What's Keeping Me From Blogging?

So much . . .

Weekly trips to pick up our CSA (Community Supported Agriculture) [It's a USDA website so go quick before the regime either takes it down because it's too 'woke' or it crashes from neglect or incompetence.]

They use salt - some Alaska salt - and mix it with things for use in cooking, eating, and making your house smell better, like in the simmer pots.  

I've highlighted soap artist (seriously, what she does is art!)  Kit before.  She showed me a prototype of a soap she's working on that will have a Rorschach test on it.  I asked if there are psychiatrist interpretations included.  Those, she assured me, would cost a lot more.  Learn more at MirthAlaska.com. 

There was a long line at the WIC table.  This market is in the lowest income area of Anchorage and the Grow North Farm here - sponsored by RAIS (Refugee Assistance and Immigration Service), a part of Catholic Social Services - is an urban farm worked by refugees.  

It was gray and threatening, but not raining all that day, but it finally came down on the ride home.  It was so light it really only got my clothes slightly damp.  And my odometer with drops.

I've gone past my 1600 km goal for the summer - one reason I guess I haven't blogged as much.  All that biking along Anchorage's green bike paths has been good for my physical and mental health during this disastrous time in US history.  

The picture below was on an earlier ride on the Campbell Creek south trail.  And I'm delaying today's ride to get this post up.

The mushroom isn't connected to anything else in this post, but of course mushrooms and fungus in general are connected to everything underground.  You can't really tell but this one was five or six inches across.  Growing right next to the compost pile.  

  
                                                                      

Again, a somewhat random picture here.  Walking down the steps after a routine doctor visit at Providence, I was greeted with the lovely sounds of live piano music.  The acoustics in the huge atrium entrance are great and the notes pulled me over to listen to the end and thank the musician.

Our power, phone/internet went out during the windstorm a week ago Friday.  This downed cottonwood was the culprit.  Chugach Electric had the power back on the next morning when we woke up.  Alaska Communications took until Tuesday or Wednesday to come out and then they didn't have the equipment to fix it right, so while the phone line and internet are back on, the wire is lying on the ground and about two feet off the ground in some places I have to walk.  In what world is that acceptable?  Alaska Communications is so terrible!  The techs I have to call now and then and those who come out to the house are generally very good.  It's just the management that has promised me fiber every summer since 2023 and not delivered that pisses me off.  And the website that has the circle of death spinning hopelessly when I try to pay online, and then they charge me a %25 late fee because I couldn't pay online.  With no grace period.  None.  Visa emails me three days before to remind me to pay my bill.  ACS emails three days after it's due to say, "We screwed you again."  I'm ready to cut that cord forever.  

Got that off my chest.  

Our neighbor did hook us up to his power with a series of extension cords to power the refrigerator since we didn't know how long it was going to take to get the power back.  We decided to go to Queen of Sheba for dinner that night.  Here's David, the owner and chef, chatting with us after our meal.  

Ethiopian food is truly special and delicious.  Anchorage folks, go eat there and keep them in business.  The prices are reasonable for this day and age.  

It's between Northern Lights and Benson - on Dawson.  

So, probably this should have been three or four blog post spread over the week.  

But I'm not done.  I've been reading several books at once, but I'll just highlight Caraval.  This was a recommendation from my 12 year old granddaughter.  When I told her I was number 25 on the waiting list at Loussac Library, she said, "I told you that you'll never get it."

But I got an email saying it was mine to pick up.  I understand why people read it.  Each chapter ends with a cliffhanger of sorts.  And I think the author has synesthesia, because every feeling is associated with a color, some vibrating.  Lots more descriptions of odors than you normally see too.  And I don't think Nancy Drew ever had chills from the touch of a young man's bare chest leaning against her. 

I'd say this teen fiction is the gateway drug to adult romance fiction.  

Moving along - I'm still overwhelmed with the barrage of outrageous statements and actions spewing from the White House.  Here are a few images that I've saved as I try to find new ways to ask my junior US Senator how long he thinks he can wade in this filth before he is sucked under completely.  He gleefully points at what he sees as 'wins' for Alaska, while the president tramples the constitution by kidnapping people off the streets, invading US cities with our military, ignoring judge's orders, bombing boaters in international waters, gerrymandering Texas to squeeze out Democratic house seats, and on and on and on.  I didn't even mention Epstein.  And Dan Sullivan turns a blind eye to all of that in exchange for some oil drilling permits.  

My previous post was on the normalization of the word normalization.  Nothing could illustrate that point better than this post by His Travesty.   

What previous president could have done something like this and not been impeached?  Some say it's just 'a humorous bit' but I did a paper on government humor once.  What I learned was that government humor that is self deprecating is fine, but government humor that punches down is NOT fine.  

And then his Vice Travesty defends another military operation off the coast of Venezuela:

Has anyone seen any evidence that these are cartel members (just like we haven't seen any evidence that Kilmar Abrego Garcia was a member of Tren de Aragua gang)?

