Rock rasp

There is a raspy sound when the beach is pebbles and the waves wash in and they rasp together. It is a singing clicking rasp. Beautiful!

I walk Marrowstone Island early yesterday, since there is a very low tide in the morning and it was sunny and gorgeous. The clear agates light up.

This one is clear in the center. I have to dig it out of the mud flat with another rock.

Turn again.

There, isn’t it beautiful with the light shining through?

For the Ragtag Daily Prompt: raspy.

Sol Duc

Mom walked Elwha first today. There is fine mist from the sky. Mother slipped outside with Elwha early. I did not hear the click of the harness until after the door had closed. I had to wait.

Mother came back in and makes coffee before taking me out! Sometimes she and Elwha and I go out together. She is taking us out early today. Yesterday she slept in until 7:00, which is annoying. I prefer that my breakfast is ready at 4:00.

I lead Mother to the wild part of the back yard today, when she won’t let me dig in the neighbor’s garden. I am heading through the yard and realize: one of the four foots is there! A big one!

Black cat and buck meeting.

I go closer and he is quite big. I think it is best if I lead Mother away. I can handle him, of course, but Mother is more vulnerable and after all, she brings me food.

Black cat and buck 2.

Mother backs out of the yard and around the garage. I go further into the yard and there is a lady four foot. She and I exchange greetings. Mother comes around between our garage and the neighbors. She waits until the lady four foot and I are done and the lady four foot goes to the apple tree. Then Mother and I go inside.

I would like more food now, but Mother can be stubborn.

I am Sol Duc and I like the four foots.

For the Ragtag Daily Prompt: cat.

Bee love

I love the simple roses the best, with fewer petals. The bees in the Point Defiance Rose Garden agreed with me. I think they reach the pollen more easily if there are fewer petals. Also, I notice that the roses that have the most amazing fragrance are the old fashioned ones! Not completely, but mostly. I love this one.

For Cee’s Flower of the Day.

The DSM Stew

Pyschosis
Neurosis
Babeiosis
Psittacosis

Medicine shifts
out the old, in the new
neurosis is gone
from the DSM stew

https://www.nimh.nih.gov/health/publications/understanding-psychosis

https://www.cdc.gov/parasites/babesiosis/

https://www.cdc.gov/pneumonia/atypical/psittacosis/index.html

The DSM V is the Diagnostic and Statistical Manual of Mental Disorders, volume V. The DSM III was published in 1980, DSM-IV in 1994 and the DSM-V in 2013. Some disorders are dropped or combined with others or the criteria are changed. In the DSM-V, tolerance and overuse (formerly addiction) were combined from two disorders into one spectrum.

Medicine is always changing and updating. Before h. pylori was recognized as a cause of stomach ulcers, there was much more ulcer surgery and ulcer bleeding deaths.

I don’t know what will come out of Covid-19, but the research on the immune system and Long Covid (now called PASC) is formidable.

The DSM-V and the ICD-10 are humans categorizing things, defining diseases. They will continue to change.

For a history of the DSM, read here: https://www.psychiatry.org/psychiatrists/practice/dsm/about-dsm/history-of-the-dsm.

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For the Ragtag Daily Prompt: neuroses.

The photograph is taken in September 2021, with my camera. Hypoxia and a fast heart rate makes me really anxious, but neither is considered a psychiatric disorder.

The path forward

Today I attended this zoom, the Schmidt Initiative for Long Covid Global Echo Webinar Series:

https://hsc.unm.edu/echo/partner-portal/echos-initiatives/long-covid-global-echo.html

Today’s topic is Cardiac Complications of Long Covid.

Whew, it’s hard to see the forest for the trees! It’s complicated! The first distinction is lungs or heart or both. The next is worsened or new measurable heart disease, which is distinguished from heart symptoms without testable heart disease.

Heart disease can include inflammatory heart disease, ischemic heart disease, cardiomyopathy, arrhythmias or clotting disorders. These are called PASC-CVD. PASC-CVD stands for Post Acute Sequelae of Covid-19 – CardioVascular Disease.

If those are ruled out, there are three major categories of PASC-CVS – CVS is CardioVascular Symptoms. One is postexertional malaise, a second is POTS (postural orthostatic tachycardia syndrome) and the third is exercise intolerance. They are all different and treated differently. The formal test for POTS is a tilt table, but for places that don’t have access, they recommended the BatemanHorne NASA 10-Minute Lean test, here. That is hugely useful! This is the international conference, in English with simultaneous translation into French, Spanish, Portuguese and Arabic. Very impressive!

I will write more about today’s lecture, but I am still trying to sort out the trees in this complex forest.

For the Ragtag Daily Prompt: forest.

I took the photograph this month hiking Mount Zion with my daughter.

A-typical

My daughter and I went to Rialto Beach two days ago. We hiked the beach, returned and found our campsite. I bought my lifetime National Park Pass, but the park sites were full. We found a nearby private campsite that was just fine. My daughter gave it an A- for restrooms, a B for the sinks with hoses bringing cold water and a D for the regular not-bear-proof garbage cans.

After setting up the tent and dinner, we returned to Rialto for the sunset. Quite gorgeous, with the sun sinking in to the Pacific.

Earlier a ranger checked in when we were past Hole in the Wall. My daughter said, “Low tide at 3:45 and we will head back soon after that.” He grinned. Hole in the Wall is full of water when the tide is in. We could cross via a path over and behind the rock.

We wanted to see a whale, but mostly we saw rocks that were not whales. The tidepools are gorgeous.

There also were lots of brown pelicans. Wow, can they fly beautifully. My daughter points out that they look way more like airplanes than either eagles or great blue herons. It’s the wide body and the landing gear retracted and the really long glides.

They can stall and then dive.

We had a lovely trip. Meanwhile, I did not take my laptop. TYPING WITHDRAWAL! I had my journal, of course.

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For the Ragtag Daily Prompt: type.