The “Goldwater Rule” for diagnosing Presidential candidates

“In 1973, the American Psychiatric Association adopted what became known as the Goldwater Rule, declaring it unethical for any psychiatrist to diagnose a public figure’s condition “unless he or she has conducted an examination and has been granted proper authorization for such a statement.”

But I’ve heard the words “Personality disorder” or “Sociopath” or “Psychopath”. So what’s fair game in terms of a psychiatric diagnosis in the new Trump world? Is it justified? Should the same clinical approach be used for Hilary Clinton? Click here for commentary from the NYT.

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Take my kidneys. Please!

Image result for organ donor pics

My friend who just turned 80 received a kidney several years ago. I thought he might be “too old” at that time, but learned that older kidneys might be just fine for an older patient in need.

When I give talks on end of life choices, the subject often comes up, “Am I too old to be a useful organ donor?” In touching base with LifeCenter Northwest they say, “You’re never too old.”

Indeed, as we all age, those aging kidneys, livers, and other body tissues may still be useful. So don’t throw out your organ donor card. The NYT has an interesting story about this. Click here for more.

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PawPet Biblical Show

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How to Live Wisely

“How to Live Wisely” is a subject that we may have pondered over the years as we made life choices. However, no one really asked me this question when I was on the way to choosing a major, career or determining commitments. How about you? Does it help to be challenged with this question? In the NYT, there’s an interesting commentary. At Harvard, “a small group of faculty members and deans created a noncredit seminar called ‘Reflecting on Your Life.’ The format is simple: three 90-minute discussion sessions for groups of 12 first-year students, led by faculty members, advisers or deans. Well over 100 students participate each year.” Click here to read the five exercises they posed to the students.

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Sunset


In case you missed the Friday sunset. 

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Give it straight to me doc!

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Summer recipes for these warm days

There are some great summer recipes in the NYT like the above lobster summer rolls.  Actually in our own ODR this week, there is a very tasty appetizer which has shrimp instead of lobster. The peanut sauce is gives a great taste. Congrats to chef Mark!

For more NYT summer recipes, click here.

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Ballet in the Sculpture Garden

Pacific NW Ballet


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Tom Leher – Pollution

Leher, a Harvard and MIT mathematician is well known for his political satire. This is one of my many favorites which seems appropriate for the problems in the Olympics.

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It’s time to remove direct-to-consumer prescription drugs ads

There are only two countries in the world that permit direct advertising to the general public which promote prescription medications – New Zealand and the USA. In an Op-ed to the NYT, a grieving husband writes about the loss of his wife – and the unconscionable misleading advertising of the immunotherapy that didn’t help her.

“It would be incredibly uplifting if it weren’t so utterly misleading and exploitative. To date, only about one in five patients with Stage 4 non-small cell lung cancer has seen any measurable response to Opdivo; and, in those patients who do respond, the median increase in life expectancy is only about three months compared with standard chemotherapy.

“The overall five-year survival rate for people with Stage 4 lung cancer is between 1 and 5 percent. Instead of a “chance of living longer,” a more truthful narrator would have said, “Opdivo provides an outside chance for people with advanced lung cancer to live just a few months longer.” Click here to read the full article.

Not uncommonly patients would arrive in my office with a request for the newest inhaler they saw on TV which might cost $250 compared to the $15 one they had – both with equal efficacy. It just doesn’t feel right  to push the corporate the bottom line this way. Is it ethical to falsely raise expectations of the desperate patients and families? Let’s get these drug ads off the air. Let’s use our pharmacists, medical teams, and validated web sites to provide the best information.

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Cupping – placebo or not? It works!

Michael Phelps

Have you noticed the weird circular skin marks at the Olympics. No, it’s not a rare skin condition. It’s the cupping craze. But does it work? And if so, how? It’s hard to do a controlled scientific experiment with cupping. I used to see this in the middle east and, of course, it’s been used for centuries in China. Make no doubt about it, it works! But placebos also work. It’s a mind body thing and pretty harmless.

Natural Healing - Cupping Stock Photography Cupping involves heat and/or suction to rupture skin capillaries and might even promote circulation to underlying tissue. It’s interesting that so many athletes are showing up with these “hickeys” at the Olympics. I don’t know of any harmful side effects, but it might harm the skin barrier to all those nasty bugs in the sea water in Rio. I hope we don’t begin to see infections.

Harvard actually has an Institute for Placebo Research and have done some interesting studies comparing placebos one against the other. Interesting they all have some positive effect. The power of belief can be richly rewarded – in some cases with gold!

But let’s not take too much credit for these miracles like cupping. As I used to tell my patients, God heals and the doctor (or the Olympic cupping therapist) sends the bill.

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What is a Gift?

In 1993 the volume “Finding Your Strength in Difficult Times: A Book of Meditations” by David Viscott was published. The author was a psychiatrist who hosted a pioneering radio talk show in the 1980s and 1990s during which he provided counseling to callers.

The purpose of life is to discover your gift.
The work of life is to develop it.
The meaning of life is to give your gift away.

