Realizing you just made a big mistake

Thanks to Pam P.

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Appreciating our staff!

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Zelenskyy and the spirit of Ukraine are ‘Time’ magazine’s 2022 Person of the Year

Thanks to Pam P.

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The Vicissitudes of Nanohabitats

Thanks to Mary M.

by David B. Williams (author and son of resident Jackie Williams)

The other day when it was snowing, my wife and I took a short walk from our house. We headed north two blocks, then east over I-5, and up a slight ridge. In doing so, we passed through a phase changing temperature gradient. At our house the snow was not sticking to the sidewalk. At the apex of the ridge, the snow stuck. Total elevation change was about 100 feet. 

Depending on which website one trusts, with every 1,000 feet in elevation we could have risen, we would have lost between 3.5 and 5.5 degrees Fahrenheit. Since we ascended only 100 feet, the temperature only dropped between about a third and half a degree, but still just enough of a nanohabitat change to allow snow to remain on pavement. 

Several years ago, I also passed through a similar temperature gradient in a downtown building. I had ridden up to the 47th floor of the Seattle Municipal Tower and done a bit of research. When I looked out a nearby window it was snowing but when I got down to the ground floor it was raining. Dropping more than 470 feet, I had gone from snow cold air to rain warm air. It was pretty darned nifty, what you might call urban snow virga, or snirga, if I may coin a portmanteau.

Virga, in which rain doesn’t reach the ground. 

The subtle variation we experienced on our walk is one of the challenges in snow forecasting in Seattle. When it snows here, it generally happens right around the freezing point. Combine the mutability of topographic temperatures with our big bodies of water—Lake Washington and Puget Sound—which hold heat longer than pavement and it’s very challenging to provide a definitive snow accumulation forecast for the entire city. So be nice to forecasters, they’re people, too.

But, of course, there’s even more complexity. On our walk snow accumulated in a hodge podge of patterns. The most obvious was the difference between grass and pavement, primarily because grass retains less heat than a sidewalk, and provides a cooler surface where snow can collect. More beautiful was how leaves looked like snow whisperers, as if they had charmed the snow to land only on them. This would be a very wonderful and novel phenomenon but alas has to do with the leaves also providing a cooler surface than the pavement.

Shrubs and trees also play a part. Not surprisingly, less snow accumulated under leafy and well-needled vegetation but the same happened with bare trees. I wonder if, in addition to capturing the snow, the branches changed the flow of air enough to alter accumulation. Considering that I got a 16 percent on a physics test in college, you probably shouldn’t trust any ideas I write that have anything to do with physics. 

Proximity to walls also influenced where snow remained. Solar radiation bouncing off south facing walls added enough warmth to sidewalks to keep them bare. There were also many areas with no discernible reason for where snow wasn’t. Were there sewer pipes with warm water heating pavement, geothermal deposits, or not very good snow sweepers? 

It looks like the car provided a bit of warmth that kept the sidewalk bare?

So what does all this mean? Some climate change skeptics say that we don’t need to worry about one or two degrees of temperature increase. They are wrong. As I witnessed with the minimal temperature variation I experienced, little is required to alter what happens with snow. In addition, what I saw is predicted to play out in our regional precipitation patterns: climate change induced warming will mean that the mountains of the PNW should get less snow and more rain. Precipitation is expected to rise but because of warming temperatures snow will arrive later in autumn and stop falling earlier in spring. The impacts on salmon, recreation, and urban water supply will be dramatic.

Our planet, our neighborhood, each is sensitive to temperature change. As I walk the streets around my home, I cannot help but be fascinated by the beautiful effects of small variations and worried about the detrimental effects of the big changes we are inflicting on our planet. 


Last week I wrote about the old Chamber of Commerce Observatory. Here’s a link to a video I made from another great downtown location with a view. It is the public viewing space on the Seventh Floor Patio of the Fourth and Madison Building, one block north of the former Observatory. The elevator to reach it is in the southwest corner of the main lobby floor, sort of hidden away. Ask at the front desk if you need help. 

