Reasons to Be Proud and Hopeful for the Future

As the month of May Mental Health Awareness draws to a close, I reflect a little on the Make It OK calendar items that are salient for me: 3 things I’ve done that I’m most proud of and 3 reasons I’m hopeful for the future. I’ll keep it short.

One thing I’m most proud of is being the first one in my family to go to college. The biggest accomplishment was going to medical school at The University of Iowa in 1988. That was also the year Michael Jackson’s pop hit “Man in the Mirror” was released. That’s sort of how I felt about what I was doing that year—making a big change.

The more I reflect on this the more I realize the other thing I’m most proud of was getting a degree from Iowa State University in 1985. That paved the way for the path to becoming a doctor.

This process seems to work backwards because probably the first thing I’m proudest of is making a change even earlier in my life to land a job with a Mason City, Iowa consulting engineer firm, Wallace Holland, Kastler Schmitz & Co. That came before college and they’re all like stepping stones on the path of achievement. I think I started at the minimum wage back then, which was about $2.00/hr. I was an emancipated minor and couldn’t afford an apartment so I lived at the YMCA. It was a cramped sleeping room with no kitchen, a communal bathroom/shower, and a snack vending machine from which I got a worm infested candy bar. There were strict rules about what you could keep in your room—which somehow didn’t prevent one guy from building a motorcycle in his. Now this is getting too long.

In order to move on expeditiously with the mental health awareness calendar items, I’m going to cheat on the 3 reasons I’m hopeful for the future because they involve what is most important to a teacher. That’s what I was. I was so proud of the many medical students and residents I had the honor to teach. There were a lot more than 3 reasons to be hopeful for the future. I used to take group pictures of them and me at the end of each rotation through the consultation psychiatry service. We got a kick out of that because the only way I could do it was by using my old iPad that had a fun remote way to trigger the snapshot. I leaned the iPad up against something on a table. We all gathered as a group at the other end of the room. We posed, I raised my hand and counted to three, then closed my hand into a fist. That was our cue to smile. The shutter clicked.

Every time we did that, I was proud. Wherever they are, I hope they know how proud I am of them.

Find a Tee for Mayree!

Sena alerted me to a news story about an Iowa City 8th grader landing a 68-pound flathead catfish yesterday in Iowa. While it’s not the all-time record, you have to admit he landed a monster fish. The record is an 81-pounder caught in 1958.

Now why would that remind me of KCCK Jazz and Blues Radio, Iowa’s only jazz radio station? It’s because of John Heim’s (aka Big Mo) blues show comedy bit on the Friday Night Blues Show featuring Mayree’s hand-battered catfish (“It’s better because it’s battered!”). You can hear more about it and other “Sponsor De Faux” on the Big Mo Pod Show 003.

It would be cool if KCCK sold a tee shirt that featured Mayree. Hey, don’t blame me; it’s Big Mo’s idea! I’ve searched the KCCK web page, but can’t find a tee for Mayree (hey, that rhymes, good for marketing!) but there’s a nice Big Mo tee in medium and 3XL sizes.

Anyway, I was fooling around with the idea and came up with a design for the tee today. Tell Big Mo what you think at email bigmo@kcck.org. It’s OK, he reminds listeners every Friday night how to get in touch with him when he hosts the Big Mo Blues Show, starting at 6 PM in the evening.

I’m pretty sure one of you could come up with a snazzier design. And just remember, Mayree’s hand-battered catfish are cooked to perfection, with manic delight, and they are just packed with nitrates! I can’t fit all that on a tee, which would have to be bigger than a tent.

Finally Got Pics of Gray Catbirds!

I finally got pictures of gray catbirds this morning! They’re swooping around our back porch, like a lot of other birds have been doing lately. See my video from yesterday about the sassy robin!

The last time I got photos of them was about a year and a half ago. As Mr. Charles Muntz said in the movie Up: “I’ve spent a lifetime tracking it. Sometimes years go by between sightings. I’ve tried to smoke it out of that deathly labyrinth where it lives. You can’t go in after it.”

OK, so maybe I’m exaggerating a little. On the other hand, catbirds are more often heard than seen. Many times, all you hear is a mewing noise reminiscent of a cat, but raspy and mixed with a lot of other noises it mimics from other birds (which might be one reason why the literature says it’s related to the mockingbird). And while it doesn’t live in “deathly” labyrinths, the catbird can be almost invisible in thick shrubs where it builds its nest.

The catbirds have a rusty color under their tails, which can be hard for amateurs like me to get a snapshot of. But you can find a lot of excellent videos out there, like the one below:

A Robin Attacks Our Windows!

Tonight, a female robin attacked our windows. My guess is that it’s attacking its own reflection. A lot of backyard birds are out, nesting, stealing our herbs, pooping on our deck. Sena saw a Baltimore oriole and we both saw a female goldfinch trying to do the same thing as the robin—bite the screen.

