| Sketches of Strength, Chapter 5 - The Bridge Lenny Built |
| Written by Dr. Mel | |
| Sunday, 16 April 2006 | |
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I just cut my dose of Decadron 50 percent, I’ll let you know how it turns out. My doctors felt that the myeloma has been relatively low and stable while I have been on the regimen of Revlimid and Dex for the past three years, and maybe it is time to see what would happen if the dose were cut in half. I might need the higher dose of Dex in the future, but to continue the high dose when I may not need it could lead to a tolerance, and trouble down the road. Also, the lower dose is making me feel more of a “mensch” this morning... that is Yiddish for being a “human being” – for having it all together. I’ll tell you how this experiment turns out, but one can’t talk of being a mensch without talking about one of our great myeloma brothers, Leonard P. Zakim who affectionately was called “Lenny.” He was truly a human being with all its admirable qualities – compassion, kindness, honesty, truthfulness, and he never gave up, whether he was trying to build bridges between black and white communities, or building bridges within the health community between standard therapy and complimentary therapy. It is little wonder that the widest cable bridge ever built carries his name – The Leonard P. Zakim Bunker Hill Memorial Bridge(Zakim Bridge, for short) If you are in Boston, you just can’t miss it. His myeloma diagnosis did not slow Lenny down one bit in his effort toward social justice. Nothing could slow Lenny down.
He went onto American University, and then to law school in Boston where he became student president and soon after began working in democratic politics for Massachusett’s Governor Michael Dukakis who was running for re-election. When Dukakis lost and his job ended, he went to join the ADL in 1978. By 1983, at age 30, he became the organization’s youngest Regional Executive Director. While at the helm of the ADL organization, he forged the “World of Difference” campaign, the “Team Harmony” program, and even a Black-Jewish seder which was later expanded to a Catholic-Jewish seder. At first only a few people showed up, but in just a few short years, attendance exceeded 600 guests. Then of course, there was the “Lenny Fund,” too. During the years as ADL Director, his tires were slashed, and he received written death threats – but that didn’t slow him down, not even the greatest death threat of all – myeloma. During the months and weeks leading up to the transplant he believed that there was more than just chemo that he needed to be as strong as he could. After the initial diagnosis, he began to feel serious chest pains, and that led him to a nearby meditation center where after a few sessions, the pain disappeared. He was familiar with such therapy while in college, but as the years passed, his obligations increased, and of course, he wanted to be with his family, too, so he didn’t have the time to continue with it. But now, he was making time for that, and he was convinced that traditional medicine just did not incorporate enough of these complimentary treatments. He set out to change that for himself, and in the process for many others. He went to see an expert on complimentary treatments, Dr. David Eisenberg of Beth Israel Deaconess Medical Center, just across the street from Dana-Farber, and he showed Lenny what he had learned through his research on alternative therapies. He showed him the importance of exercise, meditation, acupuncture, guided imagery, therapeutic massage, drinking water, using herbs and vitamins, having good nutrition and sleep. Lenny felt he could accomplish most of these efforts – except more sleep, especially now when he believed his life could be cut short and there was so much he wanted to accomplish. For Lenny, there was rest, and there was sleep. More sleep didn’t necessarily provide more rest, and that one should become as active as possible and not sleep for long hours. Five or six hours of sleep proved ample rest for Lenny. Of course, Eisenberg never meant that Lenny should abandon his traditional treatment, and it was important for him to confer with his doctor, Ken Anderson, before making any moves. While nutritional changes, vitamins and herbs are important, these can contradict the traditional treatments, and as Lenny pointed out, “Why go through the pain and suffering of a transplant if you are doing something that will work against it?” From the start of his therapies, he went to Cynthia Maderios of Dana-Farber. She eventually became the director of the Zakim Center for Integrated Medicine. He wanted Dana-Farber to pull all the pieces of treatment together. Maderios said that Lenny was the type of person who if “You gave him a list of ten reasons for not being able to accomplish something, he would say, ‘OK, when do we start?’ His enthusiasm was infectious.” They set up a family and patient advisory council to help forge the integrated center, and out of the council came the Zakim Center, but while the pieces were being put together, it wasn’t until right after his death that the center was dedicated. In addition to providing clinical services, the center performs research funded by the National Cancer Institute – the purpose of the research is to convince the medical community that complimentary treatments are helpful in providing a better quality of life, possibly extending survival, and making the course of rigorous traditional treatment less daunting. Maderios said that Lenny’s complimentary preps before his transplant helped him deal with it far better. And he himself speaks of how acupuncture helped in many ways including curing a severe attack of conjunctivitis that traditional treatment wasn’t reaching. Of course, these are anecdotal testimonials, and if integrated therapies were to become widely accepted to the point that insurance carriers would be willing to provide reimbursement, then clinical trials are absolutely necessary. And that was one of Lenny’s goals – to have insurance cover the costs of these old but revived treatments. Even today, most of the cost is carried by the patient, and only some major haggling through insurance companies could get you somewhere. It took two and a half years of letter writing on the part of Ken Anderson to get some reimbursement for Lenny’s complimentary treatments. The procedure is too tall a task for most, but still the Zakim Center is a success. It provides nutritional counseling with professional dieticians, massage, Reki, and even music therapy – a session that I attended several years ago, but I wound up playing the piano. Maderios explains that none of this is frivolous, “It relieves stress, pain, anxiety and helps patients handle the specific harsh cancer treatments. The staff is catching on.” She feels that Lenny may be gone, but the future of his center will carry on, “The center is here to stay.” Hundreds of patients take advantage of the center, and over a million dollars have been given to the Center for its programs. Even on the very day that he died in early December 1999, he was a believer of the benefits of this therapeutic approach. He was receiving touch therapy, he had a rabbi and his family by his side – very important elements of complimentary treatment, and he had his boom box going with his favorite Bruce Springsteen tunes. By the way, Bruce Springsteen was on hand for the dedication of the Zakim Bridge in 2002. Joyce Zakim, Lenny’s wife said, “To hear Bruce Springsteen sing just made me feel that Lenny was here with us on the bridge. I just felt his presence so much. Lenny loved Bruce’s music and really did live his words.” Springsteen performed on his harmonica and guitar and joked, “”If I knew this bridge was so big, I would have brought my whole band.” It sure is a big bridge. It is 1457 feet long, spans the Charles River, and itself is the widest cable-stayed bridge in the world with towers reaching 270 feet high. What an impressive structure, but just a shadow of an even greater man whose greatness really never stood taller than during his five-year battle with myeloma. |