Category: humor

Spoonbills and Bald Eagles at Sand Lake!

The other day it was about 60 degrees and the sun shone brilliantly—not a day to stay indoors! We went out to Terry Trueblood Recreation Area and did some bird-watching.

Out on a sand bar on Sand Lake, we caught sight of two bald eagles. They seemed to be a mated pair. They actually courted by vocalizing and billing. I know about their spectacular cartwheel flying ritual, but I didn’t capture that on camera as they took flight. They mate for life.

We also saw a flock of migrating Northern Shovelers, dabbling in the lake. We’ve been going out to that park for years and this was the first time we’ve ever seen them. They’re also known as spoonbills or spoonies because of their large bills, which they use to sieve the water for food.

We put on about two and a half miles on my step counter, and we worked up an appetite. Climbing up and down the banks of Sand Lake is a lot of work. So, we got the two for one price on the Culver’s butter burger and topped it off with a Wendy’s peppermint frosty.

The Santa Hat Juggling Duo Breaks the Internet!

Are we having any fun? You bet! We donned our Santa hats and did the 2-person 6 ball juggling until we fell over.

This is a fun pattern because, even when you mess up, it’s hilarious. When we count out loud, it sort of helps keep us in sync—but not always.

The last part of the video, we did the count sort of sotto voce as we moved from the toss and pass phase to finish with a cascade. This is in stark contrast to what we usually do, which is to keep tossing and passing until the inevitable drops happen.

As always, after the second right hand toss in the cascade, we pass from our right hand to the left hand of the partner. The count is “One, Two, Pass!”

As least that’s the plan. Often, we get line drives to the head, chest or the wrong hand. This is why safety goggles are handy. Ball collisions are frequent, which crack us up.

You know, juggling is often a one-person hobby or show. When you get two persons in the act, it’s ordinary juggling for two, which is a blast.

Then you’re having fun!

Watch for Jim and Sena Juggling in Santa Hats!

Announcing the upcoming not-to-be-missed, one of a kind, holiday extravaganza never before witnessed holiday extravaganza—Jim and Sena juggling in Santa Hats!

We’ve been rehearsing for this (or at least trying to) and one of the greatest challenges was laughing so hard we could barely stand up, let alone juggle.

There’s something hilarious about juggling balls colliding with each other.

Juggling Update!

Well, we’re using our new safety glasses retainers and they work out fine. We’re a little off the beam on the 2-person 6 ball pass juggle for some reason. Some days are diamonds, some days are stones, I guess.

Our mistakes are funny. We just make too many.

I’m still working on the shower juggle pattern. I might be making slow progress. It feels easier to do if I use the large plastic balls or the new smaller balls with a tough leather shell. They’re decorated with stars to give you confidence.

I think if they’re round and hold their shape better if they’re made of harder material, they might fly better.

I think it would also help if I threw them more accurately.

Why You Might Have Noticed My Blog Was Missing in Action Recently

A couple of days ago, I tried switching my blog to a new theme. A theme is a kind of digital uniform for the blog. It’s a set of files and pictures that work together to display your blog content.

Every once in a while, I get an urge to change the theme. WordPress has a lot of themes, some free, some for a price.Usually, I can just put on a new theme like a new suit of clothes, pinch it a little and I’m done.

Not this time. I struggled with the new theme for hours. I thought it had features it didn’t have, partly because the initial description was a little misleading. I finally just went back to the old one, which was a lucky break.

While the theme construction was going on, some of you might have dropped by and noticed that my blog was either missing in action or severely crippled, with many essential parts missing. Sorry about that.

While the theme was out, some links evidently changed, mainly because certain web sites either dropped out or were modified. The changes were in the main menu at the top of the page (just to let you know, the new theme really didn’t have a menu per se). The menu looks like it lost weight. The blogs by Drs. Moffic and Pies got included in the main link for Psychiatric Times, which makes sense. One web site evidently no longer exists.

It’ll be a while before I mess around with my blog theme again, maybe until WordPress again tells me that I have to change it if they decide to discontinue it.

A Study Shows Mindfulness Is Non-Inferior to SSRI for Anxiety Disorders And What the Heck Does That Mean?

I ran across this study showing Mindfulness Based Stress Reduction (MBSR) is “noninferior” to escitalopram in the treatment of adults with anxiety disorders.

I passed my Biostatistics course in medical school—barely. I have been practicing MBSR daily (for the most part) since 2014 when I really needed to address my struggle with burnout. I’m probably a worrier but I doubt I have a clinically significant anxiety disorder. I’m admittedly biased in favor of MBSR. Otherwise, I wouldn’t still be practicing it after about 10 years.