I copied this one for Labor Day.  We're back to the time when business owners could call on the government to bring in troops to break up labor unions.  And when I say 'break up' I mean that literally.  But they stood in solidarity until they won their rights which have benefited most of us.  (You know, 40 day weeks, paid overtime, health benefits, the right to grieve bad treatment, etc.)  We have to be as brave and persistent now to prevent what's happening today.  

I don't believe ignorance is greater now than it was.  But the propaganda forces of the fascists have powerfully taken advantage of that ignorance, and the latent fears of white America.  They've taken all the damage to the working classes done by exporting jobs and increasing the income gap and blamed it on Black people and immigrants.  

 I remember when the first polio vaccines became available and we got poked at school.  My small pox vaccine scar no longer really shows, but I was inoculated.  

Public health programs have saved more lives than medical treatment of individuals.   As I look for good links to explain the importance of public health to society, I see that some of the most important public health initiatives - clean water and sewage systems - are so taken for granted that they aren't even mentioned.  But we haven't always had clean water and sewage systems.  And parts of the world still don't have them.  

President Nixon famously had an enemies list.  But no president has ever, so blatantly used the powers of the federal government to go after his perceived enemies.  The president is publicly telling the Department of Justice to investigate and prosecute people who oppose him.  And as a blogger, I found this cartoon a bit close to home.  

I tell myself I'm just a tiny voice out in the wilderness and they have much bigger targets than me.  But I also notice that Google says my recent posts have way more hits that I usually get.  Stat Counter has always shown far fewer hits than Google, but they also track individual visitors.  I can't tell if I really have more hits or whether there are more bots.  In times past when there were lots more hits, it looked like someone scraping my blog for content, and more recently for AI.  But when that happens you can see a single user going to thirty or more different pages per day.  So many hits on a single page is different.  

In any case, I want people to stay strong and be engaged in fighting this regime to preserve our democracy (not to mention our health and economy and general well being.)  Do what you can.  And take breaks to laugh, enjoy nature, good friends.   Find like minded people.  And know your rights.  

And a teaser for a post I hope to put up this week.  

From Animalspot.net

Alaska COVID Updates Missing Amid National COVID Surge

 Up among the tabs under the orange banner on top is a link to Respiratory Virus Cases.  That goes to a 'page' in Blogger's lingo, that is separate from the main posts I do here.  

Today I posted a new update there and I'm posting it here as well because it's important for Alaskans to know that State simply isn't updating the numbers in a timely manner, even though there is a national COVID surge.  A friend cancelled dinner plans last week because he got sick the night before and tested positive for COVID

I've been posting these updates there as they come out from the State.  That used to be weekly, but now it seems to be whenever they get around to it.  That Page (Tab) also has the charts the State publishes (used to publish?). Before that I tracked the COVID numbers they posted since March 2020.  Those are on other tabs up there under the banner.  

Here's today's update to my Respiratory Virus Cases update:

August 5, 2024 -  The last time I posted was July 12, a bit over three weeks ago.  The last date the state posted numbers for was July 6 - just under a month ago.  Meanwhile a lot of people are getting COVID, but in Alaska we aren't finding out because the State has cut back on how often they update the numbers.  To clarify, the post weekly updates, but they don't post them weekly.  They post two or three weeks at a time.  

As of today, there are four unreported weeks.  

Meanwhile, from the LA Times (I think this link isn't pay walled):

"COVID surge’s tenacity surprises experts

Doctors, others say infections have been strong this summer, with KP.3.1.1 subvariant the most common.

BY RONG-GONG LIN II

California’s summer COVID surge has proved to be particularly strong and enduring, surprising experts with its tenacity as it storms into a third month.

The strength of this summer’s COVID surge probably is largely related to the ever-more infectious subvariants that continue to emerge as the coronavirus evolves, said Dr. Elizabeth Hudson, regional chief of infectious disease at Kaiser Permanente Southern California.

A dizzying number of related subvariants — collectively dubbed FLiRT — have emerged in recent months. One in particular, KP.3.1.1, has been picking up steam at a startling pace and has become the most common strain nationwide."

900K

Today I got to 905 kilometers on my bike for the summer.  That's 562 miles, which is why I'm sticking with kilometers.  900 sound so much better than 562.  To get some perspective:

• St. Louis to Cleveland = 567 miles
• Washington DC to Indianapolis = 565 miles
• Los Angeles to San Francisco = 403 miles
• New Orleans to Dallas = 504 miles
• Milan to Frankfort = 412 miles
• London to Edinburgh = 256 miles
• Madrid to Lisbon = 390 miles
• Bangkok to Phuket = 524 miles
• Tokyo to Osaka = 314 miles
• Dehli to Mumbai = 724 miles
• Beirut to Bagdad = 600 miles
• Buenos Aires to Mendoza = 600 miles

The 900 km point was about here:

That's 900 k in four months.  Put that way it doesn't seem all that much.  225 k per month.  It just means getting on that bike regularly.  And once I'm out and on the trails it's great.  Last year by July 26 I was at 749 k.  But things started slower because trails had snow and ice longer in April.  

