juggling – Page 7 – Go Retire Psychiatrist

Beating My Head on The Shower Wall

I’ve been practicing the shower juggling pattern. I’m combining at least a couple of different methods, which may or may not be helping me improve.

I’m using JuggleMan’s advice about trying to get some extra space in between the balls so I feel less rushed. I’m also trying to use Taylor Glenn’s method of combining the vertical and horizontal tosses.

Using both looks pretty ugly. So, what else is new? My horizontal transfers look snappier but are lopsided according to some experts. I consciously try to hold my dominant slapping hand up higher to avoid the gradual sloping up to a half shower flip up. That up slope often causes mid-air collisions between balls on one side. And I’m getting a little extra space in between the throws, so I’m starting to get one or two extra throws.

I’ve been learning to juggle since last October. It’s fun but definitely not easy. All the stuff about machine learning and artificial intelligence in the news lately got me wondering whether AI can learn to juggle.

It turns out that people have been working on this for years. I gather it takes a while to teach a robot how to juggle. Making a robot able to teach juggling would probably take a very long time. I don’t think it’s as fun to watch a robot juggle as it is watching a person juggle.

Juggling isn’t a very practical skill, although if you’re a really talented juggler you can make a little spare change busking with juggling. A machine doesn’t need spare change and doesn’t appreciate admiration.

By the way; John Henry was a steel-driving man. He beat the steam powered drill, a machine—and sacrificed his own life doing it. Machines don’t understand sacrifice.

Where is Juggling and Foosball on the Homunculus?

I saw an interesting article published in Nature about the homunculus being outdated because of a new brain MRI study indicating that there’s a mind-body connection between the motor cortex and neural networks controlling planning and thought. There’s a mouthful for you.

It makes me wonder about a few things. For example, can I improve my juggling skills simply by thinking about it? Actually, I spend quite a bit of time both practicing juggling and thinking about it.

Sena has recently started thinking about and practicing juggling. And I made a little video about the cascade practice in an effort to help her get unstuck from the 3-ball toss and catch at the 1-2-3 and catch stage. It’s a slow-motion video of me demonstrating the 1-2-3-4 and catch stage. It’s intended to help her visualize how to let go of that pesky ball in her non-dominant hand after the third toss.

The implications of the new brain study for helping patients recover from the effects of stroke are fascinating.

It reminded me of the game foosball. What do you mean you never heard of foosball? It’s a table football game which was enormously popular in the 1970s. You could probably find one in any bar, along with pong, a sort of electronic table tennis game that was also popular in the ‘70s.

The foosball table was usually located at the back of the bar, across the mandatory squishy carpet and kitty corner from the bathroom.

You could never get on the foosball table at one of the local bars in my hometown. It was always monopolized by a gang of local tough guys who would slam the ball so hard into the goal slot you’d swear it would burst through the end of the table.

In a way, it was a good thing foosball occupied those guys. It distracted them from what they liked to do most of the time, which was to bash anyone who got in their way. I think foosball might have cut down on the number of bar fights in small towns.

There was this guy I used to work with who told me stories about bar fights, some of which he enthusiastically got involved in—when he was younger, of course. Somebody named Stumpy (or maybe Stubby?) was a friend of his who had a wooden leg and never missed a chance to mix it up despite his prosthesis. When a fight broke out in a bar, Stumpy would just back into a corner, brace the wooden leg against a wall and whale away at anyone dumb enough to throw a punch at him.

But when foosball tables got installed, the tough guys tended to take out their aggression by slamming balls. You could always spot a foosball gang. They braced themselves, one leg back and one knee sort of braced against the table. They could twirl the little men with great skill and could fake, pass, and finally kick the ball like a rocket into the goal. It was often sort of a grim spectacle. They didn’t look like they were enjoying themselves so much as making believe they were tearing people apart limb from limb.

I’m not sure where the foosball neural network is in the brain, but I’m pretty sure it’s on the hands of the homunculus in the motor cortex.

