If I get dementia, by Anonymous

This was recently posted on Facebook. It's always a sobering reminder. It seems every month or so I see someone who is acting a little differently.  So perhaps it's time for understanding. . .

“If I get dementia, I want my friends and family to embrace my reality. If I think my spouse is still alive, or if I think we’re visiting my parents for dinner, let me believe those things. I’ll be much happier for it.
If I get dementia, don’t argue with me about what is true for me versus what is true for you.
If I get dementia, and I am not sure who you are, do not take it personally. My timeline is confusing to me.
If I get dementia, and can no longer use utensils, do not start feeding me. Instead, switch me to a finger-food diet, and see if I can still feed myself.
If I get dementia, and I am sad or anxious, hold my hand and listen. Do not tell me that my feelings are unfounded.
If I get dementia, I don’t want to be treated like a child. Talk to me like the adult that I am.
If I get dementia, I still want to enjoy the things that I’ve always enjoyed. Help me find a way to exercise, read, and visit with friends.
If I get dementia, ask me to tell you a story from my past.
If I get dementia, and I become agitated, take the time to figure out what is bothering me.
If I get dementia, treat me the way that you would want to be treated.
If I get dementia, make sure that there are plenty of snacks for me in the house. Even now if I don’t eat I get angry, and if I have dementia, I may have trouble explaining what I need.
If I get dementia, don’t talk about me as if I’m not in the room.
If I get dementia, don’t feel guilty if you cannot care for me 24 hours a day, 7 days a week. It’s not your fault, and you’ve done your best. Find someone who can help you, or choose a great new place for me to live.
If I get dementia, and I live in a dementia care community, please visit me often.
If I get dementia, don’t act frustrated if I mix up names, events, or places. Take a deep breath. It’s not my fault.
If I get dementia, make sure I always have my favorite music playing within earshot.
If I get dementia, and I like to pick up items and carry them around, help me return those items to their original places.
If I get dementia, don’t exclude me from parties and family gatherings.
If I get dementia, know that I still like receiving hugs or handshakes.
If I get dementia, remember that I am still the person you know and love... “

Copy and paste in Honor of someone you know or knew who has dementia/alzheimer's.....

The parental example

What life lessons did your parents teach you? We had a question like that in a group exercise at the women's club this week. I wrote a blog about this in 2007, and it's a good thing because by 2022 I would draw a blank.

Thirteen Little Things

When we are children we learn life time lessons from our parents, some by their words, others by actions. Today I'm jotting down 13 habits, techniques, behaviors, attitudes, etc. learned from my parents that are still with me, some without thinking about them, some throw aways, in no particular order. Chime in with a few of yours.

1. If you are with someone, always open the door and let your friend(s) walk through first.

2. Make a square, military corner on the bottom sheet (when I was a little girl there were no fitted sheets) to keep it from pulling loose. Stop to admire your effort. Although I don't do this now, the principle of doing something right the first time and taking pleasure in it is a good one.

3. Always wear an apron in the kitchen. Aprons certainly aren't what they used to be, and it seems to me food splashes more, so when I put one on, I often think of my dad who always reminded me, even as an adult.

4. Turn housework into a game (usually against the clock). My mother was big at trying to make "work" into "fun." This usually got an eye roll from me and a whine.

5. Respect others with your appearance. Both my parents would "fix up" for the other after their work day, and we always ate as a family with properly set table, pleasant conversation.

6. Clean up the kitchen after the meal; never leave dirty dishes on the counter or in the sink. I often fail with this one--maybe this would be a good New Year's resolution.

7. Start the week right with church attendance.

8. A gentleman always comes to the door to pick up a lady for a date. First timers meet the parents.

9. Sit like a lady (this was back in the days when girls and women usually wore skirts or dresses). Corollary: don't slouch.

10. The proper way to answer the phone. We often had to take orders for my dad, so this greeting I no longer use. However, I still keep paper and pencil by the phone, and I try not to mumble. I also overheard how dad spoke to his customers and even today I expect this from business people.

11. "A soft answer turns away wrath." This is my mother's from Proverbs 15:1. Never quite grasped this one, but it worked for my mother, who lived it and often quoted it. I can't remember her ever raising her voice (but she had a look in her eye that could stop you in your tracks).

