James Amos

Heat Joke Alert On the Loose!

The Excessive Heat Warning is still on, so you’re going to need another heat joke:

Knock, knock.

Who’s there?

Kenya.

Kenya who?

Kenya open the door so I can fix your air conditioner?

I’m hoping for your sake this will be the last heat joke alert.

Can You Fry an Egg on a Driveway on a Hot Day?

Sena tried to fry an egg on our driveway yesterday—and it did not go well. Let’s get the basic internet caveat out of the way. Somebody is always asking this question about whether or not you can fry an egg on a hot day.

The usual answer is something like, “It’s possible but not probable” because concrete is not conductive enough to fry an egg. It takes a temperature of 158 degrees Fahrenheit to fry an egg the regular way. But concrete gets to only about 145 degrees. When you think about it, that’s not much of a difference, though.

We’ve been in this heat wave this week, and the temperatures have been close to 100 degrees most days. You can’t count the heat index because that’s just measure of how hot humans feel when you correct for humidity combined with the air temperature. Just for the record, it did get up to around 107 degrees with the heat index.

So, she cracked an egg on our driveway and here’s what happened.

She started the test at around 11:15 a.m., checked it 5 minutes later (really no change), re-checked it at around noon, no change of course, then didn’t check it again until around 5 p.m. See the short slide show below.

The most interesting thing was the egg shell was gone. We’re not sure what took it, but many animals will eat them: birds, squirrels, chipmunks, dogs, cats, mice, and Bigfoot although he prefers beef jerky. Ants were feasting on the dried-up egg remains.

It’s pretty hot—but not hot enough to cook an egg on concrete. Even if you think you get the job done, don’t ever eat the results.

Heat Joke Alert for Crying Out Loud!

The heat wave continues and the heat joke today is:

Q: What do we say about politicians during a heat wave?

A: It’s not the heat, it’s the stupidity.

The Heat Index could go as high as 114 degrees. The end might be in sight on Friday. Hang in there and stay cool.

Heat Joke Alert Again!

Here’s another heat joke.

Q: How hot is it?

A: It’s so hot, you don’t have to be a liar to set your pants on fire.

All you have to do is step outside. It’s no joke, frankly. Heat index values could be in the 110-115 degree range. The Excessive Heating Warning has been extended to August 23, 2023.

The Drain Grate Flipper is Back

Some of you may remember last year’s drain grate flipping saga in which something removed one of our back yard tile drain grates nearly every day for a while last fall. It’s happening again! This time it occurred during a pretty fierce heat wave which is still ongoing. It was so hot, the videos and photos we got were really hazy.

That adventure began in late September of 2022 and went on past the middle of October. I wrote a few posts about the saga. We set up a critter cam to see if we could get it on video. We caught deer running across the yard and that’s it, except for a UFO. Check our YouTube “Caught in the Critter Cam Lights” on October 17, 2022.

Yesterday, we noticed the drain grate was off again, after a nearly a year of no problems with it. Now, a couple of months ago, a couple of other drain grates popped off, but it looked like the explanation was heavy rainfall. The pipes were full of debris and the lid was very close to the edge of the pipes.

This time, the same lid that popped off last year popped off again and it was a replay of what looks like an ongoing mystery.

I’m not ready to set up the critter cam just yet. I’m a little unsure of whether it’ll work OK in triple digit heat.

Heat Joke Alert!

OK, I got sort of a Dad joke about the heat. It’s about 106 degrees now with the heat index in Iowa City.

Q: What do you call a flying saucer on a really hot day?

A: An Unidentified Frying Object

Believe it or not, I couldn’t find this joke anywhere on the internet. So I guess that makes it original.

Sena wants to try frying an egg, and melt ice cubes and/or an ice cream bar on our driveway tomorrow.

Leave comments trying to talk her out of it and/or leave a heat joke of your own.

Thank you for your time.

The Thing About Identity

I was searching on the web for something about my co-editor, Robert G. Robinson, MD, for our book Psychosomatic Medicine: An Introduction to Consultation-Liaison Psychiatry, published in 2010.

