Category Archives: Science

Heat-Related Public Service Announcement

With a heat wave gripping the nation, please remember:

NEVER LEAVE CHILDREN OR PETS IN A PARKED VEHICLE

The website Kids and Cars shows that 24% of of non-traffic, non-crash fatalities involving children under 15 years of age are due to leaving the child in the vehicle during hot weather.

Studies show that when the temperature is 85 degrees outside, the temperature inside a parked car can rise to 90 degrees within 5 minutes, 100 degrees within 10 minutes, and 120 degrees within 30 minutes. With temperatures rising even higher, the car can heat up to 140 within minutes. Children and animals trapped inside cars, especially during seriously hot weather, may experience heat exhaustion or heat stroke, leading to permanent disability or death in a matter of minutes. Heat stroke can cause shock, seizures, irregular heartbeat, heart attack, and damage to the brain, liver, and kidneys.

Remember, cars are not babysitters!

A Silent Sorrow

A miscarriage is a particularly silent sorrow since others often fail to recognize the agonizing emptiness it leaves behind. When you lose a baby early in the pregnancy, you may have to deal with a lack of concrete memories about your baby and the absence of established rituals to mark this sad event in your life.

You may take some comfort in learning that you are not alone since most pregnancy losses occur in the first three months, or trimester, of pregnancy. Miscarriages account for almost 95 percent of all early losses up to 20 weeks gestation, after which they are considered to be live births or stillbirths.

A miscarriage ends the pregnancy just as it was beginning, sometimes only weeks or days after you and your partner realized you were going to become parents. Your joyous expectations were suddenly turned to grief, and the pregnancy may now seem unreal, even to you.

–Perry-Lynn Moffitt

See her recommended reading list here.

Walk To Thrive

I’ve written about the benefits of walking before, when I lived in Austin. It’s taken me some time to become comfortable and confident since arriving in California. Lately, though, I’ve returned to it with gusto; I walk daily, and it’s doing wonders for my health and outlook.

One reason is that I discovered a simple online journal that allows one to track routes, miles, and time. It requires registration, but it’s a short process. The site is MyWalks.com. Since I began doing this May 22, I’ve logged 41.86 miles, most of it since June 1.

Another site I’ve found helpful is About.com’s Walking page. They have a number of resources; they also have a daily email walking program, in case one needs inspiration.

I’m on my way to Austin tomorrow, where it is bloody hot right now; I will have to curtail the walking, keeping it to evening strolls. My body isn’t accustomed to such heat any longer!

Prisons & Mental Illness

Jail faces mental health unit probe

SANTA CLARA COUNTY FACILITY MAY NEED STATE LICENSE

By Pete Carey

The place where Santa Clara County’s Main Jail cares for its most severely mentally ill prisoners has been operating without a state license for five years since the state said its cells were too small to provide safe emergency care.

San Jose Mercury News

As jails and prisons increasingly house people with severe mental illness, the question does arise: how are prisons to provide adequate care? Prisons are not built with the concept of providing human service; they are built to punish by providing minimal space and facilities. I am not purpoting that prisoners should have luxury digs. However, as our mental health care system continues to fail its constituents, and they then commit crimes and end up in jail, the least we can do is provide basic, humane care for their illness. However, I’m not certain that licensing is the solution. Why not provide funding and education to staff so they can do what is needed? I’ve worked in government and know how much money is wasted in the process of creating regulations and getting companies to meet the standards.

No Bull(ies)!!!

The issue of bullying is a serious one. I myself was prey to bullies in my elementary school years, and it made life terrifying for me. Those experiences undermined my sense of place and safety in the world, and they marred my self-confidence. I learned to inhibit my social tendencies so as not to be targeted, not that this was successful. It only made me more withdrawn, but didn’t help me escape bullies. The impact reverberated well into my adulthood. It’s probably why I also developed a “problem with authority,” in such cases when those in authority used their power wrongly (which is rather more often the case than one might think).

Today this issue was brought to light at my school, in my program. It regards two of my own students and their misbehavior toward another student. This evoked a strong response in me, and I’ve spent the evening researching the topic so I can talk to the class tomorrow. Below is the best compilation of myths and misperceptions about bullying that I found (without having to purchase a book). I’ve provided the myths and brief excerpts from the website, but I strongly recommend you go to that page to read the entire piece.
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Exactly Where She Wants To Be

I’m a mental health professional, but I am also human. Therefore I experience the slings and arrows of life, which sometimes land solidly under a chink in my armor, and as I cannot be objective about myself, I suffer as others do.

