Category: current events

What About the Deer?

I saw a very thoroughly researched article the other day about the issue of deer population management in Little Village, a monthly news and culture magazine. You get an idea of the conflict between deer and people when you read the title of the article, which contains the gentle term, “Rats with hooves.”

I was reminded of it when Sena yanked the tall grasses out of her garden recently. Later, I could hear her tapping on the windows and yelling at the deer who could now see the garden is actually a salad bar.

I have lost count of the number of deer who ask me to light their cigarettes for them after they breed on our front lawn.

And I made a video in which they cavort and chew their way across our back yard on their way to parties. For some reason, it’s gotten over 1,280 views as of this writing (8/11/2022), and got about a 1,000 in one day.

I’m not clear on exactly why deer management by bow-hunting is such a failure. Iowa City has contracted with an outside company which can cull the population by the hundreds using sharp shooters who apparently do this for a living. I guess bow hunters see this as a form of recreation.

I’m ambivalent about people killing deer. On the other hand, a deer did run into Sena while she was driving the car a few years ago. They can leave a pretty good dent and can even kill motorists.

The Little Village article quotes somebody who said that neighbors call deer “1,200-pound rats with hooves.”

That sounded pretty heavy to me. I looked it up on the web and the average deer weighs a little over 100 pounds. If they’re seeing something that big in their yards, they might be confusing a moose for a deer. And that means we’ve got an even bigger problem.

There are other ways to control the population besides shooting them. I learned that you can surgically sterilize them. It costs about $1,000 per animal. Would these be veterinarians who might call their clinic, Pay to Spay?

The other way might be to introduce natural predators, such as wolves, into the areas where deer are making themselves a nuisance. Collateral damage could become an issue during backyard cookouts. And has anybody considered the risk of werewolf contamination?

Mmmm, venison!

Could we round up the deer and relocate them to a wilderness where wolves and other natural predators could control their population? I won’t mention the name of such a place, but it starts with the letter A-L-A-S-K-A.

Could Bigfoot get involved somehow? Maybe, if scientists could come up with a way to alter the deer genetic code to make them smell like beef jerky.

According to the article, the application for participating in the bow-hunt season runs through October 21, 2022. Property owners can fill out an application to allow them on their land. Anybody up for shish kabob at their cookout?

Holes in Our Heads

I remember getting a trephination of my fingernail a long time ago when I was working as a surveyor’s assistant. We were out taking elevation shots with a level and a rod measuring the depth of sewer pipes.

This required us to remove the manhole covers, which are very heavy. I got one of my fingers pinched and man that hurt. My crew drove me to the emergency room where an ER doctor drilled a tiny hole in my fingernail. The immediate pain relief resulting from the release of the subungual hematoma pressure felt miraculous.

That was trephination of the fingernail. I’ll bet some of you thought of my skull when you read the word in my first sentence, though.

Trephination is just the word for the medical procedure of making a hole in the body for some reason. In order to relieve pressure and severe pain from getting your finger mashed, a doctor can make a hole in your fingernail.

Trephination can also mean making a hole in your skull to treat brain injuries or to let the evil spirits out. That was done thousands of years ago, but making burr holes in the skull for other medical reasons is still being performed, including to relieve pressure.

It’s the origin of the old saying, “Well, I’ll be bored for the simples,” where the term “simples” means feeble-mindedness and “bored” refers to the obvious treatment.

Anyway, boring holes in either your mashed finger or your head can relieve certain kinds of pressure and pain.

Figuratively speaking, we can feel under pressure in our heads for all kinds of reasons. In fact, we’re born with several kinds of holes in our heads that can lead to the pressures of anger, anxiety, sorrow and fear.

Our eyes can fool us, even to the point of making us believe we see Bigfoot when all we’re really seeing are pictures or videos that are very blurred and pixelated. I didn’t say nobody ever sees Bigfoot. I’m saying that there’s a term for some forms of visual misperception, one of them being pareidolia—the tendency to perceive meaningful images in random or ambiguous visual patterns.

