Heart Update (+30 Days)

Back on 4 April 2023, I had a cardiac ablation procedure.  I survived and am on the road to recovery…
A few days later I posted my “milestones to recovery” timeline.  Here is my post-30 day update:
1)	Survive the procedure (check)
2)	Survive the first 24 hours and go home (check)
3)	1 week post-op review and EKG with cardiologist / staff.  (check)  EKG results are normal sinus rhythm.
4)	Survive the first 11.5 days.   According to the NIH, this is the median point for fatalities in the first 30 days after the procedure.  Fatalities for the procedure are “roughly” .46% – so 1 in 200, but the majority of those deaths are related to co-morbidity factors, which I do not / did not have.  (check)
5)	Survive 30 days post-op.  Again, according to the NIH, this is the critical time frame after which fatalities from the procedure drop to near zero(0).  (check)
6)	90 days evaluation of post-op medications and return to almost “normal” activity.
7)	After 90 days, and assuming the procedure was successful, my “odds” of living a “normal” life expectancy (compared to those on or off of AFib medications) are the same.
How do I feel at the 30 day milestone?  So-so.  My cardiologist told me it can take anywhere from 30 to 90 days for the heart to heal and I have to continue to go-slow and pace myself until then.  I’m feeling it…  I have a “weighted chest” at some point almost every day.  This happens with or without exercise.  I am also frequently finding myself short of breath – normally when walking.  Most times, it passes quickly, but sometimes it can last for more than an hour, and this is with and without the weighted chest feeling.  I am also popping into AFib most days, although these sessions tend to be of only a few minutes.  (Yesterday, I had my first instance of weighted chest, tight chest and shortness of breath – combined – which lasted about 75-90 minutes.)
The bottom line is the external incision points have closed and are well on the way to being fully healed, but questions remain about my heart.  Not so much about immediate consequences of the ablation procedure, but whether or not it’s helped with my AFib.  So, I have begun light exercise to go along with my daily walk (increased from .4 to .8 mile) around our block.  I do one lap with my wife (walking our dog) and then a second lap on my own.  My resting HR is in the mid-to-high 60bpm range.  Most of the walking is in the 80-90 HR range, but I almost always get a 30 second to 2 minute bump to 140 – 155 HR range.  I’m not “doing” anything different to make it go up (walk faster) or down (walk slower).  It just seems to happen on its own.
In addition to the walking, I’m also doing some light weights exercise – 40lbs pull downs, inclined pushups and pull-ups, body-weight squats and 25lbs dead-lifts for 10 reps (each exercise) of three sets (in cycles / circuit).  I’ve been adding an exercise to each circuit about one per week.  I have brief pauses between each exercise and each set and I have not experienced any significant HR issues during or immediately after these exercises (sets or circuits).  (I originally started with at least one full hour rest between circuits, but I don’t do that anymore.)   I was hoping to start some “Niko-Niko” jogging after the 30 day milestone, but given my walking HR issues, I don’t think I’m up to that level of aerobic exercise quite yet.  Maybe in a week or so…  Ah, well…  Slowly, slowly, Inshallah.
Disclaimer:  As always, I would like to remind anyone reading this that I am NOT a doctor, I am not recommending this medical procedure or exercise program to anyone, and you should ALWAYS consult with your own medical provider / primary physician if you notice any personal health issues and before beginning any diet or exercise regime.  My “road to recovery” checklist is based on my conversations with my cardiologist and my personal research on the Internet.
For anyone who is interested…  I just received my insurance statement for the ablation procedure / over-night stay.  My hospital billed at $260,790!!  Medicare paid $33,000 (rounded) and my insurance paid $1,600.  My out of pocket cost is $0!!  While I’m happy my cost is nil, I have to ask:  Is this any way to run a health care system?  I feel for those people / families too young for Medicare and without health insurance.  Without both insurances, this procedure would have bankrupted us or burdened us with debt for the rest of our lives.
Finally, I (again) offer my thanks to anyone who has or is offering up a prayer or positive thought for me.   I am and will remain extremely grateful.
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On This Day In:
2022	The Edge Of Today
2021	Why I’m Wrinkled With Age
	Is There A Generic Available?
2020	I Feel Noblesse Oblige
2019	Live For Something
2018	My Dogs Beat ‘Em Up
	Is Your Sky Falling?
2017	Unseen Here, Too
2016	Criticized Anyway
2015	Sometimes The Truth Hurts
2014	All Agreed, Say “Aye”
2013	Two Books, Two Movies
	Just Because
2012	God’s Requirements
2011	Greater Purity