12. The person who feeds the puppy is the one who will be loved by it. Usually this was Mom, because despite all our promises to care for it, she's the one who usually took pity on the poor thing. When I was growing up the dogs and cats lived outside. If it got bitterly cold, they could stay on the porch or in the basement.

13. In your lifetime you will probably have three really good friends. I'm still thinking about this one. Life has different stages--friendships vary--but the number seems pretty accurate.

Don't look at my shoes!

 I was surprised to read in this article that you can judge people (or so it is thought) even by photos of their shoes.  I doubt the author was thinking about the elderly.  We definitely go for comfort, balance, and not irritating our corns.  However, these eight small things that will reveal your personality are interesting.  I disagree with the eye contact statement; that seems to be cultural.  It's considered rude in some cultures to make too much eye contact.

https://www.linkedin.com/pulse/eight-small-things-people-use-judge-you-dr-travis-bradberry

Returning to normal

Here at Lakeside, Ohio, things look pretty close to normal. Hand shaking and hugs. Very few masks. Several programs inside Hoover Auditorium due to bad weather (but that's a start). Restaurants with normal seating. The dock is closed but that's because of a 2 day storm with 9' waves that possibly damaged it and threw benches and light poles into Lake Erie.

  

It was beautiful but strange last night.  Gorgeous sunset and no one on the dock which has been declared unsafe because of the storm a week ago.  I've never seen this before.

Spend time with adults? Is he crazy?

I think adults who write about children have bad memories.  63 years ago I didn’t have any of these qualities when I entered college.  And based on what I read on Facebook and other blogs, many of my contemporaries have not learned along the way.  Basic math?  Still struggling with that.

“What do [entering college students] need?  Academically, they need to be able to read analytically and write clear literate prose. They need to be able to recognize an argument and formulate one of their own.  They need to be able to analyze and apply ideas from one source to a problem in another, think logically, and do basic mathematics.  These are all valuable, but two other things are actually more important.

The first is that a student must “have the lights on.”  They have to care.  If education is seen as something they “get through” to get a largely meaningless credential – their “entry slip” to enter the corporate rat race rather than as a place to develop needed skills and wisdom – then they cannot and will not get an education.

The second thing a prospective student needs is maturity.  Another way of putting this would be to say, they need to grow up: become dependable adults who take responsibility for themselves and for the common good of the community of which they are members.

How does that happen?  One answer is they need to develop the virtues: wisdom, justice, temperance, and courage.  How can they develop these virtues they so desperately need?

Answer:  Adolescents need to spend time with adults if they are ever going to learn to be adult.  They need the experience of working with and for other people. They need to work within a group in which their well-being depends upon others doing their jobs well and in which the well-being of others depends upon them doing their jobs well.  They need to mature by training in a craft in which excellence is demanded and expected.”

https://www.thecatholicthing.org/2020/01/11/college-when/

Randal Smith is the Scanlan Professor of Theology at the University of St. Thomas in Houston.

China will judge all citizens on behavior by end of 2020

https://www.bloomberg.com/news/articles/2018-11-21/beijing-to-judge-every-resident-based-on-behavior-by-end-of-2020

Michael Smith writes:  “I don't know why people are so shocked at what China is doing. America already has a program to judge people - it's called progressivism and it is 100% owned and operated by the Democrat Party.

If you are not a progressive, you are judged by the central committee to be racist, sexist, bigoted, homophobic, xenophobic, transphobic and a selfish hoarder of resources. If you aren't with the progressive program, you will not allowed to speak at universities, you will be hounded out of restaurants and banned from social media. You will never teach at a major university where diversity of thought is forbidden. Your books will never show up on the New York Times' best seller list. Your belief in God and your practice of religion is ridiculed and often outlawed by the courts (bake the damn cake). You are assaulted daily by the media and the party organs headquartered in the major cities.

Due to your thoughtcrimes and wrongthink, you are literally and figuratively not fit to be a citizen.

We even have a card and an identifying number thanks to the Social Security Administration.

I think it is hilarious there are Democrats shocked, shocked, I tell you that China is doing this when they would start issuing formal citizen behavior report cards tomorrow if they thought they could get away with it.”

