Weary Flea Market

September 2016

I went to Sparks this weekend. For those that don’t know, Sparks and White Cloud, KS have large flea markets twice a year. This year was the biggest I’ve seen, the most vendors and the most shoppers. But, the items were crappy.

Just for example, I used to see lots of eye glasses but they are gone. I’ve always worn wire frame glasses because I could buy them for $10-15 in near new condition as opposed to $300-500 for Chinese plastic with some famous designer’s name/logo on them. 14 carat gold, though, became the end of that. Now, they are melted down and sold for the gold.

Tools used to be common. But the vendors have found out that they can make a lot more money on e-bay and the few tools there were crap.

But the saddest part was the work bench. It was the coolest thing there and very depressing. It was a wood-working bench that was kind of small, about half the size of mine. It was very well built and laid out well. It was dead solid and had cuts and stains and showed signs of many years of use. They had $595 on the price and it was worth every bit of it. You can buy a new wood working bench that is lighter weight and more poorly built than this bench for $1200-2000. I’m not sure what wood was used other than it was a hard wood and some idiot coated the whole thing down with lacquer. Even the vise. Yuck!

So what is so sad about all that?

Somebody’s great-Granddad or Granddad built that bench and then worked on it for many, many years so that their progeny could sell it at the flea market.

I’ve had my say about kids, this just reaffirms it.

Sadly from your grumpy Uncle/Brother Dave.

Weary

The All American City

February, 2015

A general discussion the other day was about one of the nurses wanting to move away from St. Joe. I said that I didn’t understand why one would want to move away from a city that leads the nation in so many areas.

1. Home and death city of Jesse James, who had a long career of death and destruction in the area.

2. Home of the Pony Express, one of the most celebrated enterprises that was a failure in less than 1 year.

3. Several documented sightings of Big Foot, beginning as early as the mid 1800’s, and sightings of  cougars.

4. The Midget Wrestling capital of the world.

5. Birth place of Mile Eminen.

6. Home of the National Prearranged Services wire, bank, and insurance fraud, money laundering and conspiracy that stole millions from across the nation.

7. Home of Charles Ray Hatcher, a serial killer of children for which another man spent quite a few years in prison.

8. Home of Bishop Joseph C Hart, Diocese of KC and St Joseph, pedophile extraordinary.

9. Home of the nationally famous East Hills Mall Christmas of 2014 commercial.

10. Home of Heartland Hospital/Mosaic Life Care, known nationally for its aggressive collection tactics for indigent patients.

11. A city that has consistently had a crime rate above the national average for over 10 years.

12. The second most depressing city with a population under 1 million in the US, according to Vancouver School of Economics.

And let us not forget that there is a personal connection. My grandmother used to talk about how rough St. Joseph was. A relative of ours got his throat cut in an argument over a card game and didn’t die immediately. They, friends or family, brought him home and my great-great-grandmother sewed the cut closed on the kitchen table with silk thread from her sewing supplies. He died a few weeks later from an infection, probably.

From your Grumpy Uncle/Brother Dave.

Weary

House of Guns

January, 2014

There was an ER doc at The Med in Memphis, Tn. and later at Emory University in Atlanta, Ga. that was nationally famous for his anti-gun stand. Athur Kellerman had published some anti-gun articles in prestigious medical publications that I (and many others) challenged and thought was basically false.

I scared them. They sent out “spies” to check me out and invited me to speak on subjects to small audiences to see what I would say. Two such instances come to mind.

I was asked to give a lecture to trauma surgery residents on ballistics and gun shot wounds in humans. You have to understand my theory of Medicine first. Doctors are assholes. Surgeons are really big assholes and trauma surgeons are really, really big arrogant assholes (there are exceptions). That said, one might understand that I wondered why they would ask a Pediatric Emergency Medicine physician to talk to a group that obviously knew more on most subjects than I.

But I persevered and researched the subject, but from a perspective they had not entertained. The audacity I showed shocked them all. I even used resources such as the NRA, the Marine and Army armorers data and gun magazines. Sources they didn’t even know existed. I started with a brief review of the types of firearms, from the blunderbuss to the M-16, rifles and pistols and then discussed bullets, powder, the flight of a lead projectile through air, ballistics “jello”, watermelons and flesh. Some of what I said contradicted what they had been taught in their training. Man was it a quiet audience.

The second encounter involved the spy issue and was much more obvious. The media staff for the Department of Pediatrics set up an interview with me to discuss the dangers of having a gun in the house if there was a child in the home. It was almost humorous, if it hadn’t been so sad. The interviewer used leading questions, Kellerman’s publications and anti-gun sources in such an obvious attempt to get me to join their hysteria. Leading questions are adroitly formed questions meant to lead the responder to a desired answer such as, “Don’t you agree, Doctor, that if there is a gun in the home, there is always the possibility a child could get it and harm himself or others?” You can’t disagree with the statement, but you can construct your answer in a way that brings its relevance to the fore front.

