Category Archives: hike

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Mundane Monday #173: skies

For Mundane Monday #173, my theme is skies: not blue skies. Skies that worry me. This is a fire sky, the sun setting through smoke that we can smell. There are no big fires near us, so I don’t know if this is California, Oregon, Washington, or Idaho smoke…

Add a message with your post or a pingback and I will list them next week. There might be a delay, because I have some travel soon.

For the Mundane Monday #172 prompt: windy:

KL Allendoerfer joins in: https://klallendoerfer.wordpress.com/2018/08/06/mundane-monday-windy/

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Fair joy

I had Jefferson County Fair duty as part of the Port Townsend Sunrise Rotary, 2 hours yesterday morning and three at the Yellow Gate in the afternoon. I got to do the gate while it rained cats and dogs and that fairgate roof leaks like a sieve! It was a cold wet wood box with a door and two window holes wide open. I was dressed warmly enough barely.

But… back to the morning! Saturday started with a band parade!

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I have lived in Port Townsend since 2000 and I am a musician, so I know at least half the people in this parade. If the masks were off, I might know more.

This is one of those very local parades that you can be in if you want to, whether you have a costume or not. And here is the incomparable Joey Pipia, our magician and improv teacher, with a young horse….

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The fair is still going on, head on down today to enjoy!

I asked our Rotary Membership director the other day, how many of the adults in our town and county are in one or more local groups that help others: Rotary, Kiwanis, Elks, American Association of University Women, the PTA groups, church groups, the Veterans Association, the shelter, the Band Boosters…. the list goes on and on and hooray for all of those people and a big thanks to them! The people who run the fair and who run the Rhody Parade! All of the many volunteers we have and donors.

 

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left foot, left foot, left foot, right

This is for the Ragtag Daily Prompt: challenge.

What odd challenge is this? I took this stealthie downtown two days ago. I am wearing my almost not socks. Or minimal socks. Anyhow, they are elastic lace bands around the instep. These particular sandals are very comfortable but I tend to fall off them when I am tired. Somehow the almost not socks help.

But… challenge? The picture reminds me of The Foot Book. It starts: Left foot, left foot, left foot right. Feet in the morning feet at night. And it goes on, a kids book. I have a loved picture of my sister reading it to my son when he was a year old. They are on the porch in Portland. My sister’s feet are turned in and my son’s feet are turned out.

The challenge is do you have a children’s book or poem or story or speech from school memorized from 20 years ago or more. I am not counting television or movie songs here: this is something read or memorized on purpose from multiple uses….My children are both over 20 and I still have a huge number of children’s books memorized.

Have a wonderful day.

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a very old green roof

This is one of the Fort Worden bunkers. Green roofs are coming into fashion, and I do think they are a wonderful thing. But here are green roofs from the 1910s.

I took this during the Centrum Voiceworks week. I love the soft colors, greens and blues with a little grey and tans….

Information on green roofs: https://greenroofs.org/.

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Tobacco Use Disorder

With the DSM-V, there is no longer a separate diagnosis of Opioid Dependence and Opioid Addiction. The two are combined into Opioid Use Disorder. Opioid Use disorder can be mild, moderate or severe. And all of the addictive substances have the same list. So here is Tobacco Use Disorder.

According to the DSM-5, there are three Criterion with 15 sub features, and four specifiers to diagnose Tobacco Use disorder. Use of tobacco products over one year has resulted in at least two of the following sub features:

A, Larger quantities of tobacco over a longer period then intended are consumed.

1. Unsuccessful efforts to quit or reduce intake of tobacco

2. Inordinate amount of time acquiring or using tobacco products

3. Cravings for tobacco

4. Failure to attend to responsibilities and obligations due to tobacco use

5. Continued use despite adverse social or interpersonal consequences

6, Forfeiture of social, occupational or recreational activities in favor of tobacco use

7. Tobacco use in hazardous situations

8. Continued use despite awareness of physical or psychological problems directly attributed to tobacco use

B. Tolerance for nicotine, as indicated by:

9. Need for increasingly larger doses of nicotine in order to obtain the desired effect

A noticeably diminished effect from using the same amounts of nicotine

C. Withdrawal symptoms upon cessation of use as indicated by

10. The onset of typical nicotine associated withdrawal symptoms is present

11. More nicotine or a substituted drug is taken to alleviate withdrawal symptoms

Additional specifiers indicate the level of severity of Tobacco use disorder

1. 305.1 (Z72.0) Mild: two or three symptoms are present.

2. 305.1 (F17.200) Moderate: four or five symptoms are present.

3. 305.1 (F17.200) Severe: Six or more Symptoms are present

(American Psychiatric Association, 2013).

from: https://www.theravive.com/therapedia/tobacco-use-disorder-dsm–5-305.1-(z72.0)-(f17.200)

We have much more stigma attached to Opioid Use Disorder, but list for Tobacco Use Disorder is the same. Most chronic pain patients on long term opioids qualify for at least mild Opioid Use Disorder. UW Telepain says that if they only have withdrawal and tolerance, then it is questionable if they qualify. They also have said that “we don’t know what to do with patients with mild opioid use disorder”.

I find our culture peculiar. People get accolades for saying “I am quitting smoking.” or “I am a recovering alcoholic.” But it’s not ok to say “I am a recovering opioid addict.” People will shun you. Demonize. Gossip. It’s all addiction, so we should stop the demonization and stigmatization and help people and each other.

The photograph is not a brain. I took this about a month ago: it’s a brain size mushroom that was in the church lawn…