 
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© 2022 David B. Williams
Seattle, WA 98103 

Posted in In the Neighborhood, Nature | Comments Off on The Vicissitudes of Nanohabitats

WHAT ARE TYPES OF HEALTH ADVOCACY SERVICES?

Ed note: I’ve been asked on occasion how one can find an advocate when they have no one close to them who can be their power of attorney or assist with health care navigation. HealthAdvocateX is a national non-profit organization committed to helping you transform into an active participant in your care. It’s a consortium of advocates you can hire for navigating health decisions, doctor’s visits, insurance, end-of-life planning, etc.

When you are overwhelmed with a diagnosis (or a lack of one), are facing surgery or long-term treatment, or are unsure of your medical expenses and your insurance options, it might be time to call a professional Health Advocate. Health Advocates can assist you with a variety of things, including health care navigation, eldercare, insurance, billing and administrative issues regarding long-term or brief but severe care needs.

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The play call that didn’t work out

Thanks to Pam P.

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Can you guess the Christmas carol?

Ed note: This was posted 6 years ago on the blog. Do you remember?? Answers are below–don’t peek!

  1. Move hitherward the entire assembly of those who are loyal in their belief
  2. Listen, the celestial messengers produce harmonious sounds
  3. Nocturnal timespan of unbroken quietness
  4. An emotion excited by the acquisition or expectation of good given to the terrestrial sphere
  5. Embellish the interior passageways
  6. Exalted heavenly beings to who harkened.
  7. Twelve o’clock on a clement night witnessed its arrival
  8. The Christmas preceding all others
  9. Small municipality in Judea southeast of Jerusalem
  10. Diminutive masculine master of skin-covered percussionistic cylinders
  11. Omnipotent supreme being who elicits respite to ecstatic distinguished males
  12. Tranquility upon the terrestrial sphere
  13. Obese personification fabricated of compressed mounds of minute crystals
  14. Expectation of arrival to populated area by mythical, masculine perennial gift-giver
  15. Natal Celebration devoid of color, rather albino, as a hallucinatory phenomenon for me
  16. In awe of the nocturnal time span characterized by religiosity
  17. Geographic state of fantasy during the season of mother nature’s dormancy
  18. The first person nominative plural of a triumvirate of far eastern heads of state
  19. Tintinnabulation of vacillating pendulums in inverted, metallic, resonant cups
  20. In a distant location of the existence of an improvised unit of newborn children’s slumber furniture
  21. Proceed forth declaring upon a specific geological alpine formation
  22. Jovial yuletide desired for the second person singular or plural by us

See below to find the answers – how’d you do?

  1. Onward Christian Soldiers
  2. Hark, the Herald Angels Sing
  3. Silent night
  4. Joy to the World
  5. Deck the Halls
  6. Angels we have heard on high
  7. It came upon a midnight clear
  8. The First Noel
  9. O Little Town of Bethlehem
  10. Little Drummer Boy
  11. God Rest ye Merry Gentlemen
  12. Let there be peace on Earth
  13. Frosty the Snowman
  14. Santa Clause is coming to Town
  15. (I’m dreaming of a) White Christmas
  16. O Holy Night
  17. Winter Wonderland
  18. We Three Kings
  19. Jingle Bells
  20. Away in a Manger
  21. Go Tell it on the mountain
  22. We Wish you a Merry Christmas
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We the People

Thanks to Pam P.

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Homespun philosophers

Thanks to Rosemary W.

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JWST’s best images: spectacular stars and spiraling galaxies

Click the following for: Nature’s pick of the sharpest science shots this month is dedicated to the James Webb Space Telescope, which began peering into the Universe earlier this year. Thanks to Mike C.

Neptune system shows off the planet’s rings, which have not been seen with this clarity in more than three decades.
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Stressed During the Holidays? There’s an Exercise for That.

By Danielle Friedman in the NYT

The holidays may be known for their go-go-go stressful energy, but we also tend to spend a lot of time in December being sedentary. Historically, people are least physically active during the winter, thanks to falling temperatures, limited hours of sunlight, calendars jam-packed with travel and social commitments and, of course, the tug of the couch after too much eggnog.

