I just found out about the National Day of Racial Healing, which is today. It follows the National MLK Day, which this year was yesterday. The annual National Day of Racial Healing was started in 2017. The website tells what the event is about:
“The National Day of Racial Healing is a time to contemplate our shared values and create the blueprint together for #HowWeHeal from the effects of racism. Launched on Jan. 17, 2017, it is an opportunity to bring ALL people together in their common humanity and inspire collective action to create a more just and equitable world.”
Read more about the origins of the National Day of Racial Healing here.
I first saw a photo of the sculpture honoring Dr. Martin Luther King Jr and Coretta Scott King, called “The Embrace” a couple of days ago. I remember my first impression being that it would have been nice to see a full sculpture of the couple rather than disembodied arms.
Sena mentioned it today because it was unveiled at Boston Commons. This was just before my mindfulness meditation, so I just told her that I saw the picture of it and said I would have to think about it some more.
As I sat in meditation, it occurred to me that “The Embrace” expressed what I think is a basic abstract idea, which is the challenge for us to embrace the notion that we’re all humans who ought to accept each other, and be kind and generous to one another.
That’s what I think the Kings did. That’s why Dr. King won the Nobel Peace Prize.
You could make a sculpture of the King as a couple embracing each other after he won the Nobel Prize. It would have been beautiful. On the other hand, you could make a sculpture which tries to do more than that. How difficult would it be to make a representation of what it might look like if all of us embraced our humanity—and each other?
It sounds too difficult. Yet the artist managed to do just that. Anyway, that’s my two cents.
Here’s another vintage post from around a decade ago after my former Psychiatry Dept chairperson, Dr. Robert G. Robinson and I published our book, Psychosomatic Medicine: An Introduction to Consultation-Liaison Psychiatry” in 2010.
Blog: Who Gets The Credit?
When I think about peak moments, I remember this guy back in junior high school who decided to try to break the Guinness Book of World Records for skipping rope. I don’t remember his name but the school principal and his teachers all agreed to let him do it during class hours. They marked out a little space for him in our home room. He was at it all day. And he was never alone because there was always a class in the room throughout the day. We didn’t get much work done because we couldn’t keep our eyes off him. It was mesmerizing. The longer he jumped, the more we hoped. We were very careful about how we encouraged him. We didn’t want to distract him and make him miss a jump. And so, we watched him with hope in our hearts. It was palpable. As he neared the goal, we were all crowded around him, teachers and students cheering. He was exhausted and could barely swing the rope over his head and lift his knees. When he made the time mark, we lifted him high above our heads and you could have heard us yelling our fool heads off for miles. Time stood still. He was a hero and we were his adoring fans. It didn’t occur to us to be jealous. His achievement belonged to all of us.
Another peak moment occurred more recently, when my colleagues and I published a book this summer. It’s my first book. It’s a handbook about consultation-liaison psychiatry which my department chairman and I edited, and the link is available on this page. This time, the effort was collaborative with over 40 contributors. The work took over 2 years and often, being an editor felt like herding cats. But we worked on it together. Many of the contributors were trainees working with seasoned psychiatrists who had much weightier research and writing projects on their minds, I’m sure. Like any first book, it was a labor of love. The goal was to teach fundamental concepts and pass along a few pearls about psychosomatic medicine to medical student, residents, and fellows. The book grew slowly, chapter by chapter. And when it was finally complete, this time the achievement was ours and again it belonged to all of us.
I made a lot of long-distance friends on the book project and occasionally get encouragement to do something else we could work together on. I suppose one thing everyone could do is to propose some kind of delirium early detection and prevention project at their own hospitals and chronicle that in a blog to raise awareness about delirium—sort of like what I’ve been trying to do here. We could share peak moments like:
Getting the Sharepoint intranet site up and going so that group members can talk to each other about in discussion groups about how to hammer out a proposal, which delirium rating scale to use, or which management guidelines to use—and avoid the email storms.
Being invited to give a talk about delirium at a grand rounds conference or regional meeting.
Talking with someone who is interested in funding your delirium project (always a big hit).
That way if one of us falters, we always know that someone else is in there pitching. Copyrighting ideas and tools are fine. Hey, everybody has a right to protect their creative property. I’m mainly talking about sharing the idea of a movement to teach health care professionals, and patients about delirium, to help us all understand what causes it, what it is and what it is not, and how to prevent it from stealing our loved ones and our resources.
“It is amazing what you can accomplish if you do not care who gets the credit”-Harry Truman, Kansas Legislature member John Solbach, Ronald Reagan, Charles E. Montague, Benjamin Jowett, a Jesuit Father, a wise man, Edward T. Cook, Edward Everett Hale, a Jesuit Priest named Father Strickland.
