I Didn’t See it Coming

In 2004, I read “Younger Next Year” by Chris Crowley & Henry S Lodge, M.D. The book’s message was: In your 40’s, you can decide to clean-up the bad habits in your lifestyle: Some 70% of premature death and aging is lifestyle-related, according to Lodge and Crowley. You can watch your health improve and live much longer, without significant decline, until you are in your 80’s or longer and then die quickly. Even at age 60, we can get “functionally younger every year for the next five or ten years,” wrote Crowley and Lodge. I embraced, and still do, the message of the book and recommended it to many people over the years.

Protecting our health became a core value for Melanie and me.

Last fall, I turned 72 years old: I hadn’t had a health problem since kidney stones in my mid-thirties—no surgery required. Throughout my sixties, I wondered when I would get hit with a major health issue. I didn’t think it was probable that I would get out of my 70’s without a significant health problem.

When I thought about dying, I figured that strokes would be involved: My dad had a small stroke at about my age and then another at age 90. He declined a feeding tube and passed away quickly on his own terms—just as Crowley& Lodge wrote. Dad was my model for living and became my model for dying with dignity.

Melanie and I walked five miles almost every day. I worked out with resistance tubes, dumb-bells and stretched my body three times a week. Other than having to manage my sugar consumption, my diet was good. My weight was fine. I didn’t smoke or drink.

On December 21, 2017, I was working in my office. I felt fine. My index and middle fingers on my left hand suddenly went numb. The sensation passed quickly. I Googled “Fingers went numb” and Carpal Tunnel Syndrome came up. I hollered to Melanie, “I think I have Carpal Tunnel Syndrome.” I forgot about it and went back to work.

The next day, three fingers on my left hand went numb along with the left side of my tongue and I couldn’t speak for a moment. These symptoms passed in a minute or so. I called my doctor. He said, “Stop taking a low-dose aspirin and take a full dose aspirin until I tell you not to. If it happens again, go to the ER.” We planned to go to the Fargo area for Melanie’s family Christmas party on Christmas Eve. We considered staying home to be safe but we decided to go and keep our fingers crossed. Other than some anxiety for me, I had no symptoms on the trip.

Back home on December 29th, we sat down for dinner. I said, “Melanie, my fingers on my left hand, my left side, left leg, and left side of my tongue are numb. I could not speak correctly. The symptoms went away in a short time. We talked about going to the ER and I was resistant in case we were wrong. We decided to go and I asked Melanie to call my doctor along the way. He said we were doing the right thing. We went to the Maple Grove Hospital ER. We got right in and the doctor’s and staff went right to work. At first, because the symptoms came and went, they thought my symptoms were TIA’s:

Transient Ischemic Attack (TIA) is a warning sign of a possible stroke and is often called a “miniature stroke.” A TIA is caused by brief stoppage of blood flow to the brain. Symptoms are the same as a stroke but appear for a shorter period of time (from a minute to 24 hours) and then go away. A TIA is basically a stroke with one important difference: blood flow resumes before any serious brain damage occurs. From the North Memorial Hospital Stroke Education Guide.

I had an MRI and an orderly wheeled me back to the emergency room.

I was joking with the nurses and technicians when the ER doctor came in. He sounded kind of gruff: “You did have several strokes (five). You are lucky: you could have had a major stroke. We don’t have a stroke center here so we will send you by ambulance to the stroke center at North Memorial Hospital (Robbinsdale, MN). The ambulance will be here shortly.”

The paramedics rolled me to the ambulance and I felt the minus 15 degrees temperature. The two young men had heard that I was once a Secret Service agent and we joked about that during the drive.

I arrived at the stroke center at about 1:00 am on Saturday, December 30, 2017. I had lots of nursing attention for a while: they took my vitals, drew blood and hooked me up to liquids and blood thinners. About 15-20 staff came in and out of the room each night. I didn’t sleep much—too many interruptions and too much stimulation. I wasn’t scared: the symptoms were gone and I didn’t feel any paralysis or loss of function. I could talk fine. Everyone had treated me with dignity and respect and I enjoyed their care and attention.

Melanie walked in early Saturday followed by grandson Nate and step-daughter Natalie. I was happy to see them.