Americans are five times more likely to say their stress level increases rather than decreases during the holidays. And while these higher stress levels aren’t only caused by a lack of physical activity, the lethargy certainly doesn’t help, said Dr. Rebecca Brendel, president of the American Psychiatric Association and an associate professor of psychiatry at Harvard University Medical School.

Exercise can be a key way to combat the stress of the season. And it can take whatever shape and form you prefer.

If you already have an established fitness routine, keep it up. Research shows that, over time, regular exercise can help to prevent stress in the first place by improving our body’s ability to neutralize stress-causing hormones and by increasing dopamine receptors in the brain, allowing us to feel more joy.

And if you haven’t been consistently working out? You can turn to exercise “as needed,” in the same way you might take an Advil for a headache, said Sepideh Saremi, a licensed clinical social worker and the founder of Run Walk Talk, a Los Angeles-based therapy program in which she treats her clients while engaging in physical activity. Research suggests that a single session of intense exercise (whatever that means for you) can boost your mood for up to 24 hours.

While just about any movement can offset holiday overwhelm, we asked mental health experts who focus on the mind-body connection for their best advice for this particular time of year.

The holidays can feel constricting, both physically and psychologically. Travel requires squeezing yourself into small spaces in airplanes or trains and crowded parties intrude on your personal space. A relative’s backhanded compliments about your life choices can make you feel emotionally small, too.

When you’re feeling squeezed, do a workout (or single exercise) that encourages the body to take up space, said Erica Hornthal, a dance therapist in Chicago.

Ms. Hornthal suggested carving out time for full body, reach-for-the-sky style stretching sessions. Even two to three minutes of this can help to offset feeling cramped. She also recommended shaking off the feeling of constriction. “Shake your hands, shake your head — kind of like an animal after it gets wet,” she said. “You can make a game out of it if you have kids.”

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I’m talking to you

Dog and Cat Cartoon Prints image 1
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Assisted living too often fails older, sicker residents, report says

Thanks to Diana C – Published in the Washington Post

Assisted-living communities too often fail to meet the needs of older people and should focus more on residents’ medical and mental health concerns, according to a recent report by a diverse panel of experts.

It’s a clarion call for change inspired by the altered profile of the population that assisted living now serves.

Residents are older, sicker and more compromised by impairments than in the past: 55 percent are 85 and older, 77 percent require help with bathing, 69 percent with walking and 49 percent with toileting, according to data from the National Center for Health Statistics.

Also, more than half of residents have high blood pressure, and a third or more have heart disease or arthritis. Thirty-one percent have been diagnosed with depression, at least 11 percent have a serious mental illness, and 42 percent have dementia or moderate-to-severe cognitive impairment.Advertisement

“The nature of the clientele in assisted living has changed dramatically,” yet there are no widely accepted standards for addressing their physical and mental health needs, said Sheryl Zimmerman, who led the panel. She’s co-director of the Program on Aging, Disability and Long-Term Care at the University of North Carolina at Chapel Hill.

The report addresses this gap with 43 recommendations from experts including patient advocates, assisted-living providers and specialists in medical, psychiatric and dementia care that Zimmerman said she hopes will become “a new standard of care.”

Posted in Advocacy, Caregiving, Dementia, Disabilities, end of life, Grief, Health | 1 Comment

A French Village’s Radical Vision of a Good Life with Alzheimer’s

by Marion Renault in The New Yorker

Four years ago, I spent a morning cooking couscous with my grandmother Denise near Grenoble, France, where she has lived most of her life. We peeled carrots and turnips, seared lamb and chicken, tied bouquets of herbs, and mixed hot water into the grains with our bare hands. I wrote down her recipe as we went along. My mamie has Alzheimer’s, and I had to learn to make her couscous on my own, before she forgot how to do it herself. That day, I recorded a video of her on my phone. She was sitting in a familiar kind of wooden ikea chair that you have probably sat on before and that I will always associate with her. As she gazed out the window, a thought occurred to her, and she turned to me and asked, “C’est samedi que tu pars?” You’re leaving on Saturday?