Trump's Ear

I have questions.  First reports said a teleprompter was hit and Trump's ear was cut by glass.  News reports now say he was hit by a bullet.  What doctors treated him and when do we get a report on his ear?  Did anyone locate the bullet that hit his ear?  

So I've been googling away with these sorts of questions.  

Here's a close up of the picture from Getty Images.  It's the best I can find that shows his ear immediately after he was shot.  

So here's some of the most relevant things I found: 

 “I was shot with a bullet that pierced the upper part of my right ear. I knew immediately that something was wrong in that I heard a whizzing sound, shots, and immediately felt the bullet ripping through the skin. Much bleeding took place, so I realized then what was happening.” Variety July 13, 2024

“The bullet took a little bit off the top of his ear in an area that, just by nature, bleeds like crazy,” Mr. Jackson said in an interview. “The dressing’s bulked up a bit because you need a bit of absorbent. You don’t want to be walking around with bloody gauze on his ear.” New York Times July 16, 2024

"[Trump] spoke off-camera to the New York Post and the Washington Examiner, among others, in the days following the shooting, but he was mum about his medical condition, volunteering only that, 'the doctor at the hospital said he never saw anything like this, he called it a miracle.'" NBC News July 16, 2024

What hospital?  I understand that doctors can't talk about their patients' health.  But this is someone running for president.  The candidate should ask the doctor to tell the nation what the situation is. 

"His campaign said he was taken to a nearby hospital, but it’s not clear which medical center the GOP candidate was rushed to.

There are at least three hospitals in the area.

Butler Memorial Hospital, located in Butller, is part of the Butler Health System. It offers a comprehensive range of medical services, including emergency care and trauma services.

Allegheny General Hospital in Pittsburgh, is a Level I trauma center known for its advanced medical care and trauma services. It is approximately 35 miles south of Butler, providing a nearby option for specialized trauma care.

UPMC Presbyterian, also located in Pittsburgh, is another Level I trauma center. Like Allegheny General, it is about 35 miles south of Butler." NorthJersey.com July 13, 2024  (J. Staas Haught USA TODAY NETWORK)

BUTLER, Pa. (KDKA) — "Former President Donald Trump was taken to Butler Memorial Hospital after shots were fired at his rally on Saturday.

The hospital is about 11 miles from the Butler Farm Show grounds, where the rally was held. KDKA-TV learned the former president walked into the hospital on his own.

Video obtained by KDKA-TV also showed a motorcade escorting Trump from the hospital. At the end of the significant line of police cars, there was an ambulance. It was not clear if the former president was inside that ambulance. He was then taken to Pittsburgh International Airport." KDKA News July 13, 2024  

The Only Doctor We've Heard From

I'm concerned that the only medical person who saw the ear and is talking about it is Rep. Ronny Jackson, the White House physician who was called the Candyman for all the drugs he handed out freely at the White House, and who was demoted from a one star admiral to a captain after a scathing Inspector General's report about his service both in the military and the White House.

Aside from all that, after leaving the White House Jackson was elected to Congress from Texas and has been a loyal Trump supporter.  Not the most objective reporter.  

Now, bullet or shard of glass?

The New York Times has three photos from Doug Mills, purporting to show the bullet coming toward Trump, him grasping his ear, then we see the bloody hand.  I use the word 'purportedly' not because I doubt it, but only because it's not that clear, even when enlarged.  

Snopes used that same photo to debunk the story that went viral Saturday, that Trump was hit from a piece of glass from the shattered teleprompter.  They also say the teleprompter was fine.  And they point out parts of the ear they say show torn skin.  

In an article in STAT,   Usha Lee McFarling  and Rohan Rajeev talk to doctors about what they would be concerned about and testing for if they had a patient who'd had his ear shot.   They mostly want scans of the brain to make sure there was no damage.  Who is STAT?  The site says:

"STAT delivers trusted and authoritative journalism about health, medicine, and the life sciences."

Given all this, I'd also say this was not likely staged.  The bullet was less than an inch from his skull.  That's way too close for a fake assassination attempt.  

But the Secret Service - remember all the guys that deleted their texts on January 6, 2021 - slipped up.  They keep blaming the local SWAT team for messing up, but it's their operation.  Why didn't they get Trump off the stage when people said there was someone on the roof?

One Spouter gave the best short explanation of Crooks' motive.  Maybe it's this simple.  

So at this point, I'm reasonably convinced that Trump was hit by a bullet.  And this was not a set up to glorify Trump right before the Republican convention.  But we will, over time learn more - unless Trump becomes president again.

But I couldn't find anything on whether the bullet was recovered.   You'd think the media and the US public would be demanding specific, reports on all this.  Before Trump, doctor statements (not Candyman type doctors) would have been made with lots of detail.  