The reason I was searching for something about him was that I’ve had difficulties finding anything on the web lately about doctors I had worked with years ago and admired—and the search revealed they had died. It has been a little jarring and got me thinking about my own mortality.

My search didn’t turn up any obituary about Dr. Robinson, but I found a couple of interesting items. One of them is, of all things, a WordPress blog item, the About section. It’s dated April 2012. I’ve seen it before. It’s supposedly about a person named Dr. Robert G. Robinson, MD and the only thing on it is his name and affiliation with The University of Iowa Carver College of Medicine. Every WordPress blog has an About section. I have one and I’ve been blogging since 2010.

There’s no entry in the About section for him on WordPress. However, there was another item on the web that looked like it was a blog (It’s another blogging site called About.me), and it was labeled as an About section. It was a biographical summary of his academic and scientific career. Of course, it was impressive. At first, it looked like he was planning to write a blog, which could have been very educational because he’s an extremely accomplished psychiatrist with a very long bibliography of published articles about psychiatric research, a lot of it about post-stroke syndromes.

But when I looked at the social media links on the WordPress page, it led to a picture of someone who is definitely not the Robinson I know. This person was a “Certified Rolfer.” Remember Rolfing? It’s a form of deep tissue massage developed in the 1970s. The Dr. Robinson I know was never involved in Rolfing.

I’m not sure what happened with the WordPress and other blog items, but it looked the WordPress section was a case of mistaken identity. The most recent genuine item on the web about him is a 2017 University of Iowa article about his receiving the Distinguished Mentor Award.

I hope somebody doesn’t get confused by that WordPress mistake.

Then, I happened to come across an article that, at first, I didn’t recognize. The link on the search page listed Dr. Robinson’s name. It’s on the Arnold P. Gold Foundation website for humanism in medicine. The title is “Are doctors rude? An Insider’s View.” It didn’t have my byline under it. It took me a minute, but I soon recognized that I wrote it in 2013. At the bottom of the page, I was identified as the author.

At first, I thought it was a mistake; there was a place for an icon that at one time had probably contained a photo of me, but it was missing. It’s my reflection about a Johns Hopkins study finding that medical interns were not doing basic things like introducing themselves to patients and sitting down with them.

This was not a case of mistaken identity. But I got a little worried about my memory for a few seconds.

Anyway, I was reminded of my tendency to have trainees find a chair for me so I could sit down with patients in their hospital rooms. I later got a camp stool as a gift from one of my colleagues on the Palliative Care consult service. It was handy, but one of my legs always got numb if I sat too long on it. It broke once and I landed flat on my fundament one time in front of a patient, family, and my trainees. The patient was mute and we had been asked to evaluate for a neuropsychiatric syndrome called catatonia. The evidence against it was the clear grin on the patient’s face after my comical pratfall—and because of the laughter that we could see but not hear.

One of the points of this anecdote is that it’s prudent to be skeptical about what you see on the internet. The other point is that parts of your identity can hang around on the web for a really long time, so it’s prudent to be skeptical about how permanent your current identity is.

How the Metta Prayer and the Shower Juggle Are Alike

I’ve been practicing mindfulness meditation since 2014, when I became uncomfortably aware of how unpleasant I was becoming on the job and elsewhere. I called this “burnout.” The word still works as an explanation although it was and is sometimes still an excuse.

I learned about the Lovingkindness meditation or the Metta Prayer during the Mindfulness Based Stress Reduction (MBSR) course I took almost a decade ago.

I used to pray when I was a child. I read the Bible and prayed. I viewed the act of prayer as a request to God back then. And I still probably regard the Metta Prayer as a kind of bargain between me and the cosmos or whatever it is I think of as a higher power.

Just because I say the Metta Prayer doesn’t mean that anybody’s going to treat each other differently. It doesn’t make people get up and square dance together. However, the caution about not expecting others to change just because you say the Metta Prayer doesn’t mean that the practice would not enhance a sense of community—if enough people did it.

