Svengoolie Movie: “The Thing That Couldn’t Die”

The thing about this movie we saw last night on the Svengoolie show, “The Thing That Couldn’t Die,” is that it heads in the wrong direction from the start—with a woman who douses for treasure. Dousing or witching for water or other things employs a special stick or rods to find objects buried underground. I actually saw this many years ago when I worked as a land survey crew member and watched an old guy use dousing rods to find buried water tile lines in a field. I remember one guy in my crew mentioned under his breath that the guy was probably old enough to remember where the tile line was originally buried.

Anyway, this film was released in 1958 and the general idea is that a sorcerer named Gideon Drew was beheaded by Sir Francis Drake 400 years ago. The head was buried in a box and the rest of the body was buried somewhere else. This would ensure that Gideon would suffer for all eternity—as long as nobody used his head to figure out that if you reconnected Drew’s body and his head, he could again commit mayhem.

Jessica is a seemingly empty-headed woman who is really able to find important objects by dousing. She finds the box containing Gideon’s head and a special charm necklace that protects her (at first) from Gideon’s ability to get inside your head.

Gideon possesses the deadhead character Mike because he’s the one who first opens the box. He then kills his controlling buddy, Boyd, who yells his head off, waking up Peggy’s Aunt Flavia, the owner of the land on which the box was found. Aunt Flavia has a head for figures because she runs the dude ranch where all the characters are and realizes that the box contained something valuable, learning later that she could get $5,000 for it from an archaeologist.

Mike drags Boyd’s body around in the woods by the head for a while, eventually dropping it into the hole where the box was originally found, but then gets killed off early in the movie. The actor, Charles Horvath, was ticked off about it and later went on to form the well-known rock band, the Ungrateful Head.

Meanwhile, Linda, who earlier invited Jessica to a square dance who declined because she preferred head banger music, gets hypnotized by Gideon. Linda then puts Gideon in a hatbox, which she gifts to Jessica after Jessica’s wannabe boyfriend, Gordon, takes the charm away from her to get it cleaned up. When Jessica opens the hatbox, Gideon zaps her, causing her to become a bad girl. Linda slaps her boyfriend Hank in the head a couple of times, which leads him to head back to their cabin to tear up his painting of her portrait and get his head bad by drinking whiskey.

Linda, Jessica, and Hank all get pretty drunk, and eventually Jessica decides to witch for the body of Gideon Drew, which she finds and the action starts coming to a head—Gideon’s head that is.

Jessica replaces Gideon’s head on his body. He integrates into the consistency of grayish head cheese and his vocal cords start working. The gang’s all there and Gideon threatens everybody and starts to bully them. Gordon tries to shoot him but bullets don’t work, and he then gets his head on straight, remembering he has the charm necklace. Gordon points it at Gideon, who reacts like Dracula does to a crucifix and almost immediately jumps back into the coffin his body was buried in, where he disintegrates.

Gideon’s spell is broken and a good time was had by all with nothing left to suffer but a mild headache from the whiskey hangover.

The moral of the film’s story is lost in all the interpersonal drama, but it might be that if you’re having trouble with water witching for drain tile lines, you should not lose your head because you can probably find a map of tile line locations in the city engineer’s office.

Iowa Bills to Ban Vaccines and Require Vaccine Manufacturers to Waive Immunity Die

This week was what the Iowa Legislature calls funnel week. Today determined what bills stay alive and which one die.

The bills opposing vaccines died for this legislative session:

mRNA vaccines: Senate File 360 proposed a ban on health care providers administering gene-based vaccines, like the COVID-19 vaccines developed by Pfizer and Moderna. Under the proposal, health care providers who administered vaccines that use nucleic acids like messenger RNA (mRNA) would face punishments of a misdemeanor charge and a fine of $500 for each violation.”

