Sustaining Elder Care – March 2024

A recap: My sisters and I started our journey ramping up elder care back in November. At first we thought we were being proactive in our conversation about ‘next steps’ with my parents’ doctor….but, less than a week later, my mother was critically ill and in the hospital. I spent the next 7 weeks in Texas. My mother managed to recover enough to come home before Thanksgiving even though she needed a lot of support at home. We hired caregivers to assist her at night through December and moved my parents to an assisted living group home just before the new year. As we worked to get them settled into the assisted living routine, we started a surge of effort to get their house cleared and on the market; the sale was finalized at the end of February. Both parents responded favorably to assisted living and decided they wanted to go out to eat occasionally rather than having special meals via take out as we had done for them at their house. In mid-February, they became sick with COVID…my dad first; he got Paxlovid and was recovering. My mother tested positive a few days later; her doctor adjusted her meds and she got Paxlovid; at first her case seemed even less symptomatic than my dad’s; the staff at the group home thought her breathing was wheezy one afternoon (even though my mother did not think she was having breathing problems) and sent her to the hospital via ambulance; she died 2 hours later.

The last few weeks have been busy ones. We reconfigured my dad’s living space from two rooms down to one and are in the process adjusting the assets my mom and dad accumulated to support his long-term care. As I write this, I realize that we have already settled into a ‘sustaining’ rather than ‘ramping up’ mind set. It isn’t that we won’t evolve what we do based on my dad’s needs…but we have a framework that will stay the same: the assisted living group home…daily visits from family….out to eat several times a month…walking in the neighborhood when the weather is good. Right now, he is still adjusting to not having mom around all the time; she was there for him for over 71 years. We are grateful to the staff of the assisted living for their increased attention. He still has times when he looks lonely…but he is talking more than he did when mom was around to talk for him.

Going forward, my trips to Texas will be quick ones – drive down and visit with dad in the afternoon before I head to my hotel, drive home the next day. Sometimes I will visit with dad in the morning before I drive back. I have done 2 of these trips so far in March. My sisters are there more frequently because they live closer than I do – one is there almost every day, another comes 2-3 times per week, another once or twice a week. Along with taking him out to eat, we put out his clothes for the next day, work on a puzzle with him, accompany him on a walk, help him find something that he lost (his wallet with his id and he glasses tend to go missing).

My sisters and I have had conversations about how much we have accomplished in the past few months – having to adjust very rapidly. We are not exactly relaxed at this point, but the stress level is dramatically lower!

Previous posts: November 2023, November 2023 update, December 2023, January 2024, February 2024, March 2024 (1)

Gleanings of the Week Ending March 16, 2024

The items below were ‘the cream’ of the articles and websites I found this past week. Click on the light green text to look at the article.

Heat Pumps Are Still a Good Investment Even If Your Grid Is Powered By Coal - If every American home with gas, oil, or inefficient electric resistance heating swap those things out for heat pumps, the emissions of the entire U.S. economy would shrink by 5% to 9%. That’s how powerful a decarbonizing tool heat pumps are.

Asian Elephants Bury Their Dead - In India, five dead elephant calves were found buried on their backs in irrigation ditches, with evidence that multiple herd members had participated in the burials. Are there more examples? It doesn’t seem likely that elephants would be able to move an adult elephant like they did the calves. Do they do something else with the carcass rather than burial?

COVID-19 virus can stay in the body more than a year after infection – So – if it persists in blood, should these people not be donating blood? Does this mean that people could get COVID from a blood transfusion?

Archeoastronomy uses the rare times and places of previous total solar eclipses to help us measure history – What we learn from historical eclipses….a timely history lesson with the 4/8 total eclipse that will be visible from much of the US coming soon.

An Eruption for Galápagos Iguanas – The La Cumbre volcano is erupting in the Galapagos. Some satellite views from NASA including a description of the instrumentation available to monitor this eruption.

An obsessed insect hunter: The creepy-crawly origins of daylight savings – We did it again last weekend…changed to daylight savings time. I wish we could stop (don’t care whether we stay permanently on standard or daylight savings…just that we don’t change) but we don’t seem to be able to stop. This post is about George Hudson…and his desire for more daylight after work to study insects! I’ll browse some of his books on Internet Archive.

Solar Accounted for More Than Half of New Power Installed in U.S. Last Year - Solar accounted for most of the capacity the nation added to its electric grids last year. That feat marks the first time since World War II, when hydropower was booming, that a renewable power source has comprised more than half of the nation’s energy additions. Texas and California led a solar surge driven mostly by utility-scale installations, which jumped 77 percent year-over-year to 22.5 gigawatts. The residential and commercial sectors also reached new milestones. The biggest open question is how quickly projects can connect to the grid.

An inside look at Beech tree disease – A fast spreading disease….killing another tree species. It hasn’t been that long ago that Emerald Ash Borer wiped out the ash trees. We were just noticing sickly beeches in Maryland before we moved…realizing that the forests would be profoundly changed without beech trees.

Professional Photographer Shares How to Photograph the Great North American Solar Eclipse Safely – Time to start preparing for 4/8/2024!

America’s Sinking East Coast – There are multiple reasons that areas are sinking faster than melting ice and thermal expansion from climate change would cause.

Ten Little Celebrations – February 2024

I am always a little surprised at how easy it is to record something I celebrated every day…and how it is sometimes hard to pick the top 10 near the end of the month. The habit probably has helped me be more resilient to whatever is not going well….and appreciative of how fortunate I am.