I passed all the physical and cognitive tests. The neurologist’s assistant came and spend a long time answering our questions. I liked her. Actually, I liked all the diverse staff-members that helped me.

We were told that half of the strokes emanate from the heart. Fifteen percent of them are due to the patient having untreated Atrial Fibrillation: an irregular and often fast heart rate that can increase the risk of strokes and heart disease. Blood clots in the atria (top chamber of the heart), get pumped out of the heart to the brain, blocks a blood vessel and causes a stroke. I wore a heart monitor in the hospital and would wear one on my first week at home to see if AFib was present. If they detected AFib, they would give me different medication but they wouldn’t change my medication (Plavix plus a full-sized aspirin) without the diagnosis of AFib.

I had an echocardiogram W/Bubble Study of the front of my heart to look for defects in my heart where blood could form into clots that could go to the brain and cause strokes. No defects were found.

On Sunday, the doctor told me I would fast and he would get a Transesophageal Echo W/bubble procedure scheduled for later in the day. It didn’t happen: this was the New Year’s Day weekend and staffing was minimal. I would fast again on Monday, Jan.1, 2018. I fasted and again no procedure. Now the procedure would be first thing Tuesday morning so I would fast for the third day in a row. Overnight, my nurse told me the procedure would be early Tuesday morning. As morning approached, something changed: my nurse said I would have the test on Tuesday but maybe not first thing. Shifts changed and I got a new nurse who I had not had before.

She told me the test would not happen on Tuesday. I got mad. I said, “Hold on, you don’t have the history. I have fasted for three days and each time the procedure in Cardiology got canceled. This is not acceptable. This procedure is the only thing holding up my discharge. I’ve been here one or two extra days because the hospital couldn’t get this done over the weekend. Go talk to the doctor and tell him this.”

Melanie and I waited for the nurse to come back and plotted what I would do if the test couldn’t be done that morning.

Twenty minutes later, the nurse came back and said, “The gurney is on the way to take you to Cardiology for the procedure.” The orderly came, I hopped onto the gurney and he wheeled me to Cardiology and into the procedure room. A nurse was waiting and prepped me. I sat in something like a dentist’s chair. I had to gargle Lidocaine for two minutes and then swallow it. Then they would put me to sleep and they would go through my nose and go down my throat into the food pipe to get pictures of the backside of my heart. The examination would show clear pictures of the heart chambers and valves. The doctor came in and asked me a few questions. The next thing I knew I was awake. The procedure had gone fine and no issues were found.

My internist later said to me: “You had the Cadillac of heart examinations.”

Melanie and my daughter Becky and the nurse and two doctors were waiting in my room when I got back. An hour later, Melanie picked me up at the front door and we went home.

I thought the story was over. But it had just begun. More to come in future blog posts.

Stroke Warning Signs from the Mayo Clinic:

  1. Trouble speaking or understanding,
  2. Paralysis or numbness of the face, arm or leg,
  3. Trouble with seeing in one or both eyes,
  4. A headache,
  5. Trouble with walking

 

A Hurricane in Texas Reminds Us of a Flood in Minnesota

We are Norwegian, German, stubborn and fighters. This is our place, and we’ll stay here.

Steve Carbno, disaster coordinator for the Salvation Army, Fargo, ND

Hurricane Harvey, that still ravages Texas, brought back many memories from our experiences with a record flood in 2009. I am sorry for the people affected by this hurricane: their lives with be changed forever and the road ahead will be difficult and exhausting.

Our story:

The fall of 2008 brought record rainfall to Fargo, ND/Moorhead, MN–across the Red River from one another. December had more snow than any month in history. Worried about spring floods, I added more flood insurance. Throughout the winter, I watched the weather daily: Would it snow, might it melt some, what were the flood predictions? I went on a 3-week photo trip out West at the end of January, 2009. I checked the weather back home every day.

As March began, the National Weather Service predicted a flood crest in the mid to high 30-foot range. Dennis Walacker — who was the mayor of Fargo, North Dakota, and had been public works director in 1997, and who was credited with saving Fargo from the flood that year — thought the crest would be lower. Our home would be safe to almost 39 feet.