Yes, I told her. I was returning to the United States, where my parents moved our family when I was eighteen months old. I found it painful to leave; each time we visited France, the progression of her disease seemed to become more unignorable. Her pencil trembled when she practiced her handwriting. She moved her daily baguette from the kitchen counter into the plate drawer. Late at night, she muttered and puttered around her apartment. When her wandering inconvenienced us, we guided her back to her chair. My family talked about the chair as if it were her refuge; it was probably more accurately described as our refuge from her confusion.

In the summer of 2020, my grandmother stopped eating and getting out of bed. She had fallen, fractured a vertebra, and forgotten about it. I flew to France with a dozen of Mamie’s favorite sesame-seed bagels, and I lived with her as she recovered, fetching prescriptions for the pain she was constantly rediscovering, and rubbing her back when she coughed until she retched. I lay in bed with her until she fell asleep. I fed her. I learned, for the first time in my life, what it meant to care for someone. After five weeks, my mom took my place as Mamie’s at-home caretaker.

Like so many families that are affected by Alzheimer’s, we searched desperately for a new place where my grandmother could live. We viewed her isolation in her seventh-floor apartment as a risk to her health and safety, and felt that it was not only right but necessary to exchange what was left of her autonomy for the round-the-clock, structured care that she could receive at a nursing home. About half of the six hundred thousand people who live in France’s ehpads, or “housing establishments for dependent elderly people,” have dementia. These are imperfect institutions: in 2018, French nursing-home workers went on strike to protest staff shortages and cost-cutting, and, earlier this year, disturbing reports of abuse and neglect, untrained staff, and the rationing of food and diapers by a for-profit nursing-home company put the country’s elder-care system under intense public scrutiny.

A nursing home in a nearby suburb finally offered her a place after weeks of uncertainty.

My grandmother’s life now seems safer, but smaller. Her memory-care unit is locked with keypads to prevent her from wandering out and is rarely unsupervised; the woman who taught me to cook couscous no longer has a kitchen. My family is satisfied with her care: the staff is affectionate, Mamie is often cheerful during visiting hours, and she regularly participates in Montessori activities such as vegetable peeling and sing-alongs. I never saw her with pets when I was younger, but she now lets the nursing home’s service dog, an enormous Labrador named Nova, cuddle with her in bed. Still, it seems inevitable that, as my grandmother’s condition declines, she will lose the few freedoms she has left. Last year, I stopped bringing her bagels after I noticed that they were furring themselves green inside their plastic bags. This year, she complained of being weaker, of fighting with her brain but not understanding why. She sometimes referred to her nursing home as her aunt’s house, or the children’s daycare where she worked for decades. Someday soon, she will no longer be able to play dominoes with me—she won’t understand how to win, or even how to count the dots on each tile. Later, she might be moved to the unit next door, where people with more serious cognitive limitations live under even closer surveillance.

Anyone who has cared for someone with Alzheimer’s is likely to be familiar with this transaction. We cede their freedom to gain a sense of security—theirs, but also ours. We attempt to resize their world, removing the choices that might pose a danger to them. But I often wonder whether the standard approach of a nursing home—the constant surveillance, the rigid schedules for waking, bathing, eating, socializing, and sleeping—is the best that we can offer to loved ones with dementia.

Posted in Aging Sites, Dementia, Uncategorized | 3 Comments

big fire next door to south (Friday 9pm)

About 9:00PM Friday, looking from 26th floor observation deck. Foreground roof is The Terraces. Visible flames are from rear of building, which caught fire several years ago.
https://sfdlive.com/?area=First+Hill
About 9:05pm
Image
via Twit
Aftermath. Saturday 4pm.

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Covid becomes plague of elderly, reviving debate over ‘acceptable loss’

Nearly 9 in 10 covid deaths are in people 65 or older [from Washington Post]

Some epidemiologists and demographers predict the trend of older, sicker and poorer people dying at disproportionate rates will continue, raising hard questions about the trade-offs Americans are making in pursuit of normalcy — and at whose expense.

