Washing your hands isn’t enough

My brother’s work takes him to China and Southeast Asia seven or eight times a year. (The China travel has been halted for the foreseeable future) During our phone chat last night he mentioned he has not missed a day of work (for illness) in the last five years. A good trick considering how much time he spends in airplanes. The secret, he claims, is a combination of Clorox Disinfecting Wipes and small travel bottles of Lysol spray.

He immediately wipes down the seat-back tray, the seat arms, and other surfaces he’s likely to touch during his fifteen hour flights. Surfaces in the restroom get a wipe-down. And he never touches one of those blankets they give you. Surfaces that don’t lend themselves to a disinfectant wipe (in the plan or hotel room) get spritz of Lysol.

As I write this I’m sitting in my favorite coffee shop where the tables get a wipe (usually) between customers but I don’t see any disinfecting going on.

Washing your hands is always a good idea but my chat with my brother has me thinking about all the surfaces we touch in a day that were touched by hundreds of others. All those coughing, nose-wiping, hand-sneezers are not washing their hands.

“How many more people have to die?”

What a closed rural hospital tells us about US healthcare


When I was growing up in Kennett, Missouri, in the ’50s and ’60s, the Dunklin County Memorial Hospital was… an institution. That’s where I had my tonsils removed and that’s where everybody went if you needed to be in the hospital. If you needed some kind of special treatment or care you probably went to one of the hospitals in Memphis, 100 miles away. The hospital closed last year, pushing the little town that much closer to… I’m not sure what.

“We’re having probably three to five more deaths a month without having the hospital here,” he said. “I had a 35-year-old patient who started having chest pain. He needed to get to an emergency room but died on the way to the hospital. There are multiple deaths due to not having emergency services, mostly from heart attacks and accidents. There’s nowhere to stabilise them. If they’re having a heart attack, they’re dying before they get to the hospital. Plus the infant mortality rate has increased since the hospital closed.”

It’s happening all over rural America. This article tells the story. As does RP.

UPDATE (5/15/20): Company announces plans to re-open hospital in Missouri’s poorest region. “Nine of the state’s ten poorest counties are in southeast Missouri, and the Bootheel is the state’s poorest region.”

High tech dentistry

Following my semi-annual dental check-up yesterday my dentist showed me some amazing technology. Not so long ago getting a crown meant taking an impression; a temporary crown; and a long wait for a lab to make the permanent crown. No longer. Meet the Sirona Cerec MC XL Dental Milling Machine. Sort of a 3D printer in reverse.
The scanner creates a 3D image which is then recreated by the milling machine.  CAD/CAM technology has revolutionized dentistry.  My dentist has two milling machines, the original will do single crowns, veneers, etc.  The XL machine uses a bigger block so can do 3-4 unit bridges. The zirconium cube from which the crown is milled has a bar code that is read and stored so if the crown needs to be recreated they don’t have to start from scratch.

In my youth, going to the dentist was a little trip to hell. It has gotten so much better.

“Can a Burger Help Solve Climate Change?”

The September 30 issue of New Yorker Magazine includes the best article I’ve read on this topic. Staff writer Tad Friend spent six months reporting the piece which runs 12,000+ words (about 35 pages). I don’t know many with the attention span to read something of that length so here are a few excerpts I found interesting.

The piece focuses on Pat Brown, “a sixty-five-year-old emeritus professor of biochemistry at Stanford University and the founder and C.E.O. of Impossible Foods. By developing plant-based beef, chicken, pork, lamb, dairy, and fish, he intends to wipe out all animal agriculture and deep-sea fishing by 2035.”

  • Agriculture consumes more freshwater than any other human activity, and nearly a third of that water is devoted to raising livestock. One-third of the world’s arable land is used to grow feed for livestock, which are responsible for 14.5 per cent of global greenhouse-gas emissions.
  • Because methane is a powerful greenhouse gas, some twenty-five times more heat-trapping than carbon dioxide, cattle are responsible for two-thirds of the livestock sector’s G.H.G. emissions. Every four pounds of beef you eat contributes to as much global warming as flying from New York to London—and the average American eats that much each month.
  • the Impossible Burger requires eighty-seven per cent less water and ninety-six per cent less land than a cowburger, and its production generates eighty-nine per cent less G.H.G. emissions. They made it nutritionally equal to or superior to beef.
  • Ninety-five per cent of those who buy the Impossible Burger are meat-eaters.
  • The three largest meatpacking companies in America have combined annual revenues of more than two hundred billion dollars.
  • Researchers at the University of Minnesota found fecal matter in sixty-nine per cent of pork and ninety-two per cent of poultry; Consumer Reports found it in a hundred per cent of ground beef.
  • Cooked beef contains at least four thousand different molecules, of which about a hundred contribute to its aroma and flavor and two dozen contribute to its appearance and texture.
  • at least ninety-five per cent of American beef cattle spend their last four to six months being fattened on grain at feedlots.
  • American broilers, chickens raised for meat, are bred and confined in ways that make them more than four times larger than broilers were in the nineteen-sixties; as a result, they often collapse from their own weight.

Oak Mite

Insect bites are a real problem for me. A tick bite can plague me for a week or two. Chiggers are too horrible to even mention. I do my best to stay on the concrete but occasionally I forget and wander into the wilderness. A year ago, while walking on the prairie, I stumbled into a swarm/hive/nest of Oak Mites.

After feeding and reproducing, the mite then exits the leaf in the fall looking to find a protected location to overwinter. It is at this time millions of microscopic mites are blown in the wind, falling or landing on us. That is when they bite, resulting in the itchy rashes that are painful. Mites that don’t land on us spend the winter protected, waiting to emerge the following season to potentially start their reign of terror over.

I had never heard of Oak Mites until the Urgent Care physician identified the bites. There’s really not much you can do but treat the bites with anti-itch creams. And friends, there is no itch like an Oak Mite itch. Okay, maybe Poison Ivy or Poison Oak, but it’s close. And it takes at least three weeks to subside and feel remotely human again.

Three weeks ago — one year almost to the day — I managed to drive the Land Rover through some tall grass and again encounter Oak Mites. Even worse this time. The bites were so concentrated I had bites on top of bites. So thick you could not see the individual bites. Too horrible to share photos.

Because these fuckers are wind blown, there’s apparently no way to completely avoid them. But no more walking in tall grass for this boy.

Surgically Enhanced

Had a little surgical procedure six weeks ago and met with my urologist, Dr. Katie Murray, today for follow-up. Since nobody wants to hear about old guy surgery, I’m telling folks I had a couple of inches added. Life has gotten a whole lot better. Beer on the deck tonight at sunset.

Impossible Slider


Have not had a White Castle “slider” in… 25 years? Remember them as greasy little things best consumed after a night of drinking.

Stopped in today to try their Impossible (Foods) Slider. One of the few places in mid-Missouri the Impossible Foods burger is available. It was NOT greasy and I’m not sure I could tell difference from a beef patty (although I haven’t tasted one of those in 6 years). Lady behind me had her first as well and agreed it was very tasty.

Is red meat or white meat healthier?

According to the American Journal of Clinical Nutrition… neither.

White meat could carry the same heart health risks as red meat according to scientists who studied how beef and chicken affect cholesterol levels. The authors of a study published in the American Journal of Clinical Nutrition concluded plant-based proteins seem to be the best option for those looking to control their blood cholesterol levels.

Meatless

Stopped eating beef, pork and poultry six years ago today. No milk but I do eat eggs and fish. Hasn’t been all that hard really. I am looking forward to trying one of the new Impossible Burgers.