Thoughts on the GuideLink Center Incident

The attack a few days ago by what was most likely a mentally ill person on staff at the recently opened GuideLink Center in Iowa City reminded me of what may appear to be disparate views by mental health professionals on the link between mental illness and mass violence perpetrators.

The GuideLink incident involved a person who assaulted GuideLink staff and who also left bags containing incendiary devices at the center and another building in Iowa City. The person is being charged with terrorism and is currently in custody in the Johnson County Jail.

I have not seen information about any injuries sustained by the mental health center staff. There were no explosions or fires at either location where incendiary devices were left. Bomb squad experts removed the devices. It’s not clear whether the perpetrator had been a GuideLink Center client.

The GuideLink Center opened in February 2021 and by all reports is a welcome and very much needed crisis stabilization mental health resource in the community. The staff members are dedicated to their calling.

Dr. H. Steven Moffic, MD, a retired psychiatrist who writes for Psychiatric Times, readily says that the perpetrators sometimes do have mental illness that at least contributes to committing acts of mass violence. Dr. George Dawson, MD, another retired psychiatrist, seems to say that the major reason for mass shootings is the ready availability of guns, a culture of gun extremism, and mental illness accounts for a small proportion of acts of mass violence.

But neither Dr. Moffic nor Dr. Dawson say that it’s only either mental illness or guns (or other instrument of mass violence) that lead to acts of mass violence. Both are important.

I’m a third retired psychiatrist and by now some readers might be asking themselves whether they should listen to any retired psychiatrist. Experience counts.

Speaking for myself, as a general hospital psychiatric consultant I was frequently faced with violent patients in the general hospital. Often, I found it necessary to ask a judge for a court order to involuntarily hospitalize a violent and/or suicidal patient on a locked psychiatric unit by transfer from an open medical or postsurgical unit.

In order to obtain an order in the state of Iowa, I had to be able to state to the judge that the patient in question had a treatable mental disorder and was an acute threat to himself and/others. In most situations, I had an open bed on a locked psychiatric unit available ahead of time.

Even if a Code Green was necessary, I usually had an inpatient resource to which I could move the patient. A Code Green is a show of force or takedown maneuver by a specially trained team to control a violent patient while minimizing injury to everyone involved.

I don’t know if that kind of approach is even possible in a community crisis stabilization setting like the GuideLink Center. I think it’s fortunate that it partners with many other community resources including the Johnson County Sheriff’s Office.

The outcome of the incident at the GuideLink Center was that the overall safety of the staff, the patient, and the community was preserved. More resources like this are needed everywhere. They deserve all the support we can give them.

Do You Get the Zoomies or the Zennies?

Does your pet dog, cat, or sloth ever get the zoomies? We don’t have pets; I just read about animals getting the zoomies the other day. It’s an interesting phenomenon. Right after a bath, a dog might race around the yard, getting all dirty again. They look like they’re having great fun and veterinarians say it’s harmless.

It would be great if we could catch a sloth with the zoomies. Not only would that be a first for zoology. Maybe it would outrun the fungus and other parasites growing on its hair, making it easier to gather by scientists. Some of that stuff might have potential for use in developing medicines for humans.

Other animals including those in the wild can get the zoomies, and some version of it might be done by Springbok antelope, although it’s called pronking. They just run around and leap, maybe for no apparent reason. Some claim that dogs occasionally pronk, but I wonder if it’s just a special case of the zoomies.

The veterinary term for zoomies or (and maybe pronking) is Frenetic Random Activity Periods (FRAP).

Technically, I don’t think humans get the zoomies although some would debate the issue.  Many of us try to do the opposite, especially nowadays. One example is mindfulness, which I’ve been doing for the last 8 years. It’s difficult for me to describe, but you’re really not trying to do anything, not even trying to relax, per se.

But I try to be still and notice whatever is unfolding, nonjudgmentally. It’s a little hard not to scratch that itch right next to my temple. I’ve seen on the web that some people call it the zennies—maybe we could call it Focused Regular Awareness Periods (FRAP).

I guess dogs and cats enjoy their brand of FRAP, or at least it looks that way. It’s really hard to tell what’s going on if you just watch people doing the human brand of FRAP. Sometimes they just look like they might be asleep—which occasionally happens.

Zoomies or zennies; could they be different paths to the same place?