By Ariana Eunjung Cha and Dan Keating

The red curve is us.

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Why Is It So Hard for Men to Make Close Friends?

By Catherine Pearson in the NYT

Ed note: I’m wondering just how vulnerable a man needs to be. Here’s one published comment on the article below: “I have different male friends that I DO different activities with. We do not need to “talk about our feelings” in order for this to be ‘close friends.’ Once again, an ‘expert’ is saying men need fixing and the fix is to feminize them.” What’s your take on male friendship?

The Tuesday before every Thanksgiving, Aaron Karo and Matt Ritter, both 43, go out to dinner with a group of seven men whom they befriended as second graders in Plainview, N.Y.

At the dinner, one of the friends wins the Man of the Year prize — a silly accolade the group concocted as an excuse to reconnect. They eat and they laugh, and the winner leaves with his name engraved on a cartoonishly large silver cup.

“It’s not really about the trophy,” said Mr. Karo, who co-hosts a podcast with Mr. Ritter called “Man of the Year,” which explores adult friendship. “It’s about the traditions that keep us together.” The friends jockey for the prize in a running group text, where they share memes and talk a bit of trash but also keep up with one another.

“I think men have been convinced that success in life does not necessarily include friendship — that if they’re successful at work or they’ve started a family, they’ve won,” Mr. Ritter said. “Our definition has always included having these thriving friendships.”

Mr. Ritter’s close crew notwithstanding, American men appear to be stuck in a “friendship recession” — a trend that predates the Covid-19 pandemic but that seems to have accelerated over the past several years as loneliness levels have crept up worldwide. In a 2021 survey of more than 2,000 adults in the United States, less than half of the men said they were truly satisfied with how many friends they had, while 15 percent said they had no close friends at all — a fivefold increase since 1990. That same survey found that men were less likely than women to rely on their friends for emotional support or to share their personal feelings with them.

“I think men have a deep craving for intimacy with their friends,” said Nick Fager, a licensed mental health counselor and the co-founder of Expansive Therapy, an L.G.B.T.Q.-focused psychotherapy group. “And yet getting there can feel so incredibly challenging.”

The four strategies below won’t eliminate all of the obstacles that can stand in the way of deep male friendship, but they are a start.

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Better believe it – research into the placebo effect

Thanks to Marilyn W.

Ed Note: Placebo is a Latin word which translates as “I shall please.” If you’re interested, click here to read a blog post I wrote about one of my patients responding to the “drug” obecalp.

By Sam Scott in the Stanford Magazine

Alia Crum’s long history of experiments exploring the mind’s influence over the body began with a record-scratch moment midway through her undergraduate career at Harvard, in the early 2000s. At the time, Crum was a member of Harvard’s ice hockey team, a juggernaut that would go to three consecutive NCAA championship games during her four years in Cambridge. Crum was a role player, but her dedication was total. If the team trained three hours, she would top it off with an hour alone on the StairMaster. All the sweat equity, however, didn’t much impress psychology professor Ellen Langer, Crum’s academic adviser. “You know that exercise is just a placebo, right?” Crum recalls Langer saying. 

The comment left Crum momentarily stunned. “Like, um, what did you just say?” But almost as quickly, it crystallized thoughts Crum had long had. Her studies—and life experiences—had made her keenly aware of the power of the mind to sway the body. Later that year, she would write a life mission statement, one that describes her work at Stanford today: “To help improve people’s health and happiness through increased understanding of the mind-body connection.” So, was she getting fitter and stronger because of all those hours in the gym? Or was it because she believed she would get fitter and stronger? What had sounded like a preposterous claim became an invitation for Crum to dig deeper.

Working under Langer, Crum recruited 88 female housekeepers from seven hotels to test the influence of their beliefs on their physical health. Few of the women said they got regular exercise—a third said they got none. Then the researchers gave half the women presentations revealing a hidden truth. Just by doing their jobs—where they might, for example, burn 60 calories in 15 minutes cleaning bathrooms—they were easily satisfying the surgeon general’s recommendation for a healthy lifestyle.

