I have a lot more faith in the infectious disease news from the University of Minnesota Center for Infectious Disease Research and Policy Outlook (CIDRAP) than most other news outlets. Their review of the so far 8 newly appointed CDC ACIP committee members is interesting. I plan to watch the upcoming June 25-27 CDC ACIP meeting.
They also provide updates on the CDC Covid-19 variant tracking data. While the LP.8.1 has been in the spotlight lately as the upcoming variant of note, the Nowcast estimates of the proportion of NB.1.8.1 are currently almost equal to LP.8.1. They report the NB.1.8.1 is minimally more immune evasive than LP.8.1. They are both descended from the JN.1 lineage. Overall, Covid-19 activity is low.
First of all, I want to make it clear that I am not now nor have I ever been pregnant. Now that I have your attention, I’ll add some context to that weird statement by saying how puzzled I am by all the controversy about whether or not there’s actually a federal recommendation against pregnant women getting the Covid-19 vaccine.
I admit, I actually did think about the movie “Signs” in which the lead character, Graham Hess, says “Everybody in this house needs to calm down and eat some fruit or something.” I think it fits.
I found a lot of news stories claiming that HHS and the CDC don’t recommend that pregnant women get the Covid-19 vaccine. What I actually found on the HHS web site says the opposite—the agency recommends it.
That seems to agree with the paper from the FDA leadership, published in the New England Journal of Medicine by Drs. Prasad and Makary (An Evidence-Based Approach to Covid-19 Vaccination. Authors: Vinay Prasad, M.D., M.P.H., and Martin A. Makary, M.D., M.P.H. Author Info & Affiliations). Published May 20, 2025. DOI: 10.1056/NEJMsb2506929.
“Moving forward, the FDA will adopt the following Covid-19 vaccination regulatory framework: On the basis of immunogenicity — proof that a vaccine can generate antibody titers in people — the FDA anticipates that it will be able to make favorable benefit–risk findings for adults over the age of 65 years and for all persons above the age of 6 months with one or more risk factors that put them at high risk for severe Covid-19 outcomes, as described by the CDC (Figure 2).”
Figure 2 is a table which lists many medical conditions that are indications for getting the Covid-19 vaccine. Pregnancy is one of them, based on the idea that it could increase the severity of Covid-19 disease.
On the other hand, when I looked at the health care provider page on the CDC website, the table showing the clinical indications for the Covid-19 vaccine sends a confusing message by showing pregnancy as a condition for which there is currently “No Guidance/Not Applicable.”
Just in case this web page gets updated, I took a screenshot of that part of the table:
screenshot June 12, 2025
But elsewhere on the CDC website are pages which clearly recommend that pregnant women get the Covid-19 vaccine.
I’m not making any political statements here. I’m just an old guy who clearly does have an indication for getting the Covid-19 vaccine and I recently did just that last month.
Yesterday we took our usual walk on the Terry Trueblood Trail. It’s customary as the seasons evolve for us to make sure everything is progressing as it should. It helps to make believe we’re in charge.
It’s still spring and flowers are still blooming and birds are still nesting and nurturing new life. There are lots of plants we don’t know much about except they make the land more beautiful.
HHS announced the removal and replacement of the current members of the CDC Advisory Committee on Immunization Practices in a press release today. The CDC ACIP meeting for vaccine recommendations is still scheduled for June 25-27. According to the Federal Register announcement under Supplementary Information:
“SUPPLEMENTARY INFORMATION:
Purpose: The Advisory Committee on Immunization Practices is charged with advising the Director, Centers for Disease Control and Prevention (CDC), on the use of immunizing agents. In addition, under 42 U.S.C. 1396s, the Committee is mandated to establish and periodically review and, as appropriate, revise the list of vaccines for administration to vaccine-eligible children through the Vaccines for Children program, along with schedules regarding dosing interval, dosage, and contraindications to administration of vaccines. Further, under applicable provisions of the Affordable Care Act and section 2713 of the Public Health Service Act, immunization recommendations of ACIP that have been adopted by the Director, CDC, and appear on CDC immunization schedules generally must be covered by applicable health plans.
