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Altimexis

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  1. Altimexis

    Chapter 43

    Stealing Home is the sequel to Swing for the Fences. LB has just started writing it, so it will be a while before you can read it. I think you may be thinking of When I see You Again. Part One of that story was completed in 2011, and LB says he plans to write Part Two after he finishes Stealing Home.
  2. Altimexis

    Chapter 43

    I've inserted the links to YouTube videos of the three versions into the quote above, so those who aren't familiar with them can form their own opinions. Regardless of who performed it, the song is a classic, and I doubt there's anything @LittleBuddhaTW could do to alienate us. Jonah threw $20 to the busker? Yikes, that's a hefty amount, even for NYC. Pocket change, dollar bills and fives are still most common. I've not seen many buskers on the streets of New York and presume they're not permitted, but there are a lot of them in the subway. Buskers have to audition for the limited number of spots available.
  3. Altimexis

    Chapter 43

    This brings back memories. Lake Michigan has its own unique shade of turquoise blue, which dark blotches from the shadows cast by the clouds overhead. Even from the skyscrapers of Chicago or the deck of the art museum in Milwaukee, shaped like it’s ready to fly up into the sky, the lake looks pristine, and it goes on forever. The small towns that dot it’s shore are incredibly picturesque, much like the Jersey shore or the Oregon coast, but with the pristine turquoise water of Lake Michigan in the background. Just a quick story from my family’s past: My mom was my dad’s roommate’s sister. My uncle and my dad were roommates at Purdue. My parents met when my uncle brought my dad with him when visiting home. Home was Hammond, Indiana, located between the south side of Chicago and the city of Gary. Their house was within walking distance of the sand dunes and the beach. My dad grew up in Indianapolis, which is the largest land-locked city in America. He’d never been to the ocean or even Lake Michigan before. The first time he saw the lake with my uncle and my mom, he saw all of the Chicago skyline spread out across the western horizon, but that wasn’t what caught his attention. All he said, over and over again was, “You can’t see the other side…” Traverse City is touristic, but quaint. There are resorts nestled all along the lake shore. I’m not a beach person and prefer to hike in the mountains or tour the great cities of the world. Nevertheless, Michigan will always hold a special place in my heart. Time slows down on Lake Michigan. It’s a great place to unwind — just the right place for four boys to spend the last days of their summer vacation.
  4. I'd like to thank everyone for their kind comments. However, this isn't the end of the story. It was written in response to a GA anthology, but it was also the inspiration for two more stories. It's part of the Generations Trilogy, which continues the story of three generations of gay unions.
  5. Altimexis

    Chapter 42

    You just didn't give me enough time to chime in. 😁 Serial writing with immediate posting is problematic on several fronts. Most significantly, you can't go back and make changes as the plot evolves. It's also problematic in that discrepancies are bound to occur. It's far better to write a story in its entirety and only then post it serially. That said, if a reader finds an error, which happens from time to time, I always correct it. I don't like writing from an outline, because I find that the story then reflects my thought process rather than those of the characters I've created. Everyone is different and I'll be the first to admit that an outline helps ensure continuity, but I find that my characters evolve during the writing of a story and, consequently, the story needs to evolve with them. I'll give you Vernon's, although if you ever enjoy draft ginger ale in a restaurant that serves it, there's no comparison. But White Castle? I haven't touched red meat in decades, but even before, I'd have put White Castle well behind Bugger King and Crap Donalds. Talk about heartburn! And although Little Caesar's is better than Pizza Hut, it isn't one tenth as good as the pizza you can find on virtually any street corner in New York.
  6. Altimexis