Spices Keep You Healthy

At some point, after three years in Thailand, I was convinced that science had ignored the health benefits of capsaicin - the part that makes hot peppers so spicy.  Surely, I thought, this heat helped to preserve foods, in a different way than salt does.  

Today this 24 year old paper popped up on Twitter that confirms my assumption.  What I didn't recognize was that garlic and onions are even better at the killing and/or inhibiting the growth of microbes.  Though I did assume the high use of garlic in hot climates had some health benefits too.  

The authors write in the overview:

"We wondered if there are any predictable patterns of spice use and, if so, what factors might underlie them. In this article, we summarize the results of our inquiries. We found that spice use is decidedly nonrandom and that spices have several beneficial effects, the most important of which may be reducing foodborne illnesses and food poisoning."

Prediction 1. Spices should exhibit antibacterial and antifungal activity.

And this chart shows that 

Prediction 2. Use of spices should be greatest in hot climates, where unrefrigerated foods spoil especially quickly.

They looked at cookbooks from 36 countries to see what spices were used, how many recipes included spices, how many spices per recipe, and which spices.  The used a climate atlas to rate the climate in each of the 36 countries. 

Prediction 3. A greater proportion of bacteria should be inhibited by recipes from hot climates than from cool climates.  

". . . the mean fraction of recipes that called for each one of the highly inhibitory spices used in those countries increased significantly (Figure 8a). However, this correlation did not hold for less inhibitory spices (Figure 8b). There was also a positive relationship between the fraction of bacterial species inhibited by each spice and the fraction of countries that used that spice, indicating widespread use of the spices that are most effective against bacteria."

There are a number of other things they looked into (ie. cost of spices, lemon/lime juice increases anti-microbial power of spices).  

So one question I have relates to the fact that our bodies rely on microbes to keep us healthy.  My awareness of this came well after 1999 (when the spice article was published) and I'm not sure how well it was known in 1999 or by the authors.  Do spices harm the gut biome?  

The article is written in clear language that should be easy for most people to understand most parts.  It also has pictures of spices as well as straightforward charts.  

Darwinian Gastronomy: Why We Use Spices: Spices taste good because they are good for us 

Paul W. Sherman,   Jennifer Billing  Author Notes  BioScience, Volume 49, Issue 6, June 1999, Pages 453–463, https://doi.org/10.2307/1313553   Published: 01 June 1999

They use' microbe' in some places and 'bacteria' in other places.  Since I wasn't completely sure about what each term meant, I found this American Society for Microbiology page "What Counts As A Microbe?"

Can Your Physician Use Telehealth To Treat You When You're Out Of State?

 I was out-of-state when my doctor's office called to set up a telehealth appointment for me.  The date they wanted was when I was going to be back in Alaska.  I thought, wow, this is great.  If I'm out-of-state, I can still have an appointment with my doctor if needed.  

But they said, "No, you have to be in Alaska."  

For me, that makes no sense.  If I need a doctor when I'm not in Alaska, I'd rather see my doctor than a one I don't know.  [Of course if there's a need for physical contact or tests, it's not going to work as well.]  

So when I had my appointment, I asked, "Why can't we do this if I'm out-of-state?"

The nurse, the doctor, and the doctor's supervisor (this is through Providence) weren't exactly sure.  They'd been advised that it had to be Alaska only.  Licensing seemed to be a possible reason, but they weren't sure.  And they couldn't cite any documents I could see for myself.

Whether this was a state law, regulation, Providence policy or something else, they didn't know.  

So I decided I would try to track this down.  Here's what I've found out so far.

• During COVID emergency health declarations waived some interstate telehealth barriers, and much of what first pops up in searches are pandemic era webpages, some of which have dates on them.  
• A big issue IS the need to be licensed in the state where the patient is located
• Another issue has to do with payment for patients on the state medicaid or other health programs
• Some states allow out-of-state doctors to have telehealth appointments in their states, but the rules aren't easy to figure out for individual doctors.  There are various conditions one has to meet, and one has to be sure the source of information reflects the current law, that no changes have been made

Interactive at the site which appears
to be updated frequently

CCHP (The Center for Connected Health Policy) has some of the best information I've found so far.  Their Out Of State Providers page has a map that links to the policies for every state.  And they seem to keep it up to date.  One was updated this month.

For instance, here's what it says for Arizona:

"Arizona

Last updated 11/07/2023

A provider who is not licensed within the State of Arizona may provide Telehealth services to an AHCCCS member located in the state if the provider is an AHCCCS registered provider and complies with all requirements listed within A.R.S. § 36-3606.

SOURCE: AZ Medical Policy for AHCCCS Covered Services. Telehealth and Telemedicine Ch 300, (320-I pg. 2), Approved 8/29/23. (Accessed Nov. 2023)."

AHCCCS refers to Arizona Health Care Cost Containment System. The link isn't really that complicated, but if I were a physician, I'd want an attorney to read it.  

