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Breaking the chains and being set free
A dear friend asked me to share this personal witness for those of you afflicted with addiction or who have a friend or loved one caught in the struggle. The hope is to cast some light in the darkness. Addiction can be an isolating thing and with the ice storm shutting us in and everything down, the loneliness, the temptation, the internal conflict can be overwhelming, So, for those needing it, please heed these words and let go of all that fear and anger, of all that hopelessness and despair, to know, receive and accept the love that is in you and that is inherently you. There is no lack in you, except maybe surrender and faith. Anyone fighting the good fight will understand what the title of this message “Breaking the chains and being set free” refers to, but it is in fact applicable to so much of our human condition. The thing to know is that once the shackles are shed, all you need do is follow the light and let your spirit fly free. That’s when you can soar to the sun. The freedom starts by acknowledging you have a problem, that you can’t lick it alone and that you accept the healing gift of a higher power to break the chains holding you down. It’s all in how you think and what you do. But true freedom only comes from getting out of your head and getting in touch with your heart. And, so, with no further ado, I present my friend’s call to the heart on this cold winter’s night. May it warm you and light the way out of the dark.
Breaking the chains and being set free
The time has come to part ways.
A long time ago, you saw the gaps in me and made me believe you filled the void when nothing else could.
That was a lie, of course, but I didn’t know it then. I didn’t know it for a very long time.
Like a lost child, I sought comfort wherever I could find it.
Even when I discovered the truth, I found it hard to say goodbye.
You are such a bedeviling creature and I am such a slave to your seductive charms. You go right for my weaknesses and unless I am careful I succumb every time.
You are the ultimate illusionist. Even though I know better by now, if I find myself tired. angry, afraid, depressed or lonely, you will still appear to be the answer, the relief, the escape I desire – unless I am honest with myself and willing to see through the mask.
I know now what I seek is love of God and love of self, not lust. I seek wholeness and unity of mind, body, spirit, not betraying oaths for momentary pleasures that only splinter me. What you offer is a mirage, not even a temporary fix, but merely a distraction to numb the pain. In the end, you don’t fill me or complete me, you empty me and keep me shattered in pieces.
Like a fool, I sought to purchase love, solace, oneness. These things cannot be bought or sold. They can only be claimed as rightful, divine-endowed parts of me.
But I would not believe that I was God-worthy. I would not accept that I was created from love, by love, for love.
Feeling loveless is no way to live. Nothing good comes from the desperation and despair that follows.
In spurning God, I let a hole in my heart fester. Like the seducer you are, you are always eager to fill that void, though in reality you can’t.
You are the Pandora of the fabled box. Once I open that chest of alluring pleasures, your stream of temptress guises are too many and enticing to avoid. One or more is sure to envelop me if I let things go that far.
You are the mythic siren calling me and your bewitching powers cast a spell that pulls a veil over reality, obscuring moral bounds. so that I fall back into your wiles again, suddenly grown blind to the truth, willing to risk all, to cross boundaries, to betray myself and others.
In the haze of your intoxicating pull, it’s as if all sound judgment is rendered powerless.
You make it seem as if I have no will to resist and in fact by the time I do entertain your delights, I am in your control.
With some perspective, that we call sobriety, I now know that I always have a choice.
It begins by admitting that I have a problem but also by believing that it need not define me. It is a part of my nature. It is a chronic affliction that thrives under certain conditions. If I am in a vulnerable state of mind, heart and soul, then I am at risk. It doesn’t mean I will act out, it just means that is when I am most susceptible, therefore that’s when I need to be most vigilant.
Those of us who identify as afflicted this way find that recovery, even in our darkest, lowest times, is always freely offered and within our grasp. The solution is surrender to a Higher Power of our choice. Whatever name you give it, healing flows from this wellspring of love that is the source of all life.
This disease feeds on negative energy. Recovery springs from positive energy.
Recovery is the conscious, intentional act of walking out of the darkness and into the light. It is a choice that must be made over and over again. It means bravely facing life one day, one action, one decision, one thought, one feeling at a time. It requires basking in the glow of life, with all its intensity or boredom, its anxiety and discomfort, its pain and pleasure, rather than hiding in the gloom of shadow and looking for some artificial high.
I am not cured. There is no such thing as a cure where this is concerned. I am, however, informed, armed with tools, working a program, taking steps and slowly making progress. There are stumbles along the way. I sometimes take wrong turns. I sometimes relapse. Been there, done that.
I am getting too old for this shit.
The longer it is with me, the more rewiring my brain requires. A lifetime of bad habits and patterns in my thinking and reacting must be unlearned and new, healthier ones put in their place. It’s like an old dog learning new tricks.
Starting over at 58 is not a good picture or prospect, but it’s a lot better than dying alone or being a sullen mess feeding on chaos and misery. That’s where this leads if left unchecked. Ruined relationships, losing your spouse, your family, your home, your livelihood, your name, your health, even your freedom.
Did I mention losing your mind? You see, this affliction is a form of insanity. Despite my best intentions and full recognition of right and wrong, I am liable to turn a blind eye and throw everything away I say I cherish for a fix. I’m liable to lie and cheat, to break promises, vows, oaths. I’m liable to sabotage goals and plans.
I have been lucky so far. Nothing lost. Except peace of mind. Except causing various people in my life untold pain. Making amends is a lifetime project.