I thought I’d re-post something from my previous blog, The Practical Psychosomaticist, which I cancelled several years ago. The title is “Face Time versus Facebook.” I sound really old in it although it appeared in 2011.
I’m a little more comfortable with the concept of social media nowadays and, despite how ignorant I was back then, I later got accounts in Facebook, Twitter, and LinkedIn. I got rid of them several years later, mainly because all I did was copy my blog posts on them.
The Academy of Psychosomatic Medicine (APM) to which there is a link in the old post below, later changed its name to the Academy of Consultation-Liaison Psychiatry (ACLP), which made good sense. I still have the email message exchange in 2016 with Don R. Lipsitt, who wrote the book “Foundations of Consultation-Liaison Psychiatry: The Bumpy Road to Specialization.” It’s an excellent historical account of the process.
Don liked a post I wrote, entitled “The Time Has Come for ‘Ergasiology’ to Replace ‘Psychosomatic Medicine?” It was a humorous piece which mentioned how many different names had been considered in the past for alternative names for Psychosomatic Medicine. I was actually plugging his book. I don’t think ergasiology was ever considered; I made that part up. But it’s a thing. It was Adolph Meyer’s idea to invent the term from a combination of Greek words for “working” and “doing,” in order to illustrate psychobiology. Don thought “…the Board made a big mistake…” naming our organization Psychosomatic Medicine. He much preferred the term “consultation-liaison psychiatry.” We didn’t use emoticons in our messages.
The Don R. Lipsitt Award for Achievement in Integrated and Collaborative Care was created in 2014 to recognize individuals who demonstrate “excellence and innovation in the integration of mental health with other medical care…”
I don’t think the ACLP uses Facebook anymore, but they do have a Twitter account.
I also included in the old post a link to the Neuroleptic Malignant Information Service (NMSIS). I used to call the NMSIS service early in my career as a consultation-liaison psychiatrist. I often was able to get sound advice from Dr. Stanley Caroff.
Blog: Face Time versus Facebook
You know, I’m astounded by the electronic compensations we’ve made over the years for our increasingly busy schedules which often make it impossible to meet face to face. Frankly, I’ve not kept up. I still think of twittering as something birds do. If you don’t get that little joke, you’re probably not getting mail from the AARP.
The requests for psychiatric consultations are mediated over the electronic medical record and text paging. Technically the medical team that has primary responsibility for a patient’s medical care contacts me with a question about the psychiatric management issues. But it’s not unusual for consultation requests to be mediated by another consultant’s remarks in their note. The primary team simply passes the consultant’s opinion along in a request. They may not even be interested in my opinion.
I sometimes get emails from people who are right across the hall from me. I find it difficult to share the humor in a text message emoticon. And I get more out of face-to-face encounters with real people in the room when a difficult case comes my way and I need to tap into group wisdom to help a patient. These often involve cases of delirium, an acute confusional episode brought on by medical problems that often goes unrecognized or is misidentified as one of the many primary psychiatric issues it typically mimics.
The modern practice of medicine challenges practitioners and patients alike to integrate electronic communication methods into our care systems. And these methods can facilitate education in both directions. When professionals are separated geographically, whether by distances that span a single hospital complex or across continents, electronic communication can connect them.
But I can’t help thinking there are some messages we simply can’t convey with emoticons. By nature, humans communicate largely by nonverbal cues, especially in emotionally charged situations. And I can tell you, emotions get involved when physicians and nurses cue me that someone who has delirium is just another “psych patient” who needs to be transferred to a locked psychiatric unit(although such transfers are sometimes necessary for the patient’s safety).
So, when do we choose between Face Time and Facebook? Do we have to make that choice? Can we do both? When we as medical professionals are trying to resolve amongst ourselves what the next step should be in the assessment and treatment of a delirious patient who could die from an occult medical emergency, how should we communicate about that?
As a purely hypothetical example (though these types of cases do occur), say we suspect a patient has delirium which we think could be part of a rare and dangerous medical condition known as neuroleptic malignant syndrome (NMS). NMS is a complex neuropsychiatric disorder which can be marked by delirium, high fever, and severe muscular rigidity among other symptoms and signs. It can be caused very rarely by exposure to antipsychotic drugs such as Haloperidol or the newer atypical antipsychotics. The delirium can present with another uncommon psychiatric disorder called catatonia, and many experts consider NMS to be a drug-induced form of catatonia. Patients suffering from catatonia can display a variety of behaviors and physiologic abnormalities though they are often mute, immobile, and may display bizarre behaviors such as parroting what other people say to them, assuming very uncomfortable postures for extended periods of time (called waxy flexibility), and very rapid heart rate, sweating, and fever. The treatment of choice is electroconvulsive therapy (ECT) which can be life-saving.