Vaccine manufacturer immunity: House File 712 proposed requiring vaccine manufacturers waive their immunity from lawsuits over injuries that result from a “design defect” in a vaccine in order to distribute or administer the vaccine in Iowa. Under the 1986 National Childhood Vaccine Injury Act, there is a National Vaccine Injury Compensation Program providing no-fault compensation to individuals and families injured by childhood vaccines. While supporters of the bill said the current compensation program has problems, medical practitioners and advocates said allowing for lawsuits to be filed against manufacturers would prevent vaccines from being available in Iowa.”

Story published in Iowa Capital Dispatch, “Funnel week 2025: What bills are alive, dead at Iowa Statehouse after first deadline” by Robin Opsahl. March 7, 2025.

What Does “Design Defect” of a Vaccine Mean In the Iowa Bill to Require Vaccine Manufacturers to Waive Immunity from Lawsuits?

Beats me. Sorry, just kidding. I’m just a little bleary from looking at the web sites about the definition of “design defect” related to vaccines as it applies to the Iowa bill to make vaccine manufacturers waive their immunity from lawsuits about vaccine related injuries.

I am sympathetic to anyone who in fact has suffered a vaccine related injury.

That term “design defect” has been bugging me for days now and I just found out that this has been the subject of states vs federal legal wrangling for years. I’m not up to explaining all the legalese but there is a really tangled trail of cases in Georgia and Pennsylvania roughly around 15 years ago that ultimately led to a U.S. Supreme Court decision saying, essentially, the Vaccine Injury Compensation Program and the federal Childhood Vaccine Injury Act of the 1980s preempts all state level vaccine design defect claims.

I think that explains why the Iowa bill says that vaccine manufacturers have to waive their immunity from suits if they want Iowans to get their vaccines.

I can hear the groans and shouts of dissent even as I write this. Hey, you can’t make this up. Talk to your legislator or lawyer about it.

I’m not sure why Iowa would want to repeat the grind that Georgia and Pennsylvania went through which led to the conclusion that you can file vaccine design defect claims at the state level and not have to repeat history which would likely lead to any decisions made there being reversed in federal court.

And I’m not sure why any vaccine manufacturer would want to fight that battle in Iowa either. They might just steer around us and take their vaccines elsewhere.

The beginning of the Georgia story.

The end of the Georgia story.

The beginning and the end of the Pennsylvania story.

Vaccines aren’t perfect. They are neither 100% safe nor 100% effective. However, I support having vaccines available to help keep us healthy and the right to choose getting a vaccine. That’s why I don’t support a bill that I believe would make them less accessible.

New Wrinkle on Iowa Bill to Oppose mRNA Vaccines in Iowa

This is a follow up to yesterday’s post about the Iowa legislature’s proposition of a new law that would essentially ban mRNA vaccines in Iowa. I don’t understand the numbers and codes on the new sections, but the new one proposes that manufacturers of vaccines would have to waive immunity from lawsuits arising from “a design defect of the vaccine.”

I’m not sure if that’s addition to being charged with a simple misdemeanor, subject to a $500 fine for administering the vaccine. I oppose this one too because I think it would essentially make vaccines difficult to access and harder to persuade new medical staff to come to Iowa.

There’s going to be a meeting about the bill at 4:30 PM CST. I can’t remember if it’s at the state house or at the Exile Brewing Co. for sandwiches and Ruthie’s beer.

In any case, the comment section is overwhelmingly in opposition to the bill. I saw several comments mentioning that we already have the National Vaccine Injury Compensation Program (NVIP), which is designed to field requests for compensation to those who believe they’ve been injured by certain vaccines. I had not heard of it before. It’s administered by the federal government, Health Resources & Services Administration, which is under the Health and Human Resources department.

There is a nice easy to read summary about the complicated story of vaccine safety and liability at the Children’s Hospital of Philadelphia website. It was reviewed by Dr. Paul A. Offit, MD last year. He attends meeting of the Centers for Disease Control and Prevention, although I think he missed the one last month about the flu vaccine because it was cancelled.

If I see anything earth shaking about the meeting this afternoon on HF712, I’ll make an addendum to this post.