We’ll see what happens over the next couple of weeks.

Big Mo Blues Show Tune

I was all set to hear the Big Mo Blues Show on KCCK 88.3 tonight starting at 6 pm and guess what? I must have fell asleep sitting up in my chair and didn’t wake up until this song “Bye Bye Blues” by Larry McCray came on a little past 6:30 pm. It makes me think of my wife, Sena-until she starts winning too many cribbage games.

FDA Vaccines and Related Biological Products Advisory Committee Meeting May 22, 2025

The meeting of the FDA VRBPAC on the composition of Covid-19 vaccines will be tomorrow, May 22, 2025 at 8:30 am-4:30 pm EST. Some materials have recently become available on the FDA website.

The briefing document indicates that there will be a discussion of the most recent Covid-19 variants and whether the current vaccine needs to be modified as the viral antigenic strain has mutated.

The World Health Organization has formed a new technical advisory group: “Technical Advisory Group on COVID19 Vaccine Composition (TAG-CO-VAC) to review and assess the public health implications of emerging SARS-CoV-2 variants of concern (VOCs) on the performance of COVID-19 vaccines and to provide recommendations to WHO on proposed modifications to COVID-19 vaccine antigen composition. Recently, the TAG-CO-VAC advised that a monovalent JN.1 or KP.2 vaccines remain as appropriate vaccine antigen, while a monovalent LP.8.1 is a suitable alternative vaccine antigen (Ref: https://www.who.int/news/item/15-05-2025-statement-on-the-antigen-composition-of-covid-19-vaccines) to be included in the composition of COVID-19 vaccines (2025-2026 Formula).”

The VRBPAC meeting topics:

“On May 22, 2025, VRBPAC will meet in open session to discuss and make recommendations on the selection of the 2025-2026 Formula for COVID-19 vaccines for use in the U.S. The committee will be asked to discuss available evidence on recent and currently circulating SARS-CoV-2 variants, including data from virus surveillance and genomic analyses, antigenic characterization analyses, vaccine effectiveness and clinical immunogenicity studies of current U.S.- authorized/approved COVID-19 vaccines and nonclinical immunogenicity studies of candidate vaccines expressing or containing updated Spike antigens.”

The attendees include:

The TAG-CO-VAC presenter:

Kanta Subbarao, M.B.B.S., M.P.H. Professor Department of Microbiology and Immunology Faculty of Medicine Laval University (Laval University is in Quebec City, Quebec, Canada).

There’s an Iowa City member on the committee roster:

Stanley M. Perlman, M.D., Ph.D. Expertise: Pediatrics, Infectious Diseases Term: 08/23/2022 – 01/31/2026 Professor University of Iowa Distinguished Chair Department of Microbiology and Immunology Carver College of Medicine University of Iowa, Iowa City, IA 52242.

And the acting chair of the meeting will once again be: Arnold Monto, M.D. Expertise: Epidemiology Term: 02/01/2022 – 01/31/2026 Thomas Francis Jr. Collegiate Professor Emeritus of Public Health and Epidemiology School of Public Health University of Michigan Ann Arbor, MI 48109.

Vaccine manufacturer presentations will be from Moderna, Pfizer, Novavax, and Sanofi.

Rambling About the Clear Creek Trail

I put 2.5 miles on the step counter today walking on the Clear Creek Trail, so my feet are complaining a bit more.

Sena didn’t come with me on the walk today because of some gardening she had to do. She deals with foot issues and has been trying shoe inserts lately. Trimming them is an inexact science, but she got it right. The thing was, her feet hurt even worse with the inserts.

That’s because they were upside down. There are raised gel contours around the bottom for extra support, which have to face downwards in the shoe. They were a lot more comfortable for her once they were in right side up.

I didn’t get any shoe inserts because my new shoes fit pretty well. I walked a little further than usual, moving east on the part of the trail which has a fair number of ups and downs. It feels more like a nature walk (which is on the Make It OK Calendar for May Mental Health Awareness Month).

The trail is paved, but the trees and other vegetation are thick and tend to crowd around both sides. The trees sometime bend in archways across the path.

It was tempting to park my butt on the bench, but just sitting might have invited more flying bugs to buzz around my ears—despite applying enough OFF to defend me and a few other people.

We’ve walked this trail many times, but I saw something a little unusual today. There’s a big old dead tree that looks like a tuning fork.

I set a goal to reach a familiar place that’s high enough and cleared of foliage to see the creek from high above. That’s where I saw the 3 ducksateers: mallards in a line swimming up and down the stream in a sort of aimless way, yet determined to make good time.