From HHS:

"Some states have temporary practice laws to support existing provider-patient relationships and minimize gaps in care. These laws allow a provider to practice for a limited amount of time, usually less than 30 days, in another state if their patient is temporarily visiting that state for business, a family visit, or other reasons."

This includes what I would be after - treating one of their regular patients who happens to be temporarily out of state. 

What states clearly or not so clearlyseem to allow out of state doctors not licensed in the patient's state to provide telehealth services to patients located in their state?  Go to the CCHP map page to get details for each state.

• Alaska
• Arizona
• Connecticut
• Georgia - "Physicians with licenses in other states may be licensed under the Interstate Medical Licensure Compact"  You can read more about this Compact here.  They also have a map that shows which states are in various steps in the process of joining the Compact.  
• Indiana - "Out-of-state providers can perform telehealth services without fulfilling the out-of-state prior authorization requirement if they have the subtype “Telemedicine” attached to their enrollment.  See Module for requirements."
• Kentucky - this one seems particularly liberal.
• Maryland
• Minnesota
• Oklahoma
• Oregon - Looks like a liberal policy
• South Dakota
• Vermont
• Washington
• Wisconsin

Most of the concern seems to be with the State reimbursing for services to Medicaid patients.  There are various conditions placed on out of state providers.  Note that I said 'appear to allow out of state" providers.  And there were some states that might allow out of state providers who are not licensed in the patient's state, but I couldn't really tell for sure.  

So, the problem doesn't seem to lie with the State of Alaska. 

The issue is 

• with other states - some do and some don't allow it, and those that do have different requirements
• with Providence for making a blanket policy rather than tailoring it to the states that allow for out of state doctors.  Providence should know which
• which states do not allow out of state doctors to have telehealth appointments with people in their states, 
• which states do allow it, and 
• what the requirements are for those that do
• with doctors who have licenses to practice in other states letting Providence know that

I would like to think this is simply policy that hasn't caught up with technology changes and not simply stodgy hospital administrators not wanting to change or lazily using the law as an excuse

But I also understand that collecting all the necessary data and keeping it up to date is somewhat of a challenge.  But I was able to do this in less that four hours, so someone in the Prov administration should also be able to do it.  Especially since Providence serves Alaska, California, Montana, New Mexico, Oregon, Texas, and Washington.

New Respiratory Virus Dashboard Is Up [Alaska Is Flu Hotspot - UPDATED]

 Last week I reported here that Alaska is retiring the COVID dashboards.  

Today I found the new state Respiratory Virus site and updated my COVID Page report.  You can see that here.

Meanwhile here's what the screens look like that report Statewide and Regional cases of COVID, flu, and RSV.  On the site, these charts are interactive giving you specific numbers for COVID, flu, and RSV.  

I'm not sure that I'm going to continue reporting this data.  It seems the worst dangers of COVID are behind us.  At least until a more lethal version comes on the scene.  

[UPDATED October 20, 2023:  This CDC chart puts the Alaska chart into perspective.  We're the national hotspot right now.

Alaska Retires the COVID-19 Dashboard. Will Post Weekly Bulletins On Infectious Diseases, Invludimg COVID

 

This announcement is on the September Alaska COVID-19 Dashboard.

I checked the Alaska COVID-19 Dashboard today, and learned it is now an archive:

"The COVID-19 Cases Dashboard was updated for the last time on September 12, 2023.

Starting in Oct. 2023, we will be publishing a weekly bulletin on respiratory disease case 

trends, including COVID-19."

The upside is that we now will get weekly updates (they've been monthly for a while now.)

If there is a link to the new tracking system on the page, I can't find it. Another page says it will begin in October.

Paracelsus - A Remarkable Man In His Day

Mildred Bevel is the wife of very rich Andrew Bevel.  Her body has been weakening and she's now in the same Swiss health spa and sanitarium in a rural mountain location that her father was once in.  We're in the fourth and final book of Hernan Diaz' Pulitzer Prize winning novel Trust which I wrote about earlier. 

Ida Partenza, who is listed as the author of the third part of this novel, was hired by Andrew Bevel, to help him write his autobiography after Mildred has died. Ida's appearance in the story begins in 1938.   Basically Andrew is trying to get Ida to take dictation and portray himself and Mildred in the most favorable way to himself.  

Ida has learned that Mildred kept diaries all her life, but either they no longer exist or they've been intentionally withheld from her.  But 40 some years after Andrew has also died, and his old house has been made into the Bevel museum, Ida discovers the notebook that Mildred wrote while she was in the sanitarium, 'wedged into the middle section of the ledger.'  

Most of the entries are brief.  The headings are basically AM, PM, and EVE.  This one entry caught my attention.  

"EVE 

Wolf quotes Barrett letter to Browning:  'You are paracelsus, and I am a recluse, with nerves that have been broken on the rack, and now hang loosely, quivering at a step and breath.' Why all the Paracelsus suddenly?'"