The flood came early, fast, and big.

We began to sandbag on March 20, 2009. Melanie was born and raised in this region, and her mother and eight of her brothers and sisters lived in the area. They had children and some of their children had children. They turned out in force to help. Many came back day after day. Melanie’s mom, sisters, friends, and co-workers took over the kitchen. Workers were well fed.

Melanie was a good friend to many, and those friends turned out en masse. Her professional colleagues were tremendous in their help and concern. We had members of the girls’ volleyball team from North Dakota State University and a high school wrestling team help out. Helpers included bankers, coaches, teachers, builders, farmers, attorneys, scientists, garbage men, federal agents, retired folks, and the students. Without the students — from grade school through college — Fargo/Moorhead would have been lost to the flood.

Three days later, we had filled approximately 20,000 bags with 35 pounds of sand each. As many as 150 people worked at once. It was an amazing example of self-organization — the chaos of people coming together for a common purpose came to order and did so quickly. People did what they could, leaders emerged and leadership shifted naturally, creativity took over, and rules took a back seat. Skid steers tore around our yard carrying filled sand bags. It broke Melanie’s heart to see her yard and landscaping torn up, but survival becomes the sole priority in a crisis. We worked in rain, snow, and mud. People cared, and fought to protect their property and that of their friends and neighbors. Laughter filled the air, and we felt a powerful sense of purpose and community. I’ve never been part of such an expenditure of energy before; people working together was a magnificent sight to see.

Each day the predicted crest got larger. Over a few weeks, it went from 34 feet to 42-43 feet. During the days we sandbagged, the crest prediction rose a foot or more each day. Every time we thought we were finished, we had to dig a little deeper within ourselves and pile the bags higher. We were exhausted, but our core group of men and women would not stop. We thought we were done when our dike protected our home to 40 feet. Overnight it snowed 7 inches. The flood and snow scenes were surreal. Climbing over the plastic-covered dike was a slippery venture.

Later that day, the National Weather Service — a constant source of frustration — raised the crest prediction by another foot. We went to work yet again. The heartiest among us pulled a boat through the strong current and freezing slush to the dike on the road that led to our home. They then walked through snowdrifts to their pick-up trucks a couple of blocks away. They went in search of filled sandbags, loaded their trucks, and returned. They loaded the sandbags onto sleds, pulled them through the snow and over the dike, and loaded them into the boat, which they pulled through the slush and fleeing voles to the house where they stacked them onto the dike. This work went on from late afternoon until 1:30 a.m. We again thought we were OK.

Our home surrounded by water.

The next afternoon, they raised the crest prediction again — this time, to 42-43 feet. We were surrounded by water. We went to work again in the late afternoon and followed the same process as the day before. We worked deep into the evening. Suddenly we had sewer backup in our basement. The public works department had shut down the lift station without telling us. Melanie slammed the state-of-the art sewer shut-off down and the backup stopped, but the damage was done. From now on, the toilet would be a bucket outside.

Then the authorities ordered an evacuation of all residents in a huge part of the city. A 43-foot flood would devastate the community. We didn’t know then that they had no authority to “order” an evacuation. They meant well, but they scared us, and we decided to evacuate.

At about 9:00 p.m., it was time to go. Melanie locked the door and climbed over the sandbags. She was the last person out of the house and into the boat. As we left our neighborhood, a plow closed the road behind us.

The next morning, two family members boated to the house. Our dike had held. No water had gotten under the dike, over it, around it, or through it. When they took the dike down many weeks later, the Army Corps of Engineers supervisor said it was one of the best-built dikes he had ever seen.

But a back-up sump pump had failed, and we had 9 to 12 inches of water in our finished basement, along with the sewer backup. We had moved many things of value to the second floor, but there was still a massive amount of accumulated stuff floating around the basement.

The harm was done. A costly finished basement was ruined, and many possessions were contaminated. Our furnace, water heater, and freezer were destroyed. The house smelled of sewage. Carpets on the main floor and top floor were caked with mud from the frantic efforts of a dozen or more volunteers to move our possessions to the top floor. Our yard and landscaping were ruined by the dike-building process. Our road was torn up by sand trucks. Two neighbors lost their homes. Others had water damage worse than us.