In an 1843 essay titled “Gifts” by the prominent lecturer Ralph Waldo Emerson, he argued that a gift is only worthwhile if it is integrally related to the gift-giver 1

Rings and jewels are not gifts, but apologies for gifts. The only gift is a portion of thyself. Thou must bleed for me. Therefore the poet brings his poem; the shepherd, his lamb; the farmer, corn; the miner, a stone; the painter, his picture; the girl, a handkerchief of her own sewing.

 

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Seven Tips for Embracing Retirement

From Crosscut:  Anthony B. Robinson was the Senior Minister of Plymouth Church in downtown Seattle from 1990 to 2004. He was also a member of the Plymouth Housing Group Board. After living for many years in southeast Seattle, he moved recently to Ballard.

“I was visiting with a friend not long ago who confessed to a fear of retirement.

“I’m just not sure what I’ll do,” he told me, “or maybe of who I will be?”

“It’s a reasonable apprehension. Work really does mean a whole lot more than a paycheck. The three Rs that work offers — role, relationships and routine — are important.

“Let’s start with role. Like it or not, work defines us. “I’m a teacher.” “A cop.” “A dentist.” It’s the answer to what is sometimes the first question you’re asked at a party: “What do you do?” However as much people insist that whay you do is not who you are, in America work does provide a defining role and identity — one of the reasons that unemployment is so hard.

“But that’s not all. Given the time most Americans put in on the job, work generates many of our most important relationships, that second R. Our work colleagues are the people, apart from immediate family, whom we see most often. Some we like. Others not so much. But either way they fill our lives with daily human encounters and check-ins and, in some cases, deep friendships that go beyond the workplace.

The third R, routine, is something precious that a person may lose in retirement. Even if routine becomes too routine, verging into rut, it provides a comforting pattern to the days and weeks. Pattern or routine gives shape and order to our lives. Too much of it may be a drag, but too little presents problems as well. There’s a reason some retirees struggle with alcohol abuse.

Continue reading

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800 Columbia looking west across 9th Avenue

This is the approved version, six stories higher than Skyline when counting the “mechanical penthouse” three stories high. 

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Keeping Rio athletes safe

Cartoon

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Michele Obama Karaoke on the Late Late Show

She’s really cool doing car karaoke driving around the White House!

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Is having that test or procedure really wise?

There’s pretty good evidence that we are overdoing some tests and procedures. These not only add to expense but may cause harm. Group Health’s MacColl Institute is doing something about this with patient and provider education.

If you want to look up a test like “spine fusion” or “low back X-Ray,” go to the Choosing Wisely web site and research the issue. It’s good for your health! Click here for info.

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The “open space” next door

This aerial view shows 8th Ave and Columbia St. 

This is looking north from Columbia St near our garage entry. 

These plans are snipped out of the latest PDF on file at Seattle.gov (search for “800 Columbia”).

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The New Northern Neighbor


800 Columbia (even though the entry is midblock on 8th Ave, for the confusion of drivers).  That is Skyline on the right.  This is the approved August 2016 revision, ready to go. 

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Alternative Uses for Dental Floss

Ever need a clothesline or a way to hang a picture? Your extra dental floss may become handy according to a NYT article. Apparently there is minimal confirming evidence that dental floss really prevents cavities or gingivitis. But absence of proof isn’t proof of absence so most of us do as we were taught in kindergarten – floss regularly!

Even so, this strong string does have many other possible uses. Click here for more.

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Virtual Reality

Note: The same might be true with the smartphone!

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“Boys of ’36” on PBS Tuesday August 2nd at 9PM

A must view – Today on PBS at 9PM. Don’t miss it.

In August 1936, just outside Berlin, Germany, crowds gathered for the marquee event of the Olympic rowing contests: the men’s eight. The host nation had won more medals than any other and looked to dominate the final race. As Adolf Hitler looked on, nine boys from Washington prepared to row the biggest race of their lives.

“The Boys of ’36” premieres on August 2 at 9/8c on American Experience PBS.

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“Daisy” at the ACT Theater

There’s a powerful play running at the ACT Theater. “Daisy” has its world premier there and will be closing at the end of the week – tickets are still available. Several from Skyline have enjoyed the powerful portrayal of ethics and political choices triggered by the Daisy ad which ran apparently only one time during the Johnson/Goldwater Presidential campaign in 1964. This may have paved the way for negative ads so commonly used today catering especially to fear.

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Angels, Hospice, and Caregivers

Heather sits with Florence, who was 100 years old when this photograph was taken. Whenever Heather enters a patient’s home for the first time, she knows that she is walking into a long, long, complicated story that she understands nothing about, a story that is just then reaching its final crisis.

If you want to see what an angel looks like, look at a baby. But if you want to know what an angel does, learn about the Hospice nurse – and the caregivers. Meg Harkins let me know about the wonderful recent article in the New Yorker in the July 11th and 18th issues. Click here for the full article.

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The Southeastern View

SE view

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