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Heart Update

Back on 4 April 2023, I had a cardiac ablation procedure.  I survived and am on the road to recovery…
A few days later I posted my “milestones to recovery” timeline.  Here is an update:
1)	Survive the procedure (check)
2)	Survive the first 24 hours and go home (check)
3)	1 week post-op review and EKG with cardiologist / staff.  (check)  EKG results are normal sinus rhythm.
4)	Survive the first 11.5 days.   According to the NIH, this is the median point for fatalities in the first 30 days after the procedure.  Fatalities for the procedure are “roughly” .46% – so 1 in 200, but the majority of those deaths are related to co-morbidity factors, which I do not / did not have.  (check)
5)	Survive 30 days post-op.  Again, according to the NIH, this is the critical time frame after which fatalities from the procedure drop to near zero(0).
6)	90 days evaluation of post-op medications and return to almost “normal” activity.
7)	After 90 days, and assuming the procedure was successful, my “odds” of living a “normal” life expectancy (compared to those on or off of AFib medications) are the same.
I have not been able to find out the mean point for fatalities after the procedure – only the median.  As such, I am hoping the “mean” is on the left side of the “median” and not the right.  (LoL – I am still demonstrating my OCD personality type, seeking control / security where there is no certainty.)
The bottom line is that although the external incision points may have closed and are well on the way to being fully healed, this is not true for my heart.  My cardiologist has said it can take anywhere from 30 to 90 days for the heart to heal and I have to continue to go-slow and pace myself until then.  So, I have begun light exercise to go along with my daily walk (.4 mile) around our block.  40lbs pull down for 10 reps in three sets spaced at least an hour apart.  Ah, well…  Slowly, slowly, Inshallah.
Disclaimer:  As always, I would like to remind anyone reading this that I am NOT a doctor, I am not recommending this procedure to anyone, and you should ALWAYS consult with your own medical provider / primary physician if you notice any personal health issues.  My “road to recovery” checklist is based on my conversations with my cardiologist and my personal research on the Internet.
Finally, I offer my thanks to anyone who has or is offering up a prayer or positive thought for me.   I am and will remain extremely grateful.
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On This Day In:
2022	Widening The Moat
2021	Core Strength
	Thinking Of You
2020	Rising Danger
	210 Day Health / Weight Update (Apr 2020)
2019	Never Let ‘Em See You Sweat
2018	Just Two?
2017	Living Without Love
	Good News!
2016	At This Moment
2015	Still Dreaming
2014	Good Wins
2013	Before
2012	Look To This Day
2011	One View Of Man

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So Far, So Good

Well, it appears I have indeed survived my cardiac ablation procedure (yesterday).  Because I ended up as an afternoon procedure, I had to stay in the hospital overnight for observation…
Before I go any farther, I want to give a BIG shout-out to the wonderful doctors, nurses, aides and other staff working at John Muir Hospital in Concord, CA.  Every one of them were professional and caring!  I KNOW they were busy, but they all took the time to make sure I was comfortable and that everything followed the protocol / schedule without making it seem routine.  I genuinely felt like a person and not just a patient.
I am dating myself, but I’ll say it anyway:  “You guys ROCK!“
Now, I start the road to recovery.  The milestones are:
1)  survive the procedure (check)
2)  survive the first 24 hours and go home (check)
3)  survive the first 11.5 days.   According to the NIH, this is the median point for fatalities in the first 30 days after the procedure.  Fatalities for the procedure are “roughly” .46% – so 1 in 200, but the majority of those are related to co-morbidity factors, which I do not / did not have.
4)  survive 30 days post-op.  Again, according to the NIH, this is the critical time frame after which fatalities from the procedure drop to near zero(0).
5)  90 days evaluation of post-op medications and return to almost “normal” activity.
After 90 days, and assuming the procedure was successful, my “odds” of living a “normal” life expectancy (compared to those on or off of AFib medications) are the same.
Disclaimer:  As always, I would like to remind anyone reading this that I am NOT a doctor, I am not recommending this procedure to anyone, and you should ALWAYS consult with your own medical provider / primary physician if you notice any personal health issues.  My “road to recovery” checklist is based on my conversations with my cardiologist and my personal research on the Internet.
Finally, I offer my thanks to anyone who did offer up a prayer or positive thought for me.   I am and will remain extremely grateful.
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On This Day In:
2022	Dust Under Your Fingertips
2021	Stopped Counting Decades Ago
	Just Enjoying The Sun
2020	To My Idealistic Sister
2019	Respect For My Sister
2018	I Trust Cows
	No Boundary
2017	Don’t Sink Now
2016	A Burning Passion To Teach Freedom
2015	Before Debit (And Credit) Cards
2014	Herding Cats
2013	Ooops!
2012	Understand A Great Truth
2011	Start Here…
2010	Random Acts of Vandalism On Easter Weekend…

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Takin’ A Lickin’

Notice, we never pray for folks we gossip about, and we never gossip about the folk for whom we pray!  For prayer is a great deterrent.
—     Leonard Ravenhill
[This afternoon, at roughly 2:30pm, I should be starting my heart “surgery” / ablation procedure.  The procedure normally takes between 2-3 hours, with a similar amount of time in post-op / recovery.  This means I will probably have to spend the night in the hospital under observation.  If all goes well, I should be home tomorrow with a heart that’s still tickin’.
Please keep me in your positive thoughts and prayers…
—    kmab]
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On This Day In:
2022	If That’s What You Mean
2021	Awakening The Glow
	I Remember
2020	Golden Eagle
	Like #45: Incompetent Donald
2019	#45: Who Lost By Three Million Votes
2018	Torn Between Two Loves
	A Girl And A Boy
2017	I Think They Are Starting To…
2016	Living There
2015	Bookin’ West
	Beyond My Reach
	You Never Call Anymore…
2014	Winning?
2013	Still Inventing
2012	Motivated
2011	Waiting In Line At Starbuck’s

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Zapped Again (Three)!!!