Behavior can alter path to dementia

I won't go into detail--if you have a computer you can google it--but I read about 2 exciting advancements for Alzheimer's and dementia yesterday. More and more research points to your behavior assisting your own body systems to fight this scourge. Check out these proteins, BDNF and VEGF. They protect your brain, and are increased with good social support (is this a reason to party?), a lower calorie diet, regular exercise and good heart health. Make 2016 the year you're kind to your brain.

Check the link (partial article)

One of the gifts in this research is donation of brains of nuns and priests. The Religious Orders Study enrolls Catholic nuns, priests and brothers, from more than 40 groups across the United States. Participants are without known dementia and agree to annual clinical evaluation and brain donation (some in the Chicago area also agree to donate, spinal cord, nerve, and muscle). Now that's a way to have both eternal life, and to continue to serve in the temporal life.

Go and make disciples

• After the resurrection the women who discovered it were told to go to the disciples and tell them. God used the tell-a-woman method that has worked well over the centuries because they followed his instructions. Then the 11 disciples met Jesus who was about to give them a new command (make disciples). The Bible reports, some worshipped him and some doubted. So if 11 guys who'd spent 3 years with him, watched him feed 5,000 and heal cripples and turn water into wine didn't always get it right, why expect people 2,000 years later to be smarter and more obedient than they were? I find that there are licensed drivers who disobey traffic laws; teachers with 2 degrees who don't apply even common sense let alone education principles; dog owners who don't pick up their pet's poop; and presidents who lie about health coverage after innumerable speeches of promises. And he is a Christian. So apparently Christians are forgiven, but not perfect.

Behavior, income and health

Because I knew the March 24/31 issue of JAMA contained that dreaded article that we need 60 minutes a day of exercise to maintain a normal weight (I'm barely managing 40 min. 3-4x a week), I didn't look at it until today. I discovered in that issue another, far more interesting article on socioeconomic status, personal behavior and health outcomes done in Britain, which has a single payer, government health care system and far more government interference in personal lives than we experience here.

Let me back up. One of the most frustrating features in reading JAMA is the constant emphasis on "the gap" and not on improved health outcomes for all groups over time. There's usually a PhD, MSoc or MSPH among the authors, which means the article will dredge up the obligatory difference between Blacks and Whites, or Blacks and Latinos or 10 years of education vs. 14 years, or inner city hospitals vs. suburban rather than lives saved by advances in technology, surgery or new miracle drugs. In many articles, there is at least the suggestion that the top two quintiles are somehow to blame for the bottom two in health differences, and more government funding (taking from the top 2) would somehow equalize this.

I'm guessing publication of this one was held up, and certainly not promoted in 2 minute summaries on the evening news. "Association of Socioeconomic Position with Health Behaviors and Mortality," JAMA, Vol. 303, no. 12, pp 1159-1166 with editorial content on pp. 1199-1200. CONCLUSION: "In a civil service population in London, England [i.e., white collar but from different social classes], there was an association between socioeconomic position and mortality that was substantially accounted for by adjustment for health behaviors, particularly when the behaviors were assessed repeatedly."

Let me translate. Smoking, drinking, over eating and little physical activity are not good for you, whether one or all four, and you are more likely to do these things if you have lower/working class origins. Health insurance doesn't change you or the outcome of your bad behavior. You don't become poor and less educated because of the degree of access to health care, and it's terribly hard to change behavior whether rooted in the genes or the early life culture.

Monday Memories--Bus Rules

Most of the away athletic and musical events I participated in when I was in high school involved car pooling. But somewhere along the way, the Board of Education decided we could use the school buses. So of course, a few rules were written up.

The Use of Buses for Athletic Games (1954)

1. Bus fees, 30 cents for short trips and 50 cents for long trips, will be collected before the bus leaves. There must be a minimum of 35 students in order to use a bus.

2. After signing to ride, no cancellations will be permitted later than 24 hours before departure. All students signing to ride will be liable for payment of fees, unless a cancellation is made in time.

3. Students must be ready to go at the time of departure. The bus will not wait on latecomers.

4. A faculty or adult sponsor must be on each bus, beside the driver [I think this means in addition to, not sitting with].

5. No moving about when the bus is in motion, no rowdy or boisterous behavior. Windows must not be lowered without permission and then not below the designated point. There must be no shouting or whistling to persons outside the bus, nor should arms or any part of the body be extended from bus windows.

