Category: current events

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.

The Little Mundanities of Life

Sena says I need to write about some mundanities, so I will. She says the mundane things in life are important. She told me about an episode of The Waltons she saw years ago, which emphasized the importance of life’s little mundane things. I looked for the episode on the web, but couldn’t find it.

We wash and dry dishes the old-fashioned way. We never use our dishwasher, so it’s like brand new. Sena overheard a conversation two women had at the store about a kind of pre-wash spray you can get that will make it easier to get dishes cleaner when you do them the old-fashioned way. They discussed the pros and cons at length. Neither one of them bought the product.

She got a bottle of that Dawn dishwashing liquid in the upside-down bottle. You get less soap. But you can squeeze out the soap without flipping it.

She can’t seem to get the coffee maker lid down in the morning sometimes. That’s why I took a picture of it. The mundanity of it. I fixed it later in the afternoon.

Without the mundanities, life would probably wear us out. Just think if you had to tolerate a day full of odd events, like the one we heard about on the KOKZ Iowa’s Classic Hits Radio 105.7 morning program yesterday, Mike Waters Wake-Up Call. It was about this crazy rooster who crowed until he fainted. This was a pretty exciting meme in December of 2020.

When we heard it on the radio, we actually heard the THUD when the rooster finally keeled over. Could you stand that level of hilarity all the time every day?  Of course not! I wonder if that fainting consequence could apply to other situations?

Politician: “And if you elect me, I promise—THUD!”

Bigfoot Hunter: “If I hear that little twig snapping noise one more time, I will run over there and confront the hulking—THUD!”

Car Salesman: “This little coupe has only 2,000 miles on it, driven by a little old lady librarian—THUD!”

Psychiatrist: “Cognitive Behavioral Therapy, if carefully and consistently implemented, could solve every human conflict if only—THUD!”

UFO Witness: “Look at that thing! What the “bleep” is that thing?” I’ve never bleeping seen a bleepity-bleep thing like that in my bleeping life, can you believe—THUD!”

Celebrate life’s little mundanities every once in a while. They’ll give you a break from all the excitement.

We Are Going to Be Like the Jetsons!

Sena has been telling me for years that someday soon we’re all going to be like the Jetsons, flying around in bubble-top saucers.

It turns out she may be right.

There’s a news story out about the Jetson Flying Car, which I saw on the Good News Network.  It’s a compact flying car that runs on batteries that are good for about a 20-minute commute. Reports about the altitude the Jetson car can achieve vary, but some say you can get up to about 1500 feet and tour along at a little over 60 miles per hour.

And the Federal Aviation Administration (FAA) says you don’t need a pilot’s license.

Can you say “mass mid-air collisions?”

I doubt there’ll be a lot of buyers because the sticker price is close to $100,000, not counting insurance, extra batteries (you’ll need 8 if you want to swap out to recharge), and attorney fees.

The CEO of the company that makes the Jetson car says you can be a pilot in about 5 minutes.

Funny, that’s about the same time it seems to take the typical semi-truck driver in Canada to get a commercial driver’s license, judging from how busy the tow truck operators are up there.

What if the heavy rescue operators in British Columbia and Toronto had to do recovery work on the Jetson cars? True, the cars aren’t that heavy (about 250 pounds), but what if the number of crashes overwhelms Jamie Davis (think Highway Thru Hell on the Weather Channel)? There wouldn’t be enough tow truck guys to drag all the cars out of the ditches.

Did you know the Jetson Cars come as a DIY kit? That’s right, you have to finish assembly of that expensive toy yourself. You better make sure the batteries are hooked up right since you get just 20 minutes of running time before you need to recharge. Average commutes are longer than 20 minutes.

The Jetson car comes equipped with something called a ballistic parachute, which should be enough to send most potential buyers running out of the showroom. Hey, why would I need a parachute?

No worries, you’re unlikely to be flying much higher than 16 feet anyway, according to the co-founder of the company, eVTOL (electrical vertical take-off and landing).

Let’s see how many traffic signs and trees we can take out on the way to the drug store to pick up some Dramamine.

Only one person (the pilot) can fit in the Jetson Flying Car. And of course, there’s a weight limit; it’s 210 pounds, which is going to raise a hue and cry from the equity, diversity, and inclusion police. There’s no flying family eVTOL—yet. That’s a good thing because there will have be some survivors left to collect on the insurance.

On the bright side, there are no ashtrays to empty, no flat tires to change (nobody remembers how to do that anyway these days), and no radio stations to cycle through. You’re going to be paying too much attention to the birds getting caught in the rotor blades and the bugs splatting on your visor.

That’s assuming you’re a multimillionaire and can afford to fly like the Jetsons. Don’t buzz the pedestrians.

Hammerhead Worm Invasion!

