Magazine Posts

An inane discussion, is what it was.
No rhyme or reason, it was just because.
No logic in the words she said.
No understanding by me,
No rhyme or reason,
As there was nothing there,
Just an angst, full of despair.

Many years ago, in another life, in another time,
I worked for a large retailer, in the Catalog part of the
business.
As I recall, I was a District Manager and had recently returned
from Chicago, with my peers. The meeting was a big one
on a new product, called "Cling-a-longs" or women's full length
hosiery that had some elasticity that provide support for those
who were on their feet for long periods of time.

The store manager, I and some others, were in a local dive
bar. Actually it was a Chinese Restaurant with a nice lounge.
I was relating my recent travels to Chicago and talked about
the new product. I had also discussed that we had given some
samples to the Stewardess on the airline, with a request to tell
us how they liked them, or not.

This was later in the evening, after a few drinks. When our waitress
said something to the group, "I'm on my feet for a long time
and would like to get some of the hosiery you mentioned.
Now, uninhibited, I said I'll get you some.
The store manager had left, so I made a questionable decision.
I wasn't going to be there when the store opened.
I wrote on a cocktail napkin, a note to my manager,
"Please order this young lady a pair of the new hosiery."

I was in our Astoria office and received a call from my
manager in Corvallis. He said, "I have a young lady
in my office that has a napkin with your signature authorizing
a pair of nylons. How am I to pay for that?"
I told him to put it on my credit card, which he did.

I kept waiting over the years, for the napkin to show up. Alas my
manager has been gone for many years and I no longer
work for that organization.

A great event, of a slight error in judgement,
brings to me great memories, that always makes me
laugh.

NASA Astronomy Picture of the Day:

Short star trails appear in this single 84 second long exposure, taken on March 6 from a rotating planet. The remarkable scene also captures the flight of a Falcon 9 rocket and Dragon cargo spacecraft over Cape Canaveral Air Force Station shortly after launch, on a resupply mission bound for the International Space Station. Beginning its return to a landing zone about 9 kilometers from the launch site, the Falcon 9 first stage boostback burn arcs toward the top of the frame. The second stage continues toward low Earth orbit though, its own fiery arc traced below the first stage boostback burn from the camera's perspective, along with expanding exhaust plumes from the two stages. This Dragon spacecraft was a veteran of two previous resupply missions. Successfully returning to the landing zone, this Falcon 9 first stage had flown before too. Its second landing marked the 50th landing of a SpaceX orbital class rocket booster.

Photo by John Kraus

A veil of fog covers lawn and tree.
Going out it will also cover me.
I stay inside, a nice warm shelter,
while outside the Virus plays helter-skelter.

Andrea Amelse knows hand-washing.

For the past eight years, she’s been washing her hands pretty much every time she passes a sink. When she’s near a bottle of antibacterial gel, she uses it. She makes a point of avoiding people with contagious illnesses, even though it can be uncomfortable to ask to work from home or miss a date with friends. And she makes sure she gets plenty of sleep, not always easy at age 25.

Amelse was diagnosed in 2012 with lupus, an autoimmune disease that makes her vulnerable to infections. She’s since developed pulmonary arterial hypertension, a condition that requires intravenous therapy via a central line to her heart. Both illnesses place her at heightened risk for viral and bacterial illnesses. So, she has adapted as a matter of survival, taking to heart long-standing axioms on what constitutes good hygiene.

As the highly contagious new coronavirus continues its spread through the U.S., the general public could learn a thing or two from Amelse and the millions of other Americans with weakened immune systems who already live by rules of infection control. Whether it’s people who had recent organ transplants, people undergoing chemotherapy or people with chronic diseases, America has a broad community of immunosuppressed residents who long ago adopted the lifestyle changes public officials now tout as a means of avoiding contagion: Wash your hands, and wash them often. Don’t touch your face. Avoid that handshake. Keep your distance from people who cough and sneeze.

Amelse doesn’t follow the advice perfectly — of course she touches her face sometimes. “You do these things unknowingly, so forcing yourself to break these habits can be challenging,” she said. But the incentive to keep getting better is there. “If you get a cold and you give me that same cold, you might get it for a week. I’ll get it for a month.”

Even with her dedication, COVID-19 is proving a daunting prospect to face. And she has a stake in Americans adopting these habits because, while the disease is relatively minor for many people who get it, it can be life-threatening for people with preexisting conditions.

Amelse works at a health literacy startup in Minneapolis that helps patients with complicated diseases learn about their illness. She knows a lot about health and how to prevent infection. Still, the threat of COVID-19 is unnerving, for her and her doctors.

With a virus so new, official guidance on what people at heightened risk should do to steer clear of COVID-19 is limited. But the Centers for Disease Control and Prevention recently said the virus seems to hit hardest in people 60 and older with underlying health concerns. There is also concern for younger people with limited immune systems or complex diseases.

Health officials are asking those at risk to stockpile two-week supplies of essential groceries and medicines in case they need to shelter at home; to avoid crowds and heavily trafficked areas; to defer nonessential travel; and to track what’s going on in their community, so they know how strictly to follow this advice.

Infection control always follows a similar set of principles, said Dr. Jay Fishman, director of the Transplant Infectious Disease and Compromised Host Program at Massachusetts General Hospital and a professor at Harvard Medical School. The most important things for people to do right now are the things he always recommends to his organ transplant and cancer patients. Again, think hand-washing and avoiding spaces where sick people congregate.