6. Waste paper and other refuse must not be thrown on the bus floor nor from windows.

7. The driver and sponsor are to have absolute authority over students riding in the bus. If students wish the priviledge of using buses for transportation to athletic games and other school activities, cooperative and courteous conduct will be necessary at all times.

8. All students going in the bus must return to Mt. Morris in the bus.

Now compare those rules to the Renton, Washington school bus transportation handbook. Notice the difference in language. The "must" and "must not" has given way to "should" "may" and "is expected." Kinder, gentler--but far more serious problems are anticipated. Lots of "suggestive" phrases--not demanding obedience, but certainly hinting that there would be trouble (rarely specified).

Your child should appreciate the important part he/she plays in accomplishing SAFE and EFFICIENT district transportation.

Bus passengers should arrive at the bus stop no sooner or later than five minutes before the bus is scheduled to arrive.

students are expected to stand a safe distance from the street and avoid activities that could injure themselves or others.

Safe, respectful conduct is expected of all passengers to insure safety

Certain activities may result in immediate suspension from bus riding privileges. These include (obscene gestures, pointing a laser, smoking, doing drugs, assaulting the bus driver. . . things we couldn't have imagined)

For reasons of safety and health and in order to comply with state law and district policies, the following items are not allowed on a school bus: (list included animals, guns, knives, open containers of food, cd players, etc.)

Our list at MMHS went to the students, who were expected to comply; the Renton guidebook was for parents, who are expected to explain the rules to the kids.

How's that working out?
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Random Dozen from Lazy Daisy

1. On a scale of 1-10, with 10 being a cranky-baby-hissy-fitter, how much of a complainer are you? I’m definitely an 8 or a 9. You pick the topic, I’ll complain.

2. When someone else is talking, do you listen, or are you thinking about what you're going to say in response? Not such a good listener. And the harder I concentrate on listening, the worse it gets. I call it a learning disability--auditory dyslexia--sounds better and more PC than interrupting.

3. I just deleted 1062 messages from my email account. Do you have any plans for a clean sweep this month--of anything? After my bruce dot six ended up with several hundred, I cleaned up a few every day and then finally began reusing it. Terrible spam at that account. Now I clean out everyday. The basement storage areas are waiting--last did that 3 years ago.

4. Tell us about your perfume. Was it a gift? What does it remind you of? Do you have a signature scent? Rarely use it because my favorites are no longer made. But do occasionally use Cachet.

5. What is your best organizing tip for the new year? I’m not sure this is organizational, but I did bring the exercycle in from the garage to my office. The garage looks better, and if I work at it, so will I. In the winter it's 10 degrees in the garage and in the summer it's about 90 and I'm at Lakeside!



6. What is your favorite comic strip? I’ve never followed comic strips.

7. Do you sleep with a fluffy or flat pillow? For years I used a down pillow, then discovered if I went to flat and firm, my arm was no longer numb in the morning.

8. What color is your kitchen? Why did you choose that color? Beige, Khaki and cream. I’m a rather dull person, so it suits. I love deep rich colors in others' homes, but don't want to live with them. If I could find this wall paper, I’d do it over. One of the previous owners installed it.

9. What‘s the most interesting bumper sticker you’ve seen? Oh, I love all the liberal ones. They’re so snarky and clever and full of self-righteousness. They make me laugh remembering my past.

10. Do you prefer an expensive writing tool or whatever is lying around? (Are you a Montblanc or a Papermate?) I’m definitely a #2 BIC--have them in all colors and sizes. I carry them with me for my blogging drafts.

11. What chore doesn’t feel like a chore you just enjoy it (at least most of the time)? Writing letters. I’d rather write than pick up the phone. I have most of the letters I wrote to my parents over 40 years, and boy are they a snooze, but I know every slip up and accomplishment I ever made.

12. If your parents often repeated themselves, what is something one of them said more than once? My parents, both of them, were just full of advice, so I come by it naturally. I could count on my father to remind me to put on an apron even when I was 60. Mom always subtly tried to get me to lower the volume (she was deaf when I was growing up) and be more gentle. She was a good example, but apparently that’s not what it takes. Genes matter. But I do usually wear an apron now.