A warm day to get the naked lady bulbs and iris rhizomes planted – Actually there were two Feburary days that were warm enough; I used one for planting in my yard and another for planting in my daughters.

Getting a full price offer on my Parents house – This was another double celebration since the offer and the closing happened in February.

Earl Grey tea – I seem to forget how much I like it…then celebrate rediscovering it.

Home again – After the many weeks away late in 2023, I find myself celebrating each and every time I arrive back home.

Out to lunch with my parents – I celebrated that they both were enthusiastic about going and that they ate well at the restaurant for lunch….and wanted their leftovers for dinner!

Snow suitable for patterns – Making patterns in the snow has been a treat this winter….celebrating my second attempt that benefited from my prior experience and the snow being wet (made the pattern I walked stand out more).

Pintails. I celebrated the picture of a pintail at Hagerman….one of my best so far this year.

Married life – Being married for over 51 years is something I often take for granted but, for some reason, I found myself celebrating more this month – that wasn’t even my annual anniversary. Having the long term relationship…a person that I know well, and that knows me well…is fundamental to the way I feel about just about everything else.

Port Aransas Whooping Crane Festival – Celebrating our first multi-day festival since COVID…more on our experiences in upcoming blog posts.

Parents’ house ready for new owner – Lots of coordination with my sisters…and physical work…celebrating that we got everything cleaned out before closing.

Ramping up Elder Care – February 2024

My parents have rediscovered the joy of going out to a restaurant for a meal. The weekday late lunchtime seems to work best (i.e. not crowded). It is quite a production: two elderly people with walkers…and two (or three) others with them. One of my sisters bought a small refrigerator for their room and they relish being able to put their leftovers there (and seem to prefer eating them for their next meal!). This is probably something I will try to do with them every time I visit. There are a lot of restaurants near the assisted living group home to experience.

Sometimes major bends in our life path are only recognized in retrospect; the events of January and February 2024 are a bend everyone in my family anticipated and acknowledges in real time. My sisters and I are acclimating to others providing the day to day care of our parents with their move to an assisted living home and the family has lost a long term hub for family events with the selling of their house.

  • My parents moved to an assisted living group home at the end of 2023. They’ve settled into their new environment. My mother is improving; maybe it is simply a trend that started back in December, but it could also be the increased social interactions and her confidence that someone is always available to help. It is still challenging for my sisters and I to back away and not jump to assist them when we visit. The staff is helpful and patient with everyone! My dad is about the same although he was very disoriented at first; he is eating well.

  • My sisters and I began to clean out my parents’ house soon after we moved them. They had lived in the house for over 30 years. There was a lot to go through. I made two short (less than a week) trips to Carrollton to help. During January we cleared most of the house by

    • Distributing furniture to family members or selling it or marking it for donation. I took two small tables, and my daughter took a larger octagon table for her office.

    • Donating clothes. There was very little that someone else in the family could wear. The closets in their assisted living rooms are filled to the brim with clothes that they wear.

    • Following the ‘bequeath’ list for decorative and kitchen items. I got 2 items from their 50th anniversary (one passed down from my maternal grandparents’ 50th), 1 from my parents’ 25th  anniversary, items that I remember from my childhood (a knife, fork and spoon of the silver plate my mother bought before she married; a orange cut glass bowl that I bought as a present to my Mother because it was her favorite color), 2 paintings my mother made (one of a dogwood blossom…and the pressed flower that I sent to her in 1984 from my Virginia house that she used as her model), the remnants of my maternal grandmother’s China….too many things to name although I am realizing that I should make a list for myself.

  • The house went on the market on February 1st and we accepted a full-price offer on the 2nd. Closing was requested for 2/28. February became a sprint to clear out the two sheds on the property and donate the furniture that no one in the family wanted. I made a very focused trip to help.

    • Salvation Army came with a truck to get furniture and boxes of books. It was tricky since the city had the street in front of the house torn up (infrastructure update project). The truck managed the pickup from the alley.

    • Tools were mostly distributed to the sister that wanted them. Some were tools from my paternal grandfather.  My daughter got a telescoping tree trimmer (she has the bigger trees…but I can borrow it when I need it).

    • The trash and recycle bins were full for every pickup and some items were put at the curb in front of a neighbor’s house for bulk pickup.

    • Some odds and ends were taken to be repurposed. I got some white vertical blinds (not attached to anything…just loose pieces of blind) which I plan to cover with Zentangle patterns and hang (not sure where yet). There were three small pieces of Masonite that I got for another Zentangle project. Some pieces of wood were taken by my sisters for art projects and specific repairs at their house.

    • One sister is having the king headboard (purchased in 1963…beautiful wood) made into a display case. She also took the antique meat grinder that we found in one of the sheds.

    • Another sister is taking most of the yard equipment to distribute to her family’s houses so that it will be easier for her to do yard maintenance.

Are we through the bend….or is more to come before we settle into a new normal? As I write this my dad has tested positive for COVID-19. The symptoms were mild and initially attributed to some new eye drops. He was tested after one of my sisters that visits frequently tested positive. He is getting Paxlovid. This is the first experience with COVID for him and my mother; they are both vaccinated. Hopefully this will be a minor blip and we’ll achieve a new normal in March.

Previous posts: November 2023, November 2023 update, December 2023, January 2024

Ten Little Celebrations – September 2023

Welcoming cooler temperatures…the beginning of fall. Lots to celebrate!

Shaw Nature Reserve. A first visit…a short hike. Celebrating the place and an early fall day with my daughter.