Health Update:  For those who haven’t been following my blog for long, I’ve spent the last dozen (plus) years suffering from non-continuous Atrial Fibrillation (AFib), which is an irregular and rapid heart rate that occurs when one or both of the two upper chambers of a heart experience chaotic electrical signals.  Basically, “AFib” is a fast and irregular heart beat.  The heart rate in atrial fibrillation may range from 100 to 175 beats a minute.  A little more specifically, AFib is a condition where your heart has a kind of loose electrical connection, and the top part of your heart (the atria) fails to pump smoothly – essentially it flutters (fibrillates).  If left unattended, the flutter can cause your blood to pool in your heart and eventually the pool coagulates and forms a clot.  Then, since your heart is still beating, your heart can push the clot to other parts of your body and you can end up with a heart attack (if the clot lodges in your heart) or stroke (if it lodges in your brain).  The clot can cause various other issues depending on where it finally settles.  (Obviously, this a VERY simplified explanation).
My most common symptoms include:  chest palpitations, sweating, a shortness of breath (difficult to fully inhale) and a “feeling” of weight on my chest.  Most of the time my symptoms are brief – a minute to a half hour.  My most frequent symptom is the chest palpitations.  Occasionally, the symptoms double up or last longer.  Rarely, the symptoms go to three and or last more than 90 minutes. When that happens, I go to the ER.
Just to be clear, many folks live with continuous AFib for decades.  As my cardiologist told me:  “Most AFib patients don’t die from AFib.”  They die from blood clots and related illnesses:  stroke, deep vein thrombosis (DVT) and pulmonary embolism.  My AFib has been non-continuous for most of the last decade.
To make a longer story briefer, last Monday (2 January 2023), I entered (more or less) continuous AFib.  About 4am, I woke up with difficulty breathing and very strong palpitations.  I was unable to breathe while laying down, so I got up, dressed and went to sit up in a chair.
Anyway, I hoped it (my heart) would revert to a normal rhythm on its own.  It did not, so I took one of my “as needed meds” to try to slow my heart and take the edge off the AFib.  The med, kind of worked, but not fully. I normally take my blood pressure (BP) three times a day.  My pulse slowed and I was falling back into a regular rhythm, but it was not consistent.  I continued to check my blood pressure / heart throughout the next few days and the AFib continued more consistently than the normal heart rhythm – but it didn’t get worse (or better) or have significantly different secondary symptoms.  In the end, my wife an I decided it was time to go to the ER – which we did today (Friday 6 January).  In the ER they decided to forgo IV drugs and just go for electrical cardioversion.  Basically, they hit your heart with an electric charge which “in effect” re-boots the electrical system of the heart.  Yes, it stops your heart, but only for a fraction of a second (everyone hopes).  For those of you keeping count, this is my third “jump-start” since retiring in October 2017.
The procedure was successful (big shout-out to all the staff, nurses and doctors at John Muir Hospital in Concord, CA) and (by the mid-afternoon) I was sent home with my heart in normal rhythm.  I’ll be chilling out for the next few days / week to make sure I don’t slip back into continuous AFib and then (again) I have to concentrate on dieting and exercise to lose weight and strengthen my heart.
Knock on wood…  That’s the plan, anyway.  In the meantime, it’s contact all the doctors on Monday and see about additional medical steps (Catheter Ablation is the “most likely” next step).  Still, it is much better than the alternative…  Please keep me in your thoughts and prayers (if you are that way inclined).
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On This Day In:
2022	Defeated: So Far (Anyway)
2021	Elections Have Consequences
	It’s Cold Way Down There
2020	Fearless Security
2019	I Prefer A Neat Single Malt
2018	Seeking Finer Fruits
2017	Something That Is Absolute
2016	Animate And Encourage
	Out Of Time
2015	In Time
2014	Robust Interconnectivity
2013	What Have We Here?
2012	Tributaries And Eddies
	An Honest Politician
2011	Penultimate

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A Little Of What’s Been Lost

[Maurice “Mo”] Pinel dedicated a fair portion of his life to disseminating his ideas, and he left behind artifacts such as his YouTube videos that will forever serve as repositories of his eccentric wisdom.  But there was so much he never managed to articulate, so much teaching he still had left to do.  And because he operated in a field that withered a great deal during his decades of involvement, there is perhaps no one left with his breadth of experience nor his bone-deep sense of bowling’s elemental splendor.
This is what the mercilessness of the pandemic has abruptly robbed from us:  tens of thousands of men and women whose rare and hard-won knowledge can never be replicated.  This is how artisanal skills are forgotten, how dialects vanish, how the stories meant to sustain us ebb away from our collective memory.  And it’s all happening at a pace far faster than we can grieve.
After meditating on all that’s been lost, I could come up with only one fitting way to honor what Mo’s time here meant.  As I write these words, I stand precisely 12 days away from being fully vaccinated against the coronavirus.  I plan to celebrate by taking my kids bowling.
—     Brendan I. Koerner
From his article:  “One Man’s Amazing Journey to the Center of the Bowling Ball“
Appearing in:  Wired Magazine;  dtd:  July / August 2021
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On This Day In:
2021	I Think They Mean It
	An Endless Stream
2020	ITF (365) – Update
	Word Up!
	My Fear: A Second More Tyrannous Term
2019	Reality And Imperfection
	Day 8: One Stone
2018	Pity The Nation (Part 1)
	Day 41: Hiccup Or End Of Days?
2017	Sharp-Edged Beauty
2016	Start, Keep, Finish
2015	Lifetime Friends
2014	Acknowledgement
2013	Longevity, Tenacity and Diversity
2012	What Reagan Really Cared About
2011	Seeming Sane (Or Not)

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Happy 13th Anniversary Of Blogging