Recently I wrote to my friend, Marta:

IÂ’m treading water of my own depression.

I could be happy, content — I ought to be. I am healthy (mostly), employed, loved, housed, fed, clothed. People like me, they really like me! BUT. Instead I feel numb, or emotionally flat, and my body aches a great deal. I carry out my daily duties and smile and laugh, but I also feel resistant, unsettled, and clenched. Meeting new people and making friends is trying. I miss you. I miss my other peeps. I avoid the phone because I want in-person connection. Ah, fuck it.

And I haven’t made art. Though I did color this weekend — a mandala. Does that count?

What is WRONG with me? I ask this in light of my recent encounter with death. Why the hell am I not embracing my life, cherishing it? Living it with joy?

And bless her wise, enormous heart, she wrote words of comfort and meaning.

That is a cliché. Encounters with death do not make us cherish life more. I think people say that because it is expected. It is what you’re supposed to say. Maybe they do sometimes, in moments of sunshine and cool breezes on the skin and what-not, but I think they often make us more fearful, more stressed, more tired. When my mother died I felt that there was nothing except a great, horrible void all around me. There was no floor under my feet and no roof over my head, just space and the knowledge that for the rest of time as I knew it, my mother would not be there. Perhaps because her death was unexpected, it made me feel that death waited around every minute of every day. It takes a while after that to feel that any of the small things that normally bring joy had any point at all. There is nothing wrong with you. You’re grieving. It isn’t easy and it isn’t tidied up with pithy sayings and clichés. But a moment will come when you’ll realize that you have been cherishing life, and you won’t be sure when the change came. At least, that’s how it was for me.

I have grieved deeply before. The last time I was also experiencing a moderate depression, and the loss which evoked grief deepened that episode. I have much more insight now, and a vastly better support system than I had then. Pharmacology helps too. Of late, I just find life draining and irritating. I become annoyed with the unexpected, when I would rather meet it with equanimity. Cognitive behaviorists would prescribe that I need to change my thinking. Buddhists would suggest I meditate and notice my ego. Athletes would recommend more exercise. Psychoanalysts would infer that this was connected to a long-buried childhood pattern or experience. All may be true, but this doesn’t change a thing.

I long for (and perhaps this is part of the problem) the following experience, and wish it to be the general tone of my life:

I arrived for one of my last sojourns at The Farm on a chill sunny day quite early in June 1979, just after Aunt Jane and Uncle Kip had moved up for the summer, while the lemon lilies and iris were still in bloom, before all the asparagus had gone to fern. After settling my considerable baggage in the downstairs front bedroom, which would be mine now that I could no longer climb the stairs to the one above it, I wandered back into the kitchen. It was new to me, the ample wooden cabinets and yellow Formica counters and stainless-steel sinks and especially the wide bay window above the table. I stood staring through the newly ample panes at the sweep of garden, lavendar flags and yellow trumpets against a tangle of green, the whole blurred in the long spreading shafts of late light.

     “What are you looking at?” Jane asked behind me.
     “Just the garden,” I answered. “I was feeling the pleasure of being exactly where I want to be.”
     “I’m glad,” she said. “I’m glad you’re here.”

Everyone should have one place where, when she’s in it, she’s exactly where she wants to be. And if she can no longer return to it, well, at least she’ll have been there. That’s something.

–Nancy Mairs, Remembering the Bone House: an Erotics of Space & Place

I have experienced this before, numerous times, in my original home state and then during my Texas years. But not since I moved to California.

I write about my personal struggles here both to cope with my life (the expression is curative), and with the hope that others reading it might find a kindred spirit and thus feel less alone in their journey.

This Life

My mother-in-law is in the hospital. A sudden illness from an infection. She’ll be just fine, and for this I’m grateful. But such news is distressing!

