POEM: Goddest of Dreams

Goddest of Dreams

One serendipitous night
I stumbled up
On a most glorious site
An indescribable rite
When mortals have only their dreams
She would sow free
Pluck stars from the sky
Only to sprinkle them
On waking heads
And hearts afresh
As windows to the soul
Are with sunbeams awash
As darkness never remembered
In awe that is knew
In this day present

Got Dreams SPIRITUAL BUTTONThis whimsical poem is an ode to the mystery and rejuvenating powers of sleep that prepare us for a new day.

JUST FOR THE HEALTH OF IT: Public Health Radio Show on WAKT 106.1 FM Toledo

JUST FOR THE HEALTH OF IT: Public Health Radio Show on WAKT 106.1 FM Toledo

Just for the Health of It - The Science of Health for ALL - PUBLIC HEALTH radio show, WAKT 106.1 FM ToledoJust for the Health of It is my weekly half-hour public health show on WAKT, 106.1 FM Toledo. You can listen at 9:00 AM Tuesdays and Thursdays (after Democracy NOW) on-air or on-line ToledoRadio.org.  To listen anytime you want online, below are links to the latest shows.

You can follow the program and shows on facebook here.

Just for the Health of It brings you fresh perspectives on the science of health for all; plus local, state, national, and global health news, as well as local guests for home-grown perspectives and connections to local resources. Just for the Health brings you the best of both social justice and personal health.WAKT Toledo 106.1 FM -- Just for the Health of It - Public health radio show

Just for the Health focuses on putting the JUST in Just for the Health of It

My aim is to equip you to live healthily in a healthy community on a just planet.

For you of those folks who are perhaps too busy to catch a whole show, or just want to sample my sense of humor, here are a few of my parody PSAs:

Parody PSA: Cory the Coronavirus

Parody PSA: Pla-ce-bo Pharmaceuticals’ Elimin-all

Parody PSA: PR Medica and Merciless Health Systems

Parody PSA: Health Care for ALL

Parody PSA: TL20-squared VIRUS Pandemic

HERE ARE LINKS TO THE LATEST SHOWS:

Week of November 23, 2020:

Featuring: COVID-19 big picture — with where we are at, are we doomed to “too little, too late”? (2:40); Lucas County COVID-19 update (22:27); “It’s not enough” — health experts say Iowa governor’s new COVID-19 order is “weak” (30:07); business group calls for national mask mandate and COVID-19 relief (36:22); “People are going to die” — hospitals in half the states are facing massive staffing shortages as COVID-19 surges (39:02); hospitals know what’s coming — even the best cannot prepare for a tsunami of cases (47:17); World Health Organization advises doctors not to use Remdesivir for COVID-19 (54:32); GOOD NEWS –“They have been following the science” — how the Cherokee Nation has curtailed the COVID-19 pandemic, as a nation within a nation — what a real tribe looks like (56:29).

Week of November 16, 2020:

Featuring: COVID-19 big picture — where are with we with the layers of protection: mask wearing, physical distancing, community restrictions, testing, contact tracing, and hospital capacity? (1:55); Lucas County COVID-19 update (42:11); health experts want to prioritize people of color for COVID-19 vaccine, but how should it be done? (49:36); proportion of pediatric emergency room visits for mental health increased sharply amid pandemic (57:22); suicide rates increase after hurricanes, tornadoes and other disasters (57:58).

Week of November 9, 2020:

Featuring: Lucas County, Ohio, and U.S continue to smash COVID-19 records — get the latest (1:54); counties with worst virus surges voted overwhelmingly for Trump (14:59); United Nation votes to hold summit in December to push action on COVID-19 pandemic — U.S. abstains (18:46); face masks don’t hinder breathing during exercise, study shows (21:16); pregnant women with COVID-19 are at increased risk for serious outcomes (23:53); the hidden public health hazard of rapid COVID-19 tests — worsening data collection (25:12); how your brain tricks you into taking risks during the pandemic — the difficulty of incorporating accurate risk decision-making into our daily lives (29:15); Medicare fines half of hospitals for readmitting too many patients, a sign of poorer quality health care (42:35); more U.S. patients to have easy, free access to doctor’s notes (46:17); updated colon cancer screening guidelines recommend beginning at age 45, down from 50 — especially for blacks (48:53); one-third of people with disabilities experience frequent mental distress (50:08); make America healthy again by paying more attention to nutrition, the #1 factor in health (53:22).

Week of November 2, 2020:

Featuring: Lucas County, Ohio, and U.S continue to smash COVID-19 records — get the latest (1:56); winter COVID-19 wave poses threat to nation’s hospitals (16:22); sewage testing shows a country flush with coronavirus cases (21:27); study finds faster, wider spread of COVID-19 within U.S. households (28:51); Yale study shows child care can be relatively safe with mitigation efforts and lower rates of community spread (31:15); winter is coming for bars and restaurants — here’s how to save them…and us (35:20); why isn’t routine COVID-19 testing happening in prisons and immigration detention centers? (40:51); latest COVID-19 polling shows most know someone who’s had the virus, a third have had someone in their household tested in the last month, and this doesn’t differ much by age, race, income, or party affiliation (47:23); states say they lack federal funds to distribute COVID-19 vaccine as CDC tells them to be ready Nov. 15 (51:08); as COVID-19 intensifies, shortages of staple drugs may grow worse (56:10).

Week of October 26, 2020:

Featuring: Lucas County, Ohio, and U.S smash COVID-19 records — get the latest (2:02); persons infectious with COVID-19 up to 10 days if only mild symptoms, or up to 20 days if severely ill (16:47); CDC expands definition of close contact after spread from “multiple brief encounters” (17:32); COVID-19’s wintry mix — as we move indoors, dry air will help coronavirus spread (19:24); “at a breaking point” — new surge of COVID-19 cases has states and hospitals scrambling, yet again (25:48); amid pandemic, U.S. has seen 300,000 “excess deaths,” with greatest disparities for people of color and persons age 25-44 (34:19); FDA show signs of cold feet over emergency use authorization of COVID-19 vaccines (37:52); remdesivir’s hefty price tag ignores NIH investment in its creation (45:17); Trump’s antibody “cure” will be in short supply (49:31).

Week of October 19, 2020:

Featuring: Lucas County and Ohio COVID-19 update, as nation’s cases surge (2:01); surge in COVID-19 cases mean fewer Minnesota schools meet in-person rules, while exposing hostility to public health efforts (11:48); “overwhelmed” — hospitals across America engulfed by rebounding virus (13;48); hepatitis is still a silent killer in Africa and elsewhere b(18:32); how the CDC and others are failing black women during childbirth (21:48); black maternal death rates and the implicit biases — how we can address them (31:20); what no one tells black women about breastfeeding (35:25); new research shows many children with mental health conditions don’t get follow-up care (41:15); how drugs damage the environment (44:07).

Week of October 12, 2020:

Featuring: Lucas County and Ohio COVID-19 update, as Midwest hit hard (2:00); Midwest keeps reopening as states reel from new virus cases (7:26); COVID-19 surges in North Dakota, filling hospitals and testing attitudes (14:17); Mississippi’s governor revokes statewide mask mandate (19:16); Trump is “single largest driver” of COVID-19 misinformation, Cornell study finds (22:42); the confidentiality of Trump’s medical information has limits (23:29); the lesson from Trump catching COVID-19 — with this virus, there’s no magic bullets (25:27); “COVID is all about privilege” — Trump’s treatment underscores vast inequalities in access to care (31:12); inequality “surrounds you” — a black doctor returns to heard-hit Louisiana after treating and contracting COVID-19 in New York (39:35); battered, flooded and submerged — many Superfund sites are dangerously threatened by climate change (51:43); doctors offer guide for teaching the health effects of climate change in medical residency (55:50).

Week of October 5, 2020:

Featuring: “Donald Trump Memorial Studio” and the public health principle of nonjudgment (1:58); Lucas County and Ohio COVID-19 update (4:56); states loosening COVID-19 restrictions amid ongoing pandemic and expected fall surge (10:55); these coronavirus vaccine trials don’t answer the one question we need to know — will it protect against the most serious disease? (16:56); why it will take more than one vaccines to beat COVID-19 (21:37); keeping coronavirus vaccines at subzero temperatures during distribution will be hard, but likely key to ending pandemic (26;34); lessons from STDs on how to fight COVID-129 (33:27); why misinformation about COVID-19 keeps going viral (45:18); global rates of unplanned pregnancies still too high (48:06); the FDA approved the abortion pill 20 years ago — it’s time to make it available via telehealth (51:28).

Week of September 28, 2020:

Featuring: Lucas County and Ohio COVID-19 update (2:06); three experts reflecting on the U.S. reaching 200,000 confirmed COVID-19 deaths (5:20); new wave of COVID-19 cases builds in U.S. (8;43); four U.S. states report record one-day increases in COVID-19 cases (11:01); Florida to life all COVID-19 restrictions on restaurants and bars (11:55); Des Moines says no to governor’s demand for classroom return (12:42); government watchdog finds supply shortages are still harming U.S. coronavirus response (17:02); battle rages inside hospitals over how COVID-19 strikes and kills (17:38); massive genetic study shows coronavirus mutating and potentially evolving more infectious amid rapid U.S. spread (20:45); California’s deadliest spring in 20 years suggests COVID-19 undercount and massive disparities among racial/ethnic minorities (24:07); Africa has defied the COVID-19 nightmare scenarios — we shouldn’t be surprised (28:40); COVID-19 could reverse decades of progress toward elimination preventable child deaths (32:42); potent drug supply drop, not domestic drug policies, likely behind 2018 overdose death downturn — and underlying epidemic trend continues (38:37); a reversal in blood pressure control for Americans (42:37); more than 3 billion people protected from harmful trans fat in their food (45:22); “front of package” nutrition labels improve nutrition quality (48:59).

Week of September 21, 2020:

Featuring: Lucas County and Ohio COVID-19 update (2:08); CDC reports that dining out increases risk of contracting coronavirus more than other activities (6:02); CDC director says masks more guaranteed to work than a vaccine (8:57); as controversies swirl, CDC director is seen as allowing agency to buckle to political influence (10:07); top health official echoes Trump’s COVID-19 views, drawing accusations of politicizing U.S. mental health agency (19:33); polls show eroding trust in scientific and political institutions (29:46); America is trapped in a pandemic spiral, characterized by 9 conceptual errors — 1) a serial monogamy of solutions, 2) false dichotomies, 3) the comfort of theatricality, 4) personal blame over systemic fixes, 5) the normality trap, 6) magical thinking, 7) the complacency of inexperience, 8) a reactive rut, and 9) the habituation of horror (35:01).

Week of September 14, 2020:

Featuring: Lucas County and Ohio COVID-19 update (2:07); University of Toledo COVID-19 update (2:37); college football is coming and COVID-19 is already there (6:22); pandemic blind spot — it’s not easy to get coronavirus testing for children (14:21); COVID-19 hits men harder due to their weaker immune systems than women (17:58); obesity raises risk of death from COVID-19 among men (21:46); housing disparities and health disparities are closely connected (26:22); medical education needs rethinking to link medicine with public health (29:06); awareness of our biases is essential to good science (37:30); overcoming psychological biases is the best treatment against COVID-19 yet (44:08); the fires may be in California, but the smoke and its health effects, travel across the country (51:52); Des Moines river “essential unusable” for drinking water due to algae toxins (55:32).

Week of September 7, 2020:

Featuring: Lucas County and Ohio COVID-19 update (2:05); COVID-19 is leading cause of death among law enforcement officers, killing more than shootings (5;24); COVID-19 update for colleges and universities (7:34); new rapid COVID-19 test begins distribution to states this month (16:34); COVID-19 vaccine updates and issues (18:21); meatpacking companies dismissed years of warnings but now say nobody could have prepared for COVID-19 (30:02); thousands allowed to bypass environmental rules in pandemic (37:51); low-wage workers face retaliation for demanding COVID-19 safety measures at work (42:13); COVID-19 has likely tripled depression rate (46:46); COVID-19 sparks 12-fold increase in remote delivery of psychological care across the U.S. (50:14); LGBTQ youth say cost, parental permission pose major barriers to mental health care (54:15).

Week of August 31, 2020:

Featuring: Lucas County and Ohio COVID-19 update (2:06); first confirmed COVID-19 re-infections — what does this mean for us? (3:50); updates on university and school re-openings (9:53); Trump’s continued political attacks on scientific integrity and fragmented COVID-19 response (19:52); strain on health care system, even when not at capacity, kills more with COVID-19 (40:21); The U.S. Postal Service is a vital part of our health care system (44:47); more challenges, and some wins, in fight against racism in health care (47:04); Africa eliminates polio in historic health win (56:32).

Week of August 24, 2020:

Featuring: Lucas County COVID-19 update (2:08); some people listen to health experts, others ignore them — what it means for America’s future with COVID-19 (3:32); how miscommunication and selfishness hampered America’s COVID-19 response (11:39); cloth masks do protest the wearer — breathing in less coronavirus means you get less sick (19:02); your cloth mask won’t protect you from wildfire smoke (23:58); Trump regime moves to exempt teachers from quarantine requirements (26:33); not-so-remote learning — college students return to campus even as classes move online (27:38); coronavirus is spreading in schools, but the federal government isn’t keeping track (28:58); cellphone data shows how Las Vegas is “gambling with lives” across the country (36:39): nursing home cases up nearly 80% in COVID-19 rebound (52:45); Amazon gold mining drives malaria surges among indigenous peoples (54:02); new Ebola outbreak in Congo raises alarm (57:43).

Week of August 17, 2020:

Featuring: Lucas County COVID-19 update (2:07); seven months into pandemic, COVID-19 testing still falling short in Ohio (2:58); Ohio back-to-school plans amid COVID vary widely between metro, rural areas — statewide, over 1/3 returning to classroom (6:37); Ohio State steps up COVID-19 measures, including mandatory testing (7:57); when should schools use only remote learning? Massachusetts issues new metrics to help districts decide using COVID-19 infection rates (11:07); coronavirus testing plummets in Texas as school prepare to reopen (13:58); UNICEF finds 2 in 5 schools worldwide lacked handwashing facilities prior to COVID-19 pandemic (18:13); Florida sheriff bans masks as state COVID-19 death toll breaks new daily record (19:15); despite rise in COVID-19 cases, dozens of Tennessee Republican lawmakers continue to refuse to wear masks as required in special session (21:26); 26 states will soon face shortages of ICU doctors, and other shortages are growing in nurses, respiratory therapists, and pharmacists (23:51); winter is coming — why America’s window of opportunity to beat back COVID-19 is closing (25:49); CDC reports large increases in in mental health issues, substance use, and suicidal ideation during the COVID-19 pandemic (35:48); vaping linked to large COVID-19 risk in teens and young adults (38:11); black and other nonwhite NFL athletes report more pain, physical impairment, mood disorders and cognitive problems that white peers (40:54); globally, only half of women get treatment for preventable killer of newborns (45:59); Researchers say misleading whole grain labeling provides legal evidence to improve labeling regulations (49:43).