Since NMS is rare, many consulting psychiatrists are often not confident about their ability to diagnose the condition. There may not be any colleagues in their hospital to turn to for advice. One option is to check the internet for a website devoted to educating clinicians about NMS, the Neuroleptic Malignant Syndrome Information Service at www.nmsis.org. The site is run by dedicated physicians who are ready to help clinicians diagnose and treat NMS. Physicians can reach them by telephone or email and there are educational materials on the website as well. I’ve used this service a couple of times and found it helpful. The next two electronic methods I have no experience with at all, but I find them intriguing.
One might be a social network like Facebook. In fact, the Academy of Psychosomatic Medicine (APM) has a Facebook link on their website, www.apm.org. Psychosomaticists can communicate with each other about issues broached at our annual conferences, but probably not discuss cases. Truth to tell, the Facebook site doesn’t look like it’s had many visitors. There are 3 posts which look like they’ve been there for a few months:
Message 1: We have been thinking about using Facebook as a way to continue discussions at the APM conference beyond the lectures themselves. Would anyone be interested in having discussions with the presenters from the APM conference in a forum such as this?
Message 2: This sounds great!
Message 3: I think it’s a very good idea
It’s not exactly scintillating.
Another service could be something called LinkedIn, which I gather is a social network designed for work-at-home professionals to stay connected with colleagues in the outside world. Maybe they should just get out more?
Email is probably the main way many professionals stay connected with each other across the country and around the world. The trouble is you have to wait for your colleague to check email. And there’s text messaging. I just have a little trouble purposely misspelling words to get enough of my message in the tiny text box. And I suppose one could tweet, whatever that is. You should probably just make sure your tweet is not the mating call for an ostrich. Those birds are heavy and can kick you into the middle of next week.
But there’s something about face time that demands the interpersonal communication skills, courtesy, and cooperation needed to solve problems that can’t be reduced to an emoticon.
The Martin Luther King, Jr. Celebration of Human Rights Week 2023 begins January 16, 2023. See the University of Iowa Healthcare list of events, which will be updated.
We got our Sasquatch playing card deck! The images of Bigfoot are strikingly similar to the carved image on our new Sasquatch cribbage board. And they both resemble the image of Patty, the female Bigfoot supposedly captured on 16mm film back in 1967 by Bob Gimlin.
That’s the legendary Patterson-Gimlin video of Bigfoot. There are two opposing views on the existence of Bigfoot which I think are probably influenced by Patty.
The TV show, The Proof Is Out There, aired an episode of experts who talked a lot about evidence for Bigfoot. I watched the show, which ran on December 3, 2021. The Daily Mail UK ran a big story about it. I honestly can’t remember what they decided.
On the other hand, there are a few people who claim to know for a fact that a guy has admitted that he put on a stinky monkey suit and played the part of Patty—and said he’s blowing up the whole thing because he never got paid for doing it. That was way back in 2004, and the story is all over the internet.
I tend to be skeptical about most things like Bigfoot and extraterrestrials. I’m not exactly saying they don’t exist.
But why can’t anyone find a corpse, roadkill, or a definite fossil of Sasquatch? Is that why people are starting to call Bigfoot an interdimensional being, coming and going through a wormhole vortex? And why does everybody still pay attention to the tale?
I think it’s because just about everybody likes a good story—which is what Bigfoot has always been.
Because I’m running on a tight schedule today, I’ll have to write this holiday flower-oriented post with lightning speed. There could be minor mistakes and you’ll just have to live with them.
First, we need to talk about the meaning of the usual Christmas holiday flowers. One of them is the Amaryllis, about which I’ve already given the important details in a previous post.
The other flower is the poinsettia, properly pronounced “flower.” Sena brought one home yesterday and it’s a beauty. The lore surrounding this holiday favorite is a bit convoluted. An angel ordered a peasant woman named Maria to gather roadside weeds. Maria was a little hard of hearing and thought the angel said “weed,” so she dug up a lot of marijuana growing wild in the ditches.
She took them to a little church, where the members of the congregation and the preacher lit them up with a little fire at the altar. The smoke got a little thick and everybody got a little confused and really hungry. They giggled a lot and their eyes burned a little, making everything look like it had a reddish color, including the “weeds.” Somebody knocked over the altar, spilling them all over the floor, which everybody swore they could feel through their shoes.