$230 million of tobacco settlement diverted

The 10th district Court of Appeals ruled yesterday that Ohio could spend the tobacco prevention money (American Legacy Foundation via The Tobacco Use Prevention and Control Foundation) on an expansion of health care for children. This is part of the lucrative settlement from the 1998 tobacco companies settlement. Between the 1998 Tobacco Settlement and tobacco taxes, Ohio will receive $1.8 billion, but only $7.4 million goes for prevention. Less than the CDC recommends. In my opinion, they might as roll the dollars and smoke them. Tobacco use is up, and I doubt there's hard evidence that educational programs on tobacco prevents smoking or chewing in children; it only educates them about tobacco and its harmful effects. I've been in education all my life, but education does not mean wisdom, or action, or prevention, or right choices. It's just. . . education . . . and the person makes the choices. I don't know a single smoker who doesn't know the facts, dangers, and pitfalls. They know they stink, have yellow fingers and wrinkles, but the pleasure outweighs the negatives and they keep kicking the stop date down the road. Most obese people have more knowledge than some dieticians--they just don't use it. People who talk or text while driving have probably heard dozens of times how dangerous it is--but they don't act on what they know, even if they've seen the accidents or attended the funerals.

Health librarians were salivating when they first got a whiff of this tobacco money back in the 90s. I remember sitting in the meetings wondering what would happen to programming and staff when, 1) the settlement money ran out, or 2) if education were successful and people really did stop smoking, what would happen to the tobacco tax supported programs?

Well, I think adults do smoke less--usually because of a health scare, or the health of a family member, like a child with asthma. But it takes a lot. The other day a woman I know went outside the coffee shop to smoke and slipped on the ice jamming her cigarette into her face. Will she stop smoking? No. Does she not know the dangers? Yes. She'll just be more careful about icy parking lots next time.

EPA targets wrong enemy

We've known for half a century or more that our biggest health problems are self induced--misused sexuality, legal drugs we take voluntarily like cigarettes and alcohol, and overeating. Our personal habits are difficult for the government to control, although it does take a regulatory stance, primarily through taxes, when companies make huge profits from our bad behavior (the diet industry is huge, the "health food" industry massive, smoking cessation remedies are covered by government health plans with little proof they work, big pharma has made a fortune from AIDS and STDs. Now EPA is going after those evil toxins, not for our health, but to kill more industries and put more people out of work.

Despite the ongoing epidemics of cigarette-related disease, novel influenza and obesity, Environmental Protection Agency Administrator Lisa Jackson is focusing on a very different set of purported health risks: deadly toxins and chemicals in "our bodies." This effort will do nothing to promote public health while raising needless anxiety and spurring expensive, useless regulation and litigation. . .

Administrator Jackson's program is amazingly unscientific--even for the EPA. Since the EPA addresses "risks" that are too small to be measured, and thus not amenable to quantification, they have resorted to ignoring benefits [of chemicals] and assessing only hazards. . .

Even the American Chemistry Council has signed on to EPA's new crusade--squirming to avoid the heavy penalties for non-compliance. Too bad ACC thereby implies that its member companies' products have been poisoning our kids all these years. That isn't the case; nonetheless they now want to be perceived as very sorry, eager to mend their ways and thankful for the EPA's help.

Full story at Forbes.com

Personality development in adulthood

Most of this research sounds like common sense. I remember my pediatrician reminding me that children are born with their personalities, same as eye color, intelligence, athleticism, etc. Check the webpage of Brent W. Roberts, University of Illinois, College of Liberal Arts and Sciences, who was featured in the last U of I LAS News.

Highlights of Recent Findings of Brent W. Roberts

Personality traits predict mortality, divorce, and occupational attainment as well as, if not better than socioeconomic status and cognitive ability (Roberts, Kuncel, Shiner, Caspi, & Goldberg, in press).

Personality traits continue to change in middle and old age (Roberts, Helson, & Klohnen, 2002; Roberts, Walton, & Viechtbauer, 2006). Specifically, people become more socially dominant, conscientious, and emotionally stable as they age.

People who are engage in counterproductive work behaviors (e.g., fighting, stealing, malingering) become more more alienated and less controlled than people who do not engage in counterproductive work behaviors (Roberts, Bogg, Walton, & Caspi, 2006).

People who become more involved in work and stay in stable marriages increase on measures of conscientiousness over time (Roberts, Caspi, & Moffitt, 2003; Roberts & Bogg, 2004).