The past can hold me hostage if I let it. This problem can enslave me if I empower it.
Revealing my truth in this forum feels awkward but right. It is a public testimony. It is a declaration. It is a prayer. This disease is all about secrets and rituals, about holding onto old wounds and hurts and getting stuck in the muck and mire. Recovery is all about honesty and transparency, about housecleaning, about moving forward and freely. Telling my story, my truth, symbolizes my saying goodbye to something I don’t need anymore. I therefore let go of the crutch and the anesthetic of addiction. I let go of the fear, resentment and self-pity that lead me to seek these false supports and cause me to become dependent on them.
Mark this as my release – release from the bonds and chains that held me captive. I hereby claim that release for myself. I hereby resolve to choose freedom, sobriety, serenity.
I am scarred but not broken. I am healing. I am free.
One Day at a Time, A Recovering Alcoholic’s Story
I met the subject of this New Horizons story, John H., while on assignment for another story. His intelligence and honesty struck me and when he revealed some hard things about his life I knew I wanted to write his story. This is the result. This account of his struggle with alcoholism is written mostly in John’s own words. After all, he’s lived it, and because he came out the other side to become a treatment specialist at a detox unit, he can speak with the authority of someone who’s been there, done that. I lost track of John after the story appeared. I don’t even know if he’s still around. I really like him though. Maybe I’ll make a call and see if he’s still in town. I have no doubt that if he’s still living, he’s still helping others out of the dark and into the light., because that very service is part of his own recovery process.
One Day at a Time, A Recovering Alcoholic‘s Story
©by Leo Adam Biga
Originally published in the New Horizons
“I always knew I was going to die drunk. Now I know I will die a drunk, but hopefully a sober one. And there’s a difference.”
The bittersweet words belong to John H., an Omaha resident and recovering alcoholic who works as a treatment specialist in the detox unit at the Omaha Campus for Hope, a Catholic Charities counseling and shelter site formerly known as St. Gabriel’s. It is precisely where John finally got dried out some 11 years ago after decades of abusing alcohol and other drugs. If nothing else, his journey from client to staff member there proves addicts can make a fresh start if they really want to.
Born into a family of heavy drinkers in Chicago, John tried quitting booze several times but could never stay on the wagon more than a few months. His drinking wrecked four marriages, strained relations with his children, cost him several jobs and sent him on an odyssey around the country as he fruitlessly searched to escape his worst enemy — himself and his addiction. He suffered frequent blackouts, developed cirrhosis of the liver and squandered opportunities in a constant quest for getting his next buzz or fix. In the end, it took a savage assault that nearly left him dead before he realized a higher power was looking after him and he finally accepted the fact his life was too valuable to waste away in a permanent vodka-induced stupor.
Omaha Campus for Hope
Today, John shares a modest home in north Omaha with his youngest child, Shawn. The house, whose exterior is ablaze in color from all the flowers John has planted, is mere blocks from both his job and from the scene of his catharsis. A witty and intelligent man with an Irishman’s gift for turning phrases, John works one-on-one with active drunks and drug addicts in trying to help them kick the habit. In detox he sees desperate people contending with the agony of withdrawal.
“Getting clean hurts,” he said. “It’s easier to stay clean than it is to get clean.” It is not a pretty sight between the night sweats and the hallucinations, but it is exactly what John himself went through himself and that experience allows him to empathize with clients and, hopefully, use his own story as a model of sobriety. “I love it,” he said of his job. “Where I work we try to share our experience, strength and hope. That’s all we can do. I think sometimes it helps if clients know you’ve been there yourself. I let them know I have.”
As he sees it, the job boils down to providing unconditional support to those with no where else to turn. “We can’t fix anybody,” he said. “What we try to do is help them fix themselves by talking straight to them. No alcoholic-addict gets clean and sober until they hit bottom and the only place they can go then is up. What we try to do is raise their bottom so they don’t have to go so far down. We never see our successes. They go out and lead normal lives and we never see them again. We see the failures. We don’t really consider them failures as individuals, but they’re people who just haven’t got it right yet and keep coming back.”
He said the last thing users need is reprimanding because that only exacerbates the depression and self-loathing that accompany drug abuse. “Alcoholics-addicts have no self-esteem and no self-worth. I think they know what they’re doing isn’t right, but telling them that won’t do any good. They’re already down and all you’re doing then is deflating their own low opinion of themselves. Besides, they have a disease. It’s not a matter of choice after awhile.”
With the perspective of time, John has come to understand how and why drinking overwhelmed his life. The roots of his problem extend to early childhood, when he and his siblings were weaned on alcohol as a rite of passage.
“Both of my folks were alcoholics, as were my grandfolks and aunts and uncles. From a very early age there was always drinking around me. Being the oldest of four kids, I saw how my folks would pour some Rock and Rye in a glass and stick their finger in it and rub my sisters’ and brother’s gums. So, I suppose, that’s when I started drinking too. My folks were also the type of people who gave us a small glass of wine or a weak high ball with dinner when we were children. The assumption was, ‘Well, they’re going to drink when they get on the outside, so they may as well learn how to do it at home.’ The whole family drank. It was just the status quo. There were lots of arguments because of the booze. It got very, very ugly at times.”