Proposed Bill Would Ban mRNA Vaccines in Iowa

Sena just alerted me to a bill in the Iowa legislature right now that proposes mRNA vaccines (like the Covid vaccine for example) be banned in Iowa. Part of it says that any person who provides or administers such a vaccine would be guilty of a simple misdemeanor and subject to a $500 fine. I do not support it although I also support the right of others to disagree.

The bill advanced out of subcommittee yesterday and I’m not sure how although, admittedly, I don’t know what exactly that means about its chance of being ultimately passed into law. There were hundreds of comments against it. It moves for further consideration to the Iowa Senate Health and Human Services Committee according to a story in the Daily Iowan.

This sent me to the web to find out what other silly laws Iowa has passed. A few of them are below:

“Any person who attempts to pass off margarine, oleo, or oleomargarine as real butter is guilty of a simple misdemeanor in Iowa. This one originated in 1943, but is still in force today.”

“In Marshalltown, horses are forbidden to eat fire hydrants.”

“It is illegal for a mustached man to kiss a woman in public.”

All of the above are on this Iowa State University web page.

The Connection Between Vitamin A and Measles Is Not Just About Carrots

The measles outbreak is big in the news and the issue of the role of Vitamin A in measles reminded me of something I saw back in the 1970s. I was working as a drafter and survey crew assistant for WHKS & Co (consulting engineers in Mason City, Iowa) at the time. As I was working on a drawing, a co-worker walked by my desk and I noticed her skin was the color of a carrot. She was orange. She explained that she and her husband had been taking high doses of beta-carotene, which is a precursor for Vitamin A. She and her husband both worked at WHKS & Co but I think he was home sick that day, from taking too much beta carotene.

So that segues into what I found out about the connection between measles and Vitamin A. The Centers for Disease Control and Prevention (CDC) has a web page on it and cites references for the role of Vitamin A. Vitamin A does not prevent measles. But in children who are severely ill and hospitalized from measles and under a physician’s supervision, age-specific doses of Vitamin A can be given for a limited period of time.

There are two references for the administration of Vitamin A in the context of kids with measles, available through weblinks from the CDC. One of them is the World Health Organization (WHO), which recommends Vitamin A for vitamin deficient children and because measles infection by itself can cause acute Vitamin A deficiency, resulting in xerophthalmia (severe dry eyes). This can lead to blindness.

Usually this is more of a problem in developing countries, but the WHO recommends it even for children in the US.

The other reference is Red Book. This is not the magazine for American women looking for tips on beauty. The Red Book is from the American Academy of Pediatrics and it notes the WHO recommendation to administer Vitamin A to patients “…regardless of their country of residence.”

The caveat is that you can get either not enough or too much of a good thing. Beta-carotene is a precursor to Vitamin A.  Vitamin A toxicity is bad.

And you could avoid all this because there is an effective vaccine for measles. Don’t take my word for it. Talk to your pediatrician.

More on the Focused Practice Designation in Emergency Psychiatry

This post just provides further information (in addition to what was in yesterday’s post) on the evolution of the Focused Practice Designation (FPD) for consultation-liaison psychiatrists who might be interested in certifying to work in emergency departments. I use the word “certifying” because it seems clear that the FPD pathway has been intended to follow the board certification pathway, which I wondered about.

There’s a little background on the progress to the FPD path (established by ABMS in 2017) that began a few years ago in the article below:

Simpson S, Brooks V, DeMoss D, Lawrence R. The Case for Fellowship Training in Emergency Psychiatry. MedEdPublish (2016). 2020 Nov 11;9:252. doi: 10.15694/mep.2020.000252.1. PMID: 38058898; PMCID: PMC10697437.

The take home message is quoted below:

“-Over 10 million emergency department encounters a year in the United States are for behavioral health concerns, but quality emergency psychiatric care remains inconsistently available.

-New emergency psychiatry fellowship programs are being developed to train expert clinicians and prepare leaders in the subspecialty.

-These efforts will improve access to high quality mental health treatment for all patients regardless of treatment setting.”

