science – Page 5 – Go Retire Psychiatrist

Spotting Venus in the Eastern Sky

I was watching a television show last night about UFOs and had to chuckle about some of the segments in which there was a lot of speculation about underground and underwater bases where extraterrestrials typically are thought to hide from us while they work on whatever it is they work on.

There was the usual discussion of the Chicago O’Hare airport UFO sighting in 2006 which, according to the official FAA explanation was a weather phenomenon known as a “punch hole” cloud. Of course, true believers don’t believe that.

The show also rehashed the remote viewing theme in which somebody describes and draws pictures of things which are said to be seen remotely, often of extraterrestrials and humans working together on antique cars.

Remote viewer: I see many objects lining the walls of a hollowed-out mountain in Wyoming.

Observer: What are the objects?

Remote viewer: They are…socket wrenches. Billions and billions of socket wrenches.

Observer: Zzzzzzzz.

I thought about that show as I was walking out to the mailbox pod early this morning. I saw a very a bright object in the eastern sky. It didn’t move. It wasn’t disk-shaped and it didn’t look like an orb. It didn’t abduct me. It looked like a star, which I decided it was. I looked around the internet and it was most likely Venus, sometimes called the morning star (it also can be known as the evening star).

That reminded me of an X-File episode in which Jesse Ventura, a former Minnesota governor (1999-2003), had a role. The episode was “Jose Chung’s from Outer Space” and it’s one of my favorites. Ventura played a man in black.

I’m not saying Unidentified Flying Objects (UFOs) don’t exist and I don’t know why we need to call them Unidentified Aerial Phenomena (UAP) nowadays. I’m just saying that the morning star is a beautiful thing.

The Big Mo Pod Show: “In the Pocket”

Here’s something fun, try to explain what the phrase “in the pocket” means. The song selections in the pod show led up to a short discussion of what it means—which I didn’t get at all. I don’t think it matters for the ordinary listeners, although former music teachers like Big Mo obviously know what the term means. He taught music for years, has performed, and uses the lingo to explain what “in the pocket” is all about. It’s way over my head, but then I don’t need to know anything about it to enjoy music.

Big Mo Pod Show 070 – “In The Pocket”

I tried to look up the meaning of the terms “in the pocket” on the web. I took a quick look at a website called Sage Audio. The title is “What is In-the-Pocket for Music?” I couldn’t find the author’s name because I didn’t see a byline. It’s very long and technical and seems geared for sound engineers. One sentence by the writer caught my attention under the heading “What is In-the-Pocket for Music in Detail”:

“It isn’t uncommon to hear a music term and wonder what it means exactly. Becoming well versed in music means understanding its discourse, which can certainly be easier said than done.”

Here’s how far out in left field I am. Depending on how I read that, I’d almost recast the last part of that sentence: “…which can certainly be easier done than said.” I realize the sense of it is that becoming adept in making music means understanding the lingo. I just don’t understand the lingo, which makes me wonder if musicians have some kind of inner body sense for timing in music as it’s performed which may not readily translate to language for the layperson.

I was like a lot of other students in junior high music class. We were pretty good at whispering or half-mumbling the songs we were supposed learn to sing out loud. That really annoyed the music teacher. I don’t know if Big Mo can relate to that or not. We were supposed to learn the song “Sloop John B.” I’m not sure if we were doing the Beach Boys version or the original “The John B. Sails.”

It hardly mattered. We sounded like we ate up all the corn and held it in our mouths while mumbling. We just stuck our hands in our pockets, moaned the words, and were never in the groove. I don’t think a metronome helped. In fact, I’m not sure there was a metronome.

I have to mention that I probably was too young to know that the song by Little Ed and the Blues Imperials, “Walking the Dog,” was about a kind of dance. I never danced although most of the dancing kids on American Bandstand had the same answer to Dick Clark’s question on what they liked about the song—it was always “the beat.” I guess they knew that meant the number was “in the pocket.”

Svengoolie Movie: “Invaders from Mars” and Zippers are Large!

I watched the Svengoolie movie “Invaders from Mars” last night. I saw this 1953 science fiction film last year but didn’t notice the extraterrestrials wore pretty obvious green velour body suits which zipped up the back.

Anyway, the movie was directed by William Cameron Menzies and starred Jimmy Hunt as the boy, David MacLean, who cried wolf, or at least that’s what everyone, including his parents, thought of his story about seeing a flying saucer land not far from their home, in a kind of sandy outlot which tended to swallow people whole after that.

Shortly after the saucer landed, people started to go missing and when they turned up later, they acted like zombies albeit with a new and nefarious purpose in life not their own.

