Iowa – Page 7 – Go Retire Psychiatrist

Afro-American Cultural Center Activities for Black History Month 2024

The Afro-American Cultural Center in Iowa City has many activities scheduled for Black History Month 2024. Check it out!

Thoughts on the Dr. MLK, Jr Distinguished Lecture by Michele Norris

Sena and I viewed a recording of the Dr. Martin Luther King, Jr Distinguished Lecture given by Michele Norris on January 23, 2023. It was not available to the general public, about which I have inquired. It was a very interesting, informative, and entertaining presentation. It was about her 14-year Race Card Project which led to her new book, “Our Hidden Conversations: What Americans Really Think About Race and Identity.”

Michele opened with a little information about Bayard Rustin, which we didn’t know. There’s a film titled “Rustin,” available on Netflix which is about him and Dr. King and their complicated relationship. He was a gay black man, which was difficult for the civil rights movement leaders to accept. He was the key organizer for the 1963 March on Washington for Jobs and Freedom.

In her own words, Ms. Norris created the Race Card Project because she thought no one wanted to talk about race. She found out she was wrong because there was an avalanche of response to her request that people write something about race on a small postcard (6 words) and send it back. Interesting examples:

“Father was racist. I’M NOT. Progress!”

“Did my Southern Grandpa attend lynchings?” (This card came from Iowa.)

“Married a white girl. Now what?” (The girl thought of the guy as an “assimilated” brown man.)

“Alabama. MLK assassinated. Students cheered. Horrified.” (This was in a college classroom.)

“We aren’t all strong, black women.” (Norris’s comment was that it makes black women seem more like a weed and not a flower).

“Two white dads. Three black kids.” (Adorable photo included of gay married men with three adopted black children.)

“Can someone help me find my privilege?” (Photo of a white man included. Ms. Norris said that most of the cards are from white people, which surprised her.)

“My name is Jamaal. I’m white.” (Include a picture of a white guy. This was a story about Iowa. The guy showed up for a job interview, and the receptionist says “I thought you would be taller.”)

“Vote for Obama. Look like me.” (White guy married to white gal; they adopted black girl. I think he meant, in the abstract, that no matter what color you or the candidate are you should vote based on whether the person is qualified for the job. It’s funny that his very young daughter commented on it in a predictably concrete way given her age. She said she lived in Iowa and didn’t see too many people who looked like her. Ms. Norris said this story would be included in the book.)

It’s tough to express complicated ideas in just six words.

Ms. Norris says it’s unlikely that we’re going to agree with each other. She wants to build bridges across the chasm which divides us and she is hopeful about our ability to do that. We ordered her book.

Power and Impact: African American Art Exhibit in Iowa

In the spirit Black History Month: African Americans and the Arts, Power and Impact is an exhibit of art work by notable Black artists in Iowa. It’s a partnership of the African American Museum of Iowa and the Cedar Rapids Museum of Art.

The exhibit runs between October 28, 2023 and March 31, 2024.

Heed Warnings About Risk for Frostbite

I just saw an article in the Daily Iowan about the importance of knowing how to avoid frostbite during wind chill advisory and warning periods. As a consulting psychiatrist in the general hospital, I saw what can happen to people who suffered frostbite injuries. They were treated on the Burn Unit.

The risk for frostbite will continue to be high for the next few days with wind chills as low as minus 30 below zero, according to the National Weather Service.

The University of Iowa Hospital has a frostbite education web page worthing reviewing. There is also a compelling story posted in 2022 about how two patients were treated for severe frostbite injuries.

Martin Luther King Day About Peace and Unity

I noticed that Iowa City and Huston-Tillotson University in Austin, Texas have a couple of things in common regarding the celebration of the Martin Luther King holiday this week—one is inclement weather. The other thing is hope for peace and unity.

I was a student at Huston-Tillotson (one of the HBCUs) back in the 1970s. I saw it snow there once. It turns out that one of the MLK events will be postponed to January 27, 2024, and that’s the Austin MLK March. It’ll be too cold, with a chance for freezing rain. The event is billed as the MLK CommUnity March. The MLK Festival and Food Drive has been rescheduled to January 27^th as well, and that will be at Huston-Tillotson University. The emphasis is on unity.

In Iowa City, the MLK Peace March on January 15, 2024 will instead be a vehicular parade because of the really cold weather we’ve been having recently. The emphasis is on peace. The parade will start at 9:30 AM.

All of my life I’ve admired Dr. Martin Luther King for his efforts to unite everyone in peace. Despite the world’s current events, I still have hope that the effort will continue.

We all have a lot in common, and it’s not just the weather.