Week of August 10, 2020:

Featuring: COVID-19 and prisons (2:30) local and state COVID-19 update (4:52); local and national updates on school reopenings (17:50); ventilation should be part of the conversation on school reopening — why isn’t it? (33:25); poll — 35% of Americans, most Republicans would reject COVID-19 vaccine (41:03); U.S. obesity epidemic could undermine effectiveness of COVID-19 vaccine (43:30); health care workers of color nearly twice as likely as whites to get COVID-19 (47:32); telemedicine is booming — but many people still face huge barriers to virtual care (50:03); experts urge evaluation of diet at routine check-ups (53:21).

Week of August 3, 2020:

Featuring: worldwide whirlwind of COVID-19 (1:44); local COVID-19 update (6:44); states with stricter COVID-19 restrictions watch lax neighbors warily, knowing the virus does not respect borders (10:08); 79% say they support national face mask mandate (16:59); in Texas, more people are losing their health insurance as COVID-19 cases climb (18:03); about 20% of New Jersey prisoners could be freed to avoid virus (20:12); young kids could spread COVID-19 as much as older children and adults (22:08); contact tracing is failing in many states — here’s why (23:16); how effective does COVID-19 vaccine need to be to stop the pandemic? (30:07); those coronavirus vaccines leading the race? don’t ditch the masks quite yet (36:06); liberal group warns that U.S. is unprepared to distribute a COVID-19 vaccine (43:06); COVID-19 vaccines may cause mild side effects, experts say, stressing need for education, not alarm (45:15); poorer communities face double burden during pandemic as they stay home less (50:48); one in three children worldwide have unacceptably high lead levels (52:37).

Week of July 27, 2020:

Featuring: Lucas County, Ohio, and national COVID-19 update (1:55); new poll — 3 in 4 Americans back requiring masks, and other pandemic response support growing (9:26); COVID-19 will end up as a leading cause of death in 2020, CDC says (12:13); U.S. COVID-19 deaths back up over 1,000 per day (15:14); scientists publish findings from first statewide COVID-19 random sample study in U.S. (16:01); as long waits for results render COVID-19 tests “useless,” states seek workarounds (18:32); COVID-19 tests much easier to get in wealthier and whiter neighborhoods (26:03); U.S. prison population down 8% amid coronavirus outbreaks, mostly due to criminal justice system slowdown (30:07); what scientists know about how children spread COVID-19 (31:47); back to school? most major schools are heading to online class as COVID-19 cases spike (40:20); cost of preventing next pandemic equal to just 2% of COVID-19 economic damage (47:44); We are the first to applaud you regarding your efforts in COVID-19 — a message from the African diaspora to our brothers and sisters of Africa (50:14); after surgery, black children are more likely to die than white children (53:11).

Week of July 20, 2020:

Featuring: Lucas County, Ohio, and national COVID-19 update (2:18); “epicenter of the epicenter” — young people partying in Miami Beach despite COVID-19 threat (9:19); over 1,000 inmates at Texas federal prison test positive for COVID-19 (15:02); Texas nursing home COVID-19 cases jump 60% since July 1 (15:42); masks win political momentum despite GOP holdouts (16:53); Americans want evidence and data to drive COVID decisions — and they don’t believe that’s happening (19:46); public health groups denounce new Trump move sidelining CDC (23:17); testing is on the brink of paralysis — and that’s very bad news (27:48); world treating symptoms, not cause of pandemics, says UN (31:52); why are we so late responding to COVID-19? blame it on our culture and brains (36:02); the coronavirus-climate-air conditioning nexus (41:26); scientists’ warning on affluence (46:15); half of world’s population exposed to increasing air pollution (47;33); in shadow of pandemic, U.S. drug overdose deaths resurge to record (48:37); years-long push to remove racist bias from kidney testing gains new ground (50:06).

Week of July 13, 2020:

Featuring: lobbying brewing over access to COVID-19 vaccine (2:27); as U.S. buys up remdesivir, “vaccine nationalism” threatens access to COVID-19 treatments (5:51); COVID-19 vaccine research must involve Black and Latinx participants — here are 4 ways to make that happen (8:31); WHO, partners unveil ambitious plan to deliver 2 billion doses of COVID-19 vaccine to high-risk populations (14:21); U.S. withdrawal from WHO threatens to leave it “flying blind on flu vaccines (17:42); rebroadcast of May 2019 episode on immunization history and benefits (25:15).

Week of July 6, 2020:

Featuring: national COVID-19 update (1:45); Lucas County and Ohio update (8:04); hollowed-out public health system faces more cuts amid virus (11:33); women in science are battling both COVID-19 and the patriarchy (21:20); structural racism is why I’m leaving organized psychiatry (29:31); expecting students to play it safe if colleges reopen is a fantasy (40:23); as COVID-19 tears through Navajo Nation, young people step up to protect their elders (47:18).

Week of June 29, 2020:

Featuring: local, state, and national COVID-19 update (1:53); “normal” is the problem (13:32); the emerging long-term complications of COVID-19, explained (24:14); “vaccine sovereignty” versus “a people’s vaccine” (39:12); lack of water fuels COVID-19 for 2 billion people around world and in the Navajo Nation within the U.S. (44:09); what “less lethal” weapons actually do (50:27).

Week of June 22, 2020:

Featuring: local, state, and national COVID-19 update (1:53); burgeoning activism (12:32) in journalism (13:08), among scientists (17:13), health care professionals (25:13), in scientific publishing (37:28), and connecting racism with environmental justice (42:32).

Week of June 15, 2020:

Featuring: local COVID-19 update (2;03); Ohio immigration detention facility has 100% COVID-19 positive detainees (9:07); COVID-19 spikes, but most governors signal they’re staying the course (13:39); Americans divided on return to regular routines (17:09); pandemic lockdowns saved millions of lives (19:03); face masks may reduce COVID-19 spread by 85% (22:48); black U.S. adults follow many COVID-19 news topics more closely, discuss the outbreak more frequently (28:12); researchers face hurdles in studying COVID-19 racial disparities (29:12); for a day. scientists pause science to confront racism (34;33); racism, not genetics, explains why black Americans are dying of COVID-19 (37:12); omission of air pollution from report on COVID-19 and race “astonishing” (46:10); George Floyd’s autopsy and the structural gaslighting of America (47:58).

Week of June 8, 2020:

A Double Special Edition on Racism and the dual epidemics of COVID-19 and police violence, featuring: Ohio Legislative Black Caucus declares racism a public health crisis (2:33); Physicians for a National Health program declare police violence and racism as public health emergencies (7:11); over 1,000 health professionals sigh letter saying, don’t shut down protests using coronavirus as an excuse (10:01); protest in top 25 hot spots ignite fears of contagion (11:23); protests draw shoulder-to-shoulder crowds after months of virus isolation (16:24); racism is the contagion in health care we need to eradicate (23:46); my nightmare — COVID-19 meets racism meets the killing of a Black person by police (27;41); the everyday health harms of racism (33:39); which death do they choose? — many Black men fear wearing a mask more than the coronavirus (42:17); tear gas is way more dangerous than police let on — especially during the coronavirus pandemic (48:58).

Week of June 1, 2020:

COVID-19 SPECIAL EDITION #12: Racism as a public health issue (2:08); amid COVID-19, U.S. should embrace the right to food (9:31); Bill Barr promised to release prisoners threatened by coronavirus — even as the feds secretly made it harder for them to get out (13:06); model testing blitz in San Francisco shows COVID-19 struck mostly low-wage workers (20:45); One-fourth of U.S. doctors are immigrants who, if they die of coronavirus, could have their families deported (27:27); COVID-19 cases shift to younger people (29:14); the latest on testing (33:17); the local situation (41:11); biopharma companies are spreading misinformation — and taking advantage of it (44:34); masks sold by former white house official to Navajo hospitals don’t meet FDA standards (50:45); status of Latin American epidemic (52:47); is defunding the World Health Organization really just a backdoor attack on sexual and reproductive health? (55:46)

Week of May 25, 2020:

COVID-19 SPECIAL EDITION #11: national situation (2:18); latest local news from Lucas County and Ohio (36:16); other news, including how bad is COVID-19 misinformation (48:06).

Week of May 18, 2020:

COVID-19 SPECIAL EDITION #10: national situation (2:48); what’s our status in re-opening and what does this mean? (11:11); latest local news (35:44).

Week of May 11, 2020:

COVID-19 SPECIAL EDITION #9: national picture (2:38); Toledo, Lucas County, and Ohio status and re-opening considerations (11:22); Americas has no plan for worst-case scenario of COVID-19 (26;34); coronavirus pandemic exposing long-term inequalities experienced by communities of color and in public health system (32:24); survey shows record high trust in government and widespread suspicion of businesses in COVID-19 responses.

Week of May 4, 2020:

COVID-19 SPECIAL EDITION #8: Donald Trump assures nation will continue to be full of baloney (2:07); status at prisons in Ohio and Lucas County (6:47); latest local update (13:08); national “non-plan” for testing (16:34); piecing together info on local situation (23:29); high-tech and low-tech COVID-19 treatment (28:29); what Jonas Salk would have said about COVID-19 — evolve socially (35:15).

Week of April 27, 2020:

COVID-19 SPECIAL EDITION #7: National and state roundup (1:43); jails could add 99,000 deaths to epidemic (14:42); physical distancing — how are we doing in U.S., Ohio and Lucas County (19:14); what it will take to get the U.S. open for business (29:08); what about antibody testing and immunity? (34:24); the latest on local testing and contact tracing (57:18).

Week of April 20, 2020:

COVID-19 SPECIAL EDITION #6: National roundup (2:05); local round up including county social distancing score from cell phone data, county COVID-19 response preparedness score, and nursing homes impact (9:57); thinking big and responding big (21:52); where are we with testing and what needs to be done? (32:50); where are we with contact tracing and what needs to be done? (46:42); more news on challenges facing (51:02); health inequities and racial disparities (55:18).

Week of April 13, 2020:

COVID-19 SPECIAL EDITION #5: Featuring: How does our local epidemic compare to the rest of Ohio and the rest of the country? (2:09); latest news and commentary (4:37); battle of the latest projections – a deep dive into the numbers racket (23:56); quick roundup of completely predictable bad news (57:13).

Week of April 6, 2020:

COVID-19 SPECIAL EDITION #4: Featuring my prediction – COVID-19 deaths will approach the leading cause of death this next year (1:45); good news – Ohio leadership (3:55); bad news – national lack of leadership (5;42); grade card on key interventions required to reverse epidemic (16:31); where is all of this leading? a look at the south going south (27:53); some lighter news (35:55); testing update – don’t expect anytime soon (37:52); drug treatments? “closed for cleaning”? should people wear masks? (50:01); pandemic will ravage lower-income countries (54:05).

Week of March 30, 2020:

COVID-19 SPECIAL EDITION #3: Featuring leadership bringing us to number 1 in the world (1:43); Ohio Sen. Rob Portman refuses call to advocate for a coordinated nationwide shelter-in-place strategy (4:31); my prediction two weeks ago that the U.S. will look like Italy in two weeks is panning out (7:10); local testing started — what does this mean? (9:14); a third of coronavirus cases may be “silent carriers” (18:45); playing the “hot spot” game is too little too late (18:45); the economy versus our public health is a false dichotomy and dangerous distraction (25:43); rationing and supply-line shortages will only worsen (34:32); multiple waves of epidemics from health care workers and other workers, institutionalized populations like prisoners, nursing home residents and active military, as well as homeless and displaced people worldwide (44:28); what would winning look like? (52:43).

Week of March 23, 2020:

COVID-19 SPECIAL EDITION #2: Featuring quick leadership assessment (2:16); the coronavirus paradox — our lowest point and finest hour (3:10); a terrified nation needs a leader during this crisis, not a salesman (8:03); World Health Organization expert explains why China’s cases of COVID-19 have declined and what we must learn from this (14:02); situation analysis of where we are right now and likely heading in the next few weeks (28:11); Lucas County local report on where we are at with testing, contact tracing and hospital preparedness, based on my interview with Eric Zgodzinski, Health Director, Toledo-Lucas County Health Department (33:01).

Week of March 16, 2020:

Featuring COVID-19 SPECIAL EDITION: good news/bad news (1:43); majority of Americans have at least one underlying condition that puts them at greater risk (3:19); the biggest thing to worry with coronavirus is the overwhelming of our health care system (5:57); chronically deteriorating funding of public health has crippled our ability to respond effectively to this epidemic (13:56); aggressive social distancing is seriously important even if you feel well (23:30); absence of a truly coordinated national response leaves those potentially exposed or sick confused about what to do (25:12); White House classifies coronavirus deliberations as secret which hampers response (41:19); Science magazine editorial — disrespecting science and the laws of nature confounds response (45:51); FTC and FDA cites 7 firms falsely claiming products treat COVID-19 (50:05).

Week of March 9, 2020:

Featuring as coronavirus spreads, the bill for our public health failures is due (1:53); coronavirus testing could cost some patients extra and impede response to epidemic (7:07); America is botching coronavirus testing (10:26); prisons and jails are vulnerable to COVID-19 outbreaks (12:17); Ohio ranks at bottom in new national drug trend report (20:46); air pollution is one of the world’s most dangerous health risks (21:25); climate change leads to more violence against women and girls (23:29); every country on Earth failing to provide world fit for children (30:35).

Week of March 2, 2020:

Featuring my coronavirus pandemic prediction (1:44); if coronavirus sweeps America, blame our brutal work and healthcare culture (3:08); how you can prepare for the coronavirus epidemic in America (14;35); Bayer CEO quits over Roundup lawsuits (26:53); here’s the Medicare-for-all study that Bernie Sanders keeps bringing up (27;43); Obamacare favorability hits record high (31:02); survival of the friendliest — how close friendships help us thrive (32:19).

Week of February 24, 2020:

Featuring a public health case study on coronavirus epidemic — where are we headed and what lessons can be learned? (1:50); no clear rationale for 45% of Medicaid antibiotic prescriptions (21:39); changing clocks is bad for your health, but which time to choose? (24:45); largest publicly-traded health insurers  profits grew by 66% in 2019 (28:39); 1 in 4 rural hospitals is vulnerable to closure, driven by states refusing Medicaid expansion (29:07).