This post marks the first day of my 14th year of blogging here on WordPress.  A great deal of this post is a repetition of last year’s post…  (And, yes, it’s a long one…)
With almost no change from last year…  The number of countries who’ve visited this site continues to (slowly) grow and the number which haven’t continues to decrease.  North Korea and Cuba are still among them (the latter…)  I’m also still missing a belt across the middle of Africa (but it’s no longer coast-to-coast) and a few spots in Asia.  (Slowly, slowly…  Resistance is futile.)
On reviewing my content over the past year, I’m mostly back to one post a day.  They are almost entirely just quotes with occasional political opinions, infrequent film reviews and rarely book reviews.  I haven’t added near as many posts about learning guitar or music as I thought I would.  I’m not terribly sure why.
My blog is continuing to be part of my “normal” retired life (since 2017).  I routinely receive about 20 to 60 emails (per day) from the roughly 300 blogs I follow.  I say “roughly” because I don’t check how many I follow.  I just looked, and I (still) have fewer than 2,000 followers myself.  Every year there is a trade-off:  you pick up a few steady followers and a few drop off.  Those who actually post about leaving (their own sites) say they are simply moving on to other things.  Most, don’t bother and just stop posting.  A few come back after some period of time.  Many do not.  It doesn’t necessarily mean they’ve stopped blogging.  Some just move to a hosted service to try to monetize their thoughts and don’t provide me a way to follow them.  Or maybe they did and I simply missed the link…
I do have bone to pick with some (many?) of the posts I receive.  Three bones, actually…  First, I receive a large number of posts which don’t contain “Like” options.  This means I have to click to your site and log into WordPress to give you a like.  Most of the time, I will not do this.  I’m just lazy and if you don’t want the feed back, I’m happy to not provide it.  The second is an email with a title and five or six words from your post and then a “read more”.  Again, sorry – PROBABLY 95% of the time, I no longer click through to your site.  If you don’t give me at least a paragraph to hook me, you’ve lost me for that post.  It’s different if you are running a visual / photo site, but not by much.  If you give me one (or two) image(s) per post – fine.  If you regularly have 10 – 15 – 20 images in a single post, I might view one post a week.  And, lastly, in general I only view one post a day from a single source and it’s kind of random…  Sometimes it’s the first.  Sometimes it’s the last.  Sometimes it’s just whatever…
At any rate, I easily spend an hour per day reviewing the posts I get (via email subscription) and sometimes that is simply overwhelming.  It’s not always the average blogger’s fault.  If you post something interesting, I (still) will go off and investigate it further:  authors, artists, locations, books, movies, science / math / history topics – they will all lead me off down the rabbit hole.  And that hole can be DEEP!   There are a few (a handful) of sites which I know are visual and I more frequently click through to the actual site, because I’m interested in the bits which are not offered in the smaller / limited / text based emails I tend to receive.  I apologize if my failure to click-thru affects your view stats negatively…
So, besides this blog, what am I up to?  My health has been mixed.  I’m still morbidly obese and none of my “lifestyle” changes (diets) have stuck.  The problem I have is I’ve had some changes in my meds so I’m not sure if they are affecting me or if I’m just getting older and less motivated – or a combination.  As always, one has to balance the good of the med versus the adverse (potential) effects.  The two which seem the best (for me) are the juicing / blending and the “40hr water fast twice a week”.  The former for losing and the latter for maintaining.  If I can get my meds stable, I’ll probably go on an alternating schedule of these two for a prolonged period.
In January 2021, I purchased my first guitar and I’ve been practicing most every day since. (I miss about one day every other month.)  I “know” my basic (C, A, G, E, D, F, Am, Em, Dm) open / “cowboy” chords and major / minor scales – single string and in first position.  Strumming, finger-picking (Travis style) and chord changes are coming slowly (slower), but they are getting better now that I’m practicing them more consistently.  I now own three acoustic guitars and five electrics, and I have another acoustic on loan from my brother.  I had them on a monthly rotation calendar, but shifted to three weeks at the start of the year (2022).  I’m planning to move to a weekly rotation.  I’m looking into picking up a few (three) more inexpensive guitars and I’ve dropped the idea of basses (for at least a while).  There is no time pressure.  It’s all about my ability to save (here and there) until I can justify a purchase.  [Wife:  How many guitars do you NEED?  Me:  …One more.]  At the moment, the plan is one more strat (type), one more tele (type) and a round-back acoustic.  I didn’t really even think about round-backs before.  I thought they were only over-sized guitars for Mariachi style music, but I’ve learned otherwise.  Anyway, they “tend” to be plastic / fiberglass backs, and I’m interested in what that sounds like.  I have a distinct memory of strumming an “Ovation” (round-back) guitar MANY years ago, but I don’t remember anything about it (sound or feel).  We’ll see…  I am also going to start looking into amps and pedals for the electrics.
The few things I’ve learned (mainly about myself) have truly been amazing (to me).  I do seem to have a smidgen of musical ability (although it’s still buried under layers of doubt).  I’m (still) finding the ability to concentrate on practice to be as relaxing as zoning out in computer programming used to be (in my youth).  Sixty to ninety minutes can easily seem like five or ten minutes.  There is also the complete exhaustion which results from prolonged concentration – however “relaxing” it may feel at the time.  In a strange way, it feels good to be mentally tired at the end of a practice session.
But, am I getting any better at playing?  An objective opinion would be:  Yes!  Am I any “good”?  An objective opinion would be:  No!  Does it matter a whit?  No.  Why not?  Because, like blogging, I’m doing it for the enjoyment of doing it and not for the expectation (mine or anyone else’s) of being any good at playing guitar.  Again, like blogging, as long as it’s fun and interesting and fulfilling, I’ll just keep doing it…  My not so secret goal remains to write a song (lyrics and music) for my wife.  (LoL)
I posted a while back about my guitar goals for the remainder of 2022, but I can easily see them (the goals) extending into 2023.  If I have ANY disappointments over guitars it’s that developing my luthier skills has definitely fallen by the wayside.  I’m happy being able to change strings, round fret ends and play with action and intonation, but it turns out, if you buy inexpensive instruments, the decent quality luthier tools and better quality parts are almost as (or more) expensive as (than) a new instrument.
So, it’s guitar playing and blogging to keep me occupied (and mostly out of trouble).  LoL!!
Other than that, we got one of our bathrooms remodeled back in February 2022 and we’re hoping to get our other one done in early fall.  All things in their time (LoL – and with available funds!)
Once again…  “Excelsior!!“
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On This Day In:
2021	Happy 12th Anniversary Of Blogging
	We ARE…
2020	Happy 11th Anniversary Of Blogging
2019	Happy 10th Anniversary — Thoughts On My First Decade Of Blogging
2018	Happy 9th Anniversary — Three Thoughts
	Day 2 – Notes On Progress
2017	Happy 8th Anniversary
2016	Happy 7th Anniversary
2015	Happy 6th Anniversary
2014	Happy 5th Anniversary
2013	I Resemble That Remark!
2012	Happy 3rd Anniversary
2011	Is America Safe Tonight?
2009	Hello world! (See how it all began…)