Drinking shadowed every family activity, even the clan’s shared passion for the Chicago Cubs. One of his clearest schoolboy memories is coming home after class and finding his mother well on the way to tying one on while rooting for the Cubs. “We lived in a 3rd floor apartment within walking distance of Wrigley Field and in the summer I can remember coming home from school and entering the apartment, which had no air conditioning, and there would be my mother in her bra and half-slip with a quart of beer in a Pilsner glass in one hand and an iron in the other while watching the Cub game on television.”
Wrigley Field and surrounding neighborhood
His own serious drinking habit developed in his teens. “In retrospect, I know now that I was more than likely an alcoholic in high school,” he said. As a young man, he somewhat successfully masked his drinking but in reality he was what he calls “a functional alcoholic.” He adds, “I could still maintain some decorum of sensibility and reasonableness. Then, by the end of the disease, I would just fall off the edge of the world when I drank.” Bothered by the turmoil in his family, he often stayed away from home. He left home for good at 17 when he and his girlfriend eloped the night of their high school graduation. The young couple lived in Texas and a number of other places before the marriage collapsed. He worked his “way back up north” and it was in Kansas City that he met wife No. 2. She was an Omaha native and her desire to return to her roots first led John here.
In his mid 20s John and his second wife suffered the loss of a young child to cancer, an event that may have triggered more intense drinking in the grieving father, who acknowledges he was bitter and inconsolable over his son’s death.
With no real skills to speak of, other than a gift for gab and an intimate knowledge of liquor, he gravitated to the one line of work he seemed eminently qualified for — bartender. He was a natural, plus the job gave him access to all the booze he could guzzle on the sly, only he didn’t always get away with it. “I was a good bartender at first until, toward the end, when I became my own best customer. Then it was not so good. It got me fired a couple of times,” he said.
Between bartending gigs he put his people skills to work selling women’s shoes and hawking greeting cards as a traveling salesman. For several years he hit the road selling door to door, relocating several times along the way. including to Atlanta and Nashville. When regular jobs like these petered out, he always went back to tending bar. All this moving around, he said, was his desperate bid to find “the geographical cure for alcoholism,” which, of course, doesn’t exist. By the time he moved back to Omaha in the 1970s, John had been through three broken marriages and several careers. He was back to tending bar again and his drinking was worse than ever. He was descending into a kind of oblivion whose end result was inevitably going to be imprisonment or death.
“Alcoholism is a progressive disease. It keeps getting worse. By the time I finally got help there was no high, there was no enjoyment, there was no pleasure in drinking. I drank so I didn’t get sick. It was pure maintenance drinking.”

His first couple attempts at getting help did not take. “I was in two treatment programs. First, I went to Immanuel Hospital as an out-patient and after a few weeks, I said, ‘I’m wasting your time and my money because by coming in only a couple times a week I keep going right back to the same environment doing the same things.’ Later, I went to Immanuel as an in-patient and I stayed there a month. I stayed clean and sober for, oh, maybe three months and then I went back and stayed out for maybe eight years.” Why didn’t these tries at sobriety work? “I wasn’t ready,” he said. “It wasn’t anybody’s fault. It was on me. Alcoholism is a disease where you’re not going to get clean and sober until you’re ready to get clean and sober. It just depends on you. It’s strictly up to you.”
For a long time, he convinced himself he could control his drinking by moderating it. He knows now he was fooling himself. “I will never control it. Even now, going on 11 years of sobriety, I don’t control it. Abstinence is the only thing that will work for me. So, as long as I don’t take the first one (drink), I don’t have to worry about the last one.”
The leap from dependency to sobriety is a great one because it involves changing an entire mind-set. As John explains, an addict is obsessed with the acquisition and consumption of his/her drug of choice. “Your life revolves around the alcohol or drugs. You wake up in the morning planning on using. I would wake up at a quarter to six. By the time I got up, got dressed and walked to the liquor store on 30th and Laurel, it was 6 o’clock. I would get a half-pint of vodka. That was my breakfast. I would drink it on the way home, come into the house, smoke two cigarettes and start getting the kids up for school. Then I would go back and get a larger bottle and get serious about it.”
As the disease evolves John said an alcoholic alienates and isolates himself more and more from the mainstream of life until he or she is totally, utterly alone. “You start out drinking socially but you eventually hit a point where it’s just you and the bottle. You weed out people one at a time because you don’t even want your fellow drinkers to know how much you’re drinking. I had a drinking buddy for, oh, like 19 years. He had an old, battered pickup truck and we would drive to a park and sit there and drink. He and I would take turns trying to get sober. He did get sober a year before I did and that was the longest year I ever spent in my life because now it was just me and the bottle.”
Just as in the classic 1941 drama about alcoholism, The Lost Weekend, John said the shame of addiction led him to try and conceal his drinking from disapproving spouses and the disorientation of drunkenness put him on constant edge.
“You think you’re hiding it, but you’re not hiding anything. Everybody knows you have a problem except you.” In his case, he usually confined his drinking to public settings, although he sometimes snuck a bottle home. “I would very seldom bring a bottle in the house. I would just go up to the store and get some and drink it on the way back. I could kill a pint of straight booze in a few blocks. When I finished it I’d just throw it in the alley. Once in a while I would bring a pint home and hide it somewhere. I would go to bed, wake up an hour later and take a couple nips, then go back to bed and wake up another hour later to take a couple more. Well, you do this three or four times and you get paranoid, and you move it. Now, the next time you get up you can’t find it. You don’t know whether you can’t remember where you put it or whether your wife found it and threw it away. And you sure enough can’t ask her, ‘Did you find the bottle I hid in here last night?’”