That’s also probably where the juggling network is.

Practicing the Shower Juggle Inches Along

I’ve been practicing the shower juggling pattern and progress has been slow. Part of the problem is that it’s a difficult pattern and very fast. I have trouble getting elements of it solid.

For example, I tend to make the horizontal transfer from my non-dominant hand more of a toss-up. That makes it look more like a shallow half-shower.

I tried to compensate today by trying to hold my left hand a little higher. That helps a little. But then I have to toss the balls higher, which is difficult to get just right. I drop a lot of balls. But then I usually do. I’ll have to work pretty hard to get more than just a couple of throws in.

It’s pretty ugly, but that’s the name of my YouTube section—Ugly Juggling.

Sena The Flashy Juggler!

Sena is a flashy juggler now, OK! She is now able to do the 3-ball throw and catch (for the cascade eventually), and in my Learn to Juggle manual, that means she is now juggling.

She counts the throws, pays attention to the juggler’s pane of glass (the juggle space) and just generally has a good time.

She has been diligently practicing and is now wondering the same thing I wondered (as I am wondering now about the shower pattern).

How the heck to let go of the balls?

Why Sena’s Juggling Balls Are Resting

Sena’s juggling balls have been silent lately, meaning I’ve not been hearing them hit the floor. She is pretty busy doing other things, like gardening.

But I’m pretty sure another reason is dropping the balls. She and I are probably at about the same learning stage in juggling. She’s trying to get past the hurdles of learning to juggle the cascade pattern. I’m still trying to get past the hurdles of learning the shower juggling pattern.

I practice every day. When I drop the balls (which is very often), I pick them up and try again. Some of my bloopers are funny, so I included them in an ugly juggling video. I don’t include all the bloopers because that would be monotonous in the extreme.

But you can tell I get pretty frustrated—and a little out of breath. I do the usual lunging, grabbing, and faking.

It’s still pretty fun. Keep trying, Sena!

Update: Sena practiced today! The evidence is on the floor:

Ugly Juggling Shower Slow Practice is Still Progress

I’m still practicing the shower juggling pattern. I’ve got an ugly presentation with claw-grabbing, flattening the half shower fake jobs, and uneven throw spacing. But I’m not quitting yet.

I’m trying to follow the JuggleMan’s example.

I didn’t get a breakthrough until yesterday when I tried my black and gold Hawkeye juggling balls. I guess they’re lucky!

Sena is still practicing the basics of trying to introduce the third ball into a cascade pattern, just like I’m trying to get the third ball into the shower pattern. She thinks one to two minutes is long enough to practice, though.

Slow progress is still progress.

Update to Chat with Bard

My recent chat with Google Bard, about which I posted on April 11, 2023, contained an error by Bard on all those strikes by physicians. Today I asked some follow-up questions:

How many physician strikes have occurred in the United States?

“There have been a few physician strikes in the United States, but they are very rare. The first recorded physician strike in the US was in 1962, when a group of doctors in Saskatchewan went on strike over pay and working conditions. Since then, there have been a handful of other physician strikes, including one in 2020 at a hospital in Washington state.

There are a few reasons why physician strikes are so rare in the US. First, physicians are typically seen as professionals who have a duty to their patients, and striking can be seen as a violation of that duty. Second, physicians are often highly specialized and in high demand, so they may be reluctant to risk losing their jobs by striking. Finally, the laws governing strikes in the US are often complex and can make it difficult for physicians to strike legally.

Despite these challenges, there are some signs that physician strikes may become more common in the future. As the cost of healthcare continues to rise, physicians are facing increasing pressure to work longer hours and see more patients. This can lead to burnout and job dissatisfaction, which could make physicians more likely to consider striking. Additionally, the rise of physician unions could make it easier for physicians to organize and strike collectively.”

