What’s top of my mind: Covid-19. On my zoom appointment, many patients tell me nowadays they had covid since I last spoke with them. They are annoyed by this, as a) they had the shots and b) they probably got it from nearby others who hadn’t been vaccinated. Sometimes I think it is inevitable I will get it myself; other times I feel like rising to the occasion, seeing this a challenge, like The Duke of Edinburgh award. Can I dodge the variants and my fellow non-vaccinated/unmasked citizens?
Where I’ve been: Covid testing. Speaking of which, I got my first covid19 test last Sunday. It is Tuesday; I haven’t heard anything. Usually positive/bad tests elicit a telephone call from The Good Doctor to get in here ASAP – but is this applicable to this test? I need to look this up. last weekend I had some URI symptoms but these are past and I feel fine.
Update on Tuesday evening: My covid test is negative. Hoory for our side! Let’s hope it stays this way.
Where I’m going: Nowhere. I stopped going to the gym. Other than the grocery store the gym was my only outlet other than work. There are no pending trips or planned outings. I lead a dull life.
What I’m watching: Mesopotamia. Someone and I have a handful of “Great Courses” video lectures yet to be watched, which we do one episode at a time at suppertime. We finished “History of the Medici” (it ends badly) and I sense this one will end badly too (The Persian Empire). In these first episodes things are just getting going between the two rivers with the development of agriculture, which in hindsight may have been a bad move.
What I’m reading: Hero of Two Worlds, the biography of Lafayette. It’s fascinating to learn about the awful situation of The American Revolution in the 1780s. Yanks like me like to think we rose as a unified country and kicked English backsides, but in fact it was a fractured and fractious mess with little chance of winning but for the help of The French and the attrition of The English. I don’t want to give away the ending, but the poor sods under Washington don’t know the English are about to give up trying as it’s too expensive.
What I’m listening to: Inuit throat singing. Years ago during a cold and dark January in the Midwest,* I bought a CD of singers of such. I speculated this is what folks do up north during these gelid times. After all, what else is there to do? It’s become a sort of January tradition of mine to hear this genera.
What I’m eating: Broccoli spinach salad. The deli counter at Uncle Albertsons is page 71 that most of its contents consists of mayonnaise-based starchy things like cole slaw, macaroni salad, and pastas. They have a decent tomato/cucumber/mozzarella salad but this grows tiresome. Last week, lo!, there was a new one, a green salad, consisting of broccoli, spinach, and red grapes, in a not too globby dressing. I gave it a try and it was OK.
Who needs a good slap: The ‘sleeping’ patients. What is a ‘sleeping’ patient I hear you ask? These are the sorts who continually come in for their checkups to report nothing is happening in their lives. This isn’t a complaint, nor a sign of depression, but a state of being, and one they are not especially worried about. “How do you spend your days?” draws a blank as if they hadn’t ever thought of such. “Oh, I guess I go online or do things about the house”. Do you have any plans this year? No they don’t. Do you have any goals for the next decade of their lives? No either. They drift through life without goals or purpose. They do this for decades without a sense of wonde who they are or what they want from life as it slips away on them. So long as they have their TV shows and online social chit-chat they are content. While there is nothing wrong with being content – few folks are – they strike me as missing out. I have to watch myself here I am not projecting my own values for Life such as growth, adventure, and meaning. They make make me sad to see them, especially the younger ones in their 20s and 30s.
On my 1-5 scale, I give the ‘sleeping’ patients one slap – a slap to wake up.
What I’m planning: Chili. January is a good month to make chili. I have on hand several variations to try. To some extent they are more or less alike. This statement may seem like blasphemy to some; people get awfully queer and defensive about what constitutes proper chili. I like mine more complicated than beef chunks in a sauce. I like mine with beans, vegetables, and perhaps something ‘unique’ to make it a conversation piece. I have a chili named “Patsy Cline chili” that has shrimp in it, but as Someone is allergic to such I won’t make this one. Chili made in a crockpot has the advantage it makes the house smell nice and the pot helps heat the kitchen up, which is much appreciated in January.
What’s making me smile: Alice in Wonderland. I have a bunch of books that I turn to whenever I need cheering up, and “Alice” is top of the list. The tale contains all I want in a children’s book: nothing didactic but nonstop nonsense and fantasy. ‘Alice’ is also a marvelous read for word puns and language. What’s not to love? The only thing missing I suppose is nasty people getting their comeuppance. For that I turn to Mr. Dahl’s deliciously morbid prose.
*Are there any other types?
44 comments
January 19, 2022 at 2:16 AM
Paul Brownsey
“like The Duke of Edinburgh award.”
