Iowa – Page 17 – Go Retire Psychiatrist

Is Edinburgh Manor in Iowa Haunted?

I have no idea whether an old former county home in Jones County is one of the most haunted places in the Midwest or Iowa or the USA. And I wouldn’t be saying that if Sena and I had not watched a TV show called “Mysteries of the Abandoned” (broadcast on the Science Channel) which aired a 20-minute segment about Edinburgh Manor the other night.

Supposedly, Edinburgh Manor started off as a county poor farm back in the 1800s, which didn’t do well and then quickly declined into an asylum for the mentally ill. When a couple bought the old place after it closed sometime between 2010 and 2012, they started to report having paranormal experiences and it was then off to the races for the place to become a haunted attraction, for which you can buy tickets for day passes and overnight stays.

There’s a 10-minute video by a newspaper reporter who interviews the wife and which shows many video shots of the house. I can’t see any evidence that it’s on the National Register of Historic Places.

What this made me think of was the Johnson County Historic Poor Farm here in Iowa City, which is on the National Register of Historic Places. We’ve never visited the site, but you don’t pay admission and the tone and content of the information I found on the website is nothing like what’s all over the web about Edinburgh Manor. There are no ghosts tickling anybody at the Johnson County Historic Poor Farm.

There’s a lot of education out there about the history of county poor farms in general. In Johnson County, Chatham Oaks is a facility that houses patients with chronic mental illness and it used to be affiliated with the county home. It’s now privatized. The University of Iowa department of psychiatry used to round on the patients and that used to be part of the residents training program (including mine).

I found an hour-long video on the Iowa Culture YouTube site about the history of Iowa’s county poor farms. It was very enlightening. The presenter mentioned a few poor farms including the Johnson County site—but didn’t say anything about Edinburgh Manor.

Fifty Degrees in Iowa City Yesterday!

It was fifty degrees in Iowa City yesterday so we went for a walk on the Terry Trueblood trail yesterday. Other people got the same idea. One guy was jogging in shorts! Yeah, it’s fifty degrees, but there’s still snow on the ground (in places) and there’s ice on Sand Lake.

About that ice on Sand Lake. It looked thin in places and we could see cracks in it everywhere. But that didn’t stop ice fisherman and others from going out on the lake.

We even saw an American Kestrel! That’s the first time in over 4 years. In 2020, we were out on the Trueblood trail and another walker pointed out an American Kestrel. I couldn’t get a clear shot of it then, but I did this time. I think it’s a female because of the black bands on the tail.

The balmy weather won’t last. We’ll be in the deep freeze next week.

Dr. Martin Luther King Jr. 2025 Events and Some Thoughts

Dr. Martin Luther King Jr. Week started January 20, 2025. There will be several very worthwhile events, many of which are listed here.

Isabel Wilkerson, winner of the Pulitzer Prize and National Humanities Medal, will deliver the Dr. Martin Luther King Jr. Distinguished Lecture on February 5, 2025 at the University of Iowa Medical Education and Research Facility (MERF); Prem Sahai Auditorium. General admission is free although it’s a ticketed event, more information here.

I was searching the web for articles about whether and when Dr. Martin Luther King Jr. visited Iowa and found one that sparked personal memories of defeat, which Dr. King talked about when he visited my alma mater, Iowa State University in Ames in 1960, where he said:

“The Negro must not defeat or humiliate the white man, but must gain his confidence. Black supremacy would be as dangerous as white supremacy. I am not interested in rising from a position of disadvantage to a position of advantage.”

This quote was in an article entitled “Mentality Has Outrun Morality” in the January 23, 1960 issue of the Ames Tribune.

It reminded me of two episodes in my life which left me with a strong sense of defeat in the context of racism.

One of them was ages ago when I was a young man and somehow got involved in a pickup game of basketball with guys who were all white. I was the only black man. This was in Iowa. The members of my team were those I worked with. The opponents were men my co-workers challenged to a game of basketball. I had never been in such a contest before. I think we lost but what I remember most vividly is a comment shouted by one of the opponents: “Don’t worry about the nigger!” I sat on the bleachers for the rest of the game while they played on. I remember feeling defeated—and wondering whose team I was really on.