Family members spent several nights in the house and watched the dike and pumps. Melanie and I stayed with Melanie’s mother for a week. Our dogs were farmed out to relatives. We adapted by the minute.

A few days after evacuating, we returned home. We parked a few blocks away. We used the sled and walked through snow, water, and mud in waders and got to the dike. We climbed over it and got some necessities and put them into garbage bags. We carried them over the slippery dike and onto the sled and pulled it to our car. After two trips, we were exhausted.

Four days after we left, we got another 10 inches of snow — 17 inches in less than a week — along with heavy rains while we sandbagged, a record flood, and blizzard winds. There was a second, maybe even higher, crest on the way. The city looked like an exhausted war zone.

Finally, they rescinded the mandatory evacuation and opened the dike on the road so we could drive to our home. The water had receded across the road. The city inspectors and insurance adjusters began to show up. The birds and wild turkeys returned.

The city declared our home uninhabitable.

Two homes in our neighborhood of 11 houses were destroyed. Three others had water in the basement. The peninsula was a mess from the clay dikes, home dikes, and roads damaged by heavy equipment. The second crest was lower than predicted. The clean-up began.

Fighting the record flood was the easy part.

Our home had 20% damage, according to FEMA. Fighting the flood was an exhilarating, high-energy experience — the best experience of creative chaos I’ve had. Cleaning the mess up afterwards and going to our wounded home and neighborhood were sad, painful, and depressing encounters with death and destruction. We rented a townhome in Fargo while we cleaned up. We would never again live in our home.

The neighborhood looked like a war zone after the flood waters receded: fences down, roads torn up, landscaping destroyed, sandbags stuck in the trees and buried in the ground, homes surrounded by sandbags and then dirt rings after the Army Corps of Engineers took the dikes down. Mud was tracked everywhere for weeks afterward. We cleaned water and sewage from our basement, ripped out wallboard, and threw away truck-loads of possessions accumulated over 15 years.

We entered a neutral zone of uncertainty and not knowing about our lives. About half of our neighbors wanted to stay, and began to explore ways to make their homes safer by elevating them, or building a clay dike or a concrete wall. The rest wanted to leave. For us, four floods in 12 years were enough. For others, this record flood was the first time they were threatened and once was enough. As one neighbor said about our once safe neighborhood, “Maybe nature doesn’t want us here anymore.” Melanie and I vowed to turn this disaster into an opportunity for transformation.

I knew that a neutral zone (the place between endings and beginnings) wasn’t just a place of confusion and uncertainty. The neutral zone can also be a condition for creativity if we can live with the discomfort and anxiety for a time.

Often people go into submission after a disaster and let others decide their destiny. We would not go quietly into compliance and submission to the bureaucracies and to those who re-victimize victims. We would assert ourselves, ask questions, and push back on bureaucratic pronouncements. We would attend every meeting held, and we would tell our story and express our opinions to anyone who would listen. We wanted to influence the chaos around us and shape our own future.

Part of me enjoyed the challenges of the flood’s aftermath. Another part of me felt scared of entering into new and bureaucratic domains. We fought for what we believed was right with insurance companies. I sent letters to the politicians and did what I could. I attended every City Council meeting for months after the flood and asked questions and told our story to the mayor, city manager, council members, and city engineer every chance we got. We found them to be good and caring people, willing to listen.

We expressed our fears of future floods with our elected state and federal officials. I visited the disaster center three times to try to get answer to my questions from FEMA and SBA officials. The front-line people were awesome: caring and compassionate. The bureaucracy — excessive process and slow to act — exhausted us, numbed our minds, and extended our patience to the breaking point. The rules, language, processes, procedures, and regulations were complicated and hard to understand. It would take about 1½ years to work through all the issues and bring the flood follow-up to a conclusion.

Our home was put in a project for buyouts. I asked the city engineer what motivated putting our home in this proposed FEMA project. He replied, “Because it makes sense.” That’s what responses to disasters need more of: what makes sense.

From time in the neutral zone, new visions form if we will live with uncertainty for a time.

