Time for My First Ever Facial Today

So, for the past several days, Sena has been bugging me to let her give me a facial. I’ve never had a facial; it never occurred to me; I had no idea what it even entailed. I looked it up on the web. I read things that kind of scared me.

Facials can result in something called “purges.” It turns out facials can sometimes lead to them and it could transport you pack to the days when you were a pimply teenager. Yeah, like I want to break out in pimples! Are you kidding me?

I read about the shaving controversy surrounding facials. Should you shave or not before a facial? No, because it’s like a double exfoliation, and that’s against federal law! Nah, no reason to worry about shaving or not shaving, just go and get the facial!

She just kept after me. Every single day, the question was some variation on the same theme: And when would you like your facial? Are you ready for your facial? Did I mention I can give you a facial? Have I asked you yet about your facial?

Yeah, about five minutes ago.

Sena gives herself facials and says it’s relaxing and does wonders for her skin. What’s wrong with my skin? Is my facial skin defective? It covers my skull. That’s what it’s for.

I also recalled the Men in Black scene in which Agents J and K question Beatrice about what happened to her husband Edgar, who got eaten by a giant alien cockroach who took his skin and wore it as a disguise. When Agent K neuralyzed Beatrice, Agent J suggested she “find somewhere where you can get a facial.” I don’t think anybody suggested Edgar get a facial, but he probably needed one more than Beatrice did.

I finally realized I would never hear the end of it, so I said yeah, go ahead give me a facial. It tingled. It didn’t take an hour. So far there has been no purging of any kind. I think I glow. Maybe I could try another one in a year or so.

Success of Johnson County Civil Mental Health Court in its First Year

I’ve been looking for other ways that Iowa addresses mental illness and its impact on homelessness and other adverse outcomes since my last post on the issue.

It turns out that, despite Iowa ranking 51st out of all U.S. states for the low number of psychiatric beds according to the Treatment Advocacy Center statistics (in 2023, it had just two beds per 100,000 patients in need), a new mental health court established in in May of 2023 has made substantial progress in reducing the number of crisis contacts, psychiatric hospitalizations, and days in the hospital. Arrests, jailings, and days in jail were also reduced.

Participants in the new program include the University of Iowa Health Care, Iowa City VA Hospital, the Abbe Center, Guidelink Center, National Alliance for the Mentally Ill (NAMI), Shelter House, and several other mental health service agencies in Johnson County.

The Johnson Mental Health Court continues to operate since June of this year when the pilot program’s funding from the East Central Iowa Mental Health Region was supposed to have ended on June 30, 2025, due to the change in mental health regions. This is a program for patients under involuntary mental health commitment that avoids incarceration and placement in a state psychiatric hospital.

This civil mental health program didn’t exist until well after I retired and I hope for its continued success.

Luett, T. (2024, April 24). Civil Mental Health Court in Johnson County finds success in first year. The Daily Iowan. https://dailyiowan.com/2024/04/24/civil-mental-health-court-in-johnson-county-finds-success-in-first-year/ Accessed July 30, 2025

Mehaffey, T. (2024, April 14). News Track: ‘Challenging, rewarding’ first year of Johnson County mental health court. The Gazette – Local Iowa News, Sports, Obituaries, and Headlines – Cedar Rapids, Iowa City. https://www.thegazette.com/crime-courts/news-track-challenging-rewarding-first-year-of-johnson-county-mental-health-court/ Accessed July 30, 2025.

Svengoolie Interviewed at the Comic-Con!

Hey, I thought it would be fun to share an interview that somebody did of Svengoolie at the Comic-Con in San Diego yesterday. Svengoolie is played by Rich Koz and he’s been around a long time. He’s definitely not thinkinig of retiring. The only way we would have recognized him is by his voice!

Upcoming Svengoolie Movie: “The Black Scorpion”

Svengoolie intro: Calling all stations, clear the air lanes, clear all air lanes for the big broadcast! 

I plan to watch the upcoming blockbuster Svengoolie movie this Saturday night, “The Black Scorpion” and so far, I haven’t read much about it except for a couple of lines from a synopsis or two. A volcano erupts and all of a sudden, a little town in Mexico is infested with giant scorpions.

