Category: Iowa

Behind the Mask Policy

Tomorrow I’ll get to see how the new Covid-19 face mask policy works at the University of Iowa Hospital & Clinics. It goes into effect today. I’m going to see the dentist, as I have periodically for years, even during the Covid-19 pandemic. Of course, the idea of masked dental patients is ironic.

The rule change about masks being sort of optional is a little confusing.

It’s sort of optional because it looks like it’s not optional for unvaccinated health care employees. They still have to wear masks.

I wrote about this back in May of 2021, “Unmasked Means Fully Vaccinated?” That was back when bandanas were acceptable as face coverings.

So does being masked mean “not vaccinated?” It’s confusing because if masking is optional for patients and visitors, why are health care workers the exception? I’m not sure how anyone would enforce the policy.

If you can wear a mask just because you want to do that, how does that separate you from the unvaccinated person?

If masks are optional, then why are the entrance and exit policies not changing, including screening of patients, visitors, and staff? I didn’t see the guidance about what to do if anyone says they are symptomatic or unvaccinated and prefers not to wear a mask, other than to offer a mask (which is free!).

If it’s disrespectful to ask a patient or visitor to put on a face mask, why is it not disrespectful to require an unvaccinated health care worker to do so? There is one bullet point in the question-and-answer section about whether you can ask anyone to wear a face mask which says you can’t ask anyone, including “employee, colleague, patient, visitor, etc.” In the same section is the statement: “Whether or not to wear a mask is a personal decision that each person must make for themselves and for their own reasons.” Does that apply to getting a Covid-19 vaccine as well?

That said, I’m a staunch supporter of everyone getting a Covid-19 vaccine, if they don’t have medical or other exemptions. They don’t make you magnetic!

And I don’t think the recent Cochrane Review results on face masks really means they’re useless, which some news stories tend to convey. I think the Cochrane review does what most such reviews do, which is point out the problems with some controlled studies. And the reviews themselves may have unintended biases.

What’s the most important part of all this? Well, maybe the predicted snowstorm coming to Iowa tomorrow will prevent my dentist from getting to the clinic. And if that doesn’t work, maybe I could just exercise my right and privilege to wear my mask as a barrier to any nefarious procedures.

Face Masks Optional at University of Iowa Hospitals & Clinics Starting March 8, 2023

As of March 8, 2023, face masks will be optional for visitors, patients, and employees at University of Iowa Hospitals & Clinics.

More On Taming the Juggling Balls

I’ve been juggling for about 5 months now and reflecting on my progress. I think I’m doing OK for a geezer. Sena would call me a hot dog although I would still call it ugly juggling by any standard.

What’s striking, at least to me, is the little bit of science I can find on the web about juggling. I hear the term “muscle memory” when it comes to learning juggling. Actually, there’s some truth to that. There are different kinds of memory. For example, most of us know about declarative memory, which about memorizing facts, because we use it to prepare for exams. Those of us who went to medical school remember the agony of taking tests for the basic sciences.

But so-called muscle memory, or the memory for learning new skills like juggling, takes place in the brain. There was a study published in 2009 which found changes in both gray and white matter of subjects before and after learning to juggle (Scholz J, Klein MC, Behrens TE, Johansen-Berg H. Training induces changes in white-matter architecture. Nat Neurosci. 2009;12(11):1370-1371. doi:10.1038/nn.2412).

The study about correlation of the inability to stand on one leg for 10 seconds with higher mortality in older patients, which I relate to the ability to do the under the leg juggling trick, was published last year (Araujo CG, de Souza e Silva CG, Laukkanen JA, et al. Successful 10-second one-legged stance performance predicts survival in middle-aged and older individuals. British Journal of Sports Medicine 2022; 56:975-980.)

I talk a lot about juggling as though I’m a teacher. I’m not a juggling instructor by any means. You can find better juggling teachers on the web. But my approach to talking about juggling in terms of it being a hobby for me is really not different from how I talked about consultation-liaison psychiatry before and after I retired. I’m still a teacher—just evolving in retirement.

However, you can find much better resources for learning how to juggle at the following websites:

Juggling for Beginners
How to Juggle

https://www.renegadejuggling.com/

Have fun!

Terry Trueblood Outing Today or How to Find Hearts Needing a Home

We had enough of bad news on the web, so we went out to Terry Trueblood Recreation Area today. Good things are happening around here, including what we found at Trueblood. Sena ordered some items last week. One is a clock, which we’ll hang somewhere and then not look at. Another is a chair that I will put together, and which will probably give me a reason to use up at least some of the oversupply of band aids.

The best deliveries, in my humble opinion, will be a couple of brand-new sets of juggling balls. One reason for buying them is that my other juggling balls are already starting to leak their millet fillings.

Millet is bird seed. I first noticed it on my hands, and then saw it on book shelves and my chair. I practice juggling every day, and see to it that they get banged up as much as possible, even if that happens to involve impacts with my head. Many juggling balls are stuffed with something: plastic pellets, sand, dandruff from extraterrestrials—no reason to avoid millet.