Just before the flood, a job opened up in Minneapolis (225 miles southeast of us) that Melanie was interested in. The flood was traumatic for both of us but more so for Melanie, who had built the home and raised her three children there. She lost many possessions in the flood that held meaning for her. For her the beautiful home died the day the water came in. She did not want to return. She decided to go forward with her job application. Like everything at this time of our lives, the job process moved slowly.

We imagined and thought through different scenarios for what might happen with the job and our home. In our hearts, we most wanted to go to Minneapolis. My two daughters and five grandchildren lived there. I also looked forward to renewing old friendships from decades of earlier life in the Twin Cities. Two of Melanie’s three children would be living in Minneapolis that fall. The job would be a professional advancement and a challenge Melanie would enjoy. She would get to use talents and skills honed over a 30-year career.

We envisioned new adventures in our upcoming lives as empty-nesters and grew more and more excited. We decided that if Melanie got the job, we would go regardless of the fate of our home.

Suddenly things began to happen: Melanie was offered the job and compensation was negotiated and agreed upon quickly. Within 72 hours we had rented a beautiful home 15 minutes from her new workplace. Melanie gave her notice in Fargo and began work in Minneapolis 10 days later. We moved our possessions a month after that. The city purchased our home for a fair price a few months later. A year later, we purchased a new home. Melanie thrived in her new job.

The natural disaster created the conditions for us to renew our lives. We refused to be victims. Despite the difficulties, we felt alive as we grieved our losses. We grew as people. And, in the midst of a contentious time in America, we experienced the deep goodness and decency of the people around us. We will be forever grateful to them for the help they gave us.

Best wishes Texas.

 

 

 

 

Why Didn’t James Comey Confront Trump?

Lordy, I hope there are tapes.

James Comey

 

During former FBI Director James Comey’s testimony before the Senate Intelligence Committee (June 8, 2017), Senator Marco Rubio asked Comey why he didn’t air his concerns about Trump immediately while he was still FBI director.

“I think the circumstances were such that I was a bit stunned and didn’t have the presence of mind, and I don’t want to make it sound like I’m Captain Courageous; I don’t know whether even if I had the presence of mind I would’ve said to the president, ‘Sir, that’s wrong.’ I don’t know whether I would have. But in the moment, it didn’t come to my mind; what came to my mind was, ‘Be careful what you say.”

James Comey’s history reveals a courageous man. Was he showing false humility to avoid telling a deeper truth that he may not have been totally aware of?

I can imagine a different response from Comey to Rubio’s question:

I was stunned and caught off guard by the things President Trump said and the underlying messages he sent to me. I also felt repulsed by the nature of the man. My instincts told me at our dinner meeting (Jan. 27, 2017), ‘This is a dangerous moment’ and I better remember what he says and document it for he will lie about what he said if the meeting became important in the future. I focused on Trump, his words and his unspoken messages to me. I had to get through this meeting with my integrity intact and without getting fired. Not to save my job: I wanted to protect the Russia investigation from him and survive long enough to gather whatever evidence the President wanted to give me. I decided that I would document all future engagements with Trump. 

I knew some things intuitively: Confronting Trump would be futile and unproductive. He attacks anyone who confronts him. He would have refused enlightenment and efforts to educate him. I was not the President’s lawyer or advisor and it was not my job to school the President on how to do his job or to stop him from going down an inappropriate path that may become criminal. Besides, he wasn’t naïve, ignorant or inexperienced; he knew exactly what he was doing.

I talked to the Attorney General about not leaving me alone with the President. He said nothing. I did not trust him enough to say more to him. Resignation would have harmed the investigation and the FBI and there might not be a Special Counsel today had I quit. I knew without thinking about it that I would stay and do what I could to advance the Russia investigation and protect the integrity and independence of the FBI.

It was my job to document the facts and my experiences with the President. I would do so until I could no longer contain the situation and was put in a position by the President where I had no choice but to resign or sacrifice my integrity. I wondered how far he would go. I reviewed each conversation with Trump with my FBI staff and we discussed my strategy. I needed the documentation and witnesses to protect myself and the FBI. The evidence I documented led, I believe, to the appointment of the Special Counsel.