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Sort Of

When there isn’t enough food, the body has to make a decision on how to invest the limited foodstuff available to it.  Survival comes first, growth comes second.  And in this kind of nutritional triage, the body seems obliged to rank learning, last.  It sort of it’s better to be stupid and alive, than smart and dead.
—    Carl Sagan
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On This Day In:
2021	Life Finds A Way
	In The Palm Of My Hand
2020	I’m Not Worried
2019	Forgiving The Chasm
2018	A Sure Sign Of Age
	Before The Fall – Cheat
2017	Distant Goal
2016	More Lives
2015	Go Shopping More
2014	Say What?
2013	Accepting Beauty
2012	Transitional Choice To Ride The Wave
2011	Freedom Isn’t Always Perfect
	Just That Simple

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Is Normal Just Routine?

I would say that I don’t know how we got through that first shaky week of this third pandemic-impacted school year, hugging our kids and checking to make sure their masks were secure before they left each morning, except that I do know:  We had no choice.  We still don’t.  Though we’re grateful to their teachers and glad that our kids are once again learning alongside their peers, the worry persists, an undercurrent to which we’ve been forced to adapt as we settle into routines both familiar and new.
Each week brings more pediatric infections, more student quarantines.  Each day, I’m conscious of the fact that I’m allowing my children to assume a risk from which I, working at home, am protected, and this feels hopelessly backward.  I read every update to the school COVID-19 guidelines so I know what to expect after the inevitable exposure, but I can’t tell my kids what they have long wanted to know:  When will things go back to the way they remember?
…
Over the past 18 months, a common refrain has been that this pandemic should compel all of us to recognize our interdependence, the inescapable fact that we will not address this or any of the other grave threats we’re facing without collective action.  This is a lesson that I expect many of our children are also learning, though the cost and the danger to them feels too high.  I know I don’t want my kids to conclude that they are or forever will be powerless, or that there is no one who will fight with and for them.  There are many things I still have to hope for to get through each day, and while our children’s survival and health top the list, I also want them to retain their faith in themselves and in their ability to look forward to something better than this — to find, as they so often do, their own reasons to hope.
—     Nicole Chung
From:  “The View Essay: Parenting – Did I point my kids to the wrong North Star?” Appearing in:  Time Magazine;  11/18 Oct 2021
Also online at:  https://time.com/6102019/covid-19-hope-for-kids/
The online version appears as:  “There’s No End in Sight for COVID-19. What Do We Tell Our Kids Now?“
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On This Day In:
2021	The Rush Is On
	Another Rerun
2020	It Is Still About Sharing And Cheering
2019	Sounds Like #LyingDonald
2018	Start Building
2017	Woof! Woof!
2016	Cast Out
2015	Small Pieces
	Happy Father’s Day!
2014	Uncertain Work
2013	Unpatriotic And Servile
2012	What Price Freedom?
2011	Particular Importance
	Three From Bette…

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It Worked For Me

Back in the 1980’s I developed a “repetitive stress injury” to my wrist(s) – mainly my right wrist, as I am right handed.  It happened due to overuse of a mouse while working on computers.  Back then it was more “popularly” starting to be called Carpal Tunnel Syndrome.  Of course, back then, there was no significant use of either term in the general populace.  The closest we (the public) came to it was “tennis elbow” and its cousin “golfer’s elbow / wrist”.
I was lucky and mostly got over it (RSI) by playing Aikido for a few years – where you do a number of wrist flexing exercises during warm-ups / before practice.  When I stopped Aikido, the symptoms began coming back and I went to a sports doctor (specialist) who gave me a sheet with wrist exercises to do several times a day.  He said it is more important to do a few repetitions several times during the day than it is to do a massive number in one long session.  He said he normally suggests using 1lb to 3lbs weights, but as I was muscular (back then), I should use 5lbs weights.  He added if a weight is not available, just use a book.  I’m in the process of going through some of the stuff I used to have in my work cubicle and found the exercise sheet so I’m offering the image of the exercise instructions to anyone who may have similar wrist issues.  (Click on the image for a larger and more readable version.)
Wrist Exercises for RSI Relief
[Disclaimer:  Please remember I am NOT a medical professional and the “tips” in this post are based on my positive anecdotal result(s) from a therapy recommended by a certified physician.  Consult your personal physician before starting any diet or exercise regime.
I recently drove by the location of his storefront office and it is no longer there.  He was older than me, so he’s probably long retired.  As such, I have removed his office information from the image.  I did a quick browse around the web to see if there were similar instructions / exercises available from a website I could provide attribution to.  I was not able to locate anything similar.  I am making no claim to ownership of the image and I am merely offering it up to help others in need.   —    kmab]
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On This Day In:
2021	It Doesn’t Stop
	I Feel Like I’m Winning
2020	#45: 14.81 Lies Per Day
2019	Less Miserable Now
	So Near And Yet So Far
2018	I Doubt #45 Is Listening?
2017	Life’s Oddity
2016	Just Asking…
2015	Two Thoughts On Thinking
2014	From The Top, Please…
2013	You Are The Stars
2012	Just One??
2011	Anything But

