My Mt. Rushmore Dream

Lately, I’ve been anticipating my eventual immortalization as a sculptured stone bust on Mt. Rushmore. Hopefully, this will be fairly soon because I’m not getting any younger.

Among my many inventions is the internet. Don’t believe Al Gore, although he has persuaded others about his role in the development of what I argue should properly be called the world wide web. I’ve invented a lot of other things which I’ll tell you more about just as soon as I make them up.

Before I forget it, I want to tell you what I just noticed last night while I watching one of my favorite X-Files episodes, “War of the Coprophages.” I guess I never noticed that the cockroach invasion was about Artificial Intelligence (AI). It was the scientist, Dr. Ivanov, who mentioned it first and I just missed it the first few hundred times I saw the show.

Dr. Ivanov clearly thought that anybody who thought extraterrestrials would be green and have big eyes was probably crazy. Traveling across galaxies through wormholes and whatnot would tear humanoid organisms apart. The practical approach would be to send AI robots instead. You could see Mulder cringe at that idea. The little robot that kept edging closer to Mulder made him nervous and when he asked Dr. Ivanov why it did that, his reply was “Because it likes you.”

That doesn’t exactly fit with Ivanov’s other idea about extraterrestrials, which is that they would focus on important tasks like getting enough food, procreating, etc. without getting all emotional about them. Ironic that Dr. Ivanov made an AI robot that gets a crush on a sesame seed munching UFO hunter like Mulder.

However, the AI robots in the show are cockroaches which love to eat dung. In other words, they’re full of crap.

Moving right along, although I didn’t invent it, there’s a card game called schnapsen that Sena and I are trying to relearn. It’s kind of a break from cribbage. It’s a trick taking game with just a 20-card deck. We play the version that doesn’t allow you to look at your cards to see how many points you have so you can tell when you can close the deck or go out, meaning you have the 66 points to win. You have to remember how many points you’ve won in tricks. I think it’s a good way to keep your memory sharp.

Let’s see; I’ve lost every game so far, but that doesn’t mean I won’t end up with my bust on Mt. Rushmore.

Keep Hope Alive

Just a reminder, Isabel Wilkerson will be giving her presentation, ” “Caste: How the hierarchy we have inherited restricts our humanity” from noon to 1 p.m. Wednesday, Feb. 5, in Prem Sahai Auditorium (room 1110) in the Medical Education and Research Facility.

I’m about halfway through her book, “Caste: The Origins of Our Discontents.” It’s a very difficult read, as I anticipated. It’s full of horrendous descriptions of what those in lower castes suffered, whether from the time of the Nazis, India, or America. I can read it only for a short while and then I have to put the book down and take a break. I get so I feel like I need an inspirational lift.

And it just happened the other night. I heard a poem on TV I’ve heard before, “I am Somebody.” Although it was written in the 1950s by Reverend William Holmes Borders, a civil rights activist and senior pastor at Wheat Street Baptist Church, it was recited by Reverend Jesse Jackson in 1963.

I remember seeing Reverend Jackson cry the night Barack Obama was elected President in 2008. I never heard the original speech Reverend Jackson gave in 1988, during the second time he was running for President himself.

I think it was probably because I was focused on starting medical school at The University of Iowa. I began my studies in August of 1988 in what was then the summer enrichment program for minority students.

One of Reverend Jackson’s speeches contained the other memorable cry, “Keep hope alive!” You can hear it and read the transcript.

You must not surrender! You may or may not get there but just know that you’re qualified! And you hold on and hold out! We must never surrender!! America will get better and better.

Keep hope alive. Keep hope alive! Keep hope alive! On tomorrow night and beyond, keep hope alive! I love you very much. I love you very much. —Rev. Jesse Jackson, 1988.

Artificial Intelligence in Managing Messages from Patients

I ran across another interesting article in the JAMA Network about Artificial Intelligence (AI) with respect to health care organization managing messages from patients to doctors and nurse. The shorthand for this in the article is “in-basket burden.” Health care workers respond to a large number of patients’ questions and it can lead to burnout. Some organizations are trying to test AI by letting it make draft replies to patients. The results of the quality improvement study were published in a paper:

English E, Laughlin J, Sippel J, DeCamp M, Lin C. Utility of Artificial Intelligence–Generative Draft Replies to Patient Messages. JAMA Netw Open. 2024;7(10):e2438573. doi:10.1001/jamanetworkopen.2024.38573

One of the fascinating things about this is the trouble we have naming the problems with misinformation that AI has. We tend to use a couple of terms interchangeably: hallucinations and confabulation. Whatever you call it, the problem interferes with communication between health care workers and patients.