People considered Comey a smart political operative within the government bureaucracy. I suspect he was more calculating than he wanted to acknowledge–even, perhaps, to himself. I think his “calculating”–fully conscious and rational or on emotional and intuitive auto-pilot–was a good thing for it served a noble purpose and he carried his plan out ethically. For political reasons, maybe it was easier for Comey–a man who doesn’t like to talk about himself–to be self-deprecating about his personal courage than to share his deepest essence and personal reactions with the Senators. Comey may not be Captain Courageous but he has more nerve than most of us and he’s no naive boy scout.

I had several situations in the corporate world—as a leader and as a consultant—where I was threatened with the loss of my job or income if I did or didn’t do certain things that went against my values. I sat across from angry executives who insulted, demeaned and threatened me and who had no respect for niceties or talents for confrontation. I also sat across from executives who delivered dark metamessages with a soft tone and “safe’ words. Trump embraces both tactics to get what he wants. Like Comey, I felt stunned. Also confused and crazy. Imagining myself interrupting people of questionable intent who had power over me to tell them how badly they were handling themselves makes me laugh. I would have been fired and ridiculed for my naiveté. It is even more ludicrous to expect Comey to do so with Trump. Confront a mean narcissist? Get real. Comey had a greater purpose.

In dealing with such people, I often operated at a gut and intuitive level in real-time without the opportunity to think everything through as rationally as I might have liked. These were new, confusing and dangerous situations with no manual to tell me how to handle myself. My values guided me. It took me years to sort out some crazy situations and to make sense out of nonsense. I suspect James Comey will be reflecting on his “nonsense” experiences with Trump and his own feeling  and reactions for a long time.

The moment always came with those executives when I had to choose to sell my soul, quit or get fired. My commitment to truth and my values was deep and I never gave in to threats made by powerful people. Comey managed his situation as long as he could without selling his soul. Trump fired him before Comey felt he had to resign (May 8, 2017).

It’s hard to stand up for our values in a world filled with madness. James Comey faced darker craziness with far greater things at stake than I ever had to deal with. He did so in the public eye certain to be criticized and attacked. He is a noble and honorable man.

I look up to the James Comey’s of the world who—often alone–stand up to malevolent people with full knowledge that they will suffer personally for their commitment to something larger than themselves: in Comey’s case a powerful allegiance to our Constitution and to the integrity and independence of the FBI and to his own values.

I was once asked disdainfully, “Who do you think you are, the keeper of the values?”

Yes, I am the keeper of the values and so are you and you and you.

Lifelong Learning

In the 2000’s, the American Dream faded for millions of Americans. As the 2016 presidential election approached, work rates were at their lowest levels in decades. Millions of people had dropped out of the work force and income insecurity grew. An opioid epidemic of pain pills and heroin spread across white America often funded by Medicaid and disability insurance, which had become long-term unemployment insurance for many. A study showed that nearly half of all working-age male labor-force dropouts—about 7 million men—took pain medication daily.

Sickness and early death in the white working class could be rooted in poor job prospects for less-educated young people as they first enter the labor market, a situation that compounds over time through family dysfunction, social isolation, addiction, obesity and other pathologies.” Suicide, chronic liver cirrhosis and drug overdoses account for much of the increase in death rates.

Many felt left behind in a world that moved faster than most of us could keep up with. Millions no longer trusted politicians, government or America’s institutions. People felt angry, afraid and anxious because America was not going in the right direction for them. Their lives were difficult and getting harder.

The time was perfect for Donald Trump. He promised he would “make America great again.” He would withdraw from globalization. He would bring manufacturing jobs home. And he would give great health care to everyone. He would build physical and psychological walls to keep Muslims and Hispanics out. He called them criminals and terrorists. I call them poor and powerless, mostly women and children, in search of a safe-haven.

Citizens didn’t have to be anxious about climate change: it was a Chinese hoax. Trump would get rid of the EPA, eliminate regulations, exploit our national parks and national monuments and double down on consuming finite resources. If facts and truth got in the way, we would use alternative facts: truth and reality would be what we wanted them to be. Fantasized wishes and opinions would replace science. Together we could create our own imaginary world and live happily ever after. Life would be great.

Working class Americans felt “heard” by Trump. Millions so wanted to believe in him. Their desire to believe clouded their judgement, emotion trumped reason and the unfit and needy con man who lies more than he tells the truth became president.