Still, the recommendations aren’t one-size-fits-all. Some people are born with stronger immune systems, and immune deficits exist on a spectrum, said Fishman. How strict people need to be to prevent illness can vary depending on how susceptible they are.

Recommendations also need to take into account what people can and will do, he said. Children, for example, are among the greatest germ vectors of all time, but Fishman doesn’t ask his patients with grandchildren to stay away from their young family members. “We did the transplant so you can see your grandchildren,” he might tell them.

Similarly, avoiding crowds and staying away from sick people is easy for some but can be all but impossible if you work in food service, for example. Find ways to avoid the risks and reduce them where possible.

Though there isn’t great research on how well transplant patients and others manage to prevent infection, Fishman said many of his patients don’t get sick any more frequently than the general population, despite their vulnerabilities. But when they do, the illnesses tend to last longer, be more severe and put people at higher risk for additional infections. He counsels patients to be vigilant, but also to live their lives and not be ruled by fear.

Dr. Deborah Adey, a transplant nephrologist for UCSF Health, echoed Fishman, saying she likes to find ways to help her patients carry on with their lives. A patient recently asked if it was OK to fly to Salt Lake City, and she suggested they drive instead.

Gauging the risks can be tough. Amelse was relieved when a major health conference she was scheduled to attend recently in Florida was canceled at the last minute. She wasn’t sure it was safe to travel, but it also was unclear how to categorize an important work trip: Was this essential? Nonessential?

Adey conducts follow-up appointments via teleconferencing where possible, to keep her patients out of medical facilities. Hospitals are, by design, places for the sick, and people with compromised immune systems are generally advised to avoid them and the viruses and bacteria potentially inside.

That matches advice from officials in California and other states, asking people to stay out of emergency rooms unless absolutely necessary. They are asking people, when possible, to call ahead to their doctors and stay home unless an illness is serious.

And, similar to what public officials are advising the general population, Adey does not recommend that her patients wear face masks when out in public or even at the clinic. “The only people I would recommend is if they’ve got a lot of close contact with the general public, and they can’t afford to be off work.”

While much has been made of the hoarding sprees for face masks, the empty hand sanitizer shelves are equally frustrating for Amelse. Every 48 hours, she has to mix and administer drugs she places in an IV that goes into her heart. Everything must be sanitized, and she typically gets monthly shipments of antibacterial wipes and sanitizer. If suppliers run out, she’s worried she’ll have to go to a hospital to have the drugs administered — exactly where her doctors don’t want her to be.

Officials are desperately working on a vaccine for the coronavirus for use in as little as 12 to 18 months. But many vaccines are made from live viruses and can’t be given to some immunosuppressed people.

Given the risk COVID-19 poses for people with compromised immune systems, the government needs to stress how important it is for everyone to follow good hygiene protocols, said Fishman. “The worst thing we can do is downplay it.”

And for those just getting up to speed on preventing infections, Amelse has advice: “Viruses don’t pick and choose; they will latch on anywhere,” she said. Even if it’s not a serious illness for you, “there are people in your life that you can infect. You have the obligation and the responsibility to take care of your loved ones.”

NASA Astronomy Picture of the Day:

Astronomers believe they have now found the most powerful example of a black hole outburst yet seen in our Universe. The composite, false-color featured image is of a cluster of galaxies in the constellation of Ophiuchus, the serpent-bearer. The composite includes X-ray images (from the Chandra X-ray Observatory and XMM-Newton) in purple, and a radio image (from India's Giant Metrewave Radio Telescope) in blue (along with an infrared image of the galaxies and stars in the field in white for good measure). The dashed line marks the border of a cavity blown out by the supermassive black hole which lurks at the center of the galaxy marked by the cross. Radio emission fills this cavity. This big blowout is believed to be due to the black hole eating too much and experiencing a transient bout of "black hole nausea", which resulted in the ejection of a powerful radio jet blasting into intergalactic space. The amount of energy needed to blow this cavity is equivalent to about 10 billion supernova explosions.

A storm,
a port,
on land,
or sea,
trouble brews.
I'll flee,
far across
this land
so grand,
to me.
I will
then see
from what
I flee.

NASA Astronomy Picture of the Day:

What do the following things have in common: a cone, the fur of a fox, and a Christmas tree? Answer: they all occur in the constellation of the unicorn (Monoceros). Pictured as a star forming region and cataloged as NGC 2264, the complex jumble of cosmic gas and dust is about 2,700 light-years distant and mixes reddish emission nebulae excited by energetic light from newborn stars with dark interstellar dust clouds. Where the otherwise obscuring dust clouds lie close to the hot, young stars they also reflect starlight, forming blue reflection nebulae. The featured wide-field image spans over three times the diameter of a full moon, covering over 100 light-years at the distance of NGC 2264. Its cast of cosmic characters includes the Fox Fur Nebula, whose convoluted pelt lies just to the lower right of the image center, bright variable star S Mon visible just above the Fox Fur, and the Cone Nebula just to the left. Given their distribution, the stars of NGC 2264 are also known as the Christmas Tree star cluster.

Photo by Greg Gurdak

Please write me a story,
one that I will tell
to my friends, I know,
tell me daily; Go to Hell.

Silvered pearls of morning dew
on budded flowers,
catching the Sun passing through,
in the peaceful garden, ours.

Riding a motorcycle on
a loose graveled road,
can result in scabs
and contusions,
when your "bike" unloads
your personal confusion.

The days that lies ahead
are now full of doubt.
We are told to "Stay in
do not go out",
where the Coronavirus
could soon engage
the elderly and infirm
and compromise your
immune system, any place,
removing you from
Earth's lovely face.