This change in perception seemed to change reality. Four weeks later, the women who heard the presentation perceived themselves as getting more exercise, despite reporting no change in their job duties or outside activities. Their bodies seemed likewise convinced. They showed a decrease in weight, waist-to-hip ratio, and systolic blood pressure, which dropped an average of 10 points. 

“These results support the hypothesis that exercise affects health in part or in whole via the placebo effect,” the pair wrote in the ensuing paper, published in Psychological Science in 2007. Crum may have been the first author, but the paper’s restrained academic tone didn’t come close to capturing the wonder she felt. “It really opened the floodgates,” she says. “If placebo-like effects matter in shaping the benefits of exercise, where else are they playing a role that we’re not paying attention to?”

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Why (not) be in the news business

Thanks to Rosemary W.

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How to talk to a widow

By Betty Rollin in the NYT

Ms. Rollin is a former NBC News correspondent and the author of several books, including the memoirs “First, You Cry” and “Last Wish.”

People are kind; some are wonderful. For a time. Then they move on to the next widow.

That’s how it should be. But I realized I wasn’t prepared for this after the following email exchange. A friend wrote, “How are you?” I wrote back, “I’m better.” The friend replied, “Oh! I didn’t know you were sick.” Given that I became a widow more than a year earlier, she had assumed that I had moved on and that I was feeling better after, perhaps, a cold or the latest Covid. But I meant that I was feeling better about my widowhood. I guess I was supposed to have recovered from that. Apparently the correct amount of time is a year or so. Apparently I wasn’t doing the recovery thing right.

Given all the widows in society today (11.4 million compared with about 3.4 million widowers), it’s surprising to me that people often struggle with how to talk to us, how to be with us. America has never been a more sensitive — or hypersensitive — place: There has never been as much discussion about mental health needs, especially of younger Americans. Although many of us are OK compared with other groups, we need people to be aware of us and to be mindful that we’re not all alike and not all experiencing loss and grief in the same way. And I have a word to my fellow widows, too: Interacting with people takes effort and creativity on our part, as well.

First, a little more about us. Most of the women who are widowed each year are over 65, and they frequently outlive their husbands by many years. Widows are far more likely than married women to be poor. Widowed men are far more likely to remarry than widowed women (and often remarry younger women). Black Americans, male and female, become widowed at younger ages than white Americans. By ages 65 to 74, about 24 percent of Black Americans are widowed, compared with about 15 percent of white ones.

Not all widows suffer their loss. For some, their husband’s dying was so horrific that death was merciful and, at least at first, the widow experienced mostly relief. Most older widows also have grown children, who may help their mother feel there’s someone left who loves them. One of the main ways I’m different is that I never had children (or siblings). When I was in my 30s and had breast cancer, a doctor advised me against having children. I might not have had them anyway; it was the 1970s, and I was what was then called a career girl. When, many years later, we learned that a colonoscopist for my husband, Ed, had seemingly failed to notice evidence of advanced colon cancer and that Ed was a goner, we joked about adopting a 60-year-old.

Ed and I married late. He was 42; I was 43. We had just short of 42 years together. Improbably, they were wonderful years. “Improbably” because we were so different — him, a mathematician WASP from the Midwest, me a New York Jew whose worst subject in school was, of course, math. But it worked out. More than worked out. We both felt dizzy with our good fortune at having found each other. When we walked home from the doctor’s office after getting the news that Ed had two years to live (they tell you straight out these days), Ed wanted to talk about how lucky we had been and still were. And when we got home and sat down in the living room, our coats still on, the sky growing dark, and I talked about wanting to write to the colonoscopist who seemed not to have noticed Ed’s progressing cancer, wanting, desperately wanting, to give him a piece of my mind, Ed said no. “I have two years, and we’re not going to spend any of that time being angry. I’m not writing to that doctor, and neither are you. We’re going to forget about him and be as happy as we can.”