On the other hand, I don’t have a great handle on the statistical concept of noninferiority in clinical studies. I found a little YouTube presentation on it and I think I’m a little more comfortable with it now. I said “a little bit.” I’m not taking questions.

Reference:

Hoge EA, Bui E, Mete M, Dutton MA, Baker AW, Simon NM. Mindfulness-Based Stress Reduction vs Escitalopram for the Treatment of Adults With Anxiety Disorders: A Randomized Clinical Trial. JAMA Psychiatry. 2023;80(1):13–21. doi:10.1001/jamapsychiatry.2022.3679

When Should Psychiatrists Retire?

In answer to the question in the title, I’ll confess right away I don’t know the answer. The impetus for my writing this post is the Medscape article about an 84-year-old physician who was forced to take a cognitive test required by her employer as a way of gauging her ability to continue working as a doctor. She’s suing her employer on the grounds that requiring the cognitive test violated the American with Disabilities Act (ADA), the Age Discrimination in Employment Act, and two other laws in her state.

I didn’t retire based on any cognitive test. I recall my blog post “Gauging My Readiness for Retirement,” which I posted in 2019 prior to my actual retirement. In it I say:

I spent 4 years in medical school, 4 years in residency, and have worked for more than 23 years as a psychiatrist, mostly as a general hospital consultant. Nothing used to jazz me as much as running around the hospital, seeing patients in nearly all specialties, evaluating and helping treat many fascinating neuropsychiatric syndromes, teaching medical students and residents, and I even wrote a book.

On the other hand, I don’t want to hang on too long. When people ask me why I’m retiring so early (“You’re so young!”), I just tell them most physicians retire at my age, around 65. I also say that I want to leave at the top of my game—and not nudged out because I’m faltering.

In it, I mention a blog post written by a physician blogger, Dr. James Allen. The title is “When Physicians Reach Their ‘Use By Date.’ At the time I didn’t make a link to his post because the web site was not listed as secure.

Since that time, the web site has become secure, and you can read the post here. Dr. Allen lists anecdotes about physicians who ran close to or past their “use by” date.

Dr. Allen’s point is that we often don’t realize when we are past our “use by” date. That applies to a lot of professions, not just medicine.

There’s been a shortage of psychiatrists for a long time and it’s not getting better, the last I heard. All in all, I’m OK with the timing of my retirement.

I note for the record that I have not seen any mention in the news that the Rolling Stones have ever been required to take a cognitive test to continue working. I also want to point out that they are around 80 years old and their 2024 tour is sponsored by the AARP, the organization formerly known as the American Association of Retired Persons. I heard that the Rolling Stones new song, “Angry” is up for a Grammy.

I doubt anyone is angry about the obvious fact they’re not even thinking about retiring.

Early Snowbird Gets the Berry

We got our first snowfall that stuck around yesterday. We didn’t have to shovel because it melted off our sidewalk and driveway shortly past noon.

On the other hand, the snow drew the birds out for the berries in the trees. Cedar Waxwings and other small birds feasted in the early morning. Whether they got the winterberries low to the ground or the ones high up in the trees—they got them.

It snowed the better part of the morning. It caught some Iowa drivers off guard. There were pictures in the news of cars rolled over on their roofs in the ditches.

But the birds made out like bandits.

Music Credit for YouTube Video:

Eternal Hope by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/

Source: http://incompetech.com/music/royalty-free/index.html?isrc=USUAN1100238

Artist: http://incompetech.com/

Now is the Time for Kauai Coffee and Beignets!

Remember that Beignet mix and rolling pin Sena got back in May? She got around to making them yesterday. The use by date was November 1, 1892! No, sorry, actually it was November 1, 2023.

The day started out pretty cold and it even snowed. Birds and squirrels acted like they never saw snow before.

Anyway, we also tried Kauai Coffee for the first time in our Keurig machine. The pods look really different, but they worked. The flavors are subtle but they go well with Beignets. We’re not sure why they looked more like fried green tomatoes when they were done.

Beignets are delicious. Have plenty of powdered sugar on hand!

Bucks Throw Down But Does Decide

I caught sight of some buck deer contending for some does out in the clearing behind our house. This is probably what you might call the rut for white tail deer. The bucks do a lot of jousting for access to the does. But clearly, the does decide.

We have never caught them mating on film. In fact, the does never display any interest in the bucks as they trot around and fight each other. The only way we know mating eventually happens is when the spotted, frail-looking fawns appear in the spring.