Today only a few months into his presidency, Trump’s lies cover up his picking the pockets of the American people. Trump betrays those who voted for him and he and Republicans in Congress will continue to cater to the wealthy–indifferent to the suffering of everyone else. His biggest lie was about “healthcare for everyone.” His plan takes healthcare from 23 million Americans and is more a transfer of wealth from everyday Americans to the richest two percent of us than a healthcare plan.

Millions need to deal with addiction.  Trump made combating the nation’s drug-overdose problem a focal point of his presidency. “We will stop the drugs from pouring into our country and poisoning our youth,” he said… “and we will expand treatment for those who have become so badly addicted .” Trumpcare will, in all probability, reduce funding for treatment for Opioid addiction when the nation needs it the most.

More lies will be exposed: Globalization isn’t going away; we must be engaged in the world. Manufacturing jobs will not return; coal miners won’t get their jobs back. Climate change is real and we better get honest about the dangers: wars, famines, mass migrations and economic collapse. Walls won’t protect us, alternative facts won’t make reality go away and opioids, heroin and alcohol won’t restore purpose and meaning to our lives—only values, purpose and meaningful work will do that. Trump’s “make America great again” is a road to decline.

We can think of working class Americans as canaries in the coal mine. The issues that drove them to Trump may one day be everyone’s issues, their stories may be our stories. No group or economic class will be immune from the greed, selfishness and the lust for power of the Trump’s of the world. They have no loyalties other than to their own ego’s. We have to say “NO” to “Trumpism” and the dark side of humanity that he symbolizes if we want to have any dreams in America.

We need to be aware of two highly probable future realities: Technology will continue to evolve rapidly and many great advancements will come from robotics, biogenics, nano-technology and artificial intelligence. But technology has a dark side that we need to manage: addiction, distraction, the loss of freedom and the loss of our humanity. And unemployment and income insecurity in the working class alert us to a future that will affect almost everyone. In the decades ahead, massive numbers of people will lose their jobs to technology: lawyers, doctors and accountants along with cab drivers and clerks. Some jobs will become obsolete; others will be done by robots, machines and workers in other nations. We need to adapt.

Thomas Friedman in his book Thanks for Being Late wrote that we must become lifelong learners: we must continually learn new things and develop new skills if we want to even begin to keep up with change and have a place in the future. To be employable from now on, we must reinvent ourselves throughout our lives–life is learning.

Lifelong learning might strike us as a small fix to complex challenges today and in the decades ahead. But the impact of valuing learning and weaving learning processes into the fabric of all aspects of life: you, me, our schools, our organizations, our communities and our local, state and national government and institutions would bring forth massive creativity, evolve our capabilities and prepare us for a future life more different than most of us can imagine today. Such change will require a well-balanced mix of government help and personal drive and responsibility. The alternative might be spending our productive years sitting in front of screens stoned on drugs and living on a small stipend or disability check (See: Homo Deus by Yuval Harari for more about the future of work and massive unemployment).

But we need to do more than just develop new job skills. We must also learn how to navigate difficult changes easier and faster. Friedman wrote, “Every society and every community must compound the rate at which it reimagines and reinvents its social technologies, because our physical technologies will not likely be slowing anytime soon.”

I used the work of William Bridges to manage external change and the internal emotional transitions that accompany external changes and must be guided if we want changes to be implemented well. A deeper understanding of change helps people make changes easier and faster and also helps people tolerate uncertainty and cope with chaos and complexity better. If you or your organization can change easier and faster, you will have a competitive advantage.

Daniel Quinn wrote in Ishmael: Perhaps the flaw in man is exactly this: that he doesn’t know how he ought to live. We need to do more than learn new job skills and learn how to change faster. We need to learn how to live differently. Our way of life and our existence as a species is threatened by our addictive consumption of the earth’s biomass. Earth is over-populated and we cannot sustain our way of life for much longer. Either we will change or we will not. Either way, something spectacular is going to happen soon.

We must see reality clearly and we must create new, positive stories for our collective future and unite around them. Then we can leave Trumpism behind and consider it a bad episode in America’s history.