And that’s what we did. Well, that’s what he did. A good part of the time, I was pretending.

Childless couples like us often have big social lives, and during the pandemic, thanks to Zoom, we continued ours with a vengeance. But as Ed got sicker and when he got on the heavy meds — thank you, hospice — we had to cut down on our time with friends. Ed continued to work on his math book. Did I mention he was writing a math book as he was dying? He managed to finish it four days before he died, and the book, incredibly, has recently been published. I’m thinking of having a party of close friends. First, though, I must get into more of a party mood than I am now. I’m trying. A psychiatrist helps. This guy is the one I saw before I married Ed; I hadn’t been any good at choosing men and was worried I might be making another mistake. The psychiatrist didn’t seem to think so. He was right, obviously. Anyway, I got his email and wrote to him. He wrote back that he was 1) still alive and 2) still working. So for the past year or so, he’s been trying to get me to cheer up. Well, that’s not quite correct. Mainly, he wants to help me get out of the black hole I still seem to be in.

Of course, I realize I have no right to be in a black hole. All I need to do is open any newspaper or turn on NBC News, where I used to be a correspondent, to know that I have no right to sadness and certainly no right to misery in the world we live in today. But one reason I’m confessing is that I know there are a lot of us who are in my situation and feel the way I do. Even the ones who have children don’t often live near the children. Or the children aren’t kind, or they have their own problems. And some of us oldsters are a lot sicker than I am. One of the nastiest surprises about being 86 is that you probably have something wrong with you, something that makes you feel your body wasn’t meant to last this long. And of course, there’s Covid. Even if you don’t have it, you’re probably still nervous about getting it. Especially now that you’re alone.

Although you are alone, there are some ways to be less alone. You can help others with a skill you may have. You can keep in touch with friends, even if they’re not perfect. Plus, I Zoom with friends, which still beats a phone conversation.

Here’s another tip: If you want to keep those friends, don’t forget to ask them how they are doing. That’s something that even happy people often forget to do. And here’s a choice that may work only for yours truly: I read books that have nothing to do with today. Like Trollope. Watching movies doesn’t do much for me, but I know it does a lot for some of us. Physical activity can be cheering. It makes the heart beat in a reassuring way. And if none of that does the trick, many widows can reflect on the fact that the main part of our lives was Covid-free, and free of Vladimir Putin and Donald Trump, in a world far nicer than it is now.

Finally, Friends of Widows, here are a few pointers: The main one is don’t do one sympathetic email with your widowed friend, then disappear. Don’t tell sad stories about your other widowed friends. Don’t (see first paragraph) assume that, after a year or so, the widow is all cheery again. Don’t assume anything about the widow’s finances. And now, just speaking personally: My Christian friends sent flowers; my Jewish friends sent food. Food is better.

Posted in Advocacy, Aging Sites, end of life, Grief | 2 Comments

Concert tonight in the Performance Hall – POSTPONED DUE TO WEATHER

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Shocking!

Thanks to Mike C.

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Researchers begin trial for mRNA flu vaccine

mRNA-vaccine-story_2col.jpg

The investigational vaccine is in the third phase of trials and targets flu strains expected to circulate this winter

Researchers at Kaiser Permanente Washington Health Research Institute (KPWHRI) are now recruiting participants age 65 and older who have not yet received this season’s flu vaccine for a trial of an investigational mRNA flu vaccine developed by Pfizer. The trial, taking place at many research sites across the U.S., will evaluate the vaccine’s efficacy and the immune response that it generates. If the vaccine performs well, it could contribute to improved protection against flu, which still has a large health impact in the U.S. and globally.

Current flu vaccines do not use mRNA technology, and both Pfizer and Moderna are testing mRNA flu vaccine candidates, which could become the first vaccines against influenza that use this approach. Vaccines using mRNA use the genetic sequence of a virus, rather than the whole virus, and are able to be manufactured rapidly at a large scale. They are also more easily adaptable, which could make it easier to match the vaccine to circulating flu variants.