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Two Years Later (Now 1,004,000+ Deaths And Inflation)

I do not know which of our afflictions God intends that we overcome and which He means for us to bear.  But this is certain:  Some I have overcome, some I continue to bear.
—  Jean Toomer
[Another (2022) COVID Update:
This update is being written on 5 June 2022 (for posting on 12 June).  There have now been:  1,003,803 total deaths;  247 average deaths per day;  84,565,697 total cases (about 1% fatality rate);  97,611 new average for daily cases;  and, 258,747,147 vaccinations (at least one dose and over 5yrs old) – for a rough 83% of the (eligible) population.  Over 90% of hospitalizations and deaths are of those who have not been vaccinated.  I have not been able to determine if the (remaining) less than 10% are fully vaccinated and current with their booster(s).
What do we know?
Surprisingly little (IMHO) at the end of 18 months…  The early prediction was a fatality number of 2.2 million in the first 18 months IF WE DID NOTHING.  We temporarily shut down a significant portion of society (NOT the economy).  We halved the total deaths to date, but not the rate of deaths per cases.  The economy (and society) are roughly back to “normal”.  Most people can (do) now work from their offices (and / or homes).  Stores and restaurants / bars are mostly opened, but business levels have not recovered.  Most importantly:  we still have little to no publicly available information about the rates or effects of “long-term” COVID, the number of folks with current boosters, or the duration of the vaccine (or booster) effectiveness.  We DO know there is a general decrease in the vaccine(s) effectiveness – hence the recommendation for boosters.  We don’t know the breakdowns by factors such as age, gender, over-all health, etc.  I’m not saying the number(s) isn’t (/ aren’t) out there somewhere or that someone, somewhere isn’t tracking this data – only that I can’t find it readily available.  And, here we are:  “Only time will tell…“
As a side note:  much is being made about the pandemic’s effect on the economy – past and current.  While we (in the U.S.) have accepted deaths and illnesses as a “cost” of returning to a “normal” economy, the world’s manufacturer (China) has not.  They continue to impose local and wide area shutdowns to prevent the spread of COVID whenever there is another surge.  Our (U.S.) demand continues to grow back to normal rates (pent up and current demand).  Goods are not being made / delivered to meet demand – so prices increase.  They will continue to do so until supply (roughly) matches demand.  No matter what the Federal Reserve does to interest rates to “cool” inflation, it will have little effect until the manufacturing / delivery conditions change.  How long will that be?  How long is a piece of string??  You never know until have it’s been finally cut (until it’s over).    —    KMAB]
Original post (from 2020):
[This is an unusual post for me.  This post is being written on 28 May, three days after the Memorial Day weekend.  Yesterday, the U.S. passed 100K in deaths due to COVID-19.  We are dying at just under 1,000 lives per day.  We are engaged in a great social experiment testing whether we can open our economy without a plan to deal with the virus.  This post is scheduled to go online roughly 15 days after the holiday weekend.  If the President’s gamble was correct, the average death rate will be at or below 1,000 per day.  If his gamble (with our lives) is incorrect, the death rate will be higher – and potentially much higher.  Only time will tell.   —   KMAB]
(2021) Follow Up to Last Year’s (2020) Post (115,000+):
The “post” above is from one year ago.  It is still too early to tell how good / bad a gamble President Trump took with the health of the nation.  Partly because it is still too soon to have had academia take a look at the data and partly because a number of states – mostly (but not exclusively) with Republican governors (Florida) – are using their office / administrations to hide the true / accurate numbers of illnesses and deaths for political reasons.  We do know that since the Inauguration, the vaccine count has gone from under 50 million to over 300 million.  Over 50% of the U.S. population has received at least one dose of vaccine.  Part of this success is attributable to a competent President / Administration and part to the manufacture and distribution of the various vaccines ramping up.
As for our losses, the current “rolling” weekly death average is under 500 per day.  A few weeks ago, the CDC also updated the information on their site to “confirm” that not only are the vaccinated unlikely to get seriously ill and die (still 5 – 10% chance of illness, and less than 1% chance of death), you are also unlikely to become infected and ill at all (15 – 20% illness rate once vaccine period is completed).  Again, it’s too early to KNOW the exact numbers, but in this case it’s because (it is my understanding) “illness” is being self-reported.  Still, this is “good” news and we should see the economy and society begin to return to normal.  We’ve dodged a bullet this time folks.  I am not making light of the individual losses to family members and friends, but the virus could have been a lot more lethal and we still have a considerable way to go on getting the rest of the way to herd immunity.  Let’s hope we are better prepared for the next epidemic…
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On This Day In:
2022	Two Years Later (Now 1,004,000+ Deaths And Inflation)
2021	One Year Later (Now 604,000+)
	Good Intentions
2020	115,000+
2019	One Generation’s View
2018	The One Thing
2017	Never Give Up
2016	Which Generation Are We?
	Congratulations, Kyle!
2015	Centered
2014	Economic Trinity
2013	At Both Ends
2012	Holding Allowance
2011	The Power Of Good