The poinsettia was known by the Aztecs who originally called it “Cuetlaxochitl,” which means “flower you can feel through your shoes, dude!”
There’s another version of the origin of the name of poinsettia. Some botanist in South Carolina named Poinsett (get that, har!) called it the “Mexican flame thrower,” probably because there was a legend in Mexico that extraterrestrials brought a plant with them that shot fire from its flowers, scorching all of the weed for miles.
By now, you’ve probably read the digital news article describing how we’re all going to evolve into beings who resemble extraterrestrials (ETs) because of our preoccupation with digital technology.
The authors describe us as eventually developing another eyelid that’ll protect us from the blue light emanating from our gadgets. Our hands will become claw-like and permanently flexed because of the way we’re always gripping our smartphones.
You’ll also develop a third hand that protrudes from your butt so you can catch your cell phone as it slips out of the back pocket of your skinny jeans. Come to think of it, that’ll also give rise to a weird new meaning for the term “butt dialing.”
Of course, the article is a criticism of our preoccupation with our gadgets, but it’s still fascinating as speculation about how creatures, including humans, evolve in response to the pressures in our environment.
This kind of thing makes me wonder whatever happened to Neanderthal. The males were huge, especially their arms, which came from frequent arm wrestling with Sasquatch for the last shred of beef jerky. Neanderthal had a very prominent brow which developed to keep snow and pterodactyl droppings out of his eyes.
And this reminds me of the discovery of the fossil of a giant creature on the Greek island of Crete in 2003 (I think). The skull had a huge nasal opening in the center of the skull. That was probably for a trunk, as in elephant trunk. But paleontologists thought it might have been the explanation for why ancient Greeks came up with stories about the terrifying one-eyed cyclops.
And what about that carp with a human-like face on the top of its head? I saw that one a week ago on the show The Proof is Out There. I thought sure Michael Primeau, the forensic video analyst on the show, would dryly dismiss it (“This video is clearly faked.”). Instead, the other experts thought it was natural. Tony summarized it as an example of the “plastic” evolution, by which I think he meant phenotypic or evolutionary plasticity. These are changes in a creature’s appearance, morphology, or physiology in response to changes in its environment. Regarding the carp, one expert opined that the face would confuse its main predator, the eel, by confusing it.
I still don’t get that one. How would the carp species even begin the evolutionary process? Does the carp just think, “Huh, I think that eel might get confused if I had a face like a human”? I get it that the changes occur at the genetic level, but how exactly does it get started?
Could you google the answer? I couldn’t find anything specific, like x plus y equals human-like face on a fish that many humans would not care to eat.
And how about writing? I wrote this blog post longhand using pen and paper, something I gave up doing years ago but which I am sort of rediscovering gradually. I had an old typewriter for a while, which gave way to something called a word processor, which was a stand-alone device made writing and editing text, and eventually I got a computer—which really messed things up.
The thing is, I can remember getting something called writer’s cramp. If you remember that, then you probably recall how painful it was. Back then, did anyone ever wonder whether that would lead to the evolution of a claw like hand?
Could evolution have consequences pertinent to people who are always looking up at the sky looking for UFOs? Some of them, for some unexplained reason, never seem to have a smartphone with them. Anyway, could their eyes migrate, carp-like, to the top of their foreheads to counter neck strain? And could this lead to the evolution of a third eye in the center of the forehead? It would prevent falling into manholes. There are other consequences from evolving into a cyclops.
We would be adept at forging thunderbolts. We would be very talented at cultivating vineyards and herding sheep and goats. But our tempers would still be pretty bad, even worse. We would abandon courts of law and ignore justice. We would be violent giants, feasting on the flesh of ordinary humans. All this because we kept searching the sky, hoping to see UFOs and see ETs, which we would eventually resemble anyway because of our preoccupation with our devices.
You can see the world’s largest dinosaurs exhibit at the Science Center of Iowa in Des Moines, Iowa from October 15, 2022 to April 16, 2023. It’s a traveling exhibit, so see it before it thunders off!
Historically Black Colleges and Universities (HBCU) are in the news lately. It reminds me of the short time I spent at Huston-Tillotson College. It was renamed Huston-Tillotson University (H-TU) in 2005. I was there in the mid-1970s.
A new President and CEO was just named this month, Dr. Melva K. Williams. And H-TU was recently added to the National Register of Historic Places last month. It has been renovated and modernized. Pictures show a well-kept campus pretty much as I remember it over 40 years ago. I didn’t graduate from H-TU, but instead transferred credits to Iowa State University where I graduated in 1985.