The other incident was also long ago (but I was a little older), when I was a member of a debating team at Huston-Tillotson College in Texas (now Huston-Tillotson University, one of America’s HBCUs). We were all black. We were debating the question of whether capital punishment was a deterrent or not to capital crime. I couldn’t get a word in edgewise with my opponent. He just kept a running speech going, punctuated with many “whereas” points, one of which I’m pretty sure included the overrepresentation of black men on death row. I had never been in a debate before. My professor remarked that my opponent won the debate by being bombastic—for which there didn’t seem to be a countermeasure. I remember feeling defeated—and wondered if I was on the wrong team.

There’s a lot of emphasis on defeating others in sports, politics, religion, and the like. On a personal level, I learned that defeat didn’t make me feel good. I’m pretty sure most people feel the same way.

Dr. King also said “We can’t sit and wait for the coming of the inevitable.”

I’m not sure exactly what he meant by “the coming of the inevitable.” What did he mean by the “emerging new order”? Did he mean the second coming? Did he mean the extinction of the human race when we all kill each other? Or did he mean the convergence of humanity’s insight into the need for cooperation with the recognition of the planet’s diminishing resources?

I don’t know. I’m just an old man who hopes things will get better.

Music Therapy in End of Life Care Podcast: Rounding@Iowa

I just wanted to make a quick shout-out to Dr. Gerry Clancy, MD and Music Therapist Katey Kooi about the great Rounding@Iowa podcast today. The discussion ran the gamut from how to employ music to help patients who suffer from acute pain, agitation due to delirium and dementia, all the way up to even a possible role for Artificial Intelligence in the hospital and hospice.

89: Tick-borne Illnesses – Rounding@IOWA

Join Dr. Clancy, Dr. Appenheimer & Dr. Barker as they discuss prevention, diagnosis and treatment of various tick-borne illnesses. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?eid=82296 Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guests: Ben Appenheimer, MD Clinical Associate Professor of Internal Medicine-Infectious Diseases Assistant Director, Infectious Diseases Fellowship Program Associate Clinical Director, Infectious Diseases Co-Medical Director, TelePrEP, University of Iowa Health Care University of Iowa Carver College of Medicine Jason Barker, MD Associate Professor of Internal Medicine-Infectious Diseases University of Iowa Carver College of Medicine Financial Disclosures: Dr. Gerard Clancy, his guests, and Rounding@IOWA planning committee members have disclosed no relevant financial relationships. Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.0 ANCC contact hour. Pharmacist and Pharmacy Tech: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 1.0 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. JA0000310-0000-26-038-H01 Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)

Don’t Shovel Your Heart Out

We’re waiting for the next snowfall. We’ve had a couple of light ones so far and we used shovels to clear our driveway and sidewalk. They didn’t amount to much, but we’ll get a heavy snow here pretty soon.

We’ve been using shovels for years. I’m aware of the risks for heart attacks in certain people, especially sedentary middle age and older men with pre-existing cardiac risk factors. I’m not keen on snowblowers, mostly because I like to shovel.

I’ve been using an ergonomic shovel for years, although the wrong way until about 4 years ago. I used to throw snow over my shoulder while twisting my back. Now I push snow with a shovel that has a smaller bucket or with a snow pusher with a shallow, narrow blade. I lift by keeping my back straight and bending at the knees, flipping the small load out. I take my time.

I don’t know how high my heart rate gets while I shovel. I exercise 3-4 days a week. I warm up by juggling. I do floor yoga with bending and stretching, bodyweight squats, one leg sit to stand, use the step platform, dumbbells and planks. When I’m on the exercise bike, I keep my heart rate around 140 bpm, and below the maximum rate for my age, which is 150 bpm.

I’m aware of the recommendations to avoid shoveling snow based on the relevant studies. I realize I’m way past the age when experts recommend giving the snow shovel to someone else.

The question is who would that be? There aren’t any kids in the neighborhood offering to clear snow. Maybe they’re too busy dumb scrolling. I’m also aware of the city ordinance on clearing your driveway after a big snow. They’re very clear, at least in Whereon, Iowa.