There are dozens of scripts for the Metta Prayer easily accessible on the web. The part of it that is directed to those with whom I’m having a difficult time is tricky. Often enough, my goal is to use it as a way of somehow changing the person I’m having difficulty with. It’s the same way I used prayers as a child.

That’s a mistake, but at least I’m aware of it. Prayer is not a request for God or the cosmos to intercede on my behalf so that life won’t be so difficult for me sometimes.

I have trouble remembering that I’m not really a role model, especially nowadays. I’m just an old retired guy who was difficult to work with and needed to change, despite my status as a psychiatrist. I tell dad jokes and clown around but I’m still an old guy with problems—like just about every other old guy.

So, I’m still off and on practicing the Metta Prayer. I’ve noticed that practicing mindfulness is a lot like practicing juggling, which I’ve been doing for almost a year now. I still can’t do certain tricks, like the shower juggle. I can do about three or four throws and drop the balls, sometimes on my head (which is why I wear safety goggles!). And I still tend to use prayer like I’m negotiating a deal to get rid of my faults and troubles.

But I haven’t given up practicing the shower juggle. And I haven’t given up on the Metta Prayer.

Remembrance of Dr. William R. Yates MD

I was thinking about the Clinical Problems in Consultation Psychiatry (CPCP) learning sessions which was introduced to me by one of my first teachers in the University of Iowa Dept of Psychiatry, Dr. William R. (Bill) Yates.

I had originally been thinking of posting one of my own CPCPs that I presented in 2015. It was about the psychosocial adjustment of patients to ostomy.

I searched widely and in vain on the web for any recent information about what Dr. Yates was doing now. I was surprised and saddened to discover his obituary. He died on January 19, 2023 in Tulsa, Oklahoma.

As the obituary says:

He served on the faculty at the University of Iowa for Psychiatry and Family Medicine before becoming Professor and Chair of Psychiatry at the University of Oklahoma College of Medicine in Tulsa. After retiring, he continued to dedicate his time as a volunteer research psychiatrist at OU and the Laureate Institute for Brain Research where he also served on the board of directors. He authored over 100 scientific manuscripts that were published in peer-reviewed journals.

He was an energetic, a great teacher, had a great sense of humor, and was easy to get along with. He published in many scientific journals and taught many trainees. He was an avid bird watcher and his blog Brain Posts highlighting neuroscience research findings is still visible on the web.

He published the paper along with a chief resident on problem-based learning used on the psychiatry consult-liaison service in 1996, the year I graduated psychiatry residency and joined the faculty at The University of Iowa Hospitals & Clinics (Yates, W. R. and T. T. Gerdes (1996). “Problem-based learning in consultation psychiatry.” Gen Hosp Psychiatry 18(3): 139-144.) You can read the abstract for it along with a description of the CPCP at the link above which takes you to my April 19, 2019 blog post “Clinical Problems in Consultation Psychiatry.”

When he was the leader of the psychiatry consult service, we were still using paper charts and his staffing comments were always very brief and encapsulated the assessment and plan succinctly without wasted verbiage—contrasting with my long-winded note.

His remarks about his role at Laureate Institute for Brain Research is still accessible:

“I work part-time as a research psychiatrist for the assessment team at the Laureate Institute for Brain Research. We do research diagnostic assessments for a variety of imaging, genetic and biomarkers studies in mood, anxiety and other brain disorders. I also provide review and analysis of neuroscience research on my blog Brain Posts that can be found at www.brainposts.blogspot.com. You can follow me on Twitter @WRY999. I also use my blog and Twitter feed to share my bird photography images.”

I respected and admired Dr. Yates, as I’m sure many learners did. I will always remember Bill as a gifted scientist and teacher.

I think a fitting tribute would be to go ahead and post my CPCP on the psychosocial adjustment of patients with ostomy. One of the most interesting articles in the bibliography is how the mindfulness meditation approach to that adjustment can be very helpful. The website United Ostomy Association of America website is also informative.

The presentation is also limited to a dozen slides. I often encouraged learners to keep the number of slides to a managed number so the presentations wouldn’t run too long. I called my slide sets the Dirty Dozens.

Many thanks to Dr. William R. Yates and my condolences to his family.