heart rock with arteries and veins
Top ten causes of death US 2020, according to JAMA, here.
Total deaths: 3,358.814
Contrast total deaths in 2019, at 2,854,838. That number had been on a very slow rise since 2015 (2,712,630) to 2019 (2,854,838). That increase over four years is 142,208 people. Then the death rate suddenly jumps 503,976 people in one year. Ouch. I cannot say that I understand vaccine refusal.
1. Coronary artery disease: 690,882
Heart disease still wins. And it went up 4.8%. It is suspected that people were afraid to go to doctors and hospitals. I saw one man early on in the pandemic for “constipation”. He had acute appendicitis. I sent him to the ER and his appendix was removed that day. He thanked me for seeing him in person. Might have missed that one over zoom.
2. Cancer deaths: 598,932
This is cancer deaths, not all of the cancers.
3. Covid-19: 345,342
I have had various people complain that covid-19 is listed as the cause of death when the person has a lot of other problems: heart disease, cancer, heart failure. The death certificate allows for more than one cause but we are supposed to list the final straw first. I cannot list old age, for example. I have to list: renal failure (kidneys stopped working) due to anorexia (stopped eating) due to dementia. That patient was 104 and had had dementia for years. But dementia is not listed as the final cause. So if the person is 92, in a nursing home for dementia and congestive heart failure, gets covid-19 and dies, covid-19 is listed first, and then the others.
4. Unintentional injuries: 192,176
Accidents went up, not down, which is interesting since lots of people were not in their cars. However, remember that the top of the list for unintentional injuries is overdose death, more by legal than illicit drugs. If there is no note, it’s considered unintentional. Well, unless there is a really high blood level of opioids and benzos and alcohol. Then it becomes intentional. They do not always check, especially if the person is elderly. The number rose 11.1%, which seems like a lot of people.
5. Stroke: 159,050
This rose too.
6. Chronic lower respiratory diseases: 151,637
This went down a little. This is mostly COPD and emphysema. So why would it go down? Well, I think bad lung disease people were dying of covid-19, right?
7. Alzheimer’s: 133,182
This seems to belie me putting renal failure due to anorexia due to Alzheimer’s. I think they actually read the forms and would put that as Alzheimer’s rather than renal failure, because it is not chronic renal disease.
8. Diabetes: 101,106
This rose too. 15.4%, again, probably partly because people avoided going to clinic visits. Also perhaps some stress eating. Carbohydrate comfort.
9. Influenza and pneumonia: 53,495
So this went up too in spite of a lot less influenza. Other pneumonias, presumably.
10. Kidney disease: 52,260
This went up.
And what fell out of the top ten, to be replaced by covid-19?
11. Suicide: 44,834
This actually went down a little. What will it do in 2021?
So what will 2021 look like? I don’t know. It depends what the variants of covid-19 do, depends on what sort of influenza year we have, depends on whether we are open or closed, depends if we bloody well help the rest of the world get vaccinated so that there is not a huge continuing wave of variants.
Today the Johns Hopkins covid-19 map says that deaths in the US stand at 608,818 from covid-19. If we subtract the 2020 covid-19 deaths, we stand at 263,495 deaths from covid-19 so far this year. Will we have more deaths in the US from covid-19 than in 2020? It is looking like yes, unless more people get immunized fast.
Take care.
Walking the beach with a friend a couple of mornings ago, I keep finding shells with a dark marking in the center of the interior and nice shiny interior. Then I find a shell with the other half attached. The other half has a hole in it.
I look it up. This site comes up: http://www.bily.com/pnwsc/web-content/Northwest%20Shells.html. Wow. We filter through it and the shell is in the family Anomiidae. Specifically Pododesmus macrochisma, aka Green False Jingle. It attaches to rocks or other jingles or whatever through the hole. Then it disguises itself. The outside of the shells I found was diverse, some with barnacles. I found a young one, pink, and the radial ridges are visible on the shell.
Cool! Next I tried to identify the two different kinds of chitons. Uh-oh. There are LOTS of chitons. I run out of air very quickly. I will save the chitons for another day. I also returned two sea cucumbers to the sea. The second one scrunches up when I pick her up with a piece of seaweed. When I put the second one in the water, she relaxes. The first one was probably already dead.
A vein of quartz in the rock on the beach in the early morning this week.
From the beach yesterday morning. I say still life, but there could be mites in the feather and the plants are still alive and no doubt there are lots of microscopic plants and animals in this picture. I am wondering how it is really possible to be vegan with bacteria around. Do they not count?
Do corals have venation? The feather does.
For the Ragtag Daily Prompt: venation.
I am invited to a Sinatra party, formal dress.