    Chapter 42

    This was a great chapter that really brought a lot of threads together. Christian and Jonah became true brothers by choice to Nick and Jack, and the conflict between Tommy and Jack was finally resolved. I loved that Tommy was comfortable enough in his own sexuality to take Jonah's flirtations in stride. Most significantly, however, was that both Jack and Nick received appropriate diagnoses and definitive treatment. Finally! It's interesting that my initial assessment of Jack's disorder was from a traditional mental illness point of view. My last training in psychiatry, other than what I've read since, was in medical school in early eighties, when psychiatrists still used the classification scheme in the DSM-III. Post Traumatic Stress Disorder was a relatively new term then, arising out of the cluster of cases resulting from Vietnam. The concept of complex PTSD din't even come up until late in the writing of the DSM-IV, but it still wasn't considered to be a distinct entity. It's much the same now in the DSM-V, seen as part of a spectrum of disorders. The situation with children and adolescents, however, merits special consideration, as the underlying trauma occurs simultaneously with the process of ordinary development. For that reason, many child and adolescent psychiatrists now use the term Developmental Trauma Disorder, or DSD. Whatever it's called, Jack's presentation fits perfectly with the disorder. LB did his homework. 😉 As I've said all along, Nick has unresolved grief and depression. Both boys are finally getting the therapy they need. I'm looking forward to experiencing their vacation in Traverse City, which is a small city in the Northwest corner of the Lower Peninsula of Michigan. The downtown has more the feel of a small town and it's in a particularly picturesque location, at the southern end of Traverse Bay, an offshoot of Lake Michigan. The bulk of the economy centers on tourism. The boys should have a wonderful time there - I just hope nothing bad happens.
  7. Altimexis

    Chapter 41

    There are regional variations. Sicilian pizza is very different from Milanese or Tuscan, for example. However, when it comes to international rankings, the lists differ widely. Food & Wine cites the 2025 Best Pizza Awards, in which seven of the top ten are located in Italy, verifying your point. Two are in Tokyo and one is in Madrid. The top pizzeria in the US on the list, at 17, is Una Pizza Napoletana, located on the Lower East Side of Manhattan, less than a mile from where I live. So have I tried their pizza? It’s a small pizzeria that’s dine-in only and considered to be one of the best pizzerias in the world. Add to that that several of the top pizzas in NYC as per Time Out and the NY Times are also in the neighborhood, and they deliver. So no, I haven’t tried it. On the other hand, the 2025 Top 50 Pizza Guide, as cited in Fine Dining, found a first-ever tie for first place. Both I Masanielli, in Caserta, and Una Pizza Napoletana, in NYC, were ranked as the best pizzerias in the world. The Pizza Bar on 38th, in Tokyo, ranked second and Leggera Pizza Napoletana, in São Paulo, ranked third. One of the best pizzas I ever had was at a restaurant near the Victoria and Albert Museum in London. Some of the most ordinary pizza I've ever eaten was in Rome. The bottom line is that pizza is truly an international food.
  8. Altimexis

    Chapter 41

    I never heard of halo burgers either, but what about Coneys? Now when it comes to pizza, however, Detroit pizza can’t hold a candle to either Chicago deep dish pizza or New York thin-crusted pizza.
  9. Altimexis

    Chapter 41

    Finally, Jack is going to get the help he really needs. Adult psychiatrists aren’t really suited to the treatment of adolescents. Most of adult psychiatric practice is based on the premise that mental illness is related to chemical imbalances in the brain and can be treated with medication. Very few adult psychiatrists use psychotherapy in their practice. Indeed, insurance reimbursement isn’t sufficient to cover basic expenses of running a medical office. In the case of adolescent schizophrenia, characterized by auditory hallucinations, tangential thought processes and delusions, medical management is the mainstay of treatment, as it is in adults. However, Jack demonstrates none of the features of schizophrenia. Likewise for the affective disorders (mania, depression and manic depression), which also respond to medication. Yes, Jack is depressed, as is Nick, but depression isn’t the primary disorder. Medication does play a role in kids, but only as a stopgap to manage acute episodes. More than anything, Jack needs a psychiatrist who understands kids and knows how best to manage treatment. Jack needs to recognize that he’s internalizing the feelings imposed upon him by his parents. That’s a tough sell when self-hatred is a fundamental part of his very being. It could take years of counseling for Jack to realize he isn’t fundamentally flawed. Interestingly, the way Jack describes the unpleasant effects of his meditations is exactly the way many adults with mental illness describe the effects of their meds, and it’s one of the major reasons they stop taking their meds, even knowing that in doing so, they’ll lose touch with reality. BTW, Royal Oak is a very nice suburban town located to the north of Detroit, just past Ferndale, which borders the city. It’s one of a series of towns along the Woodward Avenue corridor, which is Detroit’s main street. Great chapter. I can’t wait for the next one.
  10. Altimexis