Winter Storm Finn Defines A Sisyphean Ordeal

Okay, we got about 14 inches of snow from Winter Storm Finn, but that doesn’t begin to convey the human meaning of it.

I’m going to call digging out from all that snow a Sisyphean labor. You don’t hear that term much, but it means a chore that never seems to end while you’re doing it. The short story about Sisyphus comes from Greek mythology.

Sisyphus was the king of Corinth. Just to be clear, it generally doesn’t snow in Corinth. One day, King Sisyphus saw a splendid, mighty eagle carrying a beautiful maiden to a nearby island (where it also does not snow). A river god named Asopus told him that his daughter had been abducted, but not by extraterrestrials. Sisyphus suspected Zeus, who had never seen a snow shovel, if you can imagine that. Like a fool, Sisyphus asked Zeus to help him find her. Because Zeus hated nosy mortals who aren’t supposed to know what the boss god is up to, he banished Sisyphus to Hades where he had to roll a giant rock uphill which always rolled back downhill (Hamilton, Edith. 1942. Mythology. New York: Little Brown and Company).

Anybody who knows what it’s like to try to shovel walks and driveways during a horizontal snowstorm knows that for every shovelful of snow you remove, twice that amount refills the space you empty almost immediately. You’d have to stay out in the snowstorm forever to keep up. It’s the definition of a Sisyphean labor.

And that’s why Sena and I left about a third of our driveway uncleared last night because we were exhausted. We’d been out in that storm shoveling all day since early morning. We ached everywhere and didn’t have much to show for it.

This morning we were up early again, anticipating trying to clear the driveway and again shovel all the walks, the curb ramp, the trees and whatnot.

The driveway had been cleared, probably sometime during the night, by a good Samaritan we’ll probably never know for sure. We could tell by the telltale friction wheel tracks, and the perfectly circular mark of the machine’s turning radius. A path to our curbside mailbox had also been cleared.

We are grateful. The only big job left was to clear the curb ramp, across which was a hip high mountain range of snow left by the city plow. It was also blocked by a large pickup truck. The driver must have seen us and he hurried over from where he was working with a crew building a house. He was more than happy to move it—although I was not so happy when I found out how hard we had to work to clear the curb ramp. If you start from the top, the snow spreads out over the mountain. If you start from the bottom, the snow from the top falls down. I would call that Sisyphean labor.

Anyway, we’re waiting for the next disaster, which I think the meteorologists are calling Winter Storm Gerri. They’re promising 4 inches of new snow by Friday. It almost sounds like light duty.

Whirlpool Care Counts Laundry Program Cleans Up!

Sena and I just recently saw the TV commercial about the Whirlpool Care Counts^TM Laundry Program, which has been providing washers and dryers for schools. It was launched to address school absenteeism, one cause of which is bullying of kids who don’t have clean clothes. They are also more likely to drop out of school.

It turns out this program has been going on since 2015. And there’s an Iowa connection. In 2017, Morris Elementary in Des Moines got a new washer and dryer (Des Moines Register, “Iowa teacher meets New Yorker on Instagram, and needy school gets a big lift” by Laura Rowley, published Oct 7, 2019, accessed 12/13/2023).

According to the Whirlpool’s website about it, there are over 150 programs in schools across 40 states.

The website even lists research studies demonstrating the link between a lack of clean clothes and school attendance rates.

We reminisced about what we did about this issue when we were in grade school. We don’t remember skipping school because of dirty clothes. We managed by washing them by hand, or in my family, using an old hand wringer as well. We hung clothes out to dry on the line in the back yard. Sena did that and also used a fan.

I was sometimes bullied, but it was related to being black rather than having old clothes. I didn’t change my outfit every day because I didn’t have enough clothes for that.

When I got old enough, I delivered the Des Moines Register. Talk about nickel and diming. The rates were pretty low compared to today, but I still had some customers who complained about the price. I walked my route to collect subscription fees. I was not a great salesman but I was a steady worker, delivering papers in any weather, even dragging them in a wagon through knee deep snow.

You could buy things with your money through the paper’s main office. The first thing I bought was an alarm clock with a glass face through which the clockwork was visible. I didn’t really need an alarm clock to get me out of bed to deliver papers. I was a light sleeper even then. I just thought the clock was cool.

I saved enough money (mostly in quarters) to buy my first bicycle. It cost about $20 at Ralph’s Bicycle & Hobby Shop in Mason City. It was used and I think it was a 24 inch. I did not do wheelies.

I don’t remember buying clothes.