After I returned to the trailhead, I heard the camera-shy gray catbird I always hear in a tall shrub right next to the trail. I sat in a bench close by with my camera out. It made the typical catbird noises, which sounds like a collection of whistles, creaks, and meows. But it hid in the leaves and when it burst onto the paved trail, it moved too quickly for me to get a shot.

I think the catbird hides in the trees right next to other birds, like robins, just to misdirect you. And that fooled me today–again. I thought I got a video clip of the catbird—but it turned out to be a robin, hamming it up for the camera like robins always do.

So, I included an old picture of a real catbird I took about a year and half ago.

More Bigfoot Encounters on the Clear Creek Trail

We’ve had encounters with Bigfoot on various walking trails, but most were on the Clear Creek Trail. I guess Bigfoot is one of those interdimensional beings, moving in and out of our world. It takes getting used to.

Avoid getting into thumb wrestling matches with Bigfoot. And moving in and out of various dimensions can get anyone a little mixed up on holiday dates.

Writing is Dope

I learned a new slang word from Houston White, the guy who makes that specialty coffee in Minneapolis I blogged about yesterday: Brown Sugar Banana (I’m not a fan, but I admire him just the same). The word is “dope.” That used to be an insult or an illicit drug when I was growing up. Now it means “very good.”

I guess writing, at least for me, is dope.

The further I get in time away from the day I retired from practicing consultation psychiatry, the more I reflect about how I became a psychiatrist. I’m a first-generation doctor in my family, so what follows is one way to write about it.

What has helped me get through life was this writing habit along with a sense of humor. When I was little, I wrote short stories for my mother. I was the “number one son” in the words of my father, which meant only that I was the first born. My younger brother came second only in order of birth. He was the track star. I was the paperboy. Our parents separated early on. Sena and I have been married for 47 years.

I have been writing my whole life. I used a very old typewriter. I wrote poetry for a while, eons ago. Like many aspiring writers, I tried to sell them to publishers. The only publisher I remember ever responding sent me a hand-scrawled note on a small sheet of paper. He told this really short, nearly incoherent story about his son, who had apparently died shortly before. His son had a “tough road.” It wasn’t clear exactly how he died, but I remember wondering whether it was suicide. It was very sad.

In the 1970s, while I was a student at one of the Historically Black Colleges and Universities (Huston-Tillotson College, now a university) in Austin, Texas, I submitted a poem to the school’s annual contest and for entry into the college’s collection, called Habari Gabani (which means “what’s going on” in Swahili). It was rejected. Years later, I finally was able to track down a digital copy of Habari Gani.

Habari Gani from Huston-Tillotson College

Eventually, thank goodness for everyone’s sake, I gave up writing poetry. It was as bad as Vogon poetry. You’ll have to read Douglas Adam’s book “A Hitchhiker’s Guide to the Galaxy,” for background on that. The Vogons were extraterrestrials who destroyed Earth in order to build an intergalactic bypass for a hyperspace expressway. Vogon poetry is frightfully bad; it’s the waterboarding torture of literature.

I wrote a short Halloween story for my hometown newspaper contest once. It got honorable mention, but I can’t recall what it was about, thank goodness.

I wrote a feature story in a journalism class taught by a nice old guy who made a long speech to the class about the unfortunate tendency for young writers to use flowery, polysyllabic words in their prose. He made it clear that journalists shouldn’t write like that. Although I didn’t consciously do the opposite to annoy him, I did it anyway. I even tossed the word “Brobdingnagian” in it, which might have referred to some high bluffs somewhere in Iowa. Despite being infested with Vogonisms, my teacher tolerated it, sparing my feelings. I must have passed the course although how I did it remains a mystery. 

I wrote and co-edited a book with the chairman of the University of Iowa Healthcare Dept of Psychiatry, Dr. Robert G. Robinson, MD. It was “Psychosomatic Medicine: An Introduction to Consultation-Liaison Psychiatry”. There were several contributors. Many of them were my colleagues. It was published in 2010, and prior to that, I’d written an unpublished manual that I wrote for the residents.

There wasn’t any humor in either book, because they were supposed to be evidence of scholarly productivity from a clinical track academic psychiatrist. But I used humor and non-scientific verbiage in my lectures, albeit sparingly. I remember one visiting scientist remarked after one of my Grand Rounds presentations, “You are so—poetic” and I detected a faint disparaging note in his tone…probably a reaction to a latent Vogonism. It’s not impossible to monkey-wrench those into a PowerPoint slide or two.

I used to write a former blog called The Practical Psychosomaticist, later changed to The Practical CL Psychiatrist when The Academy of Psychosomatic Medicine changed their name back to The Academy of Consult-Liaison Psychiatry back in 2017. I wrote The Practical CL Psychiatrist for a little over 7 years. I stopped, but then missed blogging so much I went back to it in 2019 after only 8 months. I guess I was in withdrawal from writing.

That’s because writing is dope.