    Chapter 40

    Noooo! Nick's already too dependent of benzos to calm his anxiety. Add a stimulant to the mix and he could well get into a cycle of uppers and downers that would send him off the deep end. It could be even worse than what we saw with Jack. I don't want to imagine that! It's a real possibility, and not a laughing matter.
  11. Altimexis

    Chapter 40

    Another possibility would be a trip to Detroit, perhaps to see a Lions, Tigers or Pistons game in person. They could get into so much trouble in Detroit. There are some really cool places, like Midtown with its museums (I lived in a restored Art Deco building, next to the DIA), or Corktown, or the Eastern Market. Then there’s Greektown and the casinos. So much of Detroit is like something out of a dystopian novel, with miles of hollowed-out city. Just walking around in Detroit, even in the best parts, can be an adventure. You can’t walk a block on Woodward Avenue without being stopped by vagrants. I’d planned to walk the mile from where I lived to where I worked, until I realized it was a matter of when, not if, I’d be mugged. Yes, a lot could happen in Detroit.
  12. Altimexis

    Chapter 40

    Wow! So many possibilities. Where in Michigan is Harrison West? What towns is it near? Perhaps a trip to Mackinac Island? Might they cross into Canada at Port Huron or Sault Ste. Marie, and get detained at the border when they try to return to the US? How about a trip to Lansing or Ann Arbor, where they scope out the campuses of Michigan State or the University of Michigan, respectively? With Jonah along for the ride, they could get into so much trouble. On a more serious note, imagine a group of gay boys in Michigan Militia territory. That would be downright dangerous.
  13. Altimexis

    Chapter 40

    It seems this chapter finally has brought us to the meat of the story — dealing with mental illness. Nick is broken to begin with and has his own issues with unresolved grief, anxiety and low self-esteem. Jack, however, has a true mental health disorder brought on by the trauma inflicted on him by his parents. It's never good to make a diagnosis over the internet, but I feel that LB has brought us close enough to these characters that we can't help but see them as if we'd lived with them ourselves. Jack has classic symptoms of a dissociative disorder. I hate to resort to the rigid categorization inherent in the DSM-V, as Jack’s episodes have some features of partial multiple personalities, but there are definite signs of depersonalization. Either way, medications are of limited use as they only help to dampen associated anxiety and mood swings. The mainstay of treatment is intense psychotherapy which may last years, or even a lifetime. There's no undoing of the psychological trauma inflicted upon him in early childhood. Sadly, that trauma is a part of who he is. He needs to find a way to make peace with it and not let it define him. That's hard. I'm impressed by how Nick's Mom has truly adopted Jack and come to love him as her own son. At times, she's blind to the effect of Jack's illness on Nick and she expects him to act more like an adult, when even adults would have trouble with this. However, she's finally come to recognize that Nick needs counseling too. She really needs to push him in that direction. I can't help but wonder if LB has personal experience with this sort of thing. The depiction seems far too realistic to be invented, just from doing research in Wikipedia.
  14. Altimexis