By 1990 John was a wreck. He was separated from his fourth wife and raising their two oldest children alone. He functioned, but moved through life like a ghost. Life was a blur. Everything was muted and dulled in a kind of permanent haze or fog. He was about to get a rude awakening.
On a September night he walked from his house to fetch — what else? — a half-pint of vodka on his way to a meeting at the Viking Ship community center in nearby Miller Park.
“I was cutting through the park and I saw three guys sitting on the side of a hill and one of them stood up as I approached and asked me if I had a cigarette. I reached down to grab one and as I looked up I got hit in the face and that’s the last thing I remember for a month,” he said.

Immanuel Medical Center
The beating he absorbed at the hands of the strangers, who were never apprehended, left him with five fractured ribs, a jaw busted in three places, broken bones above and below his left eye (whose sight is permanently damaged), a broken nose and countless cuts and abrasions. Amazingly, he managed walking home, where his kids answered the door to find a grotesque figure sagging on the porch. They did not even recognize their own father for all the blood, bruising and swelling. He was rushed to St. Joseph Hospital, where he drifted in and out of consciousness and needed weeks for his concussion and other injuries to heal.
What happened to John that night had nothing at all to do with his alcoholism, yet he attributes the event and others following it with finally getting him to make the pledge to stop drinking stick.
“I have very mixed emotions about it,” he said of the beating. “It was a negative event but it had a positive result.”
Before he could make the commitment to stop drinking, he still had one last bender to go on.
“My jaw was wired shut and when I got it unwired I went out and got drunk that night, and I drank for a couple months. My last drunk was like a two-week drunk and it was a real bad one. Eight consecutive days are a total black out. Then, I finally got sick enough that I quit. In the meantime, my wife filed papers with the Douglas County Attorney that I was a danger to myself and others, and I more than likely was. Sheriff’s deputies came to my house and hauled me off in handcuffs to the psyche unit at Immanuel Hospital (Medical Center).

After his release from Immanuel John checked himself into then St. Gabriel’s detox unit. Before entering detox, however, he had a whole weekend on his hands at home, which posed yet another test to his resolve. “I had free reign to do what I wanted and yet I found myself not even wanting to drink. Even in my fuddled-up condition I thought, ‘There’s hope now.’ That was the start of it.”
Upon completing treatment at St. Gabe’s, he joined Alcoholics Anonymous, whose program he continues in today and that he intends participating in the remainder of his life. These days John is a content man who finds love and support among both his AA family and his own family. His son Shawn is living with him and sharing in his new life. He said, “Shawn got a lot of the benefits of my being sober. I’ve taken him places and done things with him that I never did with the older kids, who were out of the house by time I got sober. There was some resentment by my older kids, but we’ve been able to talk about it and work our way through it.” John’s dream is to one day retire to Mesa, AZ, where his beloved Cubs have spring training. Until then, he remains ever vigilant.
“Recovery is a continuing process. The first time I think I’m recovered, I’m drunk. I was an alcoholic yesterday. I’m one today. I’ll be one tomorrow. They’ll always make the stuff. They’ll always sell it. I’ll always be addicted to it. That doesn’t mean I have to give into it, though,” he said.
He realizes that without the support of his AA sponsor and circle of friends, he would be lost again. His philosophy about sobriety reflects the AA creed.
“It starts with attitude. And for the first time in my life I am comfortable in a sober world. I am not comfortable with my sobriety in that I take it for granted. I do what I have to do to maintain it.”
That means attending daily AA meetings. For John and others like him, sobriety is a one day at a time thing,
“All it is a daily reprieve,” he said.
Related Articles
- AA marks 75 years of helping alcoholics ‘rise from the depths of hell’ (seattletimes.nwsource.com)
- Getting Sober: Hope In the Rooms and Online (beliefnet.com)
- Alcoholism: The Basics (addictionts.com)
- A Dry Drunk is a just as mean as a wet one (spreadinformation.wordpress.com)
- Alcoholism and alcohol abuse (addictiontreatmentnow.wordpress.com)
- Is addiction a brain disorder? (theage.com.au)

Men of Science
Once in a while I have an idea for a story that entails my doing a set of short profiles of individuals sharing some common characteristic. In the case of this story, I profiled four senior men of science, all medical professionals and researchers of one kind or another in Omaha, Neb. I really enjoyed the challenge of trying to capture the essence of these men and their work in relatively few words. The story originally appeared in the New Horizons, and I suspect you will be as impressed as I was by some of their groundbreaking and lifesaving activities and findings.
Men of Science
©by Leo Adam Biga
Originally published in the New Horizons
The Man Who Would Slow Aging
Denham Harman, professor emeritus and world-renowned researcher at the University of Nebraska Medical Center, humbly chalks up his work uncovering the mysteries of aging to a series of chance occurrences. Born in San Francisco and raised in Berkeley, Calif., he displayed an inquisitive mind early on, developing a passion for building model airplanes and setting his sights on studying aeronautical engineering. But then one day in the 1930s his father bumped into an oil executive at a Bay area tennis club where Harman’s brothers played and landed Denham a job as a lab assistant with Shell Development Co. “This was in the midst of the Depression — there were no jobs,” Harman said from the cubbyhole office he still works in every day at age 86. This chance encounter affording an opportunity he dare not refuse set him on a new course — “I got shifted, so to speak, and I was very lucky” — that within two decades found him posing a radical theory of aging now accepted by the scientific community.