And there is a 55-page form on the web from the American Board of Medical Specialties (ABMS) Committee on Certification (COCERT). There are several endorsements from various stakeholders including but not limited to the Academy of Consultation-Liaison Psychiatry (ACLP) and the American Board of Psychiatry & Neurology (ABPN) which make it clear there is a consensus about the value of “board certification” because most of the endorsement letters specify that. These letters are dated from just last year.

The University of Iowa Health Care system, based on the website does not (yet) offer an emergency psychiatry fellowship. They do offer a consultation-liaison psychiatry fellowship, which the ABMS supports as contributing to the attainment of the FPD credential.

However, I’m unclear if the FPD pathway won’t soon become yet another ongoing certification challenge for clinicians, many of whom find it more of an interference to their practice than a benefit. Although I believe that appropriately trained psychiatrists are helpful in the emergency room (after all, I did that for a long time), I have a nagging doubt that it will unclog the overcrowding there. Dr. George Dawson pointed that out yesterday in his comment to my post.

In the Purpose, Status, and Need section of the ABMS 55-page application form, starting on p.2 of the pdf, the American Board of Emergency Medicine (ABEM) specifies that the PFD would not be yet another subspecialty. The proposed 12-month fellowship in Emergency Behavioral Health (EBH) “…would not be ACGME-accredited training…” which distinguishes it from a subspecialty—yet they would be “recognized” for having the FPD.

Further, the application asserts that the EBH would “…address the mental health crisis in the US.” The reference to the “moral injury” that our colleagues suffer in the emergency room is not lost on me. I believe in the all for one and one for all concept. However, I’m less confident that this would lead to fewer patients boarding in emergency rooms. These days, entire hospitals often have no or too few beds available for either psychiatric or non-psychiatric patients.

Under the “Eligibility and Assessment” section, the emergency room psychiatrist seeking FPD status must hold ABEM or ABPN primary psychiatry certification. They would also be required to meet continuing certification requirements in EBH to maintain active FPD status. There is presently a “Practice Pathway” to the FPD, but that would eventually close. After that, the psychiatrist would need to complete a 12-month ABEM-approved EBH fellowship. The cycle length for the FPD in EBH would be 5 years, beyond which the applicant would be subject to re-verification of ongoing EBH practice experience “…to meet continuing certification requirements.”

You can learn more about FPD (including frequently asked questions) at this ABMS web site.

It sounds like board mandated MOC to me, and I don’t know how many clinicians will choose that route. It could discourage some psychiatrists from pursuing the FPD pathway. I’m also unsure how this will address the practical issue of emergency room boarding of patients with psychiatric illness, since doctors ultimately don’t control hospital bed capacity.

New Consultation-Liaison Psychiatry Focused Practice Designation in Emergency Behavioral Certification in Emergency Rooms

I just found out about the American Board of Medical Specialties (ABMS) announcement of a new addition to the Consultation-Liaison Psychiatry subspecialty: Focused Practice Designation. It looks like it’s going to be administered by the American Board of Emergency Medicine (ABEM), possibly in collaboration with the American Board of Psychiatry & Neurology (ABPN).

I’m unsure of the nuts and bolts, but on the surface, it looks like it might be a promising way to address meeting the needs of the many patients who appear in hospital emergency rooms.

On the other hand, I’m unclear on whether this might also lead to the addition of yet another layer of medical and psychiatry board maintenance of certification exams and fees. It looks like some boards of medicine and surgery require those who want to pursue the Focused Practice Designation (FPD) specialization route sit for an initial certification exam which would be time-limited followed by something called “continuous certification” which is a form of maintenance of certification (MOC). This often entails periodic exams and fees which many physicians find burdensome and expensive, leading to petitions opposing MOC and finding alternatives to fulfill the continuing education needs in less costly and time-consuming ways. One notable alternative is the National Board of Physicians and Surgeons (NBAS).