“The city of Whereon requires every homeowner to clear snow from sidewalks within 24 hours after a snowfall. This means you. If you fail in your civic duty to clear snow and ice from your walkway within the allotted time of 10 minutes, the city will lawfully slap you with a fine of $3,000,000 and throw your dusty butt in jail for an indeterminant time that likely will extend beyond the winter season and could be for the rest of your natural life and even beyond, your corpse rotting in your cell, which will not bother the guards one iota because of the new state law mandating removal of their olfactory organs. Hahahahaha!!”

In light of the strict laws, Sena ordered a couple of new snow removal tools. Neither one of them is a snow blower. I think it’s fair to point out that some cardiologists have reservations even about snowblowers:

There are even studies that show an increased risk for heart attacks among people using automatic snow blowers. Similar to the extra exertion of pushing shovel, pushing a snow blower can raise heart rate and blood pressure quickly–from “Snow Shoveling can be hazardous to your health” article above.

One of them is a simple snow pusher with a 36-inch narrow blade. That’s for me. The other is a cordless, battery powered snow shovel that looks like a toy for Sena. The ad for that tool includes a short video of an attractive woman wearing skinny jeans and her stylish coat open revealing her svelte figure while demonstrating how the electric shovel works. It appears to remove bread slice sized pieces of snow from the top of a layer which stubbornly sticks to the pavement. Call the Whereon snow police.

We should be getting both tools before the next big snow.

Big Mo Pod Show: “Blues: The Universal Mixer”

We listened to the Big Mo Pod Show (Sena stuck with it for about the first hour anyway) last night and then I got a mini-education in the forms of music, at least, as it relates to timing and rhythm. The theme was “Blues: The Universal Mixer.” Frequently, the blues show and the podcast remind me of previous eras in my life and lead to a few free associations.

The 5 songs reviewed by Big Mo and Noah are probably recognizable to many listeners. As usual, I have to search for the lyrics because I seem to have an inborn tendency to hearing mondegreens. And as usual, I don’t always pay the most attention to the songs chosen for the podcast.

But Big Mo did a little teaching session about rhythm forms, which he related to a couple of songs on the list. One of them was “Wait on Time” by The Fabulous Thunderbirds. I happened to notice that a couple of lines in the lyrics of “Wait on Time” reminded me of another artist who didn’t make it to the list on the podcast but was on the blues show playlist last night. That was Junior Walker and the All Stars. Their song “I’m a Road Runner” was one of my favorites because it reminded me of how I ran all over the hospital as a consult psychiatrist. But I can’t relate to the song as a whole.

The lines the two songs share are:

“Wait on Time” lyrics:

“Well, I live the life I love
And I love the life I live
The life I live baby
Is all I have to give”

“I’m a Road Runner” lyrics:

“And I live the life I love
And I’m gonna love the life I live
Yes, I’m a roadrunner, baby.”

Although the lyrics are similar, the themes are different. The guy in the song “Wait On Time” is promising he’ll get back to his lover someday. On the other hand, in the “I’m a Road Runner” lyrics, that guy is making no such promise and is actually is saying just the opposite.

Big Mo pointed out that there is a common rhythmic form in blues that easily mix with other forms of music, including Latin forms (I don’t understand that music lingo but I think I hear and feel what he means). He mentions that Bo Diddley mixed certain rhythms like that into his music, which surprised me because I didn’t know that. It may be why I like Bo Diddley.

Big Mo didn’t play “I’m a Road Runner” last night but played another hit from Junior Walker and the All Stars: “Ain’t That The Truth.” Just an aside, that tune is mostly instrumental and has a total of only 4 lines apparently, which express a common blues sentiment about relationships:

“Say man, what’s wrong with you?
Oh man, my woman done left me
Say it, man, play me some blues, jack
Get it, baby
Ain’t that the truth”

Several artists covered “I’m a Road Runner” including but not limited to the Grateful Dead and Steppenwolf. Bo Diddley did a song called “Road Runner” but it was not the Junior Walker tune. There’s a YouTube video relating it to the cartoon Roadrunner and Wile E. Coyote.

I’m not a roadrunner by any definition, but I learn a little something new just about every time I hear the Big Mo Pod Show.

Connection Between Cribbage and Obituaries?