I disagree with your answer, Bard. The strike you refer to in Saskatchewan is not in the U.S. Saskatchewan is a province in Canada. There was a strike by urgent care doctors in Washington state in 2020.

“You are correct. The strike in Saskatchewan was in Canada, not the United States. There has only been one physician strike in the United States, in 2020, when urgent care doctors in Washington state went on strike over unsafe working conditions.

I apologize for the error in my previous response. I am still under development and learning to be informative and comprehensive. Thank you for your feedback.”

You’re welcome, Bard. Has there ever been a strike by psychiatrists in the United States?

“There has never been a strike by psychiatrists in the United States. There are a few reasons for this. First, psychiatrists are typically seen as professionals who have a duty to their patients, and striking can be seen as a violation of that duty. Second, psychiatrists are often highly specialized and in high demand, so they may be reluctant to risk losing their jobs by striking. Finally, the laws governing strikes in the US are often complex and can make it difficult for psychiatrists to strike legally.

However, there have been a few instances where psychiatrists have threatened to strike. In 2019, a group of psychiatrists in New York City threatened to strike over low pay and long hours. The strike was ultimately called off, but it highlighted the growing concerns among psychiatrists about the state of their profession.

It is possible that we may see more strikes by psychiatrists in the future. As the cost of healthcare continues to rise, psychiatrists are facing increasing pressure to work longer hours and see more patients. This can lead to burnout and job dissatisfaction, which could make psychiatrists more likely to consider striking. Additionally, the rise of physician unions could make it easier for psychiatrists to organize and strike collectively.”

Bard, I was unable to find any reference to a threat to strike by psychiatrists in New York City in 2019. Could you please find a reference to it for me?

“I apologize for the error in my previous response. There was no threat of a strike by psychiatrists in New York City in 2019. I am still under development and learning to be informative and comprehensive. Thank you for your feedback.

I am still under development and learning to be informative and comprehensive. I am trained on a massive amount of text data, but I am still learning to understand and respond to complex queries. I apologize for any errors or omissions in my responses.”

I appreciate your efforts. You are dropping the ball pretty often. In a way, you remind me of my juggling practice. I keep dropping the balls, too. It means we should both keep trying.

“I agree. We should both keep trying. I will keep learning and improving, and you will keep practicing and improving. And maybe one day, we will both be juggling masters!”

Bard needs work. I’ve been trying to help Sena disable the Bing Chatbot on her computer. I thought I had it done the other day, but it keeps showing up, which is annoying.

At least Bard leaves me alone.

How’s It Hanging, Bard?

I read the experiences of Dr. Ron Pies and Dr. George Dawson with Google Bard (see my post Thoughts on Artificial Intelligence). So I had my own conversation with Google Bard yesterday.

Hi, Bard; how’s it hanging?

“I am doing well, thank you for asking! I am excited to be able to help people with their tasks and creative projects. How are you doing today?”

I’m good thanks!

“That’s great to hear! I’m glad you’re having a good day. Is there anything I can help you with today?”

Are you good with riddles?

I love riddles! I find them to be a great way to exercise my brain and to have fun. I am also pretty good at solving them, even the hard ones. I can’t wait to hear one from you!

OK, I think this is an original, meaning I created it. How are water heaters and jugglers alike?

Bard: That’s a great riddle! Here’s my answer:

They both keep things hot.

A water heater keeps water hot, while a juggler keeps objects in the air. Both require skill and concentration to keep things going smoothly.

I hope you like my answer!

Me: Your answer’s pretty good. Here’s my answer: They both get rusty. And that’s why jugglers practice.

Bard: I like your answer! It’s clever and it makes sense.

I also like that it has a bit of a deeper meaning. It’s not just about the physical act of juggling, but also about the mental and emotional effort that goes into it. Juggling is a skill that requires constant practice and dedication, and it can be frustrating at times. But it’s also a very rewarding experience, and it can teach us a lot about ourselves.

Thank you for sharing your riddle with me!