    Chapter 39

    Jack’s meltdown harkens back to an episode near the beginning, when he tore up his room and Nick cleaned everything up while he was in the hospital. These are psychotic episodes in which he loses touch with reality. This isn’t schizophrenia, but it’s no less profound. The cutting reflects just how damaged his psyche is that he tries to punish the bad boy inside that his parents professed him to be. The seizure might have been psychogenic. I’ve read of such things, but never witnessed it myself. However, my money’s on a drug-related seizure, and I certainly dealt with a number of those. Jack was prescribed Depakote (valproic acid) as a mood stabilizer. Its primarily use is in treating absence seizures, and general seizures in children. Abrupt withdrawal can certainly cause seizures. My personal experience with Depakote was for another of its approved indications — the prevention of chronic migraines. I have a very healthy appreciation of what mucking with brain chemistry can do to a person. Effexor caused severe hypertension that didn’t fully resolve after stopping the drug. Topamax caused short term memory loss. Zonegran caused tremors, strabismus, dizziness and the inability to stand. Botox left me with permanent swallowing difficulties. I’ll never forget what Depakote did to me. From it, I learned what utter hopelessness feels like. I learned what it’s like to be suicidally depressed. Fortunately, as a doctor, I realized what was happening and with the help of those around me, was able to wait it out. As you can imagine, my migraines can be severe and frequent. That’s why I resorted to trying so many different medications, most of which did little to help and some of which had life-threatening complications. The treatments were worse than the disease. Thankfully, retirement has done more to reduce the migraines than any medication ever did. However, there are still some times when I have to retreat to a darkened room, put on noise-canceling headphones and listen to soft music. The one bright spot was that it allowed me to empathize with my patients in a way that few could. Sorry to digresses and personalize the discussion, but it demonstrates where I’m coming from when I talk about the risks of mucking around with brain chemistry. Medical management is a house of cards and Jack’s just fell down in a big way. Jack is a wonderful boy inside of a horribly damaged soul and it’s going to take a lot of patience to weather the storm. He really needs a lot of counseling. There is no medication that can substitute for that. The focus of this remarkable chapter, however, isn’t entirely on Jack. Nick is seriously broken too, and he has a lot of healing to do as well. It sounds like he had a classic schizoid personality (not to be confused with schizophrenia) and largely kept to himself, and then his father died. I’m a bit confused about when his father died though. I had thought I read that he was only nine, but this chapter makes it clear he was in middle school, which is a particularly bad time for a boy to lose his dad. It’s interesting to speculate as he did that had he let Tommy in, he might have weathered the storm. He might have even gone to his public high school. What a powerful chapter! LB, I can’t imagine what it’s like to live in such a dangerous place. However, with what’s happening in the US, I’m not sure we’re that much better off. Please, I hope you’re not involved in the drug trade yourself. A long time ago, we visited Mexico City with friends. That was before the kidnappings and crime of today. The friends had relatives in Polanco and when we visited them, there were armed guards on every street corner. Polanco is affluent but many of the rest of Mexicans live in poverty. In Manhattan, there are gleaming multimillion dollar condos next to housing projects (I live in neither), but there are no walls and in spite of the rhetoric, there is very little violent crime. Yet it only takes a few violent incidents to instill widespread fear. In any case, Lower Manhattan is doomed to be reclaimed by the sea, Mexico City will run out of water and I’m not sure what will become of Medellin.
  15. Altimexis

    Chapter 38

    Oh no! I used the pre-shredded reduced fat Mexican cheese blend tonight. I made mushroom quesadillas. They were delicious. How about pre-sliced cheese. Is that coated with an anti-caking dust to?
  16. Altimexis

    Chapter 38

    Regardless of her intentions, Nick's mom could have allowed the boys a little space before inviting Tommy. This was all new to Jack and I would have thought she'd see that he needed to acclimate before starting his summer. There's more than meets the eye, however, when it comes to Jack's jealousy of Tommy. Seriously, he forgave Jonah and invited him back into their friendship, but he can't accept Tommy? Not that jealously is ever rational, but his jealousy seems way out of proportion when compared to Jonah and Noah.
  17. Altimexis