Pawpaw. Celebrating a new fruit…and its native to North America. I planted the seeds; maybe they’ll come up next spring/summer and I’ll have pawpaws from my yard in 5-7 years.

Wood Duck in an Egret picture. I was taking a picture of an egret catching a fish but celebrated the wood duck in the background when I looked at the image on a big monitor!

Pineapple Whip. Celebrating a birthday with a unique-to-Springfield MO treat!

New addition for my travel computer. Celebrating a new mouse, mini-keyboard, and portable monitor to travel with my laptop. It will make packing easier and using my laptop more comfortable for my week in Texas every month.

Yellow/orange Watermelon. Cutting the watermelon, we got from our CSA revealed something different than the usual red! I celebrated a great watermelon and the memory of the yellow watermelon that my paternal grandparents grew (along with red ones) during my childhood.

Green Heron at the Neighborhood Pond. Surprise! The bird was hiding in plain sight, but I didn’t see it until it flew…and celebrated that I was able to photograph it in the place where it landed. Green herons are one of my favorite birds to watch because they can change their shape (extending or contracting their neck) so quickly.

Beautyberry. Buying a beautyberry for my yard had been on my list for a bit….I celebrated that I found one at the Shaw Nature Reserve’s Wildflower Festival.

Vaccinations. My husband and I celebrated that we could easily schedule getting both the updated flu and COVID-19 vaccinations…increasing our confidence of staying well as we travel more this fall.

5 Native Plants. I celebrated when I got the 5 new native plants in the ground…and they seem to be doing well in my yard.

Gleanings of the Week Ending November 5, 2022

The items below were ‘the cream’ of the articles and websites I found this past week. Click on the light green text to look at the article.

How Tucson, Arizona is facing up to a 1,200-year drought – Harvesting rain!

The demented gift American politicians handed to China – About electric buses….and more. The suggested acronym by the author: GAGA (Give American Greatness Away).

New clues into a serious neurodegenerative disease – So many sources of cognitive decline….and we are just beginning to understand some of the mechanisms (and thus effective treatment). The research described in this post is about frontotemporal dementia.

World headed in wrong direction one 5 key mechanisms of climate progress – And the 5 are: share of unabated fossil gas in electricity generation, carbon intensity of global steel production, share of kilometers traveled in passenger cars, mangrove loss, agricultural production of GHG emissions.

Researchers reveal why shingles can lead to stroke - The risk of stroke is elevated for a year after having shingles. This study found that prothrombotic exosomes which can cause blood clots are found in those with shingles…and persist after the outward symptoms of shingles are gone. Using antiviral agents longer with the addition of antiplatelet and anti-inflammatory agents could help reduce the risk of stroke.

Will we ever…. live in city sized buildings? – Maybe. But would it be pleasant? Maybe an apocalyptic event would force us to do it to survive.

Vitamin D deficiency linked to premature death – The study evaluated 307,601 records from the UK Biobank. Take away message from the results: ensure that vulnerable and elderly maintain sufficient vitamin D levels throughout the year.

Omicron keeps finding new evolutionary tricks to outsmart our immunity – Variants within a variant!

Powerful Aerial Photos Show the Consequences of Drought on the Colorado River – The dry situation in the western US.

Cats react to ‘baby talk’ from their owners, but not strangers – And does this mean we are more than just a food provider in their world?

Gleanings of the Week Ending October 29, 2022

The items below were ‘the cream’ of the articles and websites I found this past week. Click on the light green text to look at the article.

How an asteroid impact would transform the food we eat – Thought provoking…and scary. Right now, I am beginning to wonder how the level of drought in the US is going to change the food we eat…or will we eat the same way but pay much higher prices.

A Field Guide to Unexpected, Out-of-Place Wildlife – Why wildlife shows up in the ‘wrong’ place… I had read about the shifting range of armadillos last spring (was reminded of it by the reference to the Virginia opossum in this post).

State Of the Birds Report: More Than Half of U.S. Bird Species Are Declining – Sad….another indicator that the Earth is changing.

Economic losses from hurricanes become too big to be offset by the US if warming continues – I’ve been wondering about this since Hurricane Harvey and finally there is some analysis of the data…but, so far, it does not seem to be changing the way we deal with the aftermath of these catastrophic storms. The dominate idea still seems to be ‘rebuild.’

Life expectancy improves in some countries after big drops in 2020 – but US and others see further falls  - The life expectancy at birth in the US was 79.8 in 2019 and was down to 77.4 in 2021. It might take a few years until the impact of COVID-19 on life expectancy is fully understood. It seems to me that there are other cultural changes that happened concurrent with the COVID-19 pandemic that could impact life expectancy in the US into the future: reduced vaccination rates, reduced trust in medical professionals, increased belief in whatever is said on social media and conspiracy theories, increased stress/mental health challenges, etc.

The Clean Water Act at 50: Big Successes, More to Be Done – The Act was passed the year I graduated from high school. I had done a project about algae as pollution indicator in the streams around Dallas, Texas in the fall before so I was aware of water pollution issues of the time. It is frustrating that there is still so much to be done….

New model of Alzheimer’s as an autoimmune disease – A new perspective….maybe leading to new therapies in the future.

Ancient Maya Cities Were Polluted with High Levels of Mercury – The Maya coated surfaces (walls and floors and bodies) with cinnabar…and the mercury from that leached into the water supply and soils. Chronic mercury poisoning causes tremors, weakened vision and hearing, and paralysis! The contamination at some sites is high enough that archaeologists need to use mitigation techniques and protective gear.