What or who is paracelsus?  In today's world, such mental itches can be scratched instantly with the help of Google.  Which took me to Wikipedia.  

"Paracelsus (/ˌpærəˈsɛlsəs/; German: [paʁaˈtsɛlzʊs]; c. 1493[1] – 24 September 1541), born Theophrastus von Hohenheim (full name Philippus Aureolus Theophrastus Bombastus von Hohenheim[11][12]), was a Swiss[13] physician, alchemist, lay theologian, and philosopher of the German Renaissance.[14][15]

He was a pioneer in several aspects of the "medical revolution" of the Renaissance, emphasizing the value of observation in combination with received wisdom. He is credited as the "father of toxicology".[16] Paracelsus also had a substantial influence as a prophet or diviner, his "Prognostications" being studied by Rosicrucians in the 1600s. Paracelsianism is the early modern medical movement inspired by the study of his works.[17]"

"Paracelsus sought a universal knowledge[27] that was not found in books or faculties" thus, between 1517 and 1524, he embarked on a series of extensive travels around Europe.[27][28] His wanderings led him from Italy,[27][29] France,[27] to Spain,[27] Portugal,[27] to England,[27][29] Germany,[27] Scandinavia,[27] Poland,[27] Russia,[27][29] Hungary,[27][29] Croatia,[27] to Rhodes,[27] Constantinople,[27][29] and possibly even Egypt.[27][28][29] During this period of travel, Paracelsus enlisted as an army surgeon and was involved in the wars waged by Venice,[27] Holland,[27] Denmark,[27] and the Tartars.[27][29] Then Paracelsus returned home from his travels in 1524.[27][28][29] 

It's hard for me from the Wikipedia entry to abstract his main contributions.  He's a curious combination of old and new ways of thinking. 

"As a physician of the early 16th century, Paracelsus held a natural affinity with the Hermetic, Neoplatonic, and Pythagorean philosophies central to the Renaissance, a world-view exemplified by Marsilio Ficino and Pico della Mirandola.[citation needed] Astrology was a very important part of Paracelsus's medicine and he was a practising astrologer – as were many of the university-trained physicians working at that time in Europe. Paracelsus devoted several sections in his writings to the construction of astrological talismans for curing disease.[citation needed] He largely rejected the philosophies of Aristotle and Galen, as well as the theory of humours. Although he did accept the concept of the four elements as water, air, fire, and earth, he saw them merely as a foundation for other properties on which to build.[46]"

He carried on a 'letter dialogue [with Erasmus] on medical and theological subjects.' (I'm old enough to remember when you communicated long distance by letter, while I know that is hard for younger readers, used to instant communication, to fathom how that could work.  I'm sure this epistolary dialogue was far weightier than most online debates.)

"Paracelsus's approach to science was heavily influenced by his religious beliefs. He believed that science and religion were inseparable, and scientific discoveries were direct messages from God. Thus, he believed it was mankind's divine duty to uncover and understand all of His message.[48] Paracelsus also believed that the virtues that make up natural objects are not natural, but supernatural, and existed in God before the creation of the universe. Because of this, when the Earth and the Heavens eventually dissipate, the virtues of all natural objects will continue to exist and simply return to God.[48] His philosophy about the true nature of the virtues is reminiscent of Aristotle's idea of the natural place of elements. To Paracelsus, the purpose of science is not only to learn more about the world around us, but also to search for divine signs and potentially understand the nature of God.[48] If a person who doesn't believe in God became a physician, they would not have a better standing in God's eyes and will not succeed in their work because they don't practice in his name. Becoming an effective physician requires faith in God.[49] Paracelsus saw medicine as more than just a perfunctory practice. To him, medicine was a divine mission and good character combined with devotion to God was more important than personal skill. He encouraged physicians to practice self-improvement and humility along with studying philosophy to gain new experiences.[50]"

Practice was a key focus for him. 

"During his time as a professor at the University of Basel, he invited barber-surgeons, alchemists, apothecaries, and others lacking academic background to serve as examples of his belief that only those who practised an art knew it: 'The patients are your textbook, the sickbed is your study.'[31]"

 "Paracelsus was one of the first medical professors to recognize that physicians required a solid academic knowledge in the natural sciences, especially chemistry. Paracelsus pioneered the use of chemicals and minerals in medicine."