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An OCD robot in the ODR

Robot With Flower New Yorker  giclee print image 1
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19,000 Polyclinic, Everett Clinic patients face in-network insurance loss

Ed note: Once again, we’re faced with consumer unfriendly restrictions and costs in the health care industry. Now we’re seeing bargaining over care vs. profits! United Health Group Inc (UNH) is for profit and it’s stock continues to soar gaining 132.82% over the past five years as it buys up health care systems. It is now controlling about 25% of the “health care market.” Regence is part of the non-profit Cambia Health System. In the negotiations reported below (which have almost nothing to do with your health care, but a lot to do with your premiums) if these two giants can’t agree on how much Regence should pay United Health for their patients to be cared for at the Polyclinic and the Everett Clinic, Regence patients will have restricted access (or none at all). It points out one of the potential disadvantages of Medicare Advantage over Original Medicare and the mess we call “health care.”

By Elise Takahama Seattle Times staff reporter

Thousands of patients of The Polyclinic and The Everett Clinic could soon have to find new medical providers or face higher rates, if the clinics’ owner and a major health insurer can’t agree on a new contract within the month.

While negotiations remain ongoing, the contracts between the two physicians’ groups and Regence BlueShield, a Seattle-based health insurer founded in Tacoma, are set to expire Dec. 19.

If the contracts expire without a resolution, patients with a Regence plan will no longer be able to pay in-network rates with The Polyclinic or The Everett Clinic, so anyone who continues to receive care from either will likely have to pay higher, out-of-network rates.

Patients who will likely be most affected are those in King, Pierce, Snohomish and Whatcom counties. The Polyclinic also has locations in Chelan County.

Regence notified its nearly 19,000 affected Polyclinic and Everett Clinic members of the change earlier this month, saying in a letter that Optum, the parent company of the groups, left its provider network after “insisting on an unprecedented increase in what we pay them for your care.”

Optum asked for an increase of about 14.75% in negotiated rates, The (Everett) Herald reported, though the company hasn’t confirmed the figure. A spokesperson for the company did not respond to several other questions about how the change might affect patients.

Optum is a subsidiary of Minneapolis-based health care giant UnitedHealth Group. It bought The Polyclinic, which started as a local physicians’ group more than 100 years ago, and The Everett Clinic in 2019. Both still serve much of the Puget Sound region.

“Supporting our patients with compassionate, quality care is our highest priority,” The Polyclinic and The Everett Clinic said in a statement. “We remain hopeful that we will reach an agreement with Regence so patients will have continued access to their trusted Polyclinic and Everett Clinic doctors and care teams.”

Regence, meanwhile, has said it’s “disappointed” that Optum plans to remove its local clinics from its provider network.

“Our premiums are based on what we expect care to cost,” the insurance company said in a statement Monday. “When providers demand unsustainable rate increases to provide care, our members and customers pay more out of pocket.”

Patients with some conditions might be able to continue network treatment for a short time, including those seeing a provider for a “serious” or “complex” condition, those benefiting from inpatient care, those who are pregnant and are seeing a provider for pregnancy-related care and those who are terminally ill, according to the state’s Health Care Authority.

“Our top priority is ensuring our members have access to high-quality, affordable health care,” the Regence statement said. “We are a tax-paying nonprofit founded in Tacoma more than 100 years ago and our commitment has always been to make care better for Washingtonians.”

For those looking for a new provider, UW Medicine, Virginia Mason Franciscan Health, Providence Swedish and Overlake Medical Center in King County are in the Regence network. MultiCare, Providence Medical Group and Western WA Medical Group in Snohomish and Pierce counties are also in-network.

The Polyclinic was founded in 1917 by six Seattle physicians, and has grown to become one of the largest multispecialty physician groups in the Greater Seattle area. Its now 200-plus physicians represent most medical specialties, and work out of more than 12 locations around the Puget Sound area. 

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The Everett Clinic began in Everett in 1924, and was acquired by DaVita Medical Group in 2016. In late 2017, DaVita Medical Group agreed to sell the group and other practices to UnitedHealth.

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