Matters To Be Considered: The agenda will include discussions on anthrax vaccines, chikungunya vaccines, COVID-19 vaccines, cytomegalovirus (CMV) vaccine, Human papillomavirus (HPV) vaccine, influenza vaccines, Lyme disease vaccine, meningococcal vaccines, pneumococcal vaccines, Respiratory Syncytial Virus (RSV) vaccines for adults, and RSV vaccines for maternal and pediatric populations. Recommendation votes are scheduled for COVID-19 vaccines, HPV vaccine, influenza vaccines, meningococcal vaccine, RSV vaccines for adults, and RSV vaccine for maternal and pediatric populations. Vaccines for Children (VFC) votes are scheduled for COVID-19 vaccines, HPV vaccine, influenza vaccines, and RSV vaccines. Agenda items are subject to change as priorities dictate. For more information on the meeting agenda, visit https://www.cdc.gov/acip/meetings/index.html.
Meeting Information: The meeting will be webcast live via the World Wide Web. For more information on ACIP, please visit the ACIP website: https://www.cdc.gov/acip.“
Sena told me about the Walmart avocado self-checkout flap that was reported in the news yesterday. He was having trouble with the self-checkout routine and the register showed he owed $1,300 dollars. I read the New York Post story about it, although the news agency actually got it from a Reddit social media web page.
According to the story, a Walmart employee reported that the customer accidentally overcharged himself for avocados at the self-checkout station. He punched in 999 avocados instead of the 9 he wanted. The customer got excited and he called the police using the 911 line, accusing Walmart of trying to rob him. Store employees and police tried to calm him down but he had to be handcuffed and taken into custody for trespassing because he refused to leave unless Walmart compensated him for his mistake.
I’m not sure how much of the story to believe based on the source, but I’ve used self-checkout a few times at Walmart and I’ve always found the employees to be very helpful when I had a minor problem. Usually, somebody has been immediately available, probably because it’s pretty obvious when I’m puzzling over something, often because I’m not sure how to ring up produce that either has to be weighed or beamed up to extraterrestrials who take charge of stuff like that.
Admittedly, I don’t grocery shop often enough to get the steps down pat, but I can always count on a store employee being available to help me out of a jam. I’ve never been overcharged or hassled. I’ve never called the cops on myself.
Actually, what I really need is more practice arranging the grocery items so that I can bag them and return them to the cart so that I don’t accidentally double scan them or leave them on the counter. I’m a terrible bagger. I use way more bags than necessary. I lost a cucumber once (and it was even bagged) and I still can’t tell how that happened.
The easy part is scanning the items, except when it comes to produce which either needs to be weighed or keyed in by searching for the kind of tomatoes I got (sliced vs deformed or whatever). I once tied up the tomatoes in a plastic bag with a knot so tight I looked silly trying to untie it so I could weigh them. I must look comically inept because somebody always comes to my rescue right away. I don’t know how they keep from laughing.
There are alternate ways of dealing with those situations which don’t entail making 911 calls. You could swear off avocados.
I saw the 1964 movie “Strait-Jacket” directed by William Castle, starring Joan Crawford for the first time last night on the Svengoolie TV show, and I have to say that it’s one of the better films I’ve seen. Movies that have a psychiatric angle also get my attention because I’m a retired psychiatrist. There won’t be any spoilers.
The quick synopsis is that Lucy Garbin (Joan Crawford) plays a woman who was committed to a psychiatric asylum for 20 years after murdering her husband and his girlfriend with an axe after she found them together in bed. Lucy’s young daughter Carol (Diane Baker), sees the whole grisly thing. Lucy is released from the asylum to the care of her brother Bill and his wife and Carol. Then, the axe murders of several people seem to implicate Lucy might be picking up old habits.
That’s when all the trouble starts, including a lot of references to sharp objects, which is joke fodder for Svengoolie. The film lends itself to that, including a shot of the Columbia film logo with the statue of liberty’s head off and lying at her feet!