    Chapter 37

    1. Yes, choosing east or west would give you 50% odds, since they aren't likely to be exactly the same and 'about the same' wasn't defined, but that in and of itself is a big clue. The two cities are within a degree and a half of each other, which is a difference of less than a hundred miles or 150 km as measured at the equator. On a planet with a circumference of a bit over 24,000 miles, that's statistically equivalent. 2. Correct. Columbia does cross the Equator, but Medellin is 450 miles north of the equator. That's very close! 3. I think you meant to write true. Most of South America is indeed east of Miami. Only the western-most portion of South America overlaps with the northeastern-most portion of North America. 4. You have a decided advantage there. New York is a bit further north than Lisbon, a place I'd very much like to visit someday. The vast majority of Europe is north of Boston. That's why if the Atlantic conveyor collapses as is expected from climate change, most of Europe will be thrown into a deep freeze. 5. That's very easy to look up. The earth's diameter is about 8,000 miles, which makes the circumference at the equator a little over 24,000 miles. Although the moon's orbit is not perfectly circular, the distance from the earth to the moon is approximately 240,000 miles, which is roughly ten time that of earth's circumference. Therefore, the string would wrap around the world about ten times.
  18. Altimexis

    Chapter 37

    Thanks for the acknowledgment. 😁 I’m a bit late to the party this time, so I won’t reiterate what has already been said. The description of finals week brought back some unpleasant memories. I don’t recall high school finals being that difficult. I went to a very good public school but it was huge and impractical to have such lengthy exams. The term papers were quite involved, however, and there was no AI around to help. Of course cheaters only cheat themselves. The only role for cheaters in real life is as president. Seriously, the section on finals reminded me a lot of the tension of exams in medical school. There, the competition was fierce and there was never enough time to study. In some ways, graduate school was even worse. Medical students rarely flunk out but in graduate school, where a C in your major was a failing grade, a third to a half of the students failed at least one course. Now, speaking of exams, here are some relevant questions: 1. Is Medellin east, west or at about the same longitude as New York? 2. Is Medellin in the northern or southern hemisphere? 3. True or false: Most of South America is east of Miami? 4. True or false: Most of Europe is farther north than Boston? 5. If you could extend a string from the earth to the moon and then wrap that string around the earth, how many times would that string go around the earth at the equator?
  19. Altimexis

    Chapter 36

    I’m not sure Nick is deliberately rewriting the history of the kiss as @Paladin suggested. Nick’s psyche is fragile and he may well have a selective memory of what happened for his own sanity. Even if Nick has deliberately altered the telling of the event, I’m not sure that’s necessarily a bad thing. After all, Nick did set boundaries with Jonah and it was Jonah who violated them. That’s sexual harassment. Nick didn’t have time to react to the kiss, even if his body did. The fact is that he did push Jonah away and he did tell Jack that the kiss lasted ten seconds. Ten seconds is a long time. What would have been gained by telling Jack that he kissed Jonah back?
  20. Altimexis

    Chapter 36

    As I stated early on, Nick has a lot of unresolved grief surrounding his dad's death. In his chapter, he tells how he tried to take over his dad's responsibilities because his mother was distraught and had tears of her own. I can relate to that personally, but I was sixteen when my father died. Nick, as I recall, was only nine. Nine year olds don't have anything close to the coping mechanisms of an adult, so much of that grief has become a part of his psyche. He put on a brave face and buried his grief deep in his subconscious. That grief has been coming out in anxiety and panic attacks ever since. My mother and I consoled each other. Nick's mother had responsibilities at work that couldn't be abandoned for long. As I suggested before, she probably threw herself even more into her work as an escape from dealing with her grief. Her son seemed to be fine, so that was one less thing for her to worry about. In the meantime, Nick lost his anchor in life — the man who gave him stability. His buried grief and anxiety, coupled with the insecurity all teenagers feel, has led to extreme self-doubt. A good adolescent psychologist or counselor could help him deal with that and work through the unresolved issues.
  21. Altimexis

