. When the girls finally decided it was time for pie, we called Brendan upstairs to sing to him–he turns 19 today. Five different pies (apple, pecan, cherry, pumpkin, and pumpkin cheesecake) and real whipped cream. Brendan got a fleece blanket in UMary colors, three books, a capo and electronic metronome for his guitar, cards, and money. Some of us took a walk, others played Shut the Box and other games. At one point I went downstairs to find Bren, Olivia, and Gabe starting a rosary, so I joined in. Such peace–and such joy that they do this by choice.
We ate a little more a little while ago. Now most of the family is playing cards: Phase 10 in the dining room; Texas Hold’Em in the kitchen. I’m surrounded by voices and laughter and love. Such joy. So grateful tonight.
And we’re here ’til Sunday.
Friends and family, I love you and am grateful for you. God bless you tonight and always.

Long Goodbye Addenda

In the emotion of last weekend, I neglected a few details from dropping Brendan off at UMary:

  • No sooner had Bren and his roommate introduced themselves to each other than one of the Benedictine Sisters of Annunciation Monastery and one of the RAs appeared to sprinkle holy water in the room, pray with them, and give them a cross-shaped icon to hang. So the first real interaction Brendan and his roommate had with each other and with the university community was shared prayer. Very nice.
  • I posted a photo of Bismarck’s Big Boy drive-in, but not the details, and this may be of interest to anyone who, like me, brew up with Big restaurants. The plump fellow in checked overalls and the Big Boy name is there, but the experience is something different entirely. First, it is strictly a drive-thru. Second, it does not serve breakfast, and for lunch and dinner, has a unique menu including tasty fried chicken, a pizza burger “flying style” (i.e. pressed flat and sealed tight around the edges so it doesn’t leak in your car), fries with country gravy, and the Purple Cow, a grape-flavored milkshake. It’s not fancy, but tasty and relatively cheap, if you are ever in need of a quick bite in Bismarck.
  • In an effort to get daytime, and especially nighttime, driving hours, Gabe pushed himself hard to do most of the driving for the trip. He drove from Albertville to NDSU in Fargo to drop Bren off with friendson Friday afternoon, negotiating a surprising amount of traffic and a stiff crosswind with the big blue Suburban. I drove from NDSU to the hotel for the night, and to Sandy’s Donuts (great!), NDSU, and 30 minutes toward Bismarck in the morning, then Gabe took over again to get us to a gas station in Bismarck. Jodi drove from the station to Big Boy and U Mary–then Gabe drove a full six hours straight from Bismarck back home again. 
  • The “highlight” of the drive home? A stretch of about 10 miles in which the bugs hitting the Suburban sounded like rain, and the wipers and fluid couldn’t keep up. Visibility was probably 60 percent when we finally found a gas station to clean the windshield. A half dozen other vehicles were doing the same, and the place was completely sold out of wiper fluid. We got the windshield cleaned, and had no further problems–but Sunday morning, the bugs were still so thick on the grill and headlight they were attracting other bugs to feed. Disgusting.
Many memories. Bren is doing well. Can’t wait to get back out there and catch a football game or wrestling meet!

Long Goodbye

It’s a strange sensation, like a high-tensile wire stretched six hours west to a bluff above Bismarck and the Missouri River, a steady thrum, more felt than heard, reminding me that a part of me is there. Not gone, but definitely not here, and I can’t know from one moment to the next what he’s about. We are six hours distant, so I know less about his day-to-day — but I am more keenly aware of him than I have been in years. His absence is a presence, palpable, in our home.

I am wearing an old hardware-store t-shirt he left behind.

I haven’t felt this sort of connection to my eldest son since he first came home with us — the heaviest ten pounds I ever lifted — and I realized he was ours to shape and raise to manhood. Then the connection was direct, bare skin on bare skin, almost frighteningly close: his little chest expanding and contracting, the soft spot where his skull had yet to form pulsing, his every need and discomfort so close to the surface we could almost feel it. Now it’s this invisible strand from one eggish Thorpian occiput to another. He’s always at the back of my mind.