"Because everything in the universe was interrelated, beneficial medical substances could be found in herbs, minerals, and various chemical combinations thereof. Paracelsus viewed the universe as one coherent organism that is pervaded by a uniting life giving spirit, and this in its entirety, humans included, was 'God'. His beliefs put him at odds with the Catholic Church, for which there necessarily had to be a difference between the creator and the created.[60] Therefore, some have considered him to be a Protestant.[61][62][63][64]"

"Paracelsus is frequently credited with reintroducing opium to Western Europe during the German Renaissance. He extolled the benefits of opium, and of a pill he called laudanum, which has frequently been asserted by others to have been an opium tincture. Paracelsus did not leave a complete recipe, and the known ingredients differ considerably from 17th-century laudanum.[67]

Paracelsus invented, or at least named a sort of liniment, opodeldoc, a mixture of soap in alcohol, to which camphor and sometimes a number of herbal essences, most notably wormwood, were added. Paracelsus's recipe forms the basis for most later versions of liniment.[68]

His work Die große Wundarzney is a forerunner of antisepsis. This specific empirical knowledge originated from his personal experiences as an army physician in the Venetian wars. Paracelsus demanded that the application of cow dung, feathers and other noxious concoctions to wounds be surrendered in favor of keeping the wounds clean, stating, 'If you prevent infection, Nature will heal the wound all by herself.'" 

Thank you Wikipedia for letting me find this and share it here. [Yes, I do donate to Wikipedia annually.]

It's hard to free oneself from the 'common wisdom' of the day.  It appears - and my expertise on Paracelsus is limited to the Wikipedia entry - that perhaps his theoretical understanding was still clinging to the old, while his practical knowledge was pushing forward to new, more scientific answers.  

So why is Paracelcus mentioned in passing in Mildred's diary.  Because, I assume, he spent time in Switzerland, he believed in massage and the healing properties of mineral waters, both of which are part of her treatment.  

Getting Boosted Does Help, And The Older You Are The More It Helps

As some of you know, I've been monitoring COVID data since March 2020 and posting updates as the State updates their dashboards, which is now weekly on Tuesdays.  Today I speculated that the folks getting sick enough to be hospitalized and to die are likely to skew older and unvaccinated.  And I try not to say such things without back up data on here, so I looked it up.  And it's supported by the data - boosted folks don't get as sick or die as often.  Old folks get sicker and die more.  

I infrequently post the COVID updates in the main part of the blog.  You can see them at the tab on top labeled Alaska COVID-19 Count 3  May 2021 - ???.

So here's today's update (yes, it's Tuesday).  And in the tabbed updates there's also an introduction and some tables where I updated the numbers as they got posted.  Early on it was every day, then three days a week, and now weekly as the state chose to update less frequently.  I began the charts because in the beginning the state didn't put up anything except that day's numbers and you had no way to see if things were getting better or worse.  

Tuesday, March 7, 2023 - Positive tests up 132 from last week's 450, no new deaths reported (doesn't mean there weren't any, just not reported yet), and hospitalizations down from last week's 44 to this week's 35, but this week there's someone on a vent while there hadn't been for several weeks.  Available ICU beds up by four to 33 statewide, but remain at two in Anchorage.  

The takeaway?  COVID is still here.  Most people seem to be less sick, but some get sick enough to be hospitalized.  I haven't dug deeply enough into the state data to know who is still getting hospitalized and who's dying.  Presumably a) those with little or no immunization and those who are older, if we go by national trends.  

From the CDC - you can see the odds of being hospitalized go up by age, and it's starker for deaths.  (This chart is as of Feb 6, 2023)

Here's one from Washington State that shows both hospitalizations and deaths by vaccination status.  Again, those getting boosters were significantly, but not absolutely, better protected from hospitalization and dying.

COVID Is Still Killing Alaskans

I don't post that much here about COVID anymore, but I do update my (now) weekly COVID page (see tabs above).  It's weekly now because the State updates the Dashboards on Tuesdays now.  There's a table with basic stats that go back to March 2020, though changes in the Dashboards over time means some of those numbers are no longer available.  

I'm putting his post up to remind people that about 388 people died in the last week in the US and about five of those were Alaskans.   I know everyone, including me, wants life to be 'normal', but we aren't there yet.  

Here's yesterdays's weekly update over on theAlaska Daily COVID-19 Count 3 - May 2021 - ??? page you can find just below the orange header.  

Tuesday, December 20, 2022 - numbers moving in the wrong direction. Today was the catchup day for reporting deaths.  There were 19 COVID deaths reported for the last four weeks.  About five per week.  And those are the ones directly related to COVID, not necessarily all the COVID related deaths.

There are 40 hospitalized COVID patients reported  - up seven from last week.  People on vents remains the same at one.  Available ICU beds statewide remains at 24, but Anchorage is down one bed at three.

380/375 new cases were reported.  That's up 26 from last week, but lower than previous weeks.  We'll see next week which direction those numbers take.  Other places are experiencing surges.  

While 57% of Alaskans got their initial vaccine shots, only 10.4% are up to date on boosters.  (Note the numbers oo the link changes over time)  Boosters and masks folks.  Even if you only get a mild case, you keep the virus alive and spreading to people whose bodies are not as resistant as yours.  

Here's a link to make a vaccine appointment.

AIFF 2022 Poster And Reaching Avanos (Metacyclicly) [UPDATED September 28, 2022]

My brain has been wandering.  I've got half a dozen posts either in draft form or in that wandering brain.  But sitting down to type them up here has been a challenge.  For one thing, I just got a copy of the 2022 Anchorage International Film Festival (AIFF) poster.  