During a 1950s stint at Donner Laboratory in Berkeley where, he said, “I didn’t have anything to do but think, I figured it was a great time to look at this problem. So, I asked myself the question man has asked for a long, long time and still asks: What causes aging? What causes that transition? Everyone goes through it. We’re all familiar with it. We more or less accept it. There’s a lot of theories that try to account for that but no one theory is accepted. I looked at the problem from the premise there’s a single basic cause. Mother Nature uses the same things over and over again and this is what you would expect. Also, it was obvious genetics and environment were involved. So, what could cause this to take place? I thought of everything I could think of, but it just didn’t jive. I began to think maybe I had wasted my time getting on about aging — that maybe I didn’t know enough.”
Then, in one of those moments when a burst of inspiration arrives only after much deliberation, it came to him. He recalls, “I was sitting at my desk reading at the Donner Lab when all of a sudden it flashed in my mind — free radicals. I don’t know where it came from, but there it was. I looked at that problem and everything fitted — the chemistry-biology fitted.” The trouble is, initially almost no one else agreed with what he dubbed “the free-radical theory of aging.” He was all alone, out on a limb and his many detractors “were trying to chop it off,” he said. By the time he joined the UNMC staff in 1958, he was engaged in animal tests to support his theory. What kept him at it in the face of doubtful colleagues was, he said, his view the aging process is “a very important problem — it’s the thing that kills us” — and his belief that the theory is correct. That’s the reason I’m still at this problem. It works. Otherwise, as a chemist, I wouldn’t waste my time if it didn’t.”
So, what are free radicals and how do they impact aging? Free radicals are molecules with an unpaired electron. These lone wolf electrons create havoc in cells, setting off damaging chain reactions that account, he said, for the effects we experience as aging. Free radical production is stimulated by oxygen, which provides the energy we need to survive, and by environmental sources, but over time free radical reactions increase to a threshold the body cannot tolerate and we die. Harman contends an increase in antioxidant — vitamin E, vitamin C, beta carotene — consumption decreases free radical reactions, thereby slowing the aging process. “You’re putting in a preservative, in effect, that counteracts the deleterious effects.” The benefits of antioxidants — from increased life expectancy and reduced incidence of disease — have been shown in studies of rodents and birds. His efforts to promote antioxidant use — he’s long followed a daily regimen himself — has succeeded. “Americans spend around $4 or $5 billion a year on supplements, most of which are antioxidants, and even though I can’t prove it,” he said, “I’m sure a lot of those people will live longer then they would otherwise.”
Harman, whose research was long supported by a patroness, the late Mrs. Leon Millard, has in recent years seen funding dry up, a frustrating turn of events he ascribes to changing research priorities. Of more concern, he said, is the scant work being done on life prolongation and disease prevention using his theory’s tenets. “A great deal can be done, but we’re not doing it, and that’s disturbing.” As for himself, he continues writing articles, making presentations and giving interviews that lay out his ideas. Retirement doesn’t enter his mind. “I think you’re much better doing something,” he said. While he suspects his own life span may have been shortened due to recent health problems, he said time remains his main asset. “It’s what I have most of, but these are things you can’t predict.”
An Uncommon Man’s Search for Cancer’s Hereditary Links
As just one example of the uncommon life he’s led, Henry Lynch grew up a school drop-out and street fighter in a rough section of 1930s New York but persevered to become a medical doctor and noted cancer researcher. “I didn’t pick fights but, boy, the neighborhood I lived in it was a very common occurrence to meet bullies, and you had to defend yourself,” said Lynch, chair of the Department of Preventive Medicine and president of the Hereditary Cancer Institute at Creighton University. Even though he never attended high school — a result of his wartime service and working to support his family — he cultivated his naturally brilliant mind by reading “voraciously,” saying, “I did it on my own. I spent every free moment I had looking up things in the library. I had no doubt in my intellectual abilities.” Or in his physical prowess, which he put to use as a stevedore, farm hand and prizefighter.

Henry Lynch
Still a hulk of a man at 75, Lynch enlisted in the Navy as an under-age, but over-sized 16 year-old seaman in 1944. Serving as a gunner on freighters and transports, his tour of duty took him from the North Atlantic to the Mediterranean to the South Pacific. He boxed during his two-year hitch and once back stateside he resumed fighting as an amateur before turning pro. “I loved to fight,” he said, adding he boxed under assumed names in a 20-bout pro heavyweight career in order to retain amateur status in a hoped-for bid to play college football.