Dr. English describes the interference as a “whack-a-mole” issue, meaning every time they think they got the hallucination/confabulation problem licked, the AI comes up with another case of miscommunication.

Just for fun, I did a web search trying to find out whether “hallucination” or “confabulation” fit the AI behavior best. Computer experts tend to use the term “hallucination” and neuropsychologists seem to prefer “confabulation.” I think this community chat site gives a pretty even-handed discussion of the distinction. I prefer the term “confabulation.”

Anyway, there are other substantive issues with how using AI drafts for patient messaging affects communication. I think it’s interesting that patients tend to think AI is more empathetic than medical practitioners. As Dr. English puts it: “This GPT is nicer than most of us,” and “And ChatGPT, or any LLM, isn’t busy. It doesn’t get bored. It doesn’t get tired.” The way that’s worded made me think of a scene from a movie:

OK, so I’m kidding—a little. I think it’s important to move carefully down the path of idealizing AI. I think back to the recent news article about humans teaching AI how to lie and scheme. I remember that I searched the web with the question “Can AI lie?” and getting a reply from Gemini because I have no choice on whether or not it gives me its two cents. I’m paraphrasing but it said essentially, “Yes, AI can lie and we’re getting better with practice.”

I like Dr. English’s last statement, in which she warns us that AI can be a fun tool which clinicians need to have a healthy skepticism about. It may say things you might be tempted to gloss over or even ignore, like:

“I’ll be back.”

Just Got Isabel Wilkerson’s Book: “Caste: The Origins of Our Discontents”

I just got a copy of Isabel Wilkerson’s book “Caste: The Origins of Our Discontents.” I read her other book, “The Warmth of Other Suns” years ago. It won a Pulitzer Prize.

I read the first section, “Toxins In The Permafrost And Heat Rising All Around.” It brought back memories of the 2016 Presidential Election, which I won’t discuss in any detail. It does seem ironic now.

I have no doubt that “Caste” will be an uncomfortable read, like Wilkerson’s first one and like Michele Norris’s book, “Our Hidden Conversations.”

Just a reminder, Isabel Wilkerson is scheduled to speak as part of Dr. Martin Luther King, Jr. events on February 5, 2025 at the University of Iowa Medical Education and Research Facility (MERF); Prem Sahai Auditorium. General admission is free although it’s a ticketed event, more information here.

Update on the Cribbage Go Rule and More!

I just discovered a little more about the Go Rule in Cribbage. It turns out that it’s easy to over think it. I found a few websites that state it more clearly than what I have recently found and posted about last Friday, January 17th.

Probably the simplest explanation is a pdf document of rules for cribbage available for free.

“A player who cannot play without exceeding 31 does not play a card but says Go, leaving his opponent to continue if possible, pegging for any further combinations made…. Bringing the total to exactly 31 pegs 2, but if the total is 30 or less and neither player can lay a card without going over 31, then the last player to lay a card pegs one for the go or one for last.”

There are a couple of YouTube videos with clear instructions about how to play cribbage. Both are less than 30 minutes long and entertaining. One of them is called “How to Play Cribbage Properly”. The video is well done, in my opinion. The only mistake he made was pointed out by a viewer who noticed he made a minor goof on demonstrating how to peg between two imaginary players “Attenborough” and Bowie.” He just switched the names of the players. It really doesn’t affect the actual demonstration of pegging points.

The other YouTube is also well done and demonstrates the rules of cribbage in a game between a guy and his father, titled “A Game of Cribbage.” Only once is the word “Go” mentioned although they played it according to the rule above.

Testing the New Snow Removal Tools!

We finally got enough snow to test the new shovels today. Recall we have a cordless electric snow shovel and a snow pusher plow shovel with a 36-inch blade. The battery-powered model is a 48V 16-inch Voltask.

I was a little surprised to learn how powerful the electric shovel is. It comes with two batteries. It has a safety button which you have to press at the same time you pull the trigger. It comes with lights so if you ever want to clear snow after dark, you could do that. Of course, there’s no heavy lifting and it’s easy to push. It can throw snow a long way and you can also direct it left or right. It’s like a vacuum in reverse.

