Thoughts on Hobos and Homelessness

We can see the man from our hotel window. We assume he’s homeless. He has a small area where he sits on the curb next to the street.  He does this most of the day. He has a blanket and a few other loose items which sometimes are strewn on the sidewalk or the grass.

Even in 90-plus heat, he’s out there, sometimes standing beneath a small tree, presumably for shade although it’s inadequate. He waves his arms around in what looks like a futile attempt to cool himself. He might just be restless. Other times he sits on his blanket. Occasionally, people stop their cars and seem to be trying to communicate with him. He most often ignores them.

One of the hotel residents approaches him sometimes. It looked like he gives him something (probably a cigarette). Once, the homeless man left his station by the street and walked over to the front of the hotel, waving his arms, seemingly because the hotel resident was speaking to him. We couldn’t see what happened after that, but when he returned to the street, he lit a cigarette. We also saw he accepted fluid, maybe a can of soda.

Later, some people in a car gave him something they bought in a nearby drive-up fast-food joint. He threw out the ice from his drink, which he didn’t consume and sprinkled the fluid on his arms. The people left and returned later with several items they gave him. Some of it looked like more water, which he again poured on his arms. There was a backpack or something like it. He didn’t seem to know what to do with it.

He couldn’t ignore them when they try to help him (water, food, etc.). One person tried to help him clean up his little camp by picking up his trash. The police came out to check on him. We couldn’t hear the short conversation. After she left, he continued to toss his water bottles and other items into the parking lot. He sleeps on the pavement.

This reminded me of a couple of times when I’ve seen hobos. I don’t see the homeless man as a hobo. The term “hobo” is not synonymous with homeless, vagrant, or tramp. Hobos prefer not to have a home, travel around to find work, may still ride the rails to get around, and don’t see themselves as tramps.

As a young man, I worked for consulting engineers as a draftsman and survey crew worker in Mason City. This was in the 1970s. We traveled to outlying cities. One day, we went to Britt for a job. It was during the Britt Hobo Days Convention. It was not the first time I ever heard of it.

Funny thing, I thought I recognized one of the hobos in the café where we got coffee. He was wolfing down a big breakfast. When he was finished, he left in a hurry. I just assumed he was a hobo in town for the festivities. But he looked so familiar.

And suddenly it dawned on me. He had been a kindergarten classmate of mine. I couldn’t recall his name, but it was him.

Another memory that occurred to me was much later in my life, when I was a psychiatrist and co-attending on the medical-psychiatry unit in University Hospital in Iowa City. We admitted a patient who had been found walking around and around in a circle in the street, and seemed confused. Evidently the patient had an acute medical problem and no diagnosable psychiatric illness.

The patient identified as a hobo and was proud of it. The person was polite, grateful, and cooperative. The person refused any help from us beyond help for the acute medical problem. We discharged the person to the street.

Hobo life is different nowadays, I gather. Many have cars and phones. If you look carefully at their photos on the Britt Hobo Days web site, they don’t make me think of homelessness or mental illness. They have made a choice.

On the other hand, homelessness is often not a choice and severe mental illness is not uncommon. There is a homeless shelter in Iowa City, and the resources include a supportive community living program for those who struggle with mental illness. One member of the board of directors is a psychiatrist. Not every homeless person wants to go there. The University of Iowa Health Care has an Integrated Multidisciplinary Program of Assertive Community Treatment (IMPACT).

Thoughts as Train Cars Visualization in Mindfulness Meditation

The Iowa Interstate Railroad train rumbles past our hotel a few times a day and it reminds me of the Mindfulness Based Stress Reduction (MBSR) course I took 10 years ago. One of the exercises the instructor mentioned was the train visualization mindfulness exercise. I don’t know if I remember what our instructor actually said about it, probably something like what the instructor says in a mindfulness video.

One thing I do remember is that it’s OK to notice my thoughts as train cars running through my head. The other thing is the train cars can sort of hijack me and off I go on a tangent, like a hobo hopping a freight car. And, what if also I notice the spaces between the train cars? What would that be like?

The side of my nose itches.

My left eye is tearing up.

What can I do about anything?

Are we all alone in the universe?

Why is David Attenborough’s voice so calming?

Why do I joke around so much?

Even after 10 years of mindfulness practice, I still notice my thoughts jumping around. I’m still hopping from box car to box car.

The Hotel Gets Busy Handing Out Faux Cufflinks!

Several days ago, a large wedding guest caravan arrived at the hotel. Fascinating group. The line of people checking in could have stretched outside beyond the front door.

 There was this guy who was there for the wedding, but arrived without cufflinks. So, he asked the front desk to help him out. They gave him what might have fooled some people some of the time—big safety pins. They didn’t work out. A couple of women guests also got safety pins, for what I couldn’t guess.

He left and came back later with a Dillard’s shopping bag. He got some smart looking brand new cufflinks! I think the last time I wore cufflinks was in the 1970s in Austin, Texas. They came with a suit that the husband of my English Literature professor, Dr. Jenny Lind Porter, bought for me. They didn’t resemble safety pins.