Just for fun today (which is New Year’s Day of 2025) after Sena and I played a few games of cribbage, I searched the internet using the term “cribbage in Iowa.” I found a local newspaper story entitled “There’s No Crying in Cribbage. There’s No Politics Either,” published August 18, 2024 in the digital version of the Cedar Rapids Gazette which, by the way, promised me that I have “unlimited” access to articles.

It was written by Althea Cole and it was longer than I expected it to be. Much of the story was about the longstanding history of annual cribbage tournaments at the Iowa State Fair. She also mentioned that her grandfather had been an avid cribbage player.

But I was also puzzled by the significant number of obituaries that popped up in the web links. I’ve looked up cribbage dozens of times but not with this particular search term. I checked several of the obits and found the majority mentioned that the decedents had been avid cribbage players.

I’m not sure what to make of this. What does it mean that cribbage is associated with obituaries in Iowa? I suppose some would say that it might mean that cribbage is a game mainly played by old people—which is probably true. The American Cribbage Congress (ACC) web site makes it very clear that they encourage young people to play cribbage. Be patient, the site takes a while to load.

That said, whenever I see photos of people of playing cribbage, almost all appear to be over 50 years old.

So, I tried searching the web using the term “cribbage in Wisconsin” and didn’t get any obituaries. I got the same result with “cribbage in Minnesota” and “cribbage in Illinois.” I decided not to run the search for every state in the country, because I think the point is already made. For whatever reason, cribbage in Iowa seems to be associated with obituaries and advanced age.

I imagine some reading this post might point out that the connection with obituaries in Iowa and cribbage could just mean that a lot of Iowans enjoy cribbage. That could be true. However, on the ACC web site, I can find only one city in Iowa that has an ACC Grass Roots Club, and it’s in Des Moines.

There’s a web article entitled “Is cribbage too antiquated to survive this digital world? Players and board collectors sure hope not.” It was written by Rebecca Zandbergen in April 2023 and I reviewed it again today. One thing I can say about cribbage is that it’s probably good exercise for the brain. I can find plenty of article which praise cribbage as a way to keep your brain healthy and engage socially.

I don’t know if there are any scientific studies on the benefits of cribbage for your brain. I had trouble finding them on the web, although I admit I didn’t conduct anything like a thorough search. I did find one study on the association of playing cribbage with social connectedness.

Kitheka, Bernard & Comer, Ronald. (2023). Cribbage culture and social worlds: An analysis of closeness, inclusiveness, and specialization. Journal of Leisure Research. 54. 1-21. 10.1080/00222216.2022.2148145. Accessed January 1, 2025.

“Abstract: Recreation specialization through the lenses of social worlds is a common approach used to describe how people define and are defined by recreation activities. This ethnographic study investigates the social worlds of cribbage players. The study analyzes cultural structures through the lenses of closeness, inclusiveness, and recreation specialization. Using survey questionnaires, informal interviews, and researcher observations, data were collected at cribbage events over a period of 3 years. Findings reveal a distinct cribbage culture characterized by varying levels of commitment, specialization, and degrees of connectedness. The study contributes to the currently limited literature on social worlds and indoor recreation specialization. It provides insight as to how people align at a community level to find meaning via recreational activities. Data also reveals a lack of social diversity in the cribbage community. Findings could be used in leisure programming for diversity and inclusion at community and grassroots levels.”

There was also a paper entitled “Cribbage: An Excellent Exercise in Combinatorial Reasoning:

Markel, William. (2005). Cribbage: An Excellent Exercise in Combinatorial Thinking. The Mathematics Teacher. 98. 519-524. 10.5951/MT.98.8.0519. Accessed January 1, 2025.

Abstract: Card games have long been a rich source of combinatorial exercises. Indeed, determining the probabilities of obtaining various hands in poker, and often in bridge, has been standard fare for elementary texts in both probability and combinatorics. Examples involving the game of cribbage, however, seem rare. This omission is especially surprising when one considers that cribbage hands offer excellent applications of combinatorial reasoning.

It’s a math thing, which is good for brains. Math won’t kill you and neither will cribbage. Happy New Year!