Golly–That you should know about that!
It was actually pioneered at my school (Dunstable Grammar School, whose most famous old boy was Gary Cooper), but I didn’t take part because there was an expedition element which seemed to involve sleeping out in a tent–Ugh!
January 19, 2022 at 6:50 AM
Urspo
I hear d it once in a short story and looked it up.
I use it now to describe something I could achieve, something challenging and perhaps a bit butch in the process.
January 19, 2022 at 2:17 AM
Paul Brownsey
As for your ‘sleeping’ patients–Hmmm. I don’t have any goals or plans except to maintain life at its present pretty agreeable level…
January 19, 2022 at 6:53 AM
Urspo
I was careful and thoughtful to write this one. You have in common with the no-sleeper patients a contentment in your lot. I think there is a difference, like gold and fool’s gold. My patients are not aware of their actions; they get up, watch TV and go on the computer, and repeat. They seem stagnant, uninterested in anything else. This is a value-judgment I project onto them; I think it sounds sad. On the other hand they are not unhappy nor fretful. They come in year after year seemingly happy.
January 19, 2022 at 5:21 AM
David Godfrey
Perhaps your patients are mastering the art of doing nothing. There are some beautiful walks around you, desert botanical gardens has a glass display on, you can stay distanced and do that outing. I made white bean and ham soup over the weekend, and beef and barley soup yesterday.
January 19, 2022 at 6:55 AM
Urspo
There is a difference, hard to describe. Doing nothing can be a wisdom learned after doing something, sort of a revelation or perhaps a reward. The patients I describe here never did anything to begin with. They start with a job that pays for their ability to sit and watch TV, go on FB, see movies, and repeat. Mind! They are OK with this; it is my view it sounds sleep-like.
January 19, 2022 at 5:34 AM
Bob Slatten
We all thought the world would be bigger with social media and smartphones, but it’s become smaller as many of us spend our time in our own little online phone lands.
Congrats on the test. I, too, am hoping to be THAT person who doesn’t get COVID and I might just do it!
January 19, 2022 at 6:56 AM
Urspo
I suppose this is another example of negative bias and selection bias. We hear about the sick ones, the ones on contract Coivd19 – we don’t hear about the quiet ones remaining sensible/negative. Perhaps the latter are the majority?
January 19, 2022 at 5:44 AM
wickedhamster
“I guess I go online or do things about the house”. Do you have any plans this year? No they don’t. Do you have any goals for the next decade of their lives? No either. They drift through life without goals or purpose.” Hey, be nice! You’re talking about my retirement there. 😊
January 19, 2022 at 5:54 AM
Sassybear
Mine, too!
January 19, 2022 at 6:58 AM
Urspo
The difference, I think, is you did a lot of things in matters of growth, adventure, meaning to self/others – and now as a reward may sit well with these accomplishments. My patients never did any of this, nor interested, even not aware it is something. They start and will end with doing nothing – they are OK with this. From my view it sounds sad.
January 19, 2022 at 5:52 AM
Moving with Mitchell
I do the same with Alice in Wonderland. And I’m long overdue. Thanks for the reminder.
January 19, 2022 at 6:59 AM
Urspo
Pick a chapter, any chapter, for an uplift in mood. I recommend the chapter of the mad tea party – marvelous !
January 19, 2022 at 5:55 AM
Sassybear
The Pandemic and my own health issues have made me one of your “one slap” folks, although I do have plans and dreams and hopes and desires for the next few years and I am working on goals and plans and projects as I can, so maybe I’m not as bad as I think. But being housebound does limit a lot of what i would like to do. Sigh.
January 19, 2022 at 7:01 AM
Urspo
The difference is you have plans/hopes, and dreams; yours are sensibly on hold – and it feels frustrating. My sleeping-patients tell me covid hasn’t changed their lives as they never had any of these things; they are already staying home not dreaming, no plans/projects. After covid you will return to your dreams; these patients will stay as they are.
January 19, 2022 at 5:59 AM
Debbie W.
As a doctor, that must be difficult to restrain the desire to wake up sleeping patients. Congratulations on the negative Covid test! It seems like everyone I know has had Covid or currently has it, but I have somehow escaped. I am very careful, and will continue to be. 😷
January 19, 2022 at 7:04 AM
Urspo
I learned in Jungian psychology few wake, and one cannot shake one awake, nor drag them out of bed. One can only nourish thems slowly waking to do so – pointing out this is not pretty, and once awake you can’t easily fall back to sleep; the door in one-way. It parallels the metaphor of The Garden of Edan. Once awake/enlightened you are expelled from the tranquil simplicity of the garden. The Gnostics would say this is better.