One of my cats, Sophie, probably has mammary cancer. She may also have heartworm. One of these will kill her, maybe sooner, maybe later. She has a heart murmur that she wasn’t born with, and her breathing problems may be symptoms of worm infestation in her heart. There’s no really effective treatment to cure heartworm in cats. Because she’s an indoor cat I didn’t think she was vulnerable to heartworm. None of my vets (until the one I saw today) ever suggested prevention. However, it takes only one mosquito bite to infect a cat. There’s almost no treatment for it, but prevention is easy. Do it!

Diagnosing and treating the tumors would require major surgery and possibly chemotherapy (if they are cancerous). Because her first vet spayed her incorrectly at age six months, leaving an ovary in her, the subsequent heat cycles may have contributed to this. She had a second spay surgery when she was three. Two major surgeries is enough, especially given her size. Chemotherapy practically kills human patients. I’m unable to embrace this as a reasonable protocol to put her in the position of enduring.

Sophie weighs barely eight pounds and currently has an excellent life. She’s content, lively. The only distress I observe is a slight panting or wheezing, an occasional cough. I can give her prednisone to ease those symptoms. She is otherwise full of zing. Given that my father-in-law died only six weeks ago, I had an alarm raised regarding my own health, and now these two events, the following quote hit home.

To live in this world, you must be able to do three things: to love what is mortal; to hold it against your bones knowing your life depends on it; and when the time comes, to let it go.

–Mary Oliver

And I’m thinkin’… The weather here is gorgeous. I’m working with kids Saturday night, having dinner with friends Sunday. Still haven’t made any art. Perhaps, just perhaps, I will shut down my computer and take a few days to experience this life of mine.

Relief

The doctor who did my annual exam called this morning. She told me that what I’ve got is just a simple cyst, which is what I had thought. It’s a big one, but no worries. Nothing need be done unless it’s uncomfortable for me, and then it can be removed (since draining didn’t work last time).

I’m relieved.

And having slept long and well, my mood is better. I need to say that I enjoy living here for the climate, the gardening, and the scenery to the same degree that I find the density and people discomfiting. So it’s not all bad. Sometimes I just kvetch.

Just Flesh

I just finished reading Anne Lamott’s new book (thank you, Shirl) and am about to employ one of her techniques. I’m going to go on a cruise. When she needs a break, she takes a cruise, as she calls it, by nesting in her bed with magazines, blankets, pets, and chocolate, and stays there until she feels recharged. I do that sometimes, but probably not often enough.

Today I need it. I went to the medical center, and my experience there was as unpleasant as the last visit was pleasant. First, as I walked from the parking lot, a fighter jet flew over so low and loud that it set car alarms off. They fly from Moffet air field. The sound hurt, and the vibration invaded my body. Everyone outside the center looked alert, surprised, and dazed. One woman was pushing a baby carriage to her car, and that poor child was quite distressed. As was the mom. And I felt momentarily angry on behalf of that child.

I went to the mammogram department. The machine wasn’t working. They compressed my breast three times and the machine read “error.” She promised I hadn’t been exposed to radiation, that the machine wouldn’t even process the shot. She went out and came back, turned off and back on the machine, hoping that would work. I guess it did, because she took five more x-rays. Each one also hurt, because she pressed my breast harder than the last visit. They’re trying to get a good look at a four centimeter cyst. One that I’m pretty darn sure is benign, because I’ve had it since 2003; it was drained once, partially, and refilled again.

On the last shot, she had me standing next to the machine with my arm draped across as if I were hanging out with my best girlfriend. Except that she pulled my shoulder up to a point of discomfort; I had to stand on tiptoes to tolerate the pose. And then in her hurry she forgot to release me. She took the film out and was hurrying to get out of the room. I said, “Um, can I–” She, absently, “Yes, yes, you can sit down.” Me: “But I’m stuck!!” She: “Oh, I’m sorry, I wasn’t looking at you, I’m sorry” as she released me. All the while, I was breathing shallowly because it hurt.

I was told to get dressed and wait in the waiting room; my ultrasound wasn’t scheduled for an hour. While I waited, I read, and I observed patients interacting with staff. One receptionist was especially snippy and dismissive toward a woman who came in to schedule an appointment for her husband. “Is he an established patient? What’s his chart number? I can’t help you if he doesn’t have a chart number. Go to the front desk.” She wouldn’t even let the woman finish giving her answer.