Our ears can also fool us. Mondegreens are misperceived song lyrics. One of the most common mondegreens is a line I was very embarrassed by for years, “Wrapped up like a douche, another runner in the night” from the song Blinded by the Light by Manfred Mann’s Earth Band. It’s actually “Revved up like a deuce, another runner in the night.” A deuce is a kind of automobile that was often converted into a hotrod in the 1930s, usually a Ford.

Those are just a couple of examples of how holes in our heads can sometimes lead to trouble getting along with each other. All you have to do to prove this is to look at news headlines. Everybody’s slamming each other.

There’s no magic cure for interpersonal conflict, although there have been plenty of efforts to help us understand how it may arise from misperceptions and misunderstandings, often arising from missteps in communication. I doubt making more holes in our heads would be helpful.

For example, I could have chosen to show you a picture of which one of my fingers got pinched in a manhole cover. How I might have done that could have been unnecessarily provocative and even offensive—even if I only meant it as a joke. A prominent scientist recently published a picture on social media of what he called a new star he said was taken by the Webb telescope. It later came out it was actually a picture of a slice of chorizo, which is a sausage. Many people didn’t think it was funny, but that was his explanation for the post.

I don’t have to say anything more to convey the message that being mindful of what and how we are communicating is vital to making ourselves understood while remaining respectful and kind.

Practicing mindfulness is one way to facilitate clear communication that can help solve problems without hurting the feelings of others and triggering vengeful counterattacks. We’ve all been there.

Not everybody gets the idea about mindfulness. I think the blogger thegoodenoughpsychiatrist does a great job discussing it in the post “Reflecting on DBT and Mindfulness.”

As the blogger says, “Sometimes, you just need to be brought back down to earth.”

And if that doesn’t work, we can always try trephination.

Novavax Covid-19 Vaccine Gets CDC Green Light

The Novavax Covid-19 vaccine was approved by the CDC a few days ago. University of Iowa Health Care was one of the sites in the multi-site Phase 3 trial.

The vaccine is not based on mRNA technology; it uses a more traditional method similar to the flu vaccine, which is familiar to more people.

Paying Attention to What Matters

This is just a quick shout-out to the Iowa City Fire Department (Iowa City Fire Engine 4 and Engine 1) and the Johnson County ambulance service for their outstanding rescue of a person who suffered a cardiac arrest recently. It was reported in the news and the city of Iowa City wrote a great story about it as well.

We visited with a firefighter at Fire Engine 4 when we were out for a walk a while back.

Every day I see news stories about people acting up just to get attention. I pay attention to the stories about people who exemplify courage and kindness.

New 988 Suicide and Crisis Lifeline Starts Today!

The new 988 Suicide and Crisis Lifeline number is available starting today. Iowa is with the program and you can read more about it at the Iowa State University Extension and Outreach website.

You can also learn more at the 988 Lifeline web page.

Thoughts on the GuideLink Center Incident

The attack a few days ago by what was most likely a mentally ill person on staff at the recently opened GuideLink Center in Iowa City reminded me of what may appear to be disparate views by mental health professionals on the link between mental illness and mass violence perpetrators.

The GuideLink incident involved a person who assaulted GuideLink staff and who also left bags containing incendiary devices at the center and another building in Iowa City. The person is being charged with terrorism and is currently in custody in the Johnson County Jail.

I have not seen information about any injuries sustained by the mental health center staff. There were no explosions or fires at either location where incendiary devices were left. Bomb squad experts removed the devices. It’s not clear whether the perpetrator had been a GuideLink Center client.

The GuideLink Center opened in February 2021 and by all reports is a welcome and very much needed crisis stabilization mental health resource in the community. The staff members are dedicated to their calling.

Dr. H. Steven Moffic, MD, a retired psychiatrist who writes for Psychiatric Times, readily says that the perpetrators sometimes do have mental illness that at least contributes to committing acts of mass violence. Dr. George Dawson, MD, another retired psychiatrist, seems to say that the major reason for mass shootings is the ready availability of guns, a culture of gun extremism, and mental illness accounts for a small proportion of acts of mass violence.