The hotel staff were pretty busy because the place got hit by the CrowdStrike Outage. The inconveniences included a little more work with programming room keys. One guy asked for a room on the second floor, but it was booked up with extraterrestrials. I doubt they were with the wedding group. And they couldn’t fix the outage-so much for the advancements of those from other galaxies. They probably don’t even know what cufflinks are.

There was a couple of guys (also not with the wedding crowd) who were in town for a disc (what we would call frisbee) golf tournament. It was near the Clear Creek Trail. They were solid in the standings so far.

I don’t think first prize was a pair of cufflinks.

Earthquakes and Railroads and Magic Fingers, Oh My!

The hotel we’re staying in while our house is being built is very close to railroad tracks. We hear the whistle and then, we feel the train going by. No kidding, we can feel the rumble. It shakes the chairs, the sofa, the bed. The whole room shakes for as long as the train passes through the area.

It’s kind of an eerie sensation. It reminds me of the Illinois earthquake in 2010, which was felt by many in Eastern Iowa. It rattled our bed. That went on for a few minutes.

And some of you X-Files fans will get it when I say this free association would naturally lead to memories of the Bad Blood episode (season 5). This hilarious show features Mulder and Scully telling their own versions of what happened in a little town full of vampires. Both agents got all shook up using the Magic Fingers on a hotel bed.

Scrub to about 2 minutes into the YouTube to see the first Magic Fingers earthquake. There’s more, but you’ll get the idea.

Reminder: NAMIWalks May 4, 2024 in Iowa City

Don’t forget to register for the Johnson and Linn County NAMIWalks on May 4, 2024. See registration and location info below:

The Big Mo Pod Show on KCCK

There is a new show on the KCCK radio station at FM 88.3 broadcast out of Cedar Rapids, Iowa (106.9 in Iowa City). It’s called the Big Mo Pod Show, which is keyed to his previous Friday night Big Mo Blues Show which starts at 6:00 PM.

The show generally quizzes the DJ, Big Mo (John Heim) on some of the tunes (name of artist, name of the song, why he played the song) he played the previous Friday night. A good example was Friday, April 19, 2024. You can access the show on different platforms, which are announced at the end of the show.

Big Mo did alright. He got most of the answers right, including the one by John Primer, “Crawlin’ Kingsnake.” I also like John Primer’s song “Hard Times.”

Remember, the Big Mo Pod Show is recorded and based on the Big Mo Blues Show from the previous Friday night. You can hear it by going to KCCKdotorg web site and click the Listen tab to find Shows on Demand to find “BigMoPodShow.”

The University of Iowa Role in the Science Behind Psilocybin for Psychiatric Treatment

On April 9, 2024, the University of Iowa educational podcast, Rounding@Iowa presented a discussion about the study of the use of psilocybin in the treatment of psychiatric and addiction disorders. You can access the podcast below. The title is “Psilocybin Benefits and Risks.” The format involves an interview by Dr. Gerard Clancy, MD, Senior Associate Dean for External Affairs, Professor of Psychiatry and Emergency Medicine with distinguished University of Iowa faculty and clinician researchers.

In this presentation, the guest interviewees are Dr. Michael Flaum, MD, Professor Emeritus in Psychiatry, University of Iowa Carver College of Medicine, and Dr. Peggy Nopoulos, MD, Chair and Department Executive Officer for the University of Iowa Department of Psychiatry, Professor of Neurology, Pediatrics, and Psychiatry, University of Iowa Carver College of Medicine.

All three of these highly respected and accomplished faculty taught me when I was a trainee in the psychiatry department and afterward were esteemed colleagues.

The link icon adjacent to the title of the podcast takes you to the podcast website. The link to the article in Iowa Magazine about the psilocybin research at University of Iowa Health Care tells you more about Dr. Peggy Nopoulos and her role as principal investigator in the study.

There is also a link to the National Library of Medicine Clinical Trials web site where you can find out more details about the study design. You’ll notice a banner message which says: “The U.S. government does not review or approve the safety and science of all studies listed on the website” along with another link to a disclaimer with more details.

House Finches at Home in Fake Christmas Tree

We managed to get some critter cam footage of the male and female house finch pair nesting in the fake Christmas tree in our front entry way yesterday. Crank up the volume on your audio to hear them singing.

The male sports a red face and chest. The female is plain brown except for brown streaks on a white belly. While she incubates the eggs, he feeds her periodically.

It’s definitely a tough job sitting there most of the time with temperatures getting well into the 80’s Fahrenheit on our porch even before noon. On the other hand it’s still getting pretty cold at night.

We don’t know when the eggs were laid, but they take about two weeks to hatch. After that the chicks will take a couple of weeks to fledge.

I’m a little nervous about going out there periodically to pick up the critter cam and peek at the eggs. It always startles the female. It can also alert large predatory birds to the prospect of a meal. This actually happened about 4 years ago when I heard what sounded like large bedsheets flapping in the wind. It turned out to be the biggest crow I ever saw taking off with its beak full of house finch nestlings from the real evergreen tree in our front yard (different house).

There should be a bird nest relocation program.