I’m not sure why another layer of bureaucracy needs to be added to achieve the goal of ensuring that emergency room patients with mental health challenges have access to mental health professionals. In fact, there is an American Association for Emergency Psychiatry open to membership which includes psychiatrists, physician assistants, psychologists, nurses, social workers and other professionals. However, the goal behind the FPD route is to increase the presence of physicians in the emergency room. This creates a specific and arguably needed role for consultation-liaison (C-L) psychiatrists.

I get the impression the exact way this will be rolled out is under construction, so to speak. Although I can’t find language in the announcements for the new FPD specifically saying that there’s going to be another MOC for C-L psychiatrists, there doesn’t seem to be any language assuring there won’t be. The FPD web page for the American Board of Obstetrics & Gynecology (ABOG) makes it pretty clear—there’s a MOC for that.

Just because you don’t see anything currently on the ABEM and ABPN web sites about MOC being required for the FPD doesn’t mean that it won’t appear in the near future. For now, the ABMS table outlining the differences between the certification requirements for specialty/subspecialty designation and the FDP doesn’t specify extra certification for the FDP for C-L psychiatrists per se.

I’m hoping for the best for patients and doctors.

Girl Scout Cookies Are Safe!

We were out the other day and tried the new Girl Scout Thin Mint Frosties. Sena got chocolate and I got vanilla. We thought they were delicious. Wendy’s partnered with Girl Scouts of the USA to serve them up and it’s a great idea. They’re swirled and topped with a mint-flavored cookie crumble sauce.

We heard that the Girl Scouts would be out selling their famous cookies the same day at booths outside different stores across Iowa including Iowa City, but we couldn’t find them that day. Maybe it was because it was a little cold to be standing outside in a booth. Interestingly today, the girl scout didn’t know this whole idea was a collaboration between Wendy’s and the Girl Scouts of America.

We finally found a website that posted a schedule of when and where the cookies would be selling.

The weird thing is just before Sena left to get some Thin Mints cookies, we found a news story on the web which raised an alarm about whether or not they are poisonous (they’re not), if you can imagine that. People have been buying Girl Scout cookies for years and I’ve never heard of any problems.

So, it occurred to me that even though we’re not employees of the federal government, we could find 5 things to say relevant to the Department of Gustatory Explorations (DOGE) as part of our frivolous investigation of this issue. I think I’ve got that department name right.

  1. It turns out there’s a group called Moms Across America which has partnered with an outfit called GMOScience and they’re calling out Girls Scout of America for selling cookies with “toxic” metals and glyphosate (an herbicide). In their own small, unpublished, non-peer reviewed study, they tested some cookies and found they all had some traces of these substances. They tested cookies including Thin Mints in 3 states which included Iowa.
  2. Snopes investigated and found a number of facts, one of which is that “a child would have to eat 9,000 cookies in a day to approach harmful levels of pesticide or naturally occurring metals.”
  3. The FDA says you can safely eat the Thin Mints and any of the other kinds of Girl Scout cookies. On the other hand, I will not eat cookies containing coconut because it has the consistency of little pieces of cellophane, which I would chew endlessly without ever being able to bring myself to swallow them. This is a personal idiosyncrasy that has nothing intrinsically to do with any food containing coconut.
  4. Don Huber is a retired Purdue University professor of plant pathology who is part of the anti-GMO movement. He’s made many claims which have been criticized and refuted, even by Purdue University faculty members. One of them is that glyphosate causes a number of diseases including Alzheimer’s disease and he claims his ideas are supported by the research of a Maharishi movement expert in yogic flying. By the way there is a Maharishi International University (MIU) located in Fairfield, Iowa. You can learn transcendental meditation there and read about yogic flying (more like hopping) in an interesting 2016 NPR article but you won’t find anything in the curriculum per se on their website about levitation (but you will if you search for the term “yogic flying”). Consequently, you won’t learn dad jokes about this, including but not limited to “Help, I’ve levitated and I can’t get down!”
  5. The Girl Scout cookies and the Frosties taste great.

Well, I think that about wraps it up for DOGE.