January 19, 2022 at 6:25 AM
Lori Hawkins
Glad the test was negative and that you’re feeling better. I’ve heard if you don’t get a rapid test it can take 2-3 days for results.
January 19, 2022 at 7:04 AM
Urspo
It took 2-3 days yes.
Now, as Spos like to say, time to ‘keep it sweet’ and not loosen up protocols
January 19, 2022 at 6:30 AM
martin
Am reading “The Plague” by Albert Camus currently. It is surprisingly and shockingly good. Good histories of the US are anything by Alan Taylor. Also really liked Daniel Sjursen: A True history of the US. Lastly, I would recommend Trevor Noah’s book “Born A Crime” – amusing, witty and serious all at once.
January 19, 2022 at 7:05 AM
Urspo
I reread ‘The Plague’ in the spring/summer of 2020. It gave me courage and comfort for these times. I still say to others what the doctor in the novel says to do under these times: “do the right thing”
January 19, 2022 at 6:40 AM
Robzilla, Native Of Slam Diego
Glad to see you tested negative. Sadly, I’ve come to the conclusion that I will get it sooner or later as long as I have to continue showing up at the office.
January 19, 2022 at 7:06 AM
Urspo
The odds are such, yes, unhappily. Please keep your mask on and wash hands.
January 19, 2022 at 7:37 AM
Dwight W.
I’m late to post I’ve been sleeping, lol no slaps for me! Covid keeps a lot of people home , as I am afraid too. We are back on lock down self imposed. We go to the grocery period. I need to kick my ass in gear do my CE virtually or put my license on vacation by end of February. I will start that process this morning. Covid tests are free, four to a household I ordered them yesterday . They will ship late January . USPS. Our weather is cool enough to build a fire which I have done three times. This restores my soul. Happy Wednesday Dr. Spo.
January 19, 2022 at 7:43 AM
Urspo
I am mad-jealous about the fire; oh how I miss having a working fireplace.
It is worth retiring to colder climes to get one again.
January 19, 2022 at 7:55 AM
Debra She Who Seeks
I like Inuit throat-singing. It is having a real resurgence right now as indigenous music is enjoying a welcome renaissance in Canada. I first heard Inuit throat-singing “live” at a Women’s Music Festival in Winnipeg in 1983. I’m sure you know that it originated as a game played between pairs of women, who clasp arms, face each other and throat-sing until one or the other starts laughing which ends the contest.
January 19, 2022 at 8:35 AM
Urspo
No I did not know this; I learned something !
January 19, 2022 at 9:23 AM
BadNoteB
I have a nephew who is a “sleeper” and conspicuous mutation in a gene pool predisposed to over achievement and perfectionism. Mental deficiency was initially suspected and the family spent a small fortune in testing to discover what was wrong with him, desperately hoping the “condition” might be responsive to treatment once identified. And as your post points out, there was nothing identifiably “wrong” with him; he was just starkly different in nature when compared to his older siblings (and elder immediate family members).
He coasted through high school as a “C+” student while never identifying a single subject of particular interest. After 12 years he received a diploma, yet remains oblivious to the purpose of attendance having been to obtain an education or, possibly, a marketable job skill. As an adult, he stumbled on employment as a delivery truck driver. While he has a 20+ year perfect attendance record and has been consistently rewarded for his dedication at work, he has refused numerous promotion offers because he doesn’t want to be responsible for anyone else’s work…
Uncle BadNote loves him (and his similarly oriented wife) dearly and hesitates to feel pity, yet I do find it sad that he has lived a life void of engagement, ambition, inquisitiveness, wonder, awe, excitement… all of the qualities that I tend to include in definition of joy and fulfillment in “living”. He is completely satisfied with “comfortable and content”, if only because concepts of “secure, fulfilled and happy” seem alien to his universe. C’est la vie!
January 19, 2022 at 9:50 AM
Urspo
Hey, he’s content, I give him credit. Few people seem so these days.
To be content by taking no chances, having no adventures, reminds me of the poem “George Gray”. I hope your nephew truly is happy and not a George Gray type.
January 19, 2022 at 9:42 AM
jefferyrn
Alice is one of my favorites. I have a collection of Alice things. Some are out in a display case, most are still in boxes in the garage.
January 19, 2022 at 9:50 AM
Urspo
Curiouser and curiouser !