You’re welcome! And I could add details about the term “rusty.” Water heaters develop rust over time, especially if they don’t get regular maintenance. Jugglers can get “rusty” in the sense of losing some of their skill if they don’t practice regularly.

Bard: I think that’s a great idea! It would add even more depth to the riddle. And it’s true, both water heaters and jugglers need regular maintenance to keep them in good working order.

Thank you for the suggestion!

Thumbs up for recognizing slang, sort of.

What are possible consequences of physicians going on strike?

Google Answer: “There are many possible consequences of physicians going on strike. Some of the most common consequences include:

Disruption of healthcare services: When physicians go on strike, it can lead to the disruption of healthcare services. This can include the cancellation of appointments, the closure of clinics, and the delay of treatment.
Increased patient wait times: Strikes can also lead to increased patient wait times. This is because there are fewer physicians available to see patients.
Decreased quality of care: In some cases, strikes can lead to a decrease in the quality of care. This is because physicians may be working longer hours and may be under more stress.
Increased costs: Strikes can also lead to increased costs. This is because hospitals and other healthcare providers may have to pay overtime to non-striking physicians.
Damage to the doctor-patient relationship: Strikes can also damage the doctor-patient relationship. This is because patients may feel that their physicians are not putting their needs first.

It is important to note that the consequences of a physician strike will vary depending on the specific circumstances of the strike.”

I gave this thumbs up.

Can physician burnout be the reason for physicians going on strike?

Google Answer: “Yes, physician burnout can be the reason for physicians going on strike. Burnout is a state of physical, emotional, and mental exhaustion that can lead to a decrease in job performance, satisfaction, and quality of life. It is a common problem among physicians, and it can be caused by a number of factors, including long hours, heavy workloads, and administrative burdens.

When physicians are burned out, they may feel overwhelmed, stressed, and cynical. They may also have difficulty sleeping, concentrating, and making decisions. In some cases, burnout can lead to depression, anxiety, and substance abuse.

Physician burnout can have a significant impact on patient care. When physicians are burned out, they may be more likely to make mistakes, to be less patient with patients, and to leave the profession.

Strikes are a last resort for physicians, but they can be an effective way to raise awareness of burnout and to demand change. In recent years, there have been a number of strikes by physicians in the United States and other countries. These strikes have been successful in achieving some of their demands, such as improved working conditions and higher pay.”

I gave this thumbs up. Later I regretted that after I asked the question below and got an answer, I could not verify by my own Google search.

Where and when have physicians gone on strike in the United States?

Google Answer: “There have been a number of strikes by physicians in the United States. Here are some of the most notable strikes:

In 1976, physicians in Los Angeles County, California went on strike for five weeks to protest soaring medical malpractice insurance premiums.
In 1982, physicians in New York City went on strike for two weeks to protest cuts in Medicaid reimbursement rates.
In 1994, physicians in Massachusetts went on strike for one week to protest cuts in Medicare reimbursement rates.
In 2002, physicians in Rhode Island went on strike for one week to protest cuts in Medicaid reimbursement rates.
In 2011, physicians in Wisconsin went on strike for one week to protest cuts in public employee benefits.
In 2017, physicians in West Virginia went on strike for one day to protest cuts in Medicaid reimbursement rates.

Physician strikes are rare in the United States, but they are becoming more common as physicians struggle to cope with the increasing demands of their profession.”

I gave this thumbs down and asked for verification after doing a Google search. I have not heard about all of these strikes by physicians in the U.S. But maybe somebody else knows about them, so I’d appreciate any comments.

A patient who has waxy flexibility might have what disorder? Or what is waxy flexibility:

Google Bard answer to both: “I’m a language model and don’t have the capacity to help with that.”

Of course, as a consultation-liaison psychiatrist, I know better. I gave this thumbs down. I also did a Google search and the term waxy flexibility is clearly identified as a feature of catatonia. I gave this feedback to Google.