But neither Dr. Moffic nor Dr. Dawson say that it’s only either mental illness or guns (or other instrument of mass violence) that lead to acts of mass violence. Both are important.

I’m a third retired psychiatrist and by now some readers might be asking themselves whether they should listen to any retired psychiatrist. Experience counts.

Speaking for myself, as a general hospital psychiatric consultant I was frequently faced with violent patients in the general hospital. Often, I found it necessary to ask a judge for a court order to involuntarily hospitalize a violent and/or suicidal patient on a locked psychiatric unit by transfer from an open medical or postsurgical unit.

In order to obtain an order in the state of Iowa, I had to be able to state to the judge that the patient in question had a treatable mental disorder and was an acute threat to himself and/others. In most situations, I had an open bed on a locked psychiatric unit available ahead of time.

Even if a Code Green was necessary, I usually had an inpatient resource to which I could move the patient. A Code Green is a show of force or takedown maneuver by a specially trained team to control a violent patient while minimizing injury to everyone involved.

I don’t know if that kind of approach is even possible in a community crisis stabilization setting like the GuideLink Center. I think it’s fortunate that it partners with many other community resources including the Johnson County Sheriff’s Office.

The outcome of the incident at the GuideLink Center was that the overall safety of the staff, the patient, and the community was preserved. More resources like this are needed everywhere. They deserve all the support we can give them.

UFO Sighted in Iowa So Break Out Your Tin Foil Hats!

Did you see the breaking news about a UFO sighting in Iowa in the last couple of days? You better get up to date because you don’t want to get caught in the tractor beam along with the cows. Get your tin foil hats.

Sena and I are not sure what to make of the UFO report in the Polk County area. The windshield the guy shot the video through is pretty dirty. The object in the sky spins pretty quickly. We figure the aliens have to be gorging on Dramamine.

The UFOs have plenty of opportunities to beam up the cows and anybody else who gets caught out in the open. Sena and I got abducted and had to think fast to get out of a fix.

The aliens accidentally beamed up a cow, which is no surprise—it’s Iowa, after all. They cooked the cow. Heinous! Horrific! Tasty with baked beans. The aliens were going to barbecue us until Sena showed them her recipe for cherry cobbler.

We ran into Fox Mulder up there. He was trying to talk his way out of a special dental implant.

It’s not like Iowa never gets visitors from outer space. There have been reports in the past, at least one from Council Bluffs.

Instructions for making tin foil hats are all over the web. Better get busy.

Update on James Alan McPherson Park Memorial Plaque

Sena suggested we send a message to Iowa City Mayor Bruce Teague inquiring about the proposed memorial plaque to James Alan McPherson, Pulitzer Prize winning author and longtime Iowa Writers’ Workshop faculty member.

I can remember only one other time in my life that I wrote a letter to an elected official. I wrote President Barack Obama in 2013, basically complaining about the Maintenance of Certification (MOC) program for physicians. I’m not sure what I expected him to do about it. Like many doctors, I was frustrated about the regulatory requirements from certification boards. I thought they were unnecessary and burdensome.

I received a reply which was completely off topic and probably not written by the President. The letter from “President Obama” didn’t answer or even come close to addressing the concerns about what I thought was regulatory harassment. In fact, I never kept the reply and forgot about it.

But the email to Mayor Bruce Teague was different. We just asked about the timeline on the memorial plaque for the James Alan McPherson Park, which was renamed last year. The celebration and ribbon cutting reveal of the new sign was in early August 2021. The memorial plaque was still in the planning stage. We’ve driven by the park several times in the last year looking for it.

Mayor Teague’s reply came the day after we sent our message. It was definitely pertinent and to the point. McPherson’s daughter Rachel is still looking over the wording on the mock-up of the plaque, considering what to include. After her approval, it would take about 10-12 weeks to complete.

Now that’s a quick and specific answer from a political leader. Mayor Teague also sings.