Dumbphone Making a Comeback?

Here’s a side note on my recent post about using a smartphone to help you find where you parked your car. I just saw a few news items about something people are calling the “dumbphone.” I gather they’re making a comeback, and not just for old folks.

Hey, I used to have one of those. It was a flip phone. Several years ago, before I retired, residents rotating through the general hospital psychiatry consultation service suggested I graduate to a smartphone.

After I finally got one, I used it basically as a phone and did little else with it for a long time. It was my smart dumbphone.

I gradually added apps to it, including a step counter, epocrates, and whatnot. But I’m not constantly on it playing games and checking the news, mail, and so on.

The battery swelled up on it a couple of years ago, which worried me. But I took it to a cell phone repair shop where the battery was replaced and it’s been fine ever since.

I still use it mainly as a phone. However, I wonder what I’ll do, say, if the battery swells up again. I don’t know if it would make any sense to go back to the dumbphone.

The Kindness of Strangers in a Parking Lot

This is a post about how easy it is to forget where you parked your car in a big parking lot, say at the grocery store, and ways to help prevent it. This sometimes attracts the kindness of strangers, which is puzzling because it’s not very clear how helpful they can be in this situation.

But you want to say more than something like, “Oh, that’s too bad, hope you find it before the ice cream melts.”

The other day, Sena forgot where she parked the car at the grocery store. The circumstances were a little unusual. She parked near one entrance to the store and after getting the groceries, left from an entrance on the other side of the store way across the parking lot. The landmarks were all different.

This is how things started: she ran into a guy with his little boy. The guy actually couldn’t remember where he parked his car and was trying to use his car key fob remote to locate it. This is actually pretty common nowadays. I remember leaving the eye clinic a few months ago and hearing a small symphony of beeps from a number of people using their key fob remotes this way trying to find their cars in the large parking garage.

Sena was sympathetic to the guy, but it was understandably really difficult to help him. He eventually found his car using the key fob trick.

Then the situations were reversed. Sena had trouble finding our car. She was roaming about the parking lot, pushing the grocery cart, obviously looking lost. This attracted 4 different persons (including the first guy she met) who were sympathetic and offered advice—mostly on how to use a key fob to locate the car by pressing one of the buttons (probably the lock/unlock although there might be a panic button). They demonstrated it by pressing the key fob button while standing right next to their cars. They suggested holding it far above your head.

This trick usually works best when you’re fairly close to the car because the key fob remote is a transmitter which uses low-power signals. The operating range may sometimes be limited. Sena was probably pretty far away from our car. She actually began to suspect our car had been stolen. She eventually found it by trial and error.

This episode resulted in attracting a number of people who were kind to her. That’ s encouraging since it looks like kindness is often in short supply. On the other hand, it’s not always good to be alone in a large unfamiliar parking lot, perhaps at night, looking lost and surrounded by strangers.

We can’t remember having this problem years ago before the era of keyless fob remotes, which I read was in the mid-1990s. And we didn’t have them until years after that. I guess we were just more careful about noting landmarks in large parking lots.

There are few things to do in order to avoid forgetting where you park.

You can try to find your car using your key fob remote, although the effective range of the signal might be too short to trigger the horn or the lights. And it might not work if the fob remote battery power is low. And if you’re surrounded by a lot of other people hunting for their cars using the same method, you might have a little trouble discriminating which beep is yours. This could become a YouTube meme, especially with different beep tones (like the 5 tones in the movie “Close Encounters of the Third Kind”).

You can pick a landmark which will make it easier to remember where your car is. Many parking lots have large signs with numbers and letters which can help you.

You can take a picture of your car’s location using your cell phone, including more permanent landmarks than just the other cars adjacent to it—which can be driven off by their owners.

You can also use a cell phone with Google Maps or another geolocation app to help guide you back to your car. Just about all smartphones have this feature. You can consult the owner’s manual for instructions for flip phones, some of which have this function. I don’t think car owners’ manuals typically have instructions for how to use the key fob remotes to find your car. At least ours doesn’t.

Good luck.

Planet Pella

I thought I would bring readers up to date on what’s happening with our panel bottom of the door weatherstrip seal replacement. Notice how I’m picking up the vocabulary of Pella door and window replacement parts?