At first, it was as much his desire to play football at the University of Oklahoma under legendary coach Bud Wilkinson as it was his need to feed his hungry mind that led this then street-wise New York tough to enroll in college there in the late 1940s. By the time his failed tryout with the powerhouse Sooners ended his gridiron dreams, he was “consumed with studying.” He continued his studies at the University of Colorado and at Denver University and the University of Texas in Galveston. Trained in genetics, Lynch was serving an internal medicine residency at UNMC in 1961 when the course of his professional career changed. “I was called to see a family with multiple cases of colon cancer, but with no polyps. That was something I thought was quite unique. I studied that family. I went into great detail…not just studying the immediate relatives but extending it as far as I could to grandparents, aunts, uncles, cousins,” he said. “And I collected pathology extensively and wrote up all the clinical histories so I could put together and really understand how this could be a syndrome, and ultimately it emerged as one.” For his pioneering work, the syndrome was named after him. That first case history led him to track more families with colorectal and other cancers and it “influenced my whole decision to become a medical oncologist,” he said. It was also the start of a massive hereditary cancer data base he manages at Creighton, whose staff he joined in 1967.
Like any new idea, Lynch’s assertion some cancers have a hereditary basis was dismissed those early years. “People thought I was crazy. They kind of laughed or said I must be dealing with a chance situation or with an environmental factor,” he recalls, adding he often paid for fact-gathering trips out of his own pocket in lieu of grant support. His faith in his findings did not waver, he said, because “with a background in genetics I saw what we call a segregated model in the way cancers were moving through families and I knew it had to be hereditary. Finally, it wasn’t until the late 1960s that people began taking me seriously.” Today, Lynch is an acknowledged leader in his field, the author of 12 books and hundreds medical journal articles and a keynote speaker at medical conferences around the world. Despite his lofty status, he still goes out in the field recording case histories. He said getting good data “is not just a matter of the history, it’s winning confidence from the family members and gaining rapport. You’ve got to really care and they can tell right away whether you care or not. And I care. I really do. I care about them not just as research subjects but as human beings and they appreciate that.”
He and his colleagues not only track but identify pathological genes that cause disease and they apply preventive methodologies, including prophylactic surgeries, that remove or reduce the risk of cancer in patients. Genetic engineering, he said, will one day allow physicians to manipulate mutant genes. “If we can figure out the chemistry we might be able to design drugs that are the antithesis to what that gene is making, so we can block it and we can cure cancer and other diseases. That’s on the horizon. No question about it.” Where does Lynch draw the line in genetic intervention? “I don’t think we can foresee specific boundaries to this at this moment,” he said. “But if used prudently with the cardinal feature being the interest of our patients and following the orthodoxy of do-no-harm, then I think it’s fair to progress and to use all the tools God gave us to help humanity.”
Still actively engaged in work at an age when most of his peers are retired, Lynch can’t imagine quitting his passion. “Well, I will never retire. I just love my work. Besides, I don’t have any hobbies. I don’t know what I would do. My whole life is in this direction and I see a whole lot of problems there and some of them we can solve,” said Lynch, who has a wife, Jane, and three grown children. “It’s a joy knowing maybe I can help people.”
The King of Calcium
When Creighton University endocrinology expert Robert Heaney discusses the benefits of good nutrition in fighting the onset or progression of disease, he has a knack for making what could be a dry recitation of facts into an engaging discussion. For example, listen to his explanation of why our calorie-rich modern diets are actually nutritionally poor in comparison with our forbearers: Hunter-gatherers, he said, enjoyed an amazingly varied diet by foraging off the land and its bounty of nutritionally-rich nuts, roots, leaves and berries, whereas since the agricultural revolution our diets have been dominated by cultivated seed plant-derived foods — cereals, breads, legumes, wheat, rice, corn, millet — that provide high energy but low nutrition. “One of the issues modern nutrition is confronting,” he said, “is the role it may play in the chronic diseases that affect human kind today — cancer, degenerative cardiovascular disease and dementia. Does nutrition play a role there? Nobody knows. But there’s some evidence it does.”
Muddying the works, said Heaney, an Omaha native and Creighton grad who, with wife Barbara, has seven grown children, is the often spurious nutrition claims promoted by quacks and charlatans. “A lot of this stuff is just made up by people who don’t know anything about what they’re talking about,” he said. “I’m not going to sit here like a crank and say, It’s all nutrition — if you just ate right you wouldn’t have any problems. That’s not true. But I am convinced there is a role nutrition does play. The field I’ve worked in, osteoporosis, is an example.” He said the high incidence of osteoporosis today is likely due to diets low in calcium and vitamin D, two essentials for keeping bones healthy and strong into old age. “If your calcium intake is low,” said Heaney, the author of the book Calcium and Common Sense, “you are constantly withdrawing calcium from your bone bank in order to meet the needs your body has today. The problem is that as that goes on day-after-day, year-after-year, 24-7, that revs up bone remodeling and leads to structural weaknesses. So…much of the damage associated with osteoporosis is due to this high level of remodeling, which makes the bone more fragile.” While some progress is being made in assessing who is at risk for osteoporosis, he said identification is complicated by the fact “we’re immersed in a society in which everybody has low calcium intake but not everybody gets osteoporosis because some are more sensitive to low calcium and others are more resistant.” He said factors that impact the equation are starting to be “worked out. For example, African-Americans have a bony apparatus that tends to protect them against low calcium intake whereas whites will tear down their skeleton much more readily.”

Robert Heaney
Research by Heaney and others clearly makes the case for calcium and vitamin D in reducing bone fracture rates in older patients. He said where he used to be asked by science writers if calcium is vital or not, “I don’t get those questions anymore. There’s a high awareness of the importance of calcium and I suspect that’s due to the media. What the general public doesn’t know is how much calcium they need and what amounts are contained in the foods they eat.”