Sena selected the Voltask and save a lot of money. There were other models that were priced in the 400–500-dollar range which didn’t have the features the Voltask has.

The snow plow of course, is a simple tool—just the way I like them. The narrow 36-inch blade makes snow clearing quick and there is also no heavy lifting. Spraying a little snow and ice repellent on the blade cuts down on buildup as you work.

I still prefer a shovel.

Is Edinburgh Manor in Iowa Haunted?

I have no idea whether an old former county home in Jones County is one of the most haunted places in the Midwest or Iowa or the USA. And I wouldn’t be saying that if Sena and I had not watched a TV show called “Mysteries of the Abandoned” (broadcast on the Science Channel) which aired a 20-minute segment about Edinburgh Manor the other night.

Supposedly, Edinburgh Manor started off as a county poor farm back in the 1800s, which didn’t do well and then quickly declined into an asylum for the mentally ill. When a couple bought the old place after it closed sometime between 2010 and 2012, they started to report having paranormal experiences and it was then off to the races for the place to become a haunted attraction, for which you can buy tickets for day passes and overnight stays.

There’s a 10-minute video by a newspaper reporter who interviews the wife and which shows many video shots of the house. I can’t see any evidence that it’s on the National Register of Historic Places.

What this made me think of was the Johnson County Historic Poor Farm here in Iowa City, which is on the National Register of Historic Places. We’ve never visited the site, but you don’t pay admission and the tone and content of the information I found on the website is nothing like what’s all over the web about Edinburgh Manor. There are no ghosts tickling anybody at the Johnson County Historic Poor Farm.

There’s a lot of education out there about the history of county poor farms in general. In Johnson County, Chatham Oaks is a facility that houses patients with chronic mental illness and it used to be affiliated with the county home. It’s now privatized. The University of Iowa department of psychiatry used to round on the patients and that used to be part of the residents training program (including mine).

I found an hour-long video on the Iowa Culture YouTube site about the history of Iowa’s county poor farms. It was very enlightening. The presenter mentioned a few poor farms including the Johnson County site—but didn’t say anything about Edinburgh Manor.

Fifty Degrees in Iowa City Yesterday!

It was fifty degrees in Iowa City yesterday so we went for a walk on the Terry Trueblood trail yesterday. Other people got the same idea. One guy was jogging in shorts! Yeah, it’s fifty degrees, but there’s still snow on the ground (in places) and there’s ice on Sand Lake.

About that ice on Sand Lake. It looked thin in places and we could see cracks in it everywhere. But that didn’t stop ice fisherman and others from going out on the lake.

We even saw an American Kestrel! That’s the first time in over 4 years. In 2020, we were out on the Trueblood trail and another walker pointed out an American Kestrel. I couldn’t get a clear shot of it then, but I did this time. I think it’s a female because of the black bands on the tail.

The balmy weather won’t last. We’ll be in the deep freeze next week.

The Go Rule in Cribbage

Sena and I have been playing cribbage for a number of years but only recently have we begun to question the “Go rule.” I’ve looked on the web for clarification about how to use the Go, and found conflicting guidance. Incidentally, we’ve posted YouTube videos of some of our games, many of them probably showing we had an imperfect understanding of the Go rule. It occurs to me that if I had not turned off the comment section on these YouTube videos, I might have been alerted to what we’d probably been doing wrong over the years. But then I’d have had to deal with many inappropriate comments.

We have gradually realized that our use of the Go has probably been flawed, raising a couple of questions:

Do you score the one point for Go automatically just because your opponent says “Go” when she/he can’t play any cards without going over 31?

What do you do about the double Go sequence when neither of you can play without going over 31?

I looked for answers on the web.

One thing I’ll say is that the automatic pop-up Artificial Intelligence (AI) guidance is wrong. For example, AI says that the player who says “Go” gets the point for Go, which is clearly incorrect.

I also looked this up on the American Cribbage Congress (ACC) website and still couldn’t understand it. Then I found a couple of websites that seemed helpful. It’s notable that both were question/answer threads that went on for years about this one issue with the Go rule. Apparently, a lot of people don’t understand it, so I didn’t feel so bad.