Week of February 17, 2020:

Featuring Ohio gun safety laws get “D” on annual scorecard (2:19); puberty starts a year earlier for girls now than in the 1970’s (5:35); as out-of-pocket health costs rise, insured adults are seeking less primary care (7:02); Trump’s budget a non-starter for Great Lakes restoration (10:21); in agricultural giant Brazil, a new a growing hazard of illegal trade in pesticides (12:38); “Like sending bees to war” — the deadly truth behind almond growing (19:12); most Americans consider climate change the most important issue facing society today, with many struggling with eco-anxiety and changing their own behaviors (25:07); why sequencing the human genome hasn’t cured many diseases (27:46); Pittsburgh unveils master plan to significantly expand bike lanes (33:00).

Week of February 10, 2020:

Featuring Trump kept controversial pesticide on market and now its biggest manufacturer is ending production (2:18); spike in loneliness with two-thirds of adults feeling lonely (4:42); a sampling of interesting facts about what, when, and where America eats (10:07); consumers trust food and beverage corporations much less than other corporations (14:00); public health experts warn China travel ban will hinder coronavirus response (14:30); jail officials profit from selling e-cigarettes to inmates (19:43); the disturbing link between environmental racism and criminalization (23:20); female genital mutilation hurts women and economies (31:40).

Week of February 3, 2020:

Featuring Dicamba pesticide on trial (2:22); Trump regime forgets to renew its own opioid emergency declaration (4:13); putting the Wuhan coronavirus in relative perspective with the flu (5:14); containing new coronavirus may not be feasible, as experts warn of possible sustained global spread (10:27); FDA sunscreen report raises concerns over common sunscreen chemicals (14:54); hormone-altering chemicals threaten our health, finances and future (19:55); analysis of data gives insights into complementary health recommendations from U.S. physicians (34:55).

Week of January 27, 2020:

Featuring in opioid racketeering trial, pharmaceutical executive John Kapoor sentenced to 5.5 years (2:19); report finds most states lack crucial highway safety laws, with Ohio in bottom tier (5:17); the USDA never gives up on favoring corporate interests over kids’ health, in rolling back school food rules (8:38); new study debunks argument for weakening health school lunch rules (12:16); sepsis associated with 1 in 5 deaths globally, double previous estimate (14:34); Physicians for a National Health Program public letter on Medicare for All (16;49); The American College of Physicians’ endorsement of single-payer reform is a sea change for the medical profession (18:55); how non-compete clauses shackle physicians and hurt patients (22:01); the false promise of natural gas, aka, methane (25:21); world consumption of natural materials hits record 13 tons per earthling per year (35:02).

Week of January 20, 2020:

Featuring why drinking diet soda makes you crave sugar (1:44); slow carbs over low carbs – fiber matters (5:00); FDA and NIH let clinical trial sponsors keep results secret against regulations (9:02); putting air filters in classrooms could give student performance a serious boost (12:42); between 2005 and 2016, the shift away from coal saved an estimated 26,610 lives and 570 million bushels of crops (14:07); why Black doctors like me are leaving faculty positions in academic medical centers (16:42); McDonald’s in Black America (23:18); millions of “outdated” tests being performed on healthy females 15-20 years old (26:00); Kansas leaders announce breakthrough bipartisan deal to expand Medicaid (26:58); the most expensive health care option of all — do nothing (27:36); more Americans dying at home rather than in hospitals (33:17); helping patients prep mind and body for surgery pays off (34:35).

Week of January 13, 2020:

Featuring alcohol-related deaths have doubled since 1999, here’s why (2:18); 40% of gun owners reported not locking all guns, even around kids (6:25); Coca-Cola internal documents reveal efforts to sell to teens, despite obesity crisis (8:52); half of America will be obese within 10 years, unless we work together (10:48); more than one in three low- and middle-income countries face both extremes of malnutrition (13:48); Medicaid expansion linked to 6% decline in opioid overdose deaths (18:10); U.S. health care bureaucracy costs unnecessary $600 billion yearly (19:02); every American family basically pays a yearly $8,000 “poll tax” under U.S. health system (20:25); nurses get under 7 hours of sleep before a work shift — 83 minutes fewer than days off (25;40); health care providers are unrecognized victims of mass killings, and we are doing little to support them (28:26); U.S. cancer rate drops by largest annual margin ever (30:58); ecopsychology — how immersion in nature benefits your health (33:12).

Week of January 6, 2020:

Featuring Trump abandons sweeping vape ban with weak new rules (2:21); 7 women’s health topics we need to talk about in 2020 (5:48); advocates hopeful gun violence research funding will lead to prevention (12:16); long work hours linked to both regular and hidden high blood pressure (15:28); processed meat recalls rise dramatically as consumers bite down in metal, plastic and glass (16:48); animal agriculture cost more in health damage than it contributes to the economy (20:08); “completely unsustainable” — how streaming and other data demands take a toll on the environment (21:38); The IRS sent a letter to 3.9 million people and it saved some of their lives (22:32); “Medicare for All” ignores a bigger problem of community-level factors impacting health (25:22); Toledo needs to fix access to drug treatment centers (29:32); your DNA is not your destiny — or a good predictor of your health (33:04); huge drop in cholera cases worldwide as key endemic countries achieve gains in cholera control (35:10).

Week of December 30, 2019:

Featuring a special episode on conflicts of interest in health science research with: why scientists defend dangerous industries (2:32); scientists’ failure to disclose hundreds of millions by of dollars in conflicts of interest in federally funded health research (9:12); and how even public universities do a poor job of reporting their professors’ conflicts of interest (20:46).

Week of December 23, 2019:

Featuring context and broader perspective on Toledo’s reported ranking as #2 in mental health among American midsize cities, with wide look at Toledo health indicators compared to the U.S. as a whole (1:45), and how Ohio ranks compared to other states within another set of health indicators(10:00); and for Toledoans to feel relatively better, an in-depth report on the extraordinary danger of being pregnant and uninsured in Texas (15:44).

Week of December 16, 2019:

Featuring the latest Romaine lettuce outbreak — Just say NO (2:18); labeling foods with the amount and type of exercise needed to burn off the calories may encourage people to make healthier dietary choices (5:46); dramatic health benefits following air pollution reductions (8:03); climate change impact of hot temperatures shortening pregnancies (12:17); mental health and addiction care are poorly covered by insurance networks, even with parity law (13:42); half of homeless people may have experienced a head injury in their lifetime (17:04); large pharma companies don’t really provide drug development innovation (18:38); another generic drug company admits to price-fixing (23:31); how “Indian relocation” created a public health crisis (25:23); scientists take action to prevent sexual harassment and bias in STEM workplace (24:34).

Week of December 9, 2019:

Featuring no need for extra protein unless losing weight or gaining muscle (2:21); access to online grocery shopping can vastly reduce “food deserts” (3:47); Trump administration plays perfect Grinch with its new food stamp rules (5:31); red states expanding Medicaid points to its widespread political popularity (10:18); tobacco use among kids jumps from 3.6 million to 6.2 million in one year (14:48); the e-cigarette ingredient to really fear is nicotine (17:07); Ohio to test state drinking water supplies for “forever chemical” contamination (20:15); 1.9 million Michigan residents drink some PFAS as evidence mounts about its dangers (21:58); breast cancer linked to permanent hair dye and chemical hair straighteners, especially among black women (27:32); police killings of unarmed black Americans may effect health of black infants (29:39); how racism ripples through rural California pipes (35:08).

Week of December 2, 2019:

Featuring short-term air pollution linked to growing list of health problems (2:14); Americans’ drinking, drug use, despair wiping life expectancy gains (5:05); health care, mass shootings, 2020 election causing Americans significant stress (9:09); hospital alarms prove a noisy misery for patients (12:24); the $11 million Medicare tool that gives seniors the wrong insurance information (16:50); Mississippi forfeits a million dollars daily in Medicaid funds, severely affecting mentally ill (20:49); mental health studies limp transgender teens under one umbrella, missing clues to help them in the process (25:23); shooting victims have increased risk of mental harm long after physical injuries have healed (30:24); feeling loved in everyday life linked with improved well-being (32:24).

Week of November 25:

Featuring holiday commentary on eating for quality of life, and tips on mindful eating (1:43); public health case study — why the FDA was unable to prevent a crisis of vaping among youth (10:53); large health coverage expansions do not increase overall health care utilization (26:40); employees spending greater share of income on health insurance (28:58); Georgia waivers more costly and cover far fewer people than Medicaid expansion (31:10); Ohio Medicaid still hemorrhaging money to pharmacy middlemen (33:28); with half of brain removed, it still works pretty well (36:52).

Week of November 18:

Featuring new data-driven definitions of unhealthy yet persuasive ‘hyper-palatable’ foods (2:16); adult cigarette smoking rates hit all-time low in U.S. (5;37); e-cigarettes take serious toll on heart health, not safer than traditional cigarettes (7:18); High proportion of youth report using prescription opioids (8:51); vaping and prescription opioids — limbic capitalism in action (10:49); childhood trauma as a public health issue (18:47); getting a handle on self-harm (23:07); 35,000 Americans die of antibiotic-resistant infection each year (30:16); groundbreaking HIV vaccine design strategy shows promise in proof-of-principle tests (31:47); in a notoriously polluted area of the country, massive new chemical plants are still moving in (34:16); Delhi is engulfed by toxic pollution — why isn’t anyone wearing masks? (34:55)

Week of November 11:

Featuring how in health care so-called market competition and the “public option” is a poison pill (1:43); number of uninsured children rises for second year, topping 4 million (22:50); widely used algorithm for follow-up care in hospitals is racially biased (25:26); women scientists author fewer invited commentaries in medical journals than men (28:15); dementia impacts women more and new approaches are needed (29:03); tap water at Trump National Golf Course contaminated with toxic “forever chemical” (31:57); restoring native vegetation could cut air pollution and costs (34:22).

Week of November 4:

Featuring thousands of doctors paid hundreds of thousands of dollars by drug and medical device companies (2:20); pharma money paid to doctors is the cancer growing in cancer medicine (6:06); massive marketing muscle pushes more expensive 3D mammograms despite no evidence they save more lives (19:11); proposed opioid settlement could cost drugmaker only pennies on the dollar (14;12); Trump has already hired 4 times the former lobbyists than Obama had six years into office (15:13); wasted health care spending in U.S. tops annual defense budget (15:48); to treat chronic ailments, fix diet first (17;36); nutritious foods have lower environmental impact than unhealthy foods (20:42); study finds focusing on patient value and goals instead of problems yields better outcomes (23:02); in longer run, drugs and talk therapy offer similar value for people with depression (27:42); mentally ill die many years earlier than others (30:46); sleeps connection to gut microbiome reinforces overall good health (31:42); racial inequities in hospital admissions for heart failure (34:29).

Week of October 28:

Featuring the connection between pipelines and sexual violence (2:21); taking the cops out of mental health-related 911 rescues (5:42); when medical debt collectors decide who get arrested (7;22); children’s risk of dying before age 5 varies more than 40-fold (11:23); 7 million people receive record level of lifesaving TB treatment but 3 million still miss out (14:27); 2 out of 3 wild poliovirus strains eradicated (16;44); fear of falling — how hospitals do even more harm by keeping patients in bed (18:30); exercise can reduce artery stiffness even in those with heart failure (20:41); largest study finds greater reduction in cardiovascular disease and death from taking high blood pressure medication at bedtime rather than in morning (21;21); doctors argue for term limits to diversify medical school leadership (23:58); U.S. air quality was improving but is no getting worse (28:26); replacement flame retardants pose serious risks (31:07).

Week of October 21:

Featuring a call to eliminate all flavored cigarettes, not just the electric kind (2:18); JUUL announcement on certain flavored e-cigarettes is way too little way to late (6:32); Doctors are more likely to prescribe opioids later in the day, or if appointments run late (7:23); every hospital needs recovery coaches for patients with substance use problems (9:46); cultivating joy through mindfulness — an antidote to opioid misuse, the disease of despair (15:13); INVESTIGATIVE REPORT – inside the drug industry’s plan to defeat the DEA (19:03).

Week of October 14:

Featuring: lead scientist of controversial meat guidelines didn’t report ties to food industry front group (1:43); noise pollution as an emerging public health crisis (7:37); update on vaping recommendations (12:41); upcoming flu season may be fairly severe (14:33); STD rates hit record high in U.S. (16:22); global report on vision impairment (18:38); NIH funding disparity between black and white scientists (19:29); sheriffs avoid paying their hospital bills by foisting “medical bond” on sick inmates (21:33); unjustified drug price hikes cost Americans billions (25:31); antibiotic resistance in food animals nearly tripled since 1000 (27:20); EPA about-face lets emissions soar at some coal plants (28:24); PFAS levels rise in Michigan drinking water from Lake Erie (30:30); environmental and health harms are downshifting America’s obsession with the lawn (31:33).

Week of October 7:

Featuring the recent confusion around meat consumption research — a case study on nutritional science research (1:43); lack of sleep has detrimental effects on hunger and fat metabolism (19:00); smartphone dependency predicts depressive symptoms and loneliness (20:07); handgun purchasers with a prior DUI have a greater risk for serious violence (21:50); FDA refuses to classify ‘forever chemical” PFAS as hazardous substance (23:15); safe drinking water violations are higher for communities of color (27:50); role of racial stereotypes in assumptions that African-Americans are more violent (28:58); special series of articles in the American Journal of Public Health documenting role of slavery and racism in health inequalities that persist today (31:06).

Week of September 30:

Featuring American Heart Association statement condemning JUUL’s executive leadership change to long-time tobacco exec (1:45); how active shooter drills in schools are traumatizing our children (4:33); the Surgeon General’s deafening silence on gun violence (10:42); investigative journalist reveals startling flaws in generic drug industry, with FDA missing in action (14:20); World Health Organization calls for urgent action to reduce patient harm in healthcare (18:03); stressed out — Americans making themselves sick over politics (23:19); heart-healthy forager-farmers in lowland Bolivia are changing diets and gaining weight (25:35); many schools are putting brakes on making meals healthier for kids (27:52); some tea bags may shed billions of microplastics per cup (31:02); in continuing trend, S.C. Johnson joins Coca-Cola and PepsiCo in ditching ties to Plastics Industry Association (34:34).

Week of September 23:

Featuring Ohio initiatives to fight youth vaping (2:18); sexual trauma as a global public health issue (5:57); Defense Department as single biggest polluter on planet (12:00); 15 governors lobby for provisions in defense bill to limit toxic chemicals (17:10); deforestation is getting worse, five years after countries and companies vowed to stop it (19:12); Man vs. mosquito – at the front lines of a public health war (20:57); the connection between residential segregation and health (23:48); national support for “red-flag: gun laws could prevent many suicides (25;47); obesity epidemic grows and disparities persist (28:39); despite growing burden of diet-related diseases, medical education does not equip students to provide quality nutritional care to patients (29:52); House panel investigating private equity firms’ role in surprise medical billing (32:16); more women and children survive today than ever before — U.N. report (33:29).