Well, the interviewer got distressed after the 3d or 4th question. Her questions came more rapidly, she cut off my answer before I had finished and finally snapped her notebook closed stood up and said that the interview was over. I’m sure she meant to thank me for my time, but just forgot. Anyway, my interview never made any official publication or saw the light of day anywhere.

Today I read on Fox News about ABC presenting almost the exact same data that Kellerman started way back then. ABC did what Kellerman did frequently; cherry picked statistics, falsely represented data and lied about the results.

Back in the day, we did not have Fox News or any other media avenue for our opinion to be heard.

Proudly posted by your grumpy Uncle/Brother Dave.

Steven Milloy, “Gun Control Science Misfires”, Fox News, 10/31/2002, http://www.foxnews.com/story/2002/10/31/gun-control-science-misfires.html

John R. Lott, “ABC News reports on guns mislead Americans”, Fox News, 1/07/14, http://www.foxnews.com/opinion/2014/02/07/abc-news-reports-on-guns-mislead-americans.html

Insanely Weary Cuckoo

January 2016

I’m not much of a psych guy, but in some respects, I am. My first experience with psychiatry was my medical school rotation. I was assigned to a Veteran’s Administration lock-down ward in 1985. It was basically one big scam. The patients scamming the system to get $3000/month disability income from Social Security and Veteran’s benefits. To qualify they just had to act out enough once every 1-2 years requiring hospitalization.

The unit was a drug cabal of Houston. The orderlies would smuggle drugs into the patients, who would then sell them to other patients and staff. The attending’s evaluation of me at the end of that 2 months said, “Student Ward was provocative.” He didn’t mean that sexually, but that I was prone to provoke conflict and argumentative discussion constantly with the staff because I wouldn’t just go along with the status quo. I’m surprised I passed. Fast forward to the rest of my career. Emergency Departments see a fair amount of psych patients on a daily basis (for instance, I have 3 in the ED at the time of this writing). And it’s getting worse.

Patients that have a mental health or substance abuse diagnosis at discharge from the ED.

2000 5.4%
2008 10%
2011 it was up to 80% in some states.

In a Washington state survey in July 2014, mental health patients wait for their assigned bed in the ED 3.2 times longer than patients being admitted for a non-mental health diagnosis.

Why do I mention this? Because of the movie, One Flew Over the Cuckoo’s Nest with Jack Nicholson. Sometime in the 1960s, our liberal friends decided that too many people were being deprived of their “rights” by being institutionalized in psychiatric institutions and subjected to torture and inhumane treatment. Doubtless, there were occasions of this, just as there is a bell curve for any institution, industry, or process. But along came Ken Kesey. He wrote the book One Flew Over the Cuckoo’s Nest, from which the screenplay was “adapted”.

The movie plot involves the main character, McMurphy (Jack Nickleson), who has a criminal past and has once again found himself in trouble and is sentenced by the court. To escape labor duties in prison, McMurphy pleads insanity and is sent to a ward for the mentally unstable. Once there, McMurphy both endures and stands witness to the abuse and degradation of the oppressive Nurse Ratched, who gains superiority and power through the flaws of the inmates. McMurphy and the other inmate’s band together to make a rebellious stance against the atrocious Nurse. Through the notoriety of Jack Nicholson (and editorial abuse), the movie became the hit of 1975, grossing $112,000,000 (USD).

Kesey’s plot was to expose the plight and mistreatment of Native Americans more so than the mental health issues. The director and Nicholson saw a better public outcry if the plight of the mental health issues were exposed. Guess who won. Don’t get too teary eyed over the loss of fame for Kesey. In the 1960s, Kesey became a counterculture hero and a guru of psychedelic drugs with Timothy Leary of LSD fame. Kesey has been called the Pied Piper, who changed the beat generation into the hippie movement. At a Veterans’ Administration hospital in Menlo Park, California, Kesey was a volunteer experimental subject, taking mind-altering drugs and reporting their effects. The experiences as a part-time aide and subject at a psychiatric hospital, LSD sessions and a vision of an Indian sweeping the floor formed the background for One Flew Over the Cuckoo’s Nest.  When the film won five Academy Awards, Kesey was barely mentioned during the award ceremonies. He made known his unhappiness with the film, his dislike for Jack Nicholson and the script and he sued the producers. The actor, William Sampson played Chief Bromden (also in Outlaw Josey Wales, 1976). In the book, his character narrated the story and was symbolic of Native Americans as a group. He died June 3, 1987 in Houston, Texas. He was a full Muscogee Creek Indian who supported Native American rights and culture. He was mute in the film and the character as the narrator was mute in the book (although he talked to the reader but not to other characters in the book). Sampson was one of the first patients to receive a heart-lung transplant but died of complications from the procedure. I took care of him while on my internal medicine rotation in residency.