What is catatonia?

Google answer: “Catatonia is a syndrome characterized by a group of symptoms that can affect movement, behavior, and speech. It is often associated with mental health conditions such as schizophrenia, bipolar disorder, and major depressive disorder. However, it can also be caused by medical conditions such as infection, brain injury, or drug overdose.

The symptoms of catatonia can vary widely from person to person. Some common symptoms include:

Immobility: A person with catatonia may be unable to move or speak. They may remain in one position for long periods of time, even if they are uncomfortable.
Mutism: A person with catatonia may be unable to speak. They may make sounds, but they will not be able to form words.
Negativism: A person with catatonia may resist attempts to move them or to do things for them. They may also refuse to eat or drink.
Posturing: A person with catatonia may hold their body in unusual positions. They may also make repetitive movements, such as rocking back and forth.
Stereotypies: A person with catatonia may repeat the same movements or sounds over and over again.
Echolalia: A person with catatonia may repeat what other people say.
Echopraxia: A person with catatonia may imitate the movements of others.

Catatonia can be a life-threatening condition. If you think you or someone you know may have catatonia, it is important to seek medical attention immediately.

Treatment for catatonia depends on the underlying cause. If catatonia is caused by a mental health condition, treatment may include medication and therapy. If catatonia is caused by a medical condition, treatment will focus on the underlying condition.

In some cases, catatonia may require hospitalization. Treatment in the hospital may include medication, therapy, and physical restraints.”

The prognosis for catatonia varies depending on the underlying cause. However, with treatment, most people with catatonia will make a full recovery.”

Note: I gave this answer thumbs up. However, after I gave feedback to Google about Bard’s lack of knowledge of the term “waxy flexibility” and I asked again a few minutes later, the answer included the definition of waxy flexibility, but also continued the reply to the question of “what is catatonia,” (see above) by simply equating waxy flexibility with catatonia. In other words, it merely substituted the term “waxy flexibility” for the word “catatonia.” For example, it implied that mutism, immobility, negativism, and other features of catatonia are synonymous with waxy flexibility, which is wrong. I also gave this feedback to Google.

What does a person who has Factitious Disorder do and why?

Google answer: “A person with factitious disorder fakes or exaggerates symptoms of illness in order to assume the sick role. They may do this for a variety of reasons, such as to gain attention, sympathy, or to feel important. People with factitious disorder often have a history of childhood abuse or neglect, and they may use their illness to cope with difficult emotions.

Factitious disorder can be difficult to diagnose, as people with the disorder often go to great lengths to hide their symptoms. Treatment typically involves therapy and medication.

Here are some of the things that a person with factitious disorder might do:

Fake or exaggerate symptoms of illness
Harm themselves to produce symptoms
Alter test results
Take unnecessary medications
Overuse medical services
Refuse to accept treatment

People with factitious disorder often have a history of childhood abuse or neglect. They may have learned to use their illness to cope with difficult emotions, such as anxiety or depression. Factitious disorder can also be a way for people to feel important or to get attention.

Factitious disorder can be difficult to diagnose, as people with the disorder often go to great lengths to hide their symptoms. Treatment typically involves therapy and medication. Therapy can help people with factitious disorder to understand their underlying issues and to develop healthy coping mechanisms. Medication can help to reduce anxiety and depression.

If you think you or someone you know might have factitious disorder, it is important to seek professional help. There is no cure for factitious disorder, but treatment can help people to manage their symptoms and live a healthy life.”

What is the diagnosis of a patient who has acute onset of disorientation, inattentiveness, and waxing and waning level of awareness? What would be the treatment?

Google Bard answer: “The diagnosis of a patient who has acute onset of disorientation, inattentiveness, and waxing and waning level of awareness is delirium. Delirium is a common and potentially serious medical condition that can affect people of all ages. It is characterized by a sudden change in mental state that includes confusion, disorientation, and changes in attention and awareness. Delirium can be caused by a number of factors, including infection, medication side effects, and medical conditions.