According to Heaney, calcium is also a marker for a nutrition-poor diet. “We did a study at Creighton of 300 or 400 volunteers that found those who had low calcium intakes — meaning less than 70 percent of the recommended daily intake — tended to get less than 70 percent of the recommended intake of four other key nutrients. So, a low calcium intake tends to translate to having a poor overall diet low in lots of other nutrients.” He said the preferred way to get patients to increase calcium is through diet. “The best way to get the nutrients we need is from eating other organisms. We don’t know enough to put it all into pills. So, we stress food. If I can get you to eat calcium-rich foods then I know I’ll have a much better chance of your getting all the nutrients you need because dairy foods are such good sources of so many of these nutrients. We recommend fortified foods as a second or third line of defense and only recommend supplements as a last resort.” He is quick to note calcium is not the only nutrient crucial in osteoporosis and nutrition is not the only factor impacting the disease.
Even at 75 Heaney is still at the top of his game, evidence of which came with his being honored as the 2003 recipient of the E.V. McCollum Award from the American Society for Clinical Nutrition for his creative work as a clinical investigator in generating and testing new concepts in nutrition. For him, research is a never-ending exploration, journey and challenge. “It’s all those things. It’s always a question of why and how. Those are the interesting questions,” he said, adding he’s had a curiosity for how things work since he was a kid taking clocks apart. He said he “doesn’t waste a lot of time pondering” retirement, adding he’s too busy anyway between his research, writing and speaking commitments. Besides, the grant funds he secures for CU’s osteoporosis research center are what keep it open. “The day I stop, the work stops. That’s why I’m happy to keep doing it.”
High Flying, Straight Shooting Doc
University of Nebraska Medical Center otolaryngology physician-professor and retired Air Force veteran Anthony Yonkers has applied his healing arts in a wide variety of settings. He’s served as flight surgeon aboard jets, provided medical advice to Stratcom leaders running nuclear scenarios in its underground command post, taught medical students and resident physicians in training, conducted research into new head-neck procedures and performed countless operations that improved patients’ lives. The Muskegon, Mich. native and University of Michigan grad came to Omaha in 1968 as an active duty Air Force major assigned to Erhling Bergquist Hospital at Offutt Air Force Base. As an ex-serviceman, Yonkers is widely respected in his role as an attending clinician at Omaha’s V.A. Medical Center.
While never an Air Force pilot, he learned to fly in the Offutt AeroClub and even got to take the stick of T-38 trainers on flights he accompanied. These days, he pilots his own single-engine Mooney to medical conferences, family get-togethers and relief efforts undertaken by the Order of St. Lazarus, a humanitarian organization he is active in that provides medical care to leper colonies around the world. He and his wife Mary have four grown children.
Yonkers and his UNMC colleagues participate in studies looking at everything from sinus infections to breathing disturbances to cleft lip and palette repairs to the treatment of papillomas of the voice box. He said new insights into treating medical conditions often arise from clinical experiences that prompt questions that in turn spur quests for answers through “studies of what best proven methods or accepted techniques work best in a given set of circumstances.”
For Yonkers, one of the most pleasing aspects of his work comes in his role as a teacher. “It’s fun in that you’re seeing young people develop. You’re taking a medical student with maybe one year of general surgery training and in four years you’re turning him or her into a specialist that can go anywhere in the country and hold their own. That makes you feel good.” He said practicing medicine gives him great satisfaction. “It’s a fascinating area. It’s an opportunity to work with people and to do something to alleviate their discomfort and to make their lives better. It’s very satisfying.” At 65, his passion for his work remains undiminished. “That’s the reason I’m still here and not retired,” he said. While he knows there may come a time when it’s prudent to lay down his scalpel, he believes older docs like himself offer what cannot be taught or replaced. “Through the years you build a feel or sixth sense for things and it takes awhile to accumulate those assets and nuances. That kind of knowledge is hard to measure and is lost in a forced retirement.”
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There’s No Place Like Home Sums Up Home Instead Senior Care Philosophy

From oh-so-humble beginnings Home Instead Senior Care has become a huge business that founders Paul and Lori Hogan have built from a single good idea based on some core principals that come directly from their lives, not from a manual or focus group. This short story provides a glimmer of what makes them and their business tick. The piece originally appeared in B2B Magazine.
There’s No Place Like Home Sums of Home Instead Senior Care Philosophy
©by Leo Adam Biga
Originally published in B2B Magazine
Home Instead Senior Care co-founders Paul and Lori Hogan take a similar strategic approach running their business as they do their marriage and family. The principles that guide their professional life are congruent with their personal life because they authentically express the couple’s beliefs.
That consistent message helps explain how in 15 years they’ve grown from a single desk in Paul’s mother’s home to a new Omaha corporate headquarters with 100-plus employees. What began as a handful of caregivers and clients now encompasses 872 independently owned and operated franchises employing some 60,000 caregivers serving more than one million clients worldwide.

Along the way the Hogans helped create a new industry for delivering nonmedical home care and companionship and are recognized leaders in the field.