Let’s see. I have a sprained left shin. I fell on Monday, walking around a piece of property trying to find out if it had two streams. It doesn’t. It has one, three feet deep and over 18 inches wide. Who cares? Well, if it’s over 18 inches wide, it’s a salmon stream and to build a house you have to be 150 feet away. Which means you can’t because it cuts diagonally right through the property. Darn. I did not fall in the stream. I fell into a nice hole by a tree and rolled my left ankle a little. My ankles are pretty strong from dancing. It seemed fine.
So the next day I hike the beach twice, with my daughter and then B, maybe 6 miles. I am tired of hiking boots and try the toe shoes instead. “You have toe SOCKS?” said my minimalist daughter. “Of course,” I said, “Otherwise they are uncomfortable.”
Ankle is fine.
Next day I end up moving furniture. Ankle is a little sore.
Next day I hike a couple miles of beach in the morning and then a friend from Portland and I do the spit. We get to within a mile of the lighthouse, which means we hike 5-6 miles out on sand. It is gorgeous. I am limping on both feet by the time we get back, but left shin is worse. It’s really dumb to hike 14 miles in shoes that you have only worn once in the last year. I elevate my ankle once in the car.

The NEXT day B and I are on a jaunt. My ankle now makes it known that it is NOT HAPPY with me. We stop at the store for fud, as my son calls it, and I get an ace wrap and wrap it. Later we pay $1.00 at a Fast Food Joint for a cup of ice water and I ice it. At his park unit he mows and I limp along the river until I am in the sun. Later we hike Rialto Beach. I wore my hiking boots. My ankle is not appeased.

Now we are at yesterday. I have tickets to the Sweet Honey in the Rock on line concert. At noon. Junteenth. Ooops, no, at 3 pm. Ooops, no, on the west coast at 5 pm. Then I can’t make the stupid ticket work. I am really really frustrated. Well. I send them emails, try to get a new password, I have the ticket number. I keep getting a 503 server OVERWHELMED. Dang. I give up after an hour.
But I am invited to a Sinatra Solstice Juneteenth Bash, formal dress up. In my town that means wearing anything you can think of. I put on a gray dress, sleeveless but it has little gray flowers with silver gray pearls in the middle, all over the front. I have above the elbow white gloves. My ankle has a snug wrap and I put on dark gray hose and silver shoes with a 1.5 inch heel. I won’t dance, too hard on the ankle. I have acquired a set of gray pearlish beads which is so long that if I do not wrap it around twice it reaches to my knees. Mysteriously enough, it has a clasp. Why does it have a clasp? So some giant can put it around their neck? I complete the outfit with lipstick and my oxygen tank. The tanks are lighter than the concentrator, though bulkier. They are slightly bigger around than a tall oxygen tank but are light. I change the tank before I go. A full one lasts about 3-4 hours.
It is an outdoor party, there is tons of yummy food and there is wine and mead but no beer. I brought one beer along with my contribution, so I nurse my one beer⦠and dance. My ankle does not like this, but the music is so fun. Our host sings sets intermittently and then there is a DJ. The above the elbow white gloves are very fun to wear dancing and I have to try not to whack people when I spin with the awkward oxygen tank.
One gentleman thanks me for dancing. He says I am having so much fun that he’s having fun just watching. Cool. I LOVE to dance. One woman says something about wanting to pick one of the gray flowers off my dress, and I say dramatically, “No, I shall not be deflowered!” A line that one cannot use often… People have wonderful costumes and feathers and gloves and hats. It is fun just seeing what people are wearing. People were asked to come only if vaccinated and I am mostly distanced. I mostly dance alone, but have a couple of dances with guys. It’s a bit tricky to spin without whacking them with the tank. Tank girl, heh, heh.
At last I get home. I got to the party at 6 and it is not dark when I get home. Maybe 8 or 8:30? I lie down on the bed with an ice pack, propping my pissed off shin up on a pillow, just for a few minutes. Crash and wake up three or four hours later with the light still on. I turn out the lights, move the ice pack and go back to sleep.
Long white gloves and an oxygen tank. I am so grateful for the oxygen. I feel better than I have in the last seven yearsβ¦.
….and today I might just rest the ankle.
Here is one of my favorite Sweet Honey in the Rock songs:
Happy Father’s Day. My father died in 2013, emphysema from unfiltered Camel cigarettes. Damn cigarettes. I miss him.
Last night on North Beach.
My daughter is home and we went on a beach walk yesterday! The stupid oxygen keeps me from going fast. She went for a bike ride afterwards. Hooray!
Yesterday evening she brought up social distancing and how careful she should be. She has about 5 friends who are home that she is going to walk with. I am still wearing a mask over my oxygen tubing most places. She will unmask if they are vaccinated and they don’t have a cold or anything else. Even a cold would make me worse at this point. It makes me grumpy to be vulnerable, but I appreciate the discussion.
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