Week of September 16:

Featuring suicide prevention awareness month info (1:43); lifestyle, not genetics, explain most premature heart disease, and multiple risk factors raise risk exponentially (7:23); flu vaccination linked to lower risk of early death in people with high blood pressure (8:43); it matters that Detroit broke federal law when it razed asbestos-laden building (11:25); Juul illegally marketed e-cigarettes (13:26); if Ohio can’t pass the simplest health care price transparency laws, how will Congress curb surprise bills (15:59); Physicians for a National Health Program diagnose politicians and pundits with Corporate Talking-Pointitis (23:06); only a fraction of costs of excessive drinking are paid for by alcohol taxes (30:12); STAT wins long legal fight clearing way for release of Purdue OxyContin files (32:50).

Week of September 9:

Featuring a case study in nutritional fads — vitamin D — with a study of high doses of vitamin D resulting in decreased bone density (1:43); emails show Monsanto orchestrated GOP effort to intimidate cancer researchers (8:24); how Ohio’s Chamber of Commerce killed the Lake Erie Bill of Rights (11:14); EPA to roll back regulations on methane, a potent greenhouse gas (12:41); sexism in health care — in men, it’s Parkinson’s, in women, it’s hysteria (14:53); overeating wastes far more food then we throw away (18:33); big pharma sinks to bottom of U.S. industry rankings (21:14); advocates sound alarm as uninsured rates rise under Trump (22:02); Obamacare health insurance exchange prices to drop in Ohio for first time (23:46); opioid treatment is used vastly more in states that expanded Medicaid (26:23); plant-based fire retardants may offer less toxic way to tame flames (27:43); water treatment cuts parasitic roundworm infections affection 800 million people (28:26); a quarter of the world’s population at risk of developing tuberculosis (29:45); FDA approves TB pill that cures more hard-to-treat patients (30:15); for the first time, clinical trial results show Ebola drugs improve survival rates (32:01).

Week of September 2:

Featuring an in-depth investigative report into industry influence of the U.S. Dietary Guidelines development process (1:47); and Ohio drug deaths plunge in Ohio, but up in Lucas County (29:50).

Week of August 26:

Featuring the two largest health factors in your personal health: smoking and diet (1:44); nearly 200,000 trans people have been exposed to conversion therapy (16:02); toxic furniture flame retardants may not stifle deadliest home fires (18:35); Health panel tells doctors to screen all adults for illicit drug use (20:31); spending on illicit drugs nears $150 billion annually, similar to alcohol (21:17); American Medical Association leaves coalition opposing single-payer Medicare for All (22:50); and programs work from within to prevent black maternal deaths: workers targeting root cause — racism (24:56).

Week of August 19:

Featuring Brazil’s Bolsonaro administration approving 290 new pesticide products for use (2:20); in echo of Flint lead crisis, Newark offers bottled water (4:31); summer in the city is hot, but some neighborhoods suffer more (5:32); up to half of patients withhold life-threatening issues from doctors (9:18); how #MeToo is changing sex ed policies – even in red states (10:04); 140,000 women could lose clinical abortion access in 1st year if Roe v. Wade were overturned (14:55); 250,000 fewer Ohioans on Medicaid, but even the experts don’t know why (15:38); Half-a-million years of Ohioans’ life expectancy lost to gun deaths (19:13); review of 33 years worth of medical studies reveals key areas for new research to explore concerning gun deaths (23:13); the dangers of the mental health narrative when it comes to gun violence (25:17); racist words and acts, like El Paso shooting, harm children’s health (29:46).

Week of August 12:

Featuring lower weight bias among physicians who regard obesity as a disease; BPA substitutes linked to obesity; call for radical reform to address 3.5 billion people worldwide with poor dental health; Coca-Cola pushing to get FDA let it add vitamins to drinks; amid teen vaping epidemic, Juul taps addiction expert as medical director; high radiation levels found near U.S. nuclear dump from weapons testing in Marshall Islands; moral injury and burnout in medicine requires collective action; and how judges added to the grim toll of opioids.

Week of August 5:

Featuring growing PCB claims adding to Bayer’s legal woes for Roundup; floods and fires stir up toxic stew posing long-term dangers; new tool for Michigan officials to use to remedy environmental injustice; Florida sugarcane burning could switch to green harvesting saving lives and boosting economy; U.S. could have averted 15,600 deaths if every state expanded Medicaid; Trump proposal to push 3 million Americans off food assistance; one-third of food grown never makes it out of fields; relatively low-dose radiation from CT scans and x-rays favor cancer growth; fitbits and other wearables may not accurately track heart rates in people of color; and seeing greenery linked to less intense and frequent cravings.

Week of July 29:

Featuring the corrupting influence of conflicts of interest in medical research; UT exhibit on protest and social change includes “Condoms STOP AIDS” poster developed by your humble host; widespread aspirin use despite few benefits, high risks; child drowning rates dropping two-thirds driven by better building codes concerning pools; vaccinating dogs for rabies worldwide could save the lives 59,000 people yearly; nations with strong women’s rights have better population health and faster economic growth; Medicare for All unlikely to raise hospitalization rates much, if at all; climate shocks, conflict and economic slumps drive rising world hunger; taps run dry for half of Zimbabwe’s capital city affecting millions.

Week of July 22:

Featuring keto diets and other diets that severely restrict carbohydrates, how there is little evidence for their effectiveness, especially considering their potential risks and sustainability issues both individually and ecologically, and how massive carbohydrate restriction hamstrings consumption of health-producing carbohydrates like beans, fruits, vegetables and unrefined grains; capping medical residency training hours does not hamper doctor quality; primary care needs to be encouraged; patients provide input for first time in mental health definitions; how to deal with anxiety about climate change; and protecting forests and watersheds to treat water cost-effectively and sustainably.

Week of July 15:

Featuring why there is so much commercial corruption in nutrition; fiber and health and fiber as a good marker for intake of whole foods; indoor carbon dioxide levels could be a health hazard; most kids on public coverage have parents who work for big companies; international drug development processes are irresponsible and must be reformed; the burgeoning benzo crisis; psychiatric diagnosis “scientifically meaningless”; and environmental activists declare victory after Detroit incinerator closes.

Week of July 8:

Featuring alcohol and cancer; bullying and weight bias; the Veterans Crisis Line; austerity and inequality fueling mental illness; EPA moves to phase out animal experiments which could mean end to toxics regulations; mini-biographies help clinicians connect with patients; new guidelines aim to enlist primary care physicians in transgender care; poll: most Americans favor Medicare for All if they can keep their doctors; and children’s cardiac care dangerous when mixed with corporatized health care.

Week of July 1:

Featuring the continuing public health case study that is the obesity epidemic, with a call to move beyond individual behavior and focus on social determinants driving obesity such as fat shaming and bias, and access to culturally-competent health services; plus, medical groups declare climate change as greatest public health challenge of the 21st century; Agriculture Department buries studies showing dangers of climate change; dangerous DDT levels 50 years after banning; and how banning dangerous chemicals could save the U.S. billions.

Week of June 24:

Featuring the question: Is public health in America so bad among the young, supposedly healthier people, that the U.S. may eventually not be able to defend itself militarily? Plus, the National Domestic Violence Hotline’s busiest year; childhood adversity’s link to mental illness, sexually transmitted infections continue unabated; world’s rivers awash with dangerous levels of antibiotics, the U.S. continuing to use pesticides banned in other countries; and Ohio River moves to voluntary pollution standards in face of massive petrochemical plant build-out.

Week of June 17:

Featuring the importance of happiness and purpose in driving health and well-being, and the epidemic of meaninglessness in work life; the role of sleep in health; the celebration of Men’s Health Month through using male privilege to help bring about gender justice and defeat patriarchy; the secret to Latino longevity; and how skyrocketing out-of-pocket health expenses, particularly among employer-based and private health insurance is costing health and lives.

Week of June 10:

Featuring a public health case study offering several perspectives on the many factors which form the perfect storm of the obesity epidemic — with a few tips for weathering the storm; and a series of articles regarding racism and racial disparities in health — with some good news.

Week of June 3:

Featuring continued coverage of the health effects of processed foods, including two new major studies; concerns about the potential risks of the exponential growth of nanoparticles in food processing; toxic chemicals used in food packaging and how to avoid them; and why cutting down on salt is health promoting,even if your blood pressure is fine.

Week of May 27:

Featuring continuing Mental Health Awareness Month coverage including suicide, supposed mental health parity, and appealing health coverage denials, and another in a series of mental health poems by local poet, Justin Samson, with this week’s poem on PTSD, Post-Traumatic Stress Syndrome; Media Watch segment on MercyHealth claiming that nurses mean the world ironically while their nurses strike; landmark study on processed foods and overeating, and a series of stories on air pollution as a public health emergency.

Week of May 20:

Featuring Mental Health Awareness Month coverage including the debut in a series of mental health poems by local poet, Justin Samson, with this week’s poem on major depression; public health news and research roundup coverage of dementia prevention recommendations, childhood cancer prevention, and basic sanitation as a critical public health issue in the U.S. and globally.

Week of May 13:

Featuring Mental Health Awareness Month coverage, public health news and research roundup coverage of the ongoing Monsanto Roundup™ saga plus other herbicide/pesticide/plastics toxins, prescription drug prices, and the debut of another parody PSA.

Week of May 6:

A whole show about vaccine-preventable infectious diseases.  SPOILER ALERT: immunizations profoundly improve the public health of our planet!

Week of April 29:

Featuring tips on cutting back on salt and sugar, and getting more whole grains into your diet. This episode debuts two new segments, Media Watch, looking at how public health is portrayed in the media, and Health Observances, April as minority health month, examining racism as the driving force in the so-called mystery of stubbornly high black infant mortality. The Public Health News and Research Roundup includes the health effects of fracking, and the effect of food waste on climate change.

Week of April 22:

Featuring “The three most dangerous food additives,” and good news in the Public Health News and Research Roundup. And look out for that parody PSA!

Week of April 15:

Featuring Public Health News and Research Roundup and a noncommercial break highlighting blood donation.

Week of April 8:

Featuring environmental health news and the question: Can you be a serious environmentalist without cutting down drastically on animal-foods, that is, cutting way down on meat, eggs, and dairy?

Week of April 1:

Featuring a far-reaching riff on epidemiology, the science of the distribution of health, disease and their determinants in populations; in laypersons’ terms, what are the most important things to consider in our community’s health. Regarding personal health, the show closes with a quick summary of evidence-based eating for health.

Week of May 25:

Featuring Public Health News and Research Roundup [not affiliated with Roundup™, the infamous human carcinogen].

Week of May 18: 

Featuring Medicare for all testimony and Toledo Democracy Day coverage, plus conferring the award for the MOST CONSTIPATED View of DEMOCRACY.

PILOT Show from December 2015: 

This is the original pilot show that started it all! This full hour show features an interview with local guest, Johnathon Ross, M.D., M.P.H., a local public health physician and former president of Physicians for a National Health Program.

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INAUGURAL Public Health Radio Show on WAKT, 106.1 FM Toledo — Just For The Health of It: Medicare For All and Toledo Democracy Day

After years in the waiting and making, I am proud to announce the inaugural show of my public health radio show, Just for the Health of It,  on WAKT, 106.1 FM Toledo (ToledoRadio.org). Just for the Health of It brings you new perspectives on the science of health for all; plus local, state, national, and global health news, as well as local guests for home-grown perspectives and connections to local resources. Just for the Health brings you the best of both social justice and personal health. Just for the Health focuses on putting the JUST in Just for the Health of It. My aim is to equip you to live healthily in a healthy community on a just planet.

You can listen here for this show about Medicare For All and coverage of Toledo’s Democracy Day.  You can listen to the most recent and all previous shows at the archive for Just for the Health of It public health radio show.

Here is the script for the show for the week of March 18, 1019:

Welcome to the inaugural show of Just for the Health of It. Normally, the planned format for this show is to do a public health news and research roundup, provide useful health information for you and your loved ones, and interview a local guest to speak to critical public health issues in Toledo. The eventual format will be an hour long; but, until we get the regular studio up and running, I will be doing a shorter half hour version without the interview portion – broadcasting from an undisclosed location which is eerily similar to my den.
Today, we have special coverage of the 3rd annual Toledo Democracy Day public hearings.
If you are wondering what public health has to do with democracy, stay tuned!
Democracy Day was established through citizen’s initiative and approved by Toledo voters in 2016. It functions as an annual public hearing on the influence of money on our politicians that the Mayor and city council must attend. All members of the public are encouraged to come and share their thoughts on the importance of democracy and the corrupting influence of large donors on the political process.

By law, after each Democracy Day, the Mayor must send a letter to our Congressional representatives urging them to support a Constitutional amendment that says corporations are not people and political donations are not free speech. Enacting such a Constitutional amendment is the primary purpose of Move to Amend – a national organization with chapters all across the United States. For more information, you can check out movetoamend.org

So, went to City Council chambers,  or, as I like to say, where democracy goes to die.  And, among other wonderful testimony, several citizens spoke to the need for a universal health program. This included myself. Or, at least I thought. I spent many hours in order to prepare 8 minutes of testimony, ending with a call for the passage of the Medicare For All Act of 2019. However, when I got to the public hearing, I found out that they were limiting testimony to 3 minutes. In previous years they asked citizens to keep their testimony to about 5 minutes, and they loosely enforced this time-frame. There was no way for me to cut my testimony in half on the spot, so I expressed my frustration about not being allowed to present my full testimony. I read most of the last paragraph, with my call to action. To further express my deep disappointment with their bass ackward and absurd limits when required by law to listen to citizens’ testimony on substantive issues, I used the remaining minute of my time to read the last paragraph of my testimony backwards. Sometimes the only commensurate response to absurdity is absurdity. And sometimes Toledo just seems like a backwards town. As it happens, they ended a half hour ahead of time. Having ended with plenty of time remaining, I asked to present my full testimony. I was refused.
I must admit, I felt a little bit of democracy die within me. But, I will just add it to my heap of progressive disillusionment…and if you are going to be disillusioned, please make it progressive.

The good news is that democracy need not be limited to the wood-paneled coffin of democracy we call City Council chambers, or limited to the marble lobbies of Government Center. There are other venues, and this is one of them.

So, I will present my full testimony here today.

Though, make sure to stay tuned to the whole show, as at the end of the show, I will bestow the first Just for the Health of It award, in honor of Toledo’s Democracy Day.
But back to my testimony: here goes:

Toledo’s Democracy Day is rooted in the reality that, in America, corporate personhood often trumps human personhood, and that profit is routinely treated as more important than human need or human rights. This battle courses through American life and our body politic. However, there is perhaps no other facet of American life where this battle is so palpable and endemic as health care. As the great Dr. Martin Luther King, Jr. diagnosed, “Of all the forms of inequality, injustice in health care is the most shocking and inhumane.”