I think it looks great and I'm trying to find out the artist [UPDATE:  Jessica Thorton] so I can give credit here.  The festival will be all live this year, not much Bear Tooth, a lot of museum if I remember right.  

My summer biking Anchorage trails in real life/from Istanbul to Cappadocia in my head is complete. 

Actually, Cappadocia is a region with several major towns..  The biker whose map I was following on RidewithGPS ended up at the far end of Cappadocia in the town of Avanos.  Here are some pictures from https://visitmyturkey.com/en/avanos/.

These are out in the country side nearby.  From Wikipedia:

"Old Avanos is riddled with a network of small underground "cities" which may once have been residential but are now mainly used by the many pottery enterprises. Although there is no documentary evidence to prove when these structures were carved out of the earth, it is probable that work on some of them began in the Hittite period.

As Venessa, the ancient Avanos was the third most important town in the Kingdom of Cappadocia (332BC-17AD) according to the geographer Strabo.[5] Although it was the site of an important temple of Zeus, nothing remains of it today. [5]In Roman and Byzantine times Avanos had a large Christian population who were responsible for the rock-cut Dereyamanlı Kilisesi. [6]Unusually, this is still occasionally used even today."

Avanos, by the route map I was following, is 891 km from Istanbul.  I made it to 897 km on Saturday and today went on to 912 km.  (900 km = 559.23 miles)  Weather permitting, I'm now hoping to hit 1000 km (621 miles).  I thought that was pretty good for the summer until I talked to a friend the other day who did over 600 miles in 13 days in France.  Oh well.  

But I'm hoping that by 2024 at the latest I will have been to Istanbul and Avanos in person.  

Then there's the follow up on the Words in the Constitution post.  

Dimitrios Alexiadis

I've also got pictures from an ACLU event on prisons and the people in them that was co-sponsored with several other organizations that work with prisoners.  Just putting up pictures is relatively easy, but there were important messages as well.  But if I wait too long I'll forget the details.  

And more.  But the bike, the yard, Netflix (watching the rescue of the Thai soccer team from the flooded caves series now - finished two episodes and the international cave divers have reached the boys, and there's still a bunch more episodes to go; enjoying trying to catch as much Thai as I can; don't think this is a spoiler since we saw this live in the news a couple of years ago), and other things steal from blogging.  Oh yeah, got my bivalent booster and flu shot the other day too.  Slightly sore arms, but that was all.  

Vicariously Biking Through Turkey

The last two summers I've set a goal - a mental trip - that would keep me biking all summer.  Two years ago it was from Santiago, Chile to Conception, Chile.  Last year it was Chiengmai, Thailand to Bangkok.  This post from last summer tells you how I came up with this scheme and little bit about the previous two years.

The Chilean ride was 650 kilometers (403 miles).  The Thai trip was 750 (466 miles).  

This summer I chose Istanbul, Turkey to the Cappadocia region of Turkey.  Playing with google maps and some city-to-city maps, I calculated that as 750 k again.  Why Turkey?  It's the last travel destination that I'd like to get to.  When I was a student in Germany in the 1960s, as I hitch-hiked through Greece, I decided I'd pass on Istanbul and come back another time.  I made that same kind of promise about the Taj Mahal, but I've since gotten to see that exquisite structure.  

Yesterday I got over 500 kilometers and went to see whereabouts I am on a map of Turkey.  My original estimates were that I had gotten past Ankara.  But the map I pulled up was one I hadn't seen before and it was a terrific map!  It was somebodies bike ride from Istanbul to Cappadocia with the route in red.  And best of all, if you put the mouse anywhere on the route, it gave the distance.  It was set to miles, but I could change it to kilometers.

I've written in Ankara in red (in the middle) and the arrow shows about where I am now.  Of course, I'm doing most of this biking on Anchorage bike trails (though I did a little bit when I was on Bainbridge Island, but that's all hilly and mostly on routes shared with cars.)

You can go to the site - ride with GPS - and see how it shows the distance and other options like elevation and grade interactively along the route.

The difference in distance appears to be based on the route.  I originally did the main road from Istanbul to Ankara and the most direct route the rest of the way.  This cyclist  probably choose roads with less traffic that circles around Ankara and then dips further south before getting into Cappadocia.  I'm not worrying about that.  I'm still aiming for my 750 kilometers before the snow flies.  If I get there with time to spare, I'll keep going.  

The nearest town appears to be Polatli.  Here's a bit of what Wikipedia says:

"Polatlı is one of the most productive agricultural districts in Turkey and is best known for its cereal production, especially barley and wheat. Polatlı is one of Turkey's largest grain stores. Sugar beet, melon and onion are also grown."

Here's the nicest picture I found of the area online from alchetron.com.

And what I'm actually seeing is more like this:

Not bad either.