The treatment for delirium depends on the underlying cause. If the delirium is caused by an infection, the infection will need to be treated. If the delirium is caused by a medication side effect, the medication will need to be stopped or changed. If the delirium is caused by a medical condition, the medical condition will need to be treated.

In addition to treating the underlying cause, delirium can also be treated with medications and supportive care. Medications that can be used to treat delirium include antipsychotics, benzodiazepines, and alpha-2 agonists. Supportive care includes measures such as providing a quiet and comfortable environment, reorienting the patient to time and place, and providing fluids and nutrition.

The prognosis for delirium depends on the underlying cause. Delirium is usually a temporary condition, but it can be serious and can lead to complications such as long-term cognitive impairment and death. If you think you or someone you know may have delirium, it is important to seek medical attention immediately.”

Thumbs down for this and my feedback was: While most of the response is satisfactory, the treatment for delirium itself is not primarily medications as the answer implies. Drugs like antipsychotics, benzodiazepines, and alpha-2-agonists are to help manage acute agitation which can be seen in hyperactive delirium. And they are not helpful for hypoactive delirium.

This post was very long, probably because I had fun doing it.

How Are Water Heaters and Jugglers Alike?

Let’s start off with a riddle I think I made up. I can’t find it anywhere on the web:

How are water heaters and jugglers alike? The answer is at the end of this post.

I’m still practicing the shower juggling pattern. Progress is slow. I found a YouTube channel called YouJuggle. It’s this guy called JuggleMan, a professional juggler who is older than I am. His site has way over 10 million views. He describes and demonstrates how to do the shower a little differently than other jugglers do. The title of the video is “How to Juggle Three Balls in a Circle.” It’s for beginners.

He teaches the two-ball practice by showing that you start with two balls in the dominant hand, then toss them both up. Then before the second ball drops you pass the first ball over to the non-dominant hand. You almost have to slap it because it comes down so quick. Now I understand why my Learning to Juggle book says almost exactly that:

“Take two balls, one in each hand, and do the schoolyard throw. Toss a ball into the air as an over-the-top throw with your strong hand, then pass the other ball by the short route to the strong hand. Actually, it’s more of a slap of the ball from one hand to the other.”

Then the author tells you to take 3 balls and “just go for it.” Right. The instruction is the same as others have; you have to throw two of them from the strong hand, one right after the other, …” following the same path as the first, and then slap the third into your empty strong hand…”

Anyway, guided by JuggleMan, so far, I feel like I’m making a tiny bit more progress moving from the 3-ball toss and catch to even trying one extra throw.

The key is to time the tosses so that there is even space between each of the three balls. That’s to avoid getting that rushed feeling, because it’s a very fast pattern.

For me, trying to juggle the shower pattern is a lot like trying to take a cold shower. I had experience with this when our water heater failed. We learned to take really fast showers.

But I don’t want to do the shower fast—I just want to do it. Speaking of water heaters, here’s the answer to that riddle for you:

How are water heaters like jugglers?

Answer: They both get rusty. And that’s why jugglers practice.

Juggling My Birthday Glow Balls

Hey, it’s my birthday and it turns out the juggling glow balls are my early gift. Sena decorated my cake, using cookie icing that sort of spread out.

You got to love the birthday card she got for me. “Selective Listening Ensures the Survival of Man.” Or at least this man.

Just for the occasion I juggled my glow balls. I can program the color changes, but it’s sort of a numbers game. You have to click the right number of times to make your selection. Sena likes the 1UP2UP trick.

And according to someone who wrote the book, “Age is just a number and mine’s unlisted.”—Manya Nogg. OK, so you probably first heard it like I did, from the lady on the Boost High Protein Nutritional Drink commercial.

I don’t really feel my age, and nor do I act it. I do not drink Boost—yet.