Young kids avoid one learning trap that often snares adults – Young kids are not as good at focused attention as adults which means they notice new things happening away from a ‘focus area’ more quickly…..but focused attention can also mean learned inattention in adults which might not be the best strategy in all situations.

After Three Summers, Man Finally Gets Photos of Hummingbird with Rainbow Wings – Beautiful pictures. They prompted me to look up why hummingbird feathers can show the colors of the rainbow. I found a Science Daily post from back in 2020 that offers an explanation.

Gleanings of the Week Ending August 6, 2022

The items below were ‘the cream’ of the articles and websites I found this past week. Click on the light green text to look at the article.

An effective new treatment for chronic back pain targets the nervous system – A 12-week course of sensorimotor retraining had a positive effect and participants reported improved quality of life one year later (i.e., the relief was lasting). Hopefully the results can be replicated, and the treatment applied to a broader population. There are a lot of people with chronic back pain!

New Study Links Cat Hormones and Gut Microbiomes to Their Social Behavior – Hard to resist a cat story!

Millions of Americans have long COVID. Many of them are no longer working – 4 million full-time equivalent workers out of work because of long COVID (conservative estimate…and that 2.4% of the US working population). There is a push to provide accommodation in the workplace but some of the symptoms are so severe that the person cannot perform the work they did before and maybe too disabled to work at all. No wonder unemployment is low, and some jobs are not finding applicants. Because long COVID is new, it is unclear when, or if, this population will recover enough to re-enter the workforce.

Arche Roach: the great song man, tender and humble, who gave our people voice – An obituary – and history of aboriginal people in Australia over the past century or so.

The promise and danger of Scotland's bog – 80% of the UK’s peatlands are degraded and in deteriorating condition. They store a lot of carbon…motivating restoration efforts. It takes decades to reverse damage done in a short time by a few ditches and a grid of planted saplings.

New molecule may prevent age-related diseases and increase life expectancy and wellness – A group of molecules that enable cells to repair damaged components has been identified….and efficacy was demonstrated in a model organism. The researchers and Hebrew University’s tech transfer company are moving toward pre-clinical studies.

Parts of the moon have stable temperatures fit for humans – Pits and caves that stay roughly 63 degrees Fahrenheit! There are still big challenges for living on the moon: growing food and finding sufficient oxygen, for example

Coming wave of opioid overdoses 'will be worse than it's ever been before' – Fentanyl and carfentanil…combined with methamphetamines and cocaine. The accelerated rates of overdoses are happening everywhere according to a Northwestern Medicine study.

Inside King Tut’s Tomb – New research using the tomb walls to understand the real-world turmoil cause by the death of the young king.

Cocoa shown to reduce blood pressure and arterial stiffness in real-life study – Cocoa flavanols only decrease blood pressure if it is elevated! I enjoy my morning dark chocolate (70+% cocoa) squares…a healthy way to begin the day!

26 Months in COVID-19 Pandemic

COVID-19 cases in Maryland are increasing but all the counties in the state are still green in the CDC’s COVID-19 Community Level map. Most of Missouri is too. Still - the positivity is 5-8% in Maryland and 8-10% in Missouri…not low enough for me to be comfortable in crowds or in indoor spaces without a mask. How does that translate into our increased level of activity?

Buying a house. Both my husband and I wore masks when we walked through the house we had bid on and then the next day when we talked to the inspector. There was a meeting in the realtor’s office where we wore a mask as well. During our travel, we masked at rest stops and in registration/hallways of our hotel. We brought an air purifier into our hotel room and got takeout for meals.

Birding. We masked at the Harriet Tubman Byway visitor center and the registration/hallways of our hotel. Otherwise - the activity was outdoors, and we didn’t mask. All our meals were picked up from drive through windows.

House maintenance. We’ve had more people in our house for maintenance purposes in Maryland…preparing the house to be sold. We mask while they are here, and they do too.

Broken tooth. I have an appointment with the dentist because a molar cracked…needs repair. Hopefully the precautions the dental office has in place are effective. This seems like the highest risk situation of all the things I’ve done recently.

And we are moving over the next month! I am realizing that the precautions I have in place (following guidance re boosters, masking when I am indoors other than at home, avoiding crowds, keeping hand sanitizer in the car, taking an air purifier with me on road trips) are probably going to be my strategy for the foreseeable future unless the infection rate drops dramatically. So – this is the last of the monthly posts even though the pandemic is continuing. I’m not getting complacent…I’ve simply accepted that this is the prudent way to be…nothing new to post about every month.

25 months in COVID-19 Pandemic

The positivity rates and hospitalizations continued downward but in Maryland they are not down to the lows we go in the summer of 2021 before the Delta variant came along…and then the Omicron spike. Still – most of the mask mandates have been allowed to expire. My daughter reported that at her university there seemed to be a lot of strep and flu infections after the mask mandate was lifted; masks were protective for more than COVID-19! I have continued to wear my mask when I am indoors (at the grocery store and when I waited to get my car serviced, for example). All the doctor’s offices where we’ve had appointments are still requiring masks.

When I made my road trip from Maryland to Texas (via Missouri), I put on my mask at rest stops and when I registered at the hotel…when I went grocery shopping while I was in Texas. I took my air purifier with me too. I was traveling through areas that had higher positivity/hospitalization rates than Maryland and noticed that there were very few people wearing masks. There are some analyses of sewage around the country that have indicated the presence of the omicron sub-variant that is problematic in Europe in the US but, so far, there does not appear to be an uptick in COIVD-19 cases here.