Hi, my name is Dan Rutt. I have a master’s degree in public health. I am the former health planner for the Toledo-Lucas County Health Department. I am a past president of the Ohio Public Health Association. However, perhaps my most important qualification for speaking today about health care is similar to most of the people in this room: I have witnessed personally multiple health care horror stories. Is there anyone in America that doesn’t have a health care horror story? I’ve passed out in the so-called “emergency room” waiting for medical triage, slipping into anaphylactic shock – though they did have plenty of time to take my billing information. Three times I’ve gone to the same “emergency” room for severe reactions to bee stings; each time, I’ve been left alone, untreated and unsupervised – once in the waiting room, once in an exam room, once on a gurney in the hallway. To protect the guilty, I won’t divulge the name – Saint something or other . . . probably “other.” The last time I was in there, I had used my expired “Epi-pen” after refusing to re-fill my prescription after they jacked the price up to $600. I told the nurse that if I die, I want them to throw my dead body on the lawn of Mylan Pharmaceutical’s corporate headquarters. I could go on; and I have, despite shocking and inhumane so-called “health care.” I’ve been blessed with a pretty healthy life, but I have a long litany of health care horror stories. I’ll leave for another time the cautionary tale about getting a vasectomy from the lowest bidder when I had no health insurance.

Today, about 30 million people in America still have no health insurance whatsoever. For Toledo, that’s thousands and thousands and thousands and thousands and thousands and thousands and thousands and thousands and thousands and thousands and thousands and thousands of Toledoans. About 45,000 Americans will die this year due to being uninsured. Some might even dare call it a national emergency. If you might consider that designation a close call, consider that even having “health insurance” in the U.S. is no guarantee of being able to pay for needed care. An additional 85 million Americans are “underinsured,” meaning that out-of-pocket costs of co-pays, deductibles and co-insurance puts them at risk for financial catastrophe if they seek care. In short, more than one in three Americans have precarious protection against health crises, all topped off with looming financial ruin when they are at their most vulnerable.

Health care is the leading cause of financial terrorism, the number one cause of personal bankruptcy, and the leading candidate for our nation’s moral bankruptcy. We kowtow to health care syndicates as they hold unparalleled control over our community’s finances and even our very lives. We are held hostage, and in a Kafkaesque fatal twist, we are expected to accept as normal community-wide Stockholm Syndrome, an irrational sympathy for our captors. Unfortunately, we don’t get the benefit of the universal health care of those residing in Stockholm.

Health care in the U.S. is about $11,000 per capita, about twice as expensive per person as health care in other industrialized countries. Health care consumes about 18 of every 100 dollars spent in America. This might be worth it if we were healthier; instead we are sicker, and more likely to die. We chronically drag along the bottom of health outcomes among industrialized countries. If the business of health care is quality care at a reasonable cost, then American health care qualifies as a gargantuan business scam, sucking something on the order of two trillion dollars of value out of our economy – that’s 2,000 billions of dollars, year after year; that’s billions of value sucked out of Toledoans, year after year after year. Would it be undemocratic to demand a better deal? Is the business of American health care a gigantic cash toilet too big to succeed at delivering quality health care at a reasonable cost? I hope not.

We live in the wealthiest nation in human history and we do a frighteningly poor job of producing health. Tragically, this is at an even more dumbfounding financial and human cost. I dare you to find a nation where they get less for their health care dollar than America. If we have any notion of running health care as a reputable business, then we should start firing the heads of those businesses, not rewarding them with huge profits and deferential prestige. If nothing else, at the prices we are paying, we shouldn’t have to fear sending our parents, grandparents, kids or neighbors, into a system that wreaks unnecessary stress when they are most vulnerable.

Further, if you think that America’s health care system is high quality, consider this: health care kills more people than lack of health insurance. So-called “medical errors” kill about 250,000 Americans every year. Medical errors can be considered the third leading cause of death in America, exceeded only by heart disease as number one and cancer as number two.

Our addiction to health care as a product to be marketed and sold rather than as a human right, has locked us into a system of perverse incentives that distort the meeting of human need due to corporate greed. This has produced the worst of both worlds: overutilization of expensive and ineffective health care, and underutilization of cost effective care. This is all topped off with unparalleled administrative costs and corporate profits.

There is a way out. A couple of weeks ago, U.S. Representatives Jayapal, Dingell, and over 100 co-sponsors introduced the Medicare For All Act of 2019. This Act will improve and expand the overwhelmingly successful and popular Medicare program, so that every person living in the United States has guaranteed access to healthcare with comprehensive benefits. Services covered include primary care, emergency care, mental health coverage, addiction treatment services, prescription drug coverage, medical devices, even dental and vision. With one standard of care covering essential services, no American need gamble their health with substandard insurance to eke out financial viability. This legislation embodies true community, where everybody is in; nobody is out. We need not leave anyone behind. Money saved with administrative streamlining will cover expanded care for over 100 million Americans with no insurance or substandard insurance. This Medicare For All Act will integrate the multitude of health care payment systems and simplify the current labyrinth of administrative requirements for both providers and patients. This will allow for a quantum leap in realigning financial stewardship with patient outcomes rather than mere profitability.

Fortunately, the leap is not that far. About 75% of health care in America is already paid for by taxes, primarily for Medicare, which, serving an elderly population, has the bulk of our nation’s health care costs, and secondarily through Medicaid and military/veteran’s health care. Most simply, expanding Medicare for all will transfer the remaining 25% of private insurance funded health care into the existing Medicare payroll tax. Premiums paid by individuals and businesses will disappear. The generations-long experiment with for-profit health care has failed. We can profit from the generations-long successes of other nations in assuring the health of their people.

The time is now. I call upon Toledo City Council, the Lucas County Commissioners, each of our local health care conglomerates, and any other interested parties, to join together in efforts to pass the Medicare For All Act of 2019 or similar legislation. I ask that each party provide the staff and resources necessary for such a collaboration to assure the urgent passage of such a national health program. To this end, I ask that ProMedica and Mercy Health devote one-thousandth of their revenue for such a bold and transformative venture. My testimony today will be featured on my inaugural public health radio show on WAKT, 106.1 FM, Toledo’s activist, noncommercial community radio station, the latest in Toledo’s burgeoning democracy. I will be monitoring and reporting on your efforts. May our community lead the way for a shared health care system that will benefit every community across our nation. If not us, who? If not now, when? Thank you.

There, now that wasn’t so bad, was it?

Now, Just for the Health It is about offering fresh perspectives, and I’d like to highlight three fresh perspectives today:

#1: Health care kills more people than having no health insurance – 250,000 deaths versus 45,000 deaths. As I like to say: a hospital is no place for a sick person. Now, of course, health care saves lots of lives as well. Still, health care is an often dangerous undertaking for our lives and an overtaking for our money. Prevention not only saves us from disease, prevention saves us from health care.

The good news is that while health care’s medical errors can be considered a cause of death exceeded only by heart disease and cancer, if we look at other underlying causes of death, we find there are lifestyle factors that are more important in preserving and promoting our health. For instance, smoking kills about 600,000 Americans each year; and diet kills even more Americans prematurely than smoking. Lifestyle factors such as these are more in our control, and much less pricey, than health care. Other key lifestyle factors include physical activity and adequate sleep. Good news for all.

[non-commercial]

And now for a word from our lack of sponsors…

PR Medica and Merciless Health are rated in the top 100 in clinical excellence in some category that hopefully covers the health care you might be able to access. Warning: such excellence may be severely limited by being delivered in the least effective and most expensive sick care system among the so-called advanced economies. While you may be privileged enough, or lucky enough, to get access to excellent care, your community overall is poorly served. Any such clinical excellence is best taken with a double dose of advocacy for universal health care.

This program is not sponsored by PR Medica or Merciless Health. PR Medica and Merciless Health are unholy owned subsidiaries of Tourette’s Industries, insuring that you will swear by them, whether you like it or not.

Now, back to your irregular programming…

Welcome back to Just for the Health of It, the people’s school of public health, where the people’s health is not academic. You are listening to WAKT, 106.1 FM Toledo, your source for local, anti-commercial, activist radio.

The second fresh perspective I’d like to highlight today is regarding ideological battles over socialism and capitalism. Health care is not your typical product or service which might be conducive to efficiencies of market competition. Just finding out what health care costs is nearly impossible. In many cases, often the most expensive cases, health care cannot be planned for, even if we wanted to. Only the richest people can afford to pay for all of their health care out-of-pocket. The need to rely on health insurance because of the great variability and unpredictability of health care needs insulates us from the item by item expenses of health care. Plus, the complexity and technical nature of health care is so great that we typically must rely heavily on expert opinions of doctors. Health care is so expensive to deliver, and adding new services in the marketplace is so costly, that rather than lowering cost through competition, we often end up with duplicative services beyond the capacity needed, the total system costs rise, and prices ultimately rise more. Outside of large metropolitan areas, it’s hard to provide all the health care facilities and services that people need, let alone two to choose from. Everyone needs health care. Cut-rate health care is inhumane. Decent health care for all is something that we really need to work out collectively. Health care might better be viewed in the same way that we regulate public utilities. Public utilities are a fine example of socialism. Imagine two water lines coming into your home, so you would have a choice of which service to use. Double the infrastructure, double the costs – the height of inefficiency. Imagine two sets of roads to compete, two separate trash services…you get the picture. Well, this is modern American health care – except that there is so much more money involved that many more careers and fortunes are made in gaming the system, jacking up costs. In such cases, capitalism is costly to all but a very few. Lastly, ideological battles over socialism and capitalism often revolve around the trope of taxes. Some people feel better about getting the bill from some corporation than the government. We pay twice as much for health care than in countries where health care is treated as a public good, and regulated akin to a public utility. At about 18% of our economy, that’s about 9% of our economy wasted on health care inefficiency and duplication. In essence, it’s like already having a 9% tax on everything, except we are getting nothing for it – actually less than nothing, our health outcomes are worse. This sounds eerily similar to the nightmare that tax hawks fear, with insinuations of government inefficiency – except that it is brought to us by health care capitalism. Health care capitalism is wreaking havoc on our economy and our people. Whatever difficulties a more socialist approach may bring, it is difficult to imagine making our current state of affairs in health care worse than having profit drive health care decisions.

For the third fresh perspective I’d like to highlight today, I’m going to switch it up a bit. I’m talking about the direct link between health and democracy. Why should public health and health care advocates talk about democracy?  The clearest reason is that dead people don’t vote – well, except perhaps in Chicago. The reality is that inequalities in premature death directly affect elections. For example, the excess deaths that Blacks suffer over Whites results in over a million missing Black votes nationwide. If you include excess deaths of other people of color and poor whites, this results in millions more missing voters. Clearly this skews election results in favor of wealthier, healthier and whiter populations, reinforcing existing inequalities. This dynamic reinforces health and wealth gaps across generations. For instance, Whites can expect to draw on social security about 44% longer than Blacks, simply by Blacks dying off prematurely. Blacks contribute social security over the span of their whole working lives, but the grim reaper cuts short their reaping a full span of benefits. While I love a good metaphor as much as the next person, we must realize that for tens of millions of Americans, democracy and justice means literally fighting for their lives. Health justice is directly tied to a healthy democracy that truly represents all of its people.

Now that we’ve established the direct connection between public health and democracy, I offer a bonus testimony from the first Toledo Democracy Day, my testimony in response to a 5 minute limit on citizen testimony, entitled “Five minutes of Democracy.”

Here it goes, Just for the Health of It:

[See TESTIMONY -“Five minutes of Democracy”]

And now…what you’ve all been waiting for, a WAKT first, the Just for the Health of It, 2019 Toledo Democracy Day award:

By the powers infested by me, I do hereby confer upon Toledo City Councilperson Nick Komives, the 2019 Toledo Democracy Day award for the MOST CONSTIPATED View of DEMOCRACY. After being confronted with over three hours of democracy during the 2018 Democracy Day, Mr. Komives, with heroic efficiency, scheduled only two hours for the 2019 Democracy Day, and ingeniously combining this with a three-minute limit on public testimony, succeeded in City Council only having to listen to 90 minutes of citizen testimony, thus, empowering Toledo citizens to truly declare: “Democracy Day, now with 50% less democracy.” Should Mr. Komives, in all humility, consider that he doesn’t deserve this award, then may he share this with all others who have made democracy in Toledo passable. In any case, may Mr. Komives find within him the moral fiber to relieve himself of this distinction.

WAKT Just for the Health of It 2019 Toledo Democracy Day Award to City Toledo Councilperson Nick Komives for MOST CONSTIPATE View of DEMOCRACY

I will deliver a signed, framed copy of this award to Mr. Komives.

Lastly, in regards to Toledo City Councilperson Nick Komives’ expert shepherding of our citizenry, on behalf of all us sheep scattered across Toledo, I just want to say, “Baaaad democracy, Baaaad democracy.”

If you have feedback or ideas for this show, please feel free to email me at: WAKT@TopPun.com

You can listen to Just for the Health of It on WAKT 106.1 FM Toledo or online at ToledoRadio.org.

You can listen to this show here.

You can listen to the most recent and all previous shows at the archive for Just for the Health of It public health radio show.

Medicare For ALL POLITICAL BUTTONgot health insurance? POLITICAL BUTTONBleeding Heart Liberal - Help - I Need Universal Health Care-FUNNY PUBLIC HEALTH BUTTON BUTTON--Public Health-BHLH

Will Gladly Pay Taxes For Public Health POLITICAL BUTTONUniversal Health Care NOW POLITICAL BUTTONHealth Care is a Right Not a Privilege-PUBLIC HEALTH BUTTON

Public Health is Everybody's Business-PUBLIC HEALTH BUTTONOur Health Care System is Neither Healthy Caring Nor a System - PUBLIC HEALTH BUTTONUniversal Single-Payer Health Care POLITICAL BUTTON

Single-Payer Health Care - Everybody In, Nobody Out POLITICAL BUTTONPublic Health Works for You - PUBLIC HEALTH BUTTONWill Work For Universal Health Care POLITICAL BUTTON

Democracy Day : 5 Minutes of Democracy

Free Speech Zone POLITICAL BUTTONToday is Democracy Day, mandated by a people’s resolution to Toledo City Council, spearheaded by Toledo Move To Amend, declaring that corporations are not people and money is not free speech.  Today’s forum in Toledo City Council chambers, albeit with only a small fraction of City Council members, gave voice to a sampling of Toledo’s own citizens.  Here is the satirical testimony that I delivered for my five sacred minutes:

Five Minutes of Democracy

Greetings rulers and subjects, the subject today is democracy.  My name is Dan Rutt.  Though, I am considering selling my naming rights to either Jeep or ProMedica, because seriously, who is Dan Rutt?!  Don't Explain Your Philosophy, Embody It POLITICAL BUTTONAnd, unfortunately, a shadowy group of local lobbyists secured the rights to “Krogering.”  So expect plenty more “Krogering”…but not from me.