Dissociation is an involuntary mental phenomenon that leads to feeling disconnected with one’s environment or one’s self. Time is distorted and flashbacks and hallucinations can occur. This is frequently portrayed by Lucy, even in front of her former psychiatrist, Dr. Anderson, who visits her while on some kind of vacation of all things. During his interview with her, he decides she’s not ready to live in the outside world and must return to the asylum.
This would not have been the procedure for readmitting psychiatric patients even back then, but you have to give Dr. Anderson credit for having a sharp sense of her mental state. He had a well-honed idea of what was happening to her clinically, especially while observing her fiddling with knitting needles.
Images of and references to sharp implements abound throughout the film. You get a sense of being on the razor edge of suspense throughout the film. This is especially evident in the interaction between Lucy and the seemingly dull-witted farmhand, Leo (George Kennedy). He offers her his axe to give her a try at beheading a chicken. You find out later that Leo is smarter than he looks. Carol describes typical work on the farm to Lucy, including name-dropping certain jobs like slaughtering hogs and butchering chickens.
I can mention gaslighting without giving away too much about the film. I never saw the 1944 movie “Gaslight” but the term gaslighting means psychologically manipulating someone into believing she’s insane so as to control her sense of reality. In “Strait-Jacket” the ingenious way this is presented made me think of psychopathy as well as dissociation.
I have to mention one interesting fact about the film which came to me about 3:30 am this morning. I swear this was before I looked it up on the web (see reference below). I noticed that the forty whacks rhyme for Lucy Garbin is taken from the Lizzie Borden rhyme in reference to the axe murders of her parents she was accused of in the 1800s, which is cited on the Encyclopedia Britannica website.
“The children’s rhyme chanted in the movie, “Lucy Harbin took an ax, gave her husband forty whacks. When she saw what she had done, gave his girlfriend forty-one”, is based on the famous rhyme about Lizzie Andrew Borden: “Lizzie Borden took an ax, gave her mother forty whacks. When she saw what she had done, gave her father forty-one.” The Grindhouse Cinema Database (GCDb). Strait Jacket/Fun Facts. Retrieved June 8, 2025, from https://www.grindhousedatabase.com/index.php/Strait_Jacket/Fun_Facts
I found the film entertaining and, although I had a fairly firm idea of who was doing what for which reason, a couple of times I had my doubts. I give the film 4/5 shrilling chickens rating. I had a reservation about the ending. See if you can figure out who has the biggest axe to grind by watching “Strait-Jacket” on the Internet Archive.
After a short break during the Thanksgiving holiday your hosts are back at it again with another episode! This week features the usual mix of blues eras you’ve come to expect along with a few Californian artists, tune in to see which ones! Songs featured in the episode: Solomon Hicks – “Further On Up The … Continue reading
I just want to mention that I heard Big Mo do an extended version of his comedy bit on Mayree’s hand-battered catfish last night too. I never know when he’s going to do the long version of it and I nearly always regret not having some way to record it. It’s kooky and complicated with twists and turns like a long hairy dog story with punchlines scattered like land mines all over it.
Anyway, the pod show was pretty interesting. I think the Beth Hart song “Can’t Let Go” could be about more than a busted relationship, a frequent subject of a lot of blues songs. There’s a lot of baggage that we can’t let go of in life. The other notable feature of that song is Sonny Landreth cutting all the way loose with guitar licks spinning out beyond every nearby galaxy.
What was strange during last night’s blues show was I could have sworn I heard the lyrics of “Stand by Me” but it’s not on the list of songs. Songs sometimes don’t get on the list. Anyway, it reminded me of the Playing for Change version that starts with Roger Ridley and goes around the world, released 16 years ago.
Help! I’m stuck on this bald eagle joke that I heard decades ago and I wonder if anyone my age can remember who originally told it. I could write the joke here, but it’s sort of a live performance thing so I have to do a little acting. That’s why I made the short video. If anybody remembers it, just make a comment. Sorry, I don’t allow comments on my YouTube channel.
I always find Dr. Moffic’s articles in Psychiatric Times thought-provoking and his latest essay, “Enhancement Psychiatry” is fascinating, especially the part about Artificial Intelligence (AI). I liked the link to the video of Dr. John Luo’s take on AI in psychiatry. That was fascinating.