I am masking when I look at houses – both to protect myself and to be considerate of owners of the houses I am viewing. I do as much as I can online before I see the house in person.

The one place I did not wear I mask indoors this past month was at a baby shower while I was in Texas; I’m far enough past the event to know that no one there was infectious!

I still feel vulnerable because of my surgery earlier this year and my recent illness while I was traveling; I am not as confident that my immune system is as robust as it was a year ago; I am continuing my strategy of masking. My husband and I got our second COVID-19 booster soon after the recommendation came out. As we both continue our search for a new house, the vaccine and indoor masking are our risk reduction strategy…at least for now.

Another observation - my husband had an outpatient procedure this past month, and the COVID-19 process was still in effect: they required that I wait in the car for 1.5 hours rather than a waiting room. I was fortunate that I could park in a sunny place since the temperature was in the 30s!

Overall – the pandemic appears to be waning. People are making individual decisions about masking and the amount of masking varies a lot from place to place. This is the new normal?

24 Months in COVID-19 Pandemic

24 months in COVID-19 pandemic and cases/hospitalizations are continuing to decline rapidly in most parts of the US. Most states, local governments, school districts, and businesses no longer have mask mandates. My personal choice is to still wear a mask when I am indoors in public places. A lot of other people are making the same choice where I do my grocery shopping. In the medical building where I went for an appointment recently, the ‘mask required’ signs were still up….and everyone was complying (it’s become the norm for medical settings).

I am traveling today – another road trip to Missouri and then Texas. Hand sanitizer and masks are in the car for rest stops. I am taking the food I will need for the 2-day drive to Missouri with me. An air purifier is going into the hotel room in Lexington, KY (turned on ‘high’ to filter the air for the duration of my night there)…and I have a supply of rapid test kits. I am using the CDC’s COVID-19 Community Level map to assess the higher risk areas along my route. There is a lot of yellow and orange in West Virginia and eastern Kentucky. Springfield, MO is green. The route between Springfield and Carrollton, TX is green with some yellow (and Carrollton is green). I’ll be gone for a little over two weeks and the trip back to Maryland will be less risky if the trend continues.

My rationale for continuing to wear a mask indoors is all about protecting the high-risk family members (older and immunosuppressed) I will be with in Missouri/Texas and when I return home. At the same time – my husband and I are in the process of house hunting…getting ready to move from Maryland to Missouri…not something we could have done last year at this time. Progress has been made and I hope the COVID-19 cases will continue to decline…in the US and around the world…that the pandemic will end.

Gleanings of the Week Ending March 5, 2022

The items below were ‘the cream’ of the articles and websites I found this past week. Click on the light green text to look at the article.

Scientists develop long lasting anti-fogging coating for plastic surfaces that 'self-cleans' – It seem like the current antireflective coating on my glasses is a little ‘sticky’ – making my glasses collect particles easily…need cleaning frequently. It would be great to have something that is self-cleaning! Somehow I doubt this would eliminate the need to clean my glasses but it would be good to get back to the way glasses were before the fancy coatings!

Rare Baby Ghost Shark Caught in New Zealand’s Chatham Rise – What an odd-looking animal. There is a 3-minute video that shows adult sharks.

Deer Mice: Get to Know North America’s Most Abundant Mammal – So small we might not notice them most of the time. A good overview of deer mice. They are vectors for Lyme disease and hantavirus….but provide food for hawks, eagles, and owls…coyotes and foxes.

Lichens Are in an Evolutionary Race Against Climate Change – They can be found almost everywhere…but are very slow growing. That slow growth makes it more challenging for them to adjust to changing temperatures.

Nearly 300 Million Visited National Park System in 2021, But Most To Just 25 Parks – I’ve been to 17 of the 25!

An insulin patch that sticks inside a person’s cheek – I’m sure most diabetics that must take injections would welcome an alternative.

Covid-19 Community Levels – In case you haven’t seen it already – this site has a map of the US with the counties color coded. The county where I live and the counties around it are green.

Bronze Age burial mound discovered in England – In Oxford…under traces of St. Mary’s College built in the 15th century.

Surprise small-cell lung cancer discovery suggests new treatment – New work from University of Virginia Health System (which was designated a Comprehensive Cancer Center on Feb. 1).

An Ornate, 5,000-Year-Old Stone Drum Is the U.K.’s Most Significant Prehistoric Art Find in a Century – Found buried alongside skeletons of 3 children cuddled together.  

23 Months in COVID-19 Pandemic

23 months and the Omicron variant is declining. There is a lot of hope across the US that the decline in infections will continue…that another variant will not burst on the scene and cause infections to rise again. Maryland – where I live – is approaching the positivity rate of last summer (before the Delta variant) but our hospitalizations are still relatively high although heading downward. There is a lot of push to reduce mask mandates.

My strategy still includes wearing a mask when I am indoors with unfamiliar people…until the stats get a little lower. Over the past month, my indoor interactions have been going to the grocery store and doctor’s office…plus arranging for the replacement of the swelling battery in my laptop (it was under warranty and the manufacturer provided the service at my home).

My husband has picked up the free COVID at-home tests and masks that became available over the past month. We probably have plenty for our needs at this point….may have some we never use if the downward trends continue.