The other day Sena and I were talking with a landscaping consultant about a job we’d like done on our backyard patio. He uncovered a worm in the dirt, and it seemed to wriggle energetically. Jumping worms had been in the news a lot last month. The consultant picked it up and the worm seemed to jump out of his hand.

Sena exclaimed, “It’s a jumping worm; kill it!” The consultant picked it up again and, much to our surprise, simply crushed it in his hand. However, he doubted that it was a jumping worm and hinted that much of the news lately about jumping worms (an invasive species from Asia) was overdone.

I don’t know how he got rid of the crushed worm in his fist.

But I suspect he wouldn’t crush a hammerhead worm in his hand (although I wouldn’t bet on it).

They are also being reported in the news recently, although they’ve been in the country for decades and probably longer. They’ve possibly been sighted in Iowa. The hammerhead worm is another invasive species from Southeast Asia. If you cut them up, the pieces will grow into new worms.

They also carry a toxin on their bodies. It won’t kill you or even harm you that much if you get it on your hands, but you should wash up thoroughly if you nonchalantly crush them in your fist.

The hammerhead worms eat earthworms, which could make things even harder for them because jumping worms displace common earthworms by outcompeting them for territory.

Right now, the best way to rid your garden of hammerhead worms is to kill them by sprinkling salt or spraying vinegar on them.

I can’t help wondering if there might be a way to teach hammerhead worms to eat jumping worms.

But then, how would you get rid of the hammerhead worms? They don’t have any natural predators. There are a number of ways humans can control the population in their immediate vicinity.

Just don’t crush them in your fist.

The Kids to Decide on the Next Hawkeye Wave Song!

The new Hawkeye Wave song will be decided by the kids, and it won’t be just a single song. According to a story in Iowa Now:

For every home game the Iowa football team plays inside Kinnick Stadium, the UI Department of Athletics, in coordination with the UI Stead Family Children’s Hospital Kid Captain program, will ask that week’s Kid Captain to help select a new song to accompany the Hawkeye Wave.

It’s a great idea! Back in April, fans were asked to nominate a song to be played between the first and second quarters of the Iowa Hawkeye football games while the team members and fans wave to the kids watching from UI Stead Family Children’s Hospital.

It’s up to the Kid Captains!

Learning About Monkeypox

The University of Iowa podcast Rounding@Iowa, hosted by Dr. Gerard Clancy, MD talked with Infectious Diseases specialist Dr. Jeffery Meier, MD about the essential facts about Monkeypox for health care professionals, recorded on June 2, 2022.

This podcast would also be interesting to anyone interested in learning more about Monkeypox.

Thoughts on the National Spelling Bee

We watched the Scripps National Spelling Bee last night. Sena watched it the night before and we both watched the final for the first time ever. There’s something about watching kids under pressure to spell words that I’ve never even heard of that made it painful for me to watch at times. I think I recognized only a couple of the words.

For the first time in 94 years of the spelling bee, there was a spelling runoff to determine the winner. Harini Logan won and was apparently calm and poised as she rattled off 21 of 26 words correctly. The second-place winter was Akram Vikru, an extremely strong performer.

Nobody fainted. The reason I mention that is that one guy named Akshay Buttiga did faint on stage in the 2004 contest and there’s a YouTube video of it that went viral. He was down but not for the count. In seconds he bounced back up, spelled his word correctly and went on to finish the competition, getting runner-up honors.

Last year’s winner was Zaila Avant-garde (how’s that for a great last name?). She’s the first African American to win the spelling bee. She was on hand last night to make comments on the current competition. She has spectacular goals, among them working for NASA to find another planet for us to live on sometime—which we’ll likely need. Go Zaila!

One thing I saw a lot of spellers do was write in their palms while they were up to the microphone getting ready to spell their words. I guess it helps them visualize the word, or maybe it’s a tactile thing.

Another interesting feature was the bell lady, who never gets mentioned. This was the woman who had the terrible job of ringing the bell when the contestants misspelled their words. Interviews with the kids revealed that the bell was what they dreaded the most. On the other hand, what I noticed about the bell lady were her words of encouragement after she rang the bell. She wasn’t an executioner. She said something different to each kid that basically expressed that he or she was still loved, admired, and sure to be a success in life.

They were under tremendous pressure. How did they do it? Part of their preparation were spelling coaches and something called SpellPundit, a $600 subscription resource that can give those who can afford it a big advantage in competition.

Maybe some of them have prodigious memories and memorize the dictionary, as Nigel Richards did when he won the French-language Scrabble World Championships in 2015. He didn’t speak a word of French. Somehow, I doubt that’s the main strategy.

But the contestants themselves have a lot of drive, enthusiasm, and a superhuman work ethic that often amounted to working on spelling for several hours a day. Grit is a huge trait, as Buttiga demonstrated.

Where are past winners now? It turns out they’re all in jail or on skid row. Just kidding. They are leaders across many professions and society is lucky to have them.

Congratulations to the winners!