I have my own concerns about AI and dabbled with “talking” to it a couple of times. I still try to avoid it when I’m searching the web but it seems to creep in no matter how hard I try. I can’t unsee it now.
I think of AI enhancing psychiatry in terms of whether it can cut down on hassles like “pajama time” like taking our work home with us to finish clinic notes and the like. When AI is packaged as a scribe only, I’m a little more comfortable with that although I would get nervous if it listened to a conversation between me and a patient.
That’s because AI gets a lot of things wrong as a scribe. In that sense, it’s a lot like other software I’ve used as an aid to creating clinic notes. I made fun of it a couple of years ago in a blog post “The Dragon Breathes Fire Again.”
I get even more nervous when I read the news stories about AI making delusions and blithely blurting misinformation. It can lie, cheat, and hustle you although a lot of it is discovered in digital experimental environments called “sandboxes” which we hope can keep the mayhem contained.
That made me very eager to learn a little more about Yoshua Bengio’s LawZero and his plan to create the AI Scientist to counter what seems to be a developing career criminal type of AI in the wild west of computer wizardry. The LawZero thing was an idea by Isaac Asimov who wrote the book, “I, Robot,” which inspired the film of the same title in 2004.
However, as I read it, I had an emotional reaction akin to suspicion. Bengio sounds almost too good to be true. A broader web search turned up a 2009 essay by a guy I’ve never heard of named Peter W. Singer. It’s titled “Isaac Asimov’s Laws of Robotics Are Wrong.” I tried to pin down who he is by searching the web and the AI helper was noticeably absent. I couldn’t find out much about him that explained the level of energy in what he wrote.
Singer’s essay was published on the Brookings Institution website and I couldn’t really tell what political side of the fence that organization is on—not that I’m planning to take sides. His aim was to debunk the Laws of Robotics and I got about the same feeling from his essay as I got from Bengio’s.
Maybe I need a little more education about this whole AI enhancement issue. I wonder whether Bengio and Singer could hold a public debate about it? Maybe they would need a kind of sandbox for the event?
How much round could a groundhog grind if a groundhog could grind ground and so could you call that grind ground round?
Now that we’ve got that out of the way, let’s talk about the woodchucks in our back yard. By the way, woodchuck and groundhog are different names for the same big rodent that can feast on whatever’s growing in your garden.
Now that it looks like our pesky robin has retired from beating on our windows for whatever reason, we’ll probably return the black window film we got to cover them.
Now we’ve got a completely different critter visiting us—a family of marmots, groundhogs, woodchucks, whistle pigs (they emit a high-pitched whistle when alarmed), giant rats munching veggies in our back yard. They remind Sena of meerkats, so I guess you could call their home Groundhog Great House.
It’s actually a little family of momma woodchuck and her two pups, who are almost as big as she is. Their den is close to the flower garden. They tend to feed in the early or latter part of the day and we caught them on film yesterday afternoon. They’re pretty skittish and tend to freeze and scamper at the drop of a leaf.
When we lived at a previous house several years ago, there was a big woodchuck that lived in back part of our yard. One evening it was standing up stock still and mesmerized by something in the sky. It looked like a statue of a woodchuck. There were big gray clouds blotting out the sun. It just so happened that a big storm was coming and not long after there was a severe storm warning.
Woodchuck staring at the cloudy sky in 2018
I snapped the picture of the woodchuck on May 2, 2018 and the National Weather Service has a record of hail reports in Iowa City on that date. I don’t know how much evidence there is for the theory that some animals can sense changes in atmospheric pressure, so it could have been a coincidence.
Anyway, the family of woodchucks in our backyard are more concerned about filling their stomachs than checking barometric pressures or looking up the weather reports on their tiny screen TVs in burrows which can run for 50 feet, by the way. They dig like crazy. For now, they munching on the wild stuff and turn up their noses at the catmint.
I suppose some think woodchucks look cute, but they can carry a variety of diseases including rabies most commonly, tularemia (rabbit fever), Lyme disease, hantavirus and others.
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