There were many examples of leadership. Most of the good guys including the astronomer, Dr. Stuart Kelston and psychologist, Dr. Pat Blake fit the mold: respectful, congenial, and not prone to slapping David in the mouth like somebody I could name but who I’ll just hint he’s played by a guy named Leif Erickson, a Norse explorer who discovered America hundreds of years before Columbus and evidently found the fountain of youth.

Dr. Kelston has a theory about what’s happening and even speculates about the connection of the space exploration program he’s involved in which could be causing some extraterrestrials to be leery of its ultimate purpose, which is to build tall warped looking buildings with weird music piped in. Actually, Svengoolie revealed that the settings were purposely built large because the original plan was to shoot the film in 3D.

On the other hand, the leader of the Martians was this head in a glass globe that the guys in green jump suits (the Mutants) carried around, sometimes walking backwards so as to not expose how the costumes zipped up in back. But often they had to run through tunnels, which would have been tough to do backwards. That’s when you see the zippers. They had this stiff gait sort of rocking gait which I think I remember seeing when I was a kid when I saw these scenes on TV decades ago.

Anyway, the leader who was just a head in a globe never talked but communicated telepathically with the Mutants. It was the Martian Intelligence (the head, played by Luce Potter) who did all the thinking and gave all the orders, evidently driven by fear of the humans who were getting ready to shoot into space and ruin their neck of the space neighborhood.

There’s the usual Cold War paranoia but with a focus on inserting alien probes into earthlings that made me think of the X-Files mythology. There’s a fairly frequent inclusion of military stock footage given the us vs them dynamic.

A fairly large number of the actors were also in Perry Mason episodes, which seems to happen to a lot of actors who eventually appear in Svengoolie movies. I had a little trouble remembering a very young Milburn Stone who played Capt. Roth, and who could sling semi-scientific verbiage around pretty well. I remember him as Doc in the TV show Gunsmoke.

There was a disagreement between the United Kingdom and America about the ending of the movie. Was this invasion all just a kid’s nightmare or what? The British rewrote the ending to leave out the dream theme.

Except for the Mutant dress code, I thought the movie was pretty fair.

Shrilling Chicken Rating 4/5

Thoughts on Long Covid

I read Dr. Ron Pies, MD’s essay today, “What Long COVID Can Teach Psychiatry—and Its Critics.” As usual, he made thought- provoking points about the disease concept in psychiatry. What I also found interesting was the connection he made with Long Covid, a debilitating illness. He cited someone else I know who was involved with a group assigned to create a working definition for it—Dr. E. Wes Ely, an intensive care unit physician at Vanderbilt University in Nashville, Tennessee.

I remember when I first encountered Dr. Ely, way back in 2011 when I was a consulting psychiatrist in the University of Iowa Health Care general hospital. I was blogging back then and mentioned a book he and Valerie Page and written, Delirium in Critical Care. Back then I sometimes read parts of it to trainees because I thought they were amusing:

“…there is a clearly expressed opinion about the role of psychiatrists. It’s in a section titled “Psychiatrists and delirium” in Chapter 9 and begins with the sentence, “Should we, or should we not, call the psychiatrist?” The authors ask the question “Can we replace them with a screening tool, and then use haloperidol freely?” The context for the following remarks is that Chapter 9 is about drug treatment of the symptoms and behaviors commonly associated with delirium.”

I would point out that the authors say, while acknowledging that the opinions of psychiatrists and intensivists might differ, “…we would advocate that a psychiatrist should be consulted for patients already under the care of a psychiatrist or on antipsychotic medications”. Usually, in most medical centers in the U.S.A. a general hospital consultation-liaison psychiatrist sees the delirious inpatient rather than the patient’s outpatient psychiatrist. And many delirious patients don’t have a previous formal history of psychiatric illness and so would not have been seeing an outpatient psychiatrist in the first place.” (Page, V. and E.W. Ely, Delirium in Critical Care: Core Critical Care. Core Critical Care, ed. A. Vuylsteke 2011, New York: Cambridge University Press).

I’m pretty sure I got an email from Wes shortly after I posted that, with his suggestion that I write more about the delirium research he was doing. He sent me several references. I met him in person at a meeting of the American Delirium Society later on and attended an internal medicine grand rounds he presented at UIHC in 2019, “A New Frontier in Critical Care Medicine: Saving the Injured Brain.” He’s also written a great book, “Every Deep-Drawn Breath.”

Anyway, Dr. Ely and others were tasked by the Administration for Strategic Preparedness and Response and the Office of the Assistant Secretary of Health in the Department of Health and Human Services tasked the National Academies of Sciences, Engineering, and Medicine (NASEM) with developing an improved definition for long Covid.