I bet you, just like me, remember the TV series Meerkat Manor. Why would I say that, since probably none of you will fess up to it? Because meerkats eat scorpions! Not to mention the meerkats were often not much bigger than the scorpions. But could a mob of meerkats tip the scales? You’d need more than a mob to take down a bed of giant scorpions.

So, can you use bug spray on them? I mean the scorpions, not the meerkats. It turns out that scorpions are arachnids, not insects—but that doesn’t mean some bug sprays won’t work. On the other hand, you could just stick them in a freezer to kill them—not yours, of course. You’d need a freezer the size of a warehouse.

By the way, a bunch of scorpions is called a bed (see above). And so, I guess you can figure out a punch line for a Chuck Norris joke with the lead-in: What does Chuck Norris sleep on when he camps out in the desert?

It Takes a Village to Tackle Homelessness: What’s Iowa Doing?

After I read Dr. Dawson’s post today “More on homelessness and violence as a public health problem,” it got me thinking about what the situation on homelessness of people with mental illness and substance use disorder is here in Iowa.

First, I looked at the 2024 Iowa Homelessness Needs Assessment, which is a thorough report you can download if you need it. It’s a 23-page pdf document which doesn’t mention the intersection with the homeless mentally ill until almost the very last page. It gets mentioned in the section subtitled “Improve Coordination With Adjacent Systems”:

To end or substantially reduce homelessness, a coordinated response is needed that aligns the resources in adjacent systems with CoC resources and housing. Homelessness is often caused by and/or exacerbated by the inability of public support systems to address the complex needs of people in extreme poverty experiencing housing crises. These systems include education, hospitals, behavioral health, criminal justice, and child welfare. Engagement and service delivery approaches need to be responsive to the particular needs of people at imminent risk or experiencing literal homelessness. More responsive adjacent systems will provide specialized engagement, enrollment supports, discharge planning, and coordination with CoCs in each region.

Typically, this kind of document makes me thirsty for a more granular, human connected account of what kind of person actually becomes homeless. Are they always dangerous? The answer is “no.”

Actually, there’s this human-interest Iowa’s News Now story published December 27, 2024, “A Closer Look: U.S. and Iowa homelessness reach record highs” (accessed July 28, 2025). It’s about a real person who became homeless despite being a University of Iowa graduate.

People become homeless for many reasons. I just want to mention resources that are available in Iowa that could be helpful. The website Homeless or At-Risk of Homelessness presents the idea that “Sometimes, life takes an unexpected turn. People face hardships and turn toward their communities for support.”

There are some people who struggle with mental illness and substance abuse and as a consequence of those challenges become homeless, as the Iowa Homelessness Needs Assessment above points out.

One resource I think is important is The University of Iowa’s Integrated Multidisciplinary Program of Assertive Community Treatment or PACT program. It’s an evidence-based treatment model that’s been around for decades in many locations in the U.S.

There’s also an Iowa Health and Human Services program called PATH (Projects for Assistance in Transition from Homelessness) to help homeless adults with mental illness, substance abuse and trauma.

This was just a quick and admittedly superficial summary of what Iowans have been doing about the homelessness crisis. It really takes a village.

Extreme Heat Warning for I-80 Corridor

There’s an extreme heat warning from the National Weather Service for much of the I-80 corridor today and tomorrow. Heat indices of 95-110+ are expected.

Cooling Centers in Iowa City, IA

Cooling Centers in Coralville, IA

Consider donating to the Iowa City Shelter House Beat the Heat drive!

Mighty Hawk!

Today we saw this cool Red-Tailed Hawk on the fence—sort of, in a manner of speaking. This hawk was definitely not on the fence about getting brunch though. It would fly off the fence a few times and we expected it would come up with a mouse or squirrel or something—empty claws.

The woodchucks are too big for the hawk.

The experts say you can distinguish a male from a female Red-Tailed Hawk because the female is “25% larger.” I guess that might work if you saw them together—doing something X-rated.

On the other hand, there was a Red-Tailed Hawk named Pale Male that was famous in the New York City Central Park area. He got his name because his head was white. He took several females as mates during his life. They raised several eyasses, which was a new word for me today; it means young hawks. Mary Tyler Moore (“Oh, Rob”) participated along with other neighbors in protests about anti-pigeon spikes being removed and eventually they were replaced by “cradles.”

