Monday, January 28, 2013

Exclusive: Who is the Real John Kerry?


John Kerry's Vietnam days (Kerry is in the back row, center)
Watching Sen. John Kerry's somewhat stilted testimony at his confirmation hearing before the Foreign Relations Committee as he prepares to be approved as the new secretary of state as soon as tomorrow, I was reminded how different this man is in one-on-one conversations than he is in the public square. I've been a part of some of Kerry's most personal and revealing interviews on record, and I can tell you that, whatever you think of the stoic senator, there are sides of him you're probably never seen.

When I was covering Kerry's 2004 presidential run for Newsweek, I wrote a story titled "Getting Out the Music Lovers," which chronicled Kerry’s efforts to appeal to Southern Democrats. During the telephone interview for that story, Kerry apparently Googled my name and clicked on my music website (I had a national record deal at the time). Just as I was about to ask him a campaign-related question, he interrupted me and said, "Wait a minute, Jamie. Is this you, the country singer with the guitar that I see here?"

It caught me off guard, but I felt obligated to reply. "Yes, senator, that's me," I said. "I have another life as a singer-songwriter. But I'm not really country, I'm more country-rock."

"Oh, I see," he said. "So with your musical pursuits, where do you find time to write for Newsweek?" 

Clearly more interested in talking music than politics, Kerry proceeded to ask me about my guitar playing, then told me he was learning some country songs, presumably to win more Southern voters. 


At a campaign stop in New York City just days before that interview, Kerry had broken out into a performance of the Johnny Cash classic Ring of Fire after being handed a guitar. So I asked him if he was goin' country.

He laughed. "Jamie, I'll tell anyone who will listen how much I enjoy playing Ring of Fire," he said. I thought to myself, "This is not the same pretentious politico I saw the other day on C-Span." The conversation revealed a side of Kerry I didn't know or expect, a lighthearted, music-loving side. It made me wonder: who is the real John Kerry?

In a more serious but equally revealing Newsweek story I co-wrote that same campaign year titled “Kerry and Agent Orange," the senator talked for the first time about his exposure to Agent Orange while serving in Vietnam, and recalled his lifelong friendship with Giles Whitcomb, a Naval Intelligence officer who served with Kerry.


Whitcomb, who died in 1988 of non-Hodgkin’s lymphoma, the same cancer I've battled for the last 16 years, had along with Kerry been exposed to Agent Orange in Vietnam's Mekong Delta. Kerry pressured the Department of Veterans Affairs (VA) to ensure that Whitcomb's widow received full veterans’ benefits after his death. 

It took a generation for VA to admit there is a link between Agent Orange and many types of cancer. Kerry, a survivor of prostate cancer, which like lymphoma has also been linked to Agent Orange, has been a champion for veterans with VA claims, and he always gets emotional when he talks about Whitcomb. This is another side of him the public doesn't often see.


In an interview for a San Diego Magazine story I wrote titled “An End of Innocence,” Kerry was particularly candid and unguarded. He shared with me what his life was like during military training in San Diego in 1968, fondly recalling those carefree days drinking beer in Mexico with his buddies, surfing at Windansea Beach in La Jolla, and riding his bike around Coronado.

“My best memory of living in San Diego was surfing, without a doubt,” Kerry told me. “There was such a dichotomy between what we were preparing for - combat - and what we were able to do in this beautiful place in between. We used to just surf until we dropped. We were already tired from survival training in the mountains. We’d finish the day drinking the best beer I’ve ever tasted.”

Kerry also told me in that interview that he was a bit of a thrill-seeker back then. A pilot, he said he especially enjoyed “herding cows” from his plane.

“That’s the single best memory of flying in San Diego: me and my friend David Thorne coming out of the clouds in this little plane, flying right over the fields and herding the cows, sending the cows running,” he said. “We really had a good time being foolish sometimes. It was such a great way to just lose focus and put away the real world for a while.”


At the same time he was surfing, drinking beers and herding cows, Kerry was also preparing to return to Vietnam for his second tour, which he says changed him as a person and made him more cynical. That second tour planted the seeds for the controversial anti-war demonstrations he participated in after he came home. 


Kerry, who was awarded three Purple Hearts in Vietnam, as well as the Bronze Star and the Silver Star, told me that San Diego will always have special meaning for him. "It was the place where I spent those last days before I ended up going off to a very different war than the one I’d known during my first tour of duty," he said.


Several years after that interview, in a Newsweek story I wrote about Kerry's daughter Alexandra titled “The Book on John Kerry,” she told me how frustrating it has been for her that her father is so often mischaracterized by the press and misunderstood by the public.


“I know who he is, “ Alexandra said. "So it's odd to know someone, to know his character and his layers, and then see him portrayed in such two-dimensional ways.”


I, too, have come to know a different John Kerry than the man the public sees. The common perception? He's a bit of a stiff. But in conversations, I've found Kerry to be much warmer and more relaxed, with a great sense of humor. He can even be goofy and self deprecating. 


During that 2004 presidential race, Kerry endured more than his share of verbal assaults from the so-called Swift Vets and POWs for Truth and others. He told me he wasn't bothered by the character attacks, but the pain in his voice said otherwise. Kerry served honorably in Vietnam and was clearly hurt by the lies that were being told about him. 