    Chapter 36

    I'm not disagreeing with you. I'm just explaining why Nick's mom might not realize he isn't getting the care he needs. Remember, Nick was referred to a psychologist at Harrison West. What I don't understand is why Nick isn't still undergoing therapy sessions with that psychologist on a regular basis.
  22. Altimexis

    Chapter 36

    Good pickup. I forgot about that. Maybe she could help with Nick's tuition if the boys decided to go to Harvard, MIT, Stanford or Oxford.
  23. Altimexis

    Chapter 36

    Emergency medicine makes great fodder for TV dramas, but the physicians who go into the specialty generally don't like dealing with longterm patient relationships. They're not as hopeless as the physicians who don't like dealing with people at all — those usually go into anesthesia, radiology or pathology — but they prefer dealing with immediate medical needs without having to deal with longterm management. Most of what they do involves medications and/or surgical interventions and then referring their patients on to someone else for further management. Nick's mom might be a physician, but she isn't used to thinking beyond her patients' immediate needs — nor her son's immediate needs.
  24. Altimexis

    Chapter 36

    I absolutely loved this chapter! Jack's reaction to Nick's coming clean with him may have been unexpected, but I can think of few better expressions of true love that I've ever read of in print. Now, Nick just needs to learn to trust Jack as much as Jack trusts him. The letters from Jack's parents, sadly, contained exactly what I'd suggested they would in my posts of the last chapter. Jack is a gem of a kid that should make any parent proud, yet they don't consider him worth fighting over. They don't want him and are glad to be rid of him. However, even if they're willing to sign away their parental rights, that doesn't absolve them of financial responsibility through age 18. Either the letter in Jack's mother's handwriting or the pics on Nick's phone should provide damning evidence in court, should Jack and his nana decide to sue his parents for child support. I'm sure they'd be successful, but if his nana has the resources to support him, it might not be worth the battle. As expensive as the tuition at Harrison West for three more years might be, college expenses loom ahead and those wouldn't be trivial. I'm not sure Jack's nana has the resources nor even the knowledge of how much tuition, room and board and other expenses can run at a top school. Even in-state tuition at a state university for four years is into six figures. With that in mind, Nick's nana should pursue changing Jack's legal residence to Michigan. Not that Washington State doesn't have excellent universities, but few state universities are as renowned as the University of Michigan. I understand from my colleagues who are on the faculty there that state funding isn't nearly what it used to be, but that's true all over. The U of M still attracts some of the best students from around the world, my next door neighbor's kid included. It's a true state ivy. For the past academic year, out-of-state room and board, tuition and other expenses amounted to about $84k. For in-state students, it was $39k. I have the boys' whole future planned.🙂
  25. Altimexis

    Chapter 36

    Before I comment on the chapter, first a word about the treatment of panic disorders in children and adolescents. There's an excellent review article on PubMed on the pharmacologic management of anxiety disorders in children and adolescents. I was surprised to see that my knowledge on the subject wasn't out of date, even though I'm retired and dealt only peripherally with adolescents. Although SSRIs are the treatment of choice, venlafaxine (Effexor) isn't FDA-approved for use in kids. Fluoxetine (Prozac) remains the most commonly-prescribed SSRI in children and adolescents. Benzodiazepines such as clonazepam are usually reserved for very short-term management of anxiety as, for example, in anticipation of surgery. They are sometimes used for treatment of panic attacks, but their use is controversial. Much more commonly, beta blockers such as propranolol are the treatment of choice. Just as they help with stage fright, they can short-circuit a panic attack by interrupting the feedback loop that occurs when the heart starts to race. While the management of Nick's anxiety disorder and depression are not outside the realm of acceptable treatment, I think it could have been better. More importantly, the centerpiece of management in children and adolescents is counseling, and I don't see evidence that he's getting that. We know that Jack is getting therapy sessions, but Nick is every bit as in need for these. This chapter if any shows just how psychologically broken Nick really is, yet he hides his anxiety and presents a façade of strength. It isn't until he decompensates completely, as he did two chapters ago and with this chapter's panic attack, that his need becomes evident.
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