The new juggling balls will be bigger and heavier: a little over 2.5 inches in diameter and around 130 grams. I’ll probably knock myself unconscious dropping them on my head. One set of 3 will be as close to Iowa Hawkeye colors as I can get: black and yellow (which is what black and gold usually look like to me). The other set will be multicolored and have 12 panels. Balls covered with leather or other material have to be sewn shut and some say that the more panels, the more the impact will be spread, possibly reducing the risk for breakage. On the other hand, I can’t help wondering if there are more seams, wouldn’t it be more likely they’d be split when (not if) I drop them?

I’ll think about that later. We had the best time today at Trueblood. In fact, a lot of people were having a great time out there. The weather was fantastic; the temperature was in the fifties. One trail walker claimed she saw 16 bald eagles! I took this with a grain of salt, but then we saw at least a half dozen, though they were flying too high to get good photos. There were plenty of shore birds.

The best sightings were the quilted hearts hung on several trees. They are from an organization called “I Found A Quilted Heart” and you can learn more about the people who got this started at their web site www.ifoundaquiltedheart.com. Volunteers place the small quilted hearts in various places, often local parks. The sole purpose is to brighten your day. That beats the daily news any time.

What we didn’t know was that we could keep the quilted hearts we found. We saw 4 of them. We’re going to let others find them and share the joy.

Xylazine More About Death Than the Walking Dead

The recent news stories about xylazine-adulterated fentanyl (also known as Tranq) describe it as turning users into zombies because it causes skin necrosis. This can lead to abscesses which may require amputations.

Even more important, it can kill users. Xylazine, which is an animal tranquilizer (hence the name “Tranq”) is said to be available for free in some locations. It has been reported in the eastern states, including Pennsylvania and the availability has been moving steadily westward across the country. The Iowa Office of Drug Control website has posted information about it.

Connecting xylazine to zombies may be a way to get people to pay closer attention to this dangerous substance. That’s ironic because it doesn’t make users just look like the walking dead—it causes death. Xylazine-laced fentanyl overdoses can’t be completely reversed by naloxone because xylazine is not an opioid.

Dr. George Dawson wrote an excellent blog post describing the scientific details about xylazine and its deadly effects in April of 2022.

Those who make this drug know exactly what they’re doing. It’s one thing to sell it on the street, which itself is a terrible thing to do. But if it’s true that it is available for free in some places, then something other than the profit motive is at work.

Iowa Snowstorm Aftermath

We got 10.5 inches of snow from the storm yesterday, according to National Weather Service statistics. It was in the single digits and about 3 below zero with the wind chill this morning. We had to shovel one more time. It was slippery because there was ice on the driveway and sidewalk underneath the snow.

Yesterday the snow plow plugged our driveway and the curb ramp. We managed to get the driveway cleared. I had to clear the curb ramp this morning.

Then the plow came through again. But he didn’t plug the ramp again. Instead, he carefully scraped around it—maybe because we were outside watching him at the time. Thank goodness for small miracles.

It’s chilly but sunny. The ice is melting. The forecast says it’ll be icy next Wednesday. Furthermore, there is more snow coming next Thursday. That’ll make 3 Thursdays in a row that snowstorms hammer us.

What is it about Thursdays?

Big Wet Heavy Snow for Epic Snow Juggling!

Well, today’s snowstorm was a mix of fluffy as well as wet and heavy. The latter made for pretty good snowballs, which led to epic juggling on a windy day, snow blowing in my face while I juggled.

We had to clear the sidewalks and driveway first. I’m sure we got over half a foot of snow.

Sena shot the video while I tried to increase my throw count, which meant I had to make a lot of snowballs.

One clip showed a group of deer across the street. Neither one of us noticed them. I didn’t see them because I had my back to them and was concentrating on my juggling. What’s surprising is that Sena didn’t notice them either, even though they were clearly in the shot, trotting across the neighbor’s yard and across the street.

She was focused on my juggling too.

We made the YouTube video without music because we want you to count the throws along with me and hear our reactions.

Fluffy or Heavy Snow Tomorrow?

We’re going to get another several inches of snow tomorrow. Whether it’ll be a heavy, wet or fluffy snow is apparently up for debate among weather forecasters. We definitely got the heavy stuff last week. I made great snowballs for juggling.

We’re going to be shoveling it, fluffy or heavy and wet. Sena noticed I was “flinging” snow from my shovel last week and wishes I would not do that. It’s a push-plow type shovel and I can’t get enough snow in it to lift a heavy load of the stuff.

But I will try not to fling my snow. We’re hoping for the fluffy stuff. If it turns out to be heavy, I might juggle more snowballs. We’ll see.

Big Mo Blues Show KCCK and MayRee’s Hand Battered Catfish

I heard John Heim (aka Big Mo) on KCCK talk at length about MayRee’s hand battered catfish tonight. There was much more detail than usual. I can’t remember all of them. One I do remember is that her joint is on the corner of Highway 6H and Snowflake Road-sort of.

MayRee will give you a choice of 3 beverages that sound like a crazy cross between a soft drink and white lightning moonshine or something. One flavor is “clear” and another could be something like pumpkin spice, but I probably misheard that.

I got a comment from a blogger, Everyday Lillie. She has not heard of nitrates in catfish but appreciated the information.

MayRee cooks them with “manic delight.” They are really something, I guess.

I heard this Sonny Landreth piece tonight on the show.