Kerry and I always maintained that journalist-subject distance; we never became friends. But we did establish a mutual trust. He opened up to me and shared sides of himself that I don’t think he's shared with many reporters. In my interactions with him he's been far from the aloof character many describe. He is indeed layered, and surprisingly funny.


But make no mistake: despite his opposition 40 years ago to the Vietnam War, a war that millions of Americans now believe was a huge mistake, Kerry is no dove. He understands the real threats to America that exist around the world. Namely Iran. And he will make a tremendous secretary of state. Even more than president, this is the job he's really prepared for his entire adult life. 


And given the travel demands of his new job, I suspect he’ll have plenty of time to brush up on his guitar. Maybe he can even teach Mahmoud Ahmadinejad a few chords, though a duet of Kumbaya is probably off the table.

Friday, January 25, 2013

How I Survived Multiple Blood Clots


Coumadin for blood clots
Last summer, as I was nearing the end of a grueling three-set tennis match in 90-degree heat, which normally would not have bothered me, I felt a very sharp pain in my left side, below my heart, and then just collapsed on the court. It was easily the most painful thing I've ever experienced. I could barely move. 

I wasn't sure if it was a heart attack, a ruptured spleen, a tumor, or what. All I knew is that it hurt like heck and that it was probably something serious. With the help of my tennis partner, I made it to the car and then to Sharp Memorial Hospital, where, after a bunch of blood tests and scans, the ER doctors discovered the problem: multiple blood clots in both lungs. 

The doctors at Sharp were amazing: very thorough and truly compassionate. When they told me the news, I was shocked and a little frightened. I spent a few days in the hospital, where I was treated very well, and the pain finally subsided in a week or so. I fully recovered. And ever since I've been taking something called Coumadin, which I now know is one of the most prescribed drugs in the United States and the number one most prescribed anticoagulant or “blood thinner.” 

I don't generally like taking meds, but Coumadin is literally a lifesaver. It's a very popular drug because blood clots are unfortunately very common. They occur for a variety of reasons. For me, it was likely related to the fact that I'm a three-time survivor of stage IV non-Hodgkin's lymphoma who still has some cancer in my body. 


Many famous folks have survived blood clots, including Secretary of State Hillary Clinton, who recently had a blood clot in the vein between the brain and and the skull behind her right ear. She, too, is on anticoagulant medication and, if her fiery testimony this week before the House and Senate on the Benghazi matter is any indication, she, too, has made a full recovery. 


I've learned that millions of people have survived blood clots and happily moved on with their lives. But when it first happened to me, I naturally had questions and concerns. When I went on Coumadin, one of my biggest fears was consuming too much Vitamin K, which the ER doctors told me can interfere with the effectiveness of Coumadin. An increase in Vitamin K can influence the time it takes for blood to clot (this is measured by a simple blood test called INR, or International Normalized Ratio). 


I was not on a multivitamin for the first few months I was on Coumadin, and my INR number was stable (it should be between 2 and 3). I wanted to start taking a multivitamin for obvious health reasons, but I was worried about how it would impact my INR. It seems every vitamin I looked at contained Vitamin K.


If you take a daily multivitamin with vitamin K or other nutrients that alter your INR, your Coumadin dose must be adjusted accordingly. This can be dangerous because missing a dose, stopping the multivitamin, changing the brand or even just changing formulations within the same brand can result in dangerous fluctuations of INR and should be accompanied by a trip to your area Coumadin clinic (my clinic here at the University of California San Diego is staffed by good people who've helped me every step of the way). 


Anyway, I was going to go on a multivitamin and just deal with the possibility of having to adjust my Coumadin dose. But then I discovered K Free Daily, a new multivitamin designed for people like me who have to take Coumadin. Unlike most vitamins on the market, K Free Daily contains no vitamin K, no niacin and less vitamin C and E than other multivitamins. These are the ingredients that evidenced-based research proves can change your INR.


When I find a new product, before I take it I typically like to go right to the folks who created it. So I contacted the developers of the vitamin, Aric Isaacson, a retail pharmacist, and Ashley Cohen, a clinical registered dietitian, and asked them a bunch of questions. They were both kind, receptive and knowledgable. 

Aric told me he and Ashley just wanted to do something positive for the many people they've met met who, like me, are taking Coumadin. He said patients can start or stop taking K Free Daily at any time during Coumadin therapy without having to get their INR checked and their Coumadin dose adjusted. They can also consume more Vitamin K from their diet without fear of going over the recommended daily allowance.  

“All multivitamins we studied, even those marketed specifically for this exact patient population, contain ingredients that have been clinically proven to increase or decrease INR in patients who are otherwise stable,” Aric said. “As health care professionals working closely with this patient population, this really scared us and drove us to come up with an original and unique multivitamin formula that poses no risk to these patients while still providing them with all the physical and mental benefits of a complete multivitamin.”

It may sound like a small thing, but it isn't. Finding this unique new multivitamin has boosted my comfort level. The folks at my Coumadin clinic told me that taking K Free Daily would be fine; they gave me the green light. 

Bottom line? While blood clots are potentially dangerous and can even be fatal, they are treatable, and preventable with medication. I no longer let the fear of blood clots get in the way of living my life. And here's the happy kicker: A few weeks after I went to ER with all those pesky blood clots in my lungs, my tennis pal and I finally finished that marathon tennis match. Guess who won?