My favorite teacher was Dr. Jenny Lind Porter-Scott, who was white, taught English Literature. Another very influential teacher was Reverend Hector Grant who was black. He taught philosophy and religion. He was instrumental in recruiting me to matriculate at H-TU. He helped me to process my loss on the debating team when the question was whether or not the death penalty played any role in the reduction of crime.
My opponent won the debate mainly because he talked so much, I couldn’t get a word in edgewise. I can’t remember which side of the question I argued, but I thought I could have done better if he had just shut up for a few minutes and let me speak. Reverend Grant used the word “bombastic” in describing the approach my opponent used. On the other hand, he also gently pointed out that sometimes this can be how debates are won.
There’s this “On the other hand” tactic in debating and in reflective thought that my debating opponent managed to repeatedly deflect.
I don’t know what ever happened to Reverend Grant. We spoke on the telephone years ago. He sounded much older and a hint of frailty was in his voice.
I could find only a photo on eBay of a man who closely resembles the teacher I knew and the name on the picture is Reverend Hector Grant. The only other artifact is a funeral program for someone I never knew, which lists Reverend Hector Grant as being the pastor and some of the pallbearers were members of one of the Huston-Tillotson College fraternities.
I think it’s unusual for people to disappear like that, especially nowadays when we have the world wide web. Reverend Hector Grant was an important influence for me. He was one of the few black men of professional stature I encountered in my early life.
On the other hand, contrast that with Reverend Glen Bandel, another clergyman who was a white man and another important influence starting in my early childhood. Reverend Bandel persuaded me to be baptized at Christ’s Church in Mason City, Iowa. He radiated mercy, generosity, and kindness. He died in June of this year. I can find out more about him on the web just from his obituary than I can ever find on Reverend Grant, who apparently disappeared from the face of the earth.
Both of these men were leaders for whom skin color didn’t matter when it came to treating others with respect and civility.
My path in life was largely paved by these two clergymen. Reverend Bandel sat up with our family one night when my mother was very sick. His family took me and my little brother into their home when she was in the hospital.
On the other hand, Reverend Grant was instrumental in guiding me to an HBCU where I saw more black people in a couple of years than I ever saw in my entire life. The First Congregational Church in Mason City was instrumental in making that possible because they helped fund the drive to support H-TU (one of six small HBCUs) by the national 17/76 Achievement Fund of the United Church of Christ.
The news is replete with stories, some of them tragic, about how Greek fraternities haze their pledges. On the other hand, H-TU was pretty rough on pledges too. Upper classmen would make the pledges roll down the steep hills around the campus. They looked exhausted, wearing towels around their necks, running in place when they weren’t running somewhere in the Texas heat.
One H-TU professor said that H-TU was “small enough to know you, but big enough to grow you.” Although I can’t remember ever seeing him on campus because he was traveling most of the time, I at least knew the name of the President was John Q. Taylor (1965-1988). On the other hand, when I transferred credit to Iowa State University, I never knew the name of the President of the university.
Habari Gani is Swahili for “What’s the news?” or as it translated in the context I’m about to set, “What’s going on?” Habari Gani was the name for the annually published book of poetry by the H-TU students. Dr. Porter supported the project. I submitted a poem for the 1975 edition, which didn’t make the cut. When I transferred to Iowa State University, I left without getting a copy.
On the other hand, years later, I got a digital copy of that edition. I tracked it down to the H-TU library in 2016. The librarian was gracious.
Habari Gani has always been a reminder of the reason why I went to H-TU in the first place. I grew up in Iowa and was always the only black student in school. I grew up in mostly white neighborhoods.
On the other hand, when I finally got to H-TU, one of the students asked me, “Why do you talk so hard?” That referred to my Northern accent, which was not the only cultural factor that made social life challenging.
Once I tried to play a pickup game of basketball in the gymnasium. I’m the clumsiest person for any sport you’ll ever see. I was terrible. But the other players didn’t give me a bad time about it. They softly encouraged me. This was in stark contrast to the time I played a pickup game with all white men years before in Iowa. When I heard one of them yell, “Don’t worry about the nigger!” I just sat down on the bleachers.
On the other hand, when I was a kid and our family was hit by hardship, Reverend Bandel was the kindest person on earth to us—it didn’t matter that he was white. And my 2nd grade teacher, who was black (the only black teacher I ever had before going to H-TU), slapped me in the face so hard it made my ears ring—because I was rambunctious and accidentally bumped into her. It’s far too easy to polarize people as good or bad based on the color of their skin, especially when you’re young and impressionable.
It takes practice and experience to learn how to say and think, “On the other hand….”
Go Retire Psychiatrist 