I remember collecting from a young couple who were obviously newlyweds. They would often both come to the door wrapped in nothing but big bath towels. I wondered if they even had any clothes. Maybe they didn’t have any laundry facilities.

Anyway, I think the Whirlpool program is a great idea.

CDC Weekly Update on Viral Respiratory Illness

As of December 8, 2023, the CDC reports:

“National test positivity, emergency department visits, and hospitalizations for influenza continue to increase. Influenza A(H1N1) is the predominant influenza virus circulating although influenza A(H3N2) and influenza B viruses are also being reported.
RSV-associated hospitalization rates remain elevated among young children and are increasing among older adults; of note, only 15.9% of adults 60+ report having received an RSV vaccine.
National vaccination coverage for COVID-19, influenza, and RSV vaccines increased slightly for children and adults compared to the previous week and remains low for both groups.”

However, the overall respiratory illness rates have gone from “moderate” to “low” in Iowa.

This is National Influenza Vaccination Week!

This is National Influenza Vaccination Week (Dec. 4-8, 2023) and the CDC word is:

“National Influenza Vaccination Week (NIVW) is a critical opportunity to remind everyone 6 months and older that there’s still time to protect themselves and their loved ones from flu this flu season by getting their annual flu vaccine if they have not already. CDC data shows that flu vaccination coverage was lower last season, especially among certain higher risk groups, such as pregnant people and children. When you get a flu vaccine, you reduce your risk of illness, and flu-related hospitalization if you do get sick. This week is meant to remind people that there is still time to benefit from the first and most important action in preventing flu illness and potentially serious flu complications: get a flu vaccine today. Check out CDC’s NIVW toolkit for more shareable resources and content.”

It’s also big news that a recent CDC co-authored study showed strong evidence for flu vaccine effectiveness. Among the university medical centers participating in the study was the University of Iowa Hospitals.

Update on CDC Recommendation for Adult RSV Vaccination

I just checked to see if the Iowa Board of Pharmacy rules had changed about the recommendation that a physician and patient shared decision-making discussion should help clarify whether and why a prescription would be necessary to enable a patient over the age of 60 years to get the Respiratory Syncytial Virus (RSV) vaccine.

I found out that nothing has changed the position of the Iowa Board of Pharmacy on this issue, despite the CDC published list which now includes the RSV vaccine (which seemed to be the main issue against allowing pharmacists to administer the vaccine independently). I finally found the CDC Adult Immunization Schedule by Age web page. The section shows a table of vaccines recommendations broken down by age. Below the table is a list of the CDC recommended vaccines. Under the RSV category there is a Special Situation section with guidance for those over the age of 60 regarding those most likely to benefit from the RSV vaccine:

“Age 60 years or older: Based on shared clinical decision-making, 1 dose RSV vaccine (Arexvy® or Abrysvo™). Persons most likely to benefit from vaccination are those considered to be at increased risk for severe RSV disease.** For additional information on shared clinical decision-making for RSV in older adults, see www.cdc.gov/vaccines/vpd/rsv/downloads/provider-job-aid-for-older-adults-508.pdf.

For further guidance, see www.cdc.gov/mmwr/volumes/72/wr/mm7229a4.htm

**Note: Adults age 60 years or older who are at increased risk for severe RSV disease include those with chronic medical conditions such as lung diseases (e.g., chronic obstructive pulmonary disease, asthma), cardiovascular diseases (e.g., congestive heart failure, coronary artery disease), neurologic or neuromuscular conditions, kidney disorders, liver disorders, hematologic disorders, diabetes mellitus, and moderate or severe immune compromise (either attributable to a medical condition or receipt of immunosuppressive medications or treatment); those who are considered to be frail; those of advanced age; those who reside in nursing homes or other long-term care facilities; and those with other underlying medical conditions or factors that a health care provider determines might increase the risk of severe respiratory disease.”

While the rationale for the recommendation is clear, it’s interesting that Iowa is one of only 4 states in which pharmacists cannot administer the RSV vaccine independently (meaning a physician prescription is necessary). The RSV vaccine is in the CDC published vaccination schedule, which looks like it would satisfy the Iowa Code Section 155A.46 according to the Iowa Board of Pharmacy.

I still wonder whether it’s the shared decision-making discussion or the Iowa Code that’s the main reason a physician prescription is necessary to get the RSV vaccine.

It isn’t that I want the RSV vaccine. In fact, based on what I’ve read on the CDC Immunization Schedule, I don’t think I need it because I’m pretty healthy for a geezer. I just don’t understand why only 4 states require a physician prescription. Does that mean the pharmacists in the rest of the country are confident they can have a shared decision-making discussion with patients about the indication for the RSV vaccine?