Why all this insanity (pun intended)? Well, Congress passed laws and liberals pushed the agenda to close mental institutions in an effort to get these patients out of the hospital and “home.” Let’s look at where that effort has left us/them.

In 1950, there were 500,000 mental health patients in hospital beds.

In the 1970s, there were 680 mental health beds for every 1 million population in the US. Now there are 34/1 million. One doesn’t have to wonder for long why it takes 3.2 times as long to find a bed for a mental health patient.

In 1985, a study showed that the problem was due to funding, bed availability, adequacy of staffing and infrastructure support, in that order.

In 2012, for 1507 mental health inpatient beds, 181 beds are in a psychiatric hospital, 577 beds in a private non-psychiatric hospital and 749 beds in a State psychiatric hospital.

In 2014, of 590,000 mental health patients, there were 108,000 beds available. There were 200,000 mental health patients that were homeless, 356,000 mental health patients in prison and 34,000 mental health patients that had committed suicide.

In 2015, a study showed the same problem and same hierarchy.
A review by Health Care of Vermont revealed that the cost of treating a mental health patient who was arrested was $30,258, who was hospitalized was $ 31,623 and who was living at home was $ 31,280, essentially the same.

The 1985 study that showed that the problem was due to funding, beds availability, adequacy of staffing and infrastructure support, in that order has been repeated and still holds true.

Some of the “inhumane” treatments, such as drug therapy, electroshock therapy and lobotomy, are still in use today.

Mental health patients have liberal idealism to thank for dying of cold or heat on the streets, for being abused, neglected, robbed, raped and killed on the streets and in prison.

Progressivism to die for.

More musings from your grumpy Uncle/Brother Dave.

Bibliography
1. Psychiatric Boarding in Washington State, Lecture presentation,
Stephen H. Anderson, MD, FACEP, 12//20015, Maui, Hi

2. DSHS, Washington State Institute for Public Policy, legislative
Evaluation & Accountability Program Committee;

3. One Flew Over the Cuckoo’s Nest. Directed by Milos Forman, performances by Jack Nicholson, Louise Fletcher, Michael Berryman, et. al.,Fantasy Films and United Artists, 1975.One Flew Over the Cuckoo’s Nest,
http://www.imdb.com/title/tt0073486/?ref_=fn_al_tt_1

4. ebook download and read online
http://www.ebook3000.com/One-Flew-Over-The-Cuckoos-Nest_1604.html

5. From a book review
https://www.goodreads.com/book/show/332613.One_Flew_Over_the_Cuckoo_s_Nest

6. Jeffrey Swanson and Marvin Swartz, Duke Univ, Fletcher-Allen

Weary

Diplomacy a la Genghis Khan

Dec 2015

I don’t remember much of Middle East history from school. My generation was caught up in Far East Asia society, culture and politics. Like Japan, Korea, Vietnam, Cambodia, Laos and the like. Even the Bombing of the Marine barracks in Beirut in 1983 didn’t capture my interest other than another sad event and loss of Marines. I didn’t become aware of the Middle East until a conversation with my younger brother stimulated my interest. It was obvious he had a much better grasp of their society, culture, politics and religion than I.

Through this, I have developed an interest in Genghis Khan (Chingghis Khan in Mongolian). You know who I mean, that young Mongolian (and I don’t mean a kid with Down Syndrome, but the one from Mongolia) boy that rose to conquer the largest mass of people and land in the world, ever. And, he is the only one who has conquered Afghanistan, ever. Some will disagree, citing that the British did in the 1800s and America did more recently. I posit that each of the later only briefly occupied the region. For a real historical perspective, one must be fluent in a multitude of languages from the Middle East to be able to get a history of the Mongol invasion. The Mongols didn’t write much down themselves. Like the lore of the American Cowboy who wouldn’t go anywhere he couldn’t ride a horse, the Mongol wouldn’t write anything down if he couldn’t use a sword or arrow to do it, and in those cases, he used a permanent ink.

So, us monolingual dupes have to rely on others who can and have read the documents of the conquered about the battles and the actions of Genghis and his clan(s). One of my favorite books on Genghis is “Genghis Khan and the Making of the Modern World”. This is not your usual historic reference. In fact, one of the many criticisms of the book is that the author is “no historian”. It is pointed out that he uses other forms of intuitive data to support his conclusions. He uses topography, ecology, culture, religion, anthropology and other social factors to support his position.

But the fact remains that Genghis and his Mongols dominated an area about the size of Africa, including most of the Muslim world. Until he got tired and went home. Once defeated, the survivors of the Mongol invasions were separated into groups of fertile males, males that were educated or skilled, and women and children. The first group was executed, the members of the second group were castrated and enslaved to work and teach in their specialty and the last 2 groups were brought into the horde to become members of the Mongol family, concubines or slaves.