The ultrasound technician, a man, called my name. I followed him into a room; he handed me a gown and said “Everything from the waist down is off.” He left. He returned and said, “Lie down.” Then he put goo on my breast and did the exam. Not a word was said. My past experience in Austin was quite different; the technicians were kind, asked how I was, saw that I was comfortable. This one barely acknowledged me. When done, he said “You can get dressed.” I asked, “Do I wait here?” “No, in the waiting room.” Again I sat, waiting. About ten minutes later he walked by and said, “Okay, that’s all for today.” No explanation. No comment that the doctor will review this, or that they’ll contact me further. Nothing. I was dismissed.

And given what I’d seen of how visitors were dealt with, and how hungry and tired I felt, I decided to just leave. I’ll call the woman with whom I scheduled the exam and follow up. My understanding was they were to get a release faxed from Austin that I could sign, so they could obtain the other films. However, when I asked the mammo technician, she had no clue what I meant.

I felt all teary and edgy. So I went to In-n-Out for lunch — a bad-for-me lunch, but what the hell. I sat reading more of Lamott’s book, which was probably not wise, because the essays were poignant, about the death of her mother, and life’s hardships, and while her essays usually end with a gem of truth or light, I’m more susceptible to tears when I feel this tender.

When I got to work, I decided bribe the students with the promise of a recess in the nearby park if they worked hard. Thus all 60 kids got a break, and it gave us coaches a bit of breathing room.

Yet I feel heavy, achy, sad, pissed off, disconnected, crowded, compressed, and edgy. The energy in Silicon Valley is fraught with tension. My coworkers, some who have lived elsewhere in California, say this is not the case in less dense areas. I’m not accustomed to supercharged urban living. People are not nice. It’s hard to describe. Everyone’s in a hurry, brusque. People step in front of you in line. People tend to ignore each other. Speak curtly. Dispense with the social niceties that make life a little smoother.

Which leads me to the conclusion that good mental health makes imperative a bit of TLC. I’ll start with an actual water experience, a long hot soak. I’ll smooth lotion on my skin and tell my body I love it. Then I’ll curl up with needlepoint, because my brain doesn’t want more words coming in. And maybe I’ll just go to sleep. A body needs rest. We don’t, as a rule, get enough. Well, I aim to change that tonight.

Oh Yes

I need to remember that life is precious and short and lovely. Funny how remembering that can sometimes lift me up and sometimes make me hopelessly sad.

–Kat, Kat’s Paws

How well I can relate to that this morning. Yesterday I got a phone call from the radiologist who did my mammogram. She’d like me to come in for another mammogram on my right breast as well as an ultrasound. They also want copies of the previous exams done, which are in Austin, so they can compare. Because I didn’t think to get copies when I moved, there will be a lapse of time between the exam and the comparison. I won’t know for awhile if anything is amiss.

In January 2003, just as my mother was beginning treatment for breast cancer, I had my own little scare. The exam I’d had in January resulted in an ultrasound, which revealed cysts “of note.” They had me back in May and one had enlarged, so a biopsy was done. It was benign. The whole experience was nerve-wracking. That was the year I turned 40, and I was suddenly brought up short by the realization that I’d entered that life stage where mortal concerns move from the abstract to the real. I struggled with a sense of tenuousness in my body, a feeling that it was betraying me. In 2004, my exam didn’t bring an alert, so I relaxed.

I’ve been telling myself since yesterday, “It’s fine, it’s nothing, these are new doctors who are being cautious, and they aren’t familiar with my history.” Yet this morning I had a minor meltdown as I prepared for the day. My thoughts ran amok and carried me into pessimism. Here’s the train of thought: “Oh my god I will have cancer and then I can’t get pregnant while I’m in treatment and I will die and then my husband will someday remarry someone younger and have children, which may all be for the best because I might be too old to conceive and certainly not energetic enough to raise a child.” Of course this was bound to put a gloomy tint to my day.

Mixed up in all this is also mourning for my father-in-law. I feel profoundly sad that, if we do end up having children, they won’t get to have relationship with him, and he won’t be around for us to enjoy his enjoyment. Then I realized that it’s only been three weeks since he died, but it really feels as though a lifetime has happened.