I haven’t had COVID (the precautions and vaccination have worked for me so far) but I am thinking more now about the impacts on our economy and individuals from “long COVID.” At this point it’s hard to predict how much the impact might be but so many people have had COVID that even a small percentage dealing with physical or cognitive challenges over the coming years from long covid would be a significant cohort in our workforce and requiring specialized medical expertise. I wonder if the current mix of specialists in our medical system is going to be adequate. Since there is some indication that the severity of the case does not always correlate to having “long COVID,” the potential for long term impacts is increasingly important in my motivation to continue masking for myself and others until I feel confident that I am unlikely to be infected.

I have broader plans with increased interactions with other people over next 6 weeks: hiking with a group and road trip to Missouri and Texas (I haven’t been since November because of weather, Omicron, and my surgery). Keeping plans flexible is key…reacting to the local infection rates…staying informed about new variants…taking precautions to mitigate risk.

Gleanings of the Week Ending February 5, 2022

The items below were ‘the cream’ of the articles and websites I found this past week. Click on the light green text to look at the article.

Oyster Hatcheries Help the Industry Adapt to Climate Change – There are lots of aspects of climate change that impact oysters – making mitigation more complex. The industry is trying to be proactive as problems are recognized.

Could COVID-19 still be affecting us in decades to come? – A summary of some research particularly about brain function/Parkinsons and diabetes relationship with COVID-19 just beginning…there is so much we don’t know yet.

The porcupine’s winter in slow-motion – How do porcupines in Alaska survive being out and about in the winter?

Top 25 birds of the week: Bird Interactions – Mostly adults of the same species…but there are a few with different species and the first image is a pair of young owls (siblings).

2,000-Year-Old Roman Bowl Discovered Intact in the Netherlands – Blue glass that look like it could have been made very recently.

Locations of ancient Maya sacred groves of cacao trees discovered – History of cacao (chocolate) trees…grown around sinkholes…so special that the beans were used a currency.

Monarch butterfly numbers soar in California after dramatic losses – It’s great to have some good news about Monarchs….but they’re still a species that needs our help.

AccuWeather shares how an electric school bus fares in Alaska – Evidently the bus has done well even at -48 degrees Fahrenheit!

Musings from the parks: Navigating National, Wild, Recreational, and Scenic Rivers – Prompted by a proposal to refine limits on the horsepower boaters can use in Ozark Scenic Riverways in Missouri…a look at regulations at other rivers in the National Park System. I’d prefer that we begin the transition to electric motors (if motors are allowed at all) rather than only focusing on horsepower.

Epidemiologists develop advanced state-of-the-art tool for measuring the pace of aging – A blood test to measure the pace of biological aging…with the possibility of identifying interventions that would slow aging… and attempt to build aging health equity.

Cancer Diary – Entry 9

The next milestone after cancer surgery is the appointment with the surgeon 2 weeks after. I’m writing this post a week after the surgery…so halfway to that milestone.

I spent the night after the surgery in the hospital. It was a miserable night with the head of the bed at a 30 degree angle….pressure cuffs on legs…throat sore after two rounds of anesthesia…IVs. Sleep was not possible although I felt deeply exhausted. I ordered breakfast as early as I could…the first food since the day before surgery: scrambled eggs and fresh fruit. Eating was slower going than I anticipated because my throat was sore, and swallowing was not quite back to normal; on the plus side – I really savored that meal! There was the taking of meds (more challenging because of swallowing issue), waiting around for release orders, and finally it was time to go. The coordination of me being wheeled down to the pickup point just as my husband pulled up was successful...and I was on my way home on a sunny cold day.

My priority after getting home was to have some lunch (a smoothie) and then organize myself to follow the discharge instructions. There were not a lot of meds…but enough that were new-to-me that I made a little chart to make sure I took them at the right times for the upcoming week. The situation was more challenging because we decided that in all the flurry with my evening in the hospital, the risk of being exposed to COVID was enough that I needed to be sequestered in the house. I had two rooms upstairs to myself and would wear a mask elsewhere in the house; the sequestering continued through a negative rapid test on day 5 and then day 7. Getting my meals and carrying them back upstairs to eat…juggling to open and close doors…almost required more coordination that I could muster!

Pain was not a problem but the visual of the red and purple color that had moved from the hematoma location down across the front of my chest was disturbing. It was a shock to my sense of self that I had not anticipated…my body looked so different than before…a stranger to myself. I wanted it to improve rapidly; instead - the purple and red color reached its worst the day after I came home from hospital and then seemed to just stay the same for several days; some areas are still purple a week after; I’m hearted that some areas have faded to yellow; the body is cleaning up what happened.

My sleep improved at home but did not return to pre-surgery ‘normal’ until close to the end of the week. Every little odd twinge or tightness was something I monitored….constantly feeling the need to reassure myself that everything was OK. I noticed feeling ‘different’ as I was drifting in and out of sleep – my mind working on whether it was the surgery, the mediations, or just sleep changes…the net was little deep sleep the first few nights.  I napped several times during the first half of the week to make up for the poor sleep during the night. By the end of the first week, sleep and energy level during the day were returning to normal.

My meals had been mostly things like smoothies and soup – easy to swallow – but I graduated to more normal fare by about the 5th day when my husband got us take out from Chipotle (no chips for me, though). The next day I made corn bread muffins with added cranberry/orange relish – somehow I had gotten very hungry for them! I had prepped a meatloaf before my surgery…stored it in the freezer. I moved it from the freezer to refrigerator to thaw the day before and my husband put it in the oven with some baked potatoes.

Bottom line – there are still a few residuals of the surgery that I am noticing 1 week afterward (swallowing not back to normal, color from hematoma event not totally faded) but overall, I am feeling good. Next week, I’ll have to experiment with how to cover up my scar when I am out and about; it helps that it is cold this time of year and bundling up is the norm!