Of course, plenty of naming rights are still in play.  In deference to those from that progressive demographic who love hyphenated names I might prefer selling my naming rights to Davis-Besse.  Plus, I could get a bonus for catering to the regional governance and nuclear family demographics.  But alas, Davis-Besse may very well be decommissioned.  Apparently, that whole “too cheap to meter” thing turned out to be a lie, after all these decades.  And in this era of tight budgets, there is only enough political capital to afford one last billion dollar bailout to bury this mistake.  But sleep tight fellow citizens and helpless ratepayers!  Rest assured that there will be a special glow for you and a thousand generations from the heart of this beloved nuclear reactor…But I digress…keep your eye on…well…pretty much anything else.

Welcome to Democracy Day — presided over by the finest government money can buy.  Of course, our fine government might be different than those “other” governments.  Today, I am asking that we keep an open mind that our government might not actually be the best that money can buy.

Democracy: Some Assembly Required - POLITICAL BUTTONSo, what does democracy look like?  I have a long view of democracy, that looks something like making decisions based on how it affects people seven generations from now, that noble concept brought to us by fine native peoples who we so conveniently committed genocide against to occupy this land.  But I have been charged to ask “What does five minutes of democracy look like?”  This brief view is something more of a commercial.  So, if any of you need to go to the bathroom or need a snack, now would be a good time for that.

Besides dreaming of bigger cages and longer chains, I have three proposals:

Proposal 1:  I am asking City Council to commission a study to determine how much money it would take to get money out of politics.

Might I suggest a consultant that is not too cheap, so as to appear unworthy of listening to, or a consultant that is too pricey, so as to appear extravagant.

What do we want?  Another study.  When do we want it?  When we can afford it.

Frankly, I am much more interested in the stuff we can’t afford not to do.

My second proposal is to establish a democracy museum, to preserve whatever vestiges of democracy that remain.  This could be a public-private partnership that would reflect the share of democracy that is controlled by the public and private sectors, say 10% public and 90% private.  To honor the vital 10% of democracy that is publicly controlled, we could have that reflected in the naming rights, which, of course, are necessary to fund such ventures.  For instance, we would not have the 5/3 Democracy Museum, but rather the 4.5/3 Democracy Museum to preserve that sacred public trust.

Democracy: Some Assembly Required--POLITICAL BUTTONThis democracy museum could offer many opportunities to safeguard our notion of democracy.  For instance, we could preserve uncounted provisional ballots, for the posterity that they are worth.  We could display the many rubber stamps used to approve the corporatist agenda.

Being the Glass City, I’d suggest another glass museum.  But, while we may be able to afford to do the same thing over and over again, I suspect that “democracy” might not be able to afford the transparency of a glass museum.  Either way, we should have lots of windows to accommodate all of those beloved window dressings of which our politicians are so fond.

Well, you get the picture…well, OK, in museums you can’t get the actual picture.  But…I trust that there will be a reasonable facsimile available for sale in the gift shop.  And remember, there are only 365 shopping days until next democracy day.  But be patient, very patient in this sick political system.

Oh victims of oligarchy, be patient, I have come to save the day!

Oh victims of corporatocracy, be patient, I have come to save the day!

Oh victims of plutocracy, be patient, I have come to save the day!

Oh victims of kleptocracy, be patient I have come to save the day!

I have come to save the day, I have come to save the day!

Buy saving this day, democracy day, each year for 365 years, we will have saved up enough democracy for a democracy year.  So, based on these patient patients of a sick political system, I offer my third proposal.  I ask City Council, to declare the year 2382, 365 years from now, as democracy year.  Surely, such completely incredible long-term vision will not go unrewarded!

Washington And Wall Street Have All The Money And Power, The Media, The Courts And The Police -- All We Have is 300 Million People -- Do The Math POLITICAL BUTTONBut alas, if there are any spare seconds from my five minutes of democracy, I could ask for a moment of silence, remembering that we have the right to be silent.  But, while we have the right to remain silent, I wouldn’t recommend it.  So, in that mean time, while we wait for our rulers to rule well, let us never forget: We are what democracy looks like  — an assembly of real people, not corporate “persons”.  Power to the people.  Power to real people. THANK YOU!

Exercise the First Amendment - Use It or Lose It - POLITICAL BUTTON

HOPE POEM: Why God Invented Dark

God invented dark
As a respite
From high noon
That searing sun
Of which mortal men are made
To see
Sow much more
Innumerable lofty stars
Unseen in mere day dreams
Beyond won’s highest hopes
Awe at once
A mist unbelievably rare life
Thou dust hold together
Awe that matters
When noonday returns

Here is yet another poem about hope, just in case you may need to re-stock, or stock up.  Life is replete with cycles.  Only in the darkness can you see the stars. MLK QUOTE BUTTONDay and night, sleep and wakefulness.  Opposites teem in a paradox packed reality.  Belief and skepticism are life-long dance partners.  Our quest for unity requires acceptance of diversity.  The immeasurable value of life is most evident in the face of death.

Taoists seem to have the keenest awareness of the importance of opposites and their complimentary nature.  That the nature of something is inextricably bound to its opposite, or even comes from its opposite, is mind-boggling.  The mind reaches one of its natural limits when it comes to logical contradictions.  Of course, the Taoists’ purpose is not to jar the mind, but un-jar the mind — and free up the heart.

Hope is the purview of the heart.  Hope may not make cents for those demanding a foolproof return on their investment.  Delving into the vital depths of paradoxes and life’s necessary contradictions is not for the fainthearted.  Wholehearted living demands assent and even gusto in the thralls of uncertainty and unpredictability in order to make the most of life.  Hope is the life-blood of an entrepreneurial life spirit.  The attachment to conventional power — those well-known levers of control — and the insistence on dominion over others, is the nemesis of hope.  Hope arises from a place beyond mere control.  Hope, awash in possibility, is an existential reality ever-present on the threshold of human life.

For many, the contemporary context for this poem is a looming Donald Trump presidency.  Many fear that their existence may be taxed beyond bearing.  This is undoubtedly true for some.  Still, the contrasting values brought forth by the Don’s cartel will as surely offer high relief.  Once Game Over King and Pawn Go Back in Same Box -- PEACE QUOTE BUTTONStarker choices can favor moral humans as much or more than amoral or immoral humans.  If you want presumed victory, take the sociopath, limiting the struggle to the well-worn levers of control.  If you want more, let your heart take hope, take time to see the light amidst the darkness, and listen intently to whatever maybe herd for the duration of human game.

MUSE POEM: Awe Mused Up

At the end of the day
He was awe mused up
Know longer able
Too take it
Sow well

This poem was written amidst a streak of short poems when the muse struck.  Sometimes the muse needs to be addressed directly as a subject.  The glorious work as a scribe to a muse is only work in as much as handing off the words become incarnate into human language requires time and some small sacrifice of an alternative activity, say, sleep.  The muse’s musings are worthy of a voice, and even sometimes beyond a voice in my head.  May you on occasion find yourself in good service to a muse.

POEM: Present Daze

God invented the eight hour day
But buy popular demand
Parently beyond what could ever be yearned
The ardor one tries
Only leaves won
With more or less
Wanting more our
In their daze
With each re-quest
First off with nine hours
Fallowed by ten
Bye and bye 11
12
13
14
15
16
17
18
19
And sow on and sow on
Till 24
As sum backward count
Down with freedom
Until divine enough
As full, filled with presents

This poem is a bit of storytelling regarding hour ever-present knead for more time in our daze.  God is portrayed as a permissive parent granting immature children the never-enough request for more hours in the day.  This poem is an object lesson about “divine enough,” where both God and humans have to set boundaries and limits to move from merely an adequate quantity of time to a full, filling quality of time.  	 They deem me mad because I will not sell my days for gold; and I deem them mad because they think my days have a price -- Kahlil Gibran quote POLITICAL BUTTONThe freedom we seek requires adequate time but can only be “enough” when we learn to experience a sufficient quality of time.  This is the transcendent freedom emanating from mastery of experiencing the “eternal now.”  Of course, humans need a certain amount of time suitable to their nature and the tasks before them.  This poem plays with the notion that this amount of time may be somewhat arbitrary — a storytelling device to accentuate the governing importance of the quality of time — but humans were made, evolved befitting to a 24-hour day.  And of note, in our weakly existence, God instituted a Sabbath day to set apart the wrest.  Rest and re-creation are as integral to life as any work set before us.  This poem first imagines God as creating an eight hour day.  This is not arbitrary.  The eight hour day alludes to the successful workers’ movement in response to nearly unimaginably exhausting work schedules: “In 1890, when the government first tracked workers’ hours, the average workweek for full-time manufacturing employees was 100 hours and 102 hours for building tradesmen.”  Work, Buy, Consume, Die (repeat as unneeded) POLITICAL BUTTONThe eight hour movement’s slogan was “Eight hours for work, eight hours for rest and eight hours for what you will.”  This movement was deeply rooted in the hard work and sacrifice — boundary setting — necessary to respect our human nature and human rights.  The defining moment in this movement, the birth-pangs of American labor, were police killings of strikers:

“On the evening of May 4, 1886, thousands of workers gathered in Chicago’s Haymarket Square to protest against the police killing of six strikers that had taken place a day earlier. As the rally wound down, a bomb exploded among a phalanx of policemen who had moved in to disperse the crowd. In the ensuing melee, seven policemen and an unknown number of civilians died.

The ‘Haymarket riot’ triggered the first American red scare. Media reporting was one-sided and vitriolic. Even though most casualties resulted from policemen’s bullets, the event was used to condemn the labor movement and its cause. Authorities quickly moved to pin blame for the event on Chicago’s working class anarchist leaders, who were arrested, tried, and convicted in a case that made a mockery of jurisprudence.

After the trial, an international campaign was waged for reversal of the death sentences, led by literary figure William Dean Howells, a close friend of Mark Twain. Of the eight defendants, four were hung on “Black Friday,” November 11, 1887: Albert Parsons, August Spies, Adolph Fischer and George Engel.

Will Work For Worker Rights POLITICAL BUTTONHaymarket is of enormous historical significance. It was the bloody culmination of the eight-hour-day movement, which had mobilized hundreds of thousands of American workers. And it was the direct origin of May 1 as the international holiday of the working class—celebrated virtually everywhere but in the land of its inspiration, the US.”

The trinity of work, leisure and sleep may be rooted in our human nature, yet there are many who would rob us of such a birthright.  The struggle continues in our culture of busyness and work/money as the alleged determiners of our identity and worth.  May we find a more balanced way, in harmony with our nature.  And in each moment, may you “divine enough/As full, filled with presents.”

POEM: Morning Has Broke

Mourning is hear
The bell tolls fore thee
Riiiiiiiight
Whatever
Get up
You had
Left
Right
Left right
Left

Simplicity Trumps Affluence [Royal Flush] SPIRITUAL BUTTONHere is another Monday mourning poem for all who may be ambivalent or outright hate their work, particularly the screeching violence of an unwelcome alarm clock.  The division of time into precise compartments is a relatively new phenomenon in human history and human experience.  The rise of the clock as an often stress-inducing taskmaster is perhaps the heart — or ticking bomb — of civilization.  As money measures — quite poorly — the success of most of our tasks in living, the clock all-to-often chops the organic flow of human experience into well dissected but not so alive remains.  The interruption of sleep by loud noises is a particular pet peeve of mine.  Alarm clocks often enforce inadequate sleep and this too little rest is notoriously bookended by a fretful inability to get to sleep at night.  Of course, the nearly inescapable pressures to book it all day arrest most any probability of nabbing any re-creation or sublime sabbath.  When Things Aren't Adding Up in Your Life, Try Subtracting SPIRITUAL BUTTONThe clock serves as a proxy for order but may very well create more disorders than it harmonizes.  This poem uses the familiar cadence of military drills — Left, Right, Left, Right, Left — to allude to the presumptive violence inherent in such a go go, make it happen culture.  This swaggering onomatopoeia resonates more with martial law than the deep harmonies of nature and the human spirit, which transcend left and right.  I find that encouraging folks to break rank in order to reconnect with their deepest harmonies is a recurring theme of mine, energized by an evangelical fervor.  So, if you are Riiiiiiiight…Whatever/Get up/You had/Left, may you uncover reinvigorating re-creation at every turn.

Instead of wondering when your next vacation is, maybe you should set up a life you don't need to escape from -- Seth Godin quote POLITICAL BUTTONWhat Money Can't Buy - Medicine But Not Health, A House But Not A Home, Finery But Not Beauty, Luxuries But Not Culture, Amusements But Not Happiness POLITICAL BUTTON

POEM: Dream Catcher

A daze work
Over
Come
Bye sleep
Sow few dream catchers
Sow many dreams
And that’s the catch

This poem is about work, vocation, passion, and burnout.  This poem is mournful in that so many dreams go unrealized, uncaught.  This poem is a hopeful invitation to pursue your dreams with more vigor, focus and intent.  As the Bible so aptly points out, “The harvest is plentiful but the workers are few.” (Matthew 9:37)  Work is often tiring, as being impelled to do stuff that is tiresome.  Enough work and we burnout.  Vocations, on the other hand, unleash passions and dreams.  With excessive work we miss both sleep and dreaming with our eyes wide open.  Vocations both generate dreams and actively invest time and life energy in pursuing said dreams.  Still, having sufficient dreams is not generally the rate-limiting factor, unless we are totally burned out.  Most often, paying dear attention to those dreams and befriending them with the freshest and best parts of us is what enables us to catch our dreams.  May you organize your life in such a way that you are well-suited to catch your dreams.

POEM: Shown Up

The last time
He punched
A time clock
It was time to stop
A feudal gesture
Accept that
It got him fired
Up to his passions
Eyes wide open
After halving it awe
And feeling dread
In the mirror mourning
Shuddered into pieces
Having watched
His life
Go bye
As hows divided
Against won self
But now
Happening upon him
To be
Re-billed every moment
A knew
Yet know longer
Buy
Sordid clock suckers
And boorish time machines
Transporting too distant years
Never wanting
Such promise
A-trophy
Re: tired
Too due much
As everything ails
In the passed
Having shown up
Today

This is perhaps an appropriate Monday poem for many of the wage slaves working out there.  The first theme addresses one of my grate pet peeves in modern capitalistic culture of most daze experiencing the violence of an alarm clock to get out of bed, usually to work for someone else.  The evil genius and efficiency of replacing a human taskmaster with an electronic device in which wee dutifully assure our appointed time as “shown up,” speaks the the successful internalization and colonization of our lives by bosses.  Most spend most of their waking hours at a job, or jobs, that most would leave if they felt they could.  Many would rather be sleeping.  Some may find it difficult to find the difference between a-little-too droning-on working and a-little-too fitful sleeping.  We sell ourselves wholesale, some might say prostitute ourselves, for the promise of what remains.  This poems overall theme is about trading now for the future.  This can be a dangerous busyness — sometimes as dangerous as living fully in the now!  The strange paradox here is that the danger of seeking predictability and security in life is often the very thing that robs us of life; while a passion-driven now may bring a careening future routinely beyond prediction, such a future is a more lively and life-filled future than the promise of conventional wisdom’s financial security and touted freedom from uncertainty.  The present is uncertainty, and the freedom this entails.  Inasmuch as we recoil from uncertainty, we make ourselves vulnerable to the purveyors of branded futures, featuring proprietary properties, that are designed to convince you to sell today for tomorrow — or more commonly, a paycheck every two weeks.  Granted, a few folks experience the serendipity of their passions now lining up with their various bosses (or co-conspirators).  Still, the inescapable equation is that quality of life is directly tied to how often you show up for your own life, that is compared to pawning your life for money or a boss’ designs on your own.  May your life be shown up by an incredible series of presents.

