As of February 25, 2022, The CDC has updated Covid-19 mask guidance. It’s keyed to the level of transmission in your area and to what specific risk factors you might have.
Category: health care
Thoughts on “The Next Chapter: Blazing New Trails (1998-2047)
The final presentation of the series night before last, Uncovering Hawkeye History in honor of the 175th anniversary of the University of Iowa was a fascinating review of the changes in architecture of the campus, how local and national politics influenced the university and vice versa, as well as the expansion of the role of philanthropy to support its mission over the years. A YouTube video of the recorded presentation will be posted here at a later date.
There was not enough time to do much more than briefly mention the new trails being blazed by three leading programs. However, you can read more about them in Iowa Magazine.
Craig Kletzing is the principal investigator for NASA’s TRACERS mission. He’s a UI physics and astronomy professor who secured the largest research grant in the history of The University of Iowa in 2019 to study the interactions of the magnetic fields of the sun and the Earth.
Christopher Merrill is the director of the International Writing Program and professor of English. Merrill has made cultural diplomacy mission to over 50 countries. He once served on the U.S. National Commission for UNESCO and the National Council on the Humanities.
Dr. Patricia Winokur, the executive dean of the Roy J. and Lucille A. Carver College of Medicine, physician and professor of internal medicine—infectious diseases, and leader of Iowa’s Covid-19 vaccine clinical trials. Dr. Winokur is a nationally recognized leader in the field of infectious diseases. She created the UI Vaccine and Treatment Evaluation Unit, one of the top vaccine research programs in the country and one of only nine nationwide funded by the National Institute of Allergy and Infectious Diseases.
At the end of the presentations, university archivist David McCartney announced that he will be retiring as soon as next week. He wished everyone well and the presenters I’m sure all wish him well.
He has held the archivist position since 2001. He has led a very interesting and varied life. A story posted in The Academic Archivist on November 12, 2020 by Katie Nash, MLIS, CA reveals he got his undergraduate degree in journalism from the University of Wisconsin-Madison. He received his MA in history and MLS (master’s degree in library and information studies) in 1998, both from the University of Maryland at College Park.
He also was a reporter for radio stations in Alaska and the Midwest. I’ll bet that was interesting. He was between warehouse jobs in the summer of 1992 when he drove around the Midwest, researching Carrie Chapman Catt, the woman suffrage leader and founder of the League of Women Voters. It turns out Catt grew up near David’s hometown. That work led to publishing a collection of Catt’s papers in a catalog.
David has done a great many things. He believes that his profession’s worth and legitimacy are being challenged, and that the value of the work he and others do is often unrecognized. He firmly believes that institutions and corporations have to understand their responsibility to maintain a strong archives and records management program. He’s very motivated to advocate for his profession.
I probably would not have looked for any further information about David McCartney had he not announced his retirement at the close of the final presentation of this series. He made his point simply and humbly, saying the challenges of keeping up with the technology demands of his job were part of the reason for his retirement.
He even said he hoped he would see the presenters in the Ped Mall (officially named City Plaza), a pedestrian mall in downtown Iowa City near the UI campus, built in 1979 as the centerpiece of the city’s urban renewal project. It’s a popular gathering place for students and locals. There are concerts, jazz festivals, and art shows.
As a relatively recent retiree myself in June 2020 (19 months or 86 weeks or 606 days ago but who’s counting?), I can relate to David on this issue. Many of those I worked with were sad to see me go. I think many will be sad to see David go.
Next in The Series: The Next Chapter: Blazing New Trails (1998-2047)
The next and final presentation in The University of Iowa Hawkeye History series is entitled The Next Chapter: Blazing New Trails (1998-2047). I believe you can still register here.