If you don’t remember the “Oh, Rob!” quote it was Mary Tyler Moore’s (as Laura Petrie) frequent complaint about husband Rob Petrie (Dick Van Dyke) on the Dick Van Dyke show (sitcom in the 1960s). Give yourself a gold star if you thought of the X-File episode “Arcadia” in which Agents Mulder and Scully took the names of the Petries.

Anyway, the Red-Tail Hawk is an impressive bird. It was just not a lucky day for hunting.

A Few Words About the Panera Jumbo Cobb Salad

Well, I’m sure you’ll be relieved to know that I am lucky to still be independently mobile today after eating the FULL Panera Bread green goddess chicken cobb salad—as in full stomach.

I’ll admit I didn’t know what I was getting into. You know the salad is big when it comes with a ladder.

It’s supposed to be a healthy salad although there are cautions about the green goddess dressing—don’t worry, it was barely noticeable.

I got it around noon at the mall. It’s a bad time to try to get lunch because half the city is in there and they’re all hungry. You know it’s busy when potential customers are told the wait is 45 minutes. I was lucky; I think I waited around 15 minutes. Tables were hard to find. I ducked into a booth two guys were busy thumb wrestling for.

You need to bring an axe because, of course, you’ll have to slaughter the chicken—after she lays the eggs because they go on the salad. Plan on extra time to pick the tomatoes—in the back; way in the back.

This thing about the eggs in the salad probably began with the story about how the cobb salad got started. I read that it started in the 1930s after the Hollywood Brown Derby restaurant closed for the night and the salad supposedly was invented by the owner, Robert Howard Eggs…no, wait, that’s Cobb.

Cobb was starved around midnight because he’d been working hard all day wondering what the difference was between a bowler hat and a derby hat and why in heck had he not picked the name the brown bowler for his restaurant because of the alliterative effect and so had not eaten all day.

So, Bob Cobb grabbed whatever leftovers were in the kitchen at the time and thought it was terrible. He texted Domino’s and while eating their famous egg pizza had a brainstorm about marketing a salad with eggs in it and naming it after Ty Cobb because he was observed once having bacon and eggs for breakfast.

Remember, this history moment was brought to you by Serutan; that’s Natures spelled backwards.

They had to carry me out of Panera’s in a wheelbarrow.

Shout Out to Dr. George Dawson for Post “The Autocratic Approach to Homelessness”

I want to give a shout out to Dr. George Dawson for his post today “The Autocratic Approach to Homelessness” in reference to President Trump’s most recent executive order, “Ending Crime and Disorder on America’s Streets.” As a retired psychiatrist, I look back and remember seeing the problem of the homeless mentally ill a lot. You can read my take on it from last summer’s posts:

What About Bob?

Thoughts on the Homeless Mentally Ill

Thoughts on Hobos and Homelessness

I spend a lot of time joking around on my blog, but this is no joking matter. I think the President gets it wrong.

A Small Update to a Pseudo-Rap YouTube Video and a Big Tribute to Dr. Robert G. Robinson

I just noticed something about one of my YouTube videos that I made sort of as a combination gag and educational piece about pseudobulbar affect. It needed a couple of updates—one of which is minor and which I should have noticed 10 years ago when I made it.

It’s a pseudo-rap performance (badly done, I have to agree although it was fun to make), but it’s one of my most watched productions; it has 18,000 views.

One minor update is about the word “Dex” in the so-called lyrics of this raggedy rap song (see the description by clicking on the Watch on YouTube banner in the lower left-hand corner). It stands for dextromethorphan, one of the ingredients along with quinidine in Nuedexta, the medication for pseudobulbar affect. Dextromethorphan has been known to cause dissociation when it’s abused (for example, in cough syrup).

The most important update is about Dr. Robert G. Robinson, who I joked about in the piece. He passed away December 25, 2024. He was the chair of The University of Iowa Dept. of Psychiatry from 1999-2011. He was a great teacher, mentor, and researcher. He published hundreds of research papers and books on neuropsychiatric diseases like post-stroke depression and pseudobulbar affect. He lectured around the world and was widely regarded as a brilliant leader in his field.

Early in my career in the department, I left twice to try my hand in private practice psychiatry. Both times Dr. Robinson welcomed me back—warmly. He was my co-editor of our book, Psychosomatic Medicine: An Introduction to Consultation-Liaison Psychiatry, published in 2010.

All who worked with Dr. Robinson will never forget him.