Celebrating with Cake

Three days after my cancer surgery – I reminded my husband to do a pickup order from a local grocery store that included a slice of cake for each of us: carrot cake for him and red velvet for me. We were celebrating our 49th wedding anniversary! We’ve never done huge anniversary celebrations, but this was more truncated than usual since we were in the mode of assuming I might have been exposed to COVID in the hospital.  We were masked when we put the cake slices on plates and took pictures…congratulated each other on the milestone…then we each retreated to separate floors of our house with air purifiers running full tilt to enjoy the treat.

22 Months in COVID-19 Pandemic

22 months in COVID-19 pandemic is a long time to be in heightened awareness mode…long enough for new habits to become well established. I would feel very odd going into a store without a mask….or going shopping at a time where there are lots of people in the store…or shopping slowly…or going out to eat rather than getting takeout. These new habits are just part of the way I am out in the world right now; they are not difficult to sustain.

My concern about COVID-19 has increased over the past month as the Omicron variant has become more widespread and the infections/hospitalizations in Maryland (where I live) have increased dramatically. My husband and I have backed off the plans we had for beginning to get out more. We are enjoying our house and yard…doing outdoor activities on our own in areas without a lot of other people rather than meeting a group.

I take advantage of every opportunity to enjoy whatever I am doing:

…a sunrise before going into the grocery store

… the unfurling of yellow roses over several days as I do my normal activities in my home office (I had the vase on the window sill)

…the snow caught in the pinecones/greenery on our front door (I had opened the door to take it down to dismantle/take to the compost pile but decided to leave it)

Making the conscious effort to appreciate my surroundings is my best strategy for sustaining a positive attitude. I have also started setting 30 minute timers all during the day and doing 3 minutes of walking. It is a great way to move throughout the day and stay focused on whatever I need to do during the other 27 minutes!

My husband and I have planned what we will do after my cancer surgery since there will be a higher than usual chance we will be exposed to COVID-19. For him, being in the waiting room for hours is the challenge; even if he goes outside to eat/drink and everyone is masked when indoors…it will be a lot longer indoors away from home since the initial lockdowns of the pandemic. For me, the exposure could take place during the surgery itself…from the time I take off my mask to the time I wake up from anesthesia; presumably everyone will be masked and the air filtration will be good….but still more chance of exposure than my normal routine. Our plan for 5 days post-surgery is to be on separate floors of our house when we have our mask off (sleeping, eating/drinking, showering) ….and test if we have any symptoms. I’ll post more about it as we implement the pan.

By the time I am recovered from surgery and ready for another road trip to Texas, the Omicron variant may be waning and hopefully another variant is not burning bright and hot….but maybe that is wishful thinking.

Cancer Diary – Entry 7

A flurry of pre-op activity….the discipline of getting to appointments on time and filling the waiting time between.

The uptick in activity pre-surgery increased two weeks before the surgery date with an appointment with my primary care physician for bloodwork, EKG, and chest x-ray. Everything came back good for the surgery; however, there was a ‘nodule’ that showed up on the chest x-ray. There was a follow-up CT Chest that indicated that the issue seen in the x-ray was not there (i.e. the ‘nodule’ seen in the x-ray was a shadow or other artifact rather than something real). I was very discombobulated by the x-ray and was glad I could get an appointment for the follow-up the next day. The data from the tests done by my primary care physician were posted on the surgeon’s portal 9 days afterward….I was glad to know they had gotten to their destination.

Three days before surgery, I had a PCR test for COVID-19 at a drive through testing site for surgery patients (i.e. not a site for the general public/symptomatic people). It was my first experience with a PCR test and was easier than I expected:

  • We had gotten 3 inches of snow overnight and my appointment was at 9 AM, but the streets were relatively clear, and I drove up to the parking lot testing location a few minutes early; there was no line; the guard checked me in, and I drove into the tent where a nurse with full head gear respirator checked my ID and did the test.

  • The nurse did not need to swab deep in my nose!

  • Supposedly the results will be available and posted to the portal within 48 hours…the day before the surgery.

A person from the outpatient surgery center called with some final instructions:

  • No food after midnight, no liquid after 6:30 AM….and stopping certain supplements. I already knew those things from previous instructions, but it was good to be reminded.

  • I need to shower with antibacterial soap (like Dial) and not apply anything post shower; I made a special early morning trip to the grocery store to get the appropriate soap.

  • They are on heightened COVID protocols now and have closed waiting rooms - recommended that my husband drop me off and return at the time the nurse specifies during a call to him when my surgery is complete; he will never go into the building. I will be at the surgery center for at least 5 hours.

  • When the nurse calls my husband after my surgery concludes, she will also provide details for at-home/follow-up care and then I will get the same thing in writing before I leave the facility. One question we’ll ask is whether we should proactively assume I might have been exposed to COVID and should implement our strategy of masking/separation-when-unmasked at home.

  • The time I need to arrive for surgery was 15 minutes earlier than I was told previously.

  • I needed to provide insurance and billing information to the pharmacy at the facility so the nurse could pick up any prescription I needed to send home with me.  

  • The exact location in the building where I need to go when I arrive was also indicated; all I had before was the address of the building.

  • The list of things I should bring with me is short enough to fit in my coat pocket: insurance card, glasses case, phone, photo id. They already have my medication list in their files.