I’ve concluded that the Pella corporation I’ve been dealing with over the telephone must be another planet. It’s probably the planet Pella, in the Pella star system in the Mecetti Province of the Tapani Sector. It produced and may still be producing huge harvests of grains and vegetables annually, which makes it an important agricultural producer of the sector.

It can’t be the Pella corporation that is located in Pella, Iowa—you know, where the Pella Tulip Festival is held every year and supposedly the headquarters of the large producer and sales center for doors and windows.

I’ll tell you why I think Pella (or at least the Pella I’ve been in touch with, sort of) is another planet in a galaxy far, far away. Hang on to your tin foil hat. For about the last month, I’ve been trying to get a replacement bottom of the door weather seal for our Pella door. I’ve talked to several customer service representatives who are friendly, polite, and who have been honestly trying to be helpful.

However, something is getting lost in the communication. I suspect it’s because somehow, the telephone connection has been hijacked by a wormhole between Earth and the planet Pella in the Tapani Sector. I thought things like this happened only in novels by Douglas Adams, as in The Hitchhiker’s Guide to the Galaxy.

I think I’m being connected with the Ministry of Agriculture on the planet Pella. Agents there are getting my calls by mistake because of the wormhole vortex detour.

It started with the requirement for a serial number—any serial number. I sent pictures of the door. One of them was of a label stuck to the door indicating that it is a fire door. There is a number stamped on the top of the door which is a date: March 11, 2011. There is no serial number stamped on the top hinge—which does bear the Pella label, as do the other two hinges.

I gave them pictures of the door which has the kerfs (slots) on the door bottom where the barbs of the door seal should be driven. We took the door off the hinges and removed the old seal so that I could send pictures of the shredded seal as well as pertinent shots of the door itself.

Planet Pella gave up on the serial number requirement and sent us two small weatherstrips which were obviously not meant for our door. They sent it free of charge at least. It also took a rather long time to get to us, given that we’re only about an hour and a half away—that is, if you believe the delivery was from Pella, Iowa. Despite the lengthy time to delivery, the package bore a label marked “Rapid Response” in large red letters. Sure, if it’s from the Tapani Sector.

I spent a long time on the phone with the Minister of Agriculture. It’s possible that the agent on the planet Pella who was in charge of mailing the package got hungry on the way to the post office and stopped off at the break room for microwave popcorn and a soda. The package got left in the break room, where it was found by the custodian days later. It was somehow saved from the trash compactor, stamped with “Rapid Response” and beamed down to us.

I thought we got things cleared up and Pella gave it a second try. We just got another package marked “Rapid Response” and guess what? It’s the right seal but it’s the wrong size!

Well, back to the phone and several times on hold while the Minister of Agriculture checked several times with the supervisor who had to be convinced that I didn’t want a shipment of soybeans (we’ve got plenty of that in Iowa) but the right size door seal. I sent another picture, this time of the old shredded seal next to the one they sent for comparison, which was obviously the wrong size. Come to find out they sent the seal for a patio door, not a fire door.

We’re on the third attempt for planet Pella to get it right. They assure me that they’ll get it right this time. I imagine they’ll ship it again by Rapid Response—along with a bushel of soybeans, compliments of the Prime Minister of the Tapani Sector.

UFO Sighted in Iowa So Break Out Your Tin Foil Hats!

Did you see the breaking news about a UFO sighting in Iowa in the last couple of days? You better get up to date because you don’t want to get caught in the tractor beam along with the cows. Get your tin foil hats.

Sena and I are not sure what to make of the UFO report in the Polk County area. The windshield the guy shot the video through is pretty dirty. The object in the sky spins pretty quickly. We figure the aliens have to be gorging on Dramamine.

The UFOs have plenty of opportunities to beam up the cows and anybody else who gets caught out in the open. Sena and I got abducted and had to think fast to get out of a fix.

The aliens accidentally beamed up a cow, which is no surprise—it’s Iowa, after all. They cooked the cow. Heinous! Horrific! Tasty with baked beans. The aliens were going to barbecue us until Sena showed them her recipe for cherry cobbler.

We ran into Fox Mulder up there. He was trying to talk his way out of a special dental implant.

It’s not like Iowa never gets visitors from outer space. There have been reports in the past, at least one from Council Bluffs.

Instructions for making tin foil hats are all over the web. Better get busy.