At first, I was puzzled by the creation of criteria that essentially defined Long Covid as a disease state which didn’t even necessitate a positive test for Covid in the history of patients who developed Long Covid. I then read the full essay by Family Medicine physician, Dr. Kirsti Malterud, MD, PhD, “Diagnosis—A Tool for Rational Action? A Critical View from Family Medicine.”

I was hung up on the dichotomy between physical illness and somatization and thought the Long Covid definition posed a dilemma because it purposely omits any need for an “objective” test to verify previous Covid infection, making the Long Covid diagnosis based completely on clinical grounds. The section on persistent oppositions (dichotomies) was helpful, especially the 2^nd point on the dichotomy of the question of whether an illness is physical or psychological (p.28).

The point on how to transcend the dichotomy was well made. I guess it’s easy to forget how the body and mind are related when a consultation-liaison psychiatrist is called to evaluate somebody for “somatization.” Often that was the default question before I ever got to see the patient.

Still, the person suffering from Long Covid often doesn’t seem to have a consistently effective treatment and may stay unwell or even disabled for months or years. Social Security criteria for disability look well-established.

I can imagine that many persons with Long Covid might object to have their care transferred to psychiatric services alone. I can see why there are Long Covid clinics in several states. It’s difficult to tell how many and which ones have psychiatrists on staff. The University of Iowa calls its service the Post Covid Clinic and can refer to mental health and neuropsychology services. On the other hand, a recent study of how many Long Covid clinics are available and what they do for people showed it was difficult to ascertain what services they actually offered, concluding:

“We find that services offered at long COVID clinics at top hospitals in the US often include meeting with a team member and referrals to a wide range of specialists. The diversity in long COVID services offered parallels the diversity in long COVID symptoms, suggesting a need for better consensus in developing and delivering treatment.” (Haslam A, Prasad V. Long COVID clinics and services offered by top US hospitals: an empirical analysis of clinical options as of May 2023. BMC Health Serv Res. 2024 May 30;24(1):684. doi: 10.1186/s12913-024-11071-3. PMID: 38816726; PMCID: PMC11138016.)

I’m interested in seeing how and whether the new Long Covid definition will be widely adopted.

Sena + Prune Juice = Space Trip?

Sena has been drinking her prune juice and I presume she’s regular. Besides that, she could be an excellent astronaut. There was a small study by scientists that seemed to show that mice who ate prunes could be protected from space radiation.

I think you’d have to eat a lot of prunes for that. Being regular is one thing, but being less susceptible to the dangers of space travel to places like Mars might mean a serious commitment to prunes beyond human endurance.

It makes me wonder how extraterrestrials tolerate it. We’re always depicting them as humanoid on TV and in movies. Maybe they already know about this. It would give abduction a whole new meaning.

Anyone notice a prune shortage?

Svengoolie Movie Next Saturday “Invaders from Mars” Triggers Memories!

The Svengoolie TV show movie next Saturday will be “Invaders from Mars” released in 1953 and it triggered some memories. One of them is when I was a little kid. I think I saw parts of it on TV while I was supposed to be down for a nap. I recall seeing these burly guys in green body suits trotting stiff-legged through tunnels. Their gait is something I can’t forget—no matter how hard I try. For a long time, I thought I had just been dreaming. But I’m pretty sure the nightmare was real because when we saw the movie last year on the Svengoolie show, those Martians looked familiar.

The other memory is of a TV public service announcement (PSA) commercial in the early 1970s. I managed to find a YouTube of it that reminded me of the leader of the Martians. He was in a clear globe and the green guys carried him around. He was just a head with tentacles. He was the leader and was very much ahead of his assistants in an evolutionary sense. At least I think that was the idea. He was basically the brains of the extraterrestrial population. He did all the thinking and planning—but he was stuck in this globe.

Anyway, the commercial is from 1971 and it’s a PSA from the President’s Council on Physical Fitness and Sports. The commercial shows how we’d be by the year 2000 if we didn’t shape up, literally. Richard Nixon was President; during his presidency Apollo 11 landed on the moon—and he resigned from office because of the Watergate scandal. Anyway, food for thought for the upcoming film, “Invaders from Mars,” which probably has a message about leadership.

Svengoolie Movie: “Frankenstein Meets the Space Monster”

So, this movie ‘Frankenstein Meets the Space Monster” is high in cheese content and don’t expect to see the Frankenstein made famous by Boris Karloff. It was released in 1965 and directed by Soupy Sales, no wait, it was Robert Gaffney. Marilyn Hanold played the big female lead, Marcuzan, the amazonian leader who looks nothing like the male Martians, one of whom, Dr. Nadir (played by Lou Cotell), reminds me of Yoda.