“One of the things we did before we started the business was we established our set of corporate objectives, which are to honor God in all we do, treat each other with dignity and respect, encourage growth in ourselves and others, and build value in service to others,” said Paul. “As I look back, that is the single most important thing we ever did in the business. The second most important thing is we shared those with absolutely everybody that’s ever joined the company — as a franchise owner, caregiver, staff person. Therefore, before deciding whether to join us or not. you know where we’re coming from. Those two things done in the very beginning have played out now to be invaluable.
“I suspect it’s turned some people off, but those that identify with those values join us and thrive. They can be themselves and can achieve excellence, and that’s really the foundation for the chemistry that exists in the corporation.”
At the heart of it all is the story of Paul’s late maternal grandmother, Eleanor Manhart, whom family members cared for at the home of her daughter, Catherine Hogan (Paul’s mother). Grandma Manhart didn’t want to go to a nursing home. Paul and Lori were among her caregivers. The example of how Grandma thrived with personal, attentive, in-home care gave Paul the idea for the business. “Slowly her strength came back and she regained the will to live,” he said. “Without that experience there wouldn’t even be a business. It was the impetus to give me and Lori the confidence this is needed and it works.”
He learned “the fear of being isolated, lonely and institutionalized” is universal, as is “the basic human need” or desire to stay at home. “That was the inspiration — the promise of home,” said Paul. He also learned “It’s not so much how well the towels get folded,” it’s how well people connect. The quality of that connection has become the paradigm for Home Instead’s model.
“It’s one relationship at a time,” he said, “and the larger we get the more important it is we continue to find ways to focus on our core strengths, and our core strength is our relationships with people. We’ve actually measured it. The most important aspect of our service between our caregiver and our client is the relationship.”
That relationship model is expressed in a new Home Instead tag line: To us, it’s personal. “We all realize that is the key to success yesterday, today and the future,” said Paul. “So that’s a way we continue to build upon our core strength. It’s aspirational. Every time that phone rings, that’s how we deal with people.”
“As we get bigger we keep going back to those core values and with every decision ask, Does it line up with our core values? If it doesn’t, it’s best we don’t do it,” said Lori, “and I think that’s been a really good guide for us to measure against.”
Home Instead is highly selective in awarding franchises. It has to be the right fit. A proprietary evaluation system is used to determine if candidates possess the right mix of five key talents deemed necessary for success. Paul meets every prospect.

“Caring and competitiveness are two of the five I’ll talk about,” said Paul. “If competitiveness is really high and caring’s really low that’s a bad formula, or if caring’s really high and competitiveness is low you’re not going to be aggressive enough to do what it takes to make it. We’ve turned down 25 to 35 (applicants) a year for the last seven or eight years, where the chemistry was just not right. If we were out just to sell franchises and put more money in the bank we wouldn’t care about that, but that’s obviously not a good approach because the more that don’t make become a bad reflection on the brand.
“I think another part of the formula is we’re not a public company, we’re privately held. Therefore we can make those decisions, we’re not pressured by quarterly earnings statements that compel you to sell just to make the numbers. Not having that pressure continues to be to our advantage.”
Communication is essential. Paul and his senior team leaders maintain contact with franchise owners. “We’re always getting feedback from our franchise owners before we go into making our next year’s plan. Therefore we’ve always been out in front of things — issues and challenges and opportunities as opposed to being in crisis mode. It’s helped us as a couple to continue to enjoy the business, build the business, feel like we’re in control of the business…”
Home Instead was not the first nonmedical home care provider, but it introduced focus and professionalism. Paul first learned the corporate world working at Merry Maids, an Omaha-based company that found franchise success. Founder Dallen Peterson became a mentor. “I saw how he took a very simple service concept — home cleaning — and made it a professional service by developing a system that ensured quality work,” said Paul. “So I took that experience into this and I was the first one to really do that in the industry. Secondly we focused on doing one thing and just doing it really well. Before we came along there were other home health companies doing both medical and nonmedical, and there still are today.”
Building a niche, Lori said, has proved smart, as Home Instead’s positioned itself as THE expert in the private duty home care field.
“We have the goal by 2025 to be among the world’s most admired companies by actively changing the face of aging,” said Paul. “Today, the face is fear. We want to replace that with hope. We want to replace loneliness with companionship. The old face is institution — we want to change that to home. That’s why we’re writing a book called Stages of Senior Care, Your Step by Step Guide to Making the Best Decisions (McGraw Hill).”
The book is slated for a fall release.
Home Instead does public awareness campaigns via print, video, online guides that help adult children and older parents navigate aging issues early on. There are tips on how to start the conversation about Mom and Dad’s living arrangements, bringing home care into the picture, et cetera.
Opening this fall will be the Home instead Center for Successful Aging, a partnership with the University of Nebraska Medical Center. The mid-town drive-up facility will offer health and wellness services and clinicians and will conduct research. Said Paul, “We sponsored that center because we want to be a part of the solution. Maybe Home Instead can be a part of discovering some breakthroughs about Parkinson’s or Alzheimer’s and so on. We’re going to avail to UNMC the thousands of clients we have to help with clinical trials.”
The Hogans view their work as a calling. “We see it as our purpose and we see it as our mission,” Paul said. “It makes us feel like we’re doing something relevant and we realize how that’s not easy to come by. We recognize how special that is.”
“We feel blessed,” said Lori.
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