The Big Mo Pod Show 043 All Dem Christmas Favorites

We listened to the Christmas tunes on the KCCK Big Mo Blues Show last night, “All Dem Christmas Favorites.” We both liked Earth Kitt’s “Santa Baby,” which wasn’t on the podcast list, but what the heck. I got a kick out of Brave Combo’s silly rendition of “O Holy Night.” Fareed Haque’s guitar solo of “You’re a Mean One, Mr. Grinch” was pretty impressive.

Artificial Intelligence: The University of Iowa Chat From Old Cap

This is just a quick follow-up which will allow me to clarify a few things about Artificial Intelligence (AI) in medicine at the University of Iowa, compared with my take on it based on my impressions of the Rounding@Iowa presentation recently. Also, prior to my writing this post, Sena and I had a spirited conversation about how much we are annoyed by our inability to, in her words, “dislodge AI” from our internet searches.

First of all, I should say that my understanding of the word “ambient” as used by Dr. Misurac was flawed, probably because I assumed it meant a specific company name. I found out that it’s often used as a term to describe how AI listens in the background to a clinic interview between clinician and patient. This is to enable the clinician to sit with the patient so they can interact with each other more naturally in real time, face to face.

Further, in this article about AI at the University of Iowa, Dr. Misurac identified the companies involved by name as Evidently and Nabla.

The other thing I want to do in this post is to highlight the YouTube presentation “AI Impact on Healthcare | The University of Iowa Chat From the Old Cap.” I think this is a fascinating discussion led by leaders in patient care, research, and teaching as they relate to the influence of AI.

This also allows me to say how much I appreciated learning from Dr. Lauris Kaldjian during my time working as a psychiatric consultant in the general hospital at University of Iowa Health Care. I respect his judgment very much and I hope you’ll see why. You can read more about his thoughts in this edition of Iowa Magazine.

“There must be constant navigation and negotiation to determine if this is for the good of patients. And the good of patients will continue to depend on clinicians who can demonstrate virtues like compassion, honesty, courage, and practical wisdom, which are characteristics of persons, not computers.” ——Lauris Kaldjian, director of the Carver College of Medicine’s Program in Bioethics and Humanities

That Donut Song by Washboard Sam

I got a kick out of a song by Catfish Keith last night on the Big Mo Blues Show on KCCK radio. It was “Who Pumped the Wind in My Doughnut.” He always sings songs with lyrics that I mostly don’t understand and that was one of them, at first. I’ll give you a hint; it’s not a Christmas tune. Catfish Keith covers some old-time blues songs and this one is for adults only.

Judging from the title of the song and some of the lyrics, you might guess it’s about doughnuts but it’s not. Don’t bother with the Artificial Intelligence (AI) description, which I did not ask for. AI just pops up in a web search whether you want it to or not:

“Who pumped the wind in my doughnut” is a playful, nonsensical phrase meaning someone has exaggerated or inflated a situation or story to make it seem much bigger than it really is; essentially, they’ve added unnecessary drama or hype to something, like adding air to a doughnut to make it appear larger.”

Once again, we see that AI makes stuff up as it goes along, creating a little story which is really concrete and far from the truth about something for which it was not programmed—to process language that is not literal but a form of humor riddled with innuendo to express something about sexual infidelity, in this case resulting in a lot of children which don’t resemble the singer because they aren’t his.

Anyway, I found a little background on the song which was originally performed by a guy called Washboard Sam (born Robert Clifford Brown). He was a blues artist in the 1930s. He performed “Who Pumped the Hole in My Doughnut” under the name Ham Gravy. I found a reference which says that Washboard Sam performed it and Robert Brown wrote it. And I found another which shows a picture of the actual record which has the name Johnny Wilson on it with the name Ham Gravy just below it. I don’t know whether Johnny Wilson was just another pseudonym. You can find the lyrics of the song identifying it as being by “Washboard Sam via Johnny Wilson.”

You can find a mini-biography about Robert Brown on, of all things, a WordPress blog called The Fried Dough Ho. It has a fair number of posts about doughnuts too. The author knows the song is not about doughnuts. There are also some pretty comical impressions in a blog post entitled “What is he talking about?” regarding the meaning of the lyrics of the song on a Blogger site called The things I think about, when I wish I were sleeping. One of the comments is fairly recent, from 2023. You can also find a Wikipedia biography.

You may never feel the same about doughnuts.