Seriously this Nadir to take we are? Fits him the name because at the lowest level his quality is! Hmmmm?

In fact, all the male Martians sort of remind me of Yoda. Marcuzan doesn’t resemble any of them. Other cast members include Jim Karen as Dr. Adam Steele, Nancy Marshall as Karen Grant, David Kerman as General Bowers, and Robert Reilly as Col. Frank Saunders, the android astronaut. You can watch the movie on the Internet Archive, but you’ll miss Svengoolie’s cornball jokes and commentary.

The gist of the story is that the Martians (who are never identified as such, by the way) lost an atomic war and somehow all the females on the planet got wiped out. So Marcuzan and Nadir and a bunch of Martians take off for earth to round up new females to repopulate Mars.

At the same time, scientists on earth have built an android named Frank who is test-driving a brand-spanking new NASA space capsule. Nadir boy and the gang shoot it down over Puerto Rico. Frank gets shot in the brain and goes off his nut, which can’t be screwed back on because none of the Martian repairmen know how to use the metric system in order to select the right size socket wrench.

Marcuzan and Nadir and the gang and Frank all cause mayhem in Puerto Rico. It’s kind of like parallel play until the Martians hustle out their hairy monster champion, called Mull, to thumb wrestle Frank and settle the matter. Guess which one is Frankenstein? That’s right—Marcuzan!

Anyway, if you’re looking for production value, you’re barking up the wrong tree. This is about extreme campiness, which is exaggeration and purposeful emphasis on bad taste. Even though the producers wanted a serious science fiction/horror film, according to Svengoolie and one of the original screenwriters who is still teaching at Hollins University in Roanoke, Virgina, the goal was to make a wild parody of the genre. While the producers insisted on the straight version, somehow the screenwriters obviously prevailed.

That explains the obviously botched makeup jobs, the stock footage making up 65% of the scenes, and the comical and jarringly timed soundtrack. One song called “That’s the Way It’s Got to Be,” done by The Poets seems like a sort of anthem for the movie’s real aim. In other words, don’t complain about the lack of production value because it’s a parody, hence (all together now), that’s the way it’s got to be.

The Martians used a weapon that was a popular toy for a short time, the Wham-O Air Blaster. It could shoot air 40 feet and was banned after the blast ruptured a kid’s eardrum.

Early on in the movie, right after Frank the android gets bunged up after being shot down by the Martians, he ends up looking like he’s got a couple of tubes hanging and bouncing around off his chest for the rest of the movie, so I couldn’t help thinking of him by the nickname “Tubular Teats.”

And for some reason this gets connected to the scenes of the bikini-clad women being rounded up for a weird technical assessment (reminiscent of a sliding cat scan table) of their suitability for repopulating the female population back on Mars. The women obligingly assist the Martians who lift them onto the table. This is bizarre considering the fate for some of them.

Anyway, I have to rate “Frankenstein Meets the Space Monster” using a different standard from that which was used by some to rate it as pretty high up on the list of the 50 Worst Movies Ever Made. That’s because I think it’s a parody and therefore not comparable to a serious science fiction/horror flick—because that’s the way it’s got to be!

CDC ACIP Meeting Today on Covid-19 Vaccine

We watched the Covid-19 vaccine part of today’s meeting this morning. I thought it got off to sort of a rough start, mainly with technical difficulties. I can’t recall any other meetings in which the camera flipped back and forth oddly between speakers and their slides. I thought that was distracting.

The question-and-answer periods ran too long which put them behind schedule. One member of the original 8 committee members, Dr. Michael Ross, was missing from the CDC roster. There were news articles about his withdrawing after a review of financial holdings.

While most of the Covid-19 presentation was review, I thought it was too bad that ACIP Chair Dr. Martin Kulldorff announced there would be no vote on the Covid-19 vaccine today. He also said that the ACIP committee would look forward to the missing Evidence to Recommendations (EtR) material in the fall. Dr. Adam MacNeil, the presenter of the Covid-19 vaccine review, admitted that the EtR was not finished. I was not clear on why.

I didn’t really see the point of Dr. Kulldorff’s giving a rather long speech about why he was fired from Harvard after he refused to get the Covid-19 vaccine. I would much rather have heard him give details about his emphasis on the importance of conducting controlled trials (I think he meant placebo-controlled?) and posing this as a question to Dr. MacNeil. I think this is what led to Dr. MacNeil’s response which implied that they would take too long to produce actionable results (I might be putting words in his mouth but that’s my interpretation)—which could lead to saving more lives. It looked like a rather awkward moment.