P.S. This is my 500th blog entry.  I better watch it or I may be considered productive.

POEM: For Awe That Has Been Urned

In her dreams
She is wanting
To be moved
By more than
Slumber too slumber
Mirrorly to a wake
Daze unending
With that annoying buzz
Thirst thing in the mourning
The pique of the day
The latest snooze
A stay of execution
From a commute
Never quiet arriving
In during
The same owe same owe
A mounting to nothing
Carrion on
From dead line to dead line
Only hopping
To meet your destiny
Long the weigh
Too the beat
Down
Of a humdrum
In exhaustible work lode
Sow being a ware
Only dealing
With sum strain
Of staff infection
A little off
And on and on and on
Without a brake
Wading
For some kind
Of savor
In any respect
Of a Jōb
Well
Done
Succeeded by rehash for dinner
A little bit like
Looser
For awe that has been urned
From dusk to dusk
And willing succor
For a weak end
And easing into won bunk
Affording seconds of fuel’s goaled
Mine razing
At the prospect
Too due it
Agin

This is a good Monday mourning poem for all of you enduring slave wagers.  To me, work is simply doing that which you do not want to do, that which we do when we would rather be doing something else.  The conventional wisdom is that there are inescapable compromises that must be made, such as selling large chunks of our life to finance the remains.  Wee are part and parcel of this so-called American dream, which George Carlin so aptly observed, It's Called the American Dream Because You Have to be Asleep to Believe It - George Carlin Quote - POLITICAL BUTTON“It’s called the American dream because you have to be asleep to believe it”  — that is, if you can fit sleep into your schedule!  Frankly, I can no longer afford to go to such conventions, though I’ll meet them half way with the whole whizzed ’em thing.

Having to wake up to an alarm strikes me as one of the great bastardizations of true awakening.  If you get up and it is dark out, you might want to make a note of that, hopefully, plenty of notes, see notes!

If you are going to sell yourself, I would definitely hope that you get a good price.  Still, there is a whirled of difference between getting a good price and a good prize.  Selling your own passions, your own heart’s desires for someone else’s notion of productivity is perhaps the real idolness.  Far too often, no one can even really identify the specific person whose notion of productivity is being served.  Wherever it is, it’s the birthplace of “It’s not my job” and “I’m only doing my job” as workers serve nameless and unaccountable masters, and can’t help, but serve in their master’s apathetic and/or irrelevant image.  The bulk of so-called work in capitalist cultures represents an immeasurable opportunity accost of passions passed and hearty lusts lost.  Even awe that has been urned echoes in time off, weather having perpetual rehash as eve approaches or dread as eve withers a way in the dread of coming daze.

May you find work indistinguishable from play, an awakening without alarm, and find no idolness in site.

POEM: A Corny Poem — Owed To Iowa

He was feeling it
In a corny state
The mother of corn starch
In the thick of it
A sweet mother
High on fructose
Full of it
As lots of feed
In feedlots
Of walking meat
But it was my job
To make fun
Of corn

I recently returned from a road trip out to Iowa to visit relatives, some of whom are corn farmers.  I couldn’t resist this corny poem, one of two corn poems written on this trip.  I wrote over 25 poems on this eight-day trip, setting a new personal record of nine poems in one day, the first day.  Riding (and waiting for) the bus offered ample time for writing.  The Megabus earned two specific poems and inspired a third poem about corporate incompetence and poor customer service.  Quite predictably, cell phone and electronic gadget noise pollution garnered a couple of poems as well.  Plus, there are the omnipresent self-indulgent poems about poetry or being a poet.  The muse, rather than taking a vacation, is far more liable to hook up with me on vacation, loving open times and spaces to work her magic.  A poet is always on duty.  I am delighted to have the vocation of poet alongside my other 24/7 jobs, such as running an e-commerce web site and being a blood donor.  Fortunately, I can do several jobs in my sleep!  Stay tuned for more lodes of crop in coming weeks!

POEM: What If Everybody Did That?

Such sophistry
Firmly on the bench
But
What if
Everybody did that
Judging propriety
Smudging property
An intolerable act
My conscience
He decreed
Must fall
Into line
With Kant
Where every reason
Reduced to rant
It’s the leash they can do
In such a fine whirled
Of ethical confinement
And duly deputized
Might be right
As I thought
With unparalleled infection
Of making love to my wife
Only to arrest my life
At the notion
What if
Every body did that
And the orgy in suing
As just us
Endures a courtly rendition
Sow evident
Out of the question
As signs everywhere
Of legal violation

This poem was inspired by my encounter this mourning with a Toledo Municipal Court judge.  I appeared in court to address putting address labels on light poles.  The labels called for justice for Danny Brown, a local man who has endured 32 years of legal violation, including 19 years in prison for a crime he did not commit [see Justice for Danny Brown].  Also not having committed that crime, I feel as a kindred spirit to Danny.  Putting labels on light poles incited a criminal mischief charge, a third degree misdemeanor.  I was definitely more guilty than Danny Brown for this crime.  I made a statement that whatever cost may be associated with label residue on poles, it pales in comparison to the outstanding injustice Danny brown endures.  In simply monetary terms, compensation for his wrongful imprisonment would be over $900,000.  Interest alone, at 3%, would be $27,000 each year.  However, since Lucas County Persecutor Julia Bates continues to hold Danny on a person of interest list, linking him to an “active” (sic) case, he cannot apply for due compensation.  Danny is living in this legal, yet immoral, limbo indefinitely.  I consider my stickering a simple act of civic responsibility, working for justice for Danny brown as a person of interest in this case.

In a stunningly predictable statement, the judge asked the rhetorical question, “What if everybody did what you did?”  My poem is one answer to this question.  I can sleep well at night meditating on the question: what if everybody took risks for one another in working to ensure justice for all?

The judge’s Kant do attitude, whether knowingly or unknowingly, is a reference to the German philosopher Immanuel Kant’s best known contribution, that of the moral imperative, of universalizing a proposition to see what would happen, and making a judgment informed by that perspective.  Of course, if everybody fined me for a low level misdemeanor, then I would be in financial ruin — hardly proportional to the so-called crime.  I am not mocking Kant so much as the poor application of such logic by the judge.  In any case, and there will probably be more, while the judge is firmly on the bench dispensing with justice, I’ll be in the streets addressing justice for Danny Brown.

P.S. the reference to “my wife” represents poetic license, not a marriage license.  My sweetheart of 17 years is still my official muse, though unofficial “wife.”

POEM: Nothing New Under The Sun

There is nothing new under the sun
Though in the shadows
The same old same old
Is more mournfully familiar
Settling for reality-lite
Too at home with night
Groping with eyes open
Instead of lightly touched
Even with eyes closed seeing
Age-old must
And vexing knot
A bout
Bitter medicine as won’s savor
Know silence
Too be heard
Where the sun don’t shine
As passing vapor
In stubborn renouncing
Not eye
And such fancy
Still too much
To be taken
In completely
The spell overcast
Eclipsing the census
Of awe that counts
More than won could
Ever bask for

This poem weaves the themes of our everyday blindness to deeper realities, the mystical third eye, and gratitude.  Things are not always as they appear.  Things are more than they appear.  Those who round reality down to mere appearance settle for a more finite and uninspiring perspective on reality.  If it isn’t obvious that life is blisteringly miraculous in the sunshine occupying roughly half of our earthly existence, then there is a deeper, ever-present way of seeing that enlightens awe of reality, more than one could ever bask for.  Sadly, many prefer to manage dwelling in the even more roughly half of our earthly existence, darkness, despite its propensity for inducing fear and despair.  This poem plays with these two interwoven aspects of reality, dark and light, mere appearance and meaning full experience.  These dual, and dueling, aspects of reality are not contradictory; rather, they are different levels of reality, one including yet transcending the other.  The prosaic and miraculous are only divorced if our perspective is committed to irreconcilable differences.  The oneness of reality eternally woos us if wowing us is too transparent for our mode of perception.  Nonetheless, the lure of the manageability of the world of mere appearances is powerful, to those limiting themselves to such parochial power.  Unfortunately, those limiting themselves to the scarcity and paucity of the world of mere appearances will feel compelled to compete, even brutally, for control over this lesser realm.  Security and freedom become mortal enemies and even the asleep don’t sleep well.  Those suffering such blindness and obsession insist upon their powerful incites.  The ensuing fetish with control and manipulation extract a brutal price from anyone actually exercising freedom.  More liberal-minded manipulators will insist that you have all kinds of rights but they will get nervous if you actually exercise them!

My experience informs me that peace and freedom can exist together if gratitude is the uniting reality. This gratitude-powered peace is both an internal peace and external peace.  Gratitude-powered people are the least dangerous people in the world; that is, except to those whose job is to convince others of their lack, especially if linked to selling you a product, service, or idea that will make them gain money or status.  If gratitude unites your world view, then you could say that gratitude is your religion, a religion of “Thank God for thanks!”  As you might guess, my worldview is profoundly influenced by grace, a recognition and respect for undeserved gain that overturns a barren capitalistic view that at best can offer a fair and equal exchange, where generosity is a foolish inefficiency and the bounty of life is jacked up to yield the highest price possibly bearable by humanity (or by “the market” if “humanity” doesn’t compute).  The bounty of life becomes fodder of our folly, as “Wanted — dead or alive,” runs roughshod over life itself.  I strongly suspect that the consuming disease of controlling others is a failure to answer the question of how much is enough.  At the heart of this disease is fear and inescapable greed.  I believe that a responsible freedom, a freedom that is informed by gratitude, can operate amidst fear and greed without distorting its own nature and consonance with life, that comes from who knows where, but, as a dyslexic and a mystic, I find naturally super!

POEM: Bee The Sting

As in nature
I did stir
A kamikaze threesome
Of yellow-jackets
Making their presents known
Too me
Wherever egos
Joined by white-coats
Hopefully not fallowing me
As will bee
Or not to be
And little
Did they no
I would swell
With more than pride
At their deathly pricks
And the shock to come
Working best under
Lo pressure
A life long
Pursue it
A pin cushion
Buy day and night
Nature’s suicide cheated
Yet feeling
Thy sting
Eventually in choir
Sew what?

This poem is autobiographical, inspired by a bee sting, actually three yellow-jacket stings, that I got a couple of days ago.  Such a tale is made dramatic as I am allergic to bee stings, and without quick treatment I would be dead.  I was tearing out English ivy from my front yard bed when I felt three stings in rapid succession, probably within 5 seconds, before I even saw the attacking insects whose nest in the ground I had apparently disturbed.  At least one yellow-jacket followed me as I went into the house.  I had to deliberately maneuver to prevent it from following me into the house.

Fortunately, just two days earlier, I had picked up my epi-pen (to inject epinephrine/adrenalin) from the pharmacy.  Unfortunately, I had it sitting on the couch where I had planned to read the instructions at my leisure —  I had not (read, I had sufficient leisure).  Unfortunately, I was not entirely sure whether it was better to read the instructions and self-inject or seek emergency room treatment forthwith.  Being only five minutes from St. Vincent’s Medical Medical Center emergency room, I chose to race off to the ER.   I grabbed my epi-pen just in case things took a turn for the worse on the way. Fortunately, I was not experiencing any significant symptoms yet.  A yellowjacket chased me out to my car, and again I quickly maneuvered to keep it out of my car.

As I sped to the ER I could feel my hands tingling and getting itchy.  When I got to the emergency room, there was no intake person at the front desk.  She was at another desk taking down information from another patient.  I tapped the prescription box containing my epi-pen on the counter to get her attention and announced that I had been stung by bees several times, that I was allergic to bee stings, and that I would soon be going into shock.  She stated that she would need to collect my personal information first. I deftly and quite accurately tossed my prescription box to her and I said that it should contain the pertinent information.  She equally deftly caught the box — perhaps she was well-experienced with such procedures.  Fortunately, I had seen my new primary care physician within the last week or so, so my current information would be readily available on the computer.  I then carefully laid down in front of the reception desk as I had passed out in the ER the last time I was in this same ER for a bee sting reaction, and I did not want to add any injury to insult.  She asked why I was laying on the floor and I explained to her.  She said that they would get me in a wheelchair.  I said that I would get off the floor when I got a wheelchair.  She seemed discomforted by my lying on the floor.  I comforted her by saying that I am sure that their floors were clean enough for me to pass out on them.  By this time, I noticed that little white welts were forming on my arms and legs.  My whole body was flush and my heart was racing.  Given the circumstances, I think that I was rather calm; though I don’t think I was perceived as being the most patient patient.  I was not entirely convinced that the emergency room was necessarily best geared up for emergencies.  This was also based on my previous experience with a bee sting reaction in the same emergency room where they made me sit in the waiting room waiting for medical triage.  In this experience, as the shock took hold, I indicated to the intake person that I was getting light headed.  The next thing I remember I was being lifted onto a gurney, as I had passed out and slumped off my chair to the floor.  Fortunately, this did not add any additional injury; though I did take some insult in this.  The doctor later told me that she feared I had stopped breathing, which apparently moves you up the triage priority list real fast!  Later, I would half-joke that I would fake passing out in order to get seen more quickly.  Lying on the floor with full lucidity was my real-life compromise, given that this was no joking matter.

Okay, back to the situation at hand.  I started to feel pressure around my ears as the swelling and welts continued to bloom.  After a few minutes, a man came to me and asked me what I was doing on the floor.  I explained it to him.  He said that they did not have a wheelchair available, and he asked me to stand up.  I stood up and walked with him to the intake room, sat down in a chair next to a computer, and I started answering questions. He clacked away on the keyboard in what seemed to me a rather routine way.  After measuring my heart rate at 166 beats per minute (about what my heart rate would be if I was running full speed), his sense of urgency seemed to pick up.  He made a call.  Another person came and walked me to an exam/treatment room.  He left me there alone and said that someone would be there soon.  I couldn’t help but wonder how long.  I laid down on the exam table and waited for a couple minutes, though they seemed like very long minutes to me.  At this point, there we so many welts on my arms, legs, and body that they were beginning to merge into essentially one large metropolis of welts for each section of my body..