It will be a Zoom presentation from 4:30-6:00 PM tomorrow, February 22, 2022. As in the previous presentations, the guide will be university archivist, David McCartney and will feature the following presenters:
Rod Lehnertz (02MBA), senior vice president for finance and operations
Lynette Marshall, UI Center for Advancement president and CEO
Peter Matthes (00BA, 14MBA), senior advisor to the president and vice president for external relations
Interesting highlights can be previewed below:
Milestones in University of Iowa History
Three Leading Professors on the future of The University of Iowa
Hope you can make it!
Who Let The Puns Out?
Well, we were out for a walk around Terry Trueblood Trail yesterday and a woman stopped us and excitedly asked, “Do you want to hear a joke about Covid?”
Believe it or not, we didn’t know anybody made jokes about Covid—but we said “Yeah, go ahead.” And then she said it was about dogs, and added that dogs don’t get Covid, as if to reassure us. In fact, it turns out that the CDC says you can’t catch Covid from pets, including dogs. It went like this:
The World Health Organization, or WHO, had feared the dogs could spread Coronavirus and ordered all dogs that were exposed to the virus be held in quarantine. After review, the WHO announced that dogs cannot contract Coronavirus. Dogs previously held in quarantine can now be released.
To be clear: WHO let the dogs out.
Sena and I immediately thought of the Men in Black II scene with Frank the talking Pug, who is actually an alien—and if you don’t like it you can kiss his furry little butt! I exclaimed, sort of singing (God help everyone within earshot) “Who let the dogs out!” I forgot the barking part, but we all had fun.
Incidentally, my mondegreen for the song “Who Let the Dogs Out” used to be “Who left the dog pound?” For the record, the word “mondegreen” means: a misunderstood or misinterpreted word or phrase resulting from a mishearing of the lyrics of a song. It often totally changes the meaning of a lyric, resulting in something ludicrously comical.
I think Dave Barry wrote about mondegreens in his book, “Dave Barry’s Book of Bad Songs,” a book I used to own but somehow lost in one of our many moves. I’m hoping he’ll find this blog post somehow and send me a free, autographed copy of the book.
If we’d had our new Polk Signa S2 sound bar when I first heard the line, I could have used the remote control Voice Adjust dialogue level to reproduce clearer, crisper dialogue.
For the record, I’ve never heard the full song “Who Let the Dogs Out,” which was performed by a “Bahamian junkanoo” band formed in 1977 and released in 2000. I had to look up “junkanoo” and it’s a Bahamian cultural celebration, a festival of music, dance, and dog pounds.
There are conflicting opinions about what the song means. Some say that it was about men calling women filthy names and women fighting back by shouting “Who let the dogs out?” On the other hand, I also read that the song won a Grammy.
When we got home, I googled Covid jokes and found a lot of them. One of the better hits was RJ Julia Booksellers, advertising a book entitled Coronavirus Humor. The author was just called “Mad Comedy,” which means several “top comics” contributed. It was published in April 2020 by Indy Pub.
The best part? There was a statement saying “A portion of the proceeds of this book benefit the hard-working ‘essential workers’ who are sacrificing so much to help us all during the 2020 epidemic.”
Who let the wags out?
Featured Image picture credit: pixydotorg
Managing Difficult Conversations Without a Neuralyzer
I think I was the last lone ranger Chief Resident in Psychiatry, meaning doing the job solo. After that, there were always at least two senior residents managing that. One of the things I did was to give lectures on various topics that were not strictly related to how to work on the wards and clinics, but how to communicate with other professionals and with patients.
The other big task was fielding outside telephone calls from doctors in other hospitals trying to transfer patients to The University of Iowa Hospital psychiatric units. That’s right, that was a resident’s duty. I had some pretty difficult conversations. I couldn’t just accept every referral.
The hospital didn’t issue neuralyzers, so it was impossible to make difficult conversations go away.
I used a couple of books as guides: “Getting to Yes” by Fisher and Ury, and Difficult Conversations by Stone, Patton, and Heen. I should seriously have reread those books during my entire career and even now. Nobody’s perfect. I encountered racism from patients, so I was no stranger to a variety of difficult conversations in many different situations.