Meanwhile I need to summon my sanity, pull together my professional happy face, and go to work. I need to deal with insolent fifth graders. I need to conduct a staff meeting and attend to administrative details. And this evening I will be volunteering as a conversation facilitator with adults who are learning English as a second language. So I will tuck my moment of panic into a mental pocket and move forward. I’m trying to remember the wisdom from Eckhart Tolle’s book, The Power of Now. I don’t have all the information yet, and there is nothing I can do at this moment to change my life situation because it’s not yet clear that this is a problem. Thus it is not real, it is not part of now.

Ah, the emotional permutations a person can experience, all before noon on a given day!

Water of Death?

When I worked as a case manager in mental health, I had a few clients on whom I had to keep a close eye, because they were in danger of water intoxication; drinking too much liquid can cause an imbalance of electrolytes that may result in death. However, for years people thought that only applied to ordinary actvitity, and that if you exercised heavily you should consume more water or sports drinks. Not so.

A study published today in The New England Journal of Medicine should give weekend warriors reason to rethink the wisdom of quaffing vast amounts of water or sports drinks while exercising vigorously – at least if they are engaging in such endurance tests as a marathon. The study found that a marathon runner could dangerously dilute the blood with an overdose of liquids, risking a coma and even death. The problem has also been detected during long military maneuvers, extended bike rides and blistering hikes through the desert.

Brain-Dead From Sports Drinks

[via The New York Times]

Both The Living And The Dead

“In the other world” means in a world which is veiled from our eyes, our physical eyes; but it does not mean a world far away from us, beyond our reach. Both the living and the dead inhabit the same space; we all live together. Only a veil separates us, the veil of this physical body. Separation means being unable to see one another. There is no other separation.

–Hazrat Pir-o-Murshid `Inayat Khan
From: A Meditation Theme for Each Day
Selected and arranged by Hazrat Pir Vilayat `Inayat Khan

Food and Rules

A friend sent a link to an article reviewing the book that’s triggered the latest food craze, French Women Don’t Get Fat: The Secret of Eating for Pleasure . The whole article is worth a read, but this caught my attention most:

…while they may be admirably successful at staying thin, French women are not necessarily more balanced in their attitudes about food. While many people think of eating disorders like anorexia and bulimia as an American problem, they are, as far as can be measured (and these statistics should always be taken with some degree of skepticism), equally prevalent in France. In the United States, somewhere between 0.5 percent and 3.7 percent of women will be anorexic in their lifetimes, while 1.1. percent to 4.2 percent will suffer from bulimia. Between 2 percent and 5 percent of Americans binge eat. Among young French women, an estimated 1 percent to 3 percent are anorexic; 5 percent are bulimic; and 11 percent have compulsive eating behaviors. Certainly, young French women today are as interested in eating disorders as their American counterparts. While Guiliano enjoys her publishing success here, a quite different book is in the spotlight in France: a memoir of bulimia called Thornytorinx. (The title is an anatomical name for the digestive tract.) The book has been favorably covered by the French press, and its author, a 25-year-old actress named Camille de Peretti, appeared last weekend on one of France’s most popular talk shows.

–Kate Taylor, “French Women Do Too Get Fat

The other glaring concern that raises my ire is the incessant focus on women and thinness. Do men not need to take care of their bodies and monitor the state of their physique? This book is as sexist as that pablum published in the 1990s — The Rules: Time-tested Secrets for Capturing the Heart of Mr. Right — which unfortunately metastasized into several volumes. Ugh.

The Myth of Writer’s Depression

Speaking from experience (several bouts of clinical depression), I can guarantee that depression beyond the very mildest level (which makes you just miserable enough to stay home and finish the book rather than go out and have fun) destroys creativity–and that treating depression enhances it. Why? Well, depression doesn’t just make you miserable. When you’re depressed, you have no energy–and writing books takes hard work, which takes energy. When you’re depressed, you find it hard to start new things (like books, chapters, the day’s work), and hard to make decisions (like which book, or which character, or even which way Albert will turn when he leaves the throne room…) When you’re depressed, everything seems futile–you are sure the book will be lousy even if you do write it. When you’re depressed, you have less courage, less resilience, less ability to handle ordinary stressors. So…you can’t summon the energy or the courage to write…every little comment throws you back into your misery…and the next thing you know you’re in the midst of a full-fledged writer’s block.

–Elizabeth Moon, “The Writer and Depression” and author of notable science fiction/fantasy books