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10 (40)

This morning I completed my 10th 40hr water fast (at 9:00am) over the last 35 days.  A bit of a delay since #9 because of scheduled company over the weekend.  My weight has been bouncing around.  Fewer visible kidney stone / grains, but still fluctuating water retention (represented by 5± overnight weight gains / losses).  The actual full day (yesterday) of not eating didn’t seem particularly difficult.  We watched the NBA playoff games last night.  The constant food commercials didn’t really set me off on a psychological hunger binge.  (That’s good!)
I’ve moved from daily water pills (Rx) to every other day.  It doesn’t seem to impact water retention (bloating) as much as eating salty (or sweet) food.  I’ve noticed a start of ankle bloating after the two day skip, so it looks like I need the water pill at least every third day.  The bloating doesn’t seem to start in my hands on the same schedule.  It’s hard to tell because of the variability of food(s).  My GP was fairly emphatic to be on them as little as possible, but stay within my cardiologist’s recommendation.
Since my scale doesn’t indicate I’ve had any weight loss, all I can go by is how do I “feel” after and during my water fast days.  My body feels good.  My head (concentration), less so.  Not really headaches or anything, just general fatigue – which is not helped by the frequent night-time “breaks”.
It looks like I may end up with “only” two days a week fasting – in which case, I will probably pick days and build a schedule / lifestyle around it / them.  It seems that will be easier than on / off every second day rolling protocol.  So, it looks like there may be merit to the “5:2” daily fast regime – although not in the way my general review of the methodology indicates.  In any case, my “reality” is I’m sitting pretty close to “5:2” anyway, just because of “life happens” and it interferes with a true “on-again / off-again” 72 hrs rolling protocol.  Anyway, slowly…  slowly…  listen to my body and go with the flow.  (“Water retention” pun intended!)
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On This Day In:
2022	Dozing In The Backyard Hammock
	10 (40)
2021	Still Learning (And Practicing) Guitar
	Still Ain’t Quite Right
	More Changes…
2020	Remembering…
	You KNEW That Man Was Trippin’
2019	Kingslanding
2018	I’d Bet On Taxes
	Ooops! I Spoke Too Soon
2017	A Cautionary Wish
2016	Slogging
	It’s About…
	Man / Man
2015	Memorial Day – 2015
	Content People Love To Share
2014	I Resemble That Remark
2013	Long Range Exploration
2012	UBI
2011	Opportunity

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9 (40) – Done

This morning I completed my 9th 40 hour water fast.  It wasn’t “really” difficult.  The only “hard” part was watching all of the food commercials during last night’s Warriors playoff win.
I dropped 8lbs from yesterday.  Obviously that was just water weight from the 15lbs over-night gain a few days back.  I don’t think my kidney grains (tiny stones) are blocking the tubes as much as I think they are simply irritating the filtering process itself.  I didn’t weigh myself before bed (I never do), but I was up multiple times during the night with a healthy flow – so that’s where the “weight” went to.  LoL…
The good news is that it dropped me into the 340’s at 349lbs.  I’m not celebrating (yet);  just acknowledging a minor achievement.  Slowly, slowly…
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On This Day In:
2022	Happy Meeting Day 38 (And Counting)
	9 (40) – Done
2021	Happy Meeting Day 37 (And Counting)
2020	Happy Meeting Day 36 (And Counting)
2019	Happy Meeting Day 35 (And Counting)
2018	Happy Meeting Day 34 (And Counting)
	Storytelling
2017	Happy Meeting Day 33 (And Counting)
2016	Picture Perfect
2015	Life Showed Compassion
2014	And Then I Met Her
2013	Defining Maleness
	The Run Continues
2012	All Set
2011	Not Always

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9 (40) Redux – And Tips To Make It Through The Day