I wonder if he feels it, too?

* * * * *

At different points this past summer, it felt like such a blessing that the University of Mary started late. We planned an August send-off, since Brendan didn’t want a grad party and had lots of time to plan and few conflicting parties to contend with. As we watched more and more friends drop their teens off at college, we thought it was helping to prepare ourselves for this weekend. Perhaps it did. But the past three weeks or so began to feel like a very long goodbye. Brendan left his job at the hardware store at the end of July, and his electrician’s job a few weeks back. His band, Pabulum, played their Final Jam. (They insist they are done as a group, which would be a pity.) All of his friends expect Olivia (who is a senior this year) left for college, and he started packing his things, some for Bismarck, some for storage.

The week before last he took a solo road trip to Michigan to spend some down time with my folks. As God’s providence would have it, a high-school friend of mine has a son who was transferring to St. John Vianney Seminary in St. Paul this fall; he and Bren were best friends in preschool, and Will and his stuff needed a ride to Minnesota. They came back together, two peas in a pod, and Will dropped right into our family. When we took him to the seminary a day or so later, it was actually a little emotional — call it practice or anticipation, we were beginning to feel the ties to Brendan being stretched.

Last Monday, Jodi and I took Brendan out to supper and to get sheets, supplies, and decor for his dorm. We had such a good time eating his favorite food (Mexican, this time at El Bamba), listening to his current favorite band (Icelandic blues-rock outfit Kaleo — Bren, his friends and I are going to see them in October); making him pick out dishes, sheets, and towels when he couldn’t care less. It was a great evening.

And then this weekend. Originally only Trevor wanted to make the trek to UMary, until Gabe realized he could potentially get 12 hours of driving toward his license. Once he decided to go, Emma jumped aboard, realizing that otherwise she would be left to babysit Lily alone. So all seven of us went — the largest single-family contingent I saw on campus.  Jodi and I took Friday off, and we left early in the afternoon so Bren could connected with his NDSU friends in Fargo and catch our local high school’s football game against Moorhead. He spent the night on campus; the rest of us in a hotel. Seeing his friends joyful and comfortable on campus, was reassuring; arriving at UMary itself was doubly so: simple, joyful, peacful.

Bismarck’s Big Boy Drive-In — unique in my experience,
with menu items you don’t see anyplace else. Google it!

We met his roommate, Ethan, a nursing student and Vikings fan from western Minnesota, and Ethan’s parents — they seem like a wonderful family — and heard from UMary president Monsignor James Shea, who told the students with clear affection and blunt honesty that their lives were not their own, but a gift for others, and unless they find a way to spend themselves in love, they will have wasted their time here. He told us parents, as well, to step away and allow our children to stumble and fall that they may learn to stand on their own.

He strikes me as a good man, and I couldn’t be happier to entrust Brendan’s young mind and character to him these next few years.

One other speaker shared an Erma Bombeck quote, comparing raising children to flying a kite: letting out more and more string until ultimately the tether breaks and the kite soars away on its own. It’s not a bad metaphor, but I see things differently. This connection between us is stretched thin, but not to breaking; it is keen, sensitive, and strong, and though it can be tangled, wound about the world, stretched to invisibility and nigh untraceable, it cannot be broken.

I told him as much, in a letter I left in one of his boxes. No matter how far away he goes, I am here waiting for his return. Because he is mine, and I love him.

When we finally decided, after dinner on campus, that it was time to head home, Bren walked with us to the Suburban. He hugged each of us (Mom and Lily more than once) and told us he loved us. He told the older kids to keep doing their thing: Emma, to keep baking; Trevor, to keep drumming; Gabe, to keep being himself and making people laugh. Lily’s last words to him from inside the Suburban: “Love you, Brendan! Don’t do anything bad out here!”

We’ve done the best we could. I think he’ll be alright.