But there is more to this story, as you might have guessed. The area of concern here is Iraq, Iran, Afghanistan and surrounding areas. Rudyard Kipling wrote “The Man Who Would Be King” in 1888. This story was located in Kafiristan, a northeast providence of Afghanistan, and involved the Nuristani people who inhabited the area. They were not Muslims but Pagans. [As an aside, a Kafir is a Nuri word to describe the Nuristani people. Kafir was later abbreviated to mean infidel to the Muslims. Later it was again abbreviated to mean a person that doesn’t “believe in what I do” to the South African Whites during Apartheid.] The Kafir’s lifestyle was about what you’d expect of a culture that survived the Mongol horde as defined above, several centuries later. There are similarities between Kipling’s tale and the true life experiences of James Brooke and Josiah Harlan, in the early 1800’s. In Kipling’s story, the protagonist, posing as a deity-king, gets into trouble when he marries a local girl and tries to consummate their marriage. The young girl is scared and bites his tongue when he tries to kiss her. The locals notice that he bleeds and that is proof enough that he is mortal and not a God. Like the Mongols, he is now of no use and possibly a threat to them. Yup, he is put to death.

Recently, I acquired a book, “Retracing Genghis Khan”. It is old, musty smelling but fascinating. Two American adventurers (read clueless rednecks of aristocratic origin) decide to leave northwest India, cross Afghanistan, Persia (now Iran), Iraq, Syria, Lebanon and end up in Jerusalem. This was in 1926 and the Jews had not arrived, so Jerusalem was Muslim at that time. What is fascinating about the story, at least to me, is the description of the society and culture that they found as they went along their way.

Basically, the living conditions were the same as would have been found in 1200 ad. No electricity, plumbing, roads, hotels or other modern conveniences. The cities and many smaller towns were surrounded by large mud walls and the gates were closed at night. No one was allowed in or out until morning. Most of the country was open to the whim of the locals; assistance, robbery or murder could as likely be provided to strangers found traveling with lesser strength. Even in 1926, strangers were viewed with suspicion until they were felt to be innocuous.

These 2 adventurers traveled with an Indian servant by automobile. Much of their narrative was about repairs to the vehicle or problems encountered in crossing terrain meant to accommodate horses, camels and goats. To give them credit, they were the first non-Asians to cross Afghanistan in a car. There are only a few pictures but modern pictures show that the terrain hasn’t changed much. So if you’ve seen pictures on the cable news you’ve seen what they drove across in a 1926 vehicle. Amazing!

In Afghanistan, they reported corruption, threats of kidnapping, violence, bodily harm, inclement weather, and ignorance. They were charged a toll on every bridge, a fee to both enter and exit the major cities (of which there were only 3 in Afghanistan, then). The predominant religion was Muslim, reflecting a re-population of the losses experienced at the hands of the Mongol horde 726 years earlier. In Kabul, there were no hotel facilities, baths, sewer, plumbing or electricity. In Kandahar, there was a hotel that advertised a bath. Unfortunately, it wasn’t functional. At one outlying village, there was a hotel for Arabs that was so vermin-infested that they slept on the floor instead of the bed and still got sick. Once they crossed the border into Persia, they waxed eloquently about the friendliness of the people, the cleanliness of the cities and the beauty of the land.

Their description of the land was easy. Rocks, sand, mountains and desert. Desert, mountains, sand and rocks. Basically, Afghanistan makes the American Southwest look like a lush tropical paradise. There were no trees, bushes, or grass, except in a very few cultivated (read irrigated) farms. Then the finale. It seems that they entered Afghanistan 3 weeks before a revolution of intra-tribal rivalry in which the natives vented anger on non-Asian infidels. Typical of young adult males, the travelers were clueless until after the fact.

So, it seems that much of the middle east is still recovering from the Great Khan.

A book report from your grumpy Uncle/Brother Dave.

http://www.amazon.co.uk/Books-Genghis-Khan-Making- Modern-World/dp/0609809644

“Genghis Khan and the Making of the Modern World”, Jack
Weatherford, 2005.

https://books.google.com/books/about/Retracing_Genghis_Khan.
html?id=vXEBAAAAMAAJ

“Retracing Genghis Khan”, John A. Herrmann, Cecil Robert Borg,
1937.

http://www.readbookonline.net/readOnLine/296/

“The Man Who Would Be King”, Rudyard Kipling, 1888.

http://URL: http://www.h-net.org/reviews/showrev.php?id=10378

Timothy May. Review of Weatherford, Jack, Genghis
Khan and the Making of the Modern World. H-World, H-Net
Reviews. March, 2005.

Weary