People change their perception of their environment more than they change their self-perceptions over time (Harms, Roberts & Winter, 2006).

Goals for investments in work and marriage are related to increases in agreeableness and conscientiousness in college (Roberts, O'Donnell, & Robins, 2004)

People who are more conscientious avoid most of the risky behaviors that lead to premature mortality and participate in the positive health behaviors associated with longevity (Bogg & Roberts, 2004).

Whether gay or straight

Republicans can't catch a break. Democrats can frolic and wallow in a pit of slime, and everyone says, Oh well, it's no one's business, but not Republicans. Whether it is Newt and his third wife, a gay Congressman texting young pages, or a cabinet member with a gambling problem, the press just salivates--but only for Republican meat and potatoes.

John Ensign, a rising GOP star and possible presidential candidate, says he won't resign. Sen. John Ensign, an emerging Republican leader who has been mentioned as a possible 2012 presidential ...Link

Here's a news flash: Republicans, conservatives, Christians, whatever your label, have exactly the same personal and social problems as everyone else. Faith, like a condom in the wallet, provides no protection if you don't use it. The only difference seems to be Republicans know it's wrong when they are doing it. Democrats discover it is wrong later when the wife, kids, office, peers, press, etc. find out, abort it literarly or figuratively, or pay child support for 18 years, apologize on national TV and play kissy face, or rent an apartment outside the beltway and get the guy on the staff, and no one cares and they all move on.

Ritalin, Obama, and the economy

Murray observed yesterday that

If my child behaved like Obama our family doctor would more than likely tell me he was suffering from *AD/HD. I mean, just look at what Obama's been up to since he's been in office.

He's at the White House for a press conference, then off to Ohio to give a speech, then over to Illinois to talk up HIS plan, then back to the White House to undo another Bush Policy, then off to Iowa to make some promises, then back to the White House to sign an unread bill. He holds a news conference every other day and hits the TV talk shows. His rapid fire, daily destruction of our country while breaking campaign promises doesn't seem to be enough since he is now over in Europe selling HIS plan. Why... the guy can't slow down or sit still. If that isn't hyperactivity then such a thing doesn't exist. It would be great if such activity was positive for the country, but quite the contrary; he is quickly sabotaging our country's finances and future. Foreigners know it but, out of fear, we seem to be slow to catch on. Even if he was stopped right now it would take years for this country to get back on its feet. We have a handful of legislators who know this, but unfortunately there are too many PORK lovers who are backing him.

When confronted, the backers usually claim that Obama "inherited" all these problems from the Bush administration. Well, that's nothing but a cop out that only separates the two parties even further. Besides, if you take the time to examine the chain of events you will find not only did the Democrats promote sub prime mortgages, Obama himself was part of it.

I've said it before: the only way to get this country back on its feet is to abolish our two party system. First, Obama must be stopped! It ought to be evident to everyone by now that the Democrats and the Republications are never going to agree on anything. Contrary to what Obama promised in his campaign speeches time and time again, that he would bring them closer together, he has done just the opposite. Every day he and his cohorts fire another arrow into the Republican crowd by blaming the crisis on them. Our legislators have lied to us so much that it's impossible to separate the truth or if truth actually exists anymore.
Dr. Murray

*The most common symptoms of ADHD are:
Impulsiveness: acting before thinking of consequences, jumping from one activity to another, disorganization, tendency to interrupt other peoples' conversations.
Hyperactivity: restlessness, often characterized by an inability to sit still, fidgeting, squirminess, climbing on things, restless sleep.

And Tom Barrett who writes for Conservative Truth has a similar theme. He first wants to stop putting kids on Ritalin; he then wants our President to stop ruining the country through his own “hyper” behavior.

Which brings us back to the problem I mentioned earlier. If we stop turning our kids into drug users, what will we do with all the Ritalin?

Because the NEA (National Education Association, the national teacher’s union) and most school systems have jumped on the Ritalin bandwagon, it has become a huge cash cow for the drug’s maker. As a result, huge stockpiles of the drug have been produced based on projected demand. So, even if the schools came to their senses, what could be done with all these drugs? I may have an answer.