[Disclaimer:  Please remember I am NOT a medical professional and the “tips” in this post are based on my anecdotal experience(s).  Consult your personal physician before starting any diet or exercise regime.    —    kmab]
My last 40hrs water fast did not go well.  I didn’t complete the 40hr;  I only made it about 19 – 20hrs.  On the “full-day” portion of the fast, I had a late morning doctor’s appointment and some shopping chores.  The sum of this left me tired and HUNGRY.  I ended up breaking the fast just after noon.  Then I didn’t want to start over at 5pm, so I carried on normally through yesterday and started over at 6pm.  Today is the “new” 9th cycle full-fast day.
Why 6pm instead of 5pm?  LoL…  I took a nap and over-slept.  I was reading.  I felt tired.  I donned my CPAP mask and closed my eyes…  Next I knew, it was 4:55pm and I’d not eaten my dinner.  So, I rushed a couple of dogs onto the boil and had a cup of mint chip ice cream for dessert.  (Yes.  I know it’s a heck of a diet…)
My tips for successful short water fasts:
1)  Get the start time right…  Breakfast and lunch don’t matter, but you’ve got to be organized or you’ll never get the dinner cooked and eaten by the 5pm start time.  The later the start time, the later the end time.  (You want to end as close to getting up as possible.)
2)  Stay up a little later on the start day / evenings.  You’ve eaten a couple of meals that day and staying up a bit longer isn’t that much more difficult (hunger / eating wise).
3)  If you are allowed to…  sleep in a little later on the full fast day.  The less time you are awake, the less time you have to think about eating.
4)  Coffee / tea:  I drink a LOT of coffee – about 60 fluid ounces between getting up and 2 “ish” pm – on the full-fast day.  Coffee is a mild appetite suppressant and the volume makes your stomach “feel” full – which may itself BE the appetite suppressant.
The stomach doesn’t have a calorie gauge.  It does have a volume gauge.  If you eat (or drink) a lot, your stomach will tell your brain to turn off the hunger hormones simply because you are full.  The gauge doesn’t know about calories, proteins, carbs, nutrition, sugar, or any of that.  It only knows full, not empty and empty.  And it seems to have a bit of a delay processing between switching from “not empty” to “full”.  For most folks this delay seems to be about 15 to 30 minutes.
The “interesting” thing about black coffee is it gets to be an acquired taste.  I’ve been drinking “stand-up” coffee for about 40+ years and Bailey’s coffee most Saturdays for the last 20 years, so straight-up black coffee was something I had to adjust to.  Now, I must admit, I prefer it to my normal coffee.  (Although, I still enjoy my Saturday’s Bailey’s.)
Some readers may be asking:  “What’s a ‘stand-up’ coffee?”
A “stand-up” coffee is when you add enough CoffeeMate and sugar to your coffee so the plastic stirrer stands-up in your mug.  Super sweet / super creamy.  (And, yes, I have had people ask if I want a little coffee with my sweetened creamer.)  For those of you who may foolishly think to try this at home, I stopped it about 30 years ago when I developed kidney stones.  I (perhaps falsely) attributed the stones to the powdered creamer.   In any case, I’ve not used powder for well over 20 years and I still get kidney stones (grains).
5)  Take a nap on the full fast day.  I’m not a big “bed-napper” myself.  I’m more of TV watching me in the easy chair for a half-hour napper, but it does make the day go by faster.  The simple fact is most of your burned calories is your BMR (Basal Metabolic Rate) – how many calories you burn just to stay alive – and those get burned whether you’re awake or asleep.  And, I’m generally not aware of food / hunger when I’m asleep.
6)  Avoid watching sports on TV.  Sports are on TV to sell you cars, booze and food.  And, not necessarily in that order.  Except at dinner time:  then all TV is off limits – for the same reason, but mostly take-out food ads.  If you have to watch the evening news – watch public broadcasting.
7)  At meal time, go sit outside or to the far end of your house (away from the kitchen / dining area) when everyone else is eating.  It’s much easier to not feel hungry if you don’t smell the food cooking, being eaten, or lingering in the air.
8)  Drink at least two 8oz glasses of water in the evening.  I drink about 6pm and 8pm.  It fills the tummy a little and helps move anything in your digestive tract from the prior day.  Plus water is just good for you and most people don’t drink enough of it.
9)  You should probably “break fast” the following day with something healthy.  I almost never do.  Mea culpa, mea culpa… but it’s the truth.
10)  And this is probably the most important tip:  Lighten up and learn to forgive yourself.  If you don’t make it through the day – who really cares?  You are NOT a personal failure (in life or even “just” dieting) just because you didn’t make it through the day.  Your imagined state of self-discipline (or lack thereof) is just that:  imagined!  Eat slowly.  Enjoy the flavor(s) and the sensations of eating (smells, tastes, fullness, company) and being alive.  Start again tomorrow (or soon).
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On This Day In:
2022	Or The Day After
	9 (40) Redux – And Tips To Make It Through The Day
2021	And Yet I Still Pray
	I’m Still Listening To It
2020	What Am I Missing?
	If Only
2019	For Most #IncompetentDonald Followers
2018	I Dare You
2017	To Republicans Who Choose Party Over Country
2016	All About Control
2015	Liberty Is Extravagant
2014	Always Remember To Reach
	Have You Registered To Vote Yet?
2013	Ripples From The Water’s Edge
	Because I Was Alone
2012	POI vs Reality
	Dear And Sacred
2011	Chilled Again

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We Just Need Will And Leadership

Researchers , and governments, also still need to figure out a better way to coordinate this effort around the globe.  “We haven’t learned this much about any disease so quickly, I would say, in the history of science that I’m aware of,” says Sumit Chanda, the director and a professor of the immunity and pathogenesis program at Sanford Burnham Presbys Medical Discovery Institute.  “Genomic technology allowed us to get here.  But if we really want to get serious about preparing for the next pandemic, there needs to be a global command and control infrastructure, with transparency from all governments around the world.  These viruses don’t know national boundaries, so it does not make sense to have a balkanized response to the virus.”
…
“We got pretty lucky that [COVID-19] vaccines work as incredibly well as they do,” says Sanford Burnham’s Chanda.  “But we can’t just rely on luck.  We need to make a global commitment and come up with an organization that has some teeth and has some funding whose job it is to survey, track and share genetic information.  We have the tools to do it – we just need the will and leadership and especially the public to demand that the devastation of COVID-19 is something that shouldn’t have happened and that we never want to have happen again.”
—     Alice Parker
From her article:  “The Sequencing Solution:  Genetic Surveillance Is The Key To Controlling Future Pandemics“
Appearing in:  Time Magazine;  dtd:  21/28 June 2021
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On This Day In:
2022	We Just Need Will And Leadership
2021	Standing Next To Anyone?
	Pitter Pater, Pitter Pater
2020	Only Now
2019	I Think I’ve Been Blurred
2018	Progress On The Honey Do List
	And It’s Mostly Free, Too!
2017	Both Dismissed
2016	Poetry Isn’t Going To Work
2015	MA Fix
	Getting Better
2014	Actually
2013	Unfortunate Evolutionary Accidents
2012	Tense (Past, Present And Future)
2011	What Is Your Preference?

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