When a nurse arrived in the exam room, she started asking questions and attaching me to a blood pressure cuff, oxygenation sensor and EKG leads.  Then, a doctor arrived, asked some more questions (plus some of the same), and did some physical exams.  The nurse inserted an IV and the doctor ordered epinephrine.  I noted that the dose they gave me was identical to the dose in my epi-pen.  [They explained later that one should always inject the epi-pen immediately after an offending insect sting.  I know that now.  The nurse later offered to show me how to use the epi-pen and was confused by a different design than with what she had experience — apparently, a new technological, perhaps technical-illogical, innovation sometimes called progress.]  I couldn’t help but laugh at the absurdity of the front desk person coming in amidst all of this and having me sign their consent to treatment form.  Was their any expectation that I would read this legal document then and there?!   Perhaps my (im)patient antics to that point, as well as not refusing the ongoing treatment, constituted a legal definition of desire/consent for treatment, but the lawyers must have their way.  My only comfort in that absurdity is that the crooked, illegible, left-handed signature on the form will not likely garner the highest price on eBay upon my postmortem celebrity value.

They sat me up and gave me an oral dose of prednisone, a steroid to bring down the swelling.  Even with the fast-acting epinephrine in me, my reaction got progressively worse.  My face was swollen and numb, feeling something akin to that experience after dental anesthesia.  While I had no difficulty breathing, I did have substantial discomfort like gastric reflux pain at the base of the esophagus.  The doctor indicated that my abnormal EKG could be an indication of a small heart attack, though he did not state any connection to my “esophageal” pain.  I did remember all those ads for not mistaking a heart attack for mere indigestion.

At the height, or perhaps depth, of my reaction, my EKG went abnormal and my blood pressure was 56/30 (normal is 120/80).  The doctor said that the abnormal EKG reading might indicate a lack of oxygenation to the heart.  They were quite stunned and concerned with this extremely low blood pressure.  They were perhaps even more stunned that I was still conscious!  To provide additional motivation, I informed them that I am much more fun when I am alive.  Fortunately, my sense of humor was largely intact.  I was on the edge of consciousness/unconsciousness for perhaps five minutes or so, as they tilted the exam table feet up and inserted another IV for additional medication(s).  I definitely had a heightened concern during this time as I strongly prefer my unconsciousness to be long bouts of normal sleep.  While I meditated on the thought of my potential death for a few moments, I had a fairly high confidence that I was in good enough hands to keep me alive, if perhaps not conscious.  While getting the attention of a team of emergency room professionals may take some time, once you’ve got their full attention, they are quite capable. Fortunately, my EKG was normal within five minutes after the abnormal reading, and my blood pressure started to normalize.  The “emergency” had climaxed, and I was about to move into the chronic patient hood.

As I was recovering in the ER, the doctor explained that he would like to admit me to the hospital so they could quickly get a cardiologist consult in-hospital, who would likely order and conduct a cardiac stress test that next day.  They had already tested immediately for blood enzymes that would indicate a heart attack, which proved negative (which is good).  They did the same test again after two hours, which was again negative.  Still, the doctor explained that it could take 24 hours for the enzymes released from a damaged heart to show up on this blood test, and he wanted to repeat this test every six hours.  I inquired as to whether my state of anaphylactic shock might, in fact, be an “informal” cardiac stress test, and that an abnormal EKG under such conditions might actually be quite normal.  He said that could be the case, but that they like to have controlled conditions to interpret cardiac stress reactions.  The alternative would be to see my primary care physician, get a referral to a cardiologist, who would order a cardiac stress test if so desired.  Of course, this would all likely take several weeks.  I consented to being admitted, partly because of the simplicity and alleged speed of the process, but also because on the observation ward I might get better management and discharge planning for the allergic reaction which would take many days to treat and get back to normal.  I consented to being admitted to the hospital.

After about a total of five hours in the emergency room, I was admitted to the observation ward of the hospital.  It was almost 7 pm.  The nurse speedily did the appropriate intake just before the 7 pm shift change, put me in the one-size-fits-none hospital gown, hooked me up to monitors and various gadgets, and we were off.  To make another long story shorter, I could have managed my post-sting allergic reaction — the blooming of welts and itching — better at home.  As is well-known, sleeping well in a hospital is a lost cause.  For example, I wrote the above poem after being woke up by the phlebotomist at 3 am to take my blood and during the ensuing a 2-1/2 hour ordeal to get two over-the-counter pills (Benadryl), one at a time, to control my blooming welts and itchiness.

I was under an NPO order, which means you can’t eat or drink anything, due to potential testing needed the next day.  So, I was poorly rested and without food or water while waiting.  As I like to say: a hospital is no place for sick people!  Instead of the cardiology consult happening in the morning as they stated as their prediction, I didn’t see the cardiologist until after 2 pm and some uncertainty as to whether the order for the consult was put in.  This consult lasted less than 10 minutes, basically asking me if I had any heart difficulties when I exercise — of which I do not. He matter-of-factually confirmed that an abnormal EKG reading when in anaphylactic shock is quite normal, even expected. He still recommended a stress test but kind of laughed when I asked if they were going to do it that day.  I did manage to get out of there by 5 pm, even getting a meal in the hours waiting for discharge.

Fortunately, I have medical insurance, unlike in my previous hospitalization for a bee sting (when I learned the hard way that I was allergic to such insect venom).  I am curious to see the bill.  Nonetheless, I served society well as a job creator.  Plus, I am deeply grateful to live to see another day!  May we all cheat death occasionally and be patient with the annoying details…

POEM: There Is Something About Dusk

There is something about dusk
A gentle luminosity
Embracing the culmination
Of a day’s chores
Twilight invites any weariness
Into a slow motion space
Where tomorrow is unkneaded
That in-between place
Where light lingers
And shadows soften
As a sentient glow
Soothes the spirit
And vivifies the soul
Swaddled in the gossamer rest
That has no resemblance to sleep
But akin to dreams

This poem is is unusual for me in that it is not jam-packed with puns, with only one obvious pun and another very subtle one.  I wrote this poem last night after taking a leisurely stroll at dusk through my neighborhood, the Old West End historic district in Toledo.  I have loved dusk as long as I can remember.  I have long loved dusk because of its forgetful knowing.  I find a special feel in those in-between places that knead not the past nor the future; a gentle now suffices.  There is peace in being freed from any insistence to grapple with awe that looms.  Dusk offers a luminosity that is lucid but not urgent.  May such refreshing glimpses capture your tension, even if just, before you loose your soul…

POEM: Blood Donor

Blood Donor

I work 24/7
365 days a year
I work holidays and vacations
I even work in my sleep
I am a blood donor
My work is a gift
Enrichness
Serving what is but hours
The miracle of life
A present shared
Through countless vessels
And singular hearts
From whence it comes
I pay it forward
I save by giving
As the circles of life
Grow stronger in us
For today it is my bag
And some day it may be yours

I have been a blood donor most of my adult life.  Not too long ago, I got my 5-gallon donor pin from the American Red Cross.  Donating blood is one of the easiest ways to save a life.  As an answer to the perplexity some have regarding my relaxed lifestyle, eschewing work (at least in the form of a “regular” job), I joke that I work 24 hours a day, 7 days a week.  Of course, this is referring to my job as a blood donor — which pays just about as well as my other jobs!  In my job running TopPun.com — maximizing prophets — I work virtually all the time as well, through the labor-saving device of the worldwide web.  Similarly, I see most good work as nonstop.  As Gandhi said, “My message is my life.”  In my quest for rest and abundant sabbath time, I am communicating an important message to the world: abundant rest and sleep are integral to a wholesome life.  Thus, I am working even in my sleep.  So, if you want a job that you can do in your sleep, allowing you work 24/7 and remain well-rested, I would highly recommend being a blood donor.

You can download this blood donor poem here: Blood Donor Poem.

POEM: Past, Present, Future

Past, Present, Future

The past is the foundation from which we build
The shoulders we stand upon
The inventory of experience stored for our convenience
The pool of wisdom in which we bathe
The present is the current electrifying our wishes
The happening place nearest to everything
Insight of the timeless center of our hearts
A crossroad of acquiring and letting go
The crucible
Of known and unknown
Of fear and hope
Forging things to come
The future is a mountaintop perspective
An end of a long road we wish to travel
A tomorrow yearning to be a present
A dream that knows not sleep
And keeps us waking

Finding a healthy relationship with the past, present, and future can be tricky.  The past can be a place where we are stuck to hurts and disappointments or get lost in nostalgia.  The past can be a rich mine of experience and wisdom to enrich our present and launch our future.  The present is at the very heart of our quality of life, the nexus of both change, through volition, and simple, pure experience through awareness.  Like they say: there is no gift like the present!  Of course, a myriad of distractions, from the past, present, and/or future can degrade the quality of our awareness, and stunt full consciousness.  The future can lure us into our fondest dreams and countless possibilities.  The future can paralyze us with a cauldron of fears.  May you experience a nurturing and joyful relationship with your past, present and future.

POEM: Ounce of Prevention

An ounce of prevention
Is worth a pound of cure
Unfortunately, stuff is sold
By the pound and dollar

Virtually everyone knows that prevention is preferable to cure.  As Ben Franklin put it, “A stitch in time saves nine.”  Much of prevention takes relatively little knowledge but a good dose of long-term thinking and patience/persistence.  So why is prevention often poorly practiced?  First, as this short poem says, “stuff is sold,” meaning that tangible goods and more-easily defined services are easier to sell than intangible goods and complex, difficult-to-define services.  For example, in health-related fields, it is easier to sell a pill or distinct procedure than a whole lifestyle that offers healthy eating, regular physical activity, lower stress and adequate sleep.  Such healthy lifestyles are not achievable with a small number of simple, easy-to-define products or services.  Moreover, overall, the desire in Western civilization to monetize everything possible plays into our more base instincts that favor the concrete, the simple, and the immediate.  This profoundly affects what we make and do in our careers.  Those vocations which may advance human progress but are not easily monetized are at-risk for atrophying in modern, capitalistic culture.  Human creativity is relegated to a too-narrow focus to come up with solutions adequate for our problems.  We end up focusing on solutions that create as many or more problems.  If Western civilization where a pharmaceutical cure being advertised, the list of side-effects would literally take us to our death beds!  If we cannot together create a culture where the organizing principle is more than buying and selling, then our lives will continue to be bought and sold to the highest bidder, down to the last pound of flesh.  May we live our lives in such a way that we treasure and guard our ounces of prevention as it reigns pounds of easy cures and silver bullets; and may the fruit of our labor enrich us all.

POEM: Smoking Guns

Smoking Guns

Gun control is their aim
Bringing a bout
Sad states
And a stag nation
Wear points are sported
Big bucks are the game
Triggering depression
Beyond one’s cope
Looking down
The business end
Of a gun shaking
As one’s head
Worse than beating
Against the wall
Steadied boots
Quaking again
Mourning posthumous convictions
Of scofflaw abiding citizens
Accost paid
Wrapped in flags
Until free at last
Like taking life
Most like one own
Or another
Like black male
Against one’s will
No more amendments seconded
In this ultimate bill of rites
Pain in full
Coffin at the price
High as a kite
And nonnegotiable        
Hostage too smoking
Guns unlocked
And loaded
Still packing
In their sleep
Dreams of night stands
And steel pillows
Leaving red necks
And faces
Like a smothers love
Taking homicides
As common ground
All the wile
Shooting off their mouths
Making impossible Glock suckers
Deceasing and desisting
The Man
Behind the curtain
Firing the lynch pin
For all times
As smoking guns
Don’t prove anything
So says anyone with half a brain

The title of this poem, “Smoking Guns,” is at least a triple pun.  The first meaning, most literal, is a gun just fired.  The second meaning refers to a quest for direct evidence of something (like a gun being fired!).  The third meaning is a bit more nuanced and fleshed out in the poem: literally smoking a gun by holding it in one’s mouth and committing suicide by firing it and blowing one’s brains out.  While this may seem more crude than nuanced, it is referencing an oft overlooked reality about guns and public health and safety: guns kill more Americans by suicide than murder.  The bizarre notion that guns offer some great protection in a dangerous world is negated by the frightening reality that someone possessing a gun is more likely to shoot and kill themselves, then kill another.  Now, this may be some bizarre karmic feedback to those with guns, but it can’t get much stranger — another loaded pun!  If someone possessing a gun manages not to kill themselves, they are far more likely to mistakenly kill a family member than a truly threatening stranger.  Of course, this leapfrogs over the tragic reality of purely unintentional deaths from accidental discharges, most often of a gun owner’s family members or friends!  Only when guns are outlawed will outlaws accidentally shoot their kids!  So much for protection.

The reality is guns are lethal consumer products that have escaped safe, commonsense regulation — unparalleled by any other consumer product with such inherent lethality.  Guns and suicide are the perfect example of this public health problem.  Guns are a very effective means of killing oneself that doesn’t take any special knowledge or training.  Very few people “fail” when trying to kill themselves with a gun.  Combined with the nature of suicide attempts, guns become particularly lethal.  Firearms are involved in over half of all suicides.  Most suicide attempts are by people depressed or distressed who experience an acute episode of severe suicidal thoughts.  These episodes are most frequently minutes or hours.  Without easy access to lethal means, most suicidal episodes are survived.  The choice of suicide methods is key. Moderating easy access to firearms is the most effective means of reducing suicides.  For example, compared to men, women are about three times more likely to experience depression, twice as likely to attempt suicide, yet only about a fourth as likely to “successfully” complete suicide.  This is largely related to the suicidal methods chosen.  Simply put, women use guns much less frequently in suicide attempts.  Women are only about a third as likely as men to own a gun, and are less likely to live in households with guns.

The main alternative approach to preventing suicides is having an excellent mental health system.  Unfortunately, this approach is at least as complex, and perhaps similarly intractable, as altering easy gun access.  Plus, building and maintaining an excellent mental health system is surely more financially expensive and less cost-effective than sensible regulation of firearms.  Of course, pursuing both would have definite payoffs, reducing suicide and much more!

Having worked in public health for many years, I see the parallels in the battles to bring both tobacco use and guns into a reasonable place in protecting the publics health.  Frankly, I see gun right’s nuts as even crazier than tobacco company executives lining up in front of congress and saying that they don’t believe that nicotine is addictive.  It’s difficult to think of another area of public policy and public health where the political and societal realities are so divorced from science and reason.  May we escape the ideological traps that threaten the public’s health and well-being.  After all, guns don’t die, people do!