I am set to stay near the bedroom on the second floor of our house for at least the 1st 24 hours after surgery. Snacks and flowers and supplements are on top of my dresser. There is a small folding table and chair set up in case I want to eat a meal or two up there.

I am relieved that the surgery is going to happen as scheduled (not cancelled or delayed because of increased hospitalization due to COVID-19) and reassured after the conversation with the person from the surgery center; it was good to talk to a real person!

Next Cancer Diary post will be about my perception of the surgery day…

Previous cancer diary posts:

Gleanings of the Week Ending January 1, 2022

The items below were ‘the cream’ of the articles and websites I found this past week. Click on the light green text to look at the article.

Spruce Tree House – extreme rockfall management – It’s been decades since I visited Mesa Verde, but I’m still drawn to any articles about it. This one was a reminder of the fragility of the place from a geologic perspective.

4 of the biggest archeological advancements of 2021 – including one ‘game changer’ – I always browse these end-of-year summaries…catch up on any big things that I somehow missed when they were originally in my news feeds.

No more annual flu shot? New target for universal influenza vaccine – Wouldn’t it be nice if this could happen? Even if they did develop a vaccine effective against all strains of influenza…would we still have to get boosters (i.e. would our immunity fade over time)?

With omicron, you need a mask that means business – I’ve been wearing KF-94 masks since February. My Christmas present from daughter was some patterned ones…although I still have a good supply of the black (the Ninja look) ones. I wear one anytime I am indoors (and not at home) and if I am outdoors with a lot of people around. Now that it’s cold, I wear them for warmth too; it’s surprising how much the mask keeps the nose and face comfortably warm….and the mask seals well enough that my glasses don’t fog!

Climate Clues from the Past Prompt a New Look at History – Some examples of the outsized role of climate in human affairs….and the interdisciplinary contributions to papers on the topic.

As Wetland Habitats Disappear, Dragonflies and Damselflies Are Threatened with Extinction – Maybe we need to start thinking about having wetland/ponds in our gardens as well as pollinator gardens…reduce the ‘lawn’ part of the area around our houses.

Forest Keepers: The National Park System is an essential laboratory—and also a battleground—in the management of invasive pests – The invasive pest pictured at the top of this article is woolly adelgid…something a learned to recognize in our area of Maryland…that has killed most of the hemlocks. Some of the trees growing in parks were saved with aggressive treatment, but the ones in the forest behind our house are gone.

New smart-roof coating enables year-round energy savings – A technology that changed the reflection/absorption properties of the roof based on temperature would be another step toward increasing the energy efficiency of buildings….reducing the heat island that plagues cities.

Study shows critical need to reduce use of road salt in winter – This has been a topic in several water quality sessions I’ve attended overthe past few years in Maryland. I have noticed the spraying of brine prior to storm events in our area so maybe some jurisdictions are already following the suggestions in this article.

Inside Idaho’s Campaign to Include Indigenous History in Its Highway Markers – Good idea; history of the US is more than European colonization. This article also prompted me to wonder if there are web sites that document the location and text of highway markers. I did some web searches and found several at the state level…and a general one: https://www.hmdb.org/

Gleanings of the Week Ending December 25, 2021

The items below were ‘the cream’ of the articles and websites I found this past week. Click on the light green text to look at the article.

New copper surface eliminates bacteria in just two minutes – One of the emerging technologies to fight bacteria (and viruses) without antibiotics. Copper is already being used in some applications, but this materials research developed a new structure of copper that is more effective and faster. The article didn’t comment about durability…but still very promising finding.

Home Battery Storage: The (Solar) Rich Get Richer – There is beginning to be more equity in solar panel installation….but storage is still a challenge at lower incomes. Some states have programs that may be the wave of the future and there are incentives in pending legislation. Hopefully a positive momentum will build over the next few years.

California Readies Launch of Largest Food Waste Recycling Program in the U.S. – Part of the county where I live in Maryland has curbside pickup of food waste for composting…but not the part where I live. I have a backyard compost bin…but many people do not so there is still considerable food waste going to the landfill.

10 Winter Birds to Spot During the Christmas Bird Count – Seen any of these in your area?

Why is snow white? – 3 videos…the last one with more ‘bonus’ explanations (such as why polar bears are white).

Top 25 birds of the week: Bird Pigment – This post was a bit confusing since it wasn’t explicit about which colors were from pigments ( as in the red of cardinals) and which were from light scattering caused by the physical structure of the feathers (for example, in blue jays). Read more about this non-pigment phenomenon particular for blue feathers here.

Winter is coming: Researchers uncover the surprising cause of the little ice age – New research shows that the little ice age in the early 1400s occurred when the Atlantic Meridional Overturning Circulation (AMOC) collapsed after a warming period which flushed Arctic ice into the north Atlantic, cooling it and reducing its saltiness. Could the AMOC collapse again with ice melting because of climate change? Existing climate models do not model the impacts of ice melt (making the north Atlantic cooler and less salty)!

From blood clots to infected neurons, how COVID threatens the brain – An overview of the research into how COVID-19 impacts the brain; there is still a lot more to be learned about this - probably one of the most devastating aspects of ‘long Covid’. It appears that the cognitive impact experienced by some COVID-19 survivors improves over time, but half the patients in one study were not back to normal after a year. It is a very sad prospect for individuals and for or society.

Watch This Giant Phantom Jellyfish With 33-Foot-Long Arms Float Through the Deep Ocean – The video is less than a minute…worth watching.

AAA Electric Vehicle Infographic — The Good & The Bad – My current car is a plug-in hybrid….the next one will most likely be an EV.