January 19, 2022 at 9:48 AM
Anne
1. I loved the fact that you didn’t give away the ending to America’s revolutionary war. I’ll wait for the movie.
2. I could be dead wrong, but I think we’re being quite snobbish about sleepers. Why does everyone have to be inquisitive achievers? There are many different types of personalities and those sleepers, of which you speak, seem to be happier than most people I know. In fact, why are they even coming into your office for check ups?
January 19, 2022 at 9:56 AM
Urspo
You are correct that thems ‘awake’ want the sleepers to be as awake as they are. Live! Grow! Make life an adventure! Don’t be a ‘George Gray” (poem from Spoon River Anthology)! Many – most? – people are either not capable or not wanting to see/experience the world but are content to work/go home/watch TV, and repeat. They are content, which is what counts.
The sleeper-types who come to my office do so usually every 3-4 months for a ‘med-check’; they take a sleeping pill or a tranquilizer perhaps, so they need to return for follow up. After telling me the Rx work/no matters, I ask what’s new in their life; they reply nothing and I see them in another 3-4 months. I’ve had some do this regularly since 2005; I’ve seen them grow old and exist. They are content customers.
January 19, 2022 at 1:03 PM
Ron
Shrimp in chili. That’s like sardines in macaroni and cheese. It ceases to be chili and macaroni or macaroni and cheese but instead fishing up perfectly good dishes.
January 19, 2022 at 1:24 PM
Urspo
While I like variety ingredients, shrimp doesn’t sound very good to chili to me as well.
I’ve learned to add a teaspoon of mustard to the M&C; it doesn’t give a mustard flavor but it enhances the cheese some.
January 19, 2022 at 1:24 PM
Pat
Others have gotten at the point that many of us are all sleep walking a bit through life these past 23 months. Could it be a bit of physician heal thyself going on here? Admittedly, listening to the decline of the Persian empire sounds more high brow than TV watching and blogging more involved than FB posts. But, in the same way that brie is fancier than Velveeta, maybe in the end it’s just calories in and enjoyment taken more than anything. Now, I am getting hungry for a grilled Velveeta. Off point a bit, but if your patients are all content and unbothered why are they still your patients?
As for no gym and increased walking. Keep it up
when plans can be made this PEI possibility sounds alluring.
https://www.marthastewart.com/syndication/new-435-mile-walking-route-canada?utm_campaign=marthastewartliving_marthastewart&utm_content=manual&utm_medium=social&utm_source=facebook.com&utm_term=61e19ed8ad72e20001ebf011&fbclid=IwAR2agfQs1A9JmxtNDLVfyHQQqmDmLCmzlCBt6tk_PVTGYkAh0K0crmAMh0s
January 19, 2022 at 4:06 PM
Urspo
Content and unbothered asymptomatic patients need to stay that way. If they are taking meds that correlate, then I need to see them every once in awhile to assess if the Rx are worth continuing or (since they are doing well) are the Rx still needed? this is assessed in each appointment. Nearly all want to ‘stay on them’ as not risk relapse. So, they pop in from time to time to assure me they are still Ok and the Rx are still useful to continue.
I have never had grilled Velveeta; that sounds scrumptious.
January 19, 2022 at 4:44 PM
Gigi Rambles
I despise the “well, we are all going to get it eventually” people. Mainly because those are the people that aren’t doing what they should have been doing all this time.
After two years of this nonsense, I would probably be one of your sleeping patients. No plans, no goals. Nothing but trying to stay home and healthy. I’ll slap myself on the way out.
January 19, 2022 at 7:42 PM
Urspo
I too am frustrated by folks whose actions have consequences they later claim was inevitable.
There is a difference between ‘sleeping’ and taking a needed nap. 🙂
January 19, 2022 at 9:15 PM
Will Jay
Congratulations on the negative COVID test 😷. While my office continues to work from home, recently 5 households are suffering through breakthrough infections, three of thosevhace been within the last week. Please continue to observe all protocols if only to be a contrarian who can show that the protocols can be effective at preventing infection.
January 20, 2022 at 7:07 AM
Urspo
I heard this morning on my medical podcast the three shots provide ~33% effective against omicron. However thems who get it (and had the three shots) are far less likely to get seriously sick.
January 21, 2022 at 5:19 PM
Robert
If I were you, I would yearn for an open fire, next which I’d slurp on my chilli with a generous serving of pickled jalapeños, sour cream and guacamole.
January 23, 2022 at 9:22 AM
Urspo
Only yesterday (Saturday) the jalapeños were on sale, so I bought a bunch and made easy pickling types. Now my fridge is full with the pale green lovelies ready to be put on nearly everything.
January 23, 2022 at 8:43 PM
Robert
Yum