I say we give it to Obama. He has all the classic signs of ADHD. He can’t stay focused on anything. He’s hyperactive. He can’t stay on one subject for more than a day. And he definitely can’t keep his hands to himself. And his staff shares his problems. The White House is crawling with ADHD!!

Let’s focus just on Obama, and examine his symptoms. The nation is in the midst of a major financial crisis, which he has acknowledged. The problem stems from policies instituted by his party 31 years ago which have resulted in a wave of foreclosures and hundreds of thousands of lost jobs. So you would think he would focus on fixing the credit problems and job creation. But he can’t seem to stay focused. In fact, during his first eight weeks in office he has constantly jumped from one priority to the next, while ignoring the major problems. Sure sounds like ADHD to me.

He told us he would focus on dealing with the so-called “toxic assets” held by financial institutions. Instead he has forced healthy institutions to take bailout money when they didn’t want it and didn’t need it. The president of Wells Fargo said that he when he tried to refuse the money he was told to take it and buy up smaller banks with it! That obviously won’t help the credit crunch, so why is Obama pushing it? Simply because if a few big banks absorb all the smaller ones, it will be easier for him to nationalize the banking system.

Ninety-five per cent of new jobs are created by small businesses. Helping them would be the single best way to stimulate job creation. And the best way to help them would be to reduce the unconscionable federal tax burden. In all of his trillions and trillions of dollars of proposals he has not thrown a crumb to small business. In fact, he has said that he will increase their tax burden, making it difficult for them to just survive, much less create jobs. (Obama has been hearing Republicans complain about him ignoring small business, so in the last few days he has come up with some half-hearted proposals. But they’re all bureaucratic in nature, and will result in more government control over businesses.) and there's more.

Dear Abby has gone soft

The "real" Abby would never have said, "Do not try to tell her how to live her life." She would have said, "Kick that roomie out immediately, and tell her to wise up."

Not that kind of girl writes Dear Abby to complain that

"About a year ago, a childhood friend, "Lindsay," came to visit. She loved the town so much she decided to move here and be my roommate.

At first I was excited at the prospect, but my enthusiasm has waned since finding out that Lindsay is very promiscuous. Since January she has had sex with seven men, sometimes dating more than one at a time."

She feared for her reputation, safety and privacy.

So what does Abby suggest? A huge wimp-out. Are women supposed to be assertive and strong in the workplace but not in their own apartments?

"Your letter brings to mind several old sayings. One: People are known by the company they keep. Two: Birds of a feather flock together. Three: People who lie down with dogs usually get up with fleas.

Do not try to tell Lindsay how to live her life. DO remind her that she is now living in a small town where tongues wag. Then explain that although you like her very much, your lifestyles are not compatible and you would like her to move. Your concerns about waking up to find strangers are valid."

Now, that's sure going to get the roommate to wake-up and change her ways. Explaining the obvious is sure to change her sleeping around behavior. And since when does Abby not know that reminding people with little proverbs and cutsy sayings comes across as "telling them how to live."

HIV alarmism has fiscal and behavorial consequences

Sometimes, I don’t understand alarmists. On September 16, David R. Holtgrave, PhD Professor and Chair, Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health testified before the Committee on Oversight and Government Reform (Waxman, chair) on prevention funding for HIV/AIDS.

He began by reporting that the HIV incidence is higher than previously thought (55,000 or 56,000 instead of 40,000 infections per year) and is rising particularly among gay men. Shocking right? Probably that statement made the evening news, but not what followed. He then went on to report that “the HIV transmission rate dropped from 92.3 in 1980, to 31.2 in 1985, to 6.6 in 1991. It stayed at roughly this level until 1997 when, after the advent of highly active antiretroviral therapy (HAART), the transmission rate went up temporarily to almost 7.5. Thereafter, it continued once again on a downward trend. In 2006, we estimate the transmission rate to be approximately just under 5.0 (4.98). This means that for every 100 persons living with HIV in the US, there are just under five new infections on average in a year. That also means that over 95% of persons living with HIV in the US are not transmitting the virus to someone else is a given year. Because the transmission rate is rather low in the US, it will be very challenging for the nation to push that transmission rate number down even further.”