Anyhow those two books are on the short list at the University of Iowa Conflict Management web page. There’s a ton of resources there available for learning about how to manage conflict and recognize what implicit bias is and what it is not.
Implicit bias gets a lot of press. I think it can tend to set people on edge before and during seminars on equity, diversity, and inclusion. Not everybody is a racist. But our brains are wired for implicit biases. I think we all need to get busy, and I mean everybody, including me. A good place to start is understanding implicit bias.
$70 Million Gift to University of Iowa to Extend Health Care
University of Iowa Health Care Black History Month Lecture: “Pursuing Health Equity—A Call to Action”
Yesterday Sena and I listened to the Zoom lecture “Pursuing Health Equity—A Call to Action,” delivered by Louis H. Hart, III, MD from noon to 1:00 PM. Dr. Hart is the inaugural Medical Director of Health Equity for Yale New Haven Health System and Assistant Professor of Pediatrics and faculty member in the Yale School of Medicine. The lecture was sponsored by the University of Iowa Office of Diversity, Equity, and Inclusion in the College of Medicine. The introductory remarks about him were that his “leadership work addresses unjust structural and societal barriers that lead to inequitable health outcomes for the patients we serve.” His lecture was intended to “focus on efforts to ingrain an equity lens into clinical operations.”
Sena and I talked a lot about Dr. Hart’s presentation, as usual in a spirited way. We don’t always agree on everything and we’re not shy about saying so to each other. The lecture was recorded. However, since I don’t know when it might be publicly available, I looked on the web, and as luck would have it, I found a YouTube (see below) of a similar lecture he gave on June 22, 2021 in New York. The message was basically the same, and included many of the same slides.
Dr. Hart is very committed and passionate about health equity. Calls to action typically, as you’d expect, are delivered with passion, which sometimes entails emphasizing the “whys” of what must be done over the “hows” regarding implementation of changes to our health care system.
He began by letting the audience know that we’d all probably be a little uncomfortable about some parts of his message. He had a little original one-liner about comfort zones, which I unfortunately can’t recall exactly, but it conveyed a message similar to the one below:
A comfort zone is a beautiful place, but nothing ever grows there.
John Assaraf
In the YouTube video below, Dr. Hart reminds me of myself in my role as a consultation-liaison psychiatrist many years ago, when I was trying to persuade our general hospital medical staff to take delirium much more seriously, stop seeing it as a psychiatric problem, and treat it as a complication of severe medical disease. I got acquainted with a famous critical care doctor, Wes Ely, MD, who recently published a fascinating book, “Every Deep Drawn Breath.” He has worked tirelessly for most of his career to teach his colleagues, nurses, and trainees, especially those in critical care, to get the point he made so succinctly in his research notebook: “Hypothesis: The lung bone is connected to the brain bone.” I wish we could keep it that simple.
I was a crusader at the time. I often took nurses and doctors and medical students out of their comfort zones, driven to ingrain in them the delirium lens that would help save patients from developing dementia and dying from the deadly syndrome of delirium.
My approach sometimes probably didn’t sit too well with my peers and my trainees. My call to action for preventing delirium likely moved a few clinicians—but just as likely alienated others.
I can see how some people might get that feeling from Dr. Hart in the video, although when I compare him with others who beat the drum loudly about structural racism in general and get pretty confrontational, I think he does a pretty fair job of moderating that approach. I get his passion and his urgency, which is for the most part balanced by his impressive ability to articulate all the “whys” about what must be done. I was reasonably confident he could collaborate with all of the people he needs to figure out the “hows.”
Now, to throw you a curve ball, I’m giving you the link to a podcast in which, if I close my eyes, I nearly don’t recognize Dr. Hart as he describes in polished detail the “hows” of his plan to improve health equity. It seemed almost miraculous. He’s just as passionate about his mission, but the crusader gives way to the thorough, confident, caring and even witty administrator presenting his very sophisticated vision of what the health care system of the future might look like. See what you think.
Go Retire Psychiatrist 