The first site was a Cribbage Corner thread. At the beginning, it gave several helpful examples of the right way to use the Go rule—but then followed years of comments back and forth about it that eventually became difficult to follow. There was a question about the Stink Hole which, suffice it to say, triggered an annoyed reply which advised the questioner to quit using “kitchen table cribbage” rules.

The second one was a Stack Exchange thread. When I looked at it, it started with a question a player had in which he and his friend argued about the Go, and his friend (as it turned out) seemed to be on the right track:

“His rationale, is that when scoring 31, you are getting one point for hitting 31 exactly and 1 bonus point representing your partners’ inability to play an additional card (his “go”). He says “whether a “go” is said or not, the go is implied when you place the last card at the end of the round to make 31….thus giving you two points when you reach 31 even when a “go” is communicated”.”

The thread overall was more helpful and one commenter cited the ACC rule section (to which there’s a link), which clarified the question about reaching 31 which gives the player 2 points. The two points means: one point for the Go and one bonus point for getting the special score of 31.

There was also some clarification about the double Go, which is that if neither player can play a card that won’t take the total count over 31, neither player gets the 1 point for Go.

That has happened to us. I think this is right: If player A is the first to say “Go” and player B also says “Go,” then the count resets to zero and player A leads to the new sequence. If that’s wrong, don’t hesitate to tell me in the comment section—which I assure you will not extend for years going forward.

Update: See my update on this Go issue in the post “Update on the Cribbage Go Rule”, post dated January 23, 2025. Actually, this rule is clarified at this link.

Dr. Martin Luther King Jr. 2025 Events and Some Thoughts

Dr. Martin Luther King Jr. Week started January 20, 2025. There will be several very worthwhile events, many of which are listed here.

Isabel Wilkerson, winner of the Pulitzer Prize and National Humanities Medal, will deliver the Dr. Martin Luther King Jr. Distinguished Lecture on February 5, 2025 at the University of Iowa Medical Education and Research Facility (MERF); Prem Sahai Auditorium. General admission is free although it’s a ticketed event, more information here.

I was searching the web for articles about whether and when Dr. Martin Luther King Jr. visited Iowa and found one that sparked personal memories of defeat, which Dr. King talked about when he visited my alma mater, Iowa State University in Ames in 1960, where he said:

“The Negro must not defeat or humiliate the white man, but must gain his confidence. Black supremacy would be as dangerous as white supremacy. I am not interested in rising from a position of disadvantage to a position of advantage.”

This quote was in an article entitled “Mentality Has Outrun Morality” in the January 23, 1960 issue of the Ames Tribune.

It reminded me of two episodes in my life which left me with a strong sense of defeat in the context of racism.

One of them was ages ago when I was a young man and somehow got involved in a pickup game of basketball with guys who were all white. I was the only black man.  This was in Iowa. The members of my team were those I worked with. The opponents were men my co-workers challenged to a game of basketball. I had never been in such a contest before. I think we lost but what I remember most vividly is a comment shouted by one of the opponents: “Don’t worry about the nigger!” I sat on the bleachers for the rest of the game while they played on. I remember feeling defeated—and wondering whose team I was really on.

The other incident was also long ago (but I was a little older), when I was a member of a debating team at Huston-Tillotson College in Texas (now Huston-Tillotson University, one of America’s HBCUs). We were all black. We were debating the question of whether capital punishment was a deterrent or not to capital crime. I couldn’t get a word in edgewise with my opponent. He just kept a running speech going, punctuated with many “whereas” points, one of which I’m pretty sure included the overrepresentation of black men on death row. I had never been in a debate before. My professor remarked that my opponent won the debate by being bombastic—for which there didn’t seem to be a countermeasure. I remember feeling defeated—and wondered if I was on the wrong team.

There’s a lot of emphasis on defeating others in sports, politics, religion, and the like. On a personal level, I learned that defeat didn’t make me feel good. I’m pretty sure most people feel the same way.

Dr. King also said “We can’t sit and wait for the coming of the inevitable.”

I’m not sure exactly what he meant by “the coming of the inevitable.” What did he mean by the “emerging new order”? Did he mean the second coming? Did he mean the extinction of the human race when we all kill each other? Or did he mean the convergence of humanity’s insight into the need for cooperation with the recognition of the planet’s diminishing resources?

I don’t know. I’m just an old man who hopes things will get better.