I thought that sounded pretty good. Not only are infections down among gay men, but they have almost disappeared from the blood supply, from infants getting it from their mothers, and the IV drug users. So what’s the alarm? No one comes to a committee to say their funding needs are down. No, they need more funding to get that rate down to zero, as near as I can tell. Current funding for prevention is $18.6 billion, or $52,000 per infection NOT transmitted. And that saves on treatment money. Holtgrave was concerned that in real dollars, prevention funding was slipping since 2002 (Hmm, seems to coincide with Bush years even though transmission rates are down since the Clinton years.)

HAART (highly active antiretroviral therapy) works, abstinence works, keeping bi-sexual men away from women works, and reducing intravenous drug use works. However, after the advent of HAART transmission rates went back up--before that, the accomplishments were in behavior, not drug therapy. After HAART, it would seem gay and bi-sexual men thought they could go back to the fun, games and wild times of the 80s.

Here’s my idea for prevention. Let’s ask for a more responsibility and volunteerism from the gay community--the way it used to be when people were afraid of this disease. They are the best educated and wealthiest demographic in the country. They worked very hard 25 years ago to combat this disease, now it’s time for the younger generation of gays who never saw friends die or lifted a spoonful of soup to a wasted skeleton to step up and do the prevention thing, and not wait for the government to funnel even more money into their bad behavior and life style.

Taken any tests lately?

Like HIV? Me either. At least, not that I know of. But apparently, according to CDC Guidelines health-care providers (i.e. doctors) should routinely screen all patients aged 13-64 years for HIV. I'm not sure about those of Medicare age--maybe we're too old to count and they like to bump us off the rolls, or we're staying out of bath houses and not shooting up. Here are the risk factors for HIV:

A man having sex with another man even just one time.

Taking street drugs by needle even one time.

Trading sex for money or drugs even one time.

Sex, even one time, with someone who would answer yes to any of the above.

You have hemophilia and have received clotting factor concentrations.

According to a report in JAMA (CDC/MMWR) Nov 5, 77% of persons with HIV risk factors were not tested in the preceding 12 months, and the recommendation for them is an annual test. However, 40% of the general population has been tested. 60.7% of pregnant women were tested for HIV in 2006 (lower than other infectious disease). In 2006, non-Hispanic blacks accounted for 49% of all reported cases of HIV/AIDS, and the HIV prevalence among non-Hispanic blacks was 2.1% compared with 0.4% in the over all U.S. population. (I'd cite the sources, but they aren't printed with the article which is really dumb.) Depending on how often you go to the doctor for allergies or the flu, you might be tested multiple times, and someone else scoring BINGO on all the risk factors, is never screened. Something's very wrong here. They can't keep track of the MSM who are doing all sorts of disgusting things with body parts, so they decide to test everyone? And they still can't get the gay and bisexual guys to come in for screening by changing the rules? These tests must be awfully cheap.

They don't need to have you sign anything or give you anything in writing either. Here's the rules.

Here's the take from the ACLU.

If you've gotten a 3 page list of "services provided" for the last time you were in the hospital, here's the coding guidelines.

These guidelines from 2006 were part of Bush's Domestic HIV Initiative. (Approximately $18.9 billion (83%) of the FY 2007 HIV/AIDS request was for domestic programs; $3.9 billion (17%) for global programs. Only 4% was for prevention, however. Here) The CDC allocated funds to: 23 jurisdictions in clinical settings; 67 grantees in 25 states through the Substance Abuse and Mental Health Services Administration; 41 family planning clinics grantees in 34 states through the Office of Population Affairs. And the funds were allocated primarily to test blacks. Of course, testing isn't research or treatment or behavior change--it's just to figure out if they have successful strategies in place to overcome barriers to--testing.

Test product

This is the only article I found on the cost effectiveness of testing the entire population. And obviously, if it's your life, or that of someone you love, you think the cost is worth it.

Changing behavior

I was running (driving) a few errands this morning and noticed a few things: 1) absolutely everyone was driving the speed limit--that meant traffic moved more smoothly; 2) I didn't see a single Hummer either in the parking lots or on the roads, and they used to be every where; 3) I saw relatively few light trucks and large SUVs--used to be many; 4) I saw a middle age, bald man in a white shirt and tie on a rather smallish motorcycle--he looked a bit tense like he was just learning the ropes--heading for OSU; and one more thing that had nothing to do with the gas crisis, but I saw a young man at the shopping center delivering flyers wearing a coat and knit hat--it's about 90 degrees today.