Dr. MacNeil reviewed the FDA approval of using a JN.1 lineage vaccine at the VRBPAC meeting in May and also mentioned the FDA leadership preference for the LP.8.1 variant. I noticed the CDC variant genomic tracker today shows that the new kid on the block, NB.1.8.1, is now just as prevalent or more prevalent as LP.8.1. They’re both from the JN.1 lineage.

Some of the questions from the newly appointed committee members were over my head. But in all fairness, one of the members asked a question which not only I didn’t get but that Dr. MacNeil said he didn’t quite understand either.

So far, we’re planning to watch the influenza vaccine presentation tomorrow morning. I’m not sure why there’s a vote on thimerosal in the flu vaccine tomorrow but there was no vote on the Covid-19 vaccine today.

CDC Advisory Committee Meeting on Vaccines Starts Tomorrow

The CDC ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES (ACIP) is scheduled to begin their meeting tomorrow at 10:00 AM ET despite US Senator Bill Cassidy’s recommendation that it be postponed due to concerns about the lack of experience of the committee members and because there is not yet confirmation of a new CDC Director.

In fact, the CDC Director nominee, Dr. Susan Monarez, of Wisconsin, is scheduled for her confirmation hearing at the same time as the start of the CDC ACIP meeting tomorrow morning at 10:00 AM ET. Dr. Monarez would be the first CDC director “…in decades…” (according to a report posted in The Hill in May) who has neither previously worked at the CDC “…nor obtained a Doctor of Medicine degree…”

As of this morning around 10:00 AM, the meeting agenda has not yet been finalized. So far, it looks like there will be no vote on the Covid-19 vaccine update, although there will be a vote on Thimerosal in flu vaccines about which the FDA has previously published an extensive summary.

Svengoolie Movie: “Village of the Danged Eyeballs!”

OK, so the name of the film is actually Village of the Damned, released in 1960 and directed by Wolf Rilla. It stars George Sanders as Professor Gordon Zellaby and Barbara Shelley as his wife, Anthea Zellaby. It’s based on a British Novel, The Midwich Cuckoos by John Wyndham. The gist of the story is that the whole village of Midwich falls asleep, wakes up a few hours later and things are fine until two months pass. That’s when all the trouble starts. You can see the movie on the Internet Archive.

It just so happens that the Great Mutato (Izzy) from the X-Files episode, “The Post-Modern Prometheus” is running around the village impregnating all the women. OK, so Izzy’s not part of the plot at all but it sounds cool.

One morning, all the people of Midwich fall unconscious in the middle of whatever they’re doing, which might have been a community wide orgy (usually prohibited by Homeowner Association rules) based on what happens next. The Midwich women do all get pregnant at the same time which raises eyebrows, and leads to the men raising many glasses of beer because they’re not thrilled about it.

According to an x-ray, which happens to be that of a man, the pregnancy outbreak is indiscriminate. Actually, Svengoolie let the cat out of the bag on that, revealing the goof of using an x-ray of a man by mistake. Of course, the doctors point at the film and sagely remark that the fetus is developing normally. One of the doctors is a smoker. Maybe the x-ray of a man was used to avoid using an x-ray of a pregnant woman, which is not the greatest idea in the world.

This reminds me of our freshman medical school radiology teacher. Dr. Bill Erkonen was the nicest guy in the world and he always reassured us that we shouldn’t try to memorize anything for the radiology exams. He would advise, “Just learn it.” Of course, we were medical students and we knew there was no way to learn anything in medical school; memorization was the only path. We loved him.

Anyway, they (meaning the women) all deliver at the same time and the whippersnappers mature at a highly accelerated rate (males learn quickly to stay away from dangerous things like vacuum cleaners). And their eyes glow. All they have to do is stare at the adults who immediately buy them expensive cars, jewelry, and designer sunglasses. They also teach adults to avoid the self-checkout aisles at grocery stores.

But they can also force adults to do scary things. This becomes a world-wide phenomenon leading to drastic actions by governments to do something about the kids with the danged eyeballs. The solutions don’t include hiring them to work for the post office.

I thought this was actually a pretty good movie. It’s probably a film inspired in part by the post-WWII, Cold War era and the threat of attack from some outside unknown, malignant force. The title of John Wyndam’s book “The Midwest Cuckoos” is based on bird behavior, specifically that of cuckoos laying their eggs in another bird’s nest leaving it to be raised by another bird at the expense of its own. Brown-headed cowbirds do the same thing. The X-Files extraterrestrial-human hybrid mythology is